On the pathological condition of the blood in cholera / By Alfred Baring Garrod.

  • Garrod, Alfred Baring, 1819-1907.
Date:
[1849?]
Catalogue details

Licence: Public Domain Mark

Credit: On the pathological condition of the blood in cholera / By Alfred Baring Garrod. 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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    adherent, the adhesions being tough, and doubtless produced by old pleuritic inflammations. The right lung was of small volume, sparingly crepitant; on section the colour was dark, the substance firm but not hepatized, and it did not contain much blood or serum; there was no con- solidation at the apex, nor were tubercles found throughout the sub- stance ; the bronchial tubes contained some frothy mucus. The left lung was lighter in colour than the right, but still of a deep red; on pressure, much blood exuded from the small vessels, particularly from the inferior and depending portions ; no tubercles were observed; the bronchial tubes contained a little frothy mucus. The larynx and trachea were healthy, and exhibited but slight vascularity. Heart, Sc. The pericardium was healthy, and contained no fluid. The heart weighed four ounces and two drachms; the right auricle was much engorged, and contained a lai-ge but partially decolorized clot; the right ventricle contained a large colourless, very soft coagulum; in the left ventricle was found a small colourless coagulum. The substance of the whole organ was healthy. (Esophagus, Sc. The mucous membrane of the pharynx and oesopha- gus was natural. Stomach. The peritoneal surface was pale, the mucous membrane but very slightly vascular, not softened, containing a small quantity of a thickish dark brown fluid, smelling of port wine—about Jiv. in quantity. Small Intestines. The peritoneal surface had a tolerably well-inarked vermillion tint. In the duodenum the glands of Brunner, and also the solitary glands were enlarged. In the ileum, the solitary glands Avere also strongly marked, and Peyer's glands elevated and red in colour. Colon not contracted; its peritoneal surface was pale, and the glands were enlarged in the ascending portion. In the descending and trans- verse portions, the mucous membrane was pale. Liver. Weight twenty-one ounces, two drachms; was adherent to the diaphragm over the greater portion of the right side. The gall bladder was moderately distended with bile of a deep green colour, and of viscid consistence. Spleen weighed two ounces and six drachms, and appeared healthy in structure. Kidneys. The right weighed two ounces and two drachms, the left two ounces. I» both, the substance was healtby, and the capsule easily separable. The Bladder was quite empty and very firmly contracted (like a ball). The blood in the sinuses of the brain, heart, and large vessels, was not coagulated, bat had a consistence and appearance not very un- like tar. The mesenteric glands were not enlarged, the omentum contained but a very s,mall quantity of fat, and on the walls of the abdomen a layer of that substance was found, not measuring more than one-fifth of an inch. In the small intestines was contained some fluid, of the con- sistence of gruel, and about three or four ounces in quantity, which possessed an alkaline reaction, and under the microscope presented the appearances which are exhibited by the rice-water evacuations of cholera