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 antiseptic fluid having been prepared in a convenient vessel, the
syringe, after having been carefully examined and found in good working
order, should be slowly filled, adjusted to the stop-cock joint, the
cock opened, and the syringe slowly discharged. Shutting off the cock,
to prevent escape of the fluid, the syringe may now be detached,
refilled and again discharged, the process being repeated until the
vessels are filled with the fluid, which may be known from the
resistance offered to its introduction. After a few syringefuls have
been thrown into the vessels, the blood will be seen flowing more or
less freely from the jugular, and which will gradually change to the
clear antiseptic fluid; then the vessel may be tied, to prevent any
further loss.
To facilitate the flow of the fluid into the vessels of the extremities,
free flexion and extension of all the limbs should be made; and after
some minutes, another effort made to force in more of the fluid. A
successful filling of all the vessels may be known by the distension of
the superficial veins of the chest and arms, accompanied with an escape
of a dark fluid from the nostrils and, perhaps, mouth, from an oozing of
the fluid through the capillary vessels of the mucous membranes of the
head.
If the extemporized gum syringe be used, its pipe should be tied in the
vessel as in the other case, the opposite end of the tube placed in the
vessel of fluid, and the same thrown in by pressure of the ball. The
operation being completed, a ligature should be tightly placed around
the artery below the pipe, the latter removed and the incision sewed up.
_Changes Resulting from the Operation._ As the vessels become filled
during the operation, the abdomen will gradually swell, the chest become
more round and full, the face and eyelids become puffy, while the
superficial veins will appear full and dark from the contained blood. In
a few hours the skin assumes a pale, ashen hue, with a parchmentlike
feel, which will be a sure indication of the success of the operation.
In a few days the puffed appearance of the face will have disappeared,
when no further change will be noticed, until after several weeks the
ears, with the tip of the nose, and ends of the fingers, begin to
shrivel and dry up.
CHAPTER VII.
PRESERVATION OF SPECIMENS OF MORBID ANATOMY.
Many valuable and interesting pathological specimens are continually
being lost, from a want of knowledge, or a careless neglect on the part
of the physician. That the fullest benefit may result from a post-mortem
examination, any rare or interesting specimen should be carefully
preserved. Should the physician feel no interest in forming a cabinet of
morbid anatomy for himself, he should then deposit the specimen in the
anatomical museum of some medical school, where it may be permanently
preserved, and the profession thus benefited.
Public-domain text, read in full here on John Shaqi.
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