Essentials of the principles and practice of medicine : a handbook for students and practitioners / by Henry Hartshorne.

  • Hartshorne, Henry, 1823-1897.
Date:
1869
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Licence: Public Domain Mark

Credit: Essentials of the principles and practice of medicine : a handbook for students and practitioners / by Henry Hartshorne. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    a term preferred by Dr. A. riint, Jr., who asserts cholesterin to be the excretory ingredient of bile. Jaundice is well known to be of two origins : 1, obstruction of the bihary ducts, with reabsorption of bile into the blood ; 2, suppression of the secretion of the liver. (A third is possible,— perhaps present in the jaundice of infancy; viz., excessive formation of yellow pigment in the blood, and its deposit in the skin, etc., without disorder of the liver.) In jaundice from obstruction and reabsorption, the symptoms are milder and the state less dangerous than in that from sup- pression of the action of the liver. Severe, and even fatal dis- ease of the liver may occur, however, without jaundice. Dr. Harley has shown that the diagnosis between these two forms of jaundice may be made, on analysis of the urine, by finding the coloring mtitter of the bile always in the urine in hothj but the biliary acids only in the obstructive form. Slight and transient cholsemia is, no doubt, common. Al- though the term ''biliousness is much abused, it is not always quite a misnomer. As signs of the condition mentioned, we find nausea, bitter taste in the mouth, constipation and dizziness, with yellowness of the tongue, conjunctiva, and skin. ANEMIA. Anaemia [spanmmia^ hydrcemia) is the common term indicating poverty of the blood. The density of that liquid is diminished, and there is a deficiency in the number of the red corpuscles. Exhausting hemorrhages or discharges, severe attacks or long continuance of disease, insufficiency of food, etc., may cause this condition. It is shown by paleness (sometimes with occasional flushes) of the face, even of the lips, and tongue, as well as of the hands ; debility; feebleness and excitability of the pulse ; frequently, palpitation of the heart, and a bellows murmur^ audible especially near the base of the heart, to be carefully distinguished from valvular murmurs of organic disease. Nervousness^ and neural- gic pains, are also very common in the anaemic. Chlorosis, although by some separated from anaemia, is gen- erally regarded as a variety of it, occurring in young females. The name is given on account of the peculiar sallowness of the complexion. Perverted appetite^ as for charcoal, slate-pencils, etc., is one of its occasional symptoms. Plethora involves an excess in the density of the blood, and in the number of its red corpuscles ; the opposite to anaemia. It is shown by a high color, distension of the bloodvessels, a full, strong, but rather slow pulse, and general roundness of the figure. It may exist without actual deviation from health ; but the plethoric are especially liable to acute inflammations, active congelations, and hemorrhages.