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
"And here," continues our author, "it may be proper to remark
upon a common error, committed by those, who, mistaking the
nature of the action which produces the serous effusion, look
in the _post mortem_ examination, for some of the common signs
of an inflammation having existed; and who conclude, upon not
finding such, that the water was derived from some mechanical
or other cause foreign to the true one. But in the higher forms
of abdominal inflammation, the products are pus or lymph, and
these are found upon the surface of the peritoneum, with
sometimes a thickening and discoloration or ulceration of its
substance; whilst in the lowest form of that increased action
to which the serous membranes are subject, the only product is
the serous fluid, and there can be, therefore, no visible
alteration produced by it in the structure of the serous
tissue."
"By the hydropic or serous inflammation, obeying the same laws
which govern the other degrees of common inflammation, it
follows, that upon a higher excitement being superinduced upon
it, the serous effusion should cease. This, therefore, is found
to happen in every case, where such higher excitement is
brought on. This increased inflammation is sometimes occasioned
by design or accident, and at other times, it occurs in the
natural and progressive course of some disease, formed within
the cavity, which is the seat of the dropsical effusion."
This is exemplified in the effects of the operation for the radical cure
of hydrocele; or in the operation of tapping in some cases of ovarian
dropsy; or even in some instances, of ascites from chronic inflammation
of the liver, spleen, mesentery, &c. In all these cases, the serous
membrane, which directly or indirectly was affected to a sufficient
degree to occasion a serous effusion, takes on, from the extension of a
visceral disease, or from some other cause, a higher degree of
inflammation--lymph is thrown out, and the cavity becomes obliterated.
Public-domain text, read in full here on John Shaqi.
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