Tropical Dysentery And Chronic Diarrhoea Liver Abscess Malarial Cachexia Ins
Tropical Dysentery And Chronic Diarrhoea Liver Abscess Malarial Cachexia Ins
Joseph Fayrer
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But there are cases in which the symp- toms are less pronounced, and yet an abscess may form but escapes detection until bulging and fluctuation, or sudden evacuation of its contents through the bowels, the limg or stomach, or into the peritoneum, reveals the true state of matters. In the last case the result is generally fatal ; in the former sudden exhaustion, amounting to collapse, may accompany a discharge of pus, or suffocation from effusion in the lung may prove fatal. The amount of pain ...depends on the part of the viscus implicated. If the matter be deep- seated in the parenchyma, at a distance from the peritoneimi, the pain is comparatively sKght or absent. If it approach the sm-face, or commence there, the pain may be severe. In any case there is a sense of distress and uneasiness felt most distinctly when the patient turns on his left side. Decubitus on cither side is often painful. In many eases of hepatitis, the patient is suffering also from malarial cachexia, and is liable to recurrences of febrile pai'oxysms which render it doubtful whether the chills or rigors and high temperature are due to this or to suppm-ation ; where there has been no malarial fever, the chills or rigors may be so slight, or so mixed up with other uneasy sensations, as to have escaped notice, and the patient denies ha\dng had them at all.
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