Description of a cardiolith / by Sheridan Delépine.

  • Delépine, Sheridan, 1855-1921.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Description of a cardiolith / by Sheridan Delépine. 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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    Reprinted from the ' Transactions of the Pathological Society of London,' 1890. Description of a cardiolith. By Sheridan Del^pine, B.Sc.Lausanne, M.B.Edin. [With Plate II, figs. 2 and 3, and Plate III.] PBELiMiNAKT Eemabks.—The Specimen which forms the object of this communication was kindly sent to me by Dr. Mann, who afterwards presented it to the St. George's Hospital Museum. I have abstracted from his letter the following notes. A. IST—, a female child, 5 years of age, was admitted on the 11th of October, 1889, into the Homerton Hospital. She had been taken ill on the 7th with vomiting, and on the 9th had complained of sore throat. She has no dyspnoea. Temp. 100°—102°. Pulse 142. Urine: albumen ^. 13th.—Pulse 130, extremely weak and irregular in strength. 14th.—Pulse 128, extremely weak and difficult to count. The child was seen about ten minutes before death, when she wa& sitting up extremely cyanosed. The pulse could be felt. Eespira- tion rapid, but air apparently entering lungs freely. 'Eo sign of laryngeal obstruction. Child perfectly sensible. Ether injection given without any effect on pulse. Child lay down, gradually getting more and more cyanosed, without apparent suffering, and remaining perfectly sensible till death (October 14th, 9.32 p.m.). Post-mortem examination (October 16th, 3 p.m.).—Uvula and both tonsils covered with adherent membrane, which extended to base of tongue and round sides of pharynx to epiglottis, which it covered. Whole of inner surface of larynx covered with very adhe- rent membrane, which extended down the upper half of the trachea ^0 membrane in the bronchi. Much recent pleural adhesions on both sides, Left lung: Weight 5 oz., congested, but crepitant; no h^mor- coZ;- ^^^'^ u^'V ^''^^^ ^ ^^^r^^^ly emphysematous, and ollapsmg much when cut; the whole lung contained many hemor- rhages, from the size of a pin's head to that of a large bean.