| OCR Text |
Show ENLARGEMENT OF THE LIVER ENLARGEMENT OF THE LIVER OCCURS IN THE FOLLOWING DISEASES: Catarrhal icterus (jaundice): the liver, as a rule, is slightly enlarged, often palpable, not painful. Frequently, the spleen is enlarged, especially if the icterus is a long duration and when infection is present, as for instance, in Weils disease. Abscess of the liver: the liever is irregularly enlarged, painful. There is perihepatitic rub, usually icterus, irregular fever with chills. Spleen usually enlarged. Hypertrophic cirrhosis of the liver: the liver is evenly enlarged, with rounded edges, firm to the touch. The spleen is greatly enlarged, icterus present; no ascites, often brown pigmentation of the skin, especially of the face. Urobilin in the urine present in great quantity. Cancer of the liver: the liver shows uneven, hard tumors; is enlarged; icterus frequent. Spleen not enlarged. Ascites occasionally present; grave cachexia. Echinococcus infection of the liver: liver considerably but unevenly enlarged from the tight, elastic, occasionally fluctuating tumor. Exploratory puncture yields fluid revealing scolices of the infective organism. Icterus occasionally present. No ascites; spleen not enlarged. Hepatic stasis: results from heart and lung diseases that produce venous stasis. The liver is enlarged, firm, icterus is absent or insignificant. Spleen, as a rule, not enlarged; ascites occurs mostly when edema of the legs and hydrothorax are present. Amyloid degeneration of the liver (follows long-standing suppurative inflammation, tuberculosis, especially surgical tuberculosis, lues): liver uniformly enlarged, fairly firm, smooth. Spleen swollen, icterus and ascites absent. Albuminuria. Syphilis of the liver: liver firm, either uniformly enlarged or traversed by deep, seamy furrows and lobulated. Spleen enlarged. Icterus and ascites very frequently present, but often also absent. Gastric hemorrhages. The Wassermann reaction is generally positive. Leukemia: liver uniformly enlarged. Spleen greatly enlarged. No icterus, no ascites. ATROPHY OF THE LIVER IS OBSERVED IN THE FOLLOWING CONDITIONS: Atrophic cirrhosis of the liver (Laennec): liver hard, uneven, shrunken; in the early stages only the left lobe is atrophied, while the right lobe appears normal size. The spleen is considerably enlarged. Stasis of the portal veins, ascites; icterus absent or insignificant. Frequent and abundant gastric hemorrhages, urobilinuria. Acute yellow atrophy of the liver: following the appearance of common, benign type of jaundice, a rapid atrophy of the liver sets in, accompanied by delirium and somnolence. The liver is soft and painful. Icterus is deep. Usually no enlargement of the spleen and no ascites. Hemorrhages from various parts of the body. The urine contains leucine, thyrosin and other amino acids and oxalates. When deep coma occurs the termination is fatal. Thursday 344 DAYS PAST DECEMBER 11 21 DAYS TO COME The U.S. declared war on Germany & Italy today. Have not felt well today so slept 2 hr this afternoon Called to see myrene & baby also. The baby is dear har quite a lot of hair rather dark & she weighed about 8 lbs. Myrene is a wonderful mother & so appreciative of her family as is Joe. He presented her with a ring Beautiful Diamond Dec 12 I feel quite miserable Van der Vene is cleaning windows etc. Cleone came down & helped this afternoon and I rested for a while & felt better so Dr & I are going to a church dinner 10 Ward at Dicks Caf. Blanch & Junior came in this evening. U.S. really woke up. Wrong Knowledge, in truth, is the great sun in the firmament. Life and power are scattered with all its beams- DANIEL WEBSTER WARNERS CALENDAR OF MEDICAL HISTORY |
