144
NOTES ON PATHOLOGY. By A, PoBTEB, M.D., F.R.C.S.I., M.R.I.A., Surgeon, 4:th District, Madras, {Continued from
page
120). THOKAOIC CAVITY.
CBANIAL CAVITY.
Membranes, &c. Calvarium
thick;
larger meningeal
veins
42 ozs.; cuts firmly; in lateral
Healthy
44 ozs.; a little soft to the feel; seems healthy
Healthy
some serum
Left
Bight Lung.
Pleurae.
Brain.
9 ozs.;
fully collapsed; healthy
Lung.
Heart.
Pericardium.
8$ ozs.; like right.
Healthy
4$ ozs.; flabby; walls ventricles thin ; both venous dark contain blood; a pale fibrinous elot in left ventricle.
10 ozs.; hypostatic congestion racier better marked than on right side.
Healthy
4 ozs.; small; cavities contain dark clots.
14 ozs.; slightly collapsed; congested posteriorly ; a hepatized spot as big as an orange opposite the third costal cartilage, bronchi, especially of apex, full of muco-purulent matter; on se-
Healthy
74 ozs ; right side distended with dark fluid blood mixed with clots; left side nearly empty.
full of dark blood; ventricles seems healthy parietal visceral arach. noid adherent along commissure by lymph spots
8erous
effusion
into
sub-arachnoid space; otherwise apparently heathy.
Healthy
'
40 ozs.;
firm; healthy
9
ozs.
gestion.
Left pleura healthy ; right adherent latero-anteriorly by recent blood-red ad-
hesions.
; very
slight; hypostatic
con
20 ozs.; not collapsed; feels spongy ; congested with dark blood, and semisolid behind; bronchi filled with frothy muco-purulent matter.
about an ounce of dark fluid blood flowed from the severed vessels of the root. 14 ozs.; pneumonio spot as big as a lime at the very apex, other parts feel spongy and crepitating, uniformly
paration
40 ozs.; soft; a little * in lateral ventricles.
Healthy
serum
30 ozs.;
Healthy
7
healthy.
firm;
seems
Healthy
36 ozs.;
firm; healthy
Healthy
40 ozs.;
healthy
Vessels
injected. Healthy
of
pia
mater
40 ozs.;
empty.
soft; ventricles
43$ ozs.; firm
22 ozs.; congested purple, except an A dherent all over on both sides by old lymphy ad- terior border of lower lobe; upper hesions ; except that on the lobe hepatized, exudes much bloody posterior aspect of upper serum; lower lobe slightly spongy and lobe of right lung there is crepitating to feel, deeply venous conan effusion abont 2 oz. of gested behind, deeply rose-coloured in bloody serum, and on the front, bloody serum flows from cut corresponding part on left surface. side a recent lymphy effusion tinged with blood. Adherent by organised bands on right side all over, and on posterior surface on left side.
Old
adhesions
on
right
21 ozs.; not collapsed; deeply congested posteriorly, especially in upper lobe, where there is deep seated solidification in grey stage of hepatization; feels moderately spongy elsewhere.
9ozs.; not collapsed; slight hypostatic
8 ozs.; right auricle filled with dark clot valves healthy; other cavities empty.
lower lobe,
Healthy
4 ozs'. ; fibrinous clot in both auricles.
Contains a little straw, colored serum.
8 ozs.; clots in both auricles.
24
ozs. ;
hepatization
of
16$ ozs.; not collapsed; hypostatic congestion marked.
20 ozs. ; not lower lobe.
Recent adhesion of very limited extent near apex of right lung on outer side.
30 ozs.; partially collapsed; congested most markedly behind, hepatization of lower lobe, bronchi full of frothy mucous, frothy blood flows from cut surface.
24 ozs.; very like right, but lower lobe not quite solid (feels slightly spongy) and upper lobe congested behind only.
both
hesions.
sides
by
over
old ad-
19$ ozs.; congestion of back of lower lobe, which, on section, exudes frothy fluid abundantly.
right
a
Healthy
Adherent by organised bonds of old standing on both sides.
Firmly adherent all
auricle firm clot into ris:ht stretching ventricle, a similar clot and one on lef' side in each large vessel. 5 ozs.; contains
15 ozs.; partially collapsed only; deeply congested posteriorly (hypostatic mainly ?)
congestion of upper.
on
Berum.
congested purple.
congestion.
side.
half an Contains of straw-colored
ounce
collapsed ; hepatization
30 ozs.; whole of
of grey hepatization.
of
lower lobe in state
Contains about ounce
one
of straw colored
6$ ozs.: both sides distended with dark dots.
serum.
Contains
2
straw oolored
ozs, serum.
of
6 left on
ozs.
; white clot in
side; no white spot surfuce.
1877, 1, [June
in which are of recent ecchymosis. About 4 oss. of straw colored fluid in sac of arachnoid ; pia mater injected with venous blood. two
GAZETTE. MEDICAL INDIAN THE
effusion,
A large quantity of flows blood venous from vessels. Veins
36 ozs
46
Healthy Pia mater congested towards base of skull
; grey
substance
ozs.
firm; healthy
;
; substance
ozs.
soft
39^ ozs. ; cut surface presents many bleeding spots ; choroid plexus anaemic, presents numerous yellow cyst-like bodies, as big as No. 7 shot; one oz bloody in each lateral serum ventricle. 47
Healthy
Right pleural cavity
healthy
reddish, white studded with red spots. 38
congested
ozs. ;
ozs
; grey matter red
pale, white presents points.
Healthy
37
Congestion of veins A little straw colour ed fluid in arachnoid
38
ozs.
; soft
30 ozs.;
Pale
healthy. Not noted
Congested
soft,
Adhesion by a mere at very apex of left healthy otherwise.
9 ozs.; well collapsed ; pale in front point lung, and at apex; rose red towards base
18 ozs.; not
of
pia-
mater and slight subarachnoid effusion. Not noted
...
8 ozs.;
13| ozs.; collapsed, slight hypostatic congestion.
Healthy Old adhesions on both sides all over surface.
Congestion
of
pia-
16! ozs.; not collapsed being very firmly adherent to parietes and to pericardium ; much pigmentation ; hard tubercular deposit in apex; hypostatic congestion of posterior of lower lobe
35
Healthy
Healthy
; well
ozs.
collapsed
;
slight hy-
16
ozs.
;
moderately collapsed
:
slight
right side
of
Congestion of pia-
mater.
a
?
little
1
6 oz.; contains fluid blood.
14 ozs.; not collapsed, being adherent to parietes moderately firmly, is much pigmented, feels spongy, and seems healthy.
Healthy
9 ozs.;
Healthy
7f ozs. ; both cavities contain clots, no '? soldiers' spot" on surface.
Healthy
5
6 ozs.; flabby; right side distended with fluid left contains a white fibrinous clot.
blood,
11
ozs.
Old
17 ozs. ; darkly congested ; nodule (tubercular ?) in apex.
of
hard, firm
over
both
Pleura over lower lobe of left lung has lost its lustre.
fully
ozs. ;
13
ozs.
;
col
apsed, like right
collapsed
;
pink ; quite healthy
Contains ! oz. straw-colored fluid.
of
oz3.
; cavities empty.
7 ozs. ; firm white clot in right cavities.
19! ozs.; slightly collapsed ; congested deeply ; solidification of lower lobe posteriorly ; frothy mucus and bloody
Healthy
8| ozs ; right distended with soft dark clots.
mented ;
deeply congested and pigsemi-solid posteriorly.
15! oz*.; hypostatic congestion siderable.
Healthy
9 ozs. ; right side distended with soft dark clots.
10
pale, pigmented.
10
Healthy
8! ozs. ; right side distended with soft dark clots. 12 ozs. ; fluid blood in both sides and a white clot in left; walls friable ; fatty.
ozs.
ozs.
5
;
lobe
rupee.)
adhesions all
small; empty.
5
congestion
17 ozs. ; congestion of lower on pleura of base of both lu"gs pos- posteriorly. teriorly of very limited exa
;
Healthy
standing. Lymphy effusion of
ozs.
9
20J
Adhesions of bases of both to diaphragm of old
fully collapsed; healthy
;
9 ozs. ; slight hypostatic lower lobe posteriorly.
lobe.
(size
pale, fully collapsed
5 ozs. ; right side distended with soft black clots ; left empty. Arteries contain a string like white clot and a little dark blood.
Healthy
soft; congested.
NOTES ON PATHOLOGY. By A, PoBTEB, M.D., F.R.C.S.I., M.R.I.A., Surgeon, 4:th District, Madras, {Continued from
page
120). THOKAOIC CAVITY.
CBANIAL CAVITY.
Membranes, &c. Calvarium
thick;
larger meningeal
veins
42 ozs.; cuts firmly; in lateral
Healthy
44 ozs.; a little soft to the feel; seems healthy
Healthy
some serum
Left
Bight Lung.
Pleurae.
Brain.
9 ozs.;
fully collapsed; healthy
Lung.
Heart.
Pericardium.
8$ ozs.; like right.
Healthy
4$ ozs.; flabby; walls ventricles thin ; both venous dark contain blood; a pale fibrinous elot in left ventricle.
10 ozs.; hypostatic congestion racier better marked than on right side.
Healthy
4 ozs.; small; cavities contain dark clots.
14 ozs.; slightly collapsed; congested posteriorly ; a hepatized spot as big as an orange opposite the third costal cartilage, bronchi, especially of apex, full of muco-purulent matter; on se-
Healthy
74 ozs ; right side distended with dark fluid blood mixed with clots; left side nearly empty.
full of dark blood; ventricles seems healthy parietal visceral arach. noid adherent along commissure by lymph spots
8erous
effusion
into
sub-arachnoid space; otherwise apparently heathy.
Healthy
'
40 ozs.;
firm; healthy
9
ozs.
gestion.
Left pleura healthy ; right adherent latero-anteriorly by recent blood-red ad-
hesions.
; very
slight; hypostatic
con
20 ozs.; not collapsed; feels spongy ; congested with dark blood, and semisolid behind; bronchi filled with frothy muco-purulent matter.
about an ounce of dark fluid blood flowed from the severed vessels of the root. 14 ozs.; pneumonio spot as big as a lime at the very apex, other parts feel spongy and crepitating, uniformly
paration
40 ozs.; soft; a little * in lateral ventricles.
Healthy
serum
30 ozs.;
Healthy
7
healthy.
firm;
seems
Healthy
36 ozs.;
firm; healthy
Healthy
40 ozs.;
healthy
Vessels
injected. Healthy
of
pia
mater
40 ozs.;
empty.
soft; ventricles
43$ ozs.; firm
22 ozs.; congested purple, except an A dherent all over on both sides by old lymphy ad- terior border of lower lobe; upper hesions ; except that on the lobe hepatized, exudes much bloody posterior aspect of upper serum; lower lobe slightly spongy and lobe of right lung there is crepitating to feel, deeply venous conan effusion abont 2 oz. of gested behind, deeply rose-coloured in bloody serum, and on the front, bloody serum flows from cut corresponding part on left surface. side a recent lymphy effusion tinged with blood. Adherent by organised bands on right side all over, and on posterior surface on left side.
Old
adhesions
on
right
21 ozs.; not collapsed; deeply congested posteriorly, especially in upper lobe, where there is deep seated solidification in grey stage of hepatization; feels moderately spongy elsewhere.
9ozs.; not collapsed; slight hypostatic
8 ozs.; right auricle filled with dark clot valves healthy; other cavities empty.
lower lobe,
Healthy
4 ozs'. ; fibrinous clot in both auricles.
Contains a little straw, colored serum.
8 ozs.; clots in both auricles.
24
ozs. ;
hepatization
of
16$ ozs.; not collapsed; hypostatic congestion marked.
20 ozs. ; not lower lobe.
Recent adhesion of very limited extent near apex of right lung on outer side.
30 ozs.; partially collapsed; congested most markedly behind, hepatization of lower lobe, bronchi full of frothy mucous, frothy blood flows from cut surface.
24 ozs.; very like right, but lower lobe not quite solid (feels slightly spongy) and upper lobe congested behind only.
both
hesions.
sides
by
over
old ad-
19$ ozs.; congestion of back of lower lobe, which, on section, exudes frothy fluid abundantly.
right
a
Healthy
Adherent by organised bonds of old standing on both sides.
Firmly adherent all
auricle firm clot into ris:ht stretching ventricle, a similar clot and one on lef' side in each large vessel. 5 ozs.; contains
15 ozs.; partially collapsed only; deeply congested posteriorly (hypostatic mainly ?)
congestion of upper.
on
Berum.
congested purple.
congestion.
side.
half an Contains of straw-colored
ounce
collapsed ; hepatization
30 ozs.; whole of
of grey hepatization.
of
lower lobe in state
Contains about ounce
one
of straw colored
6$ ozs.: both sides distended with dark dots.
serum.
Contains
2
straw oolored
ozs, serum.
of
6 left on
ozs.
; white clot in
side; no white spot surfuce.
1877, 1, [June
in which are of recent ecchymosis. About 4 oss. of straw colored fluid in sac of arachnoid ; pia mater injected with venous blood. two
GAZETTE. MEDICAL INDIAN THE
effusion,
A large quantity of flows blood venous from vessels. Veins
36 ozs
46
Healthy Pia mater congested towards base of skull
; grey
substance
ozs.
firm; healthy
;
; substance
ozs.
soft
39^ ozs. ; cut surface presents many bleeding spots ; choroid plexus anaemic, presents numerous yellow cyst-like bodies, as big as No. 7 shot; one oz bloody in each lateral serum ventricle. 47
Healthy
Right pleural cavity
healthy
reddish, white studded with red spots. 38
congested
ozs. ;
ozs
; grey matter red
pale, white presents points.
Healthy
37
Congestion of veins A little straw colour ed fluid in arachnoid
38
ozs.
; soft
30 ozs.;
Pale
healthy. Not noted
Congested
soft,
Adhesion by a mere at very apex of left healthy otherwise.
9 ozs.; well collapsed ; pale in front point lung, and at apex; rose red towards base
18 ozs.; not
of
pia-
mater and slight subarachnoid effusion. Not noted
...
8 ozs.;
13| ozs.; collapsed, slight hypostatic congestion.
Healthy Old adhesions on both sides all over surface.
Congestion
of
pia-
16! ozs.; not collapsed being very firmly adherent to parietes and to pericardium ; much pigmentation ; hard tubercular deposit in apex; hypostatic congestion of posterior of lower lobe
35
Healthy
Healthy
; well
ozs.
collapsed
;
slight hy-
16
ozs.
;
moderately collapsed
:
slight
right side
of
Congestion of pia-
mater.
a
?
little
1
6 oz.; contains fluid blood.
14 ozs.; not collapsed, being adherent to parietes moderately firmly, is much pigmented, feels spongy, and seems healthy.
Healthy
9 ozs.;
Healthy
7f ozs. ; both cavities contain clots, no '? soldiers' spot" on surface.
Healthy
5
6 ozs.; flabby; right side distended with fluid left contains a white fibrinous clot.
blood,
11
ozs.
Old
17 ozs. ; darkly congested ; nodule (tubercular ?) in apex.
of
hard, firm
over
both
Pleura over lower lobe of left lung has lost its lustre.
fully
ozs. ;
13
ozs.
;
col
apsed, like right
collapsed
;
pink ; quite healthy
Contains ! oz. straw-colored fluid.
of
oz3.
; cavities empty.
7 ozs. ; firm white clot in right cavities.
19! ozs.; slightly collapsed ; congested deeply ; solidification of lower lobe posteriorly ; frothy mucus and bloody
Healthy
8| ozs ; right distended with soft dark clots.
mented ;
deeply congested and pigsemi-solid posteriorly.
15! oz*.; hypostatic congestion siderable.
Healthy
9 ozs. ; right side distended with soft dark clots.
10
pale, pigmented.
10
Healthy
8! ozs. ; right side distended with soft dark clots. 12 ozs. ; fluid blood in both sides and a white clot in left; walls friable ; fatty.
ozs.
ozs.
5
;
lobe
rupee.)
adhesions all
small; empty.
5
congestion
17 ozs. ; congestion of lower on pleura of base of both lu"gs pos- posteriorly. teriorly of very limited exa
;
Healthy
standing. Lymphy effusion of
ozs.
9
20J
Adhesions of bases of both to diaphragm of old
fully collapsed; healthy
;
9 ozs. ; slight hypostatic lower lobe posteriorly.
lobe.
(size
pale, fully collapsed
5 ozs. ; right side distended with soft black clots ; left empty. Arteries contain a string like white clot and a little dark blood.
Healthy
soft; congested.
