An account of a case of encephaloid disease of the endocarium / [Edward Latham Ormerod].

  • Ormerod, Edward Latham, 1819-1873.
Date:
1847]
Catalogue details

Licence: Public Domain Mark

Credit: An account of a case of encephaloid disease of the endocarium / [Edward Latham Ormerod]. Source: Wellcome Collection.

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    sion everywhere except over the soft epigastric tumour: once only during life was the lumbar tumour dull on percussion. The urine, the secretion of which had been temporarily suppressed, being examined on the earliest opportunity, was found to be loaded with urates and pus globules, in which last the nuclei were singularly distinct when viewed under the microscope. Let us compare these results with those of the examination of the body after death. The brain was not examined. The cervical glands were generally enlarged, but apparently healthy, except one mass which lay behind and to the outer side of the left common 9/ carotid, and a soft swelling, apparently of a glandular origin, (being the tumour noticed during life,) lying behind the left sterno-mastoid, with the fibres of the scaleni muscles spread over it:—this mass extended on the outer side of the carotid artery, and above and somewhat behind the subclavian artery which crossed its lower end; and was itself traversed in front by the phrenic nerve. It had only loose attachments above and all round; but below, where it sank behind the clavicle, it was firmly attached to the costal, which adhered about the same place to the pulmonary, pleura. On removal, it appeared to be a firm elastic evst, of about two inches diameter in the long, and one in the shorter, axis. On section, a dirty, purple grumous substance exuded, leaving a thin but strong membranous bag, whose inner wall was rough with adherent particles of the same grumous matter. The apices of both lungs were adherent by firm old cellular bands; the rest of the left lung was also more or less adherent by looser fibrin, and the pulmonary pleura was in some points thickened. Throughout each apex were scattered numerous small grey-yellow granules, with some chalky nodules (appa¬ rently quiescent tubercles or their remains), and the lungs, to the same extent, were largely infiltrated with black pul¬ monary matter. Elsewhere they were healthy, except near the base of the right, where there were a few raised patches, of about three lines in diameter, and of a dull red colour with a somewhat lighter-coloured border : beneath these the