Part 232

Pericarditis, complicating gastric cancer, 560 in abscess of liver, 1015 in acute rheumatism, 28, 33, 34

Peri- and endocarditis in acute rheumatism, treatment of, 63, 64

Perihepatitis, 989 as a cause of cirrhosis of liver, 992

Periodicity of recurrence of dysentery, 785

Peristalsis, cessation of, in acute peritonitis, 1142 intestinal, cause of, 622, 623

Peristaltic movements of stomach in gastric dilatation, 596

Peritoneal abscesses, in simple ulcer of stomach, 507 adhesions as a cause of compression and contraction of bowel, 857

Peritoneum, condition of, in hereditary syphilis, 307 lesions of, in chronic intestinal catarrh, 705 in cirrhosis of stomach, 614 in simple ulcer of stomach, 506 secondary growths of, in gastric cancer, 557

Peritonism, relation to peritonitis, 1152

PERITONITIS, 1131 History, 1131 Peritonitis, Acute Diffuse, 1133 Morbid anatomy, 1133 Collections of fibrin on intestines, 1133 Blood-vessels, lesions, 1133 Peritoneum, thickening of, 1134 Serous effusions, 1134 False membrane, disposition of, 1134 fatty degeneration of, 1134 cysts of, 1135 Epithelium, changes in, 1134, 1135 Pus, character of, 1136 Abscesses, seat, 1136 Solar plexus, lesions, 1136 Hypogastric plexus, lesions, 1136 Etiology, 1136 Spontaneous origin, 1136, 1137 Albuminuria, influence on causation, 1138 Pyæmia, influence on causation, 1138 Diphtheria, influence on causation, 1138 Perforations of intestinal canal, 1138 of appendix, 1138 Abscess of liver, 1138 Gall-stones, 1138, 1139 Ulcers of stomach, 1139 of dysentery, 1139 of typhoid fever, 1139 Fecal accumulations, 1139 Injury from operations, 1140 Rupture of ovarian cysts, 1140 Tumors, presence of, 1140 Urine, infiltration of, 1140 Pelvic inflammations, 1140 Intestinal worms, 1140 Vaginal and uterine injections, 1140 Traumatism, 1141 Symptoms, 1141 Pain, 1141 characters and seat, 1141 absence of, 1143 Pulse, 1141 Respirations, 1141, 1142 Abdominal distension, 1141 Tympanites, 1141 Constipation, 1141 Vomiting, 1141 Vomit, green, 1141 Peristalsis, cessation of, 1142 Temperature, 1142 Physiognomy, 1142 Mental condition, 1142 Delirium, 1142 Urine, condition, 1142 Relation to peritonism, 1152 Consequences, 1152 Formations of bands and loops, 1153 Constipation from, 1153 Obstruction, intestinal, from, 1153, 1154 Mortality, 1143 Duration, 1143 Diagnosis, 1143 From hepatic colic, 1144 renal colic, 1144 intestinal colic, 1144 Treatment, 1144 History of, 1145 Bloodletting, 1145 Opium, 1146 history of introduction of, 1146 method of administration, 1148 amount necessary, 1148, 1149 cautions in using, 1150 use of, in Bright's disease, 1150 origin of, 1151 Purgatives, use of, 1151 Mercurials, use of, 1151 Diet, 1151 Operative measures, 1152 Puncture of intestine, 1152 Of puerperal form, 1146, 1149 Peritonism, 1152 Peritonitis from Perforation, 1154 Seat of, 1154 From perforation of stomach, 1155 Symptoms, 1155 in typhoid fever, 1155 seat, 1155 Of intestines, 1155, 1156 Hepatic resonance of percussion, significance in, 1156 Treatment, 1156 Rest, 1156 Opium, 1156 Local Peritonitis, 1159 Seat, 1159 Purulent form, 1159 Symptoms, 1159, 1160 Diagnosis, 1159 Of abscesses, 1159, 1160 pus, fecal odor of, 1160 discharge of, mode, 1160 Fibrinous exudations, 1160 seat, 1160 Formation of contractile capsule on liver, 1160, 1161 Ascites from, 1161 Chronic Peritonitis, 1161 Possibility of, 1161 Symptoms, 1162 Vomiting, 1162 Pain, 1162 Temperature, 1162 Pulse, 1162 Constipation and diarrhoea, 1162 Abdominal tenderness, 1162 Abdomen, sacculation of fluid in, 1162 Tubercular Peritonitis, 1165 Symptoms, 1165 Onset, 1165 Remissions in, 1165 Fever, 1165 Temperature, 1165 Pulse, 1165, 1166 Tympanites, 1165, 1166 Digestion, disturbances of, 1166 Abdomen, tenderness of, 1165, 1166 Emaciation, 1166 Diagnosis, 1166 Significance of cough, 1167 Morbid anatomy, 1167 False membranes, thickness of, 1167 Lungs, lesions of, 1168 Prognosis, 1168 Fatality of, 1168 Treatment, 1168 Iodide of potassium, 1168 Iodine and olive oil, locally, 1168 Iodide of iron, 1168 Diet, 1168 Cancerous Peritonitis, 1168 Etiology, 1168 Disseminated carcinoma, most frequent cause, 1168 Case illustrating, 1168, 1171 Vomiting, 1170 Pain, 1169 Urine, condition of, 1170 Physiognomy, 1169 Ascites, 1169 fluid, characters of, 1169 Abdomen, state of, 1169 Diagnosis, 1171 From tubercular peritonitis, 1171 Treatment, 1172 Opium, 1172 Belladonna, 1172 Infantile Peritonitis, 1172 Etiology, 1172 Scarlet fever, 1172 Erysipelas, 1172 Age, 1172 Syphilis, 1172 Ill-health of mother, 1172 Visceral disease, 1172 Symptoms, 1173 Treatment, 1173 Ascites, 1173 Etiology, obstruction to portal circulation, 1173 Liver disease, 1173 Heart disease, 1174 Kidney disease, 1174 Phthisis disease, 1175 Chronic peritonitis, 1175 Acute peritonitis, 1175 Sex, 1176 Age, 1176 Symptoms, 1175 Amount of fluid, 1175 Abdomen, state of, 1176 effect of position on, 1176 Respiration in, 1177 Abdominal veins, prominence of, 1177 Digestion, derangements of, 1177 Appetite, impaired, 1177 Emaciation, 1177 Urine, condition of, 1177 Skin, condition of, 1177 Tongue, condition of, 1177 Mental state, 1177 Diagnosis, 1177 From ovarian cysts, 1177 Auscultatory percussion in, 1174 Treatment, 1178 Diuretics, use of, 1178 Carbonate of potash and lemon-juice, 1178 Bitartrate of potash, 1179 Digitalis, 1179 Diaphoretics, 1179 Vapor bath, 1179 Pilocarpine, 1179 Cathartics, 1179 Epsom salts, 1179 Ext. senna, 1179 Elaterium, 1179 Mercurials, 1178, 1179 Paracentesis, 1180 method, 1180 Hemorrhagic effusion of peritoneum, 1180 Scurvy as a cause of, 1180 Erosions of abdominal vessels, 1181 Aneurisms, 1181 Traumatism, 1181 Symptoms, 1181

Peritonitis, chronic, influence on causation of dilatation of stomach, 590 complicating chronic intestinal catarrh, 710 acute rheumatism, 42 cancer of stomach, 560 simple ulcer of stomach, 502 acute, distinguished from cholera morbus, 724 distinguished from acute intestinal catarrh, 686 from acute gastritis, 468 in acute intestinal strangulation of intestines, 843 in intestinal ulcer, treatment, 829 in perforation of simple gastric ulcer, 499 in trichinosis, 961 secondary, in acute pancreatitis, 1118, 1119

Perityphlitis. See Typhlitis.

Permanent teeth, disease of, in hereditary syphilis, 293

Permanganate of potassium, use of, in catarrh of bile-ducts, 1057 in fatty liver, 1051

Perspiration, excessive, as a cause of constipation, 642 in acute rheumatism, 27, 30 in rheumatic form of gonorrhoeal rheumatism, 104 of head in rachitis, 146

Perspirations, local, complicating gout, 121

Perverted nutrition, the essential character of scurvy, 173

Pessary, dilated gum, in prolapsus ani, 920

Peyer's patches, degeneration of, in hereditary syphilis, 306 lesions of, in cholera morbus, 721 in entero-colitis, 738 in acute intestinal catarrh, 675 in chronic intestinal catarrh, 702

PHARYNX, DISEASES OF, 390 Pharyngitis, Acute, 390 Definition, 390 Synonyms, 390 Etiology, 390 Diathetic cause of, 390 Scrofula, 390 Rheumatism and gout, 390 Syphilis, 390 Age, 390 Cold and damp, 390 Malarial poison, 391 The exanthemata, 391 Drugs, 391 Injury, 391 Pathology and morbid anatomy, 391 Acute form, nature of, 391 Phlegmonous form, nature of, 391 course of suppurative process, 301 Ulcerative form, nature of, 392 Membranous or herpetic form, nature and course, 392 deposit, nature of, 392 vesicles of, 392 Gangrenous form, nature of, 392 course of, 392 description of ulcerative process, 393 Erysipelatous form, nature of, 393 extension from lips and skin, 393 Exanthematous form, 393 of variola, 393 of measles, 394 of scarlatina, 394 Symptoms, 394 Erythematous form, 394 Mode of onset, 394 Pain, 394 Dysphagia, 394 Skin, state of, 394 Pulse, 394 Temperature, 394 Cough, 394 Glands, swelling of, 395 Localization of inflammatory process, 395 Rheumatic form, 394 Malarial form, 395 Phlegmonous form, 395 Constitutional, 395 Local, 395 Paralysis of palate, 395 Ulcerative form, 395 Constitutional, 395 Headache, 395 Local, 395 Membranous form, 395 Constitutional, 395 Chills, 395 Pain, 395 Local, 395 Duration, 395 Gangrenous form, 395 Constitutional, 395 Temperature, 395 Pulse, 395 Pain, 395 Local, 395 Fetid secretions, 395 Odor of breath, 396 Diarrhoea, 396 Mode of death, 396 Erysipelatous form, 396 Constitutional, 396 Local, 396 Duration, 396 Diagnosis, 396 From scarlatina, 396 diphtheria, 396 Prognosis, 396 Treatment, 397 Of simple form, 397 General, 397 Local, 397 Phlegmonous form, 397 General, 397 Local, 397 Gargles, 397 Medicated sprays, 398 Leeching, 398 Rheumatic form, 398 Ulcerative form, 398 Gangrenous form, 398 Diet, 398 Traumatic form, 399 Diet, 399 Erysipelatous form, 399 Diet, 399 Membranous form, 399 Diet, 399 Exanthematous form, 399 Use of aconite, 397, 398 of astringents, 397, 398 of steam inhalations, 397, 398, 399 of ice, 397 of medicated powders, 398 of iron and quinia, 398 of alcohol, 398 of opium, 397, 398, 399 Incisions and scarification, 397 Tracheotomy, 398, 399 Pharyngitis, Tuberculous, 400 Definition, 400 Synonyms, 400 History, 400 Etiology, 400 Pathology and morbid anatomy, 400 Nature of ulcerative process, 400 Ulcers, description of, 401 Mucous membrane, miliary infiltration of, 400 Extension to oesophagus, 401 Muscles, fatty degeneration, 401 Lymphatic glands, enlargement of, 401 Symptoms, 401 Pain in swallowing, 401 Cough, 401 Pyrexia, 401 Wasting, 401 Diagnosis, 401 Significance of intense pain in swallowing, 401 Prognosis, 401 Death, cause of, 402 Treatment, 402 Iodoform and morphine, insufflations of, 402 Hydrogen peroxide, locally, 402 Carbolic acid, use of, 402 General, 402 Rectal alimentation, 402 Pharyngitis, Chronic, 402 Definition, 402 Synonyms, 402 Etiology, 402 Predisposing causes, 402 Overcrowding, 402 Sedentary occupation, 402 Food, improper, 402 Tobacco, 402 Alcohol, 402 Voice, improper use of, 402 Relation to chronic inflammations of other mucous membranes, 402, 403 Uterine disturbances, 403 Mental depression, 403 Exciting causes, 402 Pathology and morbid anatomy, 403 Nature of, 403 Structures involved, 403 Epithelium, desquamation of, 403 Glands of pharynx, dilated and hypertrophied, 403 Follicles, enlargement, 403 Papillæ of base of tongue, enlargement of, 403 Of folliculous variety, 403 Involvement of glands, 403 Projections on mucous membrane, 403 nature of, 403, 404 engorgement of capillaries at base of, 404 Viscid mucus, secretion of, 404 Dry catarrh, atrophic form, 404 Symptoms, 404 Cough, 404 Expectoration, 404 Hoarseness, 404 Hemming, 404 Sensations of throat uncomfortable, 404 Absence of symptoms, 404 Diagnosis, 404 Prognosis, 404 Treatment, 405 Of catarrhal form, 405 Constitutional, necessity of, 405 Use of mild astringents, 405 of sprays, medicated, 405 Mode of making applications, 405 Of folliculous form, 405 Constitutional, 405 Strong solutions of silver nitrate, 405 of iodine, 405 Use of ergot, locally, 405 Destruction of enlarged follicles, 405 Use of medicated sprays, 406 of mercuric chloride, 406 local, 406 Counter-irritation, 406 Chronic atrophic form, 406 Use of cubebs, 406 of jaborandi, 406 ammon. chloride, 406 pyrethrum, 406 Pharyngitis, Syphilitic, 406 Definition, 406 Synonyms, 406 Etiology, 406 Pathology and morbid anatomy, 406 Varieties of, 406 Secondary manifestations, 406 Inflammatory nature of, 406 Mode of spread, 406 Mucous patches, 407 microscopic appearance of, 407 Ulceration, occurrence of, 407 Tertiary manifestations, 407 Gummatous infiltration, 407 seat of, 407 Course of the process, 407 Ulcerations, nature and seat of, 407 Cicatrization, 407 Hereditary manifestations, 407 Symptoms, 407 Course of, 407 Duration of, 407 Complications, 407 Sequelæ, 407 Cicatricial stricture, 407 Diagnosis, 408 Prognosis, 408 Treatment, 408 Use of mercury, 408 potassium iodide, 408 necessity of large doses, 408 Local, 408 Use of sulphate of copper, 408 of chromic acid, 408

Pharyngeal nerve, relation to causation of parenchymatous glossitis, 363 phthisis, 400 and laryngeal catarrh in gout, 122

Pharyngitis in acute rheumatism, 42

Phlegmasia alba dolens complicating gastric cancer, 560

Phlegmatic form of scrofulous habit, 243

Phlegmonous form of acute oesophagitis, 414 of acute pharyngitis, 395 treatment of, 397

Phosphate of sodium, use of, in biliary calculi, 1080, 1081 in biliary calculus state, 1080 in catarrh of bile-ducts, 1057 in biliousness, 968 as a preventive of enteralgia, 666 in jaundice, 982 in lithæmia, 972 in acute yellow atrophy of liver, 1030 in cirrhosis of liver, 1001 in fatty liver, 1050 in hyperæmia of liver, 988

Phosphates, use of, in diabetes mellitus, 227

Phosphoric acid, elimination of, in rachitis, 138