Clinical lectures on subjects connected with medicine, surgery, and obstetrics / by various German authors ; selected, by permission, from the series published by Professor Richard Volkmann.

  • New Sydenham Society.
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on subjects connected with medicine, surgery, and obstetrics / by various German authors ; selected, by permission, from the series published by Professor Richard Volkmann. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    ACUTE SPLENIC TUMOUR AND ITS RELATIONSHIP TO THE ACUTE INFECTIOUS DISEASES, BY PROF. DR. N. FRIEDREICH, OF HEIDELBERG. -4 Lecture delivered before the Medical Society of Heidelberg, 12th November, 1873. That the spleen is liable to alterations, capable of deinonstra- lion, in a far greater number of cases than has been hitherto supposed, is a fact which would speedily become recognised if particular attention were to be paid to the condition of this organ in acute disease, and if its clinical examination were con- ducted as carefully as that of the lungs, heart, liver, bladder, and other organs. I do not now intend to allude to those recent swellings of the spleen which frequently become developed during the course of various acute primary inflammations of internal organs, as, for example, in pneumonia, pleuritis, &c, and which, as a rule, exhibit only a slight degree of hyperplastic turgescence. Swell- ings of this kind certainly excite attention on post-mortem ■examination, but are very rarely discovered at the bedside, on account of the acknowledged difficulty of clinically demonstrat- ing the existence of such trifling enlargements. These instances, however, are sufficient to prove that in the spleen we have to do with an organ composed of elements endued with a particularly high degree of irritability, and one which is prone to react very rapidly when excited, either by simple hyperajmia, fluxion, or the increased temperature of the blood in febrile affections, the ■result of such reaction being hyperplasia of the splenic pulp. B