None
Cholesteatoma is a somewhat frequent growth in the middle ear, taking the form of concentrically-stratified masses ^vith a pearly lustre, that either occupy the tympanic spaces as rounded balls, or line its walls with layers of varying thickness. The growth is made up of large rounded or polygonal squamous epi- thelial (epidermoid) cells, with a few resembling giant-cells, inter- spersed with numerous crystals of cholesterin : in the centre there is often a nucleus of inspissated pus, but there is no enveloping membrane. The pearly masses are usually found in the posterior superior portions of the tympanic cavity, in the channel from the cavity into the mastoid antrum, and in the mastoid antrum itself. By pressure on the wall of the tympanum they sometimes erode it and so enlarge its cavity : the entire middle ear is indeed often thereby converted into a single cavernous space occupied by nne or more pearly tumours of the size of a walnut. The epidermoid cells are doubtless derixed from the pseudo- epidermal investment of parts of the tympanum by which the mucous membrane is replaced as a result of certain chronic in- flammations. When the tympanic membrane is destroyed, or after perforation becomes adherent liy its ruptured edges to the wall of the middle ear (Hahermann), the cuticular lining of the meatus is apt to become proliferous and grow into the tympanum, whose wall even as far as the mastoid antrum bei'omes at length invested with epidermis consisting of a rete Malpighii and a stra- tum corneum. The horny cells of this latter layer are coiistantly undergoing desquamation, and so become collected and aggluti- nated within the tympanum and its accessory ea\ities. ViRCHOW regards tympanic cholesteatomata as independent heterologous structures analogous to those occasionally met with in the pia mater. BiTHL, KuHN, and KiiSTER refer them to some embryonic anomaly : the latter authority indeed Avould describe them as ' branchiogenous cystomata ' of the petrous bone. .AFoos and STEiNisiinGCE deny that true mvxa.l.^noraatous or mucous pol)-pi are ever met with in the middle ear : they regard the structures hitherto con- sidered to be ghinduhir tubules as produced by ingrowth of the epithelium and bv partial cohesion between adjacent portions. , •. i- On the mucoid substance occupying the foetal tympauum, .and its medico- legal bearings, see von Troltsch ; Surgical diseases oj the ear (trans, by Hi.v- ton) Loudon 1874. RrfrrnirrK on Poli/pl of the Middle Ear. Rn.LUoTir : I'fhi'r dm Ban der Schh-impolypen Berlin 1855 KnKLiiF.RG: Z. /'. (llirenheilk. xvi 1887 Ki-^^^KL- .1./. (Ihrenheilk. IV 1869 Digitized by Microsoft® 1216 THE MIDDLE EAR [CHAP, CXX KiESSELBACH : Monatssckr. f. Ohrenheilk. xvi X882 Lucae: V. A. 29 1864 Moos and Steinbrugge : Z.f. Ohrenheilk. and A. of Otol. iv 1875 VON Troltsch : V. A. 17 1859, and A.f. Ohrenheilk. iv 1869 Zaufal : Prag. med. Woch. i 1876 References on Primary Malignant Tumours of the Middle Ear. Christinnek : A.f. Ohrenheilk. xviii 1881 and xx 1883 Dblstanche : A.f. Ohrenheilk. xv 1879 Frankel ■■ a. f Ohrenheilk. vm 1873 Hartmais^n: Round-celled sarcoma Z. f. Ohrenheilk. vm 1879 and A. of Otol. IX 1880 Haug ; jMelanotic giant-celled sarcoma Ziegler's Beitrage xvi 1894 Kipp: Epithelioma Z.f. Ohrenheilk. xi 1881 and A. of Otol. x 1881 Lucae ■■ A.f. Ohrenheilk. xiv 1878 Politzer : Wien. med. Blatter v 1882 Schwartze : Epithelioma A.f. Ohrenheilk. ix 1875 (with references) References on Cholesteatoma of the Middle Ear. Bezold : Z. f. Ohrenheilk. xx and xxi 1891-92 Gruber : Ailg. Wien. med. Zeit. vii 1862 Habermann : A.f. Ohrenheilk. xxvii 1890; Prager Z.f. Heilk. xi 1885 Haug : Cent. f. allg. Path. 1895 KtJSTER : Berl. klin. Woch. 1889 Kuhn: A.f. Ohrenheilk. xxvi 1888, and Z.f. Ohrenheilk. xxi 1892 Lucae : Verh. der Berlin, med. Gesell. i, and A. f. Ohrenheilk. vii 1873 Moos : A. f Heilk. viir 1873 and xi 1876 Schwartze: A.f. Ohrenheilk. ix 1875 VON Troltsch : A.f. Ohrenheilk. iv 1869, Lehrhuch (trans, by Hinton) London 1874 ViRCHOW : V. A.% 1855 Wendt -.A.f. Heilk. xiv 1873 Digitized by Microsoft® AKT. 383] T.AJIYEIN THINE HYPEKAEMIA 1217 CHAPTER CXXI THE INTERNAL EAR 383. Anaemia of the parts of the labyrinth supplied by the auditory branch of the basilar artery is brought about by such changes in this vessel as interfere with the circulation through it, and in particular by chronic endarteritis, tumours compressing it, and basilar aneurysms. In a case of sudden deafness Friedreich was able to show that embolism of the auditory artery had taken place. Hyperaemia of the labyrinth, assuming the form of a reticu- late injection of the vessels or of diffuse reddening, and minute ecchymotic haemorrhages, either limited to special parts like the cochlea and vestibule or uniformly diffused, occur in connexion with intense suppurative otitis media with or without caries, especially in the form consecutive to scarlatina. Hyperaemia accompanied by small ecchymoses has been shown to exist in a number of febrile affections, such as typhoid, small-])ox, acute tuberculosis, pyaemia, and puerperal fever, as also in mumps (Toykbeb). In intracranial affections like sui:ipurative or tu- bei-culous meningitis and haemorrhagic pachymeningitis, and in general diseases like leukaemia and pernicious anaemia, the pres- ence of hyperaemia of the labyrinth has repeatedly been demon- strated. Passive hyperaemia of the labyrinth is apt to accompany general engorgement of the vessels of the head, due for example to the pressure of a goitre or to cardiac and pulmonary affections; but it is sometimes induced by local impediments to the venous efflux, to tumours at the base of the brain, or to thrombosis of the lateral or petrosal sinus. Copious extravasation into the osseous and the membranous labyrinth is conmionly a result of traumatic injury, such as fract- ure or fissure of the petrous bone, and violent concussion unac- companied by fracture. Small hacmdrrhages maj^ be completely re-absorbed without leaving any permanent disorder of function : in the case of fre- quently-repeated and of more copious haemorrhages the re-absorp- tion is incomplete, the effused blood remaining as a pigmented deposit. The deposit is apt to induce intlammation, and so lead to atropliy and do^Tneration of the fibrous and the nervous struc- 4, Digitized by Microsoft® 1218 THE INTERNAL EAR [CHAP. CXXI tures. Purulent disintegration of the effused blood, followed by extension of the suppuration into the cranial cavity, has been observed to take place as a result of traumatic injury. Inflammation of the labyrinth (^otitis interna') appears to be very rare as a primary and independent affection ; in most cases it is set up by the extension of tympanic or intracranial inflamma- tion to the internal ear. From the middle ear the exciting cause is conveyed by way of the vascular anastomoses in the inner wall of the tympanum, or through erosions of the bone and perfora- tions of the fenestral membranes. In the inflamed labyrinth the blood-vessels may be simply injected or the tissues may be slightly infiltrated with leucocytes, as in typhoid, scarlet fever, and small- pox ; but in severe cases the entire membranous labyrinth under- goes suppuration and becomes disorganised. The inflammation then occasionally travels along the neurilemma of the auditory nerve into the cranial cavity, or the pus within the labyrinth becomes inspissated and caseous, while fibrous adhesions block up the internal auditory meatus and so put a stop to the further extension of the disease. Of the various inflammatory conditions affecting the cranial cavity, epidemic cerebro-spinal meningitis is that which is most apt to give rise to inflammation of the labyrinth : the extension takes place along the trunk of the auditory nerve (Heller), through the aqueductus cochleae (Habeemann), or by both routes simultaneously (STEiNBKtfGGE). In the early stages the changes in this form of internal otitis consist of hyperaemia and effusion of blood into the labyrinth, with some disorder of the membranous structures ; by and by these latter are completely destroyed, the bony walls are denuded of periosteum and eroded, and the labyrinthine spaces are filled with pus and with granulation-tissue which is partially convertefi into fibrous tissue or even into bone. The inflammatory changes are most pronounced in the vestibule and semicircular canals, and are less perceptible about the cochlea ; in the cochlea itself the first or basal coil is generally more affected than the upper ones, the inflammation gradually diminishing as we ascend to the apex. Inflammations of the labyrinth consecutive to infective dis- eases such as diphtheria and measles have been described by Moos. He attributed them to bacterial invasion, and demon- strated the presence of streptococci in the endolymphatic and perilymphatic spaces, in erosions of the trunk of the auditory nerve, and in the periosteum and medullary spaces of the petrous bone. The morbid appearances corresponded generally with those met with in cases of cerebro-spinal meningitis. So far as can be judged from the scanty records at our disposal, syphilitic inflammation of the labyrinth appears to start in the periosteum, and like the other forms issues in the production of new fibrous tissue ^^jf]ielS^M!&^(^ result that the mem- ART. 383] AURAL VERTIGO 1219 branous structures are destroyed. In leukaemia also, in addition to signs of recent haemorrhage, evidences of similar periosteal inflammation and proliferation have been detected. Necrosis of the labyrinth is referred to in Art. .379. In addition to the changes above mentioned as characteristic of internal otitis, such as the production of new fibrous tissue and bone, degeneration and atrophy of the membranous structures and of the nerves, and accumulations of pigment, cholesterin, detritus, and calcareous matter, have been noted in par- ticular cases. In the well-known case of sudden deafness and abiding vertigo described by Menikre, where the only morbid change discovered to account for the symptoms was a sanguineous effusion (exsudation sanguine) in the semicircular canals and vestibule, it is still a question whether the essential lesion was haemorrhage or inflammation. VoLTOHNi strongly maintains that primary inflammation of the lab^Tinth is the cause of a form of sudden deafness common in children and accompanied by certain definite clinical symptoms, but no pathological evidence of an objec- tive nature has yet been adduced in support of the statement. Baratoux has succeeded in inducing haemorrhafje into the labyrinth by unilateral section of the medulla oblongata in animals. Kirciiner's exjieri- ments, in which labyrinthine hyperaemia and extravasation appeared to result from the administration of quinine and salicylic acid, are regarded as vitiated by faulty conditions. Referenceif on Lahi/rinthine Haemorrhage. Baratoux : Palhor/aiie ilea affections cle I'oreill/' Paris 1881 Hadermann : Prager med. Woch. 1890 KiRCHNER : Berl. klin. Woch. 1881, and Mmialsschr. f. Ohrenheilk: xvn 1883 LrCAE: Haemorrhage in tuberculous meningitis V. A. SS 1882 iSlENifeRE: Apoplectiform congestion Gaz. mt'd. de Paris 1861 Moos: A.f. Augen- und Ohren-lieilk. ii 1870 Moos and SxEiNBRi-GOE : Haemorrhages in pachymeningitis Z./. Ohrenhedk. IX, X, and xi 1880-81 Poi.itzer: Haemorrhages after traumatic injury -1./ Ohrenheilk. ii 1867, and Lchrhwh (trans, by Cassells) London 1883 SciiWART/.i:; .1./: Ohrenheilk. IX 1875 ToYxnEi'. : Dlscitucs of the ear London 1868 UKiiAN'rsciiiTSCii: A.f. Ohrenheilk. xvi 1880 References on Inflammation of the Labyrinth. Hadeumanx: Praqrr Z.f. Heilk. vii 1881 and x 1885 Hfller • D. 1 . /'. klin. .Ved. iii 1867 , ^ , Knai'p: Cerebro'-spinal meningitis Trans. Amer. Olol. Soc. i 1873; A. of Otol. VIII 1879 Lrcvi-; -1. /; 0/»-eHA</U-. V1870 ., . ^, i ■,, j ]\Io<>s: V. A. Oil 1877; Scarlet fever and measles Z.f. Ohrenhedk. xvn and XVIII 1888-89 .,, Afoos and STFlN'iuuionF, ; Z. f. Ohrenhedk. X. XI. XII, .and xiv 1881-85; with Gru.kn™. 4' /. Ohreniilk. xxv 1886 (syphilis) and xxii. 1885 (leu- Voi^K^^Lrhrhuch (trans, by Cassklls) London 1883; Olol. Congnss Basle S<nw!Rt/.F: .1. A Ohrenheilk. xin 1878, and P«M. anal, of the ear (trans, by Ornk Crff.v) Boston 1878 Digitized by Microsoft® 1220 THE INTERNAL EAE [CHAP. CXXI Steinbrugge : Cerebro-spinal meningitis and leukaemia Z . f. Ohrenheilk. xv, XVI, and xix 1886-90 Stille : Epidemic ineningitis Philadelphia 1867 VoLTOLiNi : Monatsschr. f. Ohrenheilk. i-vi 1867-72 ; Die acute EnlzUndung des hautigen Labyrinthes, irrthiimlich fiir Meningitis cerebrospinatis gehalten Bres- lau 1882 384. Morbid affections of the auditory nerve, such as hy- peraeraia and haemorrhage, are usually associated with corre- sponding conditions in the labyrinth. Neuritis has been observed in association with caries of the petrous bone and cerebro-spinal meningitis, and in cases of traumatic injury such as fracture or fissure of the bone. Atrophy of the auditory nerve and its branches takes place in connexion with cerebral lesions affecting its place of emer- gence from the brain, and with apoplexy or encephalitis of the floor of the fourth ventricle, the cerebellum, or the medulla oblon- gata. Atrophy from pressure is sometimes induced by internal hydrocephalus, tumours of the brain and of the base of the skull, fractures of the petrous bone, and by hyperostoses constricting the internal auditory meatus. Haemorrhage and inflammation affecting the nerve may likewise result in atrophy. The form of atrophy resulting from disuse, which Avas once thought to be an invariable result of long-continued peripheral deafness from ankylosis of the stapes with the margin of the fenestra rotunda, seems in fact to be somewhat rare ; and even in congenital deaf-mutes the nerve-trunk is often little if at all affected. The peripheral ramifications of the nerve in the laby- rinth and in the ganglionic layers of the cochlea, on the other hand, not infrequently become atrophic. In a case described by Moos and Steinbrugge the atrophy was limited to the first coil of the cochlea, in accord with the fact that during life there was deafness to tones of high pitch. According to Erb, atrophy of the auditory nerve sometimes occurs in tabes dorsalis. The primary new-growths involving the nerve are fibroma, myxoma, sarcoma, and psammoma. Growths in the neighbouring parts are of course liable to invade the nerve and the labyrinth. Few cases of demonstrable morbid change sufficient to account for the various auditory disorders associated with many menin- geal and cerebral affections have been recorded. In the some- what infrequent cases of deafness following basal meningitis, such changes have been noted as purulent inflammation of the ependyma and softening of the floor of the fourth ventricle, and purulent infiltration with fatty degeneration and shrinking of the nerve-trunk. In epidemic cerebro-spinal meningitis similar changes, in addition to the above-mentioned purulent inflamma- tion of the labyrinth, accompany and account for the deafness that often results. Unilateral or bilateral deafness, such as occa- sionally occurs in <ii^^jtf^^^^/oij^^)^<ft& softening in the pons ART. 384] REFERENCES 1'221 and cerebellum, and more frequently in connexion with tumours of these regions and with internal hydroeephalus, depends partlv on changes in the neighbourhood of the rcjot of the nerve, and partly on traction or compression of its central or peripheral portions. The intermittent deafness observed in cases of acute hydrocephalus is attributable to transient oedema of the auditory centre. References on the Morbid Anatomy of tli<' Auditori/ Nerve. BoETTCHEU: Fibrosarcoma A. of Ophth. and Olol. in 1873 Briickner : Ghoma Berl. kiin. ii-nch. 1867 FoRSTER : Sarcoma Wiirzli. meil. Zcitunr/ iii 1862 IIahermann: Prayer Z.f. Heilk. x 1885 ISloos : Sarcoma A. f. Auyen- u. Ohren-heilk. and A. of Ophth. and Otol. iv 1874 Moos and Steinbu'ugoe: Atrophy Z.f. Ohrenheilk. and yl. of Otol. x 1881; Rickets ibidem xi 1882 PoLiTZER : Otol. Congress Basle 1884 RoosA ; Syphilis A. (f Dermntolof/y i 1875 Steinbrugge : Leukaemia Z.f Ohrenheilk. xvi 1887 Stii.le : Epidemic vu-niiii/ills Philadelphia 1867 ToYNiiEE: Neuroma Trans. Path. Soc. iii iv London 1850-52 ViRCHOW: Die krankhaften (Jeschwulste n and m Berlin 1863-67 VoLTOLiNi : Amyloid degeneration V. A. '22 1861 Digitized by Microsoft® Digitized by Microsoft® INDEX OF SUBJECTS ( The, numbers r abdomen, adhesions in, after peritoni- tis 686 distension of, by ascites (i84 effusion of blood into ti8:i plexiform angiosarcoma of 692 abscess, alveolar 592 faecal 049 follicular, of intestine 656 of cornea 1168 kidney 933 liver 716, 717, 729 lung 827 mammary gland 1101 ovary 1014 pancreas 757 prostate 1003 stomach 027 testis 983 tympanic membrane 1203 metastatic 837 perinephritic 959 acarus foUiculorum in ear 1201 acids, sloughing of stomach from 621 actinomyces K(12 actinomycosis of intestine 676 lung 862 mouth 584 Addison's disease 974 adenia of intestine 077 adenocarcinoma of liver 739, 741 stomach 035, 037 adenocystoma of kidney 951 liver 739 adenofibronia of mammary gland 1104 ovary 1028 adenoma, malignant, of intestine 078 of bladder 11(18 bronchial mucous mem- brani' 800 epidiilymis 990 kidney 'Xy', lacrimal gland 1188 larynx 777 livi'r 739 mammary gland 1 103 mucous glands of mouth 590 'fi'r to thi' pages) adenoma of prostate 1005 stumach 037. Digitized by auditory meatus, syphilitic inflamma- tion of external 1198 vegetable parasites of external 1201 nerve, atrophy of 1220 fibroma of 1220 haemorrhage of 1220 in cerebral affections 1220 meningeal affections 1220 morbid affections of 1220 morbid anatomy of 1221 myxoma of 1220 neuritis of 1220 psammoma of 1220 sarcoma of 1220 bacillus anthracis 675, 826 of lung 868 coli communis 685, 716, 729, 750, 751, 757, 958, 965 comma, of cholera 668 of dysentery 604 typhoid fever 672 pneumoniae 766, 829 pyocyaneus of ear 1207 tuberculosis 689, 965 balanitis 1007 Bartholin, glands of 1076 Becker, pseudo-epithelium of posterior capsule of 1128 vesicular cells of 1127 bezoars 682 bile, retention of 727, 728 bile-ducts 751 bacteria in 751 carcinoma of 754 constriction of 752 dilatation of 753 fibroma of 754 inflammation of 729, 751 myxoma of 754 occlusion of 752 round-worms in 752 sarcoma of 754 tumours of 754 bile-pigment, retained 727 bilharzia 955 biliary calculi 748 cirrhosis 729 concretions 748 ducts in cirrhosis of liver 722 infiltration 727 inflammation 727 passages, anomalies of 697 congenital stenosis of 697 congenital dilatation of ^^ 697 Microsoft® INDEX OF SUBJECTS 111 ( The numbers refer to !k bilirubin 749 biliverdiii 740 bladder, adenoma of 908 amyloid degeneration of mu- cous membrane of 966 angioma of '.lOH bacteria of '.1(34 calculus of !I64 cancer-cells of 903 carcinoma of 968 concretion of 904 deformity of, congenital 639 dermoid of 908 dilatation of 909 displacements of 969 diverticula of 909 epithelial cells of 962 extroversion of 894 faeces in 964 fibroma of 967 fibromyoma of 968 fibrosarcoma of 968 foreign bodies in 904 haemorrhoids of 900 hydatid of 904 hypertrophy of 909 inflammation of 965 malformation of 894 morbid changes in contents of 962 mucous polypus of 908 myoma of 908 red blood-corpuscles in 962 rupture of 909 sarcoma of 908 scolices in 904 tube-casts in 90:? tuberculosis of 966 tumours of 907 urinary 962 villous cancer of 967 vfliite blood-cells in 962 yeast-fungi in 904 blennorrhoea, chronic 11 52 neonatorum 1161 blepharitis 1149 ciliaris 1149 squamosa 1 149 ulcerosa 1149 blood, resorption of O^-'! tuberculous infection of 851 blnod-casts 910, 902 bowel (see intestine) breast (see mammary gland) Bright's disease 917, 918 bronchi, anaemia of 7s:', dilatation of 791 pneumonia pages) bronchi, hyperplasia of 789 induration of, in 789, bM2 obstruction of 788 occlusion of 788 stenosis of 788 syphilitic inflammation of 7S7 tuberculous inflammation of 78i'i 'vicarious' haemorrhages of 78:) bronchial asthma 787 mucous membrane, adenoma of 806 wall, perforation nf 79:> ulceration of 793 bronchiectasis 791 atriijihic 792 cystic 790, 797 fusiform 797 hypertrophic 793 in ]iulmonary tuberculosis 8.v; bronchioles, rcspiratury 795 bronchinlitis, exmlative 787 bronchitis 783 catarrhal 783 causes of 786 croupous 7H(l fibrhious 7^^0 plastic 7H0 ]iurulent 794 putrid 783., 827 bronchoblennorrhoea 7S3 bronchocele 870 bronchopneumonia, acuti anil miliary 820 bronchiolitis as|iiration 820 caseous lobar 857 lobular S57 catarrhal 825 disseminated 815 fibro-casedus nodu- lar 854 in pulmonarj' tuV'cr- culosjs 849 lobar 825 lobular 825 nodular caseous tu- berculous 8511 peribronchial 824 syphilitic catarrhal ■ .sfil bronchorrhoea 783 Briicke's nuiscle 1132 bulbus (see eve) vestibuli 1976 bullous emphysema 803 of diphtheritic inflammation - ■ „ <■ ,-o l^. Digitized by carcinoma of stomach, medullary, 637 suprarenal 974 testis 990 thyroid gland 882 tongue 589 trachea 782 tireter 960 urethra 970 uterus, pregnant 1092 vagina 1059, 1067 caries of teeth 592 caruncle, urethral 970 cataract 1126 axial 1128 capsular 1127, 1128 central 1128 congenital 1128 grey 1126 idiopathic 1126 in diabetes 1130 juvenile 1128 lamellar 1128 lenticular 1128 Morgagni's 1126 partial 1128 posterior polar 1129 pyramidal 1129 secondary 1 126 senile 1128, 1130 total 1128 traumatic 1129 white 1126 cataraota fluida 1128 lactea 1128 nigra 1128 polaris anterior 1129 zonularis 1128 catarrhal stomatitis 579 chalazion 1150 chalicosis 817 cheek, gangrene of 581 chemosis 1148 cholangitis 729 cholelithiasis 749 cholera, Asiatic 667 epidemic, virus of 668 European 668 nostras 668 cholesteatoma of middle ear 1215 tympanic membrane 1205 cholesterin in gall-stones 748 chondro-adenoma of epididymis 990 testis 990 chondrooaroinoma of epididymis 991 testis 991 chondrocystoma of epididymis 990 testis 990 chondrolipoma of lung 866 chondroma of eye 1188 mammary gland 1114 ,. j^-^--- nose 766 Microsoft® INDEX OF SUBJECTS ( The numbers refer to the pages) chondroma of trachea 782 chorion 1079, 1084. degeneration of 1084 frondosum 1084 inflammation of 1150 gelatinous degeneration of villi leprosy of 115i; pempliigus of 1122, 1156 conjunctiva, haemorrhage into 1145 hyaline degeneration 1123 of of 1084 hypertrophy of villi of 1084 laeve 1084 chorio-retinitis 1171, 1172 choroid, cicatrices of 1131 colloid nodules of 1131 haemorrhage into 1145 inflammation of 1131, 1171 ossification of 1131 sarcoma of 1188 choroiditis 1171 acute 1171 suppurative 1171 chronic 1172 disseminated 1172 posterior 1139 syphilitic 1174 tuberculous 1174 chylous ascites 684 hydrothorax 870 ciliary body, inflammation of 1170 senile clianges in 1132 cirrhosis of liver 719, 721, 722, 729 lung 800, 817, 834 pancreas 707 coocidia in lung 869 cochlea, absence of 1196 coeliac flux 006 colitis 602 collapse of lung 799 cirrhosis from 800 obstructive 79'.i coUiculus seminalis 1002 coloboma oculi 1119 colon, carcinoma of 670 displacements of 640 enteroliths in 681 ... variable length of 640 colpitis 1065 vetularum 1066 colpohyperplasia, cystic 1067 columnae ruL^aium 1665 comedones of mucous membrane in new born infants 5'.)1 compensatory hypertrophy of lung 797 compression of lung 799 condylomata acuminata 776, 970, 1051 ciini vasculosi 979 conjunctiva, acne of 1161 amvloid degeneration 1122 atrophy of 1122 catarrh of, follimilar 1153 spring 1154 eczema i>f 1155 fibroma of 1190 sarcoma of 1189 syphilis of 1166 tuberculosis of 1156 variolous pu.stules of 1156 xerosis of 1122 conjunctivitis 1160 catarrhal 1150 circum.scribed 1150 croupous 1150 diffuse 1150 diphtheritic 1151 gonorrhoeal 1161 granulosa 1152 phlyctenular 1155 conus 1138 cornea, abscess of 1158 acne of lUil catarrhal herpes of 1100 creeping ulcer of 116.'! degeneration of 1123 globusa 112(1 in facial erysipelas 11(!4 inflammation of 1156 repair of, after inflammation 1168 rodent ulcer of 1164 softening of 1162 staphyloma of 1124 ulcer of 11 5« zonular opacity of 1123 corpora aniylacea Ml 4 cavernosa 1096 inflammation of 1007 wounds of 1007 corpus fibrosum 1012 Highmori 979 luteum 1012 spDiigiosnm lOOt! bulb of 1006 coryza 7(i3 syphilitica 7i'>4 Cowper's glands 1005 cysts of 1005 inflammation of 1005 cryptorchism 980 cyclitis 1170 purulent 1170 cyclopia, nose in 763 cylinders, colloid '.M)5 cylindroma of orbit 1190 cynanche, sublingual 606 cystadenoma, dental 594 of epididymis 990 ovar\' 1024 papillomatous testis 990 cystic bronchiectasis, congenital 797 of Digitized by Microsoft® VI 0 cystioercus cellulosae 955 of eye 1190 lung 868 of peritoneum 693 cystitis 965 catarrhal 965 chronic 966 cystocele 1041, 1068 vaginal 969 cystofibroma of ovary 1028 cystoma papilliferum carcinomatosum 1026 cystosarcoma of epididymis 990 papilloma^ tous 992 ovary 1028 testis 990 papillomatous 992 cysts of epididymis 988 jaw 594 kidney 950 larynx 777 liver 745, 753 lung, accumulation of secretion INDEX OF SUBJECTS The numbers refer to the pages) ,. mammary gland 1106, 1107. pancreas 758. peritoneum, serous 693. sublingual glands, dermoid 591. testis 988. thyroid gland, distension 878 follicular 878. tongue 590, 591. trachea 782. Digitized by dermoids of ovary 1028 peritoneum 693 testis 992 tunica vaginalis 998 diphtheria, epidemic 598 laryngeal 771 ' diphtheritic ' and ' diphtherial ' distin- guished 602 inflammation of stomach 623 diplococcus pneumoniae 751,766, 826, 829 in ear 1207 peritonitis from 685 disc, choked 1180 discus proligerus 1010 displacement of kidneys, acquired 892 distoma 742, 752 haematobium 746, 955, 958, 959, 964 hepaticum 746 in bile-ducts 729 liver 742 lanceolatum 746 ringeri in lung 869 diverticula, Meckel's 640 of intestine 640 oesophagus 609 dropsy, chylous 684 duct, alveolar 795 duodenitis 661 duodenum, carcinoma of 679 ulcer of 661 dust-cells 816 dysentery 655, 663 bacilli of 664 chronic 666 necrosis of mucous membrane from 665 repair after 666 sequelae of 666 variety of, caused by amoebae 664, 666 dysmenorrhoea, membranous 1044 dystopia 892 ear. Sect, xv 1193. adhesive processes in middle 1211. affections of muscles of middle 1213. anaemia of internal 1217. angioma of external 1200. calcification of cartilage of external 1200. carcinoma of external 1200 middle 1214. caries of bony portion of external 1199 middle 1209. cholesteatoma of middle 1215. cleavage in cartilage of external Microsoft® INDEX OP SUBJECTS VU ( The numbers refer to the pages) changes of external emphysema of lung ear, degenerative 1200. enchondroma of external 1200. exostoses of middle 1210, 1214. external 1107. fibroma of external 1200. haemorrhage into external 1197 internal 1217 middle 1207. hyperaemia of external 1197 internal 1217 middle 1207. hyperostosis of middle 1210. inflammation of external 1198, 1199 internal 1218 middle 1207. internal 1217. lipoma of external 1200 ... malformations of 1105 internal 1196. ,. micro-organisms in middle 1207. middle 1207. necrosis of bone of middle 1210 external 1199 internal 1219. organisms in 1201. osteoma of external 1200. osteosarcoma of middle 1214. papilloma of external 1200. perichondritis of external 1199. polypi of middle 1213 ,. sarcoma of external 1200 middle 1214. sclerosis of middle 1212. .sebaceous cyst of external 1200. softening of cartilage of external 1200. syphilis of internal 1218. tophi in external 12(H). tumours of external 1200. ulcei-ation of middle 1208 ear-o.ssides, ankylosis of 1212 caries of 1210 echinocoocus multilocularis 747 of breast 1114 eye 1191 kidney 054. liver 740 [[,','. lung 808 peritoneum 693 pleura 875 supraren.il 974 ',','.',.'. thyroid gland 883 ' tunica vaginalis 998 ecstrophia vesicae 804 ectopia vesicae 804 eotrojiion 1041, 1047 empliysema of lun chronic idiopathic diffuse 802 , chronic vesicular 801. compensatory 801. congenital paren- chymatous 798. general 802. inter-vesicular 801. senile 801. subcutaneous 801. vaginal 1067. vicarious 801 ;S00 acute vesicular 800 bullous 803 catarrh a concomi- tant of 801 empyema 871 recovery from 873 enchondroma of epididymis 001 external ear 1200 lung 8(;0 testis 001 endobronchitis 789 endometritis lOlii acute 1046 catarrhal 1046 chniiiie 1040 croupous 1049 decidual 1080 diphtheritic 1049 exfoliative 1046 fungous 1046 gangreiiinis 1049 hyperplastic 1046 polyposa 1080 polypous 1046 syphilitic lu.'.o tuberculous 1049 tuberosa 1080 villous 1046 endometrium 1039, 1043 carcinoma of 1058 cliancre of 1050 \ cysts of 1047 during menstruation 1043 erosion of 1048 hyperplastic growths of 1051 inflammation of 1046 piilypus of 1051 regenerative prolifera- tion of, after labour 1080 sarcoma of 1001 senile changes in 1043 tumours of 1058 ulcers of 104s endothelioma of kidney 054 peritoneum 091 pleura 875 enteric fever (see typhoid fever) enteritis, catarrhal 653 follicular 655 membranous 653 enterocele, vaginal 1068 Digitized by Microsoft® VUl INDEX OF SUBJECTS ( The numbers refer to the pages) enterocystomata 640 enteroliths 681 enteromyoosis baeteritica 676 epicanthus 1120 epididymis 979 absence of 980 adenoma of 990 adenosarcoma of 990 carcinoma of 990 chondro-adenoma of 990 cliondrocaroinoma of 991 chondrooystoma of 990 cystadenoma of 990 cystosarcoraa of 990 cysts of 988 enchondroma of 991 fibroma of 991 liydrocele of 995 in ectopia of testis 980 inflammation of 981 leprosy of 988 myxoma of 992 osteoma of 992 papillomatous cystosarcoma of 992 rhabdomyoma of 992 sarcoma of 992 syphilis of 988 tuberculosis of 986 tumours of 990 epididymitis 981 urethralis 982 episcleritis 1166 epispadias 894, 895 epistaxis 763 epithelioma of eye, squamous 1188 stomach 637 thyroid gland 882 epulis 594 sarcomatous 589 erythema of mouth 579, 582 eurotium malignum in ear 1201 repens in ear 1201 eustachian tube, changes in cartilage of 1213 malformation of 1196, 1213 stricture of 1213 ... ulceration of 1213 eustrongylus gigas in kidney 955, 958 extravasations, peritoneal 683 extroversio vesicae 894 extroversion of bladder 894 eye. Sect, xiv 1117 absence of 1119 anaemia of 1143 angioma of 1188 animal parasites of 1188, 1190 atrophy of 1122 anterior 11.32 of globe of 1132 carcinoma of 1188 Digitized by eye, chondroma of 1188 congenital defects of 1119 cystioercus cellulosae of 1190 degeneration of 1122, 1132 disorders of circulation in 1141 echlnococcus of 1191 ectasis of 1120 fibroma of 1188 filaria of 1191 glioma of 1188 haemorrhage of 1145 hyperaemia of 1141 inflammation of 1149 lipoma of 1188 lymphangioma of 1188 malformations of 1119 myxoma of 1188 oedema of intra-ocular tissues of 1148 osteoma of 1188 sarcoma of 1188 spontaneous haemorrhage of 1145 squamous epithelioma of 1188 tumours of 1188 varicosities of retinal vessels of 1142 eyelids, acne of 1149 eczema of 1149 inflammation of 1149 oedema of 1147 seborrhoea of 1149 faeces, incarceration of 645 fallopian tubes 1034, 1036 absence of 1034 carcinoma of 1038 congestion of 1036 cysts of 1038, 1072 fibroma of 1038 fibromyoma of 1038 inflammation of 1036 tuberculosis of 1037 tumours of 1038 Farre, white line of 1009 fauces, inflammations of 596, 598 ulcers of, in typhoid fever 603 fibroma of auditory nerve 1220 bile-ducts 754 bladder 967 conjunctiva, papillomatous 1190 epididymis 991 external ear 1200 eye 1188 fallopian tubes 1038 gall-bladder 754 intestine 680 kidney 954 liver 746 lung 866 mammary gland 1 104 nose 766 Microsoft® INDEX OF SUBJECTS IX fibroma of ovary 1028 papillomatous 1026 peritoneum 69^! placenta 1084 pleura 875 pudenda 1075 spermatic cord 1001 testis 991 thyroid gland 883 trachea 782 tunica vaginalis 998 urethra 970 uterus 1001 vagina 1087 vocal cords 776 fibromyoma of bladder 908 fallopian tubes 1038 prostate 1004 uterus 1001 vagina 1067 fibrosarcoma of bladder 908 mammary gland 1104 orbit 1190 ovary 1028 filaria in elephantiasis 1008 of bladder 904 eye 1191 kidney 955 ureter 958 fissura vesicae 894 fistula auris congenita 1195 in ano 663 of rectum 674 external 063 internal 663 recto- vaginal 1068 salivary 600 urinary 969 vesico-vaginal 1008 fluor albus 1046 flux, coeliac 666 follicles, ovarian 1010, 1011 foramen Rivini 1195 fon'skin 1006 funiculus spermatious 1000 ' fur ' of tongue 579, 586 galactocele 988, 998, 1100 gall-bladder 748 absence of 697 bacteria in 751 carcinoma of 754 dropsy of 754 fibroma of 754 inflammation of 761 myxoma nf 754 sarcoma of 754 tumours of 754 gall-stones 748 bilirubin 749 bilivtrdin 7411 calcium carbonate 749 {The numbers refer to thr- jiar/fs) gall-stones, cholesterin 748 and bile-pigment 748 gangrene of cheek 581 gastric (see stomach) gastromalacia (52ti genital system, Sect, xiii 977 genitals, external 1074 gerontoxon 1124 gestation, extra-uterine 1096 glanders of larynx 775 lung 864 nose 704 prostate 1003 glands (see mammary, salivary, thy- roid, etc.) glans penis 1006 carcinoma of 1007 inflammation of 1007 tuberculosis of 1007 glaucoma 1183 absolute 1185 acute 1183 chronic 1183 haemorrhagic 1183 inflammatory 1183 papilla in 1185 primary 1183 secondary 1183, 1186 simple 1183 gleet 970 glioma of eye 1188 retina 1100 globus major 979 minor 970 glomerulo-nephritis 923 chronic 934 glossitis 682 glossocele 587 glossophytia 687 glottis, oedema of 700 chronic 770 goitre 876 aetiology of 880 benign 877 colloid 877 coni;enital 876 fibroid 878 hyaline degeneration of 879 gelatinous 877 internal haemorrhaLje of 878 malignant 877. 882 myxomatous 870 ' ossification of fibrous tissue in 879 petrified 879 simple 877 vascular 877, 878 waxy 870 gonococcus !I58< 0115, 070, 982, 1037, 1040, 1005, 1074, 1151 gonorrhoea '.'70 gnntte militnire 070, 1010 Digitized by Microsoft® INDEX OF SUBJECTS ( The numbers refer to the pages) granulations of trachea 782 gravel, renal 912 gregarhiosis pulinonum 869 grinders' asthma 817 rot 817 gum-boil 582, 592 gums, atrophy of 588 carcinoma of 589 inflammation of 581, sarcoma of 589 582 haematangioma of ovary 1028 haematooele 997 encysted extravaginal, of the cord 997 pelvic 1013, 1072 retro-uterine 1013 haematooolpos 1057 haematoma of cord 1001 circumscribed 1001 diffuse 1001 haematometra 1057 haematosalpinx 1036, 1057 haemopneumothorax 870 haemoptysis 807 in tuberculosis of lung 850 haemorrhages into pleura 870 thymus gland 886 of bronchi 783 peritoneal 683 'vicarious,' of bronchi 783 haemorrhoids, vesical 966 hair-balls, intestinal, in domestic ani- mals 682 hairy-tongue, black 587 hepar mobile 698 hepatic abscesses, 716, 717 atrophy, simple 699 blood-vessels in cirrhosis 724 circulation, disorders of 702 hepatitis, biliary 728 suppurative 729 haematogenous 712 chronic 719 suppurative 716 interstitial 712 parenchymatous 712 hernia 640 abdominal 641 changes in 644 congenital 642 contents of 641 crural 643 diaphragmatic 644 external 641 femoral 643 infantile 642 inguinal 643 internal 643 ischiatic 643 Littre's 642 Digitized by hernia, obturator 643 perineal 643 strangulation of 645 umbilical 643 ventral 643 hernial sac 641 herpes progenitalis 1074 zoster, ophthalmic 1161 hordeolum 1149 Hutchinson's teeth 593 hydatid of Morgagni, spermatocele of 989 thyroid gland 883 hydramnios 1088 acute 1088 chronic 1088 hydrocele, extravaginal 996 hernial 996 infantile 995 liquid of 994, 995 of cord, congenital 996 diffuse 1001 encysted 995 serous 994 hydrometra 1057 hydronephrosis 893, 957 hydrophthalmos 1119 hydrops laoteus 684 tubae profluens 1036 vesicae felleae 754 hydrosalpinx 1036 hydrothorax 870 chylous 870 circumscribed 870 multilocular 870 sacculated 870 hygroma, cystic, of mouth 589 hymen 1036 congenital absence of 1035 cribriformis 1035 cysts of 1036 denticulatus vel fimbriatus 1035 duplication of 1035 septus 1036 hyperaemia of bronchi 783 kidneys, active 897 passive 897 lung, congestive 804 passive 804 hyperkeratosis of buccal epithelium 586 hypermastia 1100 hypermetropia 1139 hyperplasia of bronchi 789 tongue 587 hypertrophy of kidney, congenital 891 lung, compensatory 797 parathyroids 880 stomach 619 hyphaema conjunctivae 1145 hyphomyoetes in lung 868 hypoplasia of both kidneys 891 IVIicrosoft® INDEX OF SUBJECTS XI f V'/ic numbers refer to the pnycs) hypoplasia of lung ~W> uteras 1034 liyiiopyuii 1158 hypospadias 81i.j perineoscrotalis 895 ileitis W>2 ileum, inflammation of fi62 iiiciirccnitioi], faecal Mh incisurae Santdiini 1199 induration of bronclii 789 kidneys, cyanotic 897 lung 7iiK, SOI), KO-j indurative mesolironchitis 791) inflammation of intestinal tract IJ52 lung, reactive 8(>7 nioutli ">79, r.HD, 682 pleura 871 throat, croupous (iOO 598, intestine, incarceration of, internal 646 inflammation of li.VJ en >upous 1155 diplitheritic H54 invagination of C>47 large, inflammation of <i02 lipoma of Ot^U lymphadenoid tissue in 077 lymph- vessels of, inflamma- tion nf 057 misplacements of, congenital 0:19 myciiscs of li70 myoma nf i;so obstruction of, by foreign bodies 0S2 (icdcnja of 0i51 parasites in 0«1 perforation of 049 thyroid : infundibula of lung 795 insertio marginalis 1087 velameiitiisa 1087 intestine, aliscesses, follirular, in 056 aetiiiomycoRis in 070 adeuia in 677 amyloid di'getieratioii of 061 angioma of 080 anthrax of ri75 atresia of 048 atrophy of Ii51 of mucous membrane of (158 bacteria in 052, 070 calculi of, in domestic animals 081, (i82 carcinoma of 078 cicatrisation in 059 cotigestion of 050 connective-tissue growths of 680 constricted 045 cysts of 040, li59, Oi'.O, 078 \ dV-formitics of, accjuired 041 congenital li.'!9 dilatation of i;4s displacements of, acquired 641. of pelvis of 960 chronic local tuberculosis of 947 cicatrix foUovring infarction 900 cirrhotic contracted 941 compensatory hypertrophy of 907 concretions of calcium carbonate in 913 Digitized by kidney, concretions of calcium phosphate in 913 congenital anomalies of 891 .' congestion of 897 cystic disease of 951 hypertrophy of 891 cyanotic induration of 897 cystic degeneration of 951 cysticercus cellulosae of 955 cysts of 950 arteriosclerotic 905 deposit of bile-pigment in 910 blood in 909 blood-pigment in 909 corpuscular matters in 909 haematoidin in 910 haemoglobin in 910 haemosiderin in 910 leucocytes in 909 methaemoglobin in 910 triple phosphate in 914 uric acid in 911 diameter of glomeruli of 908 tubules of 908 dilatation of pelvis of 957 distoma haematobium of 955 eohinococcus of 954, 955 embolic contracted 901 endothelioma of 954 epithelium of, in glomerulo- nephritis 926 regeneration of 907 eustrongylus gigas of 955 fibroma of 954 filaria of 955 floating 892 gouty deposits in 912 granular contracted 944 gravel in 912 haematogenous degeneration of 917 inflammations of 920 haemoglobin-infarction of 909 horse-shoe 892 hydatid of 954, 955 hyperaemia of, passive 897 in general anaemia 902 inflammation of pelvis of 957, 958 ischaemic necrosis of 899 lipoma of 954 malformations of pelvis of 893 myxoma of 954 pelvis of 893, 957 pentastoma denticulatum of 955 pigmentation of, by silver 910 repair of traumatic injury of 907 Microsoft® INDEX OF SUBJECTS ( Tlie numbers refer to the pages) kidney, sarcoma of, 953, 954 senile atrophy of 902 silver-staining of 910 syphilis of 949. tuberculosis of 947 pelvis of 960 tumours of 9V> pelvis of 960 suprarenal tissue of 954 ulcer of pelvis of 959 weight of normal 907 white contracted 934 kraurosis vulvae 1074 Kupffer's stellate cells 728 labyrinth, absence of 1196 lacrimal gland, adenoma of 1188 carcinoma of 1188 cylindroma carcinoma- todes of 1188 inflammation of 1150 sarcoma of 1189 sac, inflammation of 1150 Laennec's cirrhosis 719 laryngitis, granular 769 of scarlatina 771 small-pox 771 typhoid fever 770 syphilitic 774 tuberculous 772 larynx 768 abnormalities of 768 abscess of 770 adenoma of 777 carcinoma of 777 catarrh of 768 changes in cartilages of 778 croupous inflammation of 769 cysts of 777 diphtheria of 769, 771 ecchondrosis of 779 exostosis of 779 glanders of 775 leprosy of 775 lipoma of 776 lupus of 774 malformations of 768 mucous membrane of, diphthe- ritic inflammation of 769 mucous polypi of 776 myxoma of 776 pachydermia of 770 papillomata of, fibrous 776 parasites of 777 phlegmonous iufliimmation of 770 rhinoscleroma of 775 sarcoma of 776 stenosis of 768 syphilis of 774 tuberculosis of 772 leiomyoma of pudenda 1076 Digitized by Microsoft® leiomyoma of uterus 1061 leprosy of conjunctiva 1156 c-jiididymis 988 larynx 775 liver 7:1"] luni,' yiijj nose 704 testis 0S8 leptotlirix vaginalis 1067 leucoma adhaerens 1131, 1159 leuooplakia 5bij leuoorrhoea 104ii lichen of buccal mucous membrane 686 limbus, gelatinous infiltration of 1154 lipoma of external ear lliOO eye IIKS intestine 680 kidnc-y 954 larynx 776 lung wu; mammary gland 1114 peritoneum IJ92 pleura K75 pudenda 1076 spermatic eord 1001 uterus 10(i-'! lips, hyperplasia of 587 liquor amnii lOHH folliculi 1010 lithokelyphopaedion 1097 lithokelyphos 1097 lithopaedion 1097 true 1097 liver. Sect, x ii95 abnormal lobulation of 697 abscess of 716, 717, 729 absence of 697 .... accessory 097 acquired deformities of 697 displacements of 697 acute yellow atrophy of 713 .... adeno-carcinoma of 741 .... adeno-cystoma of 7.'J9 adenoma of 739 amyloid 709 .... anaemia of 702 .... angioma of 744 .... atrophic cirrhosis of 719 atrophy of. t'vanotic 703 senile 099 simple 099 .... bacteria in 716 .... biliary cirrhosis of 729 '. ducts in cirrhosis of 722 pigmentation of 728 '.'.!. blood-ve.ssels of. in cirrhosis 724 carcinoma of, metastatic 739, 742 cells of (see liver-cells) congestive hyperaemia of 702 coniiective-t issue gro\vths of 744 .... cvsts of 74."i, 753 diapliragmatic grooves of 097 XIV INDEX OF SUBJECTS liver, distoma of 742 eohinoooccus of 746 epithelial tumours of 739 erectile tumour of 744 fatty 708 cirrhosis of 722 nutmeg 708 fibroid induration of 733 fibroma of, primary 745 floating 698 general venous engorgement of 702 gummata of 731 haematogenous degeneration of 706 infiltration of 706 inflammations of 746 pigmentation of 706 haemorrhages of 704 haemosiderin in 706 hob-nailed 719 hydatid of 746 hyperplasia of 736 hypertrophic cirrhosis of 719, 723 hypertrophy of, functional 737 icterus of 727 in cholera 711. .malaria 711. .puerperal eclampsia 711. , small-pox 711. .typhoid fever 711 jaundice of 725, 727 lardaceous 709 leprosy of 735 leukaemic infiltration of 707 lobulated cirrhotic 719 malformations of 697 malpositions of 697 melanosarooma of 745 microbes in, deposition of 707 nutmeg 702, 708 parasites of 746 pigmentary deposits in cirrhosis of 725 red atrophy of 713 regeneration of 736 retention of bile in 727 sarcoma of, primary 745 secondary 745 suprarenal tissue in 743 syphilis of, acquired 731 congenital 732 transposition of 697 tropical abscess of 716 tuberculosis of 734 miliary 734 tumours of 739 waxy 709 weight of 699 in atrophic cirrhosis 719 {The numbers refer to the pages) liver, weight of, in hypertrophic cirrhosis 721 liver-cells, cloudy swelling of 710 colloid change of 710 dropsical degeneration of 710 fatty degeneration of 710 haematogenous degeneration of 710 necrosis of 710 pigmentary degeneration of 710 vacuolation of 710 liver-flukes in hepatic ducts 752 lochia 1090 lung, abscess of 827 actinomycosis of 862, 868 agenesis of parenchyma of 796 amyloid concretions in 814 degeneration of blood-ves- sels of 814 anaemia of 805 animal parasites of 868 aspergillus in 868 bacillus of anthrax in 868 glanders in 868 tuberculosis in 868 bacteria in 868 bronchiectasis in tuberculosis of 853 brown induration of 811, 812 calcification of 848 fibrous tissue of 814 carcinoma of 866 carnification of 834 caseation of 848 caseative tuberculosis of 856 cercomonas in gangrene of 868 chondrolipomata of 866 cicatrisation of 812 circumscribed haematogenous tu- berculosis of 844 cirrhosis of 834 coccidia in 889 collapse of 799 compensatory hypertrophy of 797 compression of 799 congenital syphilis of 860 congestive hyperaemia of 804 cysticercus cellnlosae of 868 deposition of dust in 816, 817 distoma ringeri in 869 dust as a cause of inflammation of 815 dust-cells in 816 echinococcus of 868 effects of chronic pleurisy on 841 experimental introduc- tion of irritants into 819 embolic infarction of 837 enohondromata of 866 engorgement of 804 excessive multiplicity of lobes of 798 Digitized by Microsoft® INDEX OF SUBJECTS {The nnmbers refer to the pages) lung, extension of inflammation in 824. inflammation to, from abdomen 842. inflammation from pleura to 839 :eneration of epitht4ium lupus fatty de; of 814 fibroma of 806 filamentous fungi in 808 gangrene of 827, 833, 837 gangrenous inflammation of, in the new-born 82! » glanders of 804 grey cirrhosis of 829 gummatous nodes of 859 haematogenous tuberculosis of 843 haemoptysis in tuberculosis of 860 haemorrhage from 800 haemorrhagic infarction of 808 oedema of 807 hepatisation of 831 hyperaemia of, passive 804 hyphoraycetes in 808 hypoplasia of 790 hypostatic engorgement of 805 in drowning 823 induration of 798 after abscess 828 from engorgement 805 in tuberculosis 851 indurative changes in 800 infective granulomata of 843 inflammations of, in general 815 inflammatory oedema of 806 leprosy of 805 lipomata of 860 lymphogenous tuberculosis of 844 malformations of 796 metastatic abscess of 837 miliary tuberculosis of 843 monas lens in gangrene of 868 mucor in 868 nodose cirrhosis of 817 tuberculous cirrhosis of 855 non-inflammatory degenerations of 814 obstructive collapse of 799 oedema of 805 passive 806 o'ldium albicans in 868 osteoma of 860 parenchyma of 795 pigmentation of 816 pleurisy consecutive to sis of 874 pneumatogcnous miliary tubercu- losis of 855,. tuberculosis S44 pneumococcus in HIjS piifuiuonomycoses in 869 Digitized by Microsoft® lung, pneumothorax in tuberculosis of 858 psorospermia in 809 pyopneumothorax in tuberculosis of 858 reactive inflammation of 867 recovery from tuberculosis of 851 riding embolus of 808 sanguinolent oedema of 805 sarcina in 8(58 secondary changes in 798 tumours of 806 splenisation of 807 strongylus longevaginatus of S68 suppuration of 833 suppurative inflammation of, in the new-born 829 syphilis of 859 toxaemic oedema of 806 traumatic lesions of 842 tuberculosis of 843 tuberculous cavities in 848, 853 tumours of 806 ulcerative caseous tuberculosis of 856 vegetable parasites of 868 vomica of 848, 853 of buccal mucous membrane 583 larynx 774 lymph, coagulable, on peritoneum 686 lymphangio-lipoma of mouth 589 lymphangioma of eye 1188 mesentery 002 mouth 589 ovary 1028 lymphangitis, peribronchial 791, >^39 lymph-glands, peribronchial, in pneu- monia 831 lympho-sarcoma of thymus gland 886 lymph-scrotimi 1008 macrocheilia 587 macroglossia 587 macula pellucida foUiculi 1011 maculae corneae 115:) mammary gland 1999 abscess of 1101 adenohbroma of 1104 adenoma of 1103 atro]ihic scirrhus of 1113 calcification in carci- noma of 1113, tuberculo- carcinoma of 1111 cold abscess nt lioi ... congenital absence of 1100 (,j connective-tissue tu- mours of 11114 cyst of 1100. 1101 cvstadenoma of 1 1 97 , 850 XVI INDEX OF SUBJECTS (The numbers mammary gland, cystic adenofibroma of 1107 cysto-carcinoma of 1110 cysto-fiibroma of 1107 ; cystoma of 1107 cysto-myxoma of 1107 cysto-sarcoma of 1107 epithelial cystoma of 1109 fibroma of 1104 fibrosarcoma of 1104 gelatinous degenera- tion in carcinoma of 1113 hyaline degeneration in carcinoma of 1113 hypertrophy of 1102 inflammation of 1101 intracanalicular fibro- ma of 1110 intracanalicular sar- coma of 1110 intracanalicular myx- oma of 1110 lipoma of 1114 medullary carcinoma of 1112 morbid changes in 1100 myxofibroma of 1104 myxoma of 1104 papuliferous adenocys- toma of 1108 periadenoid fibroma of 1105 sarcoma of 1104, 1106 scirrhus of 1112 secretion of 1100 supernumerary 1100 tuberculosis of 1101 ... tumours of 1103 in male 1113 margo tympanicus 1205 mastitis 1101 gummatous 1101 mastoid process, caries of 1209 malformation of 1196 periostitis of 1210 tuberculosis of 1211 meat-poisoning 676 meatus, auditory (see auditory meatus) Meckel's diverticulum 640 mediastinum testis 979 melaena neonatorum 630 melanotrichia liugualis 587 membrana flaxida 1195 granulosa 1010 membrane, false 599 membranes, foetal 1084 M^nifere's vertigo 1219 meniscus 1138 menorrhagia 1043 ,,.-.. , , Digitized by refer to the pages) mesentery, lymphangioma of 692 tuberculous 691 mesobronchitis, indurative 790 metritis 1053 metrorrhagia 1045 micrococci, pyogenic 751 micrococcus tetragenus in ear 1207 microphthalmos 1119 microtism 1195 milium of mucous membrane in new- born infants 591 mole, fleshy 1081, 1084 hydatid 1085 morbus Addisonii 974 Brightii 917, 918 Morgagni's cataract 1126 mouth, actinomycosis of 584 adenoma of mucous glands of 590 angiomata of 589 atrophies and degenerations of 587 carcinoma of 589 cystic hygroma of 589 dry 606 erysipelatous inflammation of 580 erythema of 579 gummata of 582 hyperplasia of mucous mem- brane of 687 inflammations of 579 lymphangio-lipoma of 589 lymphangioma of 589 microparasites in 585 mucous membrane of, in scarla- tina 603 suppurative Inflammation of mu- cous membrane of 582 syphilis of 582 syphilitic erythema of 582 teratomata of 589 tuberculosis of 582 tumours of 589 mucor corymbifer in ear 1201 lung 868 septatus in ear 1201 Milller's ducts 1031 mumps 605 mycosis, intestinal 676 myopia 1138 myringitis 1203 villosa 1204 myxoflbroma of mammary gland 1104 spermatic cord 1001 myxoma of auditory nerve 1220 bile-ducts 754 bladder 968 epididymis 992 eye 1188 gall-bladder 754 kidney 954 INDEX OF SUBJECTS XVll ( The numiers myxoma of mammary gland 1104 peritoneum 602 placenta 1085 testis 992 tunica vaginalis 998 urethra 970 vagina 1007 myxomatous goitre 879 myxosarcoma of orbit 1190 nephritis 918 acute, aetiology of 920 disseminated interstitial 929 disseminated suppura- tive 9:!2 haematogenous 920 morbid anatomy of 923 parenchymatous 923,927 catarrhal 923, 927 chronic glomerulo- 934 haemorrhagic 934 interstitial 940 interstitial, aetiology of 941 interstitial, morbid anatomy of 941 parenchymatous 933 parenchymatous, mor- bid anatomy of 934 clinical classification of 918, 919 diffuse exudative 929 glomerulo- 923 purulent 922 nephrolithiasis 915, 959 neuritis, auditory 1220 optic 1180 descending 1180 interstitial 1182 syphilitic 1182 tuberculous 1182 neuroma of optic nerve 1190 neuro-retinitis 1180, 1182 nipple, eczema of 1100 erysipelas of 1100 fissuring of 1100 inflammatory swelling of 1100 Paget's disease of 1114 supernumerary 1100 syphilitic ulcer of 1100 thrush of 1100 ulcer of 1100 noma, 581 nose and its accessory cavities 763 carcinoma of 760 catarrh of 76.'! chondroma of 766 dermoids of 706 erectile tumours of 766 fibroma of 766 glanders of 764 haemorrhage from 763 Digitized by refer to the pages) inflammation of 763 leprosy of 764 malformations of 763 mixed tumours of 766 mucous membrane of, inflamma- tion of 703 mucous membrane of, inflamma- tion of, croupous 764 mucous membrane of, inflamma- tion of, diphtheritic 764 mucous membrane of, inflamma- tion of, phlegmonous 764 osteofibroma of 766 osteoma of 766 polypi of, 765 adenomatous 766 cystic 765 telangiectatic 766 rhinosrleroma of 764 sarcoma of 766 syphilis ot 764 tuberculosis of 764 vegetable parasites of 766 odontinoids 593 odontomata 693 oedema of lung 805 sanguinolent 805 oesophagomalacia 6i3 oesophagus, carcinoma of (il5 connt'L'tive-tissue tumours of 615 deformities of 608 destruction of, by corrosive substances 614 dilatation of 609 diverticula of 609 inflammation of, catarrhal 614 inflammation of, croupous 614 inflammation of, diphthe- ritic 614 inflammation of, phlegmo- nous 614 inflammation of, svphilitic 615 inflammation of, tubercu- lous 615 papillomatous outgrowths of 615 perforation of 613 round ulcers of 613 rupture of 612 stenoses of 608, 609 strictures of 60',l thrush in 616 oidium albicans 585.