JAUNDICE. 63 



THE LIVER has been found to present all those 

 lesions which follow every form of inflammatory action ; 

 sometimes it is considerably enlarged, its blood-vessels 

 congested, its ducts engorged, and its structure softened, 

 inflamed, deeply tinged or suffused with bile, and con- 

 taining, in its substance, one or more abscesses, or the 

 remains of such ; at other times we find the organ 

 considerably diminished in size, hardened, scirrhous, or 

 tuberculated, and apparently devoid of blood and biliary 

 secretion. In some cases, it is changed to a white par- 

 boiled condition ; in others, into fatty steatomatous, 

 tallowy, or adipocerous substance. Occasionally, the 

 ducts are loaded with green inspissated bile, or ob- 

 structed by concretions of cholesterine, or resinous 

 matter. Sometimes we find the surfaces of the liver 

 adhering to the adjoining organs. In other cases, one 

 or more abscesses. 



THE GALL-BLADDER is found to contain one or 

 more calculi ; if solitary, it becomes, after a time, of 

 considerable size, blocks up that viscus, distends its 

 walls, and ulcerates its surface, 



THE 1ULIARY DUCTS are frequently obstructed, 

 either by gall-stones, or by the pressure of tumours in 

 the pancreas, mesentery, pylorus, or duodenum ; and 

 the common duct by scirrhous and other tumours. 



The stomach is another organ which becomes seri- 

 ously implicated in aggravated cases of Jaundice, 

 particularly when the disease has been occasioned by 

 intemperance, and more especially by the abuse of 

 ardent spirits. 



The pyloric extremity is found thickened, cartila- 

 ginous, and constricted, and its mucous membrane is 



