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.
1. _Catarrhal Gastritis._ This, in its _acute_ form, is seldom seen in
post-mortem examinations. _Chronic Catarrhal Gastritis_, however, is by
no means uncommon, and may be a result of the use of alcoholic drinks,
the presence of various irritating substances taken either as food or
medicine, and may attend many forms of chronic disease of other organs,
or may be caused by obstruction to the circulation from disease of the
heart, liver or lungs.
The post-mortem appearances are neither very marked, nor constant. The
mucous membrane may be found red, or of a dark color, thickened and
sometimes roughened. The submucous and muscular coats may also be
thickened, while less frequently, small ulcers may be found.
2. _Croupous Gastritis._ This form is very rare, and seldom
diagnosticated during life, but may be found with children who have died
with croupous inflammation of the air passages, when small patches of
false membrane may be found adhering to the mucous surfaces. It may be
found in adults also, as an attendant of certain grave forms of disease,
as typhus, puerperal fever, cholera, dysentery, or in death from
irritating poisons.
3. _Phlegmonous Gastritis_, is another very rare form of inflammation of
the stomach, in which the disease involves all the coats, although
originating in the submucous, and may destroy the patient in a few days
with symptoms of peritonitis. The submucous tissues will be found filled
with an exudation of a sero-plastic, yellowish substance, which produces
thickening of the walls, and which may be confined to a portion or
involve the whole organ.
=Effects of Poisons.= The effects of caustic and other irritant poisons
upon the stomach, as exposed by a post-mortem examination, will vary
according to the nature of the substance, and the time it may have
remained in the stomach. Redness in various degrees, and of various
shades, ulceration, softening and perforation, may one or all, be
detected in different cases.
In large quantities, the mineral acids may leave the mucous membrane
black, and of a soft, tarry consistence, readily breaking down upon
handling the stomach.
The peculiar action of the several poisons will be noticed in another
place. (See Part IV.)
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