Outlines of the chief camp diseases of the United States armies as observed during the present war : a practical contribution to military medicine / by Joseph Janvier Woodward.

  • Woodward, Joseph Janvier, 1833-1884.
Date:
1863
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the chief camp diseases of the United States armies as observed during the present war : a practical contribution to military medicine / by Joseph Janvier Woodward. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    Its most common seat, however, is in the lower part of the ileum, where, as above observed, the ulceration is most marked. The size of the aperture may vary from that of a pin's head to three-quarters of an inch in long diameter. A specimen of the latter size is preserved in the Army Medical Museum. The peritonitis which follows this accident is char- acterized by intense livid congestion of the peritoneal vessels and the production of extensive layers—one to three lines in thickness—of pasty, greenish-yellow inflammatory products (croupous lymph, croupous fibrin, corpuscular lymph). Examined microscopic- ally, this opaque yellow substance is composed of a dimly granular material, without any distinct fibril- lization, in which innumerable granular cells, quite similar to the white corpuscles of the blood or to pus corpuscles, are imbedded. This layer readily peels off from the smooth, shining peritoneum beneath it, which is found on examination to be denuded of epithelium. The transparent fibrinous products and adhesions of sthenic peritonitis have never been observed by the author in these cases, which are to be regarded as exceedingly adynamic in their character. The mesenteric glands are enlarged, softened, and of a livid-purple color on section, frequently stained by deposits of black pigment, the largest glands existing usually in that part of the mesentery which corre- sponds to the largest ulcers. Microscopical examina- tion shows cell multiplication in every stage in the cells of the parenchyma of the glands. The stomach is generally normal, the mucous mem- brane occasionally softened, and occasionally also a