The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Science
The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
1. Esophagus. 2. Stomach. 3. Liver raised, showing the under surface.
4. Duodenum. 5. Small intestines, consisting of—6. Jejunum and ilium.
7. Colon. 8. Urinary bladder. 9. Gall bladder. 10. Abdominal muscles
divided and reflected.]
662. The first portion of the small intestine is termed the duodenum
(fig. CLXVII. 3). It is about twelve inches in length, and, unlike the
stomach, which is capable of considerable motion, it is closely tied
down to the back by the peritoneum, which imperfectly covers it. The
rest of the small intestine is divided into two portions—the upper
two-fifths of which are termed jejunum, and the three lower ilium.
663. The duodenum, the chamber which receives the chyme from the
pylorus, is a second stomach, which carries on the process commenced
in the first. It is assisted in the performance of its function by two
organs of considerable magnitude, the pancreas and the liver.
664. The pancreas is a conglomerate gland (fig. CLXXII. 5), of an
elongated form, placed in the epigastric region, lying transversely
across it, immediately behind the stomach (fig. CLXXII. 1), and resting
upon the spinal column (fig. CLXXII. 5). Its right extremity is
attached to the duodenum (fig. CLXXII. 9), and its left to the spleen
(fig. CLXXII. 4). In external appearance it resembles the salivary
glands, but it is of much larger size, and its weight, from four to six
ounces, is three times greater than that of all the salivary glands
together. It secretes a peculiar fluid called the pancreatic juice,
which is carried into the duodenum by a tube named the pancreatic duct
(fig. CLXVII. 7), which opens into the duodenum about four or five
inches from its pyloric end (fig. CLXVII. 2).
[Illustration: Fig. CLXXII.
1. Stomach raised. 2. Under surface of liver. 3. Gall bladder. 4.
Spleen. 5. Pancreas. 6. Kidneys. 7. Ureters. 8. Urinary bladder. 9.
Portion of intestine called duodenum. 10. Portion of intestine called
rectum. 11. Aorta.]
665. The liver, the largest and heaviest gland in the body, weighing
about four pounds, is placed chiefly in the right hypochondriac region
(fig. CLXXI. 3); but a portion of it extends transversely across the
epigastric, into the left hypochondriac region (figs. CV. and CVII.
3). Its upper surface is in contact with the diaphragm (fig. LX. 6, b);
its under surface with the pyloric extremity of the stomach (fig. LX.
7), and its margin can be felt under the edges of the ribs of the right
side.
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