. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. les and muddy or subicteroidhue,—fades hepatica,—the sparechest and thin arms, the distendedbelly with its conspicuous super-ficial veins, and the diminishedarea of liver dulness leave nodoubt of the nature of the the latter the jaundice, thefairly well-preserved nutrition, thebig liver without ascites, and occa-sional irregular fever render the diagnosis equally clear. The two conditionsare clinically distinct because they are the manifestations of essentiallydifferent pa
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. les and muddy or subicteroidhue,—fades hepatica,—the sparechest and thin arms, the distendedbelly with its conspicuous super-ficial veins, and the diminishedarea of liver dulness leave nodoubt of the nature of the the latter the jaundice, thefairly well-preserved nutrition, thebig liver without ascites, and occa-sional irregular fever render the diagnosis equally clear. The two conditionsare clinically distinct because they are the manifestations of essentiallydifferent pathological lesions. The one thing that these lesions have in com-mon is an overgrowth of the interstitial connective tissue of the liver. Itmight be said that they have nothing in common clinically save that theyare diseases of the liver. Yet they are described respectively as the atrophicform and the hypertrophic form of the same affection, hepatic diagnosis of hepatic capsulitis—the capsular cirrhosis of authors-—is usually attended by insuperable difficulties. The symptoms are those. Fig. 314.—Ascites due to atrophic cirrhosis of theliver.—Jefferson Hospital. NEW GROWTHS IN Till: \ i:i{. 4i:i of the atiopliic Ioi-m of cliidiiic imnsiil ial ncplirit is. .laiirulicc is notusually |)rs(Mit. V\w kidneys arc <i!aiuilai-. This cniiditioti may he usso-(•iat(Ml with pcrisplcMiitis and prolifcratixc pcritoiutis. DiPFKKENTiAL.— Adhosjvc pylophlel)itis closely resembles the atrophicform of interstitial hepatitis. The etioln pei-itoneal (^iTusion d(>vel()ps and reforms after tappiiiti, as wasshown in a case nn-ently in my service in the Pennsylvania Hospital, areimportant in the diflei-ential diagnosis. It is said that thrombosis of the])ortal vein is followed l)y an atrophy of the li\-er, which renders the diag-nosis di Hi cult. In the cases that have come under my observation deathhas occurred in the course of a few weeks, and t«he liver was of
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
