. The medical and surgical history of the war of the rebellion. (1861-65). Prepared, in accordance with the acts of Congress, under the direction of Surgeon general Joseph K. Barnes, United States army . mselves apjioar unaltered. The influnimatory jiroducts are therefore furmed around the closedglands and not in their interior. Careful observation leads him to speak positively on this point; bat an examination of the illustration on page 449,infra, suffices to disprove this. He has never seen the glands project on the surface of the patch ; they are placed below and between the swollen mucous
. The medical and surgical history of the war of the rebellion. (1861-65). Prepared, in accordance with the acts of Congress, under the direction of Surgeon general Joseph K. Barnes, United States army . mselves apjioar unaltered. The influnimatory jiroducts are therefore furmed around the closedglands and not in their interior. Careful observation leads him to speak positively on this point; bat an examination of the illustration on page 449,infra, suffices to disprove this. He has never seen the glands project on the surface of the patch ; they are placed below and between the swollen mucousridges, and in the later stages are completely buried beneath the inflamed surface. When this covering becomes disintegrated they are discovered lyingdeeply in the abundant submucous tissue and exhibiting little or no increase of size. The cellular texture is infiltrated with finely granular corpusclesof various sizes, chiefly spherical and averaging 35*35 of an inch in diameter. In the more advanced and ulcerated patches the cells are equally numer-ous, but are large and of more uniform size, averaging 5^55 of an inch, and a little more darkly granular. In still more advanced stages the eniargad. .^^uxofrapked iyMrKCiim: -rUv^mer. THREE PERPENDICULAR SECTIONS OEILEro^ enlaxgemeiit softenmg and ulcer atiorL of tke solitary- glands. Mis?n]fi«l 12 diameter?! OF THE CONTINUED KEVERS. 415 of an infiltrated and impacted patcli, with much of the underlying and surrounding submu-cous tissue, was involved in the necrosis antl separated as a slough. Many of the micro-scopic sections tluit have been preserved show the vessels of the affected parts filled withblood corpuscles and their j)eriphery >>urrounded by swarms of the new corpuscular elements,but in none of these sections, nor in those recently cut for examination, were those plugs ofmicrococci observed which Klein invested witli thr important rolf of cunsing tlu^ death ofthe tumefied parts. Enlargement, softening and ulcera
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisherwashi, bookyear1882
