An increased friability is noted in diseased bones, muscles,
pneumonic lungs, organs showing acute congestion, etc. An increase
or a loss in elasticity is to be noted chiefly in the large
blood-vessels, lungs, skin, etc. In describing a condition of loss
of normal firmness the German School makes frequent use of the
termination _malacia_ (softening) in such words as _myomalacia_,
_osteomalacia_, _gastromalacia_, _myelomalacia_, _encephalomalacia_,
etc. When such softening is the result of postmortem autolysis
or digestion, as is so often the case in the stomach (postmortem
perforations), thymus, pancreas, adrenals, brain, etc., the term
_postmortem softening_ is more frequently used in this country. Soft
tumors are described as medullary, encephaloid, etc. In all judgments
as to consistence the normal differences between the organs must
be considered, as well as the length of time between death and the
autopsy, the cause and manner of death, undertaker’s manipulations,
temperature, moisture, rigor mortis, putrefaction, etc.
6. =Odor.= But little attention is paid in the average autopsy
to the odors of the body, and very little has been written about
their importance. This is probably due to the fact that the average
individual more or less consciously or unconsciously suppresses the
sense of smell. Yet a keen sense of odors and an ability to analyze
them are of the very greatest importance in autopsy work. Certain
infections, and other diseases as well, have peculiar and distinctive
odors (small-pox, measles, colon-bacillus infections, pulmonary
gangrene, diabetes, uræmia, acute yellow atrophy, leukaemia, etc.).
The odor of many drugs and poisons may also be distinguished in the
tissues, gastro-intestinal tract or body-cavities (alcohol, ammonia,
amyl nitrite, aromatic and ethereal oils, assafétida, carbolic acid,
chloral, chloroform, creosote, ether, hydrocyanic acid, iodoform,
musk, nicotine, nitrobenzol, phenacetin, phosphorus, etc.) Many
foods may be recognized in the stomach by the odor (onions, garlic,
cabbage, turnips, pineapple, oranges, apples, peaches, vinegar,
grape-juice, caraway and anise seeds, celery, sage, cardamom, and
many others). In describing odors we should compare them with natural
odors or class them as sweet, sweetish, sour, bitter, pungent, sharp,
heavy, yeasty, pus-like, fruity, etc.
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