Volume 1

A clinical treatise on diseases of the liver / by Fried. Theod. Frerichs ; translated by Charles Murchison.

  • Frerichs, Friedrich Theodor, 1819-1885.
Date:
1860-1861
Catalogue details

Licence: Public Domain Mark

Credit: A clinical treatise on diseases of the liver / by Fried. Theod. Frerichs ; translated by Charles Murchison. Source: Wellcome Collection.

    196/440 (page 164)
    pigment deposited in the form of rods, grouped together in drusic masses. The urine had a specific gravity of 1012, presented distinctly the reaction of the brown matter of bile, and contained small quantities of leucine. Observation No, X. Acute Articular Rheumatism.—Endocarditis.—Repeated Rigors.— Painful enlargement of the Spleen.—Jaundice.—Albuminuria and Hcematuria.—Petechice.—Convulsions.—Coma, and Death. Recent deposits upon the Mitral Valve.—Splenic Infarctions—Plahby anaemic liver.—Hcchymoses upon the mucous membrane of the In- testines, Rronchi, 8fc, Rosina Peter, aged 24, a servant-maid, who had already been under treatment in the Hospital for incompetence of the mitral valves, was admitted on the 13th of November, 1856, with sym- ptoms of febrile articular rheumatism. The disease had existed for eight days. The left knee and elbow were swollen and painful. Pulse 108; a loud systolic bruit, heard loudest below the nipple. The urine turbid, loaded with urates, but free from albumen; Profuse sweating. Was ordered Colchicum and phosphate of soda. About the 20th, the articular affection and the fever disap- peared. On the 22nd, at 4 in the morning, and again at 6 in the evening, there was a severe rigor, which lasted an hour, and was accom- panied with great frequency of the pulse, and followed by heat and sweating. The joints remained unaffected; and there was no local pain. On the morning of the 30th, there was a fresh rigor j the spleen was enlarged, and had become painful. On the 2nd of December, at 6 in the evening, and on the 3rd, at 5 in the morning, there were fresh rigors; the spleen extended beyond the margin of the ribs ; there was no local affection; the cardiac bruit stronger than when formerly examined. On the 7th, great distress and uneasiness; splenic and hepatic region very painful. On the 8th, 10th, 11th, 12th, 13th, 14th, and 16th, there were violent rigors; after this there were no real shiverings, but the