. A treatise on the principles and practice of medicine and pathology, diseases of women and children, and medical surgery . and cellular tissue, are more or lessaffected by the inflammatory process. The succeeding ulcerationgives rise to the formation of cavities. (See Fig. 27.) Fre- Fig. 27, shows a large cavity in the superior portion of the lung, -with the deposits of large massesof tubercles on the outside of the cavity. PETHISIS. 479 quently one large vomica is made up of several smaller ones,which, in the parietes of the large cavity, make excavations ofirregular shape, now winding, and


. A treatise on the principles and practice of medicine and pathology, diseases of women and children, and medical surgery . and cellular tissue, are more or lessaffected by the inflammatory process. The succeeding ulcerationgives rise to the formation of cavities. (See Fig. 27.) Fre- Fig. 27, shows a large cavity in the superior portion of the lung, -with the deposits of large massesof tubercles on the outside of the cavity. PETHISIS. 479 quently one large vomica is made up of several smaller ones,which, in the parietes of the large cavity, make excavations ofirregular shape, now winding, and now crossed by bands of size of the cavity varies from that of a pea to that of an contents consist of a mixture of pus and bloody matter, andportions of pulmonary tissue. They may be inodorous, or children, the vomica; are less common than in adults. As thedisease advances, a false membrane forms around the decayingtubercle, at first thin and delicate, and in appearance resemblingmucous membrane. Large abscesses are sometimes seen, betweenwhich and the bronchi there is no Fig. 28. Cicatrization of Tuberculous Cavities.—Laennec proved in hisearly researches into the termination of tuberculous disease, that Fig. 28. The Beotion of the upper portion of lung in a case seen from -within, the apex having beenleft entire to show the deep puckerings which covered its surface. The line of the healed cavity isdensely loaded with black carbonaceous deposit, in which are seen five cretaceous concretions, threeof them encysted. This preparation is perhaps a unique specimen, proving the healing, by cicatri-zation, of an enormous tubercular excavation in the lung. 480 PHTHISIS. this condition is not of rare occurrence. Indeed, from this welearn that phthisis may terminate favorably when the deposit islimited in extent. But, sometimes at the apex of the lung, we find an old adhesion,or a crust of fibro-cartilaginous deposit, or even a fibrous


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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicin, bookyear1866