The morbid anatomy of the liver : being an inquiry into the anatomical character, symptoms and treatment, of certain diseases which impair or destroy the structure of that viscus / by J.R. Farre.

  • Farre, J. R. (John Richard), 1775-1862.
Date:
1812
Catalogue details

Licence: Public Domain Mark

Credit: The morbid anatomy of the liver : being an inquiry into the anatomical character, symptoms and treatment, of certain diseases which impair or destroy the structure of that viscus / by J.R. Farre. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    19/74 (page 11)
    these had not recently taken place. About four ounces of serum were collected in the cavities of the chest. CASE II. Mr. D., aged thirty-nine years, a man of large stature, for- merly a wine-cooper, latterly a publican, had been, for many years, the subject of irregular gout, which had' finally made him lame in the feet, and had occasioned some of the usual depositions about the joints of the fingers. To the same disease, improperly perhaps, had been imputed severe paroxysms of pain in the epi- gastric region, which recurred at irregular intervals. To relieve these pains he had usually taken a warm purgative tincture. His earlier habits had been intemperate, but of late he had been more moderate in the use of fermented liquors. At the close of the year 1810, he became more indisposed, and attributed his symp- toms to cold. He was affected with cough, and uneasy sensations in the epigastric, and right hypochondriac regions. On the 28th of March, 1811, the physician who was consulted, care- fully examined the^naked abdomen, the patient being placed in a horizontal posture. The liver projected into the umbilical region. The whole space of the abdominal parietes, which is between the umbilicus and the margin of the thorax, was tumid and hard, presenting a surface irregular from Tubera, which could be distinctly felt under the integuments. The patient positively affirmed, that he had noticed the enlargement only six weeks before this period. He had cough and dyspnoea, but not in a