Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving riskLegge, Thomas Morison, Sir
Science
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk
Legge, Thomas Morison, Sir
Lead poisoning
In the _brain_, as well as in all the tissues, careful search should
be made for minute microscopical hæmorrhages, and for evidences of
old hæmorrhages in the form of small masses of fibrous tissue, etc.
Parenchymatous degeneration, chromatolysis of nuclei, etc., nerve
degeneration.
The _arteries_ and _veins_ should also receive close scrutiny, as the
presence or absence of arteritis should be noted.
In the _kidney_ particularly, search should be made for both
interstitial and parenchymatous nephritis.
The _liver_ frequently shows signs of microscopic hæmorrhage, and it is
as well, in taking a portion of tissue for examination, to choose those
portions which appear to be specially congested.
In the _brain_ and _spinal cord_ and _nervous tissue_, search is to
be made for the same hæmorrhages as already noted. In addition, the
condition of the nerve fibres should be noted, the presence or absence
of periaxial neuritis, as well as degeneration of the axis cells, and
the various ganglion cells both in the brain and spinal cord should be
closely examined for chromatolysis and nuclear atrophy.
No evidence is afforded by micro-chemical tests of any of the sections
thus obtained, except those of the lung. It may be possible in the case
of the lung to determine the presence of lead granules in the alveolar
cells, and attention should be paid to this. It is possible also that
some evidence may be afforded by examination microscopically of the red
bone-marrow.
The intestinal walls should be examined for evidence of lead particles.
If any dark staining, deep or superficial, be found in the intestine,
it should be removed for chemical analysis. Necrotic areas of the
intestinal wall should be sought for.
=Hæmatology.=--For all practical purposes, the best stain for detection
of basophile granules in the erythrocytes is Wright’s modification of
Romanowski’s stain. This stain may be obtained in appropriate tablets,
and may be prepared immediately before use, although a stain which has
been standing for ten days or a fortnight gives much better results
than a quite new stain. The stain consists of a solution of polychrome
methylene blue, together with eosin in methyl alcohol, and the method
of procedure is as follows:
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