A treatise on pathological anatomy / by Carl Rokitansky ; translated from the German, with additions of diagnosis from Schoenlein, Skoda, and others by John C. Peters.

  • Rokitansky, Carl von, 1804-1878.
Date:
1845
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on pathological anatomy / by Carl Rokitansky ; translated from the German, with additions of diagnosis from Schoenlein, Skoda, and others by John C. Peters. 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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    Bronchial tuberculosis occurs as a primitive disease during the years of childhood ; is generally associated with the tuberculosis of the other tissues peculiar to this period of life, but most fre- quently with the disease of the bronchial glands. It presents many resemblances to tuberculous deposits on the fallopian and uterine mucous membranes.* 7. Foreign Bodies in the Air Passages. Under this head we must consider: 1. The various diseased products of the entire mucous membrane of the air passages, such as blood ; various quantities, often very great, of mucus of different qualities, viz., gray, pearl- colored, transparent, colorless, watery, tough, glassy, cream-like, whitish, yellow, and purulent; actual pus, membranous concretions or croup-membranes, ichorous fluids, tubercles, tuberculous pus, necrosed fragments of cartilage, ossified bronchial cartilages, &;c. * Diagnosis.—Tubercular ulcerations of the larynx are more com- mon in males than females; from Louis's statistics we learn that in eighty cases of phthisis in females they were found nineteen times, or in about one-fourth ; while in one hundred and thirteen cases in males they were found forty-four times, or in about two-fifths. It is not sufficiently known that in some cases the affection of the larynx forms not only the first evident commencement of phthisis, but so masks the disease of the lungs that cough, dyspnoea, haemoptysis, emaciation, and hectic fever, seem to spring from it, and not from the lungs, which are apparently sound to the mere symptomatologist. But nothing is more uncommon than laryngeal phthisis independent of pulmonary phthisis. In upwards of five hundred non-tuberculous subjects dying of various chronic diseases, Louis did not find one example of laryngeal ulceration ; as chronic laryngitis with ulceration is found in from one-fourth to two-fifths of all cases of consumption the conclusion is irresistible that in an immense majority of instances this affection is but a part of consumption. If we find a case of chronic laryngitis with emaciation, hectic, &.C., the probabilities amount almost to certainty that there are softened tubercles in the lungs. Louis says that moderate pain of limited duration in the region of the larynx, coupled with more or less marked alteration of the voice, signifies superficial ulceration of the larynx ; whereas severe and continuous pain with persistent loss of voice results from deep ulceration. But this affection is generally painless ; commonly there is but a little heat and constriction in the part, coupled with more or less hoarseness or loss of voice. According to Andral ul- cerations of the mucous membrane lining the ventricles and covering