CHAPTER IX. 

 DISEASES OF THE PANCEBAS AND SPLEEN. 



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

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

 gestive, apoplectic. Hypertrophy, Atrophy, Lymphadenoma, Leufcsemia. 



DISEASES OP 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 Equinum) 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 life. One symptom 

 only is characteristic — the passage of much undigested fat 

 with the dung. The fatty ahment is maiuly emulsionized 

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

 changed may be held to imply suppression of that secre- 

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

 icky pains, and tenderness behind the last rib on the riglit 

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

 sharper colie but without fever, obstruction of the ^no'eatic 

 duct by calculi will be suggested. 



Inflammation should be treated on general principles by 

 Jasatives, blisters to the right side of the abdomen anr' 

 spare diet ; Calcvli by antispasmodics and fomentatioub 

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

 pJmric ether. 



DISEASES OF THE SPLEEN (mILT). 



These are if possible even more occult than those of the 



