Researches on phthisis, anatomical, pathological and therapeutical.
- Pierre Charles Alexandre Louis
- Date:
- 1844
Licence: Public Domain Mark
Credit: Researches on phthisis, anatomical, pathological and therapeutical. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![Sectio Cadaveris ; forty hours after death. External appearances. Marasmus in its last stage. Nothing else worthy of note. Head. Two small spoonfuls of serosity in the upper part of the arachnoid cavity ; pia mater a little red ; brain healthy ; half a table-spoonful of transparent serosity in each lateral ventricle. Neck. Epiglottis, larynx, and trachea natural. Chest. Firm, tolerably thick, and nearly general adhesions between the right lung and costal pleura, at its apex and pos- teriorly. Removal of these adhesions from the external surface of the organ displayed a broad deep hollow, resulting from the presence of an enormous cavity, occupying three fourths or four fifths of the entire mass of the lung, extending from the apex to within nearly an inch [2 centimeters] of the base, and from the posterior border to within about five lines [1 centimeter] of the anterior. This cavity contained a turbid matter, mo- derately thick, of grayish-brown colour, and exhaling that kind of fsetor observed in animal matters undergoing maceration. Its walls, remarkably anfractuous, gave attachment in various places to shreds of pulmonary tissue totally changed in proper- ties, and on the point of dropping away from their connexions; the walls were not invested with false membrane, and measured at their external aspect from one to three lines [2 to 6 milli- meters] in thickness, or in some parts much less even. Oppo- site the interlobidar fissure the cavity was divided into two un- equal parts by a septum largely perforated in several places, and composed, Uke the rest of its walls, of a grayish matter (or in some spots blueish and semi-transparent,) studded with tu- bercles. The right bronchus, much wider than the left, opened into this enormous excavation almost immediately after its entry into the lung, and at six hues [12 millimeters] distance from its own origin. The rest of the organ contained gray granulations and tubercles in abundance, in such manner as to leave scarcely a tenth part of the entire permeable to the air.— The apex of the left lung adhered slightly to the costal pleura, and contained a small cavity, which might have held a walnut, surrounded with gray semi-transparent matter, and, in great abundance, with tubercles. Beneath this the upper lobe con- tained an abundance of semi-transparent gray granulations, collected into small masses, many of which were placed so close](https://iiif.wellcomecollection.org/image/b21015235_0052.jp2/full/800%2C/0/default.jpg)
