Volume 2

The seats and causes of diseases, investigated by anatomy; containing a great variety of dissections, and accompanied with remarks ... / John Baptist Morgagni ; abridged, and elucidated with copious notes by William Cooke.

Date:
1822
Catalogue details

Licence: Public Domain Mark

Credit: The seats and causes of diseases, investigated by anatomy; containing a great variety of dissections, and accompanied with remarks ... / John Baptist Morgagni ; abridged, and elucidated with copious notes by William Cooke. 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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    produce it. The chyle itself blended with recre- mentitious matter is discharged, and the dejections are nearly of a cineritious colour.*—14. * Ulceration usually commences in the villous coat of the large intestines; and when this coat of the small intestines is the seat of ulceration, I believe that it most frequently occurs in the ileum, near its termination in the caput coli, where I have repeatedly found it. Dr. Baillie states that he had not met with an instance in which the ulcer began on the outer surface and spread inwardly. Not unfrequently, however, it extends from the inner coat, and perforates the peritoneal. When this takes place it does not necessarily follow that the contents of the intestines are effused into the abdomen, for most frequently the ulcerated part is united with some contiguous viscus or with the peritoneum, by adhesive inflammation. In a case of annular contraction of the descending colon, combined with extensive ulceration, by which all the coats, in one place, were destroyed, I found that the escape of fecal matter was prevented by conso- lidation with one of the fatty appendages. Sometimes there has been communication between different portions of intestine, in consequence of this adhesion and ulceration. The symptoms of inflammation and ulceration in the mucous coat of the intestines are sometimes exceedingly obscure. At the onset, in the following case, they rather indicated a pulmonary affection. On the first of September 1813 I was requested to see a gentleman about forty-five years of age—a remarkably strong and healthy man. A few days before, having experienced considerable giddiness, he was cupped, and by that means obtained relief. I found his respiration very quick, and he articulated with unusual haste, though he was unconscious of any difficulty of speaking. He had neither pain in the thorax, nor inability to make a deep inspiration, yet he was sensible of some oppression at the chest. His tongue was a little white, his pulse was a hundred, and rather full; and he had slight anorexia. His bowels were relaxed, and he micturated freely. The blood which was repeatedly withdrawn, presented a firm and cupped surface. The breathing had become more natural, but on the