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Gall-stones in the Gall-bladder; circumstances favouring their for-
mation
Position and Shape of Calculi in the Cyst
Changes in the Gall-bladder produced by Calculi .
Contents of enlarged Gall-bladder containing Gall-stones
Calculi in the Cystic Duct
Calculi in the Common Duct
Number of Calculi sometimes found in the Gall-bladder and Ducts
Gall-stones found in various parts of the Intestinal Canal
PAGE
182
Influence of Sex upon the Formation and Nature of Gall-stones
211
Table showing Frequency of Gall-stones in both Sexes
212
Individual and Hereditary predisposition as alleged Causes of Gall-
stones
Obesity an alleged Cause of Gall-stones
213
Sedentary Habits, Sleep, Rest, and Imprisonment, as alleged Causes
Winter Season alleged to favour the production of Gall-stone Disease. 220
Nature of Food considered as a possible Cause
Toleration, without Symptoms, of Calculi in the Gall-bladder
Passage of Calculi without Symptoms .
Symptoms of Calculi in the small and large branches of the Hepatic
Duct and the Duct itself
in the Gall-bladder
220
of the Passage of Calculi through the Cystic and Common
Gall-stones leaving the Gall-bladder by Ulceration, and passing through
the Abdominal Walls
250
Cases
255
Passage of Gall-stones through Internal Biliary Fistulæ
Expulsion of Gall-stones by the Urinary Passages
Escape of Gall-stones into the Peritoneal Cavity.
Diagnosis
Treatment of Gall-stone Disease
ILLUSTRATIVE CASES
CASE 1. Chronic Gall-stone Disease, terminating fatally by Inflamma-
tion of the Liver
293
2. Jaundice from partial Occlusion of the Common Duct; evil
effects of Mercurial Treatment remedied by the Turkish Bath 294
,, 3. Many small Angular Gall-stones gradually pass through the
Ducts, and are evacuated; complete recovery
4. An extremely Fat Woman is reduced to excessive Leanness
by the Sufferings caused by a Gall-stone, but recovers her
Obesity after having parted with the Concretion
296
297
5. Gall-stone Colic; Jaundice; Discharge of Gall-stones; re-
covery
298
6. A large Gall-stone passed without Jaundice, but with con-
siderable Hæmorrhage
300
8. Thirty-six Calculi passed by a Person aged Eighty-three
302
10. Gall-stone Colic, Jaundice, and Expulsion of Calculi
INDEX
11. Treatment of Gall-stone Colic towards the end of last Century 305
12. A Discussion on the Treatment of Jaundice and Gall-stones. 310