Principles and illustrations of morbid anatomy : adapted to the elements of M. Andral, and to the cyclopaedia of practical medicine, being a complete series of coloured lithographic drawings, from originals by the author : with descriptions and summary allusions to cases, symptoms, treatment, &c. : designed to constitute an appendix to works on the practice of physic, and to facilitate the study of morbid anatomy in connexion with symptoms / by J. Hope.

  • Hope, James, 1801-1841.
Date:
1834
Catalogue details

Licence: Public Domain Mark

Credit: Principles and illustrations of morbid anatomy : adapted to the elements of M. Andral, and to the cyclopaedia of practical medicine, being a complete series of coloured lithographic drawings, from originals by the author : with descriptions and summary allusions to cases, symptoms, treatment, &c. : designed to constitute an appendix to works on the practice of physic, and to facilitate the study of morbid anatomy in connexion with symptoms / by J. Hope. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

    33/616 (page 11)
    Accidental pressure with the fingers sometimes gives the appear- ance of an abscess, which in reality did not exist. Abscess after great Surgical Operations.—This is much more common than abscess from peripneumony. I have seen it in seven or eight cases. It presents itself in the form of depositions of various sizes in isolated points of healthy lung. It is exempli- fied in Fig. 11, taken from a case of amputation by Mr. Keate, which was followed by suppuration of the small veins of the stump. The part represented is a portion of the margin of the inferior lobe. The pleura is inflamed and coated with lymph, a, but the parenchyma, g, is sound, except amongst the depositions e, where it is slightly indurated. The depositions are in progressive grades. The earliest,y, present a bluish semi-transparent appear- ance, resembling cartilage, and feel like small hardish granules, though they admit of being broken up by moderate pressure. In the next grade, they become of an opaque straw-colour, and several coalescing form larger masses, as b. In the most ad- vanced grade, e, they soften in the centre, and, on being opened, discharge thick pus intermixed with fragments of lymph, leaving cysts of from half a line to a line in thickness. In these ex- amples the deposition seems to consist at first of lymph, rather than of pus; but in other parts of the same lung were small abscesses. Fig. 10, a, containing thin pale pus in very delicate cysts. At one part was a gangrenous portion surrounded by a thick cyst of softish yellow lymph. A section is made through it per- pendicular to the plane of the pleura, d, Fig. 10, which covers its upper part, imperfectly concealing the black colour of the subja- cent gangrene. This is a sloughy substance, collapsed so as to create a depression in the pleura, of a strong gangrenous odour, and yielding on pressure a thin blackish fluid, the expulsion of which leaves the cellular tissue in the form of a lax unsub- stantial web. The surrounding lung was sound. In this case there were similar depositions in the liver. They may also occur in various other organs. In the liver, they are more common than elsewhere. c 2