Notes from the post-mortem room : additional cases of malignant endocarditis / by T.N. Kelynack.

  • Kelynack, T. N. (Theophilus Nicholas), 1866-1944.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Notes from the post-mortem room : additional cases of malignant endocarditis / by T.N. Kelynack. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    3/10
    Pathologist, Manchester Royal Infirmary ; Demonstrator in Morbid Anatomy. The Owens College. In previous numbers of the Medical Chronicle* I have recorded the cases of so-called “ malignant ” endocarditis met with in the Pathological Department of the Royal Infirmary between November 3, 1891, and May 22, 1897. Considering the awakened interest in this important form of cardiac lesion, it may be of interest to briefly summarise and analyse the cases which have come under observation during the last twenty-six months.t The following are short abstracts of our Post-Mortem Reports.; Case i.—Malignant Aortic Endocarditis. James, H., set 19. Admitted under Dr. Harris, May 1, 1897. In November 1896, was hit over cardiac region and suffered from dyspnoea since. Signs of aortic incompetence. No history of rheumatism or chorea. Died suddenly, May 9. Autopsy.—Slight oedema of lower extremities. Heart: Enlarged, 20 ozs. Aortic cusps covered with abundant yellowish-white, soft, pendulous vegetations extending to aortic surface of anterior flap of mitral. Lungs: Recent infarction Peritoneum : Slight ascites. Liver : Enlarged 60 oz. “ nutmeg.” Spleen : 6 by 3$in., 14 ozs., no infarcts. Kidneys : 14 ozs., apparently seat of tubular changes. Case 2.—Cirrhosis of Liver and Kidneys; Chronic Duodenal Ulcer; Malignant Endocarditis; Boils. Stephen, H., set 52. Admitted under Dr. Leech, May 3. 1897, with signs of dilated heart. On May 14 suddenly collapsed and died May 18. Had suffered from boils. •Medical Chronicle, 1896, Vol. V.,pp. 5 to 17 ; 1897, Vol. VII., pp. 351 to 359. fSee Report of recent Discussion at British Medical Association. Portsmouth, Aug., 1899. British Medical Journal, Aug. 5, 1899 ; and Lancet, Aug. 12, 1899, p. 453. I Manchester Royal Infirmary Post Mortem Reports : Medical Vols. for 1896, 1897, 1868. For many of the clinical facts I am indebted to notes supplied by the House Physicians.