CHAPTER XI. 

 DISEASES OF THE PANCEEAS AJ^D SPLEEN. 



Diseases of the pancreas : inflammation, degeneration, calculi, etc. Dis 

 eases of the spleen : tuberculous, cancerous, glanderous, inflammatory, con 

 gestive, apoplectic. Hypertrophy, Atrophy, Lymphadenoma, Leukaemia. 



DISEASES OF THE PANCREAS. 



Though subject to a variety of diseases as shown by the 

 existence of abscess, tuberculosis, sarcoma, melanosis, can- 

 cer, calculi and worms (Sclerostomum Equiaum) after 

 death, this organ is so deeply seated and the result of its 

 disorder so httle manifest, that its pathological states usu- 

 ally pass without recognition during hfe. One symptom 

 only is characteristic — the passage of much undigested fat 

 with the dung. The fatty aliment is maialy emulsionized 

 by the pancreatic juice, and its presence iu the stools un- 

 changed may be held to imply suppression of that secre- 

 tion. If this condition coincides with general fever, col- 

 icky paias, and tenderness behind the last rib on the right 

 side, inflammation of the gland may be suspected ; if with 

 sharper coMc but without fever, obstruction of ihc 'pancreatic 

 duct by calculi wiU be suggested. 



liiflammation should be treated on general principles by 

 laxatives, bhsters to the right side of the abdomen anr" 

 spare diet ; Calculi by antispasmodics and fomentations 

 as for gaU-stones ; and simple suppressed secretion by sul- 

 phuric etiier. 



DISEASES OF THE SPLEEN (MTLT). 



These are if possible even more occult than those of the 



