Cases of cholera collected at Paris : in the month of April, 1832, in the wards of MM. Andral and Louis, at the Hospital La Pitié / by James Jackson, Jr.

  • Jackson, James, Jr., 1810-1834.
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: Cases of cholera collected at Paris : in the month of April, 1832, in the wards of MM. Andral and Louis, at the Hospital La Pitié / by James Jackson, Jr. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    head ; sight troubled and at times double ; hearing good ; no ringing in ears; aphony ; cramps in upper extremities, which are not relieved by exposure of limbs to air. The treatment is by accident not noted, or if noted, mislaid. It is, however, not of much importance, as the patient was not in a condition to be relieved by any treat- ment whatever, and died the next morning (15th), at 7. Autopsy 10 a. m. 16th, 27 hours after death. External appearances. Skeleton well formed ; slight emaciation ; limbs livid and blueish. Abdomen. Stomach half larger than usual; containing a considerable quantity of a clear greenish liquid, in which are suspended numerous flakes of grass-green mucus. Internal surface of an unequal red* over whole posterior face, very deep red in part of great cul-de-sac, near car- dia, where the color seems owing to a multitude of small points which are generally confluent; redness much less deep on anterior face ; mucous membrane not granulated nor thickened at any point; everywhere of its natural consistence, except on portion of posterior face corres- ponding to great cul-de-sac, where it is scarcely more consistent- than mucus. Small Intestines rather larger than natural; distended throughout with gas, and containing a liquid which is of a reddish grey color above, and of a clear red below, somewhat fluid in five or six first feet, and much more so, like water, below ; in this liquid float numerous brownish flakes, resembling moss under water; in it also are sus- pended myriads of very minute white bodies. Internal aspect like external, deep pink or light red. Mucous membrane pale, the pink color being owing to a univer- sal injection of the subjacent cellular tissue; it has its ordinary thickness and consistence, giving a strip of from six to ten lines in its whole extent. In the first four feet are seen a very few of Brunner's glands as large as millet- seed ; they are afterwards much more numerous and smaller (of the size of mustard-seed), except in three last feet, where they are even larger than in jejunum.