An atlas of clinical microscopy . considered tbis as a diagnostic criterion against pulmo-nary abscess, wbere tbe elastic fibers are longer preserved. 2. Numerous pus-corpuscles already partly disintegrated. 3. Pulmonary epitbebum, mostly in a bigb state of fatty de-generation. 4. Myelin in various forms. 5. Ley dens astbma crystals, numbers of small ones imbeddedin detritus. 6. Needles of margaric acid, at times in perfect form, also im-bedded in detritus. 7. Fat-globules of various sizes. Differential diagnosis between putrid broncbitis and pulmonarygangrene can only be establisbed by total
An atlas of clinical microscopy . considered tbis as a diagnostic criterion against pulmo-nary abscess, wbere tbe elastic fibers are longer preserved. 2. Numerous pus-corpuscles already partly disintegrated. 3. Pulmonary epitbebum, mostly in a bigb state of fatty de-generation. 4. Myelin in various forms. 5. Ley dens astbma crystals, numbers of small ones imbeddedin detritus. 6. Needles of margaric acid, at times in perfect form, also im-bedded in detritus. 7. Fat-globules of various sizes. Differential diagnosis between putrid broncbitis and pulmonarygangrene can only be establisbed by total absence or permanentpresence of elastic fibers in tbe sputum. PULMONARY ABSCESS Discbarges an ordinary pus in abundant quantities; tbe putridsmell appears only wben for some cause tbe secretion is retained, oron transition to pulmonary gangrene. Under tbe microscope we find elastic fibers in alveolar arrange-ment ; masses of fat-crystals, pigment-scales, and bsematoidin crys-tals ; at times also plates of cbolesterin. PLATE 80. liik. Pulmonary g^angrene Peyers microscopy PLATE 81. ABSCESS OF LIVER WITH PERFORATION THROUGH MATTER. 160 CLINICAL MICROSCOPY. ABSCESS OF LIYER WITH PERFORATION THROUGHLUNG. Mr. B., a mercliant, tliirty-six years of age, returning, after asojourn of eleven years in Batavia, with an affection diagnosed as riglit-sided pleuritic exudation, exhibited, during a stay in a hy-dropathic establishment, suddenly abundant expectoration of a dirtyreddish color and penetrating odor. Several j)hysicians hesitated between the diagnosis of pul-monary abscess and hepatic abscess perforating the lung, but forseveral reasons they inclined more toward the supposition of a pul-monary abscess. Microscopic examination of the expectoration, which had anintense smell of garlic, decided me in favor of hepatic abscess, andthe post-mortem eventually confirmed the correctness of my view. The sputum consisted of a reddish-gray mass of detritus, inwhich w
Size: 1557px × 1605px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksubjectmicroscopy, bookyear1
