Cases of cholera collected at Paris : in the month of April, 1832, in the wards of MM. Andral and Louis, at the Hospital La Pitié / by James Jackson, Jr.

  • Jackson, James, Jr., 1810-1834.
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: Cases of cholera collected at Paris : in the month of April, 1832, in the wards of MM. Andral and Louis, at the Hospital La Pitié / by James Jackson, Jr. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    garding these as evidence of a process, to say the least, entirely analogous to the real and undisputed process called inflammation of the suhstance of the membrane. This being premised, I will now state what I conceive to be the anatomical characteristics of an inflammation of the mucous membranes. 1st. Redness alone is very rarely sufficient evidence of inflammation; but when this redness is bright and ar- terial, when it is produced by a fine capillary injection of the mucous membrane itself, although this membrane preserve both its natural thickness and consistence, es- pecially if at the same time the surface of this membrane be covered by a very adhesive mucus, or if the organ of which it forms a part contain either a bloody or a puru- lent fluid, or portions of coagulable lymph, I should re- gard the evidence of inflammation to be satisfactory. 2d. A state of the mucous membrane termed by M. Louis, who first described it, ' mamelonnement,' and which may, though less correctly, be designated by the English term granulation, as it very much resembles that state of the eye-lid which is known by this name, wheth- er it be or be not accompanied by redness, I believe to be evidence of inflammation. 3d. An increase of thickness, or a diminution of it in stripes, with or without redness. 4th. A diminution of the consistence of the membrane, with or without either of the preceding characters. 5th. Ulceration. 6th. Gangrenous sloughs of a dark green, or dirty grey color, evidently separating themselves from the surround- ing parts. After what I have said upon the anatomical characters of inflammation of the mucous membrane, and upon what I regard as the proper view of the morbid secretions up- on its surface in cholera, it need not be added that in my opinion an inflammation, or a morbid process in many respects quite analogous to inflammation, of this mem- brane, always exists in this disease. 1 should hope not to