General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
The serous surfaces are capable of being influenced by the affections
of the other organs; this is very evident in the organic diseases of
the heart, the lungs, the liver, the spleen, the stomach, the womb,
&c. organs, which without having any known connexion of functions
with the serous surfaces, influence them however so that all their
morbid defects of organization are accompanied, in the latter periods,
by different serous collections in the great cavities, collections
evidently owing to a derangement of the organs which constantly exhale
this fluid. I shall make upon this point two observations; the first
is that the serous surfaces nearest the diseased organ, are in general
the most susceptible of being influenced by it. Thus in the diseases of
the heart and the lungs, the serous collections take place especially
in the thorax, whilst ascites is always the first consequence of
enlargements of the liver, the spleen, &c. the pleura and the
pericardium being filled subsequently. We know that most sarcoceles
are complicated with dropsies of the tunica vaginalis; whence results
hydro-sarcocele, a disease which surgeons consider separately, but
which is the same as those of the preceding cases, which might in
this respect be called hydro-phthisis, chronic hydro-hepatitis,
hydro-carcinoma of the womb, &c.
The second observation that I have to make is, that whenever the serum
is thus collected in the cavities, in consequence of an organic disease
of a viscus foreign to the membrane, this serum is limpid, transparent,
and probably of the same nature as that which circulates in the
lymphatic vessels. The exhalants which form it not being then in fact
diseased, their action not being increased or that of the absorbents
diminished except by sympathy, the fluid must remain the same. Thus
though there is suffering at the end of the glans from a stone in
the bladder, the glans is perfectly sound, and the mucous fluid that
escapes from it is of the same nature as in the ordinary state. On
the contrary, when dropsies depend upon a disease of texture of the
serous surfaces, as for example upon a tubercular inflammation, or even
an acute one, which has degenerated, &c. the effused serum is almost
always altered; it is milky, or there are albuminous flakes in it,
or a false membrane, &c. I have made this observation, which I think
interesting, upon nearly all the bodies I have opened.
Public-domain text, read in full here on John Shaqi.
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