A Handbook of the Theory and Practice of Medicine Volume 2

A Handbook of the Theory and Practice of Medicine Volume 2

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1877 edition. Excerpt: ...requisite to puncture the cyst, and allow the fluid to escape, leaving an external fistula. CHAPTER XXXIV. DISEASES OF THE SPLEEN. CLINICAL CHARACTERS. 1. The spleen is often diseased without giving rise to any local morbid sensations. When it becomes much enlarged, it may cause a sense of fulness and tension, which is chiefly felt about the left hypochondrium. Occasionally more or less pain and tenderness are complained of. 2. A most important indication of splenic disease is derived from the constitutional condition. In prolonged cases a state known as szlinic cgzc/_z_ex_z, 'a is induced. This is characterized by extreme 3_._1___ Il1i3., the mucous membranes being p_ale and bloodless, andifthe face presenting a waxy, or sometimes an eaithy, sallow aspect; great d _l_ility; wn_. t_ing, but not usually rapid; a sense of prostration and du_l_r_1_ess; shortpess of breath on any exertion, with hurried breathing, chiefly due /'to the anaemia; tendency to haemorrhages, especially in the form of epistaxis, bleeding from the gums, and petechiae under the skin, -and oedema of "the legs and eyelids, or even general dropsy. 3. Symptoms may arise from pressure of an enlarged spleen on surrounding parts, especially on the diaphragm, dyspnoea being thus increased, or even pulmonary congestion and catarrh induced. Vomiting may also be excited by pressure on the stomach. 4. The chief aid in the diagnosis of morbid conditions of the spleen is derived from physical examination. The characters of sjfilenie enlarge the margin of the thorax on that side. In its growth an enlarged spleen tends towards the fggnt of the abdomen, as well as downwards and to the right, so that ultimately it extends 'into other regions and comes...show more

Product details

  • Paperback | 232 pages
  • 189 x 246 x 12mm | 422g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 123696912X
  • 9781236969125