Diseases of the heart and arterial system : Designed to be a practical presentation of the subject for the use of students and practitioners of medicine.
- Babcock, Robert H. (Robert Hall), 1851-1930
- Date:
- 1910
Licence: Public Domain Mark
Credit: Diseases of the heart and arterial system : Designed to be a practical presentation of the subject for the use of students and practitioners of medicine. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![mortem diagnosis was made of chronic indurative mediastino- pericarditis. !Xo other signs ever developed than the few men- tioned above, pulsus paradoxus and a visible s;v'stolic recession in immediate proximity to the apex. The autopsy was made by Dr. W. A. Evans twenty-seven hours after death, and was briefly as follows: The abdomen contained a small amount of fluid, and the omentum was adherent to the ab- dominal wall above the umbilicus and along the linea alba, adhe- sions being so firm that they could not be separated without tear- ing the omentum. The uterus was larger than normal, the right tube very firmly adherent to rectum and posterior part of the uterus, right ovary being normal; left tube also firmly adher- ent to the left side of the rectum and side of pelvis and posterior wall of the uterus, completely covering the left ovary, which was also normal. There was an exudate upon the anterior surface of the left broad ligament. The liver was adherent to the abdominal wall over both right and left lobes, the ])arietal layer of the peri- tona'um being thickened and its visceral layer showing evidence of old inflammation. The organ measured 9 by 5 inches, its right lobe 4 inches vertically, and its left lobe 2 inches in its antero- posterior diameter. The surface of the liver was markedly irregu- lar and divided by scars into large areas, its lower border being so notched that it was practically impossible to make out the lobes. Its capsule was irregularly thickened, presenting the ap- pearance of lace-work. The substance of the organ was firm, cut- ting with resistance, and the lobules, very irregular in size, stood out prominently, and the connective tissue of the capsule could be traced into the underlying liver substance^—in short, it was in a state of advanced Glissonian cirrhosis. The right kidney, 5] inches long and 2^ wide and 2 thick, showed increase in the thickness of its capsule, some parenchym- atous degeneration and interstitial overgrowth. The left kid- ney, 5 by 3 by If inches, with capsule firmly adherent in places and thickened, showed other changes the same as in right kidney. The spleen showed marked tliickening and some interstitial splenitis. The gastro-intestinal tract showed no especial changes, except that the peritoneal covering was thickened. The appendix was firmly bound down to the right iliac fossa](https://iiif.wellcomecollection.org/image/b21229533_0136.jp2/full/800%2C/0/default.jpg)
