Cases of Organic Diseases of the HeartWarren, John Collins
Science
Cases of Organic Diseases of the Heart
Warren, John Collins
Heart -- Diseases
[Footnote 3: The celebrated Morgagni has recorded some cases
of organic disease of the heart discovered by dissection, the
symptoms of which do not exactly accord with those observed
in this and the succeeding cases. It should be remembered,
however, that many of the subjects of those cases were not
examined by him, while living, and others but a very short
time before death. But it appears, that, in the last stage of
this disorder, some of the most important symptoms may be
materially changed, especially the state of the pulse,
dyspnœa and palpitations. Thus in the case related above,
and in some others, the pulse became regular, the
palpitations subsided, and the dyspnœa was less observable.
The cases of that accurate anatomist, therefore, are not so
contradictory of those related here, as might at first be
imagined.]
Once or twice the expiring faculties brightened. On the 30th of
November he awoke, as if from death, conversed very pleasantly for two
or three hours, and humorously described scenes, which he had
witnessed in his youth.
On the 4th of December came on the second attack of furious delirium.
Insensibility, and great prostration of strength, ensued. The
respiration became very slow, and obstructed by the accumulation of
mucus in the lungs; the pulse very intermittent, then regular, and
finally fluctuating. A hiccough commenced; coldness of the extremities
and lividity of the face followed, and continued three days before
death. On the 9th the incurvated posture was relinquished, and the
head sunk back upon the pillow; the respirations then diminished in
frequency, till they became only two in a minute; and at the end of
twenty-four hours they very gradually ceased.[4]
[Footnote 4: Governour Sullivan was born December 4th, 1744,
and died December 10th, 1809.]
DISSECTION, NINE HOURS AFTER DEATH.
EXTERNAL APPEARANCE.
The whole body was much emaciated; the face pale and contracted. The
hands were slightly œdematous. Discolourations, answering to the
ribs, were observed on the thorax; many small purple spots, hard and
prominent, on the back; excoriations on the nates; and purple spots,
resembling incipient mortification, on the heel and toe.
THORAX.
The integuments of the thorax were free from fat: the cartilages of
the ribs ossified in various degrees, some perfectly, others slightly.
Upon laying open the cavity of the thorax, it was found to contain
about three pints of water, the proportion being greatest on the left
side.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account