The Puerperal Diseases Clinical Lectures Delivered At Bellevue Hospital

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Right corpus striatum, for the most part, of a dirty 278 PUERPERAL DISEASES.
color and partially softened, and a small artery leading to it from the middle cerebral is obstructed at its point of origin, by a reddish- gray coagulum, not firmly adherent to the vessel. On the left side, a branch of the middle cerebral, supplying the island of Reil, is ob- structed by a similar coagulum, and the outer half of the island of Reil is softened. In other respects the brain is normal.
"Lungs. Considerabl
...e serum in the pleural cavities. Lower lobes compressed ; upper lobes cedcmatous. No infarctions.
" Heart. Normal size. Right cavities normal, and contain partly red and partly white post-mortem clots. Aortic valves normal. Left ventricle is filled with reddish coagula. Mitral orifice almost completely obstructed by a mass of vegetations, adhering to the valves on the auricular surface. The posterior leaf is thickened and a linear rupture exists, half an inch above the border. Around this is a mass of soft vegetations, through the centre of which and the ruptured valve, the blood flowed.


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