A greater difficulty lies with the teacher. Not only must he select
his preparations with wisdom, so that in the necessarily limited
time of the course, the student may receive the greatest benefit; but
he must be tactful and patient in leading the student to work for
himself. It is easy to give a demonstration and then tell the student
to work; it is very much more difficult and nerve-consuming to make
the student _see_ and _demonstrate_ for himself. The relation of the
microscopic preparation to the gross anatomy must be shown, and,
when possible, demonstrated by macroscopic preparations; further,
the relation to the clinical symptoms and physical signs must be
made clear, so that the student receive not a narrow conception of
pathologic histology as something in itself separate and complete,
but as a foundation-stone to the broadest conception of diagnosis,
whereby the real unity of his studies will be revealed. Moreover, the
teacher must be fully awake to individual differences and needs, and
carefully shape his teaching influence upon each student accordingly.
The problem of the individual equation becomes especially difficult
in a course of this kind.
The laboratory course in histologic pathology, in the University
of Michigan, follows the general order given in the second part
of this book, beginning with the diseases of the blood and the
circulation, and finishing with the special pathology of the most
important organs. A preparatory training in general technique is
first given. About one hundred and seventy-five prepared specimens,
each illustrating some especial pathologic point, are given to the
class as unknowns for diagnosis. In addition each student is required
to prepare about fifty slides from fresh material, performing for
himself all of the necessary technical manipulations, according to
the methods given in this manual. To further the work in this course,
and to meet the needs of advanced students and of practitioners, this
book is primarily intended.
ALDRED S. WARTHIN, Ph.D., M.D.
ANN ARBOR, January, 1897.
CONTENTS
PART I.
THE SOURCES OF PATHOLOGIC MATERIAL AND THE
METHODS OF OBTAINING IT FOR EXAMINATION.
CHAPTER PAGE
_Introduction_ 1
I. The Autopsy: General Considerations 3
II. The Order of the Autopsy 24
III. The Protocol 33
IV. The External Examination 41
V. The Examination of the Spinal Cord 53
VI. The Examination of the Head 63
VII. The Main Incision: Thorax and Abdomen 96
VIII. The Examination of the Thorax 106
IX. The Examination of the Mouth and Neck 131
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