A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
_The Eyes, with the optic nerves_, may be most conveniently removed for
examination, by breaking up the roof of the orbit with the hammer, and,
after the removal of the fragments of bone, dissecting away the fat and
muscles until the ball is exposed, when, with the scissors, the tunics
of the latter may be divided just behind the conjunctival attachment,
and the ball removed with the optic nerve. The front portion of the eye
being left in position, by filling the cavity behind with a little
cotton or paper, any flattening may be prevented, and thus any
appearance of loss of parts avoided.
The examination having been completed, the brain may be replaced, the
calvarium put in position, the scalp brought over the same and united
with stitches, the arranging of the hair effacing all traces of the
operation.
THE SPINAL CORD.
For the removal of the _spinal cord_, place the body in a prone
position, and make an incision the whole length of the back, over the
spinous processes of the vertebræ. Then raise up and turn aside all the
muscles with the integument, exposing the laminæ of the vertebræ. The
latter may now be divided with the single or double saw, the rachitome
or chisel being used to complete the operation, when the laminæ, with
the spinous processes, may be removed in one strip, exposing the cord
enclosed in its membranes.
The roots of the nerves may now be divided, and the cord, enclosed in
its sheath, removed; care being observed not to handle the parts roughly
while so doing. The dura mater may now be split open for the examination
of the cord. Should it be desired to preserve any portion for
microscopic examination, it may be suspended in a solution of bichromate
of potass, xx to xxx grs. to the ounce of water, and in a few days
transferred to a solution of chromic acid, ij grs. to the ounce of
water, where it should remain until sufficiently hardened to be cut into
thin sections.
The examination completed, the parts may be replaced and the incision
sewed up.
CHAPTER II.
PATHOLOGICAL CONDITIONS.
Section I. OF THE SKULL.
[=Notice= in examination, condition of _scalp_; cuts, bruises,
extravasation of blood, &c. _Cranium_—Color, smoothness or roughness
of exposed surface; fractures, their position and relation to injuries
of scalp. _Removal of Calvarium_—Adhesion of dura mater; inner surface
of; smooth or rough; seat of same; deposit of new bone; depression of
inner table; thickening or thinning of. State of fontanelles in
children; condition of frontal sinuses; condition of base of skull
noted after removal of brain; fractures; condition of petrous portions
of temporal bones, &c.]
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