Description of selected specimens from the medical section of the Army Medical Museum at Washington, exhibited in room no. 2 / J.J. Woodward.

  • United States. Army Medical Department (1968- )
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: Description of selected specimens from the medical section of the Army Medical Museum at Washington, exhibited in room no. 2 / J.J. Woodward. 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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    thickeniug- of the submucoHa. In snch cases tenesmus is sometimes present, sometimes absent; and they are spoken of as dysentery by some surgeons, as diarrhcea by others. Pseudo-membranous inflamma- tion of the mucous sm-face between the ulcers is apt to supervene in these cases, and this lesion is very generally found when acute^ dysen- teric symptoms precede the fatal termination of a chronic flux. Tliis complication exists in a number of the specimens. Polhcular ulcers can generally be distinguished fi-om the ulcers of diphtheritic dysentery by theii- f6rm ; but in the extensive ulcerations found in some chronic cases it is sometimes difficult to be sure which process has produced the destruction of tissue observed. Nos. 53 to 56 are illustrations of this remai'k. l/ 44. (601.) Lower portion of ileiim, with iled-C£ecal valve and part of caBCum. The solitary follicles of the ileum are enlarged, the caecum is slightly thickened and studded with minute follicular ulcers not much larger than pin-pricks. From a sol- dier of the l!)r)th Ohio, age 18, who died after suffering from diarrhoea for four or five weeks. Towards the close there were febrile symptoms of a typhoid character. Minute follicular ulcers, like those seen in the caecum, were found throughout the colou. {Gat. of Med. Sect., 18(;7, p. 63.) Contributed by Acting Assistant Surgeon W. C. Miner. 45. (SIT.) A portion of descending colon, which is considerably thickened, and Ijresents numerous well-marked follicular ulcers. From a soldier of the 23d New Jersey, who died of chronic diarrha3a contracted in the Army of the Potomac. The small intestine was inflamed in patches, and the glands of Peyer were thickened. The colon was thickened; its mucous membrane softened, and of a greenish-gray color. The iilcers were confined to the descending colon and sigmoid flexiire. The lower lobe of the left lung was hepatized. (Cat. of Med. Sect., 18G7, p. 71.) Con- tributed by Assistant Surgeon E. J. Marsh, U. S. A. 4(!. (43S.) Portion of transverse colon, presenting numerous follicular ulcers and slightly frosted with pseudo-membrane. From a soldier of the Uth Ohio Cavalry, who died of chronic diarrhcea. (Gat. of Med. Sect., 18()7, p. 71.) Contributed by Surgeon N. R. Moseley, U. S. Vols. ^ 47. (121.) Portion of transverse colon, with thickened mucous membrane and deep follicular ulcers. From a soldier of the 4th Iowa Cavalry, who had suffered from chronic diarrhcea for nine months. The ileum presented evidences of catarrhal inflammation. The colon was throughout in the condition of the specimen. In the lower part of the colon patches of pseudo-membrane adhered to the mucous surface between the ulcers. (Gat. of Med. Sect, 18C7, p. 73.) Contributed by Surgeon George F. French, TJ. S. Vols. 48. (56.) Portion of ascending colon somewhat thickened, with patches of pseudo- meml>rane adherent to the surface aud ulceration of the solitary. follicles. From a •soldier of the (jr,th New York, who died of chronic diarrhoea. The lower part of the ileum was affected by pseudo-membranous inflammation, aud the colon throughout very much as in the specimen. The lower part of the left lung was affected with pleuro-pneumonia. (Gat. of Med. Sect., mil, p. 74.) Contributed by Acting As- sistant Surgeon Joacph Leidy.