Carcinoma of the Liver.
—Definition.—A cancerous growth in the liver.
Pathology.—Jaundice is present in most cases and where the portal circulation is seriously compressed, ascites developes. The liver is greatly enlarged, and the surface is nodular.
Treatment.—As in all chronic affections of the liver, where the skin takes on a yellowish or bronze hue, due to pigmentation, it is almost impossible to bring about the desired cosmetic effects. The pigment is not only in the blood vessel but also in the tissues of the skin.
We would advise the washing out of the tissues, by the use of the oxalic or borax solution, injecting the axillary artery and draining from the femoral artery or raising both the carotid arteries, injecting upward on one side and draining from the other.
For transportation, govern yourself according to the transportation rules.
Appendicitis.
—An inflammation, acute or chronic, of the appendix.
Pathology.—The pathology will depend to a great extent upon the degree of the inflammation. Ulceration may take place or there may be perforation.
Treatment.—If, after an operation, reopen the incision made by the surgeon, relieve the gas pressure on the intestines by incising them; surround the intestines with hardening compound; then inject an artery, using half strength fluid for the first 64 oz., followed by enough normal fluid to secure preservation. Drain the blood during the injection by one of the drainage processes.