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
Diagnostic value of the presence of tyrosine, and leucine in the
urine--Microscopic appearances of these substances--Mode of
separating them from urine--Chemical tests . . . . . . . . . . 63
Melanine in the urine in cases of cancer of the liver--The
characters by which it is to be distinguished from bile
pigment--Case related showing the value of the test . . . . . 68
Diagnostic value of ascertaining the quantity of urea, and uric
acid, as well as the presence of sugar in the urine in obscure
cases of jaundice--History of a case illustrating the value of
such knowledge--Significance of the presence of fatty acids in
the fæces in the diagnosis of pancreatic disease--Pancreatine
administered--Effect of bile-poisoning on the memory--Analysis
of the patient's urine--Diagnostic value of the quantity of
its constituents pointed out--Appearance of sugar as the
forerunner of a fatal termination alluded to--Disappearance of
bile-acids, and appearance of tyrosine and leucine in the
latter stages of the disease--Post-mortem appearances
described--Occlusion of bile, and pancreatic ducts--Analysis
of healthy and diseased bile--Change in the proportion of the
organic greater than in that of the inorganic
constituents--Microscopic appearances of liver--Presence of
crystals of cystine, as well as of tyrosine in the hepatic
parenchyma . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Jaundice from obstruction in its latter stage complicated with
jaundice from suppression . . . . . . . . . . . . . . . . . . 89
Epidemic jaundice--Among soldiers--Among pregnant women--Among the
entire civil population--Its mechanism--Its cause--Case of
jaundice supervening upon scarlatina . . . . . . . . . . . . . 90
Artificial jaundice--Mode of production--Experiments
related--Tyrosine, and leucine supposed to be the result
either of the arrested, or of the retrograde metamorphosis of
glycocholic, and taurocholic acids--Biliary acids detected in
the blood--Poisonous nature of the constituents of the
bile--Condition of the blood in bile-poisoning . . . . . . . . 95
Treatment of jaundice--Totally different in jaundice from
suppression and in jaundice from obstruction--Benefit of
mercury in cases of jaundice--General theory regarding the
action of mercurials--Benefit of acids, and of alkalies--Their
mode of action explained--Theory of their action in cases of
gall-stones--Lithia water--Treatment of jaundice by benzoic
acid--Cases illustrating its mode of action--Podophyllin a
bane, and an antidote in cases of jaundice--Its pernicious
effects in cases of obstruction pointed out--Author's theory
of its action in such cases--Method of detecting gall-stones
in the stools--Sulphuric ether, and chloroform in cases of
gall-stones--Taraxacum . . . . . . . . . . . . . . . . . . . . 101
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