A practical treatise on the diseases of the liver and biliary passages / by William Thomson ... also, Clinical illustrations of diseases of the liver and spleen, by William Twining.

  • Thomson, William, 1943-2017
Date:
1842
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Licence: Public Domain Mark

Credit: A practical treatise on the diseases of the liver and biliary passages / by William Thomson ... also, Clinical illustrations of diseases of the liver and spleen, by William Twining. Source: Wellcome Collection.

Provider: This material has been provided by the University of Massachusetts Medical School, Lamar Soutter Library, through the Medical Heritage Library. The original may be consulted at the Lamar Soutter Library at the University of Massachusetts Medical School.

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    CONTENTS [JV. B. The Numerals within ( ) refer to paragraphs.] CHAPTER I. OP THE CHANGES IN FUNCTION AND STRUCTURE TO WHICH THE BILIARY ORGANS ARE SUBJECT. Section I. — Functional Derangements. Morbid Biliary Secretion, Page 18 As occurring dynamically. Pathological conditions on which it may depend (3) ; Morbid states {a) of the constitution of the blood (4), — [h) of the secretory apparatus (5), — (c) of the innervatory influence (6), — (f/) of the alimentary canal (7). Different forms which it may assume. Signification of the term Bilious, as applied to diseases (8). (A) Diminished Biliary Secretion, ...... 30 Means of ascertaining its occurrence (9). Suspended Secretion attended with jaundice (11). Pathological conditions producing it (14); constitution of the blood (15) ; condition of the secre- tory apparatus (16) ; injuries of the brain and mental emotions (17) ; conditions of duodenum (18) ; as accompanying structural alterations (20). (B) Excessive Biliary Secretion, ...... 23 Fallacies respecting its occurrence (21). Pathological conditions by which it is produced, including its connection with high atmospheric temperature, and theory of this connection (24) (C) Vitiated Biliary Secretion, ...... 26 Evidence of its occurrence (32). Healthy composition of Bile (33); recent investigations of Demarcay (35). Variations in its physical qualities (73):—in its colour; black and pale bile (42,43) — in its consistence; as containing solid particles (44). Biliary concretions (45) ; composition of these; thefr modes of formation (46) ; concretions not biliary (47). Noxious effects from inoculation of bile as a proof of its vitiation (48). Patho- logical conditions producing vitiations of bile (49). Impeded Excretion of Bile, .....•• 33 Detention, without structural change (50), as depending on state of duodenum (52); — on palsy of ducts (53);—-on spasm (54); — on viscidity of bile (E)5). Usually attended with re- absorption, producing jaundico : exceptions (56). Section H.—■ Derangements in the Circulation through the Biliary Organs. (A) Congestion, ..... . • 35 Pathological conditions on which it depends ; mechanical obstruc-.