JAUNDICE. 



37 



distinguished, however, from Jaundice by a glance at 

 the following tabular arrangement : 



In CHLOROSIS, the In JAUNDICE, the 



Skin. Is of a dusky yellowish 

 hue, or the countenance, lips, and 

 tongue are deadly pale a livid 

 areola encircling the eyes. 



Eyes. A pearly whiteness of 

 the conjunctiva}. 



Chest. Breathing hurried by 

 slightest exertioo, pulse small, fre- 

 quent, and quick ; systolic bellows- 

 murmur at base of heart, without 

 any other indication of heart dis- 

 ease, or of leukaemia ; hysteria, 

 amenorrhoaa, and divers other 

 forms of uterine and nervous de- 

 rangements. 



Digestion. Flatulency, acidity, 

 and a singularly depraved appe- 

 tite, ehalk, lime, and other ab- 

 sorbents being greedily partaken of, 

 aud all accustomed food rejV 



Frequently affected with 

 oedematous swellings. 



."*. Pale and limpid, with no 

 traces of bile-pigment. 



Alvine Secretions. Costiveness, 

 sometimes alternating with diar- 

 rhoea. 



Cutaneous Surface. Normal. 



Skin varies in colour from a pale 

 sulphur or lemon yellow through a 

 citron yellow to a deep olive or 

 bronzed hue. 



Conjunctivas uniformly yellow, 

 and in some cases all white objects 

 appear yellow. 



No particular derangement save 

 the heart's action, which is con- 

 siderably retarded pulse falling to 

 50, 40, and even 20 strokes to the 

 minute. 



Taste sometimes bitter, denoting 

 the presence of taurocholic acid in 

 the blood, flatulence, appetite varies 

 sometimes normal with a clean 

 tongue, sometimes morbidly in- 

 creased, with a craving for shell- 

 fish, &c. 



Never, except uhen connected 

 with organic disease of liver or 

 heart. 



Urine of a dark brown or satfron 

 colour, tinging the linen of the 

 aame colour. 



Pale coloured, of a clayey con- 

 sistence, and offensive. 



Frequently covered with urti- 

 caria, lichen, carbuncles, and vitili- 

 goidea, and a distressing form of 

 pruritus. 



Secondly, There is that peculiar greyish-yellow 



