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Updated: May 23, 2025
If so, after the treatment above prescribed, add that prescribed for the head directly, in nervous headache, with this difference, viz: instead of seating the patient on the N. P., or placing the same in his hands, pass it over the stomach and duodenum, unless the former may be already too positive. In that case, let the N. P. be at the seat. The prognosis is very uncertain.
The intrusion of a gall-stone into the common bile-duct from the gall-bladder is sometimes mistaken for a pain of the stomach, as neither of them are attended with fever; but in the passage of a gall-stone, the pain is confined to a less space, which is exactly where the common bile-duct enters the duodenum, as explained in Section XXX. 1. 3.
Above the duodenum, and hid behind the stomach, is a kind of sponge, similar in nature to those we have already observed in the mouth.
This kind of jaundice is not generally attended with pain, neither at the extremity of the bile-duct, where it enters the duodenum, nor on the region of the gall-bladder. Mr.
The colon being clogged, the intestines are rendered sluggish, which in turn acts upon the duodenum, or second stomach, and prevents the food from properly passing out then fermentation takes place. Bile is poured out on the accumulated food again and again, for the presence of anything in the duodenum is a demand for the secretion of bile.
Whatever be its name, however, our sponge communicates with the duodenum through a small tube, by means of which it pours into the chyme, as it accumulates, a copious supply of a fluid exactly like the saliva of the mouth. Just by the place where the tube from the pancreas empties itself into the duodenum, another tube arrives bringing also a fluid, but of a different sort.
In the operation of a vomit, not only the motions of the stomach and duodenum become inverted, but also those of the lymphatics and lacteals, which belong to them; whence a great quantity of chyle and lymph is perpetually poured into the stomach and intestines, during the operation, and evacuated by the mouth.
It is a tongue-like mass from six to eight inches long, weighing from three to four ounces, and is often compared in appearance to a dog's tongue. It is somewhat the shape of a hammer with the handle running to a point. The pancreas lies behind the stomach, across the body, from right to left, with its large head embraced in the horseshoe bend of the duodenum.
The necropsy of those who had died from dysentery revealed derangement of the digestive organs; the stomach, the large intestine, mostly the rectum, were inflamed; the intima of stomach and duodenum, sometime the whole intestine, were atonic.
The bile does not make a long stay in the little cells, it also escapes, by canals similar to those which carry off the blood, after itspurification; and which in a similar way unite by degrees together, until at length they terminate in a single canal, communicating with a little bag placed close against the liver, where the bile accumulates between the periods of digestion so forming a stock on hand, ready to pour at once into the duodenum when the latter calls for its assistance.
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