The most important pathologic conditions of the lungs are:—Anomalies
(anomalous lobes common, infradiaphragmatic accessory lungs,
agenesia, congenital bronchiectasis), atelectasis (fœtal,
compression, obstruction, paralytic, etc.), emphysema (acute,
chronic, vicarious, senile, atrophic, hypertrophic, interstitial,
gangrenous), hyperæmia, stasis, brown induration, hypostasis,
œdema (universal, stasis, hypostatic, atelectatic, acute, chronic,
terminal), hemorrhage, hemorrhagic infarction, thrombosis, embolism,
fatty embolism, pneumonia (croupous, atypical, bronchopneumonia,
acute and chronic interstitial), abscess, gangrene, tuberculosis
(acute miliary, caseous pneumonia, peribronchial, tuberculous
bronchopneumonia, indurative, fibroid, phthisis pulmonum), syphilis
(gumma, white pneumonia), actinomycosis, neoplasms (primary
adenoma, lipoma, papilloma, chondroma, osteoma, sarcoma, carcinoma
and teratoma are rare; metastatic sarcoma and carcinoma are
common; malignant chorio-epithelioma is not infrequent), parasites
(echinococcus, cysticercus, hook-worm embryos, pentastomum and
distomum pulmonale).
13. =Bronchi.= Note size, contents, thickness of wall, color and
thickness of mucosa. Normally the bronchi are empty, and the mucosa
grayish-red. In pulmonary œdema they contain clear, foamy fluid;
in bronchitis they may contain a mucous, mucopurulent, purulent,
fibrinous, hemorrhagic or putrid exudate. In acute bronchitis the
mucosa is red; in chronic bronchitis the mucosa may be red or
brownish, and thickened or folded. Material from the stomach may
enter the bronchi postmortem and cause a postmortem digestion of the
mucosa or wall.
The most important pathologic conditions of the bronchi
are:—Inflammation (acute and chronic catarrhal bronchitis, fibrinous,
putrid, atrophic, obliterans), bronchial asthma, tuberculosis,
syphilis, stenosis, bronchiectasis, perforation (aneurisms, abscess,
carcinoma, tubercles, etc.), bronchial calculi, foreign bodies,
neoplasms (adenoma, papilloma, carcinoma, chondroma, osteoma),
parasites (cysticercus, echinococcus, hook-worm embryos, distomum
pulmonale, pentastomum).
14. =Bronchial Glands.= Note size, pigmentation (gray, dark-gray,
black), consistence, character of cut-surface, caseation, fibroid
induration, calcification, œdema, congestion, abscess, neoplasm.
Tuberculosis and secondary neoplasms are the most common conditions.
Lymphosarcoma is the most frequent primary tumor.
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