Civil War Washington

Case from the case-book of the SATTERLEE HOSPITAL, West Philadelphia, Pennsylvania, Surgeon Isaac I. Hayes, U. S. V., in charge. Autopsy made by Dr. Joseph Leidy, Professor of Anatomy in the University of Pennsylvania. At the time of the organization of this hospital a number of the leading teachers and medical practitioners of Philadelphia volunteered their services as ward physicians, and accordingly received contracts as acting assistant surgeons. To Dr. Leidy was assigned the task of conducting the autopsies, and a report of the results was forwarded by him, at the time, to the Surgeon General. This report was accompanied by a number of valuable pathological specimens, which have been preserved in the Army Medical Museum. . . . [Many] patients were sent to Satterlee hospital from the Army of the Potomac . . . and had contracted their disease . . . during the ill-fated Peninsular campaign.

CASE 168.—Private Richard Goggin, company E, 22d Massachusetts volunteers; age 25; English; admitted December 18, 1862, from Harewood hospital, Washington, D. C. Phthisis pulmonalis. Died, December 31st. [This man is recorded in the register of Harewood hospital, admitted November 19, 1862—bronchial catarrh—transferred to Philadelphia December 17th.] Autopsy: Body not much emaciated; skin waxen; no spots of purpura. Recent pleurisy, with pseudomembranous attachment throughout, on both sides. Extensive tubercular deposit of recent origin throughout both lungs, besides a few old tubercles, together with several small cavities the size of filberts, at the apices of the lungs. Bronchitis; enlargement of the bronchial glands. Heart soft and flabby, and easily lacerable; its cavities distended with currant-jelly-like clots. Liver soft, but otherwise apparently normal. Spleen of medium size, with condensation and blackening of portions of its structure, as evidences of former inflammation. Stomach, pancreas, and kidneys normal. Lymphatic glands of the abdomen generally somewhat enlarged through an increase of the corpuscular element. Tuberculous deposit, accompanied with ulcers, in the lowest agminated glands. Most extensive ulceration of the mucous membrane of the cæcum. A few small tubercles here and there in the walls of the much-contracted colon. Ecchymosed spots here and there in the ileum, and small irregular patches at the ascending and terminal portions of the large intestine.—Acting Assistant Surgeon Joseph Leidy. [No. 86, Medical Section, Army Medical Museum, is from this case. The specimen consists of the lower extremity of the ileum and part of the cæcum. A large Peyer's patch just above the ileocæcal valve, and several of the solitary follicles of the ileum are ulcerated. In the cæcum there are a number of irregular excavating ulcers, with thickened overhanging edges.]