Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . retion and nervous symp-toms. The fibrinous exudatemay so conceal and obstructaccess to the lymphatic andvascular exits as to precluderesorption of the serum orits pyrogenous constituents,and hence no systemic phe-nomena due to their absorp-tion will be manifest. Whenpercussion and auscultationare permissible, as in pleurisy,pericarditis, and peritonitis,the phenomena associated with the presence of solids or liquids in the affected cavities may befound: c. g., dullness. Exactly how l


Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . retion and nervous symp-toms. The fibrinous exudatemay so conceal and obstructaccess to the lymphatic andvascular exits as to precluderesorption of the serum orits pyrogenous constituents,and hence no systemic phe-nomena due to their absorp-tion will be manifest. Whenpercussion and auscultationare permissible, as in pleurisy,pericarditis, and peritonitis,the phenomena associated with the presence of solids or liquids in the affected cavities may befound: c. g., dullness. Exactly how long the stages of engorgement and exudation maylast can not be approximated with any degree of accuracy; their dura-tion varies, the conditions inducing the variation lieing but indifferentlyunderstood; the cause, the severity of the attack, the condition of thepatient, whether weak or strong, are undoubted determining stages may be prolonged or brief, and just what determines thiscan not always be definitely stated; sooner or later, if the patient sur-vives, repair proiec<ls as follows: 31. Fig 233.—Vertical through an Inflamei) Serosaafter the formation of the fibrinous excdate.—(Schmaus.) X 250 diameters. Subpericarflial (at. b. Swollen membrane, tin- surface ofwhich is contiguous to and Mi-nils with ? tilirin- ousdeposit f. f. L;ivorof tllinn in whi. .>lcu- kfKVtcs. (/, and into which, at r, are devi 1 1 sseN. 466 SPECIAL PATHOLOGY . In this stage the connective-tissue cells, and possibly some of themononuclear leukocytes, present in the wall of fibrin proliferate and con-vert the laver into embrvonic tissue; young blood-vessels are developedfrom the subserous layers, and lymphatic connection is facilitv with which voung blood-vessels shoot up into the new tissueis marvelous, and to therapidity with which this process of organizationdevelops, modern surgery owes many of its most brilliant achievements. i\.i!T,^ MM •jm-^.^:


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