3. =Lymph-glands.= The cervical, axillary and inguinal lymphnodes
can be secured for examination by carrying the skin-flaps of the
main-incision far enough back to make these regions accessible. For
the examination of other glands, such as the cubital, popliteal,
interscapular, posterior cervical, etc., the cadaver should be placed
in a convenient position, and the skin-incisions should be made so as
to expose sufficiently the part to be examined, without unnecessary
mutilation.
4. =Peripheral Blood-vessels and Nerves.= Skin-incisions are made
along the course of the vessels and nerves, and these are then
exposed by careful dissection. In the case of the upper extremity the
clavicle is removed when the entire course of the nerves and vessels
of the arm is to be exposed.
5. =Sympathetic System.= The cervical, thoracic and abdominal
sympathetic systems are examined either at the close of the
examination of each one of these regions or at the end of the
autopsy. Careful anatomic dissections are necessary for the
demonstration of the sympathetic ganglia and nerves.
6. =Organs of Special Sense.= These may be examined at the close of
the autopsy, according to the methods given above, if they have not
been examined at the close of the section of the brain.
II. POINTS TO BE NOTED IN SPECIAL REGIONAL EXAMINATION.
1. =Bones and Bone-marrow.= Note size, form, color of surface,
consistence (diminished in necrosis, osteomalacia, rachitis, senile
osteoporosis, etc.; increased in sclerosis), fragility, fractures,
separation of epiphyses, fissures, dislocations, elevation or
separation of periosteum, periosteal defects, changes in periosteum
(thickened, indurated, and showing hard white elevations in
chronic inflammation; swollen and easily stripped from the bone
in acute inflammation; hæmorrhages and collections of pus beneath
periosteum cause separation of periosteum; in chronic inflammation
the periosteum may become more firmly adherent to the bone and
contain spongy, compact, cartilaginous or osteoid osteophytes that
vary in color according to the degree of calcification [bluish-red,
yellowish, dirty-white, shining-white]; the normal periosteum is
grayish-white in color; it is reddened in hyperæmia and hæmorrhage).
The surface of bones normally is smooth and grayish-yellow in color;
it becomes red with an increase in the number and size of the
medullary spaces, and paler, grayish-white or white in necrosis;
a dull, rough, uneven surface indicates lacunar absorption. Note
localized or general thickening (exostoses, hyperostosis). On section
note thickening of the bone (osteomyelitis ossificans), thinning
(osteoporosis, excentric atrophy), enlargement of medullary spaces,
obliteration of spaces by newly-formed bone (osteosclerosis; bone
becomes heavy and solid like ivory), and caries (pyogenic infection,
tuberculosis, syphilis, actinomycosis, neoplasm). Caries occurs in
both spongy and compact bone, but more often in the former. The
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account