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.
=Ulceration= of the larynx commences in the mucous membrane, but may
extend to the deeper parts. The more usual location is upon the
epiglottis, or on the margin of the glottis and vocal cords. Impairment
of the voice to a greater or less degree, will have attended either
inflammation or ulceration of the vocal cords. It is to be borne in
mind, however, that aphonia may arise from some impairment of the nerves
of the larynx, in which case, a post-mortem examination will fail to
reveal any morbid condition of the mucous membrane or vocal cords.
Pulmonary consumption we sometimes find accompanied with the presence of
ulcers upon the posterior walls of the larynx, with evidence of
inflammation in the surrounding parts. Whether these arise from
tubercles in the mucous membrane, or ulceration of the mucous follicles,
is uncertain.
=Œdema= of the larynx, is attended with great swelling of the mucous
membrane, from serous effusion into the submucous tissues, and
frequently attends chronic inflammation of the parts, with ulceration.
It may, however, be of an erysipelatous character, occurring as the
result of exposure to infection. The surface appears red, pulpy and
swollen, from infiltration of the submucous tissue. Œdema of the larynx,
is confined to the parts around the epiglottis, and margins of the
glottis, never descending below the true vocal cords, owing to the close
adhesion of the mucous membrane to the fibrous structure of the cord,
without any intervening areolar tissue.
=Necrosis of the Cartilages= of the larynx, may occur in the advanced
stage of laryngitis with ulceration. In this manner the epiglottis, with
the arytenoid, the cricoid, and even thyroid cartilages may, to a
greater or less extent, be destroyed.
=Abscesses= may also form, where the cartilages are so much involved,
these in some cases breaking upon the outside, and establishing
fistulous communications through which air may escape during
respiration.
=Tumors= of the larynx, may be found _first_, outside of the cavity,
imbedded in some portion of its tissues; and may include encysted, fatty
or fibrous tumors; or, _second_, they may be found in the interior,
springing from the mucous membrane, and resembling polypi in their form
and structure. They are sometimes granular or cauliflower-like in
appearance, and vary in size from a pea to a hazel-nut.
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