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.
[=Notice=: 1. While _in situ_—degree of collapse; adhesions; position
and character of; wounds, etc. 2. _After removal_—external character;
color; peculiarity of shape; adhesion of lobes; puckerings at apex;
solid or compressible; crepitation; where most noticeable; effect of
inflation on color and size. _Tubercular deposits_—size; location. 3.
_Substance of lung_—solid or porous when cut; extent of solidified
portions; fluids escaping; character and quantity of.
_Abscesses_—position; number; size; character of contents; color;
odor, etc.; condition of lung around cavities; character of walls;
thick or thin; smooth or rough; crossed by bands; communication with
bronchial tubes. _Gangrene_—location and extent of. _Bronchial
tubes_—contents; contraction or dilatation; measurements at, above and
below these points; condition of mucous membrane; congested or
ulcerated; walls of tubes; thicker or thinner than natural.
_Extravasation of blood_—(apoplexy of lung;) portion and extent of
lung involved; condition of surrounding tissue; blood infiltrated or
encysted. _Adventitious deposits—cretaceous bodies_; situation; size;
density; condition of surrounding tissues. _Tubercles_—seat; size;
number; color; density, etc.; condition of surrounding tissue.
_Cancerous masses_—size; location, etc. _Carbonaceous deposits_—around
bronchial tubes; beneath pleura. _Result of placing entire lungs in
water_—do they sink or float? If they sink, is it rapidly or slowly?
If they float, is it above, below, or at the surface of the water?
Results with portions of each lung.]
The pathological conditions of the lungs, may be arranged as
follows:—_Inflammation_ and its results, _hepatization_, _suppuration_,
_abscess_, _gangrene_, _hæmorrhage_, _pulmonary apoplexy_, _emphysema_,
_tubercular disease_, _morbid growths_, and _parasitical animals_.
When in a healthy condition, the lungs will present the following
appearance:—Upon opening the chest, there will be a more or less
complete collapse of both organs, partly from atmospheric pressure, and
partly from the elasticity of the lung tissue. They will then have a
shrunken, shrivelled appearance, crepitating under pressure, and have an
ashen gray color. If inflated, the surface becomes smooth and shining,
showing an indistinct outline of the lobules, which, with the dark
pigmentary matter seen here and there, gives the surface more or less of
a mottled appearance.
Where pleurisy had previously existed, there may be adhesions preventing
the collapse of the lungs, until these have been broken up. When cut
into, healthy lung tissue has a soft, spongy character, the upper
portions will be quite destitute of blood, while the posterior portions
may be more or less filled with that fluid from gravitation, giving them
a dark congested appearance.
Inflammation and its Results.
Public-domain text, read in full here on John Shaqi.
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