An index of diseases and their treatment / by Thomas Hawkes Tanner.

  • Thomas Hawkes Tanner
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: An index of diseases and their treatment / by Thomas Hawkes Tanner. Source: Wellcome Collection.

    352/540 (page 314)
    VITILIGO—VOMITING AND EETCHING. on imicons nieiiibi-ane of iirinuiy blaJ.ler. Tlio liistorks coiiiciJc Willi those ol ijicdulliuy cancers.—,Sce Cunnr. - y™^IGO.—From VUulus, a calf; tei-niinal -afv.—A rare Jisease, fiiiw-*f) producas a glistening veal-like ajipearance of skin.—Two varieties :—) (^,/;^o;ffo( and V. tubcrom, ^vhicli inav occur fceparalely or combined. In former, irregular yellow patches arc observed, shglitly elevated and hard; in latter, isolated or confluent tubercles, ranging f,om tlie size of a pin's head to that of a large poa ; geiici-ally symmetrical; upper eyelids a favourite seat. Possibly there maybe some connection between thi.s skin disease and derange'- meut of the liver. Vitiligo sometimes confused by autliurs with lepral alphoidcs, or with lupus uon-exedens. Other writers seem to regard the ajipear- ances as merely due to a diminution of pigment, without auv chan-e pt texture ; making it of same nature as lencoderma. No reined v for It at present known, ^j./, ^ ; / ., . \. . .^f,' VOMITING AND RETCHING.-Syuon. J?//;e.s;.^; SkLcss ofilie •stomach; /S>';r/,,^.—\omiling (from Vomo) is due to forcible and repeated contractions of abdominal muscles, the diaphragm being lixed by closure of the glottis ; the stomach is thus compressed against the diaphragm, and by this force, together with its own contraction, the pylorus being closed and the cardiac sphincter relaxed, the gastric contents are expelled upwards. In retching there are fruitless attemj.ts to empty the stomach, the cardiac sphincter being contracted ; or the stomach is empty. Sickne.ss arises in many diseases—/.e., cerebral, spinal, pulmonarv, renal biliary, pancreatic, gastric, intestinal, or uterine and ovarian disorders._ It inay be due to sympathetic irritation of pregnancy: to _ hysteria ; _ to irritation of pneumogastric nerve. To ingestion of poisonous or irritating substances : drunkenness. To blood-poisoning, as in ichorhrcmia: continued and eruptive fevers, o.'^pecially at then- onset. To acute or chronic peritoniiis, particularly if gastric peri- toneum be involved ; or to the pressure of the fluid in ascites. To 3ntestinal_ obstruction from ileus, iutussu.scoplion, strangulated hernia. &c. Or it may occur as an idiopathic nlVcclion,—no other morbid state being discoverable. SvMi'TO.Ms. Vary with the cause. Some prominent distinctions are shown in following table : — <-!antric or ILpulk Vvmll'Diij. 1. Preceded by nausea, which is relieved, at all events, tempo- rarily, by the dischai'ge of the stomacli's contents. 2. A'lMiiit consists of partially Ccnhriil or S'l/iiipalluiic Voiiiidiif/. 1. Little or no nausea. Ectcli- iiig contiinu'R, often in spite of stomach iicing empty. J.)irectly any fluid or solid is taken, it is rejected. , .. , 2. Vomit consbsts of unaltered digested food, biliary matters, and ; food. Of frothy mucus. Never ollensivo secretions. Sometimes : ]nis or blood. fSometinios a ooii- ' acid water; pus; blood. siderable quanlity, sometimes ' only a tinge oi' bile.