Clinical lectures on the principles and practice of medicine . ng all such relations of the viscera after death, it should beremembered that the organs do not occupy exactly the same position inthe living body. Expiration is the last act of life, and this last expira-tion is usually more extensive and forced than the expiration of tranquillife. In the dead body, the lungs shrink up within the position thatthey usually occupy during life; at the same time the heart and itsvessels retract, an i the abdominal organs follow the diaphragm somewhatupwards.—[Sibson.) The remarkable changes which occa
Clinical lectures on the principles and practice of medicine . ng all such relations of the viscera after death, it should beremembered that the organs do not occupy exactly the same position inthe living body. Expiration is the last act of life, and this last expira-tion is usually more extensive and forced than the expiration of tranquillife. In the dead body, the lungs shrink up within the position thatthey usually occupy during life; at the same time the heart and itsvessels retract, an i the abdominal organs follow the diaphragm somewhatupwards.—[Sibson.) The remarkable changes which occasionally occur in the naturalposition of the internal viscera may be judged of from a ease whichoccurred to Professor Easton of Glasgow, in a pregnant female, agedtwenty-seven. The enlargement of the uterus, co-operating with agradually increasing tendency to accumulation of faeces in the lower end Fig. 1. Superficial view of internal organs after removal of the thoracic and abdo-minal parietes. Fig. 2. Deep view.—(Sibson.) EXAMINATION OF THE PATISNT. 35. of the colon, at length produced enormous distension of the sigmoidflexure, the aseendii g portion of which measured thirteen, and thedescending twenty-five inches in circumference. The spleen and dia-phragm were forced high upto the left side, compressingthe lung and displacing allthe neighboring organs, sothat, on elevating the ster-num and removing the ribsafter death, the appearancesrepresented Fig. 3 were ex-hibited. * In the caseof AllanBrown, recorded under thehead of Pleuritis, in a sub-sequent part of this work,another singular transposi-tion of viscera occurred. Asthe result of empyema of theleft thoracic cavity,the heartwas forced over to the rightside. From drinking effer-vescing lemonade shortlybefore death, the stomachwas distended with gas, andcaused to twist round par- Fig. a tially on itself at the cardia, so that nothing could escape. The distend-ed stomach was found to occupy newly the whole of the abdom
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
