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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    offensive stools during' twenty-four hours; severe pain in the abdomen, and tenesmus. 8th, involuntary discharges of large quantities of bloody mucus ; raving delirium. Died, September 9th. Autopsy eight hours after death : Emaciation slight; rigor mortis well marked; slight adhesion of right lung; pericardium contained two ounces of fluid ; right side of heart contained a large fibrinous clot; liver enlarged, soft and pale; gall-bladder distended with bile; spleen enlarged and firm, of a dark slate-color; kidneys pale; mesenteric glands enlarged; mucous membrane of ileum congested, its solitary follicles enlarged; sloughing ulcers in descending colon, the sloughs, of dark color and fetid odor, were separating, some having already been thrown off, leaving the circular fibres of the muscular coat in view: in the transverse and descending colon, the mucous membrane had nearly all sloughed away, and in some places the slough appeared to extend nearly or quite through the muscular coat. Contributed by Acting Assistant Surgeon O. P. Sweet, Carver Hospital, Washington, D. C. rVo. 849. Portion of colon, much thickened, with jagged and extensive ulcers, at the edges of which the mucous L. 90. membrane hangs in shreds ; some adherent pseudo^membrane in those portions of mucous membrane which are not destroyed. G. W., negro, age 50. Admitted to Freed man's Hospital, August 2d, 1866. Diagnosis—chronic diarrhoea. Died, August 4th. Autopsy six hours after death: Rigor mortis marked; no emaciation ; height, five feet two and a half inches; weight, about one hundred and thirty-five pounds ; scattered tubercles in both lungs, with adhesions anteriorly, especially the right side; edges of tricuspid valves thickened; walls of left ventricle hypertrophied ; fibrin clots in all the cavities of heart; colon thickened, extensively ulcerated, with elevated patches of pseudo-membrane; liver hard, rounded, and with amber-colored metastatic foci in the right lobe; gall-bladder distended ; spleen very small; cortical substance of kidneys waxy. Contributed by Assistant Surgeon E. Bcntley, U. S. Army, Washington, D. C. ]Vo. €73. Portion of transverse colon, thickened, and presenting numerous follicular ulcers with some adherent pseudo- L. 91. membrane. Private T. F., B, 1st Connecticut Heavy Artillery, age 30. Admitted, September 27th, 1865, with chronic diarrhoea; was somewhat emaciated; had been sick about a month; he had from six to eight thin dark-brown stools daily, with griping pain. November 10th, extreme emaciation, with oedema of ankles and hands. Died, December 1st. .Autopsy : Colon thickened and with follicular ulcers, as in the specimen; gall-bladder moderately full of bile. Contributed by Surgeon E. Bentley, U. S. Vols., Slough Hospital, Alexandria, Va. No. 666. Portion of descending colon, much thickened and coated with patches of pseudo-membrane ; many minute L. 92. follicular ulcers. Private C. C, K, 195th Ohio, age 19. Admitted, October 10th, 1865, with chronic dysentery; evacuations frequent, painful, and scanty. Died, October 15th. Autopsy: Old adhesions of both lungs; colon thickened and coated with pseudo-membrane, as in the specimen. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va. Nos. 138 Successive portions of colon, exhibiting numerous superficial ulcers, with scattered pseudo-membranous to patches. 138 and 139 from the ascending, 140 and 141 from the transverse, and 142 and 143 from 143. the descending colon. The mucous membrane is considerably thickened, especially in the descending colon. L. 93 to 98. Private H. E., C, 5th Minnesota. Taken sick in June with intermittent fever and diarrhoea, which, sometime in July, ran into dysentery. He rallied, and was able to walk about for a week or two, but suffered a relapse, and was admitted October 10th, 1863. There was considerable oedema of lower extremities, with copious bloody stools, attended with moderate febrile action and dry tongue; subsequently the stools became dark and slimy, varying from five to twelve a day; appetite at first good, but soon failed. Died, October 31st. Autopsy: Mesenteric glands enlarged; entire tract of large intestine eroded with ulcers, many of them superficial, but some penetrating to the muscular coat; mucous membrane thickened, especially in the caecum. Contributed by Surgeon George F. French, U. S. Vols-, Hospital No. 3, Vicksburg, Miss. Bfo. 524. Portion of colon, coated with pseudo-membrane, with a few superficial ulcers. L. 99. Private L. K. S., D, 14th Connecticut, age 35. Admitted, February 12th, 1865. Diagnosis—chronic diarrhoea. Had been sick for about six months; was received by transfer from Harewood Hospital, Washington, D. C, much emaciated and very feeble; had from four to eight thin stools daily. Died, March 15th. Autopsy nineteen hours after death: Slight rigor mortis; great emaciation; omentum a mere sheet of thin membrane, no fat anywhere; adhesion of free extremity of vermiform appendix to peritoneum, just under umbilicus; the sigmoid flexure in left hypochondrium; adhesions in vicinity of caput coli; left kidney found in front of the promontory of the sacrum, its hilum upon its upper anterior surface ; renal artery given off from bifurcation of aorta; spermatic arteries arose about an inch above bifurcation of aorta; spleen small and corrugated; liver small; the whole extent of mucous lining of intestine soft and Ihiu; numerous roundish ulcerated patches in ascending colon. Contributed by Surgeon P. A. Jewett, U. S. Vols., Knight Hospital, New Haven, Conn. 525, chap. V., sec. 1, A. 10, anomalous position of kidney, is also from this case.