Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and PancreasHarley, George
Science
Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas
Harley, George
Jaundice
[Footnote 26: It has just been said that the blood contained a large
amount of white blood corpuscles. This reminds me of a fact that I have
omitted to mention--namely, that in a case of severe jaundice from
suppression, in consequence of cirrhosis of the liver, I found that the
blood possessed a very treacle-like aspect. The serum was of a dingy
yellow hue, and felt somewhat sticky to the fingers. Under the
microscope the blood corpuscles were found to be large, and flabby, had
a great tendency to adhere together by the edges, and become flattened
on the sides whenever they came in contact. Moreover, the corpuscles
looked as if they had no distinct cell-wall; some, and that too, in the
freshly drawn blood, gave off buds, others split into two, each half
when separate looking like a distinct blood corpuscle. In fact, the
blood looked more as if it had been acted upon by some powerful
chemical agent than anything else. I again examined it after the death
of the patient, and found it presented all the above characters in a
still more marked degree. To the naked eye it had a viscid, tarry
appearance.]
These results rather militate against the theory of the bile being
re-absorbed, in an unchanged state, into the circulation, after the
completion of the digestive process.
{101} TREATMENT OF JAUNDICE.
After what has been said regarding the pathology of jaundice, I need
scarcely remark that the treatment must vary according to the kind of
disorder we have to deal with. A line of treatment found to be
beneficial in one case of jaundice, might prove very hurtful in
another. For, as has been shown in the foregoing pages, jaundice from
suppression, and jaundice from obstruction, are, it might be said, two
entirely different diseases, with only the symptoms of yellow skin,
high-coloured urine, and pipe-clay stools in common. The success of our
treatment will therefore depend on our powers of diagnosis.
The general principles upon which the treatment of jaundice must be
founded are as follows:--
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