Twenty-sixth annual report of the county and city of Worcester Pauper Lunatic Asylum.

  • Worcester Pauper Lunatic Asylum.
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Twenty-sixth annual report of the county and city of Worcester Pauper Lunatic Asylum. Source: Wellcome Collection.

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    n Mucous membrane of bronchi congested and lined with stringy mucus; both lungs oedematous posteriorly and emphysematous in front. Liver congested and fatty. The right kidney was much disorganised, the cortex and interpyramidal structure being infiltrated with fat; capsule free and surface underneath mottled. The left was a perfect surgical kidney, no renal structure of any kind remaining'; it was occupied by eight large cysts, all of which contained dark blood, that in most of them being grumous and liquid, and in one or two clotted. The ureter was enormously dilated, easily admitting three fingers; it was traced downwards, and about the spot where it crosses the common iliac was found to contain a large calculus; this latter was 3 J inches long, 2f inches in circumference at its greatest girth, weighed 317 grains, and was slightly constricted in the middle; it had apparently blocked the entire lumen of the ureter, which below this was of normal calibre. The bladder contained about 8 ounces of dark, grumous blood, with no urinary smell about it. The stomach was half full of some dark coloured liquid, which was found to contain blood, undigested food, epithelium, cholesterin, and a few sarcinae ventriculi. The intestines were healthy. The dilated ureter with the stone had formed quite a large tumour on the left side of the pelvis, and pushed the rectum over to the right side, so that the sigmoid flexure lay against the ileo-coecal valve. 6.—E.GK, male, set 40. This was a case of chronic mania. He was a transfer from another asylum, and the dura¬ tion of his insanity at the time of death was upwards of 14 years. He was very impaired and deluded, occasion¬ ally excited, but as a rule quiet and easily managed. He suffered from recurrent attacks of jaundice for some years. His final illness was of a fortnights duration, and was characterised by alternations of vomiting, diarrhoea, and constipation, with great fulness and brawniness of the left side of the abdomen, oedema and pain of the left leg, and latferly great emaciation and a general appearance of intense cachexia. The cause of his insanity was unknown. Autopsy 52 hours after death. Body much emaciated. Weather cool. Decom¬ position had commenced in the abdominal walls. No bedsores. Calvarium of normal thickness and density ; diploe general. Large quantity of serosity in the