On a form of bronchitis (simulating phthisis) which is peculiar to certain branches of the potting trade : a graduation thesis to which was awarded the gold medal of the University of Edinburgh, August 2, 1864 / by Charles Parsons.

Parsons, Charles

Date:: 1864

Credit: On a form of bronchitis (simulating phthisis) which is peculiar to certain branches of the potting trade : a graduation thesis to which was awarded the gold medal of the University of Edinburgh, August 2, 1864 / by Charles Parsons. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

11/36 (page 11)

$turpentine stupes to chest. Beef tea Oj.—R. Inf. Digital, .lij. Mist. Expect ^j. quater quotidie. March ^th.—Continued to sink all yesterday. Ordered brandy, 3 oz. Now lie is excessively prostrate, and face a livid pale. Expectoration greatly diminished.^—R. Sp. JEth. Sul])h. Ti\, XX. Vin. Ipecac, ni viii. Morph. Mur. gT. tV Dec. Senegse ^j. 4 quotidie. Death took place at 7 A.M. on March 8th. March 9th.—Post-mortem 28 hours after death. No- thing remarkable externally. Eigor mortis still persist- ing. Thorax opened ; only a small portion of heart uncovered by lung. In anterior margin of left lung, which overlies the heart, are several hard nodules, firm, - olid, resisting the finger. Heart when removed is found much enlarged, particularly the left auricle. Left ven- tricle is also large, but its walls are not much thickened. Mitral opening admits tips of thumb and four fingers. Some puckering of edges of valve. Right ventricle greatly enlarged. Tricuspid valve much puckered. Right auricle enlarged. Microscopic examination shows much fat in muscular substance, both of auricles and ventricles. Aortic and pulmonary valves healthy. Lungs.—Left lung firmly adherent throughout to pleura. Emphysematous at anterior margin, where nodules described are felt. Apex firmly adherent to pleura. When cut into, it is found to be almost entirely solidified at apex. When cut into here, the lung tissue is found to be converted into masses of firm fibrinous resisting matter, lying closely to one another, but sepa- rated by thin lines of condensed pulmonary tissue. All greatly blackened. These masses are about the size of walnuts. Interspersed among them are calcified masses, grating under the knife, scattered through the black fibrous masses, and sometimes existing in the centre of$