A Clinical Treatise on Diseases of the Liver. V. 1 1860 Volume 1
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1860 edition. Excerpt: ...in the sequel the carcinomatous nature of this hardness. In December, 1850, Mrs. Sch. was in the fifth month of pregnancy, and had complained of nothing save the usual symptoms incident to that condition. In consequence of an unforseen excitement, the patient was seized on rising from stool with severe pains in the muscles of the lumbar region of the spine, and was obliged to keep her bed. Although this local suffering was unimportant, still it was the commencement of a series of complaints which gradually exhausted this delicate lady, and ultimately led to a disease which terminated fatally. Fourteen days elapsed before the pains, winch at the first were accompanied by smart fever, disappeared under local abstraction of blood, and rest in bed, &c. The patient remained for some days well, when on rising from stool, the pain suddenly returned at the same place, and with the same degree of violence. This time the fever was more acute, and the skin very active; the tongue was for a long time thickly coated, and there were at the same time nausea and complete anorexia. Fourteen days passed before the patient was freed from her sufferings. A second relapse, which made its appearance in the same way as the first, confined the patient to bed for a third time. Meanwhile she became emaciated; a bed-sore formed over the sacrum, which at first took a favourable course, but was very slow in healing. The patient had begun to recover, when suddenly an important change in her condition took place. In the first place, pains were complained of in the epigastric region, and in both hypochondria, which were increased by slight pressure; the hepatic region was particularly tender. Percussion indicated a considerable diminution in the hepatic dulness, which was...
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