Medico-Chirurgical Transactions (21)
Volume: 21 General Books publication date: 2009 Original publication date: 1838 Original Publisher: Printed for Longman, Hurst, Rees, and Orme Subjects: Medicine Surgery Medical / General Medical / History Medical / Surgery / General Medical / Surgery / Neurosurgery Notes: This is a black and white OCR reprint of the original. It has no illustrations and there may be typos or missing text. When you buy the General Books edition of this book you get free trial access to Million-Books.com where you can select from more than a million books for free. Excerpt: ON A PECULIAR SYMPTOM OCCURRING IN SOME CASES ENLARGED LIVER. BY JOHN G. MALCOLMSON, Esq., I H 1. 1. ' N IK TBE MA I) HAS I. ST All Lig HM C S T. COMMUNICATED BV THE PRESIDENT. READ MAY 9TH, 1837. Previous to the year 1832, one or two cases of abdominal disease had occurred to me, in which a remarkable symptom was observed in the chest, which differed from any described by Laennec and other writers on auscultation. It was a loud sound, (as heard through the stethoscope,) between a crepitous rattle and a bleating, audible to the patient and even to the bystander, and accompanied by a vibration of the parietes of the thorax, communicated to the hand applied to the part. I was unable to ascertain the cause of the symptom, until the following case occurred to me, while attending the Hospital of H. M.'s 46th Regiment, at Hyderabad, during the illness of my friend Dr. Gualter. As the case has important bearings on several questions re- latire to disease of the liver, on which the opinions of the profession are at variance, it may be properto enter somewhat more into detail than would be necessary for the illustration of the particular object of this paper. The following details are extracted from the Hospital Journal. CASE. L. M'Donald, aet. 29, was attacked with violent symptoms of hepatitis during the latter part of 1832, for which he was twice bled to the extent of 30 and 40 ounces, and had 90 l...
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