In the examination of the _body-cavities_ and _hollow organs_, as
well as _pathologic hollow structures_, the first thing to note is
the escape of gas or air under pressure. Occasionally it is best to
open the organ under water to note the escape of bubbles. The odor
of the gas, inflammability, etc., are to be noted. The fluid or
solid contents (blood, bile, urine, féces, mucus, pus, exudates and
transudates, altered secretions, food-remains, concretions, foreign
bodies, parasites, etc.) are described as to their amount, color,
consistence, odor, reaction, chemical nature, precipitate, presence
of cellular elements, etc. The size of the cavity, monolocular
or multilocular, the character of its lining (transparency,
translucency, cloudiness or opacity, color, “shine,” moisture,
smoothness, roughness, villous or polypoid, consistence, thickening,
swelling, elevations, atrophy, incrustations or deposits on the
lining, etc.) are to be considered. In the case of cystic tumors
(adenocystomata, dermoid cysts, cholesteatomata, etc.) especial
attention should be paid to the character of the cyst-contents
(mucoid, glairy, colloid, jelly-like, pea-soup-like, pultaceous,
mushy, doughy, caseous, pearly, laminated, flaky, powdery, etc.).
CHAPTER IV.
THE EXTERNAL EXAMINATION.
=THE BEGINNING OF THE AUTOPSY.= The autopsy begins with the
examination of the exterior of the body. The cadaver should be
completely stripped of clothing and examined as a whole, then as
to its separate parts. Time is saved and omissions prevented if a
definite order is followed in the external examination, such as
follows here.
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