A Practical Treatise on Various Diseases of the Abdominal Viscera
by Christopher Robert Pemberton (9781459015555)

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: CHAPTER It. The Liver. THE Liver, amongst other diseases, i subject to two kinds of inflammation?the acute and chronic. The acute commences with rigors, shiverings, and an accelerated pulse: often with a pungent pain in the right side, which is felt also under the margin of the ribs, shooting to the back and shoulder blade. The pain is permanent, unattended by nausea: the respiration is usually quickened, and there is thirst, with a white dry tongue. Jaundice may or may not take place, as the membrane covering the concave surface of the Liver and gall-ducts, is or is not inflamed: and therefore jaundice cannot be considered as a necessary consequence of this complaint The tendency in the Liver to run into suppur'- ation is certainly not so great in this country as in warmer climates; for here, I think, abscess of the Liver must be reckoned an uncommon occurrence. It would appear as if the membrane of the Liver, in this country, was more prone to acute inflammation, and the substance of the liver to chron;. I have omitted Cough from amongst the first symptoms of this disease, because I never knew it take place till after the pain had seized the patient at least forty-eight hours. It is right, however, to state, that after this period, it is a very common, and almost constant symptom. The Cough is sometimes loose, and sometimes dry: when it arises from the general inflammatory diathesis, producing an increased se- j 't cretion from the mucous membrane of the lungs, it is loose; but when it arises from the inflamed membrane of the convex surface of the Liver irritating the diaphragm, it is dry. When it is loose, and the expectoration abundant, it may be of considerable advantage to the patient, by diminishing the general inflammatory diathesis, so as materially t...

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