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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    cold, violet; breast warm. Great thirst; complains constantly and urgently of pain in abdomen ; no vomit- ing ; constant tenesmus and frequent small reddish liquid stools. No pulse at wrists ; no urine. Slight cramps. Warm bath this evening. Got bath and died soon after, at 9 p. m. 8th of April. Autopsy 9 a. m. Apr. 9th. 12 hours after death. External appearances. Skeleton large; extremities very violet; limbs very rigid; muscles large, of a dark red color. Abdomen. Peritoneum hardly moist, viscid to the touch ; omentum much injected ; inferior vena cava and vena porta distended with black blood. Stomach. (Eso- phagus—internal surface white, natural. Stomach con- tracted in its pyloric portion, splenic slightly distended ; contains a very dark green liquid, with very little mucus li- ning its internal surface. Internal surface generally of a pink color and covered almost everywhere by numerous folds; those in the splenic portion of the organ are of a somewhat livid red color ; on and between them are seen several little red masses like mucus mixed with blood; mucous membrane along the great curvature is finely in- jected, but is over the whole organ of good consistence and its ordinary thickness. (This stomach, especially in its splenic portion, is regarded by M. Andral as inflamed.) Small Intestines—externally much injected, florid ; this injection is quite fine ; contain in the upper part a yellow liquid, which in the end of the jejunum is mixed with little brownish red masses, resembling small coagu- la of blood ; in the ileum red liquid with similar little masses ; this liquid becomes very abundant in the last foot, and is of the color of strong French chocolate. Valves of jejunum red, with venous arborisation in the intervals ; this redness is less vivid towards the end of the jejunum, but again becomes more so at the com- mencement of the ileum, and in some parts of this intes- tine is observed in points or dots. Indeed, in the ten last feet of the small intestine the mucous membrane is