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Lectures on Clinical Medicine, Delivered at the Hotel-Dieu, Paris Volume 4

Lectures on Clinical Medicine, Delivered at the Hotel-Dieu, Paris Volume 4


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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1871 edition. Excerpt: ... and vomiting. When it sets in soon after a meal, the food is forthwith rejected, after which a glairy substance is ejected: sometimes, at the end of the attack, there is vomiting of yellow bile. As I remarked at the beginning of the lecture, the urine is at the same time clear as water from the rock. It is not till twelve, eighteen, or twentyfour hours later that it assumes the reddish-brown mahogany colour characteristic of jaundice; and if jaundice is to show itself it is not till then that it will appear. In hepatic colic, the pain probably depends on the same mechanical cause as in nephritic colic. In the latter, once the renal calculus becomes engaged in the urethra, it is constantly propelled onwards by the urine accumulating in the calices and pelvis of the kidney, and with every onward move which it makes in its passage through the narrow canal, it causes excruciating suffering. We may explain in a similar manner the pains produced by biliary calculi impacted in the choledoch duct. But how are we to explain the pains produced by calculi engaged in the cystic duct? I confess, Gentlemen, that I have many times fruitlessly asked myself this question; but, nevertheless, calculi of the gall-bladder, and consequently of the cystic duct, are by far the most common, and also the most frequently productive of hepatic colic. I can quite understand that, in some particular movement of the body, a calculus contained in the gall-bladder may present itself at the cystic opening, and become engaged in the duct; but when it has got there, how will it make way? It certainly does make way; and in its progress causes agonizing paroxysms of pain which patients describe with extraordinary exuberance of language. You then require to bear in mind that the...


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Product Details
  • ISBN-13: 9781150565540
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 190
  • Spine Width: 10 mm
  • Width: 189 mm
  • ISBN-10: 1150565543
  • Publisher Date: 01 Jun 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 349 gr


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