Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
ascertain their magnitude, extent, and maturity, and whether any of them
have been developed into _vomicæ_. The anatomist should be cautioned not
to mistake the deep colour, and compact texture which occur in the
depending portions of the lungs, from the mere accumulation of blood in
consequence of gravitation, for an inflamed state of the organs; in
which latter case a crowd of fine vessels injected with blood of a
florid colour furnish a diagnosis that cannot be mistaken.
In cases where a violent effort has preceded death, violet-coloured
spots containing venous blood may be perceived on the surface of the
lungs, and which are true ecchymoses, occasioned by the rupture of some
small vessels. Such phenomena must be carefully distinguished from the
livid, black spots, which have been observed in cases of narcotic
poisoning, and which are characterised by a more dense, and less
crepitating texture. In this stage of the dissection, we may
conveniently extend our examination into the trachea, and bronchiæ, and
observe whether these tubes contain frothy mucus as in drowning;
coagulated blood, as in pulmonary hemorrhage; pus, as in the event of
the rupture of a vomica or impostume; or ropy and tenacious mucus or
lymph, as in croup, tracheal inflammation, and bronchitis; or chyme, as
may occur in cases of intoxication, and diseases of the brain, where
vomiting has taken place during a state of insensibility.[31] We shall
at the same time be enabled to ascertain whether any mechanical
obstruction, from the presence of foreign bodies, exists in the
pulmonary passages, and which might have occasioned death to the
patient, as related under our history of suffocation, vol. ii, p. 57.
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