A Manual of Midwifery for Students and Practitioners

A Manual of Midwifery for Students and Practitioners

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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. 1910 edition. Excerpt: ...or bacterial in origin--which destroys the liver cells; secondly, as the result of embolic infarction of the liver, the emboli coming from the placenta, and being formed of foetal ectoblast--i.., of the syncytium and Langhans' layer--or thrombosis from the action of some coagulation-producing ferment on the blood; and, thirdly, as the result of the rupture of small bloodvessels during an eclamptic fit. From their resemblance to infarcts as ordinarily met with, it is probable that these areas are thrombotic in origin. No quite similar lesions have been seen in other conditions than eclampsia, while in it they seem to be constantly present. Similar areas are sometimes found in the spleen, kidney, pancreas, brain, and lungs. The Kidneys.--In from 90 to 95 per cent. of cases the kidneys are affected, most commonly by the condition known as pregnancy kidney. In some cases there is merely cloudy swelling of the epithelium of the convoluted tubes, in others more marked degeneration, sometimes amounting to actual necrosis. Much more rarely the lesions ' Lesions du foie dans l'eclampsie avec ictire, ' Nouv. Arch. d'Obslit. el de Gyn., 1889, iv. 312-367 t ' Fettemboli und Metastase von Leberzellen bei Eklampsie, ' etc., Berliner Klin. Wochenschr., 1886, 519. of true chronic nephritis are found associated with eclampsia, and in a very small proportion of cases the renal changes can be attributed to the effects of obstructive suppression of the urine, due to pressure on the ureters (Halbertsma). Similar areas of necrosis may be found in the kidneys as are found in the liver, and are to be attributed to like causes. The Brain.--The brain is sometimes hyperaemic, sometimes anaemic. There is often oedema, leading to consequent flattening of the...show more

Product details

  • Paperback | 448 pages
  • 189 x 246 x 23mm | 794g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236939808
  • 9781236939807