On artificial tuberculosis, and its relation to cellular pathology and the growth of tumours / by James F. Goodhart.

  • Goodhart, James Frederic, 1845-1916.
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: On artificial tuberculosis, and its relation to cellular pathology and the growth of tumours / by James F. Goodhart. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    passing his urine, the stream has heen very small, and he has passed blood. Complains of no pains in his loins. On 13th April, it is noted that he has a bad cough, and when examined soon after by Dr Fagge, extensive disease of both lungs was detected, with crepi- tation and consolidation. At the post-mortem the lungs were full of gray tubercle in an early stage, but becoming cheesy. Much cheesy pus was found in the pelvis of the left kidney, with many gray tubercles. Some caseous abscesses existed in the cortex of the kidney. Case 4.—Eliza A., set. 21. Has been married three years. Has had two children and one miscarriage. A fortnight before coming under treatment she began suddenly to increase in size. She felt very ill, and had much abdominal pain. The abdomen was universally dull. The urine was normal, the heart-sounds also. At the post-mortem a suppurating ovary was found, with a general tuberculosis. Numerous recent yellow tubercles were found in the lungs. The abdomen contained a large quantity of thin pus, which distended it much, and the peritoneum was covered everywhere with tubercles of exactly the same appearance as those in the lungs. The viscera were adherent to each other. JSJo ulceration or tubercle existed in the intestinal canal. Many recent yellow tubercles were found in the Fallopian tubes. Case 5.—Edward C, admitted into Guy's, 31st March 1869, under Dr Hilton Fagge. From my own report of the case I find that both his father and mother were healthy. No cough or con- sumption known in the family. He was quite well ten months ago, when he fell down stairs and struck the back of his head. This did not affect him much, and for five or six weeks he enjoyed his usual health. He then fell down in a fit, in which he bit his tongue, and was very livid. He has had an odd manner since, and has dragged his left leg when walking. At the inspection a large tubercular mass was found in the pons. Outside this mass was a layer of gray gelatinous material, which, from Dr Moxon's report, consisted of a fibrillar and vascular matrix containing faint nucleated corpuscles. The tubercle itself was very firm, like cheese—yellowish, opaque, its outer surface vascular, and having numerous minute miliary tubercles upon it. Case 6.—Henry W., 39, admitted into Guy's, under Dr Pavy, in September 1869. He had suffered more or less from cough for eighteen months, and had been drowsy and stupid for a fortnight. When admitted he was comatose, but some phthisical mischief at the left apex was detected. Autopsy—An abscess three-quarters of an inch by an inch and a half existed in front of the sternum, opposite the second coital cartilage. The brain-membranes contained much tubercular de- posit and lymph. The lungs were adherent by old and firm mem- branes to the chest-wall at the apices. Large cavities and gray tubercle existed lower down. Case 7.—Miliary tuberculosis of the testis folloicing upon chronic V I