A Clinical Treatise on Diseases of the Liver, Volume 2

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William Wood, 1879 - Biliary tract
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Page 55 - RESEARCHES INTO THE CAUSES, NATURE, and TREATMENT of the more prevalent DISEASES of INDIA, and of WARM CLIMATES generally.
Page 140 - Again, Dr. Hammond states that Frerichs, Andral, Catteloup and others have not unfrequently met with cases "where local examination furnishes no data whatever for proving a diagnosis ; when neither the size nor the form of the gland is altered, and where there is no increase of tenderness." Doubtless this is the experience of many who have seen much of this disease, but it by no means follows that in such cases there are "no symptoms whatever.
Page 12 - ... attributing the cerebral symptoms to the occlusion of the capillaries with pigment. I cannot give my unconditional support to this view, however plausible it may at first sight appear, because a close analysis of the observations, and a careful comparison of the anatomical lesions with the symptoms present during life, render the connection between the two, as cause and effect, in many cases, at least, doubtful. Extensive interruptions to the circulation, with capillary apoplexies of the cortical...
Page 38 - ... mild saline purgatives, the action of which may be kept up for a longer period by infusion of rhubarb; at the same time, we may apply cupping-glasses over the hepatic region, and leeches to the anus. Where the obstruction to the circulation is not of too threatening a character, we may often succeed in procuring permanent relief by the careful employment of the Ragoczy Spring of Kissingen, or of the Mill Springs of Karlsbad. I have...
Page 30 - ... earnestly urge the importance of investigating those chemical changes in the blood which must accompany the morphological alterations, and whose products, not to be discovered by the microscope, must yet have an important connection with the phenomena of this disease.* Diagnosis. — Frerichs says,f "A perfectly accurate diagnosis can only be made by direct examination of the blood ; a few drops carefully collected, so as to avoid contamination with any foreign matter, are sufficient to determine...
Page 10 - ... into the portal vein. The effects upon the system of this degeneration are mainly due to the destruction of blood-corpuscles with which it is associated, and tending to a condition like that of chlorosis. The bile is usually secreted in large quantity. There is extensive capillary stagnation, which gives rise to obstruction of the circulation of the blood in the roots of the portal veins — and exhausting haemorrhages of an intermittent kind are apt to occur from the gastro-intestinal mucous...
Page 10 - The mechanical interruption to the circulation which is produced in this way, not unfrequently gives rise to rupture of the small vessels, and the formation of numerous capillary apoplexies. Meckel long ago made observations of this nature; Planer described eight cases in which small extravasations were scattered through the gray and white substance of the brain. These numerous ha'morrhages have not come under my own observation; but in two cases I have observed extravasation into the meninges.
Page 69 - Worten: hepar totum candidum et multis tuberculis asperum, tota anterior jecoris pars et universa sinistra sedes instar lapidis indurata.
Page 159 - Galen, medical men formerly believed that syphilitic ulcers were the result of a corruption of the humors, the origin of which was to be looked for in the liver, which had become diseased from the action of a volatile contagious principle.
Page 10 - ... an unpractised eye, and can only be distinguished with the assistance of the microscope. In addition to the above, it is not at all uncommon for the vessels to become obstructed by a colorless fibrinous-like coagulum, which of course does not affect the shade of color. The mechanical interruption to the circulation which is produced in this way, not unfrequently gives rise to rupture of the small vessels, and the formation of numerous capillary apoplexies. Meckel long ago made...

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