Medical and Surgical Reporter Volume 45

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Medical and Surgical Reporter Volume 45

Medical and Surgical Reporter Volume 45. Harold Havelock Kynett

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Author: Harold Havelock Kynett
Page Count: 672 pages
Published Date: 01 Mar 2012
Publisher: Rarebooksclub.com
Publication Country: Miami Fl, United States
Language: English
ISBN: 9781130475173
File size: 13 Mb
Download Link: Medical and Surgical Reporter Volume 45
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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. 1881 Excerpt: ...was permanent. In connection with this well marked sign, there is another which, with the pain in the right hypochondrium, of which I have spoken, early attracts the patient's attention. This is an enlargement at the upper part of the abdomen, which prevents the patient from buttoning his garments as usual. And, in effect, there exists there a veritable tumor, and when the abdomen is examined by palpation, a notable resistance is found in the right hypochondrium, which indicates that the liver is augmented in volume. In order to well appreciate this enlargement of the liver by percussion, it is well to commence above and proceed downward, beginning directly beneath the axilla, so as to determine the extent of transversal dullness. Not only the liver is augmented in volume; it is found also that the spleen has undergone considerable enlargement, much more marked than in the atrophic form of the disease; at the same time there is considerable pain on pressure overthe organ. In certain cases this splenic enlargemen is so marked that it is impossible to determine, by percussion, where the dullness due to the spleen ends and that to the liver commences, in the epigastric region. But in the course of the disease the patient frequently suffers from inleme pain over these organs, and also frequently over othr portions of the abdomen. These painful symptoms are explained by the pathological anaomy which demonstrates the existence of localized inflammation, either of the peritoneum covering the liver or spleen, or even of that portion of the serous membrane which is spread like a veil before the intestines. It was this chronic inflammation of the peritoneum which induced the vague pains in the side of the abdou.en complained of by the patient of whom I have recent y ...

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