Identifier: medicalsurgicalh01unituoft (find matches)
Title: The medical and surgical history of the war of the rebellion. (1861-65). Prepared, in accordance with the acts of Congress, under the direction of Surgeon general Joseph K. Barnes, United States army
Year: 1882 (1880s)
Authors: United States Surgeon General's Office Barnes, Joseph K, 1817-1883 Huntington, David Lowe, 1834-1899 Otis, George Alexander, 1830-1881 Smart, Charles Woodward, Joseph Janvier, 1833-1884
Subjects: Medicine, Military Surgery, Military United States -- History Civil War, 1861-1865 Medical and sanitary affairs
Publisher: Washington Govt. print. off
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: MSN

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ing, so that glands as large even as pin-heads may produce only the mosttrifling elevation of the mucous membrane, and a smaller degree of enlargement may be quiteinvisible to the ordinary methods of investigation. When this is the case, however, thetumefaction of the closed glands can generally be detected at once by the unaided eye onexamining the intestine by transmitted light, when the swollen glands become distinctly visi-ble as minute opaque spots, while the surrounding tissue is quite translucent. In such casesit will often be found, on making perpendicular sections and examining them with a powerof ten to twenty diameters, that the enlarged glands are three or four times their normalsize. Unfortunately immersion in alcohol, by increasing the opacity of the intestinal walls,interferes with the distinctness with which the naked eye can recognize these moderatedegrees of enlargement, and most of the specimens of this kind which were set aside at Supni, p. 236. t Supra, p. 2U7. II
Text Appearing After Image:
Am. Photn-Reliei Frtnttruj t 1)24 A. ;4IA M., PMIaiUlpl^a. TRANSVERSE COLON WITH ENLARGED GLANDSULCERATED AT THEIR APICES. No 820. MEDICAL SECTION. SECT, iv.) MORBID ANATOMY. 307 the Museum for permanent prescrvarioa sptjodily logt all value t^xcept as material formicroscopic examination. For this reason I am unable to present a photographic illustra-tion showing a moderate degree of enlargement of the solitary glands as seen by the nakedeye, though a photograph of a thin section as seen with the microscope will be presenteda little further on. I have, however, selected for photographic illustration a specimen inwhich the solitary glands are enlarged to the size of bird-shot, but in which a little ulcerhas formed on the apex of each, although the patient had been sick but a few weeks. Thecase was one of typhoid fever accompanied by a smart catarrhal inflammation of the colon: Case 882.—Private George Hayes, company B, 12th U. S. infantry; age 25; was sent to the guard-bouse at Eusse

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