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.

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    Daniel R., ffit 43. Admitted under Dr. Leech, April 2, 1898, with signs of, aortic and mitral disease. Left off work at New Year. Improved up toApril 26. then developed erysipelas of the face. Suddenly expired on May 3. Autopsy.—'1 Puffy ” appearance of face. Dropsy of scrotum and lower limbs. Heart: Enlarged 19oz. Acute aneurysm of mitral value, thickening and softening of cordie tendineoe with vegetations and ulceration. On aortic segments large flocculent vegetations with ulceration. No distinct evidence of old valvular disease. Liver: 82oz., congested. Spleen: Enlarged, 6 by 4in., weight 16oz., no infarcts Kidneys : Enlarged, 16oz., parenchymatous nephritis. Case ii.—Chronic Endocarditis ; Adherent Pericardium; Malignant Endocarditis ; Infarction of Spleen and Kidneys. Walter F., ait 20, carter. Admitted under Dr. Leech with evidences of malignant endocarditis, June 1, 1898. Died August 30. Autopsy—Youth of “cardiac” aspect. CEdema of lower part of body. Pericardium: Adherent. Heart: 20|oz. Mitral and aortic segments thickened with recent coarse, irregularly distributed vegetations, extending on to ventricular walls. Lungs: Congested. Liver: Congested. Spleen: 16J oz„ large infarcts. Kidneys: 13oz., several anajmic infarcts. Gastro-intestinal tract: normal. Case 12.—Chronic rheumatic Endocarditis ; Mitral Stenosis ; Aortic Incompetence; Malignant Endocarditis. Michael M., ret 9. Admitted under Dr. Dreschfeld, September 10, 1898. Rheumatic history. Evidences of aortic and mitral disease. Death, September 25> Autopsy.—“Cardiac” aspect. Slight anasarca of lower extremities. Heart: Enlarged, 9oz. Mitral stenosis, coarse vegetations and ulceration; aortic cusps thickened and covered with granular, irregular vegetations, also evidences of destructive changes. Ulceration extends to cardiac wall. Pericardial haemorrhages. Pulmonary haemorrhage with old tuberculosis. Liver: 28oz. Spleen: Enlarged, 7Joz. Kidneys: Congested, 6Joz., fewr depressions; no recent infarcts. Case 13.—Chronic Endocarditis; Acute Fibrinous Pericarditis; Malignant Endocarditis ; Tubular Nephritis; Splenic infarction. William R., ast 47, railway guard. Admitted under Dr. Steell, September 27, 1898. Cardiac symptoms for a year. Ceased work 6 w'eeks ago. No history of rheumatism. Died, September 30. Autopsy.—(Edema of scrotum and lower limbs. Heart: Enlarged 24^oz., old thickening of mitral and aortic cusps. Vegetations on mitral. Pericardium : Acute fibrinous pericarditis. Pleura?: Double hydrothorax. Liver: 64oz. “Nutmeg.” Spleen: 9oz., size 4 by 2£, large old ainemic infarot. Kidneys: 13oz., tubular nephritis. Stomach and intestines : Normal. Case 14.—Aortic Sclerosis', Malignant Endocarditis', Pulmonary Infarction. William C., a?t 44, market porter. Admitted under Dr. Harris, September 19 1898 with evidences of aortic and mitral disease. Cardiac symptoms for two years. Alcoholic history. Death October 10.