A Manual of Pathological Anatomy volume 3 4

Cover A Manual of Pathological Anatomy volume 3 4
A Manual of Pathological Anatomy volume 3 4
Karl Rokitansky
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On examining the dead body, we find the air-passages to a certain degree filled with coagulated or fluid blood, and patches of the mucous membrane swollen, of a dark-red color, bleeding when pressed, and apparently loosened in texture ; we find no other source of hemor- rhage, no pulmonary apoplexy, nor mechanical or ulcerous separation of continuity. The lungs, as we find in other hemorrhages from the air-passages, present a dark or light-red speckled appearance from the deposition of blood in... the terminations of the bronchial tubes and in the air-cells ; but at the same time are (elsewhere) emphysematous, swollen, and pale, in consequence of the obstructed condition of the bronchial tubes, and the impediment thus presented to free expiration.
These hemorrhages occur in the active form during the period of evo- lution, and when there is general plethora, as vicarious to menstrual and hemorrhoidal fluxes. They arise from and accompany the congestions which so frequently precede the development of tubercles in the lungs, and may be produced by any strong exertion, but especially by the over- taxing of the respiratory organs.


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