Description of selected specimens from the medical section of the Army Medical Museum at Washington, exhibited in room no. 2 / J.J. Woodward.

United States. Army Medical Department (1968- )

Date:: 1876

Credit: Description of selected specimens from the medical section of the Army Medical Museum at Washington, exhibited in room no. 2 / J.J. Woodward. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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$iW, o7. (!2<>4 and iKiG.) Two portionK of ileum exliibitiug large, deep typhoid ulcoratiouB. 38. (iG?.) Portiou of the colon, exliibitiug several large ulcerK and many snialhir ones. lil). (:4GJ>.) Enlarged mesenteric glands. From a soldier of the (list Ohio, in whom typhoid fever suijerveued upon a previously existing dysen- tery. {Cat. of Med. Sect., 18(i7, pp. 24 and 08.) Contributed by Acting Assistant Surgeon Joseph Leidy. The next four specimens are examples of catarrhal mflammation of the small intestines, with enlargement of the solitary glands. This condition was associated, in three of the cases, with catarrhal inflamma- tion of. the colon; in case 42 the lesions of diphtheritic dysentery existed in the colon. Simple catarrhal inflammation (of both small and large intestines) was common during the war both as an independ- ent affection—the prominent symptom being diarrhoea—and as a com- pHcation of malarial fevers. 40. (S'Y.) Portion of ileum, with enlargement of the solitary folhcles and slight thickening of Peyer's patches; From a soldier of the Dth Wisconsin, who died of chronic diarrhoea. The large intestine was streaked and spotted with ash color and dark red on a red ground. Lobular pneumonia existed in the lower lobes of both lungs. (Cat. of Med. Sect., 1867, p. .51.) Contributed by Acting Assistant Surgeon Joseph Leidy. 41. (S-J.) Portion of ileum, showing slight thickening of Peyer's patches and en- largement of the solitary follicles. From a soldier of the 2Gth Pennsylvania, age 40, who died of diarrhoea. The mucous }nembrane of the colon was soft, gi'ayish, with a few streaks of inflammation and a few ecchymosed spots. {Cat. of Med. Sect., 1867, p. 51.) Contributed by Acting Assistant Surgeon Joseph Leidy. 42. (ST.) Portion of ileum, with its solitary follicles somewhat enlarged. From a soldier of the 182d Pennsylvania, who died with symptoms sujiposed to be due to tyjihoid fever. The mucous membrane of the colon was intensely inflamed, and every- where covered with a thin layer of white i^seudo-membrane. It presented a multitude of ecchymosed spots not larger than flea bites. The skin of the trunk and extremities presented a number of ecchymosed spots. (Cat. of Med. Sect., 18(i7, i>. 51.) Con- tributed by Acting Assistant Surgeon Joseph Leidy. 43. (lOT.) Portion of ileum, with solitary follicles enlarged to the size of small shot, and an apparently healthy Peyer's patch. From a soldier of the 20tli Michigan, who died of pleuro-pneumonia, consecutive upon chronic dian-hoea. The solitary follicles of the large intestine were also enlarged, and evidences of pleuro-pneumonia existed on both sides. (Cat. of Med. Sect., 18G7, pp. 51 and ;)7.) Contributed by Acting Assistant Surgeon Joseph Leidy. The next fourteen specimens are examples of folliculai* ulceration of the colon. In chronic catarrhal inflammation the enlarged solitary folli- cles of the small intestine long abide as little tumors like those in the foregoing specimens ; but those of the colon speedily pass into ulcera- tion, and the follicular ulceration is usually associated Avitli inflammatory$