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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    at the apex; elsewhere attached by cellular filaments containing a little effused serosity between them. The upper lobe was hard and transformed into a semi-transparent gray matter, in the midst of which appeared another substance, of perfectly homogeneous aspect, and yellowish colour, resembling jelly on first sight, but in reality much firmer and resisting some amount of pressure. Here and there were seen some softened tubercles, in course of evacuation; and at the apex a cavity (capable of containing a moderate-sized apple) filled with a firm mass of fibrin, of red colour, itself invested with a false membrane scarcely adhering to that of the cavity, wliite, rather fragile, and giving ofl' several septa, converging to and uniting at a central point. Around the cavity and in the midst of the gray substance were vessels of half a line [1 millimeter], or somewhat less, in diameter. I traced them easily with a fine probe, but could not discover any communication between them and the cavity. A sort of septum, separating this cavity from another of much smaller size behind it, likewise contained a small vascular ramification, not opening into either excavation. In the lower lobe, half of which was still permeable to the air, were gray matter, tubercles, and granulations in abundance.— On the right side there were cellular adhesions over the entire surface of the lung; at the apex numerous gray granulations and a cavity of moderate size,—at the base a few nodules of hepatized tissue.—Heart and aorta perfectly healthy. Abdomen. Liver of dull red colour, deeper than natural; of usual size; bile of medium consistence.—Mucous membrane of the stomach villous, covered with viscid mucus, and of rather bright red colour over its entire extent; natui'al in respect of thickness and consistence Duodenum healthy Mucous mem- brane of the small intestine looks as if sprinkled with soot, other- wise quite healthy;—that of the large intestine somewhat softened and more or less red throughout its whole extent. There were four small ulcerations in the caecum and ascending colon, their fundus formed of the adjacent cellular tissue, which exhibits a grayish colour, and is somewhat thickened. Fasces of dull yellow colour in the caecum; elsewhere of hght yellow colour and natural consistence.—The other abdominal ^^sce^a were healthy.