Identifier: MSHWRSurgical3 (find matches)
Title: The Medical and Surgical History of the War of the Rebellion. Part III, Volume II. (3rd Surgical volume)
Year: 1883 (1880s)
Authors: U.S. Army Surgeon General's Office
Subjects: Civil War military medicine Medicine, Military -- History United States Surgery, Military Medical care Wounds and injuries -- Surgery United States -- History Civil War, 1861-1865 Medical and sanitary affairs
Publisher: Otis Historical Archives, National Museum of Health and Medicine
Contributing Library: U.S. Army Medical Museum

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ale, but the expiratory sound seemed to indicate that the whole lung had lost some of its elasticityand returned upon itself after dilatation with apparent difficulty. Expectoration was slight, very tough and viscid; the pulserapid and feeble; the skin relaxed. The pulse became still weaker, and the respiration more hurried until almost sighing; thenervous depression increased. The breath had the sweet sickening smell resembling the odor of fermentation, which denotespyaemia. Death occurred at 8 A. M. on November 26,1863. The post-mortem examination was made six hours afterwards. Onopening the right pleural cavity we found the lung coated with soft greenish colored lymph, and there was an effusion amountingto six ounces of yellow pus and serum, separating into two strata, the upper serum, the lower pus, and having (under the micro-scope) the usual pus corpuscles floating in a fluid with an abundance of unrecognizable debris, There seemed to be also a thin • — T £ > ■ -. at c
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SECT. III.) INTERMEDIARY AMPUTATIONS OK THE THIGH. 293 layer of pus beneath the pleura anteriorly, giving that portion of the long a yellowish color. The upper lohe was apparentlynormal; the lower lobe posteriorly was congested, dark in color, and, on division, revealed nodules of tissue of various sizes inall stages of pathological changes from acute congestion to thorough hepatization and yellow softening. The diseased spots werein dimension from the size of half an English walnut to that of a split pea, the large ones having in the center a space white oryellow in color, and probably breaking down rapidly. The outline of these solidified portions, on section, suggested the ideaof embolism, since they were somewhat triangular in shape, with the base at the pleural surface and the apex at the deepestportion of the lung, giving the impression that a circumscribed area of lung nourished by a single vessel had been destroyed byits occlusion. There was no recent effusion in the left pleu

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