File:Clinical lectures on the principles and practice of medicine (1874) (14597229597).jpg

Identifier: clinicallectures1874benn (find matches)
Title: Clinical lectures on the principles and practice of medicine
Year: 1874 (1870s)
Authors: Bennett, John Hughes, 1812-1875
Subjects: Medicine Medicine
Publisher: New York : Wood
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ighing 6 lb. 2 oz., of a pale fawn color, considerablyindurated, in the second stage of cirrhosis. Abdomen contained two gallons and ahalf of amber-colored serum. Other organs healthy. Microscopic Examination.—The lymph filling up the ventricles of the larynxwas entirely composed of molecular fibres, included in a mass of coagulated molecularexudation. Commentary.—This man, while laboring under enlarged liver withascites, was apparently seized with an ordinary sore throat, having caughtcold, as it was afterwards ascertained, when visiting the water-closet. * Recorded by Mr. James Pettigrew, Clinical Clerk. DISEASES OF THE LARYSTX. 645 There were no severe symptoms, however, farther than cough, expectora-tion, and slight difficulty of deglutition, which latter symptom yielded towarm fomentations and poultices applied to the throat. On the morainebefore his death, the voice was somewhat hoarse, which was the firstsymptom indicating that the larynx was affected. Neither at the visit,
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Fig. 448. nor in the evening when seen by the house physician, nor by the nurse,were any urgent symptoms observed, until about the middle of the night.Then suddenly respiration became affected, he was restless, and dyspnoeacame on so rapidly, that before medical assistance could be procured, heexpired on making the exertion of rising from bed. I have previouslypointed out how insidiously fatal laryngitis may come on, and how rapid Fig. 448. Appearances described in the case of Corbett—Natural size. 646 DISEASES OF THE EESPIEATOEY SYSTEM. its effects occasionally are. It is certain that no acute symptoms indi-cated danger at the morning or evening visit, the man speaking; on bothoccasions, and that day tor the first time somewhat hoarsely. There cantherefore be little doubt that it was in the middle of the night that theexudation must have occurred into the ventricles of the larynx, which, bvclosing the glottis, caused the fatal asphyxia. The appearances observedwere so striking that

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