Elements of the practice of medicine, by R. Bright and T. Addison

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Page 499 - ... so that this little worm-like body is often detected in the midst of the abscess, with a perforation at its extremity; or by ulceration higher up in its parietes, a considerable portion of it, nearly or entirely separated, is found in a disorganized condition amongst the pus and faeces which fill the abscess.
Page 242 - ... not improbable; but it may be safely affirmed that when inflammation is confined to the chest, however varied may be the tissues involved in the inflammatory process, provided this symptom be present, pneumonia may be confidently pronounced to form a part in nineteen cases out of twenty, and perhaps in a larger proportion. A similar pungent heat of the surface is now and then observed in certain forms of renal dropsy ; more frequently in continued fever, especially in children ; and still more...
Page 162 - A spasm of the extreme arteries, supporting an increased action in the course of them, may therefore be considered as the proximate cause of inflammation ; at least, in all cases not arising from direct stimuli applied ; and even in this case the stimuli may be supposed to produce a spasm of the extreme vessels.
Page 241 - But of all the symptoms of pneumonia, the most constant and conclusive in a diagnostic point of view is a pungent heat of the surface...
Page 237 - ... of it permanently remains. Under these circumstances, we find it, at an after-period, either in small, detached, and more or less rounded masses, or more extensively and more irregularly diffused through the pulmonary tissue. When distributed in small insulated portions, I believe it to constitute one of the forms of albuminous deposit, indiscriminately called tubercles; whereas, when more extensively and irregularly diffused, it has, in like manner, been regarded as a form of tubercular infiltration....
Page 499 - ... suddenly seized with a more severe pain, attended with rigors, chills and sometimes with sickness and violent vomiting. The pain and tenderness become excessive, and extend to the neighbouring parts of the abdomen. A hardness and tumefaction are soon very evident to the hand in the part first affected. This continuing, general symptoms of peritonitis often take place, and terminate fatally, but under careful treatment, the inflammation remains circumscribed, and becomes less extensive, assuming...
Page 500 - Morbid appearances. From numerous dissections it is proved that the faecal abscess thus formed in the right iliac region arises, in a large majority of cases, from disease set up in the appendix caeci. It is found that this organ is very subject to inflammation, to ulceration, and even to gangrene; and moreover, that it is occasionally thickened and ulcerated from tubercular deposits...
Page 503 - We must always hold in mind that, though our first object must be so to allay the inflammation as to prevent the formation of an abscess, yet much more frequently we shall be called upon to prevent an ulceration and abscess, which are inevitable, from doing essential and extensive mischief.
Page 237 - ... the lung, in consequence of the presence of a considerable number of air-bubbles. It would also appear, that the further changes consist in the absorption of the effused fluids, a gradual increase of the tenacity of the pulmonary tissue, and a more or less complete restoration of the normal state. In some instances, however, when the albuminous matter thrown out is of the more plastic or organizable kind, it fails to be entirely absorbed, and part of it permanently remains. Under these circumstances,...
Page 242 - The presence of this symptom has scarcely ever yet -7deceived me, even in the most complicated forms of inflammation within the chest. I by no means contend that it is necessarily present at some period of every case, although I do not know to the contrary ; but I feel justified in affirming, that when inflammation is confined to the chest, however varied may be the tissues involved in the inflammatory process, provided this symptom be present, pneumonia may be confidently pronounced to form a part,...

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