OCR Text |
Show 90 Irflammalion, how progressive, llylammation, 710w progressive. can be no doubt concerning the " seat and throne" of disease, the vessels of the head have been found turgid and even coagulated lymph thrown out. Instances will occur below. It would be a great acquisition if we knew the rate and manner, according to which inflammation passes from organ to organ. We should not only have a clearer rationale of symptoms, but the rationale would teach when there is urgent necessity for the decisive interposition of art, the patient having no hope in these sudden turns but from the enlightened pathologist; and the indications of cure with the means of fulfiling them being deducible from no other source than an insight into the internal movements of the disordered machine. The result of a most unfortunate practice in the Vienna hospital has the precision of an experiment planner] on pur» pose to shew, how soon internal inflammation may communicate itself to a distance, and how unsafe ‘ it is to argue to the causes of disease from the most striking appearances after 91 days---fourth day, pulse healthy, appetite good, no pain of head, unless on shaking it-eight o'clock P. M. declared he had no pain whatever, and that he had greatly enjoyed his broth for supper-pulse carefully examined and quite na~ tural-some time afterwards it was the same. At midnight he began to vomit-This being usual, the attendant did not regard it, till he heard the patient rattle aloud in his breath-- death at two A. M., near the close of the fourth day.--The wound ina good state-the cranium so slightly affected by the iron, that after abrading the burnt surface, scarce any of the bone seemed destroyed. Under the cauterized spot the dura mater suppurated ; the arachnoid and pia mater corrugated; great inflammation of both membranes throughout the cranium (which was scarce half so thick as usual), no other defect (not even in the optic nerves), to which the amaurosis might be ascribed --The stomach being examined on account of the periodical vomiting, the upper orifice was found influenced by authorities much dilated; the vessels turgid; and two or which he quotes at large, laid bare and touched rith a red hot iron the scull ofa robust boy, labouring under amaurosis with periodical vo- miting preceded by headache, and attributed to contusion. J t and after the operation great pain which soon declined; good appetite; usual even three lines in diameter; the bottom purple, in two places, gangrenous throughout-the lungs universally adherent so as to render it im- possible to separate them without destroying one or other pleura. Yet there had been no defect in the pulse or respiration till an hour well the two next vomiting once and slightly- 1 and half before death. death. De liaen, days Nor did the mother remember raw", m»: ,. i no»: M egg» i l |