Part 230

Ovarian cysts, distinguished from ascites, 1177 rupture of, influence on causation of acute peritonitis, 1140 disease, influence on causation of pseudo-membranous enteritis, 765 disorders, influence on causation of gastralgia, 460 and uterine irritation, influence on causation of enteralgia, 658

Over-crowding, influence on causation of entero-colitis, 730

Over-distension, as a cause of rupture of stomach, 618

Over-eating, as a cause of functional dyspepsia, 444 influence on causation of intestinal indigestion, 624

Overwork, influence on causation of chronic intestinal catarrh, 699 of functional dyspepsia, 444

Oxaluria, 970

Ox-gall, use of, in biliary calculi, 1081 in constipation, 655

Oxidation, deficient, in hepatic disease, 1051, 1057 as a cause of fatty liver, 1047 defective, origin of gout from, 112, 113

Oxyuris vermicularis, 950

Pain, abdominal, in Ascaris lumbricoides, 953 colicky, in stricture of bowel, 856 from presence of biliary calculi, 1069 in cholera morbus, 722 in constipation, seat, 646 seat and character of, in dysentery, 802 in functional dyspepsia, 448 in enteralgia, 660, 661 effect of pressure upon, 661 in pseudo-membranous enteritis, 766 in fistula in ano, 898 in gastralgia, 460 of gastralgia, treatment of, 463 in acute gastritis, 467 in chronic gastritis, 473 in parenchymatous glossitis, 361 in chronic parenchymatous glossitis, 368 in acute gout, 119 in chronic gout, 121 in acute gonorrhoeal arthritis, 105 in hepatic colic, seat and character, 1070 treatment of, 1081 in acute intestinal catarrh, 678, 679, 682 in chronic intestinal catarrh, 706, 707 in cancer of intestines, 870 in intestinal indigestion, 627 in acute internal strangulation of intestines, 843 abdominal, in obstruction of intestines by gall-stones, 840 in intestinal ulcers, 826 treatment, 829 in intussusception, 848 in legs, from constipation, 854 in abscess of liver, 1011, 1012 in carcinoma of liver, seat and character, 1038 in right hypochondrium, in hyperæmia of liver, 986, 987 in back, in lithæmia, 970 in morbid dentition, 373 seat of, in acute oesophagitis, 413 in cancer of oesophagus, 427 in organic stricture of oesophagus, 423 in spasmodic stricture of oesophagus, 420 in oesophageal paralysis, 429 in diseases of pancreas, 1116 seat and character of, in carcinoma of pancreas, 1125 in acute pancreatitis, 1119 in chronic interstitial pancreatitis, 1122 in obstruction of pancreatic ducts, 1131 in acute pharyngitis, 394, 395 seat of, in perihepatitis, 989 in cancerous peritonitis, 1169 character and seat of, in acute peritonitis, 1141 in chronic peritonitis, 1162 in proctitis, 887 in suppurative pylephlebitis, seat and character of, 1099 in non-malignant stricture of rectum, 886 in cancer of rectum and anus, 903 characters of, in fissure of rectum and anus, 888 in peri-rectal and anal abscesses, 896 in ulceration of rectum and anus, 893 in acute rheumatism, 27 in chronic articular rheumatism, 71 in arthralgic form of gonorrhoeal rheumatism, 104 in rheumatic form of gonorrhoeal rheumatism, 104 in muscular rheumatism, 75 in chronic articular form of gonorrhoeal rheumatism, 105 in chronic variety of general rheumatoid arthritis, 81 in Heberden's nodosities of rheumatoid arthritis, 86 seat and character of, in cancer of stomach, 539 in cancer of stomach, treatment of, 576 in dilatation of stomach, 593 in acute dilatation of stomach, 610 in simple ulcer of stomach, 488 treatment, in simple ulcer of stomach, 524 muscular, in scurvy, 177 abdominal, in tapeworm, 940 in tonsillitis, 381, 382 in tubercular ulceration of tongue, 369 in typhlitis and perityphlitis, 818

Palate, soft, appearance of, in acute pharyngitis, 391-395 in tonsillitis, 381 paralysis of, in acute pharyngitis, 395 in tonsillitis, 383

Palpitation, in functional dyspepsia, 451 in chronic intestinal catarrh, 708 in intestinal indigestion, 628 in dilatation of stomach, 595

Pancreas, condition of, in hereditary syphilis, 306 disease of, relation to diabetes mellitus 201

PANCREAS, DISEASES OF, 1112 History, 1112 Anatomy and physiology, 1112 Position, 1112 Wirsung, canal of, 1113 Acini, 1113 Relation of head to ductus choledochus, 1113 Pancreatic juice, properties of, 1113 Etiology, general, 1114 Sex, 1114 Age, 1114 Alcohol, 1114 Tobacco, 1114 Food, improper, 1114 Suppression of menstruation, 1114 Injury, 1114 Secondary organic disease of thoracic abdominal viscera, 1114 Symptomatology, general, 1114 Objective, 1114 Emaciation, 1114 Excessive salivation, 1114 Diarrhoea, 1115 Fatty stools, 1115 Stools, undigested striped muscular fibres in, 1116 Subjective, 1116 Epigastrium, abnormal sensations in, 1116 Pain, seat and character, 1116 From pressure, 1116 Of ductus choledochus, 1116 Jaundice, 1116 Of portal vein, 1116 Oedema, 1116 Aneurismal dilatation of aorta, 1116 Of stomach, 1116 Vomiting, 1116 Of duodenum, 1116 Relation to diabetes mellitus, 1117 Of solar plexus, 1117 Bronzing of skin, 1117 Physical signs, 1117 Method of examination, 1117 Palpation, 1117 Percussion, 1118 Auscultation, 1118 Inflammatory Affections of Pancreas, 1118 Acute Idiopathic Pancreatitis, 1118 Morbid anatomy, 1118 Hemorrhagic extravasations in, 1118 Abscesses of, 1118 Pus, character of, 1118 Secondary peritonitis, 1118 Gangrene, 1118 Symptoms, 1118 Onset, 1118 Tongue, 1119 Constipation, 1119 Appetite, impaired, 1118 Physiognomy, 1119 Vomiting, 1119 Temperature, 1119 Pain, 1119 Pulse, 1119 Collapse, 1119 Epigastrium, tenderness of, 1119 Peritonitis, 1119 Obstruction of stomach, duodenum, and bile-duct, following, 1119 Diagnosis, 1119 From biliary colic, 1119 acute gastric catarrh, 1119 gastritis, 1120 Treatment, 1120 Rest, necessity, 1120 Diet, 1120 Ice and leeches to epigastrium, 1120 Opium, 1120 Of pain, 1120 Of vomiting, 1120 Alcohol, 1120 Acute Secondary Pancreatitis, 1120 Etiology, acute infectious diseases, 1120 Metastasis, 1120 Morbid anatomy, 1120 Cells, changes in, 1120 Symptoms and course, 1120 Rigors, 1121 Metastatic of mumps, 1121 Fever, 1121 Pain, 1121 Diarrhoea, 1121 Fistulous openings into viscera, 1121 Treatment, 1121 Chronic Interstitial Pancreatitis, 1121 Etiology, 1121 Closure of duct of Wirsung, 1121 Extension from other organs, 1121 Cancer and ulcer of stomach, 1121 Alcoholism, 1121 Syphilis, 1121 Pressure of tumors, 1121 Morbid anatomy, 1121 Hyperplasia of connective tissue, 1121 Atrophy of connective tissue, 1121 Of syphilitic hyperplasia, 1122 Symptoms and course, 1122 Emaciation, 1122 Fatty stools, 1122 Melituria, 1122 Pain, 1122 Presence of a tumor, 1122 Duration, 1122 Treatment, 1122 Hygienic, 1122 Of pain, 1122 Diet, 1122 Peptonized milk, use of, 1123 mode of preparing, 1123 gruel, 1123 broth, 1123 Ext. pancreatis, use of, 1122, 1123 Watery infusion of pancreas, use of, 1122 Purgatives, use of, 1122 Opium, 1122 Morbid Growths of Pancreas, 1123 Carcinoma of Pancreas, 1123 Etiology, 1123 Morbid anatomy, 1123 Primary forms, 1123 Method of growth, 1124 Wirsung's duct, obstruction of, 1124 Tumor, shape and seat of, 1124 Extension to other organs, 1124 Common bile-duct, obstruction of, 1124 Secondary forms, 1124 Limitation to head of gland, 1124 Seat of primary growth, 1124 Symptoms and course, 1124 Emaciation, 1124 Debility, 1124 Physiognomy, 1124, 1125 Temperature, 1125 Pulse, 1125 Pain, 1125 seat and character of, 1125 Stools, fat in, 1125 Jaundice, 1126 Urine, fat in, 1125 Tumor, presence of, 1125 Salivation, 1125 Pyrosis, 1125 Eructations, 1125 Epigastrium, burning and weight in, 1125 Thirst, 1125 Tongue, state of, 1125 Appetite, impaired, 1125 Nausea and vomiting, 1125 Vomit, characters of, 1126 Stools, bloody, 1126 Diarrhoea, 1126 Of secondary carcinoma of liver, 1126 Dropsy, 1126 Ascites, 1126 Duration, 1126 Prognosis, 1126 Diagnosis, 1126 From gastric cancer, 1127 From hepatic disease, 1127 From tumor of enlarged gall-bladder, 1127 From aneurism of aorta, 1127 From carcinoma of omentum, 1127 of transverse colon, 1127 From chronic pancreatitis, 1127 Treatment, 1127 Diet, 1127 Ext. pancreatis, use of, 1128 Enemata, 1128 Sarcoma and Tubercle of Pancreas, 1128 Degenerations of Pancreas, 1128 Fatty Degeneration of Pancreas, 1128 Fatty infiltration, 1128 Fatty metamorphosis, 1128 Albuminoid Degeneration of Pancreas, 1128 Hemorrhages into Pancreas, 1129 From chronic disease of liver, 1129 of heart and lungs, 1129 From rupture of vessels of gland, 1129 Appearance of gland, 1129 Symptoms, 1129 Vomiting, 1129 Collapse, 1129 Pulse, feeble, 1129 Pulsating tumor, presence of, 1129 Treatment, 1129 Obstruction of Pancreatic Duct, 1129 Etiology, 1129 From pressure from without, 1129 Sclerosis and carcinoma of head, 1129 Of gland, 1129 Gall-stones, 1130 Carcinoma of pylorus and duodenum, 1130 Canal of Wirsung, catarrh of, 1130 Pancreatic calculi, 1130 causes of, 1130 size and shape, 1130 composition, 1130 seat of, 1130 Dilatation of canal from, 1130 Cysts of canal, 1130 contents of, 1130 Cell-structure, changes in, 1130 Symptoms and course, 1131 Presence of a tumor, 1131 Emaciation, 1131 Stools, fatty, 1131 Jaundice, 1131 Melituria, 1131 Pain, 1131 Duration, 1131 Diagnosis, 1131 From hydatid of liver, 1131 From distension of gall-bladder, 1131 Treatment, 1131 Hygienic, 1131 Diet, 1131 Anodynes, use of, 1131 Paracentesis of cysts, 1131

Pancreas, lesions of, in diabetes mellitus, 200 in chronic intestinal catarrh, 705 in scurvy, 173 in tabes mesenterica, 1188

Pancreatic calculi, composition of, 1130 size and shape, 1130 disease complicating diabetes mellitus, 210, 1117 influence of, on causation of constipation, 642 of functional dyspepsia, 447 extract, use of, in entero-colitis and cholera infantum, 752 in functional dyspepsia, 453 in intestinal indigestion, 633, 635 form of intestinal indigestion, diagnosis, 631 juice, properties of, 1114 in diseases of pancreas, 1122, 1123, 1128

Pancreatin, use of, in chronic interstitial pancreatitis, 1122, 1123

Papillæ, enlargement of, in glossitis parasitica, 358 in superficial glossitis, 355, 356

Papular eruption of hereditary syphilis, 278

Paracentesis in ascites, 1180 in obstruction of pancreatic duct, 1131

Paralyses in morbid dentition, 375

Paralysis, facial, in diabetes mellitus, 206 complicating dysentery, 805 following chronic intestinal catarrh, 710 in intestinal indigestion, 628 of muscular coat as a cause of intestinal obstruction, 851 in dilatation of oesophagus, 430 of oesophagus, 429 of palate in acute pharyngitis, 395 in tonsillitis, 383 of rectum in chronic heart disease, 908 in spinal meningitis, 908 of rectum in vertebral fracture, 908 in scurvy, 180

Paraplegia in acute intestinal catarrh, 681 following chronic intestinal catarrh, 710

Parasite of thrush, nature of, 333 of mycotic form of tonsillitis, 386

Parasites as a cause of hemorrhage from bowels, 831 in portal vein, 1111 influence on causation of intestinal ulcer, 823 of the liver, 1101

Parasitic conditions of anus, 892 growths, influence on causation of pseudo-membranous enteritis, 765

Parasiticides, use of, in treatment of liver-flukes, 1110

Paratyphlitis, 814