. 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 ENLARGEMENT OF THE GALL-BLADDER. 1101 week, o
. 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 ENLARGEMENT OF THE GALL-BLADDER. 1101 week, or they may be tertian and quartan in type. The pain is referredto other situations than the gall-bladder or the epigastrium. It is oftenrelieved by vomiting-or by certain positions of the body. The jaundicemay 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 thorough studies show t
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