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Updated: May 14, 2025
"Disease of the heart," said they I believe they called it "the pericardium"; and after paying a tribute of admiration to the loveliness of the dead lady, discussed the leading article of that day's Times with perfect equanimity. What would you have? There can be but one person in the world to whom another is more than all the world beside.
My life seemed only a vermiculate one, a crawling about of half-thoughts-half-feelings through the corpse of a decaying existence. The heart of being was withdrawn from me, and my life was but the vacant pericardium in which it had once throbbed out and sucked in the red fountains of life and gladness.
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.
Cold may be applied more or less continuously, depending on the sensations of the patient. The bag or ice cap must not be overfilled and must not be heavy, as the patient often cannot stand pressure over the pericardium. Sometimes the relief from pain and the diminution of the number of the heart beats is marked, and for this reason alone the cardiac inflammation may be inhibited.
Gooch gives an instance of a boy of thirteen who fell from the top of a barn upon the sharp prow of a plough, inflicting an oblique wound from the axilla to below the sternum, slightly above the insertion of the diaphragm. Several ribs were severed, and the left thoracic cavity was wholly exposed to view, showing the lungs, diaphragm, and pericardium all in motion.
Artistically set to grace The wall of a dissecting-place, A human pericardium Was fastened with a bit of gum, While, simply underrunning it, The one word, "Charity," was writ To show the student band that hovered About it what it once had covered. Virtue is not necessary to a good reputation, but a good reputation is helpful to virtue. When lost in a forest go always down hill.
Open the abdominal cavity and remove the contents, tying the alimentary canal where it is cut, and washing out any blood which may escape. Dissect for the nervous system in the following order: 1. Cut away the front of the chest, exposing the heart and lungs. Find on each side of the heart a nerve which passes by the side of the pericardium to the diaphragm.
In another case the patient lived twenty-six hours after reception of the injury, the conical pistol-ball passing through the anterior margin of the right lobe of the lung into the pericardium, through the right auricle, and again entered the right pleural cavity, passing through the posterior margin of the lower lobe of the right lung; at the autopsy it was found in the right pleural cavity.
Reflex pain may occur from disturbances of the pneumogastric nerve, or from the weight and pressure of the enlarged and heavy pericardium. Reflex vomiting may be a troublesome and distressing symptom. Acute pericarditis occurring in rheumatism, in acute infections, and from simple injuries tends to recovery.
Of the vegetable poisons, I can only say there was not the slightest trace of the morbid effects of any of them. The pericardium and the left side of the thorax contained a small quantity of bloody serous fluid, and the heart was full of black blood. The left lung was a little inflamed. The trachea contained some frothy yellow mucous matter, similar to the contents of the stomach.
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