Copy 1

A critical enquiry into the present state of surgery.

  • Samuel Sharp
Date:
1761
Catalogue details

Licence: Public Domain Mark

Credit: A critical enquiry into the present state of surgery. Source: Wellcome Collection.

    236/336 (page 224)
    an Abfcefs, or an Accumulation of Bile in the Gall-Bladder. When there is a Suppuration, the Pain continues to increafe during the Formation of the Tumor, and is of a throbbing Nature : When there is only an Accumulation of Bile in the Gall-Bladder, the Pain fuddenly ceafes, or at lead: continues to diminifh during the increafe of the Tumor. Again, after a Sup* puration of the Liver, the Patient is exceed¬ ingly low and uneafy, notwithstanding the Abatement of Pain 5 whereas he finds him- felf compofed and chearful, when the Tumor is formed by a Difcharge of Bile into the Gall-Bladder. The Rigors likewife attend¬ ing the one and the other are different: In a Suppuration, they laft longer and are fol¬ lowed firft with a Heat, and then with a Dampnefs on the Skin : On the other hand, in a Suppreffion of Bile the Skin is dry. Ano¬ ther Difference is, that in an Abfcefs of the Liver the Fluduation comes on gradually; in a Colledion of Bile, it is fudden : And laftly, an Abfcefs of the Liver does not evidently terminate at a certain Part, but is loft con- fufedly in the Tumor, being alfo accompanied with an Oedema of the Integuments; whereas the Tumor of the Gall-Bladder is always cir- cumfcribed.