FREE BOOKS

Author's List




PREV.   NEXT  
|<   25   26   27   28   29   30   31   32   33   34   35   36   37   38   39   40   41   42   43   44   45   46   47   48   49  
50   51   52   53   54   55   56   57   58   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   >>   >|  
story of leucocytosis, which after the precedent of Virchow was in general referred to an increased production on the part of the lymphatic glands; and further by the imperfect distinction between leucocytosis and incipient leukaemia, which was drawn almost exclusively from purely numerical estimations. It was only after Ehrlich had introduced the new methods of investigation by means of stained dry preparations, that the histology of the blood received the impulse for its second period. We owe to them the exact distinction between the several kinds of white blood corpuscles, a rational definition of leukaemia, polynuclear leucocytosis, and the knowledge of the appearances of degeneration and regeneration of the red blood corpuscles, and of their degeneration in haemoglobinaemic conditions. The same process, then, has gone on in the microscopy of the blood that we see in other branches of normal and pathological histology: by advances in method, advances in knowledge full of importance result. It is therefore little comprehensible, that an author quite recently should recommend a reversion to the old methods, and emphatically announce that he has managed to make a diagnosis in all cases, with the examination of fresh blood. At the present time, after the most important points have been cleared up by new methods, in the large majority of cases, this is not an astonishing achievement. For any difficult case (for instance the early recognition of malignant lymphoma, certain rare forms of anaemia, etc.) as the experienced know, the dry stained preparation is indispensable. The object of examining the blood, is certainly not to make a rapid diagnosis, but to investigate exactly the individual details of the blood picture. To-day, we can only take the standpoint, that everything that is to be seen in fresh specimens--apart from the quite unimportant rouleaux formation, and the amoeboid movements--can be seen equally well, and indeed much better in a stained preparation; and that there are several important details which are only made visible in the latter, and never in wet preparations. As regards the purely technical side of the question, the examination of stained dry specimens is far more convenient than that of fresh. For it leaves us quite independent of time and place, we can keep the dried blood with few precautions for months at a time, before proceeding to further microscopic treatment; and the examination of the
PREV.   NEXT  
|<   25   26   27   28   29   30   31   32   33   34   35   36   37   38   39   40   41   42   43   44   45   46   47   48   49  
50   51   52   53   54   55   56   57   58   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   >>   >|  



Top keywords:

stained

 

methods

 

examination

 

leucocytosis

 
knowledge
 

histology

 

degeneration

 

important

 

specimens

 

preparations


preparation

 

details

 

advances

 
diagnosis
 
corpuscles
 
purely
 

leukaemia

 

distinction

 

experienced

 

investigate


anaemia

 

examining

 

indispensable

 
object
 

instance

 

recognition

 
difficult
 
treatment
 

achievement

 
microscopic

proceeding
 

malignant

 
precautions
 

months

 
lymphoma
 

picture

 

astonishing

 
visible
 

question

 

equally


convenient

 
standpoint
 

independent

 

technical

 
leaves
 

amoeboid

 

movements

 

formation

 
rouleaux
 

unimportant