A treatise on the functional and structural changes of the liver, in the progress of disease : and on the agency of hepatic derangement in producing other disorders : with numerous cases, exhibiting the invasion, symptoms, progress, and treatment of hepatic disease in India / by W.E.E. Conwell.

  • Conwell, W. E. E. (William Eugène Edward), 1785-1836.
Date:
1835
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the functional and structural changes of the liver, in the progress of disease : and on the agency of hepatic derangement in producing other disorders : with numerous cases, exhibiting the invasion, symptoms, progress, and treatment of hepatic disease in India / by W.E.E. Conwell. 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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    resembles chamois leather, and the lung is so closely com- pressed, and occupies such small space, that at first sight it appeared altogether wanting. A perforation is observed in the diaphragm, at an equal distance, between the tendinous centre and its muscular insertion on the right. Abdomen.—The peritoneal surfaces are pale: one pint of serous fluid is re- moved from the cavity, partly gelatinized into transparent flakes. The liver is of a purple colour, shewing very ex- tensive previous engorgement. A large superficial abscess occupies the convex surface on the right, around which ad- hesions are formed to the diaphragm, and the centre leads to the perforation alluded to. The parenchyma of the gland is dark and carneous, containing few acini. The mucous surface is generally pale, with traces of engorge- ment in parts. Observation.—This case is an additional instance of the evils arising from the delay of active measures on the first invasion of disease. Originally, there was congestion of the portal system, both in its hepatic and intestinal extre- mities. One, two, or three general bleedings; a few appli- cations of leeches; some doses of calomel, and a blister, would have effectually removed the affections which so soon afterwards created those extensive organic alterations, and death. (229.) iEtat. 44.—Tall, ruddy. Prone to irregular ha- bits and excesses. Twenty-eight years in India. Subject to dysentery and hepatic disease; this being his fourth acute attack of the latter.—December 31, 1831. States that these last ten days he could not use his waist-belt, his sash, or button his coat without great pain, soreness, and uneasiness. Oppression at the stomach, with nausea. Pulse small and hard; skin cool and clammy; tongue red at the sides, foul in the centre; bowels loose; dejections frequent, dark, and some blood; urine very dark.—Jan. 2. Mercu-