The London Medical Gazette; December 27, 1828: Being a Weekly Journal of Medicine and the Collateral SciencesVarious
Science
The London Medical Gazette; December 27, 1828: Being a Weekly Journal of Medicine and the Collateral Sciences
Various
Medicine -- Periodicals
_Examination._--The left lung had contracted firm adhesions,
particularly above and behind. It was torn in attempting to
remove it, and there issued from the middle and posterior part a
large quantity of dark-coloured matter, similar to what had been
expectorated. An incision was made along the back part of the
lung, and laid open a large cavity, occupying all the extent of
the pulmonary organ, and still in part filled with the same kind
of dark putrid matter. On washing out the cavity it was perceived
that it was lined with a smooth and white membrane, to which were
still adherent, at some points, dark filamentous shreds; these
were removed by the least touch, and left the surface smooth
beneath. The boundary was formed by a false membrane, about a line
in thickness, which separated the mortified from the sound parts.
The lung was reduced to a kind of bag, the parietes of which were
on an average about an inch thick. In the upper part of the lung,
which was hepatized, an incision discovered a number of smaller
tubercles, which in the centre were in a crude state; and at one
point several had suppurated, forming a cavity large enough to
contain a nut.
[The Editors of the _Journal Hebdomadaire_, from which these cases
are abridged, add, in a note, that although the fœtor of the
expectoration, such as above described, is usually dependent on
gangrene of the lungs, yet that this is not invariably the case.
In confirmation of this assertion they refer to three instances
of fœtid expectoration--in the first, the patient is still alive;
in the second, there was chronic bronchitis, with considerable
dilatation of numerous bronchi; and in the third, bronchitis with
some appearances of chronic pneumonia. Laënnec gives a case of
dilatation of the bronchi, with remarkably fœtid expectoration.
The argument derived from the first patient having survived we
consider to be altogether erroneous, as patients more frequently
recover from this than other forms of purulent expectoration.--ED.]
PROCEEDINGS OF SOCIETIES.
WESTMINSTER MEDICAL SOCIETY.
December 6th, 1828.
JAMES ARNOTT, ESQ. IN THE CHAIR.
Pursuant to announcement, Mr. MacKelcan introduced the subject of
concussion of the brain. After remarking on the several symptoms,
and mentioning the other affections of the head with which
concussion is apt to be confounded, Mr. M. directed the attention
of the society more particularly to the treatment in the stage of
collapse, adopted by Professor Andrini of Florence.
Dr. Duffin stated, that having been in Florence, he had witnessed
the employment of three, four, or six ounce bleedings employed
by the Professor in the stage above-mentioned. The principle on
which they were used was that of their acting as a stimulus to the
brain; and really the plan was not apparently attended with any bad
effects. When re-action has ensued, the practice of M. Andrini is
the same as that resorted to in this country.
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