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.
_Ectopia Cordis_, where, from some arrest of development, in the
inclosing parts, the heart may be found in some position other than its
normal one. From deficiency of the sternum and ribs, the heart has been
found protruding from the chest, (_ectopia pectoralis_,) or from absence
or deficiency of the diaphragm, it may be found in the abdomen with the
abdominal viscera. Such cases live but a short time after birth.
_Transposition_ of the heart is found in those cases where all the
viscera, abdominal and thoracic, are exactly reversed in position. A
case of this kind was discovered in the dissecting-room a few years ago,
by Dr. R. B. Weaver, demonstrator of anatomy, in the Hahnemann Medical
College. The heart was here upon the right side, the aorta curving to
the left; the liver upon the left; the stomach with its pylorus to the
left; the colon commencing in the left iliac fossa; in short, everything
completely reversed in position. The subject was a female of about
thirty years, and undoubtedly suffered no inconvenience from the
abnormal positions.
The more frequent displacements of the heart, however, are those
resulting from disease in the surrounding structures. It may be crowded
from its normal position, by pleuritic effusions, accumulations of air
(pneumothorax), or even by a highly emphysematous lung. Displacements
may also result from the presence of aneurismal or other tumors in the
chest; curvatures of the spine; or from a hernial protrusion of some of
the abdominal viscera through an opening in the diaphragm; or the
presence of tumors, enlarged viscera, dropsies, etc., within the
abdomen.
7. Contents of the Cavities.
=Heart Clots.= This subject is one that has until recently, been but
imperfectly understood; and now even, our knowledge relating to it, is
by no means complete. Enough is known, however, to convince us that
_heart clots_, are a more frequent cause of sudden death, than has been
heretofore supposed.
Having in a recent paper, read before the Philadelphia County
Homœopathic Medical Society, quite fully treated of this subject, I
shall here merely transcribe the leading points of the same.[12]
_Fibrinous heart clots_, _polypus of the heart_, _or fatty deposits_, as
they are sometimes called, differ from ordinary clots of blood, in the
absence of the blood corpuscles, and hence, presenting the buff color
characteristic of the coagulated fibrin of the blood. Ordinary blood
clots, with the corpuscles entangled with the fibrin—and hence
presenting the red color of blood—are usually found in the cavities of
the heart and large blood-vessels after death, but in greater quantity
upon the right side.
_Color._ The shade of color presented by the fibrinous clot varies in
different cases. While _buff_ is the prevailing color, the shade varies
from a light drab to a decided yellow.
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