Jttly
NOTES ON PATHOLOGY. PoRTEE, M.D., F.R.C.S.I., M.R.I.A., Surgeon, {Continued from
THORACIC CAVITY.
Brain.
Vessels engorged, slight sub-arachnoid effusion. Adherence of parie^ tal to visceral arachnoid
along line of longitudi-
44
ozs.;
slightly.
Pleurae.
congested
43| ozs.; healthy
40
ozs.
healthy.
;
firm,
Old adhesions on right, recent on left side over upper lobe, and effusion of straw-coloured serum over lower lobe. Old adhesion on right recent side posteriorly; all over side, front, and base of left lung.
seems
Recent adhesions and old and partial
on on
side.
left,
right
nal sinus.
'Piamater injected, a little straw-coloured fluid in cavity of arach-
noid.
46 ozs.;
ever.
43
Pale
Vessels engorged Vessels engorged; effusion of blood in arach-
soft, exudes
serum from cut surface, no punctations how-
ozs.
;
42 ozs.; 38 ozs.;
soft.
pale
and soft
Old and recent adhesions both sides; lymphy effusion weighing 7 ozs. on outer aspect of left apex.
Lymphy
lower lobe
noid,circle ofWillis.and in fissure, where there is lymph effused also. 38 ozs.;
pale. Gummatous tumour oi near
scalp
vessels
injected. Vessels much from
congested,
flows on the brain
serum
detaching
18 ozs.;
firm, choroid
Healthy
firm
Healthy
...
effusion
over
of left lung.
spinal cord.
42 ozs.; seems
healthy.
quite
slight hypostatic congestion matter
in
16 ozs.; moderately collapsed, pale anteriorly, livid (hypostatic congestion)
posteriorly.
14 ozs.; not
collapsed
from adhesions
Old
adhesions ozs. of
sides; 12
18 ozs.; pleural surface purple and torn in parts; cut surface of upper and posterior part of lower lobe presents cheesy deposits, surrounded by semi-eolidified pneumonic tissue, which exudes frothy red fluid.
18$ ozs ; livid behind, paler in front, spongy, little fluid exudes from cut surface, but some pus from smaller bronchi of apex. 8
ozs.
9 ozs. j
on
both in
serum
right pleural cavity.
tubercular deposit lobe.
?
fully collapsed; pale
rose-
fully collapsed, quite healthy
23| ozs.; a gangrenous cavity as big as a lime at base, and one as big as a hazelnut at apex, containing tarry horridly foetid fluid, and surrounded by solidified lung tissue.
Pericardium.
Lung.
Heart.
36 ozs.; upper lobe completely hepatized, lower intensely congested, exuding bloody serum from cut surface.
Healthy
6 ozs.;
40| ?zs.; grey hepatization of lower lobe, intense congestion of upper lobe,
Healthy
white 9 ozs.; tough clot in both sides.
10 ozs. ; a large cavity in base and a smaller at apex, its outer wall formed
Healthy
6 ozs.;
16$ ozs.; deeply congested like posterior of lower lobe of right; tubercles as large as beans in apex, smaller in lower lobe; very numerous in both lungs. Larynx healthy; bronchial glands large, black and gritty on section, surrounded by a jelly-like substance,
Healthy
5f
Healthy
7 ozs.; of clots.
Healthy
7 ozs. j
38 ozs.; intense grey hepatization of all lower lobe, and red oF base of upper lobe; apex rose-coloured and
Healthy
side 9 ozs.; right stuffed wiih tough clot,
also quite healthy
Healthy
red
frothy
surface.
at base and apex especially ; some congestion posteriorly; no tubercles detected.
coloured.
occiput; piamater
of
ozs ;
bronchi.
15 ozs.; injected, in upper and middle
Healthy
congested,
10
posteriorly, muco-purulent
22 ozs; middle lobe and anterior Beth pleurae adherent most firmly by old bands margin of lower lobe sponsy pale and toparietes, pericardium and healthy; remainder semi-solidified, condiaphragm ; interstices in- gested, studded with hard tubercles of filtrated with a jelly-like the size of No. 1 shot and less, exuding substance. copiously from its livid cut surface frothy olood-tinged fluid. on
congested
Left
Bight Lung.
fluid
flowing
empty.
from its cut
empty.
by thickened pleura, inner by lung substance, which looks ragged and red. No tubercles found.
16 ozs.;
purple
and
partially
torn in
removal; ^posterior border semi-solid, exuding copiously from its livid cut surface red frothy fluid; miliary deposits
ozs.;
empty.
right side
full
in apex.
12 ozs.; similar to right
weighing
healthy. 6$
ozs.
6|
ozs.;
j
15 ozs.; border.
fully collapsed; quite healthy
congestion of posterior
fatty.
Contains
ozs.
6 ozs; right side of dark clots. 4
_
ozs.
of
pale watery fluid; membrano pearly shining. Healthy
3
M.D. POETEE, A. PATHOLOGY.?BY ON NOTES
injected
Madras.
full
9 ozs. ; large cavities full of white and dark clots and blood. 6 ozs.; right side full of dark fluid blood.
I75
Veins
District,
140).
page
CRANIAL CAVITY.
Meninges.
4th
1-8770 2,
13y
A.
engorged
37 soft.
...
Healthy
substance
41 ozs,; soft
Vessels of piamater full.
39 ozs.;
Healthy-
congested...
36 ozs.; firm
Congested ;
a little in arachnoid cav-
15i ozs.; livid fluid flows from cut
Healthy
Lymphy effusion over lower lobe of left lung.
posteriorly.
IJecent adhesions on both sides along posterior border and base.
Healthy
40|ozs,; healthy
...
surface.
24 ozs.; grey hepatization most marked in upper lobe.
on
Old
13
ozs.;
collapsed,
posteriorly,
slightly
livid
22i ozs.; red hepatization of posterior border decreasing towards apex, where solidification has not been quite reaohed; anterior parts pale and spongy; some frothy exudation (bronchitic) on section. 12 ozs. ; pigmented, slight lividity
adhesion of base of to diaphragm.
right lung
12 ozs. ; slight lower lobe.
lividity posteriorly
of
170 Heart.
Pericardium.
Lung.
17^ ozs.; much like right
Healthy
8 ozs.;
empty,
8 ozs.;
empty.
13 ozs.; slightly congested towards base behind; rest rose-coloured.
Healthy
,?
41 ozs.; lower lobe in a state of grey adherent to diaphragm and covered by soft lymph; upper lobe much congested, but not solidified.
Healthy
...
; very similar to right. The effusion in either case does not beyond the limit of the
Healthy
104 ozs.; slightly adherent at base posteriorly.
Healthy
...
...
Healthy
...
right in
Healthy
8 ozs. ; all except left ventricle distended with dark blood.
...
Healthy
9 ozs.; enveloped in fat ; right side full of dark fluid blood.
...
Healthy
10 ozs.; right side full of dark biood.
Healthy
6 ozs. ; dark clotted blood in both cavities.
hepatization
right side, old on left. posteriorly.
adhesions at base
ity, adhesions along the, sides of the hemispheres to the dura
posteriorly, frothy
Old adhesions on left, recent on right side posterior-
?y-
39oz;s.;flrm
Congested
serum
ozs.;
left
Bight Luug,
Pleurse.
20?
ozs.
pleuritio extend
ozs.
quite like right
;
on on
right side. 10^ ozs.; right side stuffed with tough white clot, left empty.
pneumonia.
9f
8 ozs.; white clot left and soft clot
7 ozs. ; a tough white clot in right ventricle. 6 ozs. ; a tough white olot in right eavities.
mater. Veins engorged; about 44^ ozs.; firm; section half a pint of blood es- punctated ; congested. caped in removing the
brain. Both
veins and arteries 47 ozs.; firm ; congestion considerable. engorged. Vessels engorged with blood.
49 ozs.;
gested.
Vessels injected, half
an
fluid
of bloody in arachnoid cav-
ounce
ity. Congested
..
!
Old
adhesions
side.
on
right
Thickened; adherence
Healthy
...
Healthy
9 ozs.; collapsed fully ; of colour ; seems quite healthy.
8 ozs.;
Arm;
con-
con-
46 oz?.; congestion of grey matter.
A pint of reddish serum in each pleural sac, but membrane pearly and shining. Itecent adhesions on right side near apex, and three of blood tinged fluid in cavity. Slight adherence to diaphragm on right side.
36 ozs.; soft and
yel-
10 ozs.;
pigmented
with
a
pale rose
some venous
congestion (hypostatic) posteriorly.
quite
like
right
Os ozs.; much like right
45f ozs.; firm; gested.
to pieces j low,itsfalling own weight (post ! by
j
9 ozs.;
9J
ounces
of piamater to dura mHter over anterior lobes of brain.
10 ozs. ; moderately collapsed ; substance rose coloured ; no serum exudes from cut surface and a very little dark blood from hilus on separation. 10 ozs. ; lividity most marked posteriorly ; some ounces of thick venous blood flows on separation.
71 ozs. ; collapsed, much like appearance.
10 ozs. ; collapsed ; livid on surface ; cut surface moistened with bloody serum, livid and red intermingled.
I
of
Healthy
8j ozs.; livid; spongy; cut surface dark red ; blood exudes from severed Veins.
Healthy
gested. Much congestion vessela at base.
over on
40 ozs.; soft serum and blood exudes from cut surface.
41 ozs.;
Congested
con-
firm;
Old adhesion, all right side.
ozs.
;
quite
like
right
quite like right
8^ ozs.; quite like right
Healthy
Pearly
contains
...
shining an
sac,
ounce
of
; much like
24
11 ozs.; quite black posteriorly from congestion partly.
10 ozs,;
ozs.
right
quite like right
Healthy
Healthy
...
; contains dark blood.
ozs.
fluid
straw-coloured fluid.
28J ozs. ; not collapsed ; congested spongy all through, bronchi filled with frothy white mucus.
41
5 ozs.; empty ; of membrane stained vessela walls very fatty. 9 ozs.; empty.
6 ozs. j
lining large red;
empty.
mortem).
I
39
I
light
ozs.; rose
substance
coloured,
Old adhesion
posteriorly to tent.
on right side a limited ex-
17 ozs,;
deeply congested
14 ozs.; much like
right
Healthy
GAZETTE. MEDICAL INDIAN THE
Vessels
Brain.
9 ozs. ; right side fluid dark contains blood and white and dark clots
[July
Meninges.
THORACIC CATITT.
i|
CAVITY..
1877. 2,
CBANIAL
July
l
NOTES ON PATHOLOGY. PoRTEE, M.D., F.R.C.S.I., M.R.I.A., Surgeon, {Continued from
THORACIC CAVITY.
Brain.
Vessels engorged, slight sub-arachnoid effusion. Adherence of parie^ tal to visceral arachnoid
along line of longitudi-
44
ozs.;
slightly.
Pleurae.
congested
43| ozs.; healthy
40
ozs.
healthy.
;
firm,
Old adhesions on right, recent on left side over upper lobe, and effusion of straw-coloured serum over lower lobe. Old adhesion on right recent side posteriorly; all over side, front, and base of left lung.
seems
Recent adhesions and old and partial
on on
side.
left,
right
nal sinus.
'Piamater injected, a little straw-coloured fluid in cavity of arach-
noid.
46 ozs.;
ever.
43
Pale
Vessels engorged Vessels engorged; effusion of blood in arach-
soft, exudes
serum from cut surface, no punctations how-
ozs.
;
42 ozs.; 38 ozs.;
soft.
pale
and soft
Old and recent adhesions both sides; lymphy effusion weighing 7 ozs. on outer aspect of left apex.
Lymphy
lower lobe
noid,circle ofWillis.and in fissure, where there is lymph effused also. 38 ozs.;
pale. Gummatous tumour oi near
scalp
vessels
injected. Vessels much from
congested,
flows on the brain
serum
detaching
18 ozs.;
firm, choroid
Healthy
firm
Healthy
...
effusion
over
of left lung.
spinal cord.
42 ozs.; seems
healthy.
quite
slight hypostatic congestion matter
in
16 ozs.; moderately collapsed, pale anteriorly, livid (hypostatic congestion)
posteriorly.
14 ozs.; not
collapsed
from adhesions
Old
adhesions ozs. of
sides; 12
18 ozs.; pleural surface purple and torn in parts; cut surface of upper and posterior part of lower lobe presents cheesy deposits, surrounded by semi-eolidified pneumonic tissue, which exudes frothy red fluid.
18$ ozs ; livid behind, paler in front, spongy, little fluid exudes from cut surface, but some pus from smaller bronchi of apex. 8
ozs.
9 ozs. j
on
both in
serum
right pleural cavity.
tubercular deposit lobe.
?
fully collapsed; pale
rose-
fully collapsed, quite healthy
23| ozs.; a gangrenous cavity as big as a lime at base, and one as big as a hazelnut at apex, containing tarry horridly foetid fluid, and surrounded by solidified lung tissue.
Pericardium.
Lung.
Heart.
36 ozs.; upper lobe completely hepatized, lower intensely congested, exuding bloody serum from cut surface.
Healthy
6 ozs.;
40| ?zs.; grey hepatization of lower lobe, intense congestion of upper lobe,
Healthy
white 9 ozs.; tough clot in both sides.
10 ozs. ; a large cavity in base and a smaller at apex, its outer wall formed
Healthy
6 ozs.;
16$ ozs.; deeply congested like posterior of lower lobe of right; tubercles as large as beans in apex, smaller in lower lobe; very numerous in both lungs. Larynx healthy; bronchial glands large, black and gritty on section, surrounded by a jelly-like substance,
Healthy
5f
Healthy
7 ozs.; of clots.
Healthy
7 ozs. j
38 ozs.; intense grey hepatization of all lower lobe, and red oF base of upper lobe; apex rose-coloured and
Healthy
side 9 ozs.; right stuffed wiih tough clot,
also quite healthy
Healthy
red
frothy
surface.
at base and apex especially ; some congestion posteriorly; no tubercles detected.
coloured.
occiput; piamater
of
ozs ;
bronchi.
15 ozs.; injected, in upper and middle
Healthy
congested,
10
posteriorly, muco-purulent
22 ozs; middle lobe and anterior Beth pleurae adherent most firmly by old bands margin of lower lobe sponsy pale and toparietes, pericardium and healthy; remainder semi-solidified, condiaphragm ; interstices in- gested, studded with hard tubercles of filtrated with a jelly-like the size of No. 1 shot and less, exuding substance. copiously from its livid cut surface frothy olood-tinged fluid. on
congested
Left
Bight Lung.
fluid
flowing
empty.
from its cut
empty.
by thickened pleura, inner by lung substance, which looks ragged and red. No tubercles found.
16 ozs.;
purple
and
partially
torn in
removal; ^posterior border semi-solid, exuding copiously from its livid cut surface red frothy fluid; miliary deposits
ozs.;
empty.
right side
full
in apex.
12 ozs.; similar to right
weighing
healthy. 6$
ozs.
6|
ozs.;
j
15 ozs.; border.
fully collapsed; quite healthy
congestion of posterior
fatty.
Contains
ozs.
6 ozs; right side of dark clots. 4
_
ozs.
of
pale watery fluid; membrano pearly shining. Healthy
3
M.D. POETEE, A. PATHOLOGY.?BY ON NOTES
injected
Madras.
full
9 ozs. ; large cavities full of white and dark clots and blood. 6 ozs.; right side full of dark fluid blood.
I75
Veins
District,
140).
page
CRANIAL CAVITY.
Meninges.
4th
1-8770 2,
13y
A.
engorged
37 soft.
...
Healthy
substance
41 ozs,; soft
Vessels of piamater full.
39 ozs.;
Healthy-
congested...
36 ozs.; firm
Congested ;
a little in arachnoid cav-
15i ozs.; livid fluid flows from cut
Healthy
Lymphy effusion over lower lobe of left lung.
posteriorly.
IJecent adhesions on both sides along posterior border and base.
Healthy
40|ozs,; healthy
...
surface.
24 ozs.; grey hepatization most marked in upper lobe.
on
Old
13
ozs.;
collapsed,
posteriorly,
slightly
livid
22i ozs.; red hepatization of posterior border decreasing towards apex, where solidification has not been quite reaohed; anterior parts pale and spongy; some frothy exudation (bronchitic) on section. 12 ozs. ; pigmented, slight lividity
adhesion of base of to diaphragm.
right lung
12 ozs. ; slight lower lobe.
lividity posteriorly
of
170 Heart.
Pericardium.
Lung.
17^ ozs.; much like right
Healthy
8 ozs.;
empty,
8 ozs.;
empty.
13 ozs.; slightly congested towards base behind; rest rose-coloured.
Healthy
,?
41 ozs.; lower lobe in a state of grey adherent to diaphragm and covered by soft lymph; upper lobe much congested, but not solidified.
Healthy
...
; very similar to right. The effusion in either case does not beyond the limit of the
Healthy
104 ozs.; slightly adherent at base posteriorly.
Healthy
...
...
Healthy
...
right in
Healthy
8 ozs. ; all except left ventricle distended with dark blood.
...
Healthy
9 ozs.; enveloped in fat ; right side full of dark fluid blood.
...
Healthy
10 ozs.; right side full of dark biood.
Healthy
6 ozs. ; dark clotted blood in both cavities.
hepatization
right side, old on left. posteriorly.
adhesions at base
ity, adhesions along the, sides of the hemispheres to the dura
posteriorly, frothy
Old adhesions on left, recent on right side posterior-
?y-
39oz;s.;flrm
Congested
serum
ozs.;
left
Bight Luug,
Pleurse.
20?
ozs.
pleuritio extend
ozs.
quite like right
;
on on
right side. 10^ ozs.; right side stuffed with tough white clot, left empty.
pneumonia.
9f
8 ozs.; white clot left and soft clot
7 ozs. ; a tough white clot in right ventricle. 6 ozs. ; a tough white olot in right eavities.
mater. Veins engorged; about 44^ ozs.; firm; section half a pint of blood es- punctated ; congested. caped in removing the
brain. Both
veins and arteries 47 ozs.; firm ; congestion considerable. engorged. Vessels engorged with blood.
49 ozs.;
gested.
Vessels injected, half
an
fluid
of bloody in arachnoid cav-
ounce
ity. Congested
..
!
Old
adhesions
side.
on
right
Thickened; adherence
Healthy
...
Healthy
9 ozs.; collapsed fully ; of colour ; seems quite healthy.
8 ozs.;
Arm;
con-
con-
46 oz?.; congestion of grey matter.
A pint of reddish serum in each pleural sac, but membrane pearly and shining. Itecent adhesions on right side near apex, and three of blood tinged fluid in cavity. Slight adherence to diaphragm on right side.
36 ozs.; soft and
yel-
10 ozs.;
pigmented
with
a
pale rose
some venous
congestion (hypostatic) posteriorly.
quite
like
right
Os ozs.; much like right
45f ozs.; firm; gested.
to pieces j low,itsfalling own weight (post ! by
j
9 ozs.;
9J
ounces
of piamater to dura mHter over anterior lobes of brain.
10 ozs. ; moderately collapsed ; substance rose coloured ; no serum exudes from cut surface and a very little dark blood from hilus on separation. 10 ozs. ; lividity most marked posteriorly ; some ounces of thick venous blood flows on separation.
71 ozs. ; collapsed, much like appearance.
10 ozs. ; collapsed ; livid on surface ; cut surface moistened with bloody serum, livid and red intermingled.
I
of
Healthy
8j ozs.; livid; spongy; cut surface dark red ; blood exudes from severed Veins.
Healthy
gested. Much congestion vessela at base.
over on
40 ozs.; soft serum and blood exudes from cut surface.
41 ozs.;
Congested
con-
firm;
Old adhesion, all right side.
ozs.
;
quite
like
right
quite like right
8^ ozs.; quite like right
Healthy
Pearly
contains
...
shining an
sac,
ounce
of
; much like
24
11 ozs.; quite black posteriorly from congestion partly.
10 ozs,;
ozs.
right
quite like right
Healthy
Healthy
...
; contains dark blood.
ozs.
fluid
straw-coloured fluid.
28J ozs. ; not collapsed ; congested spongy all through, bronchi filled with frothy white mucus.
41
5 ozs.; empty ; of membrane stained vessela walls very fatty. 9 ozs.; empty.
6 ozs. j
lining large red;
empty.
mortem).
I
39
I
light
ozs.; rose
substance
coloured,
Old adhesion
posteriorly to tent.
on right side a limited ex-
17 ozs,;
deeply congested
14 ozs.; much like
right
Healthy
GAZETTE. MEDICAL INDIAN THE
Vessels
Brain.
9 ozs. ; right side fluid dark contains blood and white and dark clots
[July
Meninges.
THORACIC CATITT.
i|
CAVITY..
1877. 2,
CBANIAL
July
l
