Inhaltsangabe
This historic book may have numerous typos, missing text or index. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1898. Not illustrated. Excerpt: ... PATHOLOGICAL ANATOMY. Circulatory Apparatus, Spleen, Lymphatic Glands, and Thyroid Gland. DISEASES OF THE PERICARDIUM. The diseases of the pericardium resemble in their etiological and anatomical relations those of serous membranes in general; only the tendency to tuberculous affections is less than that of the pleura and the peritoneum. By far the most important anomaly of the pericardium is inflammation, namely: Pericarditis. (Plate 1.) A distinction is to be made between the acute exudative forms and the chronic or terminated adhesive forms with partial or total obliteration of the pericardium. Beside sero-fibrinous and hemorrhagic pericarditis we may mention purulent pericarditis, which is rare, and finallly tuberculous inflammation of the pericardium. Aside from the traumatic form, idiopathic pericarditis is very rarely observed; more frequently its origin is hematogenous (articular rheumatism) and metastatic (in septico-pyaemia) or secondary by extension from surrounding structures; thus, cardial pericarditis is caused by the heart and its valves (endo-myo-pericarditis), and other inflammations are due to the pleura, the intrathoracic lymphatic glands, and the oesophagus. Circumscribed forms have a strong tendency to remain stationary, to cause partial adhesion of the two layers of the pericardium, or to induce local thickenings and opacities of the pericardium (milk spots). A benign form of pericarditis, tending to recovery and adhesion of the layers of the pericardium, occurs occasionally with acute rheumatic polyarthritis, also with pneumonia, pleurisy, dyscrasic conditions, chronic nephritis, chronic alcoholism, and tuberculosis; it is much more frequent in men than in women. At first it is usually circumscribed; there are reddening, injection, with or...
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