File:Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood (1911) (14779354964).jpg

Identifier: moderndiagnosis00shef (find matches)
Title: Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood
Year: 1911 (1910s)
Authors: Sheffield, Herman Bernard, 1871- (from old catalog)
Subjects: Children Children
Publisher: Philadelphia, F. A. Davis company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fig. 62.—Amyloid Liver andSpleen at the age of 4 years.Followed multiple abscesses of skin. (Sheffield.) It is often associated with amyloid degeneration of the spleen and kidneys, and secondary to some wasting disease, especially chronic suppurative processes in the bones and Absence joints. The hepatic and splenic dullness is enlarged, but pain of ascites. J r 1 i on pressure, jaundice, or ascites are absent, unless the portalcirculation is interfered with by enlargement of the glands inthe portal fissure. Attention to the cause and dietetic and hygienic measuresmay prove effective to arrest the degenerative process. ABSCESS OF THE LIVER. ABSCESS OF THE LIVER. This condition is occasionally observed in children, most fre-quently as a result of extension of septic processes from neigh-
Text Appearing After Image:
Fig. 63 Fig. G4 Fig. 63.—Amyloid Liver and Spleen at the age of 8 years.Same as Fig. 62. Fig. 64.—Side View. Patient otherwise welland happy. (Sheffield. ) boring structures, e.g., suppurative appendicitis, phlebitis umbili-calis, typhoid or dysenteric intestinal Ulceration. It may follow g2™?ficatraumatism, invasion by roundworms, suppuration of echinococ- J^JSjfJ6cus cysts, or of the mesenteric glands. The abscess may per-forate into the thorax, intestines, or externally. 234 DISEASES OF THE LIVER. Symptomatology.—Chills, hectic fever, tenderness over theseptic liver, marked gastrointestinal disturbance, slight icterus, enlarge-ment of the liver, sometimes fluctuation and pus on aspiration. Treatment.—Free incision and evacuation of the pus assoon as the diagnosis has been established. Differential Diagnosis. Liver Ab- Hydatid Cyst Pleurisy with Solid Tumor scess of the Liver Effusion- of the Liver Chills Marked Absent Slight Tenderness Marked Absent Absent Moderate Late A

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