Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis.

  • Pierre Charles Alexandre Louis
Date:
1844
Catalogue details

Licence: Public Domain Mark

Credit: Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    granulations, collected into small masses, many of wliich were placed so close to the pleura as to form nodules of some size on the surface. There were very few in the lower lobe.—The heart was healthy; the aorta generally red,—the redness ex- tending (and gradually losing its intensity) into the carotid and femoral arteries. The thickness and consistence of the coats of these vessels were not obviously changed. Abdomen. Liver large, of a buff yellow colour, partially overlapping the stomach; of moderate consistence, and some- what fatty; bile thick and tenacious.—The stomach of natural size, displayed a blueish tint externally in the situation corre- sponding to the great curvature. Although separated with the very greatest care from the spleen and adjacent parts, it pre- sented, a little to the left of and behind the cardia, a perforation something more than an inch [nearly 3 centimeters] in dia- meter, with extremely thin and colourless edges, formed of peritoneum and a very delicate stratum of submucous tissue. Viewed internally, the greater part of the fundus and of the anterior surface appeared of a blueish white colour with broadly marked veins; the mucous membrane was here as soft as mucus, and as thin as blotting-paper. This tissue exhibited the same species of morbid change in the remainder of its ex- tent, under the form of bands from three to four and a half lines [6 to 9 millimeters] broad; between the parts thus affected the membrane was moderately red and firm. With the ex- ception of ten very small ulcerations near the caecum, the mucous membrane of the small intestines had the characters of perfect health ; here too, and between the mucous and submu- cous tissues, were some whitish bodies a little larger than millet- seeds, but not manifestly of tuberculous nature. In the large intestine the membrane was pale, free from ulceration, some- what thickened, and as soft as mucus.—The mesenteric glands were healthy; the spleen rather soft; the uterus very small, measuring only about one inch and four lines [32 millimeters] in its transverse diameter.—Other organs natural. The clear sound emitted by the chest under percussion be- neath the right clavicle, combined with the pectoriloquy and metallic tinkling audible in the same place, announced the presence of an extensive cavity in this region. Still I was far