Descriptive catalogue of the pathological specimens contained in the museum of the Army Medical Department, Netley / by Sir William Aitken.

  • Aitken, William, 1825-1892.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Descriptive catalogue of the pathological specimens contained in the museum of the Army Medical Department, Netley / by Sir William Aitken. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    extent of pericardiac lesion, is hepatized, that inferior to it is crepitant and healthy. From Fort Pitt Museum. 6. Heart, with the pericardium opened in front and behind, anteriorly the membrane is partially folded back. The pericardial surfaces are coated with soft granular lymph, vaiying in thickness, and traversed by ramifying fur- rows. Prirate Jolm Adams, aged 26, 69tli Reginieut. was invalided from India with chronic dysentery and hepatic abscess and admitted into hospital, Fort Pitt, March, 1818. Fourteen days subsequently he was seized with dyspnoea, cough, and difficult expectoration, fever, &c. With the enlargement of the abdomen and indistinct sense of fluctuation over Kver the thoracic symptoms increased, and continued till death, 18 days after the commencement of dyspnoea and 32 days after admission. Sectio cadaveris:—the surfaces of the right pleux-a were thickly coated with lymph and enclosed four pints of serous fluid; at points the visceral and parietal pericardium were attached, the sac containing a pint of fluid; a larger abscess existed in the right lobe of the liver bomided superiorly by the adherent diaphragm and pericardium; ulceration was present only in the rectum. Fourth fasciculus of Anatomical Drawings. Plate ], Fig. 1. 7. Heart, with the cavities exposed, the pericardium cut in segments and reflected towards the base. The surface of both pericardial layers is coated with a thick firmly adherent reddish layer of granular lymph, and adjacent to the heart's apex are two large irregular paler patches of interstitial thickening; the pericardium generally is also greatly thickened. The heart is enlarged, the left cavities dilated, and the left ventricular walls hyper- tr>)pliied; the mitral orifice is augmented in area, and the aortic contracted compared to the other apertures, the lappets of the mitral valve and the chordae tendineje are interstitially thickened, the lappets of the aortic valve are also somewhat opaque and thickened with a few minute vegetations on the edges (some of these features are not clearly apparent in the preparation in sitn from difficulty to expose all parts equally well). The weight of the heart and pericardium was 24 ounces. From a boy 13 years of age. The history records that he had been ill for several months, with pain, occasionally severe ; and that during the period he had been under strict antiphlogistic treatment with venesection and leeching. After death the pericardium adhered to the surrounding parts and on the side next the left lung was of a bright red colour; the internal surface was of a purple colour and the sac contained about one pint of sanious serum. The right lung adhered firmly to the chest parietes, the left pleural sac contained about one pint of serum; the pulmonary parencliyma was healthy. The evidence points to the morbid preparation as an example of rheumatic fever complication. Donor—L. Lawrence, Esq., Surgeon, Military Asylum. 8. Heart, pericardium exposed anteiiorly, and large vessels. Lymph is very extensively diftused over both surfaces of