LECTURE X. 



MARCH 17, 1858. 

 METASTATIOAL DYSCRA8L/E. 



Pyaemia and phlebitis Thrombosis Puriform softening of thrombi True and false 

 phlebitis Purulent cysts of the heart. 



Embolia Import of prolonged thrombi Pulmonary metastases Crumbling away 

 of the emboli Varying character of the metastases Endocarditis and capillary 

 embolia Latent pyaemia. 



Infectant fluids Diseases of the lymphatic apparatuses and secreting organs 

 Chemical substances in the blood ; salts of silver Arthritis Calcareous metas- 

 tases Diffuse metastatic processes Ichorrhaemia Pyaemia as a collective name. 



Chemical dyscrasiae Malignant tumours, especially cancer Diffusion by means of 

 contagious parenchymatous juices. 



GENTLEMEN, I was interrupted the last time in my 

 description of pyaemia by the termination of the lecture, 

 just as I was about to discuss the nature of the connection 

 between this disease and certain affections of the vessels. 



As soon as it was found necessary to abandon the ori- 

 ginal view, in accordance with which the mass of pus 

 w^hich was believed to be seen in a vein, was considered 

 to have made its way in (been absorbed) through an 

 opening in its walls, or through its yawning extremity, 

 recourse was had to the doctrine of phlebitis, which is 

 still the one most current. It was imagined that the pus 

 which was regarded as the really noxious matter, was 

 furnished as a product of secretion by the wall of the 



