Reports of the practice in the clinical wards of the Royal Infirmary of Edinburgh ... / [Andrew Duncan].

  • Duncan, Andrew, Jun., 1773-1832
Date:
1818
Catalogue details

Licence: Public Domain Mark

Credit: Reports of the practice in the clinical wards of the Royal Infirmary of Edinburgh ... / [Andrew Duncan]. Source: Wellcome Collection.

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    besion at the upper and posterior part, and a quantity of pus escaped from a cavity capable of containing six ounces, of a very irregular shape, partially divided by irregular septa of a firm texture, and lined with a membrane, through which protruded the remains of a great many small bronchi, to the length of one-eighth or one-tenth of an inch. This vomica was situated in the upper part of the lung, and on further dissection, another was found also in the upper part nearly similar in shape and size, but still filled with pus. On dividing the substance of the right lung, it was found to contain a great many tubercles of different sizes, from that of a pea to that of a small hazelnut, and in various states of progress, some hard and cartilaginous, others soft, and some converted into thick pus. They seemed to be encysted or separated from the substance of the lung by a very distinct and firm membrane. The larger branches of the bronchi were not particularly examined, but the smaller ones divid¬ ed in the dissection contained a muco-purulent matter. Ihe intertubercular substance of the lungs was not indurat¬ ed or apparently diseased, and in general the lower part of all the lobes, especially towards the edges, W'as, with the exception of the presence of tubercles, sound and fit for the purposes of respiration. The left lung contained no vo¬ mica, but its substance was similarly affected. The heart was in every respect sound The other cavities were not examined. No. XXIII. Effects of the Fumes of Tar, in a case of Phthisis. T, M‘G. Shoemaker, aet. 20. \ Was admitted on the 14th November, labouring under symptoms of confirmed phthisis pulmonalis of twelve months standing; great debility; laborious respiration; pain of side, increased by full inspiration and pressure; severe cough, with purulent expectoration and haemopty¬ sis ; sore throat; headach and vertigo; occasional diar¬ rhoea ; night sweats; great thirst; bad taste of mouth ; pulse 120.