Clinical memoranda : being selected cases from the wards of Dr. M'Call Anderson.

  • Thomas McCall Anderson
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Clinical memoranda : being selected cases from the wards of Dr. M'Call Anderson. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    33/34 page 27
    tissue. The right temporo-sphcnoidal lobe is adherent on its internal and inferior surfaces. The pons is adherent on the right side, and there is softening and some h:>3morr]iage visible on its surface; whilst on section a grey tumour-tissue is visible in the form of a more or less rounded nodule three- t eighths of an inch in diameter, extending into the substance of the pons for about a quarter of an inch. The left lobe of the cerebellum is also adherent, and somewhat softened on its under surface. The corresponding portions of the dura are thickened, intiltrated, and adherent to the bone, * which is considerably swollen and softened, so that a needle can be pushed into it in various places to a distance of from half-an-inch to three-quarters of an inch. Liver.—The right lobe presents at its anterior edge, and at the extreme right, a tumour-mass 2 inches in diameter at the surface of the edge, and li inch from without inwards. It is obviously composed of a congeries of coalesced tumours, whose individual diameter may be in general from a quarter of an inch to three-eighths of an inch. The under surface of this reoion shows a rounded tumour, consistinof of some- what isolated nodules, some of which extend as far as 2 inches outwards from the tumour. None of these exceeds three- eighths of an inch in diameter. In addition, there are visible at the surface, at wide intervals, a few scattered tumours, mostly of small size, whilst on section there are also visible a few tumours. In the portal region of the liver there is a group of enlarged and apparently infiltrated glands. The other organs present nothing remarkable, save that the pericardium contains 10 oz. of clear yellow fluid. On cutting deeply into the right side of the neck, where a suppurative condition is visible, two or three glands enlarged and infiltrated with o-rev tissue are observed. There is slight enlargement of the mesenteric and inguinal glands. Microscopic examination of the tumour in the base of the skull proved it to be carcinomatous, originating probably in the sphenoidal sinus. 13. Chorea treated with Exalgin. E. M., a girl, aged 15, was admitted to Ward VII for the second time on 2dth December, 1892, suffering from chorea. Her previous admission was due to the same disease, which she then had for the first time. The attack was much more severe than the present one, and was accompanied by some paresis of the left arm. It affected the left side as it does now. She was treated by arsenic, and, after a stay of nearly
    digitised image 1
    digitised image 2
    digitised image 3