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stage continuing for a day or two, and then, accompanied or
" power of fibrillation lost," " color dirty brown," " corpuscles
followed by epigastric pain and distress; nausea and vomiting;
altered and misshapen, with no tendency to form rouleaux, and
restlessness and anxiety, often more or less paroxysmal ; and, in
with adherent granules," " great rapidity of decomposition,"
from three to five days after the attack, by yellowness of the
" no separation occurring in the coagulum." Finally, Doctor
eyes and skin; vomiting of matter resembling coffee-grounds,
Blair concludes that the healthy condition of the blood depends
held in a dark colored fluid very dark or black stools cold-
upon the free action of the kidneys, a copious black vomit, and
ness of the extremities; increasing and excessive restlessness,
alkaline exhalations of the breath.
with occasional hiccough, hamorrhages from different parts of
The brain shows no special pathological condition in its
the body, and suppression of urine-the mind, in many in-
structure. Congestion, with occasional ecchymotic apoplectic
stances, remaining clear to the end, and death taking place in
extravasions are not very uncommon.
from five to seven days from the attack-these phenomena,
The stomach, sometimes natural in appearance, has more fre-
thus combined, and thus following each other, constitute a dis-
quently its mucous membrane discolored, mammelonated,
ease which it seems impossible to mistake for any other.-
thickened, and softened, with patches of ecchymosis ulceration
(Bartlett.)
is very rare. Its contents vary, according to circumstances.
Of the Pathological anatomy of yellow fever, much has been
In many cases there are analogous lesions of the mucous
made known, while much still remains for future research.
membrane of the intestines. These latter frequently contain the
Cadaveric rigidity is usually well marked. In general, the
matter of black vomit, as is so often the case with the stomach
surface of the body and conjunctiva are yellow, the color being
itself. The aesophageal mucous membrane, as a rule, is found
commonly most marked in the face and trunk. As epiphenom-
altered, especially by softening and by discoloration, and by
ena, traces of inflammation may be met with in different parts
loss of epithelium-the latter condition being probably due to
of the body.
the acrid matters vomited.
The blood has been more satisfactorily examined by Doctor
The liver, in fatal cases of yellow fever, as a rule, is in a state
Blair than by any other observer. He has moreover, the
of acute fatty degeneration. This was first conclusively shown
merit of having made his observations in fluid taken from the
by Doctor Alonzo Clark, in 1852. It is usual to say that it has
patients during life. In the first stage, nothing abnormal was
the color of café au lait, that it is dry, not of necessity altered
found, except an occasional admixture with bile. The alkaline
in size, and that it contains little or no bile. Some observations
reaction was always observed. Only in the last stages and
have spoken of large, dark colored livers, yielding abundance
post mortem, were changes observed. And yet, cases termin-
of blood, on section. These are exceptional, as Clark well
ating fatally, after normal black vomit and hamorrhages were
states, in one case, hyperamia produces much heematoidin, and
numerous, in which no abnormal condition, save this bilious
a moderate amount of oil ; in the other, much oil and little
tinge, could be detected. On the other hand, certain observa-
hamatoidin. The gall bladder may be empty or full. The
tions showed great changes to have taken place in the circulat-
cases are very exceptional in which normal bile is found in it.
ing fluid, during the last stages. Scarcely any fibrine,'
Light colored muçus and blood have been met with.
Document source description
This item is a report issued by a committee of associate medical members of the U.S. Sanitary Commission regarding the occurrence, transmission, and treatment of yellow fever.
Page data
- Page
- 11
- Source index
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- Type
- photo
- Media ID
- 89503131ba784c40
- Size
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Document data
- ID
- 24325424
- Core
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- Type
- document
DTO data
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"ocrText": "20\n21\nstage continuing for a day or two, and then, accompanied or\n\" power of fibrillation lost,\" \" color dirty brown,\" \" corpuscles\nfollowed by epigastric pain and distress; nausea and vomiting;\naltered and misshapen, with no tendency to form rouleaux, and\nrestlessness and anxiety, often more or less paroxysmal ; and, in\nwith adherent granules,\" \" great rapidity of decomposition,\"\nfrom three to five days after the attack, by yellowness of the\n\" no separation occurring in the coagulum.\" Finally, Doctor\neyes and skin; vomiting of matter resembling coffee-grounds,\nBlair concludes that the healthy condition of the blood depends\nheld in a dark colored fluid very dark or black stools cold-\nupon the free action of the kidneys, a copious black vomit, and\nness of the extremities; increasing and excessive restlessness,\nalkaline exhalations of the breath.\nwith occasional hiccough, hamorrhages from different parts of\nThe brain shows no special pathological condition in its\nthe body, and suppression of urine-the mind, in many in-\nstructure. Congestion, with occasional ecchymotic apoplectic\nstances, remaining clear to the end, and death taking place in\nextravasions are not very uncommon.\nfrom five to seven days from the attack-these phenomena,\nThe stomach, sometimes natural in appearance, has more fre-\nthus combined, and thus following each other, constitute a dis-\nquently its mucous membrane discolored, mammelonated,\nease which it seems impossible to mistake for any other.-\nthickened, and softened, with patches of ecchymosis ulceration\n(Bartlett.)\nis very rare. Its contents vary, according to circumstances.\nOf the Pathological anatomy of yellow fever, much has been\nIn many cases there are analogous lesions of the mucous\nmade known, while much still remains for future research.\nmembrane of the intestines. These latter frequently contain the\nCadaveric rigidity is usually well marked. In general, the\nmatter of black vomit, as is so often the case with the stomach\nsurface of the body and conjunctiva are yellow, the color being\nitself. The aesophageal mucous membrane, as a rule, is found\ncommonly most marked in the face and trunk. As epiphenom-\naltered, especially by softening and by discoloration, and by\nena, traces of inflammation may be met with in different parts\nloss of epithelium-the latter condition being probably due to\nof the body.\nthe acrid matters vomited.\nThe blood has been more satisfactorily examined by Doctor\nThe liver, in fatal cases of yellow fever, as a rule, is in a state\nBlair than by any other observer. He has moreover, the\nof acute fatty degeneration. This was first conclusively shown\nmerit of having made his observations in fluid taken from the\nby Doctor Alonzo Clark, in 1852. It is usual to say that it has\npatients during life. In the first stage, nothing abnormal was\nthe color of café au lait, that it is dry, not of necessity altered\nfound, except an occasional admixture with bile. The alkaline\nin size, and that it contains little or no bile. Some observations\nreaction was always observed. Only in the last stages and\nhave spoken of large, dark colored livers, yielding abundance\npost mortem, were changes observed. And yet, cases termin-\nof blood, on section. These are exceptional, as Clark well\nating fatally, after normal black vomit and hamorrhages were\nstates, in one case, hyperamia produces much heematoidin, and\nnumerous, in which no abnormal condition, save this bilious\na moderate amount of oil ; in the other, much oil and little\ntinge, could be detected. On the other hand, certain observa-\nhamatoidin. The gall bladder may be empty or full. The\ntions showed great changes to have taken place in the circulat-\ncases are very exceptional in which normal bile is found in it.\ning fluid, during the last stages. Scarcely any fibrine,'\nLight colored muçus and blood have been met with."
}