Anasarca is a general dropsy of the cellular tissues.
This affection is very rarely a local one, but almost uniformly combined with and forming a part of anasarca arising from constitutional causes.
Even the anasarca may not be the first to appear, although in the vast majority of cases it has the precedence.
As long as the hydrothorax continued no anasarca was observed, but as it declined anasarca appeared.
In another instance, a child of five years, from three to four weeks after scarlet fever was noticed to have anasarca of the face and extremities, with scanty and albuminous urine.
The term oedema is applied to the accumulation in the connective-tissue lymph-spaces in general, while the term anasarca is confined to those cases where the subcutaneous lymph-spaces are concerned.
Anasarca must have a general causation, either connected with the state of the blood or with disorder of the heart, kidneys, or liver, or of more than one of those organs at once.
Legendre cites a case in which oedema of the lungs occurred without anasarca or other dropsy.
The altered state of the blood soon gives rise to transudation of serum, first observed in most cases as an anasarca occurring in the feet and ankles.
Anasarca and ascites may exist a long time with little suffering or danger, but a small amount of serum in certain other localities causes alarming symptoms and speedy death.
In these the anasarca (which, as has been stated, constitutes the leading clinical difference between the two forms of the malady) plays an important rĂ´le.
The humoral asthma probably consists in a temporary anasarca of the lungs, which may be owing to a temporary defect of lymphatic absorption.
The theory of the double effect of issues, as above related, one in relieving by their presence the asthma dolorificum, and the other in producing by its cure an anasarca of the lungs, is not easy to explain.
The anasarcaof the lungs is known by the difficulty of respiration accompanied with swelled legs, and with a very irregular pulse.
Corpulency may be called an anasarca or dropsy of fat, since it must be owing to an analogous cause; that is, to the deficient absorption of fat compared to the quantity secreted into the cells which contain it.
Hence matter is thickened and lessened in ulcers by opium and Peruvian bark; and serum is absorbed in anasarca by the operation of emetics and cathartics.
I even doubt whether the heart alone can cause the anasarca that is so often attributed to it.
I have been compelled by these observations to ascribe the anasarca and oedema that makes this last stage of heart disease so distressing to the kidneys, and not to the heart.
Does not something similar to this occur in the anasarca of the lungs, when the disease is very great, and thus prevent those patients also from lying down?
In anasarca or purpura hemorrhagica large soft swellings appear on any part of the skin, but usually on the legs, side of the body, and about the head.
The inflammation of the lymphatic cords and glands in anasarca does not produce the indurated character which is found in farcy.
Anasarca commences by symptoms which are excessively variable.
The diagnosis of anasarca must principally be made from farcy or glanders.
In anasarca the swelling is nonsensitive, while sensitive in the acute swelling of farcy.
The treatment of anasarca may be as variable as are the lesions.
While anasarca is not an excessively fatal disease, the prognosis must always be guarded.
The anasarcais generally curable when seated in the sub-cutaneous cellular membrane, or in the substance of the lungs.
Considering the anasarca as caused by the diseased inguinal glands, I ordered common poultice and mercurial ointment to the groins, three grains of pulv.
Where appearances of anasarca point out the true cause of the complaint, as in cases XXIV.
The anasarca does not appear until the encysted dropsy is very far advanced.
In the greater part of what are called asthmatical cases, the real disease is anasarca of the lungs, and is generally to be cured by diuretics.
If the belly in ascites be tense, hard, and circumscribed, or the limbs in anasarca solid and resisting, we have but little to hope.
He had been affected with what was supposed to be an asthma, for several years by fits, but through the last winter his breath had been much worse than usual; universal anasarca came on, and soon afterwards an ascites.
This man had a general anasarca and ascites, and was moreover so asthmatic, that, neither being able to sit in a chair nor lie in bed, he was obliged constantly to walk about, or to lean forward against a window or table.
From a degree of anasarca in her legs I was led to suspect effusion in the Pericardium, and therefore directed Digitalis, but it produced no benefit.
A very fat, short woman; had suffered severely through the last winter and spring from what had been called asthma; but for some time past an universal anasarca prevailed, and she had not lain down for several weeks.
Serum is therefore found in greater abundance, when anasarca precedes the local dropsy, which, in Dr.
It is also said in support of this opinion, that where anasarca is idiopathic, it is attended with fever, but that this latter does not exist, when the disease follows ascites.
But, surely all this is far from proving, that primary anasarca is a general disease, and owes its origin to a primary arterial excitement of the whole system.
But it is also admitted, that serum is found in the urine in cases of anasarca following ascites.
But the most common form of anasarca is that which is symptomatic of some visceral disease; and which, as it ordinarily appears, arises from a state of the system that answers to the hydropic diathesis of systematic authors.
By most writers on dropsy, anasarca has been maintained to originate, in all instances, in debility, and to be curable only by a tonic and invigorating plan.
It is also maintained, that when anasarca is idiopathic, there exists a large quantity of serum in the urine; and this is brought forward in order to distinguish these cases from local dropsies.
This is found to be the case especially inanasarca after scarlet fever.
This form of the disease begins in the lower extremities, and is rarely attended with strong signs of local excitement so obvious in anasarca of the idiopathic kind.
Following up this opinion, and generalizing still more than the French pathologists, our author asserts that anasarca invariably consists in an inflammation of the cellular membrane of the body, with a serous effusion as its result.
Perhaps a more technical nosological term might have been found for a good many of these, such as anasarca or general dropsy.
The crowds suffering from starvation, famine-fever or dysentery exhaled the most offensive smells, the smell of the relapsing fever and the anasarca being peculiar or distinguishable[516].
But there are reasons for thinking that the deaths from dysentery, anasarca and other slow effects of famine and bad food really made up more of the extra mortality of the famine-years than the sharp fever itself.
Two of the fatalities in children were from the anasarca of the whole body, with scanty urine, which came on a week or two after.
General anasarca was now rapidly increasing; and as the cellular effusion advanced, the breathing became more laborious.
Ascites and general anasarca were considerable, giving the body a large appearance.
The generalanasarca gave the body a bulky appearance.
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