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.
=Cancer= is the only disease of this organ likely to result in death. It
is said to occur more frequently in females than males. It may assume
the various forms of this disease, but is more frequently epithelial or
scirrhus, than medullary.
=Syphilitic Ulcers or Tubercle=, may be confounded with cancer, and in
some instances, only a previous knowledge of the history of the case,
assisted by a microscopic examination, would positively determine the
diagnosis.
=Tumors= of various kinds—encysted, fatty, fibrous and erectile—may be
found in the substance of the tongue, or underneath it in the floor of
the mouth.
=Ranula= is a peculiar form of tumor found under the tongue, often
attaining the size of a pigeon’s egg, and filled with a watery or
albuminous, or sometimes cretaceous matter. The tumor is usually
considered as arising from a dilatation of Wharton’s duct, but of this
there is doubt in some cases.
=Hypertrophy= of the tongue is sometimes found, where, from an increase
of the connective or areolar tissue, without any change in the muscular
fibres, the organ has become greatly enlarged, so as to cause deformity
of the mouth, or even of the whole lower part of the face. This
condition may involve the whole or a portion only of the tongue.
Section II. OF THE LARYNX AND TRACHEA.
[=Notice= in examination: 1. _Contents_—mucus; lymph; pus or blood;
amount; foreign bodies; false membranes, etc. 2. _Larynx_—condition of
epiglottis; œdema, ulcers, sloughs, polypi; same of superior opening
to cavity. _Ventricles_—condition of mucous membranes, etc. _Vocal
Cords_—thickness, color, œdema, ulcers, etc. _Cartilages_—condition
of; ossification; caries, etc. 3. _Trachea_—contents; mucous membrane;
cartilaginous rings; ossification of; caries; denuded of mucous
membrane, etc.]
_Inflammation_, _ulceration_, _œdema_, _necrosis of the cartilages_,
_tumors_ and _false membranes_ are the more usual pathological
conditions of these parts that may claim the attention in a post-mortem
examination.
=Inflammation= of the mucous membrane of the larynx (laryngitis) and
trachea, will appear as a diffused redness, with some thickening of the
membrane, and within which may be traced many _small, congested
blood-vessels_. It may be important to distinguish the redness of
inflammation, from that attending the early stage of decomposition,
which, it is an interesting fact to know, first appears in these parts.
Immediately after death, the mucous membrane is _pale_, except in death
from suffocation or laryngitis. In a day or two it becomes of a dusky
red, which is distinguished from that of inflammation by _the absence of
congested vessels_; the redness of decomposition, also, having a
superficial filmy appearance, as if washed with dirty wine.
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