A Synopsis of Medicine (Paperback)

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. 1922 edition. Excerpt: ... regarded as areas of liver regeneration . Either: (a) Surviving liver cells proliferate, and form new bile-ducts; or (b) Interlobular bile-ducts proliferate, and produce liver cells ., Acute Yellow Atrophy, continued. Symptoms_--Two stages: --I. FIRST STAGE.--Gradual onset: resembling acute catarrhal jaundice, but vomiting frequent. Duration five days or longer. 2. SECOND STAGE.--Rapid development of severer, and nervous symptoms. Headache, muscular twitching, convulsions or delirium passing to coma and death. Vomiting intractable. jaundice usually deepens. Abortion if pregnant. Peieehiee and ha: morrhages common: skin, mucous membranes, retina: especially. Cholaemia develops with typhoidal state, rapid pulse, dry tongue, etc. Duration two to seven days. Temperature variable: high before death. LIVER DULLNESS.---Diminishes progressively: even entirely obliterated if liver falls back and distended intestines pass in front. URINE.--Am0unt diminished. Bile present. Albumin and casts: ' usually large quantities. Sugar absent. Exerelion of iiiirogen as in acidosis: (I) Total nitrogen diminished; (2) Percentage of urea low; (3) Percentage of ammonia-nitrogen very high, 20 to 50 per cent; (4) Amino-acids in excess. Leucine and tyrosme usually present, occasionally form precipitate, but may be absent 2 and presence is not diagnostic of acute yellow atrophy, occurrmg occasionally in various acidoses. CONSTIPATION.--Severe. Stools often dai-kened with blood, and offensive. BLOOD.--Serum bile-stained. Coagulation delayed. Very fluid. Diagnosis.----Essential symptoms are I (I) Jaundice; (2) Vomiting; (3) Nervous symptoms; (4) Small liver; (5) Urinary changes. PHOSPHORUS POISONING.--Distinguished...