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.
=Gray Hepatization=, which characterizes the third stage of pneumonia,
is known by the lung presenting a firm, semi-solid, inelastic, and more
or less incompressible character. Failing to collapse, the lung is found
more or less completely filling the chest. The pleura will generally
present evidences of inflammation in the presence of patches of lymph
and more or less points of adhesions. The upper lobe may be soft and
compressible, while the lower is solid from hepatization. When divided
with the knife, the substance is found of a gray, red, or dirty yellow
color; compact, but friable and easily broken down with the fingers,
while the smaller bronchial tubes are filled with fibrinous plugs.
Bloody purulent matter, with much turbid serous fluid, will ooze from
the cut surfaces. Pus globules will be detected in the escaping fluids
by a microscopic examination.
_Resolution_ of a hepatized lung, consists in the gradual softening of
the effused substances within the smaller bronchial tubes and air cells,
and the discharge of the same by cough and expectoration.
Inflammation of the lung usually commences in the lower lobe, and while
the disease here may extend to complete hepatization, the middle lobe
may be found merely congested, while the upper is quite healthy.
Inflammation may attack one or both lungs. In the former case it is
known as single, and in the latter as double pneumonia. From an
examination of a large number of cases, it has been ascertained that
inflammation of the right lung is more frequent than that of the left in
the proportion of about three to one, and that single pneumonia is more
common than double pneumonia in the ratio of six to one.
Pneumonia is sometimes divided into _Catarrhal_ and _Croupous_. In the
former, the exudation contains little or no fibrinous matter, while the
bronchial mucous membranes are also involved, the disease at the same
time being confined mostly to the lobules of the lungs. In the
_croupous_ form, the exudation contains a large proportion of fibrine,
and the disease usually involves the greater part of a lobe, or may
extend to the whole of one or both lungs.
Both forms of the disease may run through the three stages of
congestion, red and gray hepatization.
A peculiar form of inflammation of the lungs, found mostly in children
and young persons, and usually chronic in character, has been described
as
_Lobular Pneumonia._ The inflammation here being confined to the
lobules, these, after the disease is perfectly developed, present the
appearance of a multitude of rounded nodules, of the size of small nuts,
scattered through the substance of the lungs. The exterior of these is
reddish, firm, and vascular, while the interior is of a grayish color,
containing effused lymph, with more or less purulent matter.
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