United States or Mali ? Vote for the TOP Country of the Week !
Percussion dull over base of the left lung, near the spine, and respiration feeble in the same regions. Autopsy. Left lung strongly adherent to diaphragm and costal pleura; the long adhesions well smoothed off; pleura-costalis shining and healthy.
If the prevailing symptoms have led our attention to the lungs, we find inflammation of the bronchial passages, or, in a few instances, of the substance of the lungs, or the submucous tissue of the cells. We rarely have inflammation of the pulmonary pleura, and never to any extent of the intercostal pleura. In a few lingering cases, tubercles and vomicae of the lungs have been found.
The pus from the abscesses, upon cultivation, gave the long chains of granules not only that of the pleura, but that from the shoulders and a lymphatic of the uterus as well. An interesting thing, but easily understood, was that the blood from a vein in the arm and taken three-quarters of an hour after death was entirely sterile. Nothing grew from the Fallopian tubes nor the broad ligaments.
On the following day he vomited a bone about an inch long and died on the same day. At the autopsy it was found that there was a rent in the posterior wall of the esophagus, about 1/2 inch long, and a corresponding wound of the aorta. There was blood in the pleura, pericardium, stomach, and intestines.
Marks reports the case of a stab-wound penetrating the left 9th intercostal space, the diaphragm, pleura, pericardium, and apex of the heart. It was necessary to enlarge the wound, and, under an anesthetic, after removing one and one-half inches of the 9th and 10th ribs, the wound was thoroughly packed with iodoform gauze and in twenty-one days the patient recovered.
The base of the lungs rests on the dome-like diaphragm, which separates the chest from the abdomen. This partly muscular and partly tendinous partition is a most important factor in breathing. Each lung is covered, except at one point, with an elastic serous membrane in a double layer, called the pleura.
Well, there was perforation of the pleura, traumatic pleurisy and fever, and her temperature went up as high as 41-8. She was delirious for three days, and talked incessantly; we had to put her in a separate cabinet, so that the other patients might not be disturbed. I sat by her bed for hours and listened. You never heard such odd things as she said.
Several jagged fragments were removed; a portion of the pleura, two by four inches, had been torn away, exposing the pericardium and the left lung, and showing the former to have been penetrated and the latter torn. The lung collapsed completely, and for three or four months no air seemed to enter it, but respiration gradually returned.
True empyema is not often seen; but, at all times, the adhesions between the costal and visceral pleura are extensive, and there is much effusion in the chest.
The diseases most prevalent are the following: pneumonia, produced by sudden changes of temperature, and other inflammations, as of the bowels, stomach, and pleura; rheumatism; disease of the heart but these become rare as the people adopt the European dress various forms of indigestion and ophthalmia; hooping-cough comes frequently; and every year the period preceding the rains is marked by some sort of epidemic.
Word Of The Day