Volume 1

The principles and practice of medicine / by Rustomjee Naserwanjee Khory.

  • Khory, Rustomjee Naserwanjee.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: The principles and practice of medicine / by Rustomjee Naserwanjee Khory. Source: Wellcome Collection.

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    and spleen. In splenic leucocythsemia tbe spleen is alone enlarged. The aifection is known as lymphatic leucocythsemia, where only the lymphatic glands are affected. Cases of enlargement of both the spleen and lymphatic glands are also met with, and are known as spleno-lymphatic leucocythsemia. Other symptoms depend upon the enlarged spleen, and lymphatic glands pressing on the neigh- bouring parts. Thus the enlarged spleen causes pain and a sense of fulness in the left side under the left false ribs. The enlarged bronchial glands obstruct breathing and may cause death by suffo- cation. The pressure of enlarged glands on venous trunks leads to oedema and dropsy. In such cases haemorrhage from the mucous tracts is common. Anasarca or general dropsy.—This affection is different from a local serous effusion confined to a single cavity. Anasarca is a serous transudation into the meshes of the areolar tissue. It may be due to changes in the blood or to obstruction affecting the entire venous circulation. When due to blood-changes, dropsy is a sym- ptom of anaemia; there is more or less oedema of the face, limbs, and trunk. The swelling pits on pressure and remains for some time after the pressure is removed. In advanced cases the effusion may extend into the serous cavities, and give rise to ascites or hydro- thorax and other similar local dropsy. In a majority of cases, where anasarca exists, it is due to renal disease, and is then called renal dropsy. It may also be due to disease of the heart, and is then distinguished as cardiac dropsy. As a sequel of malarial fevers anasarca also occurs. FycBmia and septiccsmia.—Pysemia is an affection characterised by metastatic abscesses appearing especially in the lungs and liver, and also in other organs. It is supposed to be due to a kind of infectious poisonous agent called bacteria, certain minute vegetable organisms, transported from parts which are the seat of morbid processes. It follows surgical operations or local injuries, and is connected with other morbid processes, as decomposed blood, puerperal state, sup- puration, ulceration, &c. Fycemia.—The symptoms follow injury or supervene upon local diseases. It begins with a chill or rigors, this is followed by fever and sweating, the temperature rising to 104° or 105°. After a few hours the fever disappears. Recurrences of chills followed by fever usually occur. The patient gradually becomes prostrated, and in acute cases dies in two or three weeks. In chronic cases abscesses make their appearance in different parts beneath the skin and internally. The joints also become inflamed and swollen. Septiccemia.—In this affection the poison does not manifest its action by producing metastatic abscesses. As in pysemia there is