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On Functional Derangements of the Liver (1879)

On Functional Derangements of the Liver (1879)


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: B. -- Functional Derangements Of The Liver. Keeping in view the functions of the liver in health, which I have endeavoured thus briefly to sketch, we shall be the better able to discuss the symptoms resulting from derangements of these functions. The few medical writers who have described the functional derangements of the liver have, like the late Dr. Copland,1 arranged them under the three following heads: 1. Diminished secretion of bile; 2. Increased secretion of bile; 3. Secretion of morbid or altered bile. But this classification fails to recognise the most important functions of the liver; and, from what has been stated, it follows that the quantity and quality of the bile discharged from the bowel, upon which the classification is based, are no certain tests of the amount and quality of the bile secreted by the liver. The quantity secreted being the same, the quantity discharged from the bowel will vary with whatever stimulates or impedes absorption. Any substance like calomel, or podophyllin, or certain articles of diet, which irritates the commencement of the small intestine will sweep along the bile before there is time for its absorption, and thus cause an increased flow from thei 1 Medical Dictionary, vol. ii. p. 723. bowel, without the secretion by the liver being necessarily increased Moreover, it must often be impossible to say whether the morbid or altered appearances of the bile in the faeces be due to a vitiated bile, or to changes which the bile has undergone in its passage through the bowel. For these reasons, I have ventured to suggest another classification of the functional derangements of the liver, based upon what are now believed to be the normal functions of the gland, and upon the symptoms which a disordered liver may excite in the differ...


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Product Details
  • ISBN-13: 9780217264846
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 229 mm
  • No of Pages: 72
  • Spine Width: 4 mm
  • Width: 152 mm
  • ISBN-10: 0217264840
  • Publisher Date: 01 Aug 2009
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 118 gr


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