Catalogue of the medical section of the United States Army Medical Museum / prepared under the direction of the Surgeon General, U.S. Army, by J.J. Woodward.

  • Woodward Joseph Janvier, 1833-1884.
Date:
1867
Catalogue details

Licence: Public Domain Mark

Credit: Catalogue of the medical section of the United States Army Medical Museum / prepared under the direction of the Surgeon General, U.S. Army, by J.J. Woodward. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    No. 362. Portion of transverse colon, with numerous superficial ulcers. L. 70. Private L. W. K., H, 48th Pennsylvania. Admitted, September 9th, 1864, with a hacking cough ; no expectoration; troublesome diarrhoea; much emaciated; had severe night-sweats; pulse about 90; had been sick several weeks. 27th, was suddenly seized with great dyspnoea which passed off in a few hours, but returned with violence on the morning of the 30th. Died, September 30th. Autopsy: Right lung congested ; in left pleural cavity a large effusion of greenish-yellow sero-puruleut fluid, which completely compressed the lung against the vertebral column; both lung and costal pleura were covered with a thick layer of lymph; heart covered with a layer of fibrinous lymph, and considerable effusion of serum, in which shreds and flakes of lymph floated free, in the pericardium; liver adherent to the diaphragm, adhesions old and tough; spleen contracted and firm ; a few ulcers in ileum; colon ulcerated and thickened throughout its entire extent ; right kidney, situated over the second lumbar vertebra, converted into a large cyst containing several ounces of a clear amber-colored liquid; a patulous ureter led from it and emptied into the bladder at its usual place; the urine was albuminous. Contributed by Assistant Surgeon W. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. 361, chap. V., sec. 1, A. 11, kidney converted into a cyst, is also from this case. No. 769. Caecum, with large sloughing ulcers; solitary follicles of ileum slightly enlarged. L. 71. See 768, chap. IV., sec. 2, B. 5, for history. IVos. 194 Two successive portions of colon, with many follicular ulcers, and a number of large, irregular, burrowing and ulcers, which invade the muscular coat, some penetrating even to the peritoneum. 195. Sergeant A. L. M., E, 152d New York, age 24, American. Had suffered from chronic diarrhoea for some L. 72 & 73. time; was attacked by measles March 1st, 1863; dysentery followed. Admitted, March 6th. Died, April 1st. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. IVos. 288 Two successive portions of colon, with the mucous membrane thickened; follicular ulcers; the surface of and the mucous membrane coated with pseudo-membrane. In 288 is one, m 289 several large eroding ulcers, 289. which have destroyed the mucous coat and expose the transverse fibres of the muscular layer. L. 74 & 75. Private J. M., I, 108th New York, age 24. Admitted, February 13th, 1863. Was taken sick at Acquia Creek, Va. When admitted was emaciated; feeble; pulse 110; tongue clean and red; stools frequent and liquid. 27th, somewhat better; pulse 95; tongue clean and moist; some appetite; stools less frequent. March 2d, pulse. 85 ; skin moist, tongue clean but rather dry; bowels moved three times during the day; some tenderness in umbilical and left iliac regions. 12th, better; countenance more cheerful; abdominal tenderness disappeared ; still very feeble and much emaciated. 17th, worse; tympanites; abdominal tenderness, especially over the descending colon; tongue and skin dry. 18th, very weak; pulse 140; tongue and skin dry; thirst; considerable tympanites ; whole abdomen tender; much pain in the epigastric region; two light-yellow stools in the last twenty-four hours ; no tenesmus ; micturition painful. Died, March 25th. Autopsy: Pleuritic adhesions of the lower lobe of right lung; nutmeg liver; spleen somewhat indurated; stomach much contracted; lower part of small intestine with patches of inflammatory congestion; colon, with mucous membrane somewhat thickened, plastered over with pseudo-membraneous matter of a whitish color, and presented numerous large ulcerations similar to those in the specimens. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. IV©. 184. Portion of descending colon, the mucous membrane thickened, somewhat coated with pseudo-membrane, and L. 76. presenting numerous irregular ulcers of variable depth. Private A. W., A, 9th Missouri Cavalry. Admitted November 11th, 1862, with chronic diarrhoea of six months' duration. Died, February 1st, 1863. Autopsy: Mucous membrane of the entire colon and rectum thickened and ulcerated; at points the muscular coat was penetrated. Contributed by Surgeon H. Culbertson, U. S. Vols., General Hospital, Rolla, Missouri. ]\0. 400. A portion of colon, with a few follicular ulcers and a number of somewhat extensive erosions. L. 77. Private D. McD., F, 39th Massachusetts. Admitted, September 9th, 1864, from the Army of the Potomac. Had suffered from frequent attacks of diarrhoea; during the summer had also had intermittent fever. For three weeks prior to his admission, he had been in field hospital. He was emaciated and feeble; conjunctiva yellow ; tongue furred; pulse 80; abdomen flat and tender, especially over the colon; slight cough. 29th, was seized with'nausea, vomiting, and increased tenderness in the abdomen. Died, September 30th. Autopsy four hours after death : Rigor mortis well marked ; both lungs firmly adherent, their apices presented several dense fibrinous spots resembling cicatrices, and contained a number of cretified tubercles, some of which were quite hard, others of a cheesy consistence ; peritonitis ; the viscera coated with patches of yellow lymph, and slightly reddened ; the recto-vesical cul-de-sac filled with a thin yellowish pus; small intestine normal, except that a diverticulum existed; large intestine greatly thickened and presented extensive irregular ulcers. Contributed by Assistant Surgeon W. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C.