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.
ANEURISMS:—1. _External Characters_—size; shape; is the dilatation
lateral or general in its relation to the vessel? Openings as seen
externally; size, position, etc.; blood effused; quantity, etc. _After
opening, notice_—contents; blood fluid or coagulated; fibrinous
contents; laminations; their thickness; number; density; dryness;
difference between outer and inner layers. Channel for blood: size;
character of inner surface; how formed? Walls of aneurism: how formed;
by all, or one coat of artery. Size of artery above and below
aneurism.]
The diseases of the aorta, and of arteries generally, which may claim
attention in a post-mortem examination, are _inflammation_, _fatty
degeneration_, _calcification_, _aneurism_, and _rupture_.
=Inflammation.= This process may be found involving either the outer or
inner coats of arteries. In the former case the walls appear thickened
and infiltrated with a soft, jelly-like substance, which appears, at a
more advanced stage in some cases, to degenerate into a purulent
condition, while in others, great thickening of the coats, or even
obliteration results. Inflammation of the inner coat generally precedes
atheromatous or calcareous deposits, and is mostly confined to old
persons. The roughened inner surface thus produced, may serve to collect
fibrinous shreds from the blood, and thus be the occasion of the
formation of emboli.
Inflammation of arteries may result from injuries, from the presence of
emboli, or may be spontaneous in its origin. While the more frequent
seat of the disease is in the aorta, it may occur in any other artery.
=Fatty Degeneration=, or atheromatous disease of arteries, is an
important affection of those vessels, and is usually associated with
aneurism. It is seen more frequently in the arch of the aorta, and
consists in the presence of fine white streaks, situated in the
substance of the lining membrane. The disease may be found in children
as young as from three to seven years of age, but is more common with
adults. As the disease advances, the middle coat becomes involved. The
streaks gradually change into large, white, opaque patches. The middle
coat becomes thinned, loses its elasticity, assumes a gray,
semi-transparent appearance, and, at a later stage, becomes soft and
cheesy, and sometimes even undergoes a form of liquification into a
creamy fluid resembling pus, but dependent upon the abundant formation
of fat globules, with scales of cholesterine and granular matter.
While these destructive changes are going on in the inner and middle
coats, and tending to their rupture, by a conservative process, the
outer coat, upon which the strength of the vessel mainly depends,
becomes thickened and strengthened by the accumulation of plastic
matter.
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