Reports of the practice in the clinical wards of the Royal Infirmary of Edinburgh, during the months of November and December 1817, and January 1818, and May, June, and July 1818 / by Andrew Duncan.

Date:
1818
Catalogue details

Licence: Public Domain Mark

Credit: Reports of the practice in the clinical wards of the Royal Infirmary of Edinburgh, during the months of November and December 1817, and January 1818, and May, June, and July 1818 / by Andrew Duncan. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    vere, and respiration difficult; pulse scarcely to be felt at the wrist; at the elbow 1)6; one stool; urine3V. very turbid. Interm. ungt. hydrarg. Cont. alia. To have tea for breakfast. ] jth.—Died this morning. Dissection. There were about ^vi. of a limpid fluid in the cavity of the abdomen, but its viscera were of their natural appear- ance. About 3M. ss. of a limpid fluid was found in the pe- ticardium, but both pericardium and heart were of their natural appearance. A few ounces of fluid on each side of the chest; the lungs on the right side adhered at their anterior part by strong membranous adhesions, and by bands about one inch in length behind. On the left side of the chest, the pleura costalis and pulmonalis adhered closely to each other so firmly, that they could not be separated, and the lungs could only be removed by tearing out the pleura costa- lis from the ribs. When this was done, the lungs appeared reduced to one-fifth of their natural size, the pleura seemed conveited into a sort of cartilaginous capsule. The sub- stance of the right lung contained many tubercles, and its texture generally was indurated by effusion of serum into its cells. The substance of the left lung seemed to have entire- ly lost its cellular texture, was impermeable by air, and con- verted into a mass nearly of the consistence of liver. It was interspersed with tubercles in a state of suppuration, the other parts were of their natural grey hue. A painting of the left lung, divided by a section through its whole length, was made by Mr John A. Schetky, Fellow of the Royal College of Surgeons, whose professional knowledge, combined with his consummate skill as an artist, enable him to represent morbid appearances with a degree of truth and effect that cannot be surpassed. No. XXII. Case of Phthisis Pulmonalis, with the appearances on Dissection. R. C. Weaver, a:t. 46. Nov. 14 ih.—Complains of slight pain of head, vertigo, tinnitus aurium ; rigors, after being long out of doors, not Q