Substance of a clinical lecture on a case of hydrophobia, delivered at the Charing Cross Hospital ... to which are appended the particulars of another case / [Thomas Joseph Pettigrew].

Pettigrew, Thomas Joseph, 1791-1865

Date:: 1834

Credit: Substance of a clinical lecture on a case of hydrophobia, delivered at the Charing Cross Hospital ... to which are appended the particulars of another case / [Thomas Joseph Pettigrew]. Source: Wellcome Collection.

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$CLINICAL LECTURE larly on the right side, and they were very strongly adherent to the parts beneath. The membranes over the optic nerves and the an- teiioi cruia cerebri were also very vascular. The absence of vascu¬ larity in the brain generally was remarkable, and not a drop of fluid was found at the basis, dhe lateral sinuses, like the longitudinal, were empty. 3 Neck— The muscles were dark coloured and fuller of blood than usual. 1 he tongue had its papillae very large, particularly at the root there were no pustules about the fraenum. The tonsils weie much enlarged, but not vascular. The pharynx and oesophagus were throughout perfectly natural5 there were not the slightest appealances of inflammation in any part. The larynx and trachea were also free of any marks of vascularity, excepting at the bifurca¬ tion of the latter at its entrance into the lungs, where it was slh>htlv leddened. 1 he inner surface of the larynx and trachea were smeared with a dark coloured fluid, which appeared to be a portion of a dark bdious fluid, a small quantity of which was found in the stomach, and of which a considerable quantity had been vomited up prior to death. * 1 1 Thorax.—Not a drop of effusion was contained in either cavity of the chest. All the viscera had their natural appearance j the lungs contained air, and were rather remarkable for the very small quantity of blood in them. There were some adhesions between the pleurae on the left side, but they were not recent. The phrenic nerves and the diaphragm presented their usual natural appearance- the heart was rather more fatty than is usually found in persons of so early an age. The pericardium contained about half an ounce of light straw coloured fluid. The left ventricle was empty, firm, and thick, and its substance of a dark colour ; the light ventricle had some small portions of coagula. The large vessels presented no marks of increased action 3 their inner surfaces were quite white The great sympathetic nerve was perfectly healthy. Abdomen.—The liver was natural, but the gall bladder was distended with a bile, perfectly black : it had communicated no tinge to the surrounding parts. The stomach was very much con- tiacted; and upon opening it, it was found to contain about four ounces of a greenish coloured fluid. The rugae were very stromdy maikcd, and the glands about the cardia and pylorus were more conspicuous than usual, and contained a whitish coloured deposit giving a strumous appearance to them. This conjecture is sup¬ ported by the enlarged state of the tonsils—a much enlarged con¬ dition of the mesenteric glands, and also an increase of firmness in the pancreas. ]\o abrasions or extravasations of any kind was obsenable in the stomach, neither was there any appearance of vascularity to be seen, except towards the pylorus, where a slio-ht redness was discernible, d he intestines were distended with air «Ln! piesented a very dry appearance, they contained no feculent$