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Updated: May 14, 2025
The cavity of the pericardium contained a red clot of blood, which enveloped the whole of the heart; it was thicker in the parts that corresponded with the valve of the heart; and on the left ventricle, and near the base of the left valve of the heart, and on the external part of that viscus, was an irregular rent two inches long.
Absorption from the lungs and pericardium by emetics. In vomiting the actions of the stomach are decreased, not increased. Digestion strengthened after an emetic. Vomiting from deficiency of sensorial power. 4. Dyspnoea from cold bathing. Slow pulse from digitalis. Death from gout in the stomach. Primary and secondary parts of sensitive associations affect each other.
The pericardium would be reached with comparatively little disturbance, and once exposed, the operator would be able to make a first and important series of observations, before proceeding farther. Finally, he would rend the pericardium, and arrive directly at the heart itself." "And kill you!" cried Guy.
From the watery condition of the blood, there resulted various serous effusions into the pericardium, ventricles of the brain, and into the abdomen. In almost all the cases which I examined after death, even the most emaciated, there was more or less serous effusion into the abdominal cavity.
Galen mentions death from joy, and in comment upon it he says that the emotion of joy is much more dangerous than that of anger. In discussing this subject, Haller says that the blood is probably sent with such violence to the brain as to cause apoplexy. There is one case on record in which after a death from sudden joy the pericardium was found full of blood.
The skin over the under side of the neck, body and inside of the thighs may appear red or purplish-red in color. The different groups of lymphatic glands are enlarged and softened. They may vary in color from a grayish-red to a deep red, depending on the degree of engorgement with blood. The pleura and pericardium may show small red spots and blotches. The spleen may show no evidence of disease.
They concur in the opinion of the other physicians, and think it pretty certain that my trouble arises from some adhesion of the parts, not from injury of the lungs and heart, but that the pericardium may not be implicated, and the adhesion may be between the pleura and , I have forgotten the name.
The heart lies under the left lung; and, more perfectly to cut off all injurious connexion or communication of disease between the lungs and the heart, the heart is enclosed in a distinct pleura or bag, termed the 'pericardium'. This membrane closely invests the heart, supports it in its situation, prevents too great dilatation when it is gorged with blood, and too violent action when it is sometimes unduly stimulated.
He died of another attack of pneumonia fifteen years later and the heart was found to be two or three times its natural size, soft and flabby, and, on opening the right ventricle, a bullet was discovered embedded in its walls. There was no scar of entrance discernible, though the pericardium was adherent.
The pericardium, or outer investing membrane of the heart, is frequently liable to inflammation, milked by a quickened and irregular respiration, and an action of the heart, bounding at an early period of the disease, but becoming scarcely recognisable as the fluid increases. The patient is then beginning gradually to sink.
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