Giving it a red and swollen appearance

Giving it a red and swollen appearance

Giving it a red and swollen appearance

Pathology. Pericarditis may at all times be regarded as a very serious affection. At first we will find an intense injection or accumulation of blood in the vessels of the pericardium, giving it a red and swollen appearance, during which we have the friction sound. In 24 to 48 hours this engorgement is followed by an exudation of sero-fibrinous fluid, the fibrinous portion of which may soon form a coating over the internal surface of the pericardial sac, and may ultimately form a union of the opposing surfaces. Generally this adhesion will only be found to occupy a portion of the surfaces. As the serous or watery portion of this effusion is absorbed, the distinctness of the friction sound recurs, and may remain perceptible in a varied degree for a long time. When the serous effusion is very great, the pressure exerted upon the heart weakens its action, and may produce death soon; when it is not so great, it may cause dropsies of other portions of the body. When the adhesions of the pericardial sac to the body of the heart are extensive, they generally lead to increased growth, or hypertrophy, of the heart, with or without dilatation of its cavities; when they are but slight, they may not cause any inconvenience.