Statistical tables of the Royal Infirmary of Edinburgh.

  • Royal Infirmary of Edinburgh.
Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: Statistical tables of the Royal Infirmary of Edinburgh. Source: Wellcome Collection.

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

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    TABLE XXIV. PRINCIPAL MORBID APPEARANCES observed in 250 Cases examined AFTER Death, from 1st October 1848 to 1st October 1849: beino- an Analysis of Reports in tbe Register of Dissections, by W. T. Gairdner, M.D., Pathologist to the Infirmary, [The following Table is constructed so as to exhibit individual Morbid Appearances, but not individual cases or forms of fatal disease. The classification is therefore entirely anatomical, i. e. founded on the physical changes observed in the organs, and not on any considerations having reference to the symptoms, causes, or effects of the morbid alterations recorded. Wherever it has been thought practicable or requisite to in- dicate the general correspondence of any individual morbid appearance with a particular type of disease, or a well-known group of symptoms, this has been done by including within parentheses the names of the diseases opposite those of the morbid appearances; which will allow of comparison, in so far as it can be made, between this Table and the preceding ones. Anatomical sjoionymes are printed in Roman lettei-s. Nosological names in Italics; but the application of the latter must be considered to be only approxima- tively correct, and to be taken with some latitude. It will frequently be found that the same sjnionyme applies to several Morbid Appearances, and vice versa. The General Register of Dissections includes only 41 ascertained and 3 doubtful cases of Epidemic Cholera, out of upwards of 100 fatal cases from the Infirmary and Cholera Hospital which were examined. For various reasons, it has been thought unnecessary to include the larger number in this Table, especially as a short report on the subject of the appearances in Cholera, founded on 90 cases, has been published in the Monthly Journal of Medical Science for July 1849. The Index, in manuscript, appended to the Register of Dissections, Vol. XII., is classified on the same prin- ciple as this Table, and enables reference to be made to all the cases on which it is founded, with the ex- ception of twenty-seven, which are in Vol. XI. W. T. G.] I. BRAIN AKD MEMBRANES. No. of Ca«c9. Excess of Serum, sub-arachnoid, . 6 Do. do. in ventricles, . 6 Do. do. in general arachnoid cavity, or locality not mentioned, 3 Deficiency of Serum, sub-arachnoid, 2 Jaundice of Membranes, . . 1 Opacity of Arachnoid, . . 6 Glandulae Pacchioni of large size, 2 Efifusion of Lymph or Pus beneath the Arachnoid, non-tubercular (Siviple Meningitis, Acute Hydrocephalus, Inflammation of Brain, &c.), . 1 Do. do., with Tubercles of Pia Mater (Tubercular Meningitis, Acute or Chronic Hydrocephahis), . 2 Cancer of Dura Mater (communicated from the cranial bones), . . 1 Hemorrhage, sub-arachnoid (Concus- sion, Apoplexy), . . 3 Hemorrhage, cerebral (Apoplexy), 5 Softening of Brain (Inflammation or Organic Disease of Brain, Hemi- plegia, &c.) . . • .6 II. SPINAL CORD & MEMBRANES, NERVES. No. of Caseal Opacity of Arachnoid, . . 2 Calcareous Laminsie in Arachnoid, . 1 Softening ] of Cord (Paraplegia), 1 Neuroma of Vagus Nerve, . . 1 in. HEART AND PERICARDIUM. Excess of Serum in Pericardium (Hydro- pericardium), . , . 2 Soft Lymph with Fluid or Pus in Peri- cardium (Pericarditis, Hydro-peri- cardium), . . . .11 Air (with Fetid Pus) in Pericardium, 1 Organized Fibrous Lymph-patches or Thickenings of Pericardium, . 17 Pericardial Adhesions, . . 6 Ecchymosis on Pericardial Surfaces, 34 Hypertrophy of Heart ( Organic Disease o///ea?-<^—chiefly on left side, 7 Do. do. chiefly on right side, 4 Do. do. on both sides, . 7 — 18 T —Definencv of Serum, sub-arachnoid. In both instances, connected with subarachnoid Ijnnph at base ■ of brain, and accumulation of serum in ventricles. Softemng of Brain. (Post-mortem or me- chanical softening not included;) but two cases of white softening included, which were doubtfully morbid In three cases the softening was red, accompanied by capillary hemorrhage; m one it was fawn-coloured. In addition to these, all the cases of hemorrhage were accompanied by softening. 11 —SofleniiHi t (.Spinal Cord.) The morbid appearances were altogiktlier doubtful. Miiroma or VamTNerve. The tumour was the size of a large lemon, and occupied the upper part of the chest on the right side, displacing and compressing the upper lobe ol the lung. IH Excess of Serum, in Pericardium. Under fi oz. not included. Ecchymosis on Pericardial SMS In 3^ cases connected with Cholera; in I with l^Trn.--—^.r f.r.M/./.rf »^ pKLm? In a case of Gangrene of Lung with probable perforation o 'leura and Pcrioar- ,Uum?H^d .Vbco's of Anterior Mediastinum. Ilvperlrophy of Heart. Pllatnt.oii generally co- 1 -■