Post mortem examinations made at Knight U.S.A. Gen. Hospital / by W.C. Minor.

  • William Chester Minor
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: Post mortem examinations made at Knight U.S.A. Gen. Hospital / by W.C. Minor. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    .after (Irath :,id finished d hours after death, Feb. 20th, 1864. Th**.-. raui.Lt.tr about 'M~'. A. The )„„|v- warm and flexible at first opening:. Still flexible at second QJuaUUg. and rigor showing in muscels of neck only\ B. SECTIO CAD A VRHIH. *• Apex of heart a little to left of ordinary position. The blood waa wholly (Juid m right side. Upon introducing finger found no clot in conus arteriosus, in right ventricle or auricle, and fluid blood was ^continually streaming out of the aperature made. The opening in ven- tricle was sewed up so that no blood flowed out; the sternum replaced and skin sewed over till five and a half hours after. Then a uniform red clot (not black currant jam like, hut rather like red currant jelly, only opaque,) was found in ventricle of right side. A similar ciot was found in pericardium with effused blood. This could be torn into layers but all of the same color and structure. It was somewhat interlaced by filaments and bands with teretes lacerti of posterior wall. Right auri- cle was filled with a little darker clot, also slightly adherent by inter- lacement. The ascending venae: cavseC had a dark black coagulum. Left ventricle had a small band of white clot reaching up aorta, that in some places graded off into a red or black coagulum of small size. Left auricle had tl e black coagulum. From some of the pulmonary vessels at base of lung a yellow semi- transparent strip about two inches long, and quarter to half an inch wide, came out upon cutting through them, but none were observed in sul stance of lung. Left lung congested throughout, showing a rich purple delicate marbling which became vermillion upon exposure to the air. Substance crepitant, but apparently only of the minute bronchi and hot of the vesicles. Old adhesions on posterior and outer walls of lung, with recent lymph deposits along inter] ol ular fissure and anterior face. Right lung similarly congested, but with streaks of hepatization on middle and lower lobes. Most of these did not reach the surface on any side. Old adhesions on posterior and outer walls. Posterior part of substance of right lower lobe also softened. Some bulla?, as large as a walnut, of emphysema on anterior surface of left lung. 2,. Liver large, of a pale color, but full of blood, and with tough old tnein'.ranous adhesions to spleen, stoma< h and left side of diaphragm. G:>11 bladder of ordinary size. Yellow golden fluid about vessels of sub- stance of liver, Sple< n pale, very small, very hard, with white pea-like concretions overil Intestines inflated, with no signs of inflam-' majion. Kidneys both large : the subst mce pale, punctate with dark red points of diameter of a pin. Internal surface of pelvis of kidney, and metkr of left side to some extent injected with blood and in a part of the former, a yellow purulent like, viscid substance. Pelvis of right kidnYy hid a spot of inflammation also.