Clinical medicine : observations recorded at the bedside with commentaries / by W.T. Gairdner.

  • William Tennant Gairdner
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: Clinical medicine : observations recorded at the bedside with commentaries / by W.T. Gairdner. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    and congested patches of Peyer in the ileum, in a state of ulceration and sloughing; with enlarged, congested, and softened mesenteric glands. The lungs were in an extremely curious and almost indescribable condition ; the right lung almost entirely devoid of air, flaccid, evidently collapsed, hut shewing throughout, on section, much congestion, and here and there patches of hemor- rhagic condensation ; the bronchi loaded with mucus deeply stained with blood. In the left lung there was a good deal of collapse at the base and root; but, on the whole, not much disease. In neither lung was there anything like ordinary hepatization, and the pleurae were quite smooth, and free from exudation. The spleen, as usual, was large and soft. It is worth noticing here, that the nurse of the ward, a most careful and attentive person, was under the impression that this patient was menstruating two or three days before death, and that the patient herself had a similar impression. The examination of the uterus and ovaries shewed that this idea was erroneous. The mucous membrane was pale throughout; a gelatinous mass of mucus occupied the cervix uteri, and there was no recent corpus luteum. It is evident that the stains of blood from the bowels had led to a mistake in this particular.] The only other case worth mentioning in illustration of the epidemic tendency, is that of a little girl, (Mary* P., set. 11), admitted on the 19th, as she has been several * The after history of this case will be adverted to in the chapters on Cardiac Murmurs. F ✓