. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. pon the transverse axis mayoccur forward from the pressure of the clothing or backward from the pres-sure of abdominal tumors. The entire organ is frequently displaced down-ward, as in emphysema, pleural effusion, or subphrenic abscess, and upwardby ascites, massive tympany, or ovarian or other abdominal tumors. ii. Movable Liver. Hepar Mobilis; Hepatoptosis. Definition.—Marked displacement of the Hver with abnormal mobility*Etiology.—A slight degree of mobility occurs in enteroptos
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. pon the transverse axis mayoccur forward from the pressure of the clothing or backward from the pres-sure of abdominal tumors. The entire organ is frequently displaced down-ward, as in emphysema, pleural effusion, or subphrenic abscess, and upwardby ascites, massive tympany, or ovarian or other abdominal tumors. ii. Movable Liver. Hepar Mobilis; Hepatoptosis. Definition.—Marked displacement of the Hver with abnormal mobility*Etiology.—A slight degree of mobility occurs in enteroptosis andafter large and long-continued ascites. True floating liver is extremelyrare. It is associated with atrophy and relaxation of the abdominal wallsand separation of the abdominal muscles, and large hernias in which thesac encloses many coils of intestines. The traction that the abdominalwall in pendulous abdomen exerts upon the hver by means of the Hga-mentum teres is a concomitant cause. Mechanical violence such as severeexertion or vomiting, persistent cough, falls, tight lacing, and rapid emacia-. JAUNDICE—ICTERUS. 383 tion havo been rcganlccl as etiological factors in floating liver. The fre-quency of these events as compared witli the extreme infrecjuency offloating liver renders it in a high degree improbable tliat they play the partassigned to them in the causation of the latter condition. Therefore it islikely that floating liver can oidy occur in cases of congenital ttmdency torelaxation and elongatit)n of the ligaments of the organ, or in which anactual mest)hepar is present. Symptoms.—There is, as a rule, no tenderness upon pressure. Painis a common symptom. It is referred to the right hypochondrium andthe epigastrium, and extends to the right shoulder and lumbar is dull anil tlragging, and intensified by sudden movements. Spon-taneous paroxysmal pain, bearing-down sensations, attacks of colic, withbelching, meteorism, and constipation, and anom
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
