The Principles of Surgery And Surgical Pathology

Cover The Principles of Surgery And Surgical Pathology
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The microscopic examination of such a fibrin- ous pseudo-membrane reveals the presence of an immense number of white blood-corpuscles scattered amongst threads of fibrin and granular matter. This same croupous or fibrinous covering is found on the sur- faces of mucous membranes. Between the two main types of serous and fibrinous inflammations there are, of course, a number of interme- diate forms which are designated as sero-fibrinous exudates.
Suppurative Exudate. — The third kind of exudate i
...s the suppura- tive or purulent, consisting of a thick, milky or cream-like, non-coagu- lable fluid, generally without odour, and briefly designated by the name of pus. Microscopically, this is a colourless fluid containing a vast quan- tity of cells, " pus-cells," and a few i"ed blood-corpuscles. According to Grawitz, the suppurative inflammation is only a more advanced grade of inflammation, while Weigert, on the other hand, maintains that it represents qualitatively a particular kind. Strieker and Reck- linghausen think that suppuration is not exclusively a melting-down process of the tissues without coagulation, produced by means of emi- grated leucocytes, but rather that a proliferation of the fixed connec- tive-tissue elements also plays an important part.

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