A Treatise on the principles and practice of medicine

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Lea, 1866 - 867 páginas

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Página 666 - ... the two most ready solutions appear to be, either that the altered quality of the blood affords irregular and unwonted stimulus to the organ immediately; or, that it so affects the minute and capillary circulation, as to render greater action necessary to force the blood through the distant sub-divisions of the vascular system.
Página 390 - ... varying in size from that of a small pea to that of a moderate grape, of sufficient consistence to bear being cut with a knife like soft wax.1 DIARRHCEA.
Página 327 - ... followed by anodyne remedies and regulation of the ingesta. • ACUTE GASTRITIS. A remarkable change has taken place within the last quarter of a century in the opinions of physicians respecting the occurrence of acute inflammation of the stomach. It was formerly supposed to occur frequently. According to Broussais, whose doctrines, for a time, were accepted by many, inflammation of the mucous membrane of the stomach and small intestine (gastroenteritis), constituted the disease in all the essential...
Página 685 - ... is probably perceived about the ankles. The debility becomes extreme ; the patient can no longer rise from his bed ; the mind occasionally wanders ; he falls into a prostrate and half-torpid state, and at length expires.
Página 685 - For a long period I had from time to time met with a very remarkable form of general anemia occurring without any discoverable cause whatever — cases in which there had been no previous loss of blood, no exhausting diarrhea, no chlorosis, no purpura, no renal splenic miasmatic, glandular, strumous, or malignant disease.
Página 84 - However produced, the occurrence of purulent collections in different situations is characteristic of pyœmia, as determined by clinical observation, so that these collections constitute evidence of the existence of a purulent infection of the blood. Frequently collections are found in different organs, and numerous collections in the same organ. They vary in size from that of a pin's head to a walnut. They may be circumscribed, constituting, in fact, abscesses, or the pus may be infiltrated. The...
Página 685 - ... or less manifestation of the symptoms already enumerated, we discover a most remarkable, and, so far as I know, characteristic discoloration taking place in the skin, — sufficiently marked indeed as generally to have attracted the attention of the patient himself, or of the patient's friends.
Página 685 - ... palpitate ; the whole surface of the body presents a blanched, smooth, and waxy appearance ; the lips, gums, and tongue seem bloodless ; the flabbiness of the solids increases ; the appetite fails ; extreme languor and faintness supervene, breathlessness and...
Página 685 - It makes its approach in so slow and insidious a manner that the patient can hardly fix a date to his earliest feeling of that langour which is shortly to become so extreme. The countenance gets pale, the whites of the eyes become pearly, the general frame flabby rather than wasted; the pulse, perhaps, large, but remarkably soft and compressible, and occasionally with a slight jerk, especially under...
Página 59 - ... constituents of the liquor sanguinis, on which the production of red globules is dependent. The causes are not always apparent. Anaemia is apt to occur in females at or near the age of puberty, when there has been no loss of blood, no deficiency in alimentary supplies, and no unusual expenditure of bloodplasma.

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