North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826 — John Shaqi
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
_Examination_ in the afternoon of March 21.--On removing the sternum and
anterior portion of the ribs, the anterior mediastinum was found filled
with a frothy adipo-mucous collection of a yellowish colour. The lungs
on both sides adherent to the thorax, and the left lobes to each other.
A sanguineo-serous effusion on both sides, probably a quart on the
right, the lungs of which were changed in texture, and shrunk. The
pericardium contained a large quantity of the same kind of fluid, which
was found in the cavity of the thorax. The heart was highly injected. On
removing the lungs and the trachea, and larynx, the lining membrane of
the two last showed a brownish-red, coated with mucus, and deeply
injected. Same appearances in a more marked degree in the bifurcations
of the trachea.
The oesophagus next examined, was found of a natural appearance,
except near the stomach, where it was injected and assumed a red hue,
contrasting with the whiteness of its upper part. The mucous membrane
of the stomach near the cardiac orifice was in some parts of a roseate
hue, in others a brownish-red; while in others it was ash-coloured, and
dotted with red and yellow points. Towards the pyloric orifice, less
disease. The stomach contained nothing but dark green bile and mucus.
The duodenum was also highly injected. Lower down, the small intestines
were in places lined with a dark red and brown, and the mesentery highly
injected in the portions corresponding to these spots. Intestines much
inflated, and omentum dark and injected. The uterus was not examined.
The ovaria were large, white and soft; in the left was a small sac of
dark blood, which readily burst on pressure.
The liver was very large, of a soft texture and white colour;
gall-bladder full of dark green bile, which had in part transuded
through its coats.
On looking at the trachea after it was washed, it exhibited in places
whitish elevated spots, having all the appearance of an eruption.
II. Ann Collins, white, aged 18 years, unprotected, became sick on
Tuesday evening, March 23, 1824, and was taken to the Alms House, as one
having the measles, on Wednesday. On Thursday evening, some eruption was
visible; on Saturday evening, March 27, admitted.
28th. Visited. Face covered with a red, flat, dry eruption, particularly
on the cheeks; small and vesicular on the chin and around the mouth. On
the arms, it has the appearance of measles; on the hands, it is of a
deep scarlet, with central vesicular elevations; on the legs is slight;
tongue loaded and yellow, except at the borders, which are clean; pulse
natural; complains much of pain in the back and sickness of stomach.
30th. Eruption covering the face, vesicular on a deep red ground with
some tumefaction; rising vesicular on the limbs with scarlet bases.
Tongue smooth and shining anteriorly, and with vesicles on it. Throat
sore. Salivation. Pulse small and feeble. Has had menorrhagia since her
admission into the hospital.
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