A descriptive catalogue of the pathological specimens in the museum of the Hospital for Consumption and Diseases of the Chest, Brompton / by Percival Horton-Smith ; with the assistance of William Thomas Mullings.

  • Hartley, Percival Horton-Smith, Sir, 1867-
Date:
1904
Catalogue details

Licence: In copyright

Credit: A descriptive catalogue of the pathological specimens in the museum of the Hospital for Consumption and Diseases of the Chest, Brompton / by Percival Horton-Smith ; with the assistance of William Thomas Mullings. Source: Wellcome Collection.

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    few scattered and recent tubercles, most numerous in tbe right upper lobe, were present. N 200 From a boy aged 17, who had suffered for five years with cough and dyspnoea, and for two and a half years with foetid expectoration. He died from multiple cerebral abscesses (three in number) which had produced right hemiparesis, right hemianopia, and left facial palsy. (3) Cylindrical Bronchiectasis leading to Septic Pneumonia and Gangrene of the Lung. 69. The specimen shows a longitudinal section through the right lung. The bronchi in all three lobes are dilated, especially in the lower, where the cylindrical bronchiectasis is marked. At the end of each bronchus there is a saccular expansion. The lower lobe is much shrunken and fibrosed, but shows no pneumonia. The upper and middle lobes are solid from broncho-pneumonia, and at the apex of the former a gangrenous cavity the size of a pigeon’s egg, as well as several smaller cavities, can be seen. N 225 From a boy aged 16, who had suffered from cough for seven years. The expectoration had been offensive for six months. At the post-viortem exa- mination the left lung also showed septic broncho-pneumonia. (4) Cylindrical Bronchiectasis leading to Gangrene of the Lung and the Formation of a Gangrenous Cavity. 70. The specimen shows the anterior half of the right lung with a gan- grenous cavity the size of a Tangerine orange in the upper and middle lobes communicating with a somewhat dilated bronchus. In the lower lobe the cylindrically dilated bronchi with saccular terminations are well seen. The glass rod passes into a simple saccular bronchi- ectasis, the little bronchus leading into it being perfectly natural. The plem-a is adherent anteriorly, and at one spot (over the gangrenous cavity) was very soft and had almost ruptured. N 211 From a boy aged 13, who had suffered from cough and foul expectoration for nine months before death. For the last two months he was in the Hospital, and during that time his temperature was high and irregular. Towards the end the sputum was exceedingly foul. A few tubercles were foimd in one bronchial gland at the post-mortem examination, but there were none in the lungs. ■ (6) Cylindrical Bronchiectasis secondary to Empyema. 72. The specimen shows a section of the right lung. The whole lung is condensed and airless, having been apparently compressed by an old empyema, the remains of which (marked thickening and slight separa- tion of the pleural layers) are still visible. The bronchi are dilated, and contained pultaceous material. The left lung showed chronic pulmonary tuberculosis. M ood Pi om a sailor aged 18, who died eventually with chronic pulmonary tuberculosis. The sputum was very offensive, and amounted to between thirty and forty ounces daily. There had been shght hemoptysis For another example see specimen No. 175.