In the interior organs there are indications of a compensating accumulation of blood, such as swelling of the spleen, engorgement (very rarely rupture) of the heart, with a feeling of oppression in the chest, and a copious flow of clear and watery urine from the congested kidneys.
This is due to intense engorgement of the vessels brought about through these minute existing collateral channels and results in a peripheral congested zone round the infarct.
There is general engorgement and oedema of the lungs, with pneumonic patches varying in size and irregularly distributed.
They are enlarged to the size of an almond, rounded, firm and pink; there is some engorgement and oedema on section; the substance is rather soft, and can be scraped off with a knife.
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