6. =Heart.= Note more carefully its position, whether displaced to
right or left, location of apex, borders, etc. Relative size compared
to cadaver’s right fist, which is usually a little smaller than the
heart. Weight and measurements:—(The heart should be weighed after it
has been opened, and its cavities freed from blood and clots.)
Average weight in adult male, about 300-350 grm.
Average weight in adult female, about 250 grm.
Normal limits, 200-350 grm.
Weight of heart to body-weight in adult male, 1:169; in the female,
1:162.
Circumference at base of ventricles 25.8 cm., length of ventricles
8-9 cm., breadth 8.5-10.5 cm., thickness 3-3.6 cm.; minimal
measurements are for the female. Auricles are 5-6 cm. in length.
Compare ventricles as to size.
Note form (long, cylindrical, pyramidal, broad, short, round, etc.)
In hypertrophy of the left ventricle the heart is longer and more
cylindrical; in hypertrophy of the right it is broader and more
rounded. Normally the apex is formed by the left ventricle, the
sulcus longitudinalis running to the apex and nearly dividing the
heart into halves. In hypertrophy of the right ventricle the apex
is formed by this ventricle, the sulcus longitudinalis passing to
the left of the apex; in hypertrophy of the left ventricle the
longitudinal sulcus runs to the right of the apex. What part of the
heart lies anteriorly? (Normally a large part of the right ventricle.)
The consistence of the organ, particularly that of the ventricles,
should be noted (firm, flabby, soft, etc.). Condition of the
heart-chambers (empty, contracted, dilated, full). Rigor mortis
should be removed by kneading or by the application of heat. The
amount of subepicardial fat, its color, translucency, occurrence
of serous atrophy, œdema, subepicardial hemorrhage, etc., are
to be noted. In marasmus a serous or mucoid degeneration of the
subepicardial fat is not uncommon. The subepicardial fat increases
with age, and is normally most abundant along the grooves and
blood-vessels, particularly the auriculoventricular grooves and
on the right ventricle. Normally the color of the heart-muscle
of the ventricles should be seen through the epicardium. The fat
is increased in obesity, chronic alcoholism, chronic anæmia,
tuberculosis, etc. When the fat-infiltration is so marked that
the muscle cannot be seen the condition is known as adipositas or
obesitas cordis, or in extreme cases as _lipoma cordis capsulare_.
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