Acute Pancreatitis: A Consideration of Pancreatic Hemorrhage, Hemorrhagic, Suppurative, and Gangrenous Pancreatitis, and of Disseminated Fat-necrosis

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Cupples and Hurd, 1889 - 91 pagina's
 

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Pagina 54 - ... nodules from the size of a pin-head to that of a pea. They were, at times, aggregated in clumps ; the contents could be squeezed out. The smallest nodules were frequently surmounted by an injected border. There was nothing abnormal in the portal vein or its immediate radicles. The liver was in a condition of brown atrophy, and there were minute, pale-yellow calculi in the gall-bladder and common duct.
Pagina 56 - ... abdominal pain, vomiting, and sometimes great prostration. The vomiting might be incessant and distressing, or it might give temporary relief to the pain. The ejected fluid was sometimes stringy and brown. The bowels were usually constipated, although diarrhoea might occur within the first twenty four hours. This latter symptom was not infrequent at a later date of the disease. Fever, usually slight, was the next conspicuous symptom, being manifested about the third day. At the same time the...
Pagina 6 - death might take place within a few hours from a fatal metastasis of the buccal salivation to the pancreas. This happens when, in the midst of profuse salivation, the pulse sinks and quickens or the swelling of the salivary glands subsides and salivation is replaced by a green diarrhoea, while the skin is dry and shrunken.
Pagina 39 - Í 55-6° 2 One was described as a young adult, two as adults, and nothing was stated concerning the age of two. The patients were usually in good health- at the time of the attack, a few of them being conspicuously strong and robust. Nearly one-half of them were abundantly or superabundantly provided with fat-tissue. A small fraction, nearly one-sixth, was addicted to the abuse of alcohol. Nearly one-half of the cases suffered from previous attacks of indigestion.
Pagina 42 - It begins with intense pain, especially in the upper abdomen, soon followed by vomiting, which is likely to be more or less obstinate, and not infrequently by slight, epigastric swelling and tenderness, with obstinate constipation. A normal or subnormal temperature may be present and symptoms of collapse precede by a few hours, death, which is most likely to occur between the second and fourth days.
Pagina 17 - ... compiled from notes sent by Dr. Holt, of Cambridge, who made the post-mortem examination. The patient, aged fifty-eight, was a gentleman of leisure, thin, white-haired, his body looking like that of a considerably older person. He was at a club-dinner the evening before his death. He awoke about two o'clock the following morning, complaining of severe pain in the bowels, nausea, and great prostration. He was pale, and his pulse was very weak. He soon vomited, became collapsed, and died within...
Pagina 57 - ... peritoneum. An acute suppurative pancreatitis, however, very rarely terminates at this early date. The symptoms already described may persist for three or four weeks, with progressive emaciation and debility, and death occur from exhaustion. Under such circumstances the single abscess has been found surrounded with adhesions.
Pagina 87 - The evidence presented in this paper is intended to establish the fact that — Acute inflammation of the pancreas is both a wellcharacterized disease, and one which is much more frequent than is generally thought. It is of great consequence that it should be recognized, for the following reasons : It represents a serious complication of what, by itself, is a relatively simple affection, viz., gastro-duodenitis. It is an important cause of peritonitis, and one readily overlooked. It has been repeatedly...
Pagina 88 - Acute pancreatitis commonly originates l>y the extension of ;i gastro-duodenal inflammation along the pancreatic duct. It may also be induced by the occurrence of hemorrhage in the pancreas. This may be of traumatic origin, although usually arising from unknown causes. The pancreatic hemorrhage may likewise be secondary to inflammation of the pancreas.
Pagina 39 - ... two. The patients were usually in good health at the time of the attack, a few of them being conspicuously strong and robust. Nearly one-half of them were abundantly or superabundantly provided with fat-tissue. A small fraction, nearly one-sixth, was addicted to the abuse of alcohol. Nearly one- half of the cases suffered from previous attacks of indigestion. These attacks were usually characterized by pain which was colicky, gastric, or abdominal, and so severe in one instance as to suggest...

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