. A practical treatise on medical diagnosis for students and physicians . Gallstones in common duct. Enlarged glands which cause jaundice. Obstruction of the Common Duct by Gallstones, (a) In additionto jaundice paroxysms of chill, fever, and sweat occur, with catarrhalinflammation of the biliary passages. (1) The paroxysms resemble inter-mittent fever; (2) the jaundice may continue for years and deepen aftereach paroxysm ; (3) hepatic colic may occur with the paroxysm ; (4) thehealth fails but slightly. The paroxysms may occur daily or only once a EXLARG£:MEyT OF THE GALL-BLADDER. 1101 Avcok,
. A practical treatise on medical diagnosis for students and physicians . Gallstones in common duct. Enlarged glands which cause jaundice. Obstruction of the Common Duct by Gallstones, (a) In additionto jaundice paroxysms of chill, fever, and sweat occur, with catarrhalinflammation of the biliary passages. (1) The paroxysms resemble inter-mittent fever; (2) the jaundice may continue for years and deepen aftereach paroxysm ; (3) hepatic colic may occur with the paroxysm ; (4) thehealth fails but slightly. The paroxysms may occur daily or only once a EXLARG£:MEyT OF THE GALL-BLADDER. 1101 Avcok, or thev may bo tertian and quartan in type. Tlie pain is referredto other .-situations than the oall-hladder or the epigastrium. It is oftenrelieved by vomiting or by eertain positions of the body. The jaundieemay be intermittent or remittent. On account of the obstruction in thissituation the liver becomes enlarged. It is firm and smooth on enlargement, as determined by percussion, is uniform. The gall-bladder is not enlarged. Fengers thon)ugh studies
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