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Updated: May 23, 2025
This congestion of the liver causes a damming back of the blood in the various veins of the portal system, which causes congestion of the stomach and of the mucous membrane of the bowels, and an imperfect secretion of the digestive fluids of these structures. There is also congestion of the spleen.
Leuchorrhea, or "whites," is a mucous or mucopurulent discharge from the vagina; it may be a symptom of uterine or vaginal disease. Immediately after the menstrual flow there is a well-marked vaginal secretion which is whitish in appearance; it may be transparent or of a milky color, and is sometimes very acrid. This secretion may also precede the flow, and there is nothing abnormal in this.
In some cases the erysipelas invades the mucous membrane of the mouth, and spreads to the fauces and larynx, setting up an œdema of the glottis which may prove dangerous to life.
In extreme cases of the latter, the mucous membrane of the lips and of the gums will even show a distinctly yellowish hue.
This reflex is clinically elicited by placing the index-finger of the left hand on the region of the bulb while the right hand rapidly rubs the dorsal surface of the glands with the edge of a piece of paper or lightly pinches the mucous membrane; a twitching of the region of the bulb is then perceived.
Although he had not howled once, his snarling and growling, combined with his thirst, had hoarsened his throat and dried the mucous membranes of his mouth so that he was incapable, except under the sheerest provocation, of further sound. His tongue hung out of his mouth, and the eight o'clock sun began slowly to burn it. It was at this time that one of the boys cruelly outraged him.
I cut off his coffee and cigars, not immediately but gradually. He had sufficient force of character to aid me by heeding the counsel. The result was a diminution of secretion of the mucous membrane and a return to normal conditions.
This stuff would in itself act as a purgative, but it does more, it abnormally excites the secretions of the whole alimentary canal, and a sort of sub-acute mucous inflammation is set up. The liver; too, becomes mixed up with the mischief, throws out a superabundance of bile, and thus aids in keeping up the diarrhoea.
If there is much vomiting there will usually not be much diarrhea for the excessive vomiting is an indication that there is obstruction. In other cases there is both nausea and diarrhea; then the obstruction is either not established, for the trouble is as yet a local inflammation of the mucous membrane, or the diarrhea is from the bowels below the cut-off.
The complicated teratoma of this class may contain, in addition to the previously mentioned structures, cartilage and glands, mucous and serous membrane, muscle, nerves, and cerebral substance, portions of eyes, fingers with nails, mammae, etc.
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