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
On opening the abdomen, the omentum was found dark and shrunk. Stomach
contracted. Intestines distended, shining, and very vascular, with
capillary injection when viewed externally. The peritoneal covering of
the stomach showed a similarly injected appearance.
The stomach being opened, displayed at its upper curvature, spaces
studded with spots of a deep red or purple; apparently effusions
surrounded by a vascular net-work. Same appearance towards the pyloric
orifice, and in places on the duodenum, which, together with the
jejunum, particularly the latter, is of a dark leaden colour, and
injected.
The diaphragm on its upper surface, highly injected, as was also the
pleura lining the thorax. The pericardium healthy.
The brain was not, unfortunately, examined.
V. Jacob Fry, black man, aged 30 years, unprotected, was taken sick on
Sunday, 11th April, 1824. Eruption appeared on Thursday, April 15th.
16th. Admitted and visited. Eruption copious and papular on face; smooth
and flat, with dark centres, on trunk and arms. Tongue loaded. Cough.
Tenderness of epigastrium on pressure. Throat sore. Pulse small and
threaded. Eyes muddy.
18th. Eruption flat and rough; diffused over face. On breast red and
flat; on limbs in clusters, shrunk, and hollow in centre. Pulse small.
19th. Tongue moist. Pulse small and frequent. Throat much swelled.
Restless, and somewhat delirious.
20th. In a comatose state; but is roused to attention by calling him.
21st. Dead at five P. M.
_Examination._ April 22nd.--On opening the thorax, the lungs were seen
to appearance healthy. Both adhered to the pleura costalis. The pleura
lining the diaphragm, and also the pericardium, were finely injected.
Fauces inflamed, injected, and ulcerated. From the tonsils oozed out
pus.
The larynx contains a light olive coloured fluid, muco-serous, which
likewise covered the trachea and bronchiae. The lining membrane
throughout was rough, and exhibited a net-work of a brownish-red colour,
finely injected.
The oesophagus about half way down, has its lining membrane removed
for one-third its length, showing miliary points on its muscular coat.
The stomach on its outer surface, and near its upper end, showed a black
spot, like effusion of black blood, under the peritoneal coat. On
examining the oesophagus near the cardia, it was found of a dark
colour in lines. From the cardia, half over the inner surface of the
stomach, radiates inflamed membrane of a deep red colour, and corroded
at the place corresponding to the dark spot above mentioned. Red spots
near the pyloric orifice. Intestines not diseased. Liver adherent by its
right lobe to the ribs; this lobe was of a greenish leaden colour. No
alteration of its structure. Brain injected in its arachnoid coat.
Ventricles contained some serum. Tela choroides dark and gorged.
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