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 _heart_ may be removed for examination, by dividing the large
vessels springing from its base. In examining the cavities, valves, &c.,
the right auricles should first be opened, by an incision along its
base, another meeting this at right angles, thus making two angular
flaps, which may be turned aside, exposing the interior. In opening the
ventricle, let one incision be made parallel with, and about one-third
of an inch from the groove in the anterior surface dividing the right
from the left ventricle, commencing at the base and extending to the
apex; and another along the posterior groove, meeting the former at the
apex, thus making a triangular flap, which may be lifted, exposing the
interior of the cavity, without injury to the tendonous cords. The
semilunar valves of the pulmonary artery may readily be exposed, by
splitting open that vessel, and turning aside its walls. The left side
of the heart may be examined in the same manner.
The examination of the _lungs_ may often be made _in situ_. Deep
incisions may be made into their substance at various points, or
portions may be removed for examination. If a more careful inspection is
desired, or if we wish to examine the bronchial tubes or aorta, the
whole thoracic viscera may be removed together. To accomplish this,
divide the trachea and œsophagus, as they enter the chest, with also the
branches arising from the arch of the aorta. Carry the hands around
either lung, breaking up any adhesions which may be found, and then by
grasping the trachea and arch of aorta, and dragging down upon the same,
the posterior mediastinum may be divided from above downwards, the aorta
and œsophagus divided as they pass the diaphragm, and the whole of the
contents of the chest thus removed _en masse_. Placed upon a large tray,
they may now be examined in detail. The bronchial tubes may be best
inspected from behind, laying open the passages with the scissors at
their posterior walls. By means of deep incisions, extending from apex
to base upon the anterior surface, the condition of the interior of the
organs may be carefully noted.
The examination completed, all blood should be sponged from the cavity,
the organs replaced, and any remaining vacancy filled with bran or
sawdust. The sternum now being placed in position, the incision may be
sewed up.
CHAPTER II.
PATHOLOGICAL CONDITIONS.
Section I. OF THE TONGUE.
[=Notice= in examination: size; form; surface coated or clean;
furrowed or fissured; marks of bites, stains; color generally;
vesicles; ulcers; sloughs; tumors, wounds, etc.]
The diseases of the tongue, the appearance of which we may wish to
examine after death, include _cancer_, _syphilitic ulcers or tubercle_,
_tumors_, _hypertrophy_, _etc._
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