62 THE LIVER. 



or with coma, apoplexy, epilepsy, or palsy. Abdominal 

 dropsy frequently takes place in its progress. Its course, 

 in its slightest grades, is generally slow sometimes 

 continuing, with various fluctuations, for seven or eight 

 years ; but, when the colour becomes very deep, it often 

 terminates rapidly, in one of the above ways. 



When this form of Jaundice is attended with pitchy, 

 or dark grumous evacuations, there is generally either 

 congestion of the spleen and of the portal system <>f 

 vessels, with 'the secretion of a dark-green unhealthy 

 bile, a portion of which is absorbed and deposited in 

 the structure, particularly in the rctc tmicosum ; or a 

 congested and ha-mon-ha^ic stute of the mucous mem- 

 brane of the stomach, duodenum, and upper part of the 

 intestines, owing to the obstructed circulation through 

 the liver; but both pathological conditions may be 

 present, giving rise to an ex halation of venous blood 

 from this membrane, and thereby ' iark and 



Brumous motions. The mucous meinhrane in ' 

 situations is usually found, on dissection, dark-coloured, 

 mottled, softened, ecchymosed, or its venous capil! 

 loaded. 



The morbid anatomy accompanying this and other 

 profound cases of .Jaundice, present features of grave 

 import and considerable interest. 



TlIK IJODV is -enerally emaciated. 



THE SKIN presents a deep-yellow or brori/ed 

 colour ; the serum in the oedematous limbs when 

 anasarca exists the cellular, adipose, and serous 

 tissues, the internal surface of the blood-vessels, the 

 muscles, cartilages, tendons, periosteum, and bones, 

 partake of the same colour. 



