188 SYMPTOMS OF 



remaining eleven. Towards the close of life there is 

 dropsy in the lower extremities as well as ascites ; the 

 progress of the accumulation varies considerably : 

 occasionally the anasarca of the lower extremities and 

 the ascites increase equally and gradually ; at other 

 times the former proceeds more slowly than the latter, 

 and in others again the ascites arrives at its utmost 

 extent without much oedema of even the ankles. In 

 many cases there is much vacillation in the course of 

 each, the one increasing, the other diminishing, or 

 either or both experiencing a sudden aLruM-avation, and 

 rapidly reaching its acme. In dropsy from cancer of 

 the liver there is seldom any effusion into the serous 

 cavities of the chest or head. 1 tches 



the utmost, the breathing becomes short, urgent, and 

 distressing, palpitation of the heart, and faintm- 

 the slightest exertion: these symptoms arise owin 

 the diaphragm hi-in-^ carried high up into the tli 

 by the. enlarged liver and acrumulation of fluid. 

 l)urin<_r the last few days there is a distressing hiccup 

 profuse sweating hi >r low delirium; to\\ 



night there is a rapid panting for breath, aphtha- of the 

 mouth, a small and quick pulse, e\ 

 distressing nausea, or retchings, colli. [native diarrho-a, 

 and the patient at last sinks into the h*-d and dies 

 from sheer exhaustion. I' KINK. From the careful ie- 

 reaivhfs of MM. : <! and Walshe thrre 



is nothing very peculiar to be found in the mine 

 of those suffering from cancer of the liver, beyond 

 the fact, that when? cancer is attended with symp- 

 toms of inflammation, the urine is high-colm 

 contains a deficient quantity of water, has an excess 



