A descriptive catalogue of the pathological specimens in the museum of the Hospital for Consumption and Diseases of the Chest, Brompton / by Percival Horton-Smith ; with the assistance of William Thomas Mullings.

  • Hartley, Percival Horton-Smith, Sir, 1867-
Date:
1904
Catalogue details

Licence: In copyright

Credit: A descriptive catalogue of the pathological specimens in the museum of the Hospital for Consumption and Diseases of the Chest, Brompton / by Percival Horton-Smith ; with the assistance of William Thomas Mullings. Source: Wellcome Collection.

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    236. Tlie mitral orifice shows typical funnel-shaped stenosis, the orifice admitting the tip of the little finger only. The tricuspid orifice is also stenosed, admitting one finger only. The cusps of the valve are shnmken and thickened, and united together. The aortic valves are also thickened, shrunken, and united together. They were markedly incompetent to the water test. Both auricles were consider- ably dilated and somewhat hypertrophied. The left ventricle was obviously hypertrophied and a little dilated. N 243 From a woman aged 40, who suffered from rheumatic fever when aged 19. Post mortem, the liver, spleen, and kidneys were congested and sclerosed. The Ivmgs were engorged, and contained a single infarct in the lower lobe. 237. The orifice of the mitral valve is seen to be obstructed by a mass of vegetations. There is also thickening and narrowing of the tricuspid valve, while the right auricle is greatly dilated. D 205 From a girl aged 18, from whom no history of rheumatism or chorea could be obtained. (3) Aortic Stenosis. 238. This specimen shows the aorta and left ventricle laid open. The ventricle is dilated and its walls hypertrophied. The aortic valves are adherent and calcareous, forming a ring-like constriction which barely admits the tip of the little finger. The aorta itself is singularly free from disease, there being but few atheromatous patches. D 78 From a male patient aged 47, a lighterman, whose symptoms commenced four years before death, when he was crushed between two barges. There was no history of rheumatic fever or of syphilis. 239. The heart shown is greatly hypertrophied, and weighed thirty ounces. The aortic orifice is greatly stenosed, the three valves forming one calcareous circle the size of a quarter of a pea. At one point the valves were highly irregular and warty, suggesting that patient had formerly sufiiered from malignant endocarditis, the vegetations even- tually becoming calcified. 0 ^ From a cabman aged 52, who had suffered from heart trouble for thirty- four years. He was admitted into the hospital with heart failure and Cheyne-Stokes’ respiration. The physical signs were those of aortic stenosis and regurgitation with tricuspid regurgitation. He died twelve hours after admission. 240. The left ventricle and auricle are seen laid open. On the thickened adherent, and retracted aortic valves a few small vegetations can be seen. The mitral valve is also stenosed (in a button-hole manner), and on its auricular surface a few vegetations can be seen. C 180 From a woman aged 21, the subject of fibroid pulmonary tuberculosis. She stated that four years ago she had had rheumatic fever. (4) Stenosis of all Cardiac Orifices. 241. The heart seen is greatly enlarged and weighs twenty-four oimces. Both auricular cavities are dilated. The walls of the left ventricle are