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.
Brinton, is of the opinion, that the solvent action of the gastric
fluids upon the walls of the stomach, is promoted by the presence of
vegetable or starchy food:—(1) by offering little substance upon which
the fluids can expend themselves; and (2) by producing by its
decomposition, an amount of acid, favoring an energetic action of the
gastric fluids; while on the other hand, the action of those fluids is
retarded, (1) by the presence of alkaline saliva, or bile in any
quantity; and (2) by the presence of animal food upon which the juices
may act.
CASE.—_Perforation of the Stomach in a child two years of age—death from
Hydrocephalus._
A child of Mr. T——, in its second summer, had an attack of
hydrocephalus, finally dying in convulsions. The autopsy, made
twenty-four hours after death, disclosed great congestion of the
membranes of the brain, with two ounces of serum in the ventricles.
Upon opening the abdominal cavity, all the viscera appeared healthy.
In lifting the stomach from its position, a gush of colored fluid
appeared from behind it, which at once led to the suspicion of a
rupture. The whole organ was then carefully removed, when a ragged
rent, through which the thumb could readily be passed, was discovered
at the posterior portion of the cardiac end. The walls of the stomach
at this point were extremely thin, soft and jelly-like; this condition
being plainly the result of the post-mortem action of the gastric
juice, while the rupture was the immediate consequence of lifting the
organ from its position.
Pathological States of the Stomach.
=Gastritis.= _Acute inflammation_ of the stomach rarely occurs, except
as a result of some chemical or mechanical irritation. From the
experiments of Dr. Beaumont, however, we learn that the stomach is
extremely liable to various grades of inflammatory action, which passing
rapidly through their several stages, end finally in recovery. By
watching the effects of excesses in the use of alcoholic stimulants,
food, condiments, and of exercise after meals, etc., he observed that
the pale, pink color, natural to the mucous membrane of the healthy
stomach, was exchanged for a somewhat livid erythematous redness, which
was distributed throughout the organ in irregular patches of various
sizes, and in its most intense form, amounted to a kind of ecchymosis.
Again, he noticed an excessive growth of epithelium, forming patches of
false membrane like, which at various points appeared distended by an
accumulation of a puriform fluid beneath, giving the appearance of
little pustules.
The following forms of gastritis are generally recognized:
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