A practical treatise on the diseases of the liver and biliary passages / by William Thomson.

  • Thomson, William, 1802-1852.
Date:
1841
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on the diseases of the liver and biliary passages / by William Thomson. Source: Wellcome Collection.

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

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    of the disease, terminated in coma and death. An examination of the body was not permitted; but, from the absence of uneasi- ness in the region of the liver, and the peculiar lividnessorgi-een- ish tint which prevailed, Mr Burnet professed himself mclmed to consider this to be one of those cases of jaundice, m which the bHe is not eliminated from the blood, as contrasted with those more ordinaryforms of icterus in which it is freely secreted, and subsequently re-absorbed; or, at least, that the non-elimina- tion was the more serious part of the case, as it is always the most serious form of jaundice; and he put it to the consideration of the Society, whether death, in these instances, might not, in some measure, resemble apoplexy^ in that the coma and oppres- sion of the sensorium might be accounted for by supposing that the blood, vitiated by the admixture of bile or the non-separation of its elements, would be as unfit to excite the bram to the due performance of its functions, as the circulation of venous blood there, is in apoplexy. (Lond. Med. Gazette, v 631.) 427 In the 4th volume of the Dublin Medical Joui-nal (Janu- axY 1834), Dr Griffin mentions that the question, On what mor- Z state the occurrence of coma and sudden ^^J^ depends ^ had been very forcibly impressed -P-^^ ~ by the occui-rence of four cases of jaundice, under ^^^o^^J^^^ Jtion, in one family, and within a few weeks of---^^^^^^ which though unattended with anyunusual or remaikable symp 428. An endeavor hasbeen made. ^^T' D> ^^J^ to draw some distinction ^'^^.^^^^^ ^^et wch it the bile is not eliminated by f ~^„*lXti» ex- has been secveted and mature than ists, and that the former are of a j^^is the latter, inasmuch as they necessai-dy include e>