Practice Of Medicine; A Manual For Students And Practitioners

Paperback | May 9, 2012

byEdwin T. Doubleday

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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. 1892 Excerpt: ...the ducts with subsequent jaundice. What are the symptoms? Occasionally the calculi, whether in the liver or gall-bladder, are propelled into the common duct to be voided into the intestines. The passage of the larger calculi gives rise to marked symptoms. There is a sudden attack of sharp pain of a cutting nature, which follows the line of the common duct and may radiate over the rest of the abdomen and toward the right shoulder. This pain is not preceded by premonitory symptoms, but often follows a hearty dinner. The pain is paroxysmal; the abdominal muscles are tense; the pulse is small, quick, and hard; the skin cold; there are nausea and vomiting, and rarely severe chill or even convulsions. The attacks may last from a few hours to a few days. The pain gradually subsides as the calculi slip into the intestine. These attacks are sometimes followed by jaundice. The attacks may not come on for years or may be frequently repeated. Should a calculus become permanently lodged in the ducts, the sharp pain lasts for several days, and is followed by a dull, constant pain, while the occlusion may give rise to jaundice or dropsy of the gall-bladder. If a calculus causes ulceration, we have symptoms analogous to ulceration of the vermiform appendix. In these cases at first there may be no symptoms, but when the peritoneum becomes affected there are symptoms of local peritonitis, and should there be perforation of the wall of the duct, these are followed by symptoms or general peritonitis, caused by the escape of bile or calculi into the abdominal cavity. Rarely perforation takes place externally or into the duodenum. Intestinal obstruction may be caused by the impaction of large calculi in the intestines. What is the diagnosis? This affection must be differentiate...

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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. 1892 Excerpt: ...the ducts with subsequent jaundice. What are the symptoms? Occasionally the calculi, whether in the liver or gall-bladder, are p...

Format:PaperbackDimensions:90 pages, 9.69 × 7.44 × 0.19 inPublished:May 9, 2012Publisher:General Books LLCLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0217788521

ISBN - 13:9780217788526

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