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 — John Shaqi
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 appearance presented by a clot, as well as the brain substance
immediately around it, will vary according to the time the patient
survives the attack. When death follows in a few days, the clot will
have a soft, blackish appearance; after a month or six weeks, it becomes
firm, and assumes a deep brown color, and at a still later period, it
becomes still more firm, and of a pale red tint; lastly, it may become
entirely absorbed. Peculiar changes also take place in the brain
substance immediately around the clot, which vary according to the time
intervening between extravasation and death. The portion immediately in
contact with the clot is generally of a dark red or wine color, or, at a
later period, of a chocolate brown, and of a soft, pulpy consistency.
Exterior to this, the color is paler and of an orange tint, and still
further on, of a bluish-white or yellow. The change in _structure_ and
_consistence_ of the brain, immediately around the clot, constitutes one
form of softening soon to be noticed.
Section III. OF THE BRAIN.
[=Notice= _before removal_—size; form; symmetry; space between surface
of brain and calvarium. _After removal_—parts at base, their size,
symmetry, color on surface, infiltration with serum or blood. _Removal
of pia mater_—degree of adhesion; appearance of convolutions; color;
consistence; effect of stream of water. Ulcers—condition of brain
around. Sloughs—relation to membranes, condition of brain around.
Deposits; tumors, wounds, etc. _After section, notice_ breadth and
character of gray portions of convolutions; color, vascularity, etc.
_Consistency_—softened or hardened; of white substance; color.
_Blood-vessels_—number and size of red points in different portions.
_Extravasation of blood_—its situation; fluid or coagulated; amount or
size of coagulum; color, etc. Cavities in brain substance; their
number, shape and contents. Blood, purulent, or fluid; its quantity
and color. Condition of brain around; cicatrices; wounds; adventitious
substances, as tumors, calcareous masses, tubercle cancer, etc.
_Lateral ventricles_—note any difference in the two; contents; amount
of serum or blood. _Choroid plexus_—pale or congested; cysts;
calcareous bodies; their size and situation. _Lining membrane_ of
ventricles; its vascularity, roughness, opacity, etc. _Septum
lucidum_—entire or lacerated; consistence. _Fifth ventricle_—size,
contents, etc. _Third ventricle_; contents. Commissures—their
condition; middle, broken or double. _Optic thalami and corpora
striati_—size, symmetry; character of surface and interior; if
softened, extent; extravasation of blood, etc. Condition of _pineal
gland_; _corpora quadrigemina_; _valve of Vieussens_, _etc._ _Medulla
oblongata_—degree of adhesion of membranes; softening, exact locality
of; condition about origin of nerves; appearance upon section. _Fourth
ventricle_—contents; condition of floor, etc.
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