The practice of surgery . mp-toms and to a confounding of disease of one organ with disease ofanother. It is owing to this anatomic relationship also that diseasesof adjacent organs frequently coexist; gastric and duodenal ulcer withcholangitis, and cholangitis with pancreatitis. When one takes thisbroad general view of so-called gall-stone disease, one sees that thesymptoms, the prognosis, and the treatment indicated must changewith the progress of the disease. Therefore, let us take up briefly a study. Common bile duetT<ScintorLnt dueV. Fig. 92.—Relations of bile and pancreatic ducts (sch
The practice of surgery . mp-toms and to a confounding of disease of one organ with disease ofanother. It is owing to this anatomic relationship also that diseasesof adjacent organs frequently coexist; gastric and duodenal ulcer withcholangitis, and cholangitis with pancreatitis. When one takes thisbroad general view of so-called gall-stone disease, one sees that thesymptoms, the prognosis, and the treatment indicated must changewith the progress of the disease. Therefore, let us take up briefly a study. Common bile duetT<ScintorLnt dueV. Fig. 92.—Relations of bile and pancreatic ducts (schematic). of symptoms and the corresponding pathologic changes, with the ap-propriate treatment. Symptoms.—Writers assert, and 3ou will be told, that of all personswith gall-stones, 5 per cent, only know it or are troubled by is misleading, and depends upon the personal equation of fact is that there may be and often is a long train of uncomfortablesensations leading up to the formation of actual gall-stones. One mustbe suspicious on hearing of such symptoms as discomfort, all-goneness,distress, anorexia, nausea, headache, flatulence, constipation, malaise,malnutrition, continuous or repeated and running over an} considerableperiod of time. Such symptoms may mean many things, but oftenthe} mean trouble in the bile-passages. Often there is an associatedtenderness in the right hypochondrium over the ducts, or at Robsons 170 THK A|{I)().MK.\ point/ midway between the ri
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
