Clinical Lectures On the Principles And Practice of Medicine

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A deficiency of vital power in the organism prevented those transforma- tions necessary for the absorption of the exudation, and thus it died and underwent putrefaction. Inliammatory gangrene and ulceration both depend on death of the exudation, but in the former case there occur those peculiar chemical changes which induce putrefaction. The only symptom which indicates this change is foetor of the breath or of the sputum, which was very apparent in Marshall on his admission to the house, and w...as greatly increased afterwards. In the following case which entered the ward in 1848, and was the subject of careful examina- tion, I diagnosed a gangrenous cavity in the right lung, and separated it from phthisis, partly on account of the foetid odour, and partly on ac- count of the situation and limitation of the cavern.
Case CXLIII. * — Gangrenous Abscess of the Eight Lung, caused by the Swalbiving of a Piece of Chicken Bone four and a half years jytviomly.
History. — Thomas Xeal, set. 27, a footman, of sober habits — admitted December 4th, 1848.


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