Sketch of the progress of the malignant or epidemic cholera, from its arrival in America. With tables illustrative of its progress in the principal cities it has visited / by Edward Warren.
- Edward Warren
- Date:
- 1832
Licence: Public Domain Mark
Credit: Sketch of the progress of the malignant or epidemic cholera, from its arrival in America. With tables illustrative of its progress in the principal cities it has visited / by Edward Warren. Source: Wellcome Collection.
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![Gastroepiploic veins full of blood of a very dark color. Sto¬ mach much distended, anterior surface of its serous coat reddened, much contracted near the pyloric orifice; vessels of the small intestines uniformly injected, a red line indicating the contact of the folds of the intestines with each other; nerves of the solar plexus unusually distinct, mesenteric glands of a white color, small intestines moderately filled with fluid. Large intestines—coecum contracted to a ball, colon contract¬ ed throughout, of a white color ; the interior lined with copious white mucus, and containing a large quantity of fluid resem¬ bling water gruel, and farinaceous green colored mucus. Mu¬ cous coat of the small intestines of a uniform red color, meso- colic glands uniformly enlarged, of a white color, not so large as in cases of dysentery. Slight fcecal smell in the small in¬ testines, large intestines empty, mucous coat contracted, ap¬ pearing as if macerated, cellular coat injected. Stomach con] taining about twenty ounces of a dark colored, dirty looking fluid, and about three ounces of potatoes and carrots, some pieces an inch long, and half an inch thick ; mucous coat uni¬ formly reddish, with patches of deep red in the left inferior part of the stomach. Pancreas natural. Duodenum not much reddened, the interior containing a watery fluid with many white flocculi, no appearance of bile. On pressure of the gall bladder, bile regurgitated through the fori biliarii into the liver, intermixed with blood. Spleen adhering to the surrounding parts, small, hard, very dark colored, tears more readily than natural. Kidneys firm, of a deep red color, confounding the cortical and tubular parts, external appearance not perfectly natural, of a roundish form. Bladder contracted. Redness of the mucous coat less than usual in these cases, right semilunar ganglion more distinct and regular than usual ; otherwise natural. Since the cases above mentioned which occurred on the 12th, the following have been reported. On the 13th, no deaths reported. On the 14th, five cases. On the 15th, three cases ; 16th, one ; 17th, two; 21st, one; Oct. 1st, one.](https://iiif.wellcomecollection.org/image/b30347178_0030.jp2/full/800%2C/0/default.jpg)
