North Carolina Medical Journal [serial] 4 (1879)

Cover North Carolina Medical Journal [serial] 4 (1879)
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Both lungs very firmly adherent, ening and a few specks of cheesy degeneration.
Both lungs, but mostly the left, congested pos- teriorly at the bases ; parts of both lungs, float.
One ounce and a half of serum in pericardium; over right auricle roughness from old deposit.
Abdomen, eighteen to twenty ounces sero-pus ; much gas ; surface of small intestine and colon much congested. Lymph on liver and abdom- inal wall ; some faeces in abdominal cavity. In lower part of small intestine, for three a
...nd a half to four feet, Peyer's patches and solitary glands enlarged and in places ulcerated ; one ulcer had eaten through all the coats, and the base was covered by peritonreum only. Another ulcer at very uppermost limit of disease had perforated, and loeces escaped through a hole one-eighth of an inch in diameter.
I am compelled to pass over the considera- tion of relapses, which have been few, none fatal (the writer has never seen in hospital or other practice a patient dying in relapse of typhoid fever) ; nor is there space for consideration of complica- tions and ofeher most interesting (juestions.


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