General Surgical Pathology And Therapeutics, in Fifty Lectures: a Textbook ...

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General Surgical Pathology And Therapeutics, in Fifty Lectures: a Textbook ...
Theodor Billroth
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It is not yet fully determined whether, in these cases, the coloring matter of the bile is formed from the red coloring matter of the blood without the intervention of the liver, or if icterus ever can occur without the liver having something to do with it, al- though most observers regard it as always being hepatogenous. At all events, icterus in pysemia does not admit a diagnosis of abscess of the liver ; this may be suspected if there be great pain in the hepatic njgion, but, instead of the ...expected hepatic abscess, I have, in such cases, occasionally found acute difluse softening of the liver, which was accompanied by almost bronze-like icterus. Enlargement of the Digitized by VjOOQ IC 354 TRAUMATIC AND INFLAMMATORY DISEASES, ETC.
spleen may sometimes be diagnosed by percussion. Occasionally, albumen, with epithelial and gelatinous casts and blood in the urine, especially if there be considerable coincident decrease in the amount of urine excreted, justifies a diagnosis of acute metastatic nephritis ; but diuing life it cannot be certainly determined whether the kidney has numerous metastatic abscesses or is difiiisely inflamed, as may also occur metastatically.


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