The term discolored is applied to dirty, cloudy colors, particularly
gray or greenish, as in gangrene. Spotted, mottled, streaked,
variegated, etc., have the same application in the autopsy-protocol
that they have elsewhere. The judgment of the color of an organ
should be made twice: as seen through the capsule or external
covering, and again on the cut surface of the organ. In the latter
case the transparency, translucency or opacity of the surface should
be noted with the color. Normally translucent structures become
opaque as the result of inflammatory thickening, parenchymatous
degenerations, leukocyte infiltrations, tubercles, postmortem
digestion, etc. An increase in translucence may be due to œdema,
hydropic degeneration, amyloid, mucoid and colloid degenerations,
liquefaction necrosis, anæmia, atrophy, loss of pigment, etc.
(translucent, transparent, jelly-like, colloid, mucoid, lardaceous,
sago, bacon, ham-fat, pearly, etc.).
5. =Consistence.= This is best estimated by placing the four fingers
of the right hand beneath the edge of the organ as it lies on the
board or in the body and lifting it slightly upward and inward toward
the main mass of the organ. This should be done in several places,
so that an idea of the general consistence of the organ is obtained.
Hollow organs must be tested before and after opening, in the latter
case, to get an idea of the consistence of the wall. Organs with
capsules should be tested through the uncut capsule and also on the
cut surface. After the general consistence has been determined an
examination of the entire organ by thumb and fingers should be made
to determine localized areas of different consistence (soft: abscess,
cyst, œdema, areas of degeneration, etc.; hard: amyloid, tubercles,
tumors, chronic passive congestion, fibroid indurations, pneumonic
areas, etc.). The size and location of such areas should be carefully
noted. The presence of fluctuation, loss of elasticity, pitting on
pressure, friability, hardness, etc., should be described in ordinary
terms, although a comparison with familiar objects often gives a more
definite impression than the simple use of adjectives describing the
condition (consistence of leather, dough, mush, pea-soup, putty,
wood, jelly, stone, iron, etc.). The relaxation or softness of an
organ is often judged by its flattening on the board, or by its
hanging down over the index-finger when this is placed beneath its
middle and the organ raised, or by the jelly-like tremors of the
organ when the dish containing it is agitated.
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.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account