. A practical treatise on medical diagnosis for students and physicians . . Enlargement of the Spleen. Tumor of the Left Kidney. DIAGNOSIS OF SPLENIC ENLARGEMENT. 1105 meningitis, and in diseases with blood-poisoning, as septicaemia, puerperalfever, and erysipelas. A rare cause of enlargement is acute splenitis. Generally, it is theresult of emboli lodged in the spleen and starting from an endocarditis.The area of splenic dulness extends rapidly, and there are local pain andtenderness on pressure, increased by coughing and deep inspiration ; othersymptoms are fever, nausea and vomiting, and o

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. A practical treatise on medical diagnosis for students and physicians . . Enlargement of the Spleen. Tumor of the Left Kidney. DIAGNOSIS OF SPLENIC ENLARGEMENT. 1105 meningitis, and in diseases with blood-poisoning, as septicaemia, puerperalfever, and erysipelas. A rare cause of enlargement is acute splenitis. Generally, it is theresult of emboli lodged in the spleen and starting from an endocarditis.The area of splenic dulness extends rapidly, and there are local pain andtenderness on pressure, increased by coughing and deep inspiration ; othersymptoms are fever, nausea and vomiting, and occasionally delirium. If, as frequently happens in splenitis, emboli lodge in the kidneys also, theurine will be albuminous and bloody. If suppuration ensues, the feverbecomes hectic, and the spleen continues to increase in size. Splenicabscess may, however, remain latent until rupture occurs. Chronic Enlargement. Chronic enlargement of the spleen occurs ashypertrophy and as the result of amyloid disease, leukaemia and pseudo-leukaemia, chronic malarial poisoning (ague-cak