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.
=Hydatids= have been occasionally found in the heart, the most of which
have probably been animal in their character, (_acephalocysts_.) A
female, forty years old, who had been suffering pain in the region of
the heart for some months, suddenly died, after running rapidly up
stairs. One ounce of fluid was found in the pericardium. A considerable
tumor was found at the apex of the heart, which slightly fluctuated.
This tumor was about three inches in diameter, globular in form, and
encroached considerably upon the cavity of the right ventricle. When
laid open, it was found to contain a large number of small cysts or
hydatids, varying in size from that of a small pea to that of a pigeon’s
egg, the space between which was filled with a soft curdlike substance,
of a yellow color.[11]
=Ossification of Coronary Arteries.= That condition of the arteries of
the heart usually termed _ossification_ is more properly one of
_calcification_, consisting of a deposit of hard, gritty, calcareous
matter, in which there is none of the true character of real bone, no
trace of bone-corpuscle or vascular canals ever being discovered in
them. Chemical analysis has shown the deposits to be composed of 50
parts of animal matter, with 47½ of the phosphate and 2 of the carbonate
of lime in every 100. This matter being deposited in circular layers,
the artery becomes gradually converted into a hard, bony-like tube,
which may be traced with the finger along the grooves of the heart
through which the coronary artery runs. This is peculiarly a disease of
old people, and may accompany a similar condition of the arch of the
aorta or of the semilunar valves, and by interfering with the proper
nutrition of the heart may result in other forms of disease, as fatty
degeneration, dilatation, &c.
=Abscess.= Abscess of the heart, may unquestionably follow an attack of
carditis, or inflammation of the muscular substance. The cut surface of
the heart in these cases, not unfrequently shows small cavities
containing a purulent fluid, and in some instances a distinct abscess is
found.
A man, sixty years old, was suddenly attacked, while at work, with coma
and great feebleness, followed by death on the third day. The left
ventricle being opened, an abscess was discovered near the apex,
irregular in form, and containing a bloody, purulent-looking fluid. The
coronary arteries were much ossified.
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