North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
In support of this opinion, Dr. AYRE remarks, that all the phenomena
belonging to cases of watery effusion, met with under one or other of
the forms of inflammation, are common to those of dropsy. Thus the
fluid, discharged under the cuticle in erysipelas or in inflammation
induced by heat or a blister, or in cases of pemphigus, is a secretion,
and resembles in all respects the fluid found in dropsy. In some cases
of acknowledged inflammation, the fluid effused is found to vary greatly
in its degree of tenuity, so as to be sometimes of quite a viscid
nature. The same circumstance is met with in dropsy; the fluid of which
varies sometimes in different forms of the disease, and at different
periods in the same patient. With regard to the absence of pain, in
ordinary cases of local or general dropsy, which, in the minds of many
physicians, might seem to militate against this view of the
subject,--since pain accompanies the inflammation of a blister, Dr. A.
very justly says, that the difference is referrible to a different
degree of sensibility of the parts affected; that, moreover, in
pemphigus there is no pain, and that chronic inflammation of the serous
membranes is little painful.
That the morbid action producing the effusion is only a modification of
inflammation, our author thinks may be further shown by the fact that it
obeys the same laws--being translated occasionally, like it, from one
part of the body to another. On this subject, Dr. AYRE makes the very
pertinent remark, that in these cases, the fluid alone has been thought
to be translated; but that the metastasis, is without doubt, exclusively
of the action which produces the serous discharge. Analogous also to
what occurs in inflammation, especially of the erysipelatous kind, the
action occasioning the effusion, as seen in anasarca, commences at a
given point, and gradually extends from thence in a continuous course.
It ought also to be noticed, that the results of common inflammation
vary according to the intensity of the cause; the lowest degree of it,
occasioning an increase in the quantity of the proper fluids of the
part,--a higher degree, yielding for its product coagulable lymph, and a
still higher one producing pus. All these several products of common
inflammation, are more or less remedial of their cause; or in other
words, are the immediate means of the cessation or abatement of the
inflammation which produces them. This same power is likewise a
property, though in a much less degree, of the hydropic effusion, when
the inflammation which produces it, is idiopathic; or in other words,
not created by a visceral or other disease, or some particular
excitement of the general system, as is seen in cases of anasarca.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account