The significance of dropsy : as a symptom in renal, cardiac, and pulmonary diseases / by W.R. Basham.

  • Basham, W. R. (William Richard), 1804-1877.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: The significance of dropsy : as a symptom in renal, cardiac, and pulmonary diseases / by W.R. Basham. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    PLATE IV. The sputa in pneumonia^ of different degrees of intensity, typical of the several forms of casts in the acute form of renal dropsy, particularly those cases which commence with inflammatory engorgement of the kidneys, with evi- dence of hematuria of greater or less degree. FIG. 1, 2, 3.—Illustrate the milder form, in which the sputa acquire a tinge scarcely deeper than an apricot yellow. It is apparent that this yellow stuiii arises from certain cells only, large ovoid cells taking up the colourini^ matter derived from the hlood stasis. Tliese cells are those which are sometimes called pigment-cells, from their acquiring and giving to the sputa in hronchial catarrh the steel-gray colour so familiar to us. The ciliated epithelial cells whicli are first thrown off do not appear stiiined, nor even the mucous corpuscles. 4, 5.—Represent the sputa in the severer forms of pneumonia, when tliey hecome viscid and rust-coloured, or even more deeply tinged. Here all the cells appear more or less stained, as, from the presence of blood- corpuscles, a greater abundance of hsematin is poured out. The scaly epithelium from the mouth and cheeks is usually free from colour. These forms of sputa have their analogue in the blood-casts of the earliest stage of acute morbus Brightii. The cellular elements are similar in each, and may be verified by examining the urinary sediment in the blood- stained urine after scarlet fever. See Plates I and II, and figs. 1, 2, &c. &c., in the work already quoted. PLATE V Represents the character of the changes which take place in the morbid deposits in the heart and arteries. 1. —Represents the starlike character of an opaque earthy spot on the mitral valve of a case mentioned in the text. 2. —Is an opaque spot in the aorta which had undergone the process of calci- fication; digestion in dilute-hydrochloric acid dissolved the deposit iin<l