Studies on the pathology and on the etiology of variola and of vaccinia / by William Thomas Councilman [and others].

  • Councilman, W. T. (William Thomas), 1854-1933.
Date:
[1904]
Catalogue details

Licence: In copyright

Credit: Studies on the pathology and on the etiology of variola and of vaccinia / by William Thomas Councilman [and others]. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    of the feet show papules one to six millimeters in diameter. The palms and soles are negative. Upon section, subcutaneous fat three centimeters in thickness; muscles thick, red, and firm. Vermiform appendix and mesenteric lymph nodes normal. Thorax. — Height of diaphragm fifth rib on right side, sixth on left. Pleural cavities: both partially obliterated by old fibrous adhesions, which are most marked in the upper part of the right cavity. Pericardial cavity normal. Heart: estimated weight three hundred and seventy-five grams; upon section, myocardium red, and somewhat opaque. The free edges of the curtains of the mitral valve jjresent small, pink, granular elevations ; other- wise valves and cavities normal. Coronary arteries normal. Lungs: right upper lobe presents extensive thickening of the pleura, and is closely adherent to the wall of the chest; this part of the lung upon section shows several areas of caseation about three centimeters in diam- eter, invested in a tough, fibrous connective tissue; no tubercles are apparent. Both lungs upon section show considerable edema; the bronchi are of a dirty, gray-red color, the mucous membrane apparently thickened; upon pressure they yield considerable muco-purulent material. Abdomen. —Peritoneal cavity normal. Spleen: moderately enlarged and somewhat flabby; upon section, markings vague, pulp a little increased. Stomach: upon section the mucous membrane presents numerous red areas, evenly distributed, two to eight millimeters in diameter; otherwise negative. Intestines negative. Pancreas normal. Liver: size normal, brown red; upon section markings vague; surface of section opaque ; consistence rather friable. Gall bladder normaL Kidneys: rather large; upon section capsule strips easily from a smooth surface; markings distinc,t; surface of section opaque and pale, somewhat edematous; the pelvis of the right kidney contains a small amount of bloody fluid; its mucous membrane is smooth, glistening, and of a deep cherry-red color, upon section showing extensive hemorrhage into the submucosa; the left kidney shows a small, recent, cortical infarct; its pelvis normal. Adrenal glands normal. Bladder normal. Testicles: upon section no focal lesions apparent; tubules unravel easily. Aorta normal. Organs of the Neck. —The mucous membrane of the soft palate, the tonsils, the uvula, and the upper part of the pharynx is swollen, rough, of a dirty, grayish-green color, and in places shows shallow erosions. Larynx and trachea: mucous membrane red and edematous ; that of the