Selected monographs : comprising Albuminuria in health and disease ... Some considerations on the nature and pathology of typhus and typhoid fever ... Moveable kidney in women.
- Date:
- 1884
Licence: Public Domain Mark
Credit: Selected monographs : comprising Albuminuria in health and disease ... Some considerations on the nature and pathology of typhus and typhoid fever ... Moveable kidney in women. Source: Wellcome Collection.
Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.
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![find most extensively fatal, in wliicli no intestinal lesion is found even on the most careful inspection. Dr. Alison, of Edinburgh (from whom I cannot quote accurately, not having access to his work), corroborates the experience of other observers.^ I now proceed to give some more circumstantial details upon this interesting subject. Dr. West gives the results of ten inspections. In five (I merely speak of the state of the bowel) “there was no morbid appearance whatever in the other five “ there was increased vascularity of the intestinal canal, extreme in one instance.” '^Once the glands of Peyer appeared enlarged, and twice there was very con- siderable enlargement of tlie solitary glands ; but I never,” says he, “ found them ulcerated. Once the mucous mem- brane of the emeum was very much softened and congested, and there was slight abrasion of the surface of some of the congested patches.” Dr. Eeid® states, that of loi cases examined in the Edinburgh Infirmary, by his predecessor, the late Dr. Home, “ the elliptical patches were well defined in 2g; they were more or less ulcerated in 7 of that number and in 2 out of the 7, perforation had taken place.” He next gives^ a summary of the morbid appear- ances in 41 cases inspected by himself. In 24, “ Peyer’s glands were apparent and distinctly defined;” in 6, “scarcely visible;” in ii, invisible to “the naked eye.” In 4 only were they “ distinctly elevated; ” aud in 2 of the 4, “ this elevation was to no groat extent, and limited to a few patches.” In 2 only was there “ any appearance of ulceration.” In 4, the solitary glands were “ distinctly visible.” Kegarding the connection of the symptoms during life with the post- mortem lesions, he says,® “ In g cases only out of the 24, in which the elliptical patches were distinctly visible, were there any abdominal symptoms during life, aud in some of those ’ ])r. Alison lias published no separate work, but Observations, &c., in tlie twenty-eighth volume of tlie ‘Edinburgh Medical and Surgical Journal,’ !’• 233.—Ed. ’ ‘ Edin. Journal,’ vol. 1, p. 132-3. “ Keport, &c., p. 33. ■* t>hd., pp. 30, 31. Ibid., p. 34. V](https://iiif.wellcomecollection.org/image/b21303241_0229.jp2/full/800%2C/0/default.jpg)
