On haemoptysis, especially when fatal, in its anatomical and clinical aspects / by Vald. Rasmussen ; translated from the Hospitals-Tidende by William Daniel Moore.

  • Rasmussen, Valdemar.
Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: On haemoptysis, especially when fatal, in its anatomical and clinical aspects / by Vald. Rasmussen ; translated from the Hospitals-Tidende by William Daniel Moore. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    otlier branches of the pulmonary artery or in the main trmik. The right lung is everywhere firmly adherent to the diaphragm. In the apex is a cavity about the size of a goose-egg, which reaches to the thickened pleura, or is separated from it only by a thin, highly coloured layer of fibrous tissue, which in general circumscribes it; into the cavity open, in many places, eyelet-hole shaped bronchi, and on slitting up these, many are seen to run a serpentine course, and to be dilated, with bands projecting between the dilatations, while others are natural with respect to their cavities. The mucous membrane is everywhere dark and uniformly red. The cavity con- tains a small quantity of chocolate-coloured fluid ,* the walls are uneven, in several places with pit-like, blind, eyelet-hole shaped depressions. The remainder of the lung is permeable to air, is con- gested with blood, and presents scattered miliary tubercles. The bronchial glands are highly swollen and coloured. In the throat and oesophagus, as well as in the larynx and trachea, is a large quantity of fluid or loosely coagulated blood; the mucous membrane is highly soaked with blood. Only on the under surface of the epiglottis are some swollen follicles. The spleen is about double its usual size ; its capsule is thickened; its parenchyma is tolerably firm, of a pale red colour; the follicles and trabeculse are in the usual number. The kidneys are firm, rigid j the capsules are easily separable, the surfaces are of a diffuse dark red colour; the surface of section is similar, the pyramids somewhat darker; the glomeruli are highly congested, the canals of the cortical substance exhibit only a slight opacity. The mucous membrane in the pelvis is natural. The liver is large, firm; its parenchyma is dark red; the central parts of the acini are slightly depressed; the peripheries are slightly loaded with fat. In the gall-bladder is a little thin, yellowish bile. In the stomach is a large quantity of loosely coa- gulated or cherry-coloured fluid blood. The mucous membrane is healthy, imbibition excepted. In the urinary bladder is a small quantity of turbid urine. In the small intestine the mucous mem- brane exhibits a light rose-red colour in the upper part; further down small round or elongated ulcers, with reddish swollen edges, and evident miliary deposition in the fundus, are met with. The ulcers occur only in a scattered manner, scarcely exceed the size of a four-skilling piece, and are all situated in the Peyerian patches; in other places yellowish tubercles of miliary size are seen. In the caecum only a couple of elongated ulcers lying across the intestine are found; the rest of the large intestine is free. The mesenteric glands are slightly swollen. [Having given two of the author's cases nearly in extenso, as examples of the accuracy with which his observations are reported, I shall be obliged in the remainder of his paper, in consequence of the length to which this translation would otherwise run, to confine myself to his general remarks, adding only the headings of his cases.—W. D. M.]