. A practical treatise on medical diagnosis for students and physicians . is so commonly associated with asimilar condition of the liver and kidneys, if not of other organs, thatany constitutional symptoms produced by the spleen are apt to be maskedby those produced by other organs. Hydatid Disease. Hydatid tumor of the spleen rarely causes symp-toms except when it becomes very large; then it may give rise to dis-comfort and a dragging pain in the left hypochondrium. But hydatidtumors of the spleen are only exceptionally very large; when large enoughto admit of palpation, and when the tumor is
. A practical treatise on medical diagnosis for students and physicians . is so commonly associated with asimilar condition of the liver and kidneys, if not of other organs, thatany constitutional symptoms produced by the spleen are apt to be maskedby those produced by other organs. Hydatid Disease. Hydatid tumor of the spleen rarely causes symp-toms except when it becomes very large; then it may give rise to dis-comfort and a dragging pain in the left hypochondrium. But hydatidtumors of the spleen are only exceptionally very large; when large enoughto admit of palpation, and when the tumor is situated anteriorly orprojects from the lower border or from beneath the organ, the detectionof fluctuation, the withdrawal of the characteristic fluid by aspiration,and possibly the presence of hydatid fremitus, will establish the diagnosis,Avhen taken in connection with the gradual development of the tumor andexposure to possible infection. In the absence of physical signs of acyst, the nature of the tumor can only be suspected from the habits of PLATE XLVI. FIG. Leukasniia—Enlarged Liver and Spleen. FIG. 2. Miss. \>. I
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