A Clinical Treatise on Diseases of the Liver, Volume 1

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William Wood, 1879 - Biliary tract
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Page 32 - From its daily occurrence, the so-called tight-lace liver (Schniirleber) has an importance in diagnosis greater than is otherwise its due. According to the changes in the fashion of dress, tight-lacing in producing a thin waist, affects sometimes a higher and sometimes a lower part of the thorax, and more rarely the hypochondrium beneath the ribs. Of all the organs, the liver suffers the most from this pressure ; not only is its form altered, but in most cases, if we examine it at a late period,...
Page 114 - to all appearance the jaundice is here the result of an impaired consumption of bile in the blood, arising from an abnormal condition of the metamorphic processes which go on in that fluid.
Page 134 - Frank), to catarrh of the duodenum and of the bile ducts, to spasm of the ducts, polycholia, &c.; but in most of the cases, the supposition of the existence of such exciting causes is justified as little by the symptoms during life, as by the post-mortem appearances. The mode of production of icterus neonatorum in ordinary cases, must be sought for in the diminished tension of the capillaries in the hepatic tissue, which takes place upon the stoppage of the influx of blood from the umbilical vein,...
Page 71 - According to Frerichs,* this reaction may fail in cases where the other symptoms of jaundice are undoubted, owing to the bile-pigment having already passed through stages of transformation. When this is the case, the urine is at one time of a brown or brownish-red color, and becomes red on the addition of nitric acid ; at another time it is of a deep red, which is converted by nitric acid into a dark bluish-red.
Page xi - ... that on the ducts is greatest The biliary acids which thus enter the blood, or which are re-absorbed from the intestines, are supposed to undergo certain changes from oxydation, and may thus account for the large quantity of taurine which has been found in the healthy lung, and for the pigments which are naturally voided in the urine. When, however, anything interferes with these normal metamorphoses in the blood, as when this fluid becomes contaminated by the purulent infection, or by any other...
Page 2 - It was reserved for the experimental physiology of the present century to extend the boundaries of our knowledge in this matter, and to reproduce in a more novel and exact form opinions which, for a long period, had appeared buried in oblivion. The first step in this direction was made by Magendie and Tiedemann...
Page 160 - ... in the liver, and to point out the connection in which it stands to the concomitant symptoms. Acute atrophy of the liver belongs to those obscure processes, as to the nature of which various opinions may be advanced, without its being possible for any one of them to obtain a general acknowledgment. The fact of the disappearance in a few days of one-half or one-third part of the original volume of a large gland abounding in blood, without any alteration in the blood-vessels leading to it, has...
Page 85 - ... resulting from the stoppage to the normal flow of the bile ; such results as general anaemia, dropsy, cholaemia, etc. The deranged functions of the bowels which manifest themselves chiefly in the form of obstinate constipation and flatulence, may be considerably relieved by restricting the patient to easily-digested lean meat and vegetable food, and by avoiding all fatty articles, or such as have a tendency to create flatulence ; and by the administration of Alumina, Lycopodium, Leptandra, Nux...
Page 58 - Lehmann, these acids are formed by the " conjugation" of cholic acid with Glycine (gelatine-sugar) and Taurine respectively ; and they are united in the bile with soda as a base.
Page 88 - ... Marienbad, Kissengen, Homburg, Vals, Vichy, Ems, Cheltenham, or Llandrinrod in Radnorshire. Independently of the effects of the water itself, which, when taken in large quantity, finds its way through the walls of the portal vein and gives rise to an abundant secretion of thin bile — these mineral waters are chiefly indebted for their action to the soda and neutral salts which they contain. They are with difficulty replaced by any other remedies, in cases where the Jaundice owes its origin...

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