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Updated: May 17, 2025
On the next morning he was found dead. All the viscera were sound except the bladder, which was ruptured; the abdomen contained two quarts of bloody fluid. The mucous membrane of the bladder appeared to be in the highest state of inflammation. It was almost black with extravasated blood.
Now mark the special result in this case: being otherwise healthy and vigorous, our patient's system sends into the lungs more blood than that one crippled organ can deal with; a small quantity becomes extravasated at odd times; it accumulates, and would become dangerous; then Nature, strengthened by sleep, and by some hours' relief from the diabolical engine, makes an effort and flings it off: that is why the hemorrhage comes in the morning, and why she is the better for it, feeling neither faint nor sick, but relieved of a weight.
When in the dropsy of the thorax, the patient endeavours to lie down, does not the extravasated fluid compress the upper parts of the bronchia, and totally preclude the access of air to every part of the lungs; whilst in the perpendicular attitude the inferior parts of the lungs only are compressed?
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