Diseases Of The Intestines And Peritoneum

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1879 edition. Excerpt: ... PERITONITIS. By John Richard Wardell, M.D., F.R.C.P. Definition.--An inflammation of the serous membrane which invests the abdominal organs and lines the abdominal cavity. It may be partial or limited, or it may be diffused over the entire inner surface of the peritoneal sac. Effusion is almost the invariable consequence, and examination after death discovers serum, albuminous exudation, sero-purulent, purulent, or sero-sanguineous fluid and organized adhesions. Preliminary Observations.--Inflammation of the peritoneum is characterized by the kind of phenomena which are exemplified in the inflammation of the other serous membranes. It may occur at all ages, in every description of temperament, and under the most varied conditions of the system. It attacks the earliest infancy as well as the adult and those in advanced life, and both sexes are equally liable to the affection. It happens to the robust and plethoric, the cachectic and attenuated, and also to those whose constitution has been undermined and broken down; and whenever its distinguishing symptoms are really proclaimed it is one of the most formidable maladies with which the physician has to deal. It may come on suddenly with apparent and easily recognized symptoms, or it may supervene slowly and insidiously, and continue for a time without being detected. It may be primary when it is difficult or absolutely incapable of connection with any foregoing or coetaneous disease. It may be consecutive upon, or symptomatic of, some other morbid condition. It may present the sthenic or asthenic form. And it may be met with only in sporadic cases, or prevail as an epidemic. Every example of the complaint will, if carefully studied, exhibit some peculiarity--some cognizable difference in...

Excerpt from Diseases of the Intestines and Peritoneum Definition. - Enteralgia is a painful affection of the intestines, of neuralgic character, generally accompanied with constipation and flatus. It may come on gradually in a dull and obtuse manner, but in the great majority of instances its supervention is sudden, and the pain is sharp and violent. It is, correctly speaking, visceral neuralgia, and mostly occurs in neurotic individuals. The common accompaniments of inflammation are absent. The skin is cool, the pulse is not accelerated, and the heart's impulse is rather subdued than augmented. Its attacks are paroxysmal. It shifts its position in the abdomen. It is often a pain reflected by distal disease, but if continuous it may end in inflammation. Synonyms. - Enteralgia, Tormina, Dolor, Colicus, Colicodynia, Spasmus Intestinorum (various authors), Ileus (Sauvages), Spasmus Ventriculi (Wiessner). Some writers have confounded it with Gastrodynia, or Gastralgia. In the vernacular the affection is identical with Pain of the Intestines, Spasm of the Bowels and Belly-ache, Pain in the Belly, Gripes, and Cholick, or Cholick Colic. Causes. - The causes of this complaint are to be regarded as those which are Predisposing or Remote, and those which are Proximate or Exciting. Under the head of the first-named may be mentioned the influence of sex, and it is beyond dispute that females are more prone to this affection than males; their greater sensitiveness, and their susceptibility to moral emotions, favor the development of nervous diseases; and the sympathy of the uterus and its appendages, as familiarly known, in marked manner reacts upon the cerebro-spinal and ganglionic systems. The particular temperament of the patient will confer a proneness to, or tend to give an immunity from, this complaint; those who are nervous and melancholic being more liable to it, and those who are leuco-phlegmatic or lymphatic being less susceptible. The condition of asthenia conduces to the production of enteralgia, and a lowered vitalism is often associated with an exaltation of sensibility. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

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