Phthisis : its morbid anatomy, etiology, symptomatic events and complications, fatality and prognosis, treatment and physical diagnosis ... / by Austin Flint.

  • Flint, Austin, 1812-1886.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Phthisis : its morbid anatomy, etiology, symptomatic events and complications, fatality and prognosis, treatment and physical diagnosis ... / by Austin Flint. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    37/476 (page 37)
    In this case, too, it is, perhaps, a probable supposition that phthisis, as represented by the cavity, existed prior to the em- physema. The granulations, with which the lungs were cram- med, probably denoted a recent affection; in other words, acute tuberculosis became developed. Possibly the emphysema was secondary to the latter. In one case the variety of emphysema distinguished as atrophic existed in a marked degree. The right lung, in this case, pre- sented a series of cavities in the upper third, two being quite large. There was no exudation in this section. One of the cavities contained a cheesy mass as large as a bean. Below these cavities within a space as large as an orange there was red he- patization. A few nodules existed in the lower part of this lung. The upper lobe of' the right lung presented numerous projecting air blebs from the size of a pea to that of a walnut —several were as large as the latter. The}' contained shreds of pulmonary structure, and in one were small masses of dried blood. The volume of this lobe was considerably diminished. A few nodules existed in the left lung, and no cavities. In another case there was notable emphysema of the upper and middle lobe, and, also, of the upper part of the lower lobe of the right lung. Small tubercles and a few nodules were scattered through this lung. The left lung was much contracted, and presented a series of communicating cavities extending from the apex nearly to the base, the two lobes being closely united together, and the whole lung closely adherent to the thoracic wall. In addition to what has been presented in the foregoing pages, the following enter into the morbid anatomy of phthisis: Pleu- ritic adhesions, fibroid induration or interstitial pneumonia, enlargement of bronchial glands, extravasation of blood or pul- monary apoplexy, gangrene, dilatation of bronchial tubes, di- minished volume of a lobe or of lobes, and circumscribed con- gestion. Some notice of this group will conclude my account of the morbid anatomy of the pulmonary organs. The absence of pleuritic adhesions (exclusive of the cases of pleurisy with effusion) in either one lung or in both lungs, is noted in only four cases. In most of the other cases it is noted that there were adhesions, either universal or more or less ex-