Essays on the diseases of children : with cases and dissections / by John Cheyne. Essay 2, On the bowel complaints more immediately connected with the biliary secretion, and particularly of atrophia ablactorum, or weaning brash.

  • Cheyne, John, 1777-1836.
Date:
1802
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Licence: Public Domain Mark

Credit: Essays on the diseases of children : with cases and dissections / by John Cheyne. Essay 2, On the bowel complaints more immediately connected with the biliary secretion, and particularly of atrophia ablactorum, or weaning brash. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    *9 three, four, or five days, there is found lining the windpipe a white membrane, of consider- able tenacity. It arifes a little under the larynx, and is fometimes prolonged into the divifion of the trachea ; and generally a quantity of a white fluid, like matter with which the lungs are fill- ed, is feen gurgling up. The attachment of the membrane is flight, but the inner coat of the windpipe is inflamed. The inflammation, which is flill perceptible, and which of courfe muft have been more violent before this fluid exuded, I hold to be the immediate caufe of the bad fymptoms in the firfb ftage of the difeafe ; as the adventi- tious membrane and puriform fluid 5, the con- fequence of that inflammation, is in the conclu- flon of it. The pathology of Croup is very Ample. When the child dies, the inflammation has terminated by efFufion. This effufion is of a lymph, ftrong- ly refembling purulent matter ; which exuding on the inflamed furface of the windpipe, thick- ens there, forming the membrane. That this is the natural explanation, is proved to my convic- tion by analogies from other difeafes ; for a fi- milar membrane is thrown out on other fecret- 5 I have added a cafe, where the membrane, obferv-ed on dif- feclion, was not fuch as to impede the refpiration ; it was not more than a few detached crufts : But it would feem that the inflammation, the efFufion in the lungs, and the general affec- tion, had produced the fame fatal effect. d ij