A Collection of Chirurgical TractsBeckett, William
Science
A Collection of Chirurgical Tracts
Beckett, William
Surgery
On Dissection we found the Surface of the Lungs to be interspersed
with blackish Specks, the left Lobe adhered to the _Pleura_, and the
_Pericordium_ contained a much greater Quantity of Liquor than usual,
though its Colour was natural. The Right Auricle and Ventricle of
the Heart were very much distended, and the Diameter of the _Arteria
Pulmonaris_ considerably enlarged: on the Division of the Integuments
of the Abdomen, a very large Quantity of yellowish fœtid Matter
discharged it self, which was somewhat viscid; we found that the
Intestines floated in this, for the Abdomen was full of it. In the
lower-part of the Concave Side of the Liver there was a very large
Abscess discovered, which contained a Fluid of the same Colour and
Consistence with that which we took notice of before. There was an
Orifice in the lower part of the Abscess capable of admitting the
End of one’s Finger; by which, without doubt, Matter discharged it
self into the Abdomen. The Spleen was of a very odd Figure: On it’s
convex Side there were a Multitude of Streaks, that proceeded from all
Parts of it, and centered in one Point, which proceeded only from the
Disposition of the Fibres of it’s internal Membrane. It was almost full
of Blood, which in the middle was corrupted, and stank abominably.
After it was cleared from the contiguous Parts to which it adhered, and
taken out of the Body, it weighed four Pounds and a half.
There might have been something more observable upon the Dissection
of this Body, but the short time that was allotted for it did not
give us an Opportunity of making that strict Enquiry as seemed to be
necessary. _Blancard_. in his _Anat. Pract. Rationalis_, _p. 252_. has
much such an Observation as this which we have related. See likewise
_Schenckius_, _Lib._ 3. _Obs_ 26. But I do not doubt, _Sir_, but you
have made some curious Remarks on Cases of this Nature, tho’ I am
pretty positive you will agree with me in this, That the immediate
Cause of the Death of the Person we have been speaking of, was the
giving a sudden Check to the Discharge of the Matter. It was the Work
of Nature in this Case (and what she was endeavouring to perform) to
disburden herself of those disproportionate and offensive Particles,
which by their Continuance in the Body would but have occasioned an
irregular Motion of the Fluids, and consequently a Discomposure
of it’s whole Frame: For the animal Body being nothing else but a
Congeries of Canals, filled with different Liquors, it must necessarily
suffer very much, and it’s Actions be irregular, if any Heterogeneous
Particles become incorporated therewith. We must here allow, that in
Discharges of Matter of a long Continuance, sometimes the Diameters of
the Fibres and Vessels may be so much enlarged, that the nutritious
Juices may be thrown out with the other, and so occasion a general
Emaciation: But this may be easily rectified at the Beginning, without
Detriment to the Patient, by making use of some spirituous and
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