Volume 1
A compendium of human & comparative pathological anatomy / By Adolph Wilhelm Otto. Translated from the German with additional notes and references, by John F. South.
- Adolph Wilhelm Otto
- Date:
- 1831
Licence: Public Domain Mark
Credit: A compendium of human & comparative pathological anatomy / By Adolph Wilhelm Otto. Translated from the German with additional notes and references, by John F. South. Source: Wellcome Collection.
49/474 page 35
![internal surface of the stomach was of a bright red colour, and looked like velvet there were no other morbid appearances, nor was any history of his previous life obtained. T.] (1) A good engraving of a person affected with the blue disease is to be found in the Chirurg. Kupfertafeln. Weimer, 1820. Pl. 538—55. (2) In the common position on the back, also in the soft structures on the side of the spine, in the hinder part of the lungs and liver, as well as those parts of the small intestines which lie in the lesser pelvis. § 36. From this kind of dusky spots we must distinguish other similar colourings which originate in the percolation of the darker juices after death; thus we sometimes observe in persons who have died of inflammation of the lungs accompanied with their adhesion to the pleura, large livid or violet-coloured spots on the chest; on the stomach there are seen dusky red spots, where it is in contact with the blood-gorged liver and spleen. The large venous trunks filled with blood often colour the neighbouring parts,’ and the gall-bladder very frequently tinges a part of the adjacent stomach and duodenum with its bile. Sometimes, also, the naturally pale surfaces immediately in contact with the blood become equally red, for instance, the inner surface of the heart, the great arterial trunks, the rectum in piles; a peculiar change in the blood seems to be the cause of this colouring. (1) We easily distinguish these spots by the neighbouring causes, and because the external surface of the organ merely is coloured, or the colouring, if it have penetrated deeper, still diminishes gradually. ee A particular kind of deeper colouring is also produced by EXTRAVASATION, ecchymosis, ecchymoma, effusio, suffusio, sugillatio, either under the skin, or more deeply, but which differs from the above described similar spots, as it is produced by the actual effusion of blood from the vessels into the cellular membrane of the part. This usually accompanies a BRUISE, contusio; but it is not unfrequently consequent on severe strains of a part, on suckling in delicate skinned women, on great muscular exertions, on coughing, vomiting, and on many diseases, especially scurvy, petechial fevers, the morbus hemorrhagicus of Werlhof, &c. These extravasations are at first blackish or blue, and distinctly circumscribed, but by degrees become more extended, as it were, fade, and by little and little assume a violet, greenish and yellow colour.’ (1) Importance of distinguishing these spots from inflammatory redness. §§ 35—37. DZ](https://iiif.wellcomecollection.org/image/b33489166_0001_0049.jp2/full/800%2C/0/default.jpg)
