Two clinical lectures / by Alexander Morison.
- Blackhall-Morison, Alexander, 1850-1927.
- Date:
- 1901
Licence: In copyright
Credit: Two clinical lectures / by Alexander Morison. Source: Wellcome Collection.
Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.
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![Pulmonary valves competent, natural. Tricuspid natural ; admits three fingers. Loose ■ clot and much fluid blood in right ventricle. Right auricle natural. Left ventricle some- what contracted. On section muscle half an inch thick, of a greyish-red colour, consistence not diminished. On the left lateral semilunar valve a large lump of coagulated fibrin of a verrucose appearance, taking up the entire ventricular surface and dragging the valve downwards. The fibrinous deposit is continued on to the right lateral aortic valve, which with its anterior half participates in the formation of this excrescence, which sends a long, free, tongue-like process down into the ventricular cavity. A similar verrucose excrescence the size of a pea, on the posterior valve, occupying the site of the nodulus Arantii. Mitral valves.—-The mitral cusps are both involved in the process, the valves shortened, and their free edge covered with more cauliflower-like excrescences, which are especially extensive on the auricular surface of the aortic cusp and the right half of [the] posterior cusp. The valves are nowhere perforated, the chords tendineae of [the] aortic cusp shortened, and on some of them there is also precipitation of fibrin in con- sequence of peri-tendinitic roughness. The posterior auricular surface roughened and puckered, with some lamellar fibrinous precipitate in places. This case was evidently one of so-called malignant endo- carditis, ingrafted in an anaemic subject upon old and extensive lesions of the aortic and mitral valves, probably of rheumatic origin, although no history to this effect could be elicited. The clinical observations were made by myself and by Mr. Randall Wadd, who had been house physician to the Brompton Hospital for Consumption before coming to the Great Northern Central Hospital. I mention these particulars to increase the value of the observations which refer to the general clearness](https://iiif.wellcomecollection.org/image/b21455983_0014.jp2/full/800%2C/0/default.jpg)
