Clinical lectures on the principles and practice of medicine . and valvular structures were healthy ; and all the cavi-ties contained both firm decolorised and dark loose clots. The blood, examined underthe microscope, presented the red and white corpuscles in the usual proportions Abdomen.—The abdominal viscera were in all respects normal. Microscopic Examination.—The fluid from the abscess at the apex of the rightlung, on being examined under the microscope, was found to contain small shreds offibrous tissue, broken down pus globules, and a large number of crystals of the triplephosphate and
Clinical lectures on the principles and practice of medicine . and valvular structures were healthy ; and all the cavi-ties contained both firm decolorised and dark loose clots. The blood, examined underthe microscope, presented the red and white corpuscles in the usual proportions Abdomen.—The abdominal viscera were in all respects normal. Microscopic Examination.—The fluid from the abscess at the apex of the rightlung, on being examined under the microscope, was found to contain small shreds offibrous tissue, broken down pus globules, and a large number of crystals of the triplephosphate and of the urate of ammonia (Fig. 455). Commentary.—The physical signs in this case clearly indicated theexistence of a cavity in the right lung, which, from its position, and Fig. 454. Fragment of chicken-bone found in the right bronchus, in Neals case. Fig. 455. Fluid in the chronic abscess of the right lung in Neals case, a, Fibroustissue; b, broken-down pus cells; c, crystals of triple phosphate; and d, urate ofammonia.—(James Struthers.) 250 Fig. 455. PNEUMONIA. 721 from the general history of the case, was not likely to be the other hand, its gangrenous character was revealed by the pecu-liar odor, and his account of its origin rendered it probable that thecause was a foreign body impacted in the bronchus. At the same time,he was never very certain as to the fact of having swallowed the pieceof bone, and, in many conversations I had with him on that point, heinvariably stated that such was merely his impression, but he was notsure. It is of importance to notice this fact, because it seems very pro-bable that when in St. Georges Hospital, his account may have been adoubtful one there also, and may have prevented recourse to an opera-tion which then might possibly have been undertaken with success. Itwould be interesting to know whether at that time his chest had beencarefully examined by auscultation, or whether general symptoms onlywere attended
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
