A System of Medicine: Local diseases

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Sir John Russell Reynolds
Macmillan and Company, 1879
 

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˹éÒ 348 - This discoloration pervades the whole surface of the body, but is commonly most strongly manifested on the face, neck, superior extremities, penis, and scrotum, and in the flexures of the axillae and around the navel. It may be said to present a dingy or smoky appearance, or various tints or shades of deep amber or chestnut-brown; and in one instance the skin was so universally and so deeply darkened that but for the features the patient might have been mistaken for a mulatto.
˹éÒ 348 - ... to throw the slightest gleam of light upon the precise nature of the patient's malady: nor do we succeed in fixing upon any special lesion as the cause of this gradual and extraordinary constitutional change.
˹éÒ 483 - ... it may be that the first form of degeneracy to which I refer never goes much beyond the first stage, and that all the other cases, together with the second series and the third, are to be considered only as modifications and more or less advanced states of one and the same condition.
˹éÒ 857 - ... plates, and even forms warty or spinous projections. Hence a great number of subordinate varieties of ichthyosis have been recognized, ichthyosis simplex, cornea, hystrix, etc., which, however, are not varieties in kind, but merely in the degree of the disease. Certain parts of the body, the face, the palms of the hands, the soles of the feet, the armpits, and the bends of the knees and elbows, are not...
˹éÒ 473 - The quantity of the albumen ; and the occurrence and character of a deposit of renal derivatives. • 3. The presence or absence of any disease outside the kidneys which will account for the albuminuria.
˹éÒ 331 - ... morning remissions, the temperature being always higher in the evening than in the morning. The daily variations are from one to three degrees, the morning temperature being at or below 100° — sometimes even normal, and the evening temperature varying from 101° to 103°. The third type is marked by periods of pyrexia in which for several days a high temperature is maintained, the daily variation being slight. Alternating with these pyrexial periods are intervals of several days, in which...
˹éÒ 348 - ... actual vomiting, which in one instance was both urgent and distressing ; and it is by no means uncommon for the patient to manifest indications of disturbed cerebral circulation. Notwithstanding these unequivocal signs of feeble circulation, anaemia, and general prostration, neither the most diligent inquiry nor the most careful physical examination...
˹éÒ 718 - It may be due to a local softening and liquefaction of part of the tumor, with effusion of fluid in the affected part ; or to an accumulation of fluid in the interspaces of the intersecting bands ; and these are the probable modes of formation of the roughly-bounded cavities that may be found in uterine tumors.
˹éÒ 348 - ... soft and compressible ; the body wastes, without, however, presenting the dry and shrivelled skin, and extreme emaciation, usually attendant on protracted malignant disease; slight pain or uneasiness is from time to time referred to the region of the stomach, and there is occasionally actual vomiting, which in one instance was both urgent and distressing; and it is by no means uncommon for the patient to manifest indications of disturbed cerebral circulation.
˹éÒ 539 - This, forced backwards by the retention general in these cases, distends or occupies the straight ducts. Thence by transudation, or similarly, it enters the neighbouring blood-vessels, and charges them with an infection resembling in its results that of pyiemia. This is distributed by the veins to the rest of the gland, sowing abscesses in their course, and ultimately causing constitutional symptoms analogous to those of pyaemia otherwise derived.

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