Transactions of the Pathological Society of Philadelphia

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Page 34 - Review," 1842. Dr. S. Jackson of Northumberland, as already quoted from the Summary of the College of Physicians, 1842. And lastly, a startling series of cases by Mr. Storrs of Doncaster, to be found in the " American Journal of the Medical Sciences " for January, 1843. The relation of puerperal fever with other continued fevers would seem to be remote and rarely obvious.
Page 180 - But this cannot be considered as definitely established by the experiments which have thus far been made upon lower animals. The constant presence of this micrococcus in the buccal secretions of healthy persons indicates that some other factor is required for the development of an attack of pneumonia; and it seems probable that this other factor acts by reducing the vital resisting power of the pulmonary tissues, and thus making them vulnerable to the attacks of the microbe. This supposition enables...
Page 89 - The friction sounds heard over the heart were even more variable, sometimes systolic, sometimes double, occasionally dependent on the respiration, and again occurring regularly with every beat of the heart. Gradually to the left of the sternum, in the second and third interspaces, a new centre of pulsation developed, apparently distinct from the cardiac impulse, and over this area resonance was impaired. Two months • after he was first seen a systolic murmur was detected about the middle of the...
Page 180 - The germ being always present, auto-infection is liable to occur when, from alcoholism, sewer-gas poisoning, crowd-poisoning, or any other depressing agency, the vitality of the tissues is reduced below the resisting point. We may suppose, also, that a reflex vaso-motor paralysis, affecting a single lobe of the lung, for example, and induced by exposure to cold, may so reduce the resisting power of the pulmonary tissues as to permit this micrococcus to produce its characteristic effects.
Page 170 - The saliva of four students, residents of Baltimore (in March), gave negative results ; eleven rabbits injected with the saliva of six individuals in Philadelphia (in January) gave eight deaths and three negative results; but in the fatal cases a less degree of virulence was shown in six by a more prolonged period between the date of injection and the date of death. This was three days in one, four days in four, and seven days in one...
Page 145 - ... from the size of a pin's head to that of a pea ; scattered through a large body of sand or clay ; and in this state it is called by the Mandingoes sanoo munko,
Page 180 - It seems extremely probable that this micrococcus is concerned in the etiology of croupous pneumonia, and that the infectious nature of this disease is due to its presence in the fibrinous exudate into the pulmonary alveoli.
Page 129 - Paracentesis thoracis was performed by Dr. Henry, and fifty-six ounces of purulent fluid were drawn off, and the operation again afforded great relief. A violent fit of coughing followed the withdrawal of the canula. The heart's apex beat was found, before the operation, to be immediately below the right nipple ; after the operation, it was found to have shifted one inch to the left of its previous position. May 5.
Page 236 - Burnett, who has very kindly furnished me with notes of that date. The patient presented, at that time, a most wretched appearance. Extreme weakness, pallor, and emaciation betrayed the intense suffering of this unfortunate woman. Paralysis of the right side of the face had occurred during the previous winter without the supervention of additional ear symptoms. At the time of examination she presented great sensitiveness of the auriculo-temporal nerve, and complained of intense pain over the right...
Page 76 - ... parts were removed, forty-eight ounces. The pericardium was so uniformly attached to it that it could not be removed, and there was absolutely no pericardial cavity. The right ventricle contained about six ounces of soft post-mortem clot. The left side contained about two ounces similar. After the heart had been opened and well washed it weighed forty ounces. All the valves and blood-vessels were healthy. The tricuspid and aortic valves were quite competent. The mitral orifice was enormous —...

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