A manual of medical jurisprudence and toxicology / by Henry C. Chapman.

  • Henry Cadwalader Chapman
Date:
1893, ©1892
Catalogue details

Licence: Public Domain Mark

Credit: A manual of medical jurisprudence and toxicology / by Henry C. Chapman. 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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    of the heart. The scalp having been divided, and the two parts everted, the skull, after it has been carefully ex- amined, should then be sawed through in such a manner that the calvaritim can be securely replaced. The dura mater having been inspected should then be divided and the condition of the arachnoid and pia mater be observed. The brain before removal should be examined as to con- gestion of its vessels, laceration of its substance, extravasa- tion of blood, etc. After removal of the brain the base of the skull should be carefully examined for fractures. The condition of the brain should be noted as to its consistence, color, the existence of tumors, abscesses. The spinal column should next be opened through its whole extent, and the cord removed, and its condition noted. The thorax and abdomen should then be opened by making an incision extending from the root of the neck to the pubes, dividing the cartilages of the ribs, and the sterno-clavicular liga- ments, and reflecting the sternum. The heart and lungs, larynx and trachea should be at once examined in situ, and after removal, parts of the organ being preserved. The stomach having been ligated at both the cardiac and pyloric orifices, each orifice being secured by two ligatures, should then be removed by cutting between the two ligatures at each orifice, and placed in a cleau glass jar. The intestines should be removed and preserved in a similar manner, though separately from the stomach. The condition of the liver, spleen, pancreas, kidneys, and uro-genital apparatus should be noted and portions of the organs preserved for microscopic examination if necessary. The post-mortem examination having been concluded, the calvarium should be replaced in position, the parts of the seal]) inverted, and the latter as well as the abdominal walls brought together and securely sewed.