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.
Andral notes the following malformations:—A single straight canal from
the termination of the œsophagus to the commencement of the rectum; a
double duodenum; two colons; an unusually large, and at same time,
double appendix vermiformis.
Diverticula are not unfrequent. They are cœcal appendages, resembling
the finger of a glove, one or more in number, varying in length from a
few lines to several inches, and giving off at various points. Like the
appendix vermiformis, they may become a source of danger by affording a
lodgement for indigestible matters.
In very rare instances the position of the intestines has been found
completely transposed, with a corresponding transposition of all the
abdominal viscera, or of only one organ.
=Inflammation.= Vascular injection by itself cannot be taken as a
decisive proof of the existence of inflammation. Obstruction to the free
return of blood by the veins, during life, and the gravitation of blood
to the most dependent parts, after death, especially after fevers, can
and do produce this very marked injection. In general, however, the
smaller and more isolated the patch of injection is, the more likely it
is to be inflammatory in its origin.
_Catarrhal inflammation_ may be either acute or chronic, and may either
attack the mucous membrane uniformly, or be developed mainly in the
villi and follicles.
In the _acute_ form: “There is more or less intense redness and
injection of the mucous membrane, affecting its entire surface, or
appearing as punctiform reddening from affection of the villi, or as a
vascular halo surrounding the follicles; relaxation of the tissue, and
intumescence of the mucous membrane, equally affecting the entire
surface, or only the villi and follicles; opacity of the mucous membrane
and its epithelium, from infiltration of the former and softening of the
latter; friability and softening of the mucous membrane. The submucous
cellular tissue is injected, relaxed and infiltrated with a watery
opaque fluid; the secretion is at first copious and serous; as the
affection increases in intensity it becomes opaque, viscid and
puriform.”
In the _chronic_ form, besides the above signs, we have also a dark,
rusty, livid discoloration, sometimes pervading the entire mucous
membrane; the mucous membrane and its follicles are swollen, the tissue
has become more dense, and the surface covered with an opaque,
grayish-white, or puriform mucus. Polypoid excrescences are sometimes
found upon the mucous membrane.
Both the large and the small intestines may be affected by catarrhal
inflammation, although the chronic form seems to occur more frequently
in the large.
The muscular coat of the intestines is also sometimes the seat of
inflammation, rarely if ever, however, as a primary disease, but by
extension from the serous covering or mucous lining.
Public-domain text, read in full here on John Shaqi.
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