. Diseases of the heart and thoracic aorta. blood-vessels are dilated and engorged withblood. (2.) An exudation of fibrinous lymph is seen on the sur-face of the epithelial layer, in the deeper parts of the fibrouslayer, and in the sub-serous areolar tissue. The fibrinouslymph on the surface of the membrane is, even in the earlieststages in which we have an opportunity of examining it,arranged in the form of irregular projections of various shapesand sizes. (See figs. 146 and 147-) These projections consistof amorphous or finely granular fibrine in which leucocytesand a few larger cellular ele


. Diseases of the heart and thoracic aorta. blood-vessels are dilated and engorged withblood. (2.) An exudation of fibrinous lymph is seen on the sur-face of the epithelial layer, in the deeper parts of the fibrouslayer, and in the sub-serous areolar tissue. The fibrinouslymph on the surface of the membrane is, even in the earlieststages in which we have an opportunity of examining it,arranged in the form of irregular projections of various shapesand sizes. (See figs. 146 and 147-) These projections consistof amorphous or finely granular fibrine in which leucocytesand a few larger cellular elements, derived from the epithelium,can generally be distinguished. The inflammatory exudationis very loosely attached to the surface of the pericardium, andis readily detached in the process of preparation. (3.) Detachment and proliferation of the epithelium. Thischange, which is well seen in fig. 148, is sometimes difficult tomake out in sections, but cells of various shapes and sizes,which are undoubtedly derived from the epithelium, can.


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectheart, bookyear1884