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Updated: June 18, 2025
The symptoms are those of loss of compensation as described under other valvular lesions. There may be jugular pulsation, especially evident in the external jugular on the left side. The liver enlarges and may pulsate. There are edemas, dropsies, ascites and perhaps hemorrhages. The heart is enlarged and there is a soft systolic blow heard at the lower end of the sternum.
In this remarkable case 30 gallons of fluid were drawn off from the abdomen after death. Bartholinus mentions a dropsy of 120 pounds; and Gockelius one of 180 pounds; there is recorded an instance of a dropsy of 149 pounds. There is an old record of a woman of fifty who had suffered from ascites for thirty years. She had been punctured 154 times, and each time about 20 pints were drawn off.
To which I demur, questioning why it should be so, and get for answer the two following: III. Every man who does not take our prepared calomel, as prescribed by us in our Constitution and By-Laws, is and must be a mass of disease from head to foot; it being self-evident that he is simultaneously affected with Apoplexy, Arthritis, Ascites, Asphyxia, and Atrophy; with Borborygmus, Bronchitis, and Bulimia; with Cachexia, Carcinoma, and Cretinismus; and so on through the alphabet, to Xerophthahnia and Zona, with all possible and incompatible diseases which are necessary to make up a totally morbid state; and he will certainly die, if he does not take freely of our prepared calomel, to be obtained only of one of our authorized agents.
I saw there a young parazon cure many of the new consumption, I mean the pox, though they were never so peppered. Another did thoroughly cure folks of dropsies, tympanies, ascites, and hyposarcides, striking them on the belly nine times with a Tenedian hatchet, without any solution of the continuum.
If the right hand is laid on one side of the belly, and the other side is gently struck with the left hand, an undulating motion will be readily perceived. In old dogs, dropsy, under the title of "anasarca," is an unfrequent but occasional accompaniment of ascites.
Ascites. A young lady of delicate constitution having been exposed to great fear, cold, and fatigue, by the overturn of a chaise in the night, began with pain and tumour in the right hypochondrium: in a few months a fluctuation was felt throughout the whole abdomen, more distinctly perceptible indeed about the region of the stomach; since the integuments of the lower part of the abdomen generally become thickened in this disease by a degree of anasarca.
You observe, that there is not more than sixty drops in it, yet will these sixty drops add ten years to a man's life for it will cure him of almost as many diseases. In the first place, are any of you troubled with the ascites, or dropsy, which, as the celebrated Galen hath declared, may be divided into three parts, the ascites, the anasarca, and the tympanites.
This thrill is not often obtainable, and in any case is not pathognomonic of hydatids, as it may be elicited in ascites and in other abdominal cysts. Pressure of the cyst upon adjacent structures, and the occurrence of suppuration, are attended with characteristic clinical features. The diagnosis of hydatids will be considered with the individual organs.
In the case of caseated glands in the neck, for example, it is obvious that the removal of this inert material is necessary before the tissues can be irrigated with fluids of high bactericidal value. Again, in tuberculous ascites the abdominal cavity is filled with a fluid practically devoid of anti-bacterial substances, so that the bacilli are able to thrive and work their will on the tissues.
Albuminuria, ascites, œdema of the lower limbs, clubbing of the fingers, and diarrhœa are among the most prominent symptoms of this condition. The prognosis in hectic fever depends on the completeness with which the further absorption of toxins can be prevented.
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