98 DISEASES OF THE DIGESTIVE APPARATUS. 



Amyloid and Lardaceous Liver. 



Amyloid liver, as a rule, is a symptom of a general amyloid 

 condition developed from a cachectic state from prolonged suppu- 

 rating wounds or from chronic inflammation of the pectoral mem- 

 branes. 



The liver is very much enlarged and blunt on the edges of the 

 lobes. It is tough and firm on section, the cut surface speckled 

 and grayish-brown in color. On microscopical examination the 

 walls of the capillaries will be found to have undergone amyloid 

 degeneration; the cells are atrophic and show partial fatty degen- 

 eration. These parts become blue when brought in contact with 

 iodine or sulphuric acid, reddish-brown with tincture of iodine, 

 and methyl- violet turns them intensely red. 



Lardaceous liver is developed when we have a disease that has a 

 tendency to produce amyloid degeneration. The liver becomes 

 very large. With it we generally have amyloid kidney with albu- 

 min in the urine, and we also may have amyloid spleen. 



This disease is generally impossible to diagnosticate and useless 

 to treat. 



POISONS. 



A short abstract on poisons, together with their symptoms and 

 treatment, is here given : 



Poisoning' by Arsemc. The poison may be given intention- 

 ally or by eating some of the various rat poisons. There is a 

 violent inflammation of the stomach and intestines, with great 

 restlessness, bloody diarrhoea, vomiting, and dyspnoea, great weak- 

 ness, and finally collapse, death occurring in a few hours. 



Therapeutics. Emetics and ferruginous agents, the hydrated 

 peroxide of iron in water every quarter of an hour; carbonate of 

 magnesium, a teaspoonful every fifteen minutes, followed by alco- 

 holic stimulants. The stomach-pump can also be used if there is 

 not prompt emesis. 



Poisoning by Hydrocyanic Acid (Prussic Acid). This is 

 generally given intentionally in the form of cyanide of potassium or 

 the pure acid. There is an odor of bitter almonds on the breath. 

 The symptoms are vomiting, yelping cries, dyspnoea, convulsions 

 of the legs, and death in a short time. If the dose should be 



