. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . intense jaundice; but incase of malignant disease there is also progressive emaciation,death usually occurring within a year of the discovery of theexistence of the disease. Attacks of hepatic colic attend thel)resence of gall-stones in the biliary passages. The obstruction dependent upon calculi may be overcome,spontaneously or therapeutically. Unrelieved, death ultimatelyresults from acholia or cholemia. The diagnosis is often extremely difficult. The uncertaintyis increase
. Essentials of diagnosis. Arranged in the form of questions and answers prepared especially for students of medicine . intense jaundice; but incase of malignant disease there is also progressive emaciation,death usually occurring within a year of the discovery of theexistence of the disease. Attacks of hepatic colic attend thel)resence of gall-stones in the biliary passages. The obstruction dependent upon calculi may be overcome,spontaneously or therapeutically. Unrelieved, death ultimatelyresults from acholia or cholemia. The diagnosis is often extremely difficult. The uncertaintyis increased by the fact that calcular obstruction and malignantdisease are sometimes associated. The detection of primary 240 ESSENTIALS OF DIAGNOSIS. carcinoma elsewhere, or of metastatic nodules, indicates theexistence of malignant disease. It was at one time thoughtthat fever was wanting in malignant disease, but this is not aninvariable rule. THE SPLEEN. What is the normal situation of the spleen, as determinable byphysical examination ? The spleen (Fig. 31) is placed obliquely beneath the ribs, from Fig. 31. C JS A Se. Se M Relations of the spleen (Weil). M, middle line of back ; A, B, C, axillary lines;Sn, line of scapula; abed, limits of spleen ; abc d, limits of rhomboidal spleen;efg, limits of kidney ; Ibc, angle between lung and spleen ; dhg, angle betweenspleen and kidney; » m, lower margin of liver. the ninth to the twelfth, on the left side below the axilla. Theorgan is about four inches long by three inches wide ; its axis THE PANCREAS. 241 passes downwards and forwards. Posteriorly, the dulness ofthe spleen jjierges with that of the left Floating Spleen. To what symptoms does a floating spleen give rise? The attachments of the spleen may become relaxed and pro-longed, so that the mobility of the organ is abnormallyincreased, and its displacement is facilitated. The essentialpoints in the recognition of a floating spleen are the presenceof a solid body in an unusu
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectdiagnos, bookyear1892
