See also:PARASITISM The living organism is a
See also:rich storehouse of the very materials from which parasites, both animal and
See also:vegetable, can best derive their nourishment . Some means is necessary, therefore, to protect the one from the encroachments of the other . A plant or animal in perfect
See also:health is more resistant to parasitical invasion than one which is
See also:ill-nourished and weakly . Of a number of
See also:plants growing side by side, those which become infected with moulds are the most weakly, and an animal in low health is more subject to contagious disease than one which is robust . Each organism possesses within itself the means of
See also:protection against its parasitical enemies, and these properties are more in evidence when the organism is in perfect health than when it is debilitated . One chief means employed by nature in accomplishing this
See also:object is the investment of those parts of the organism liable to be attacked with an
See also:armour-like covering of epidermis, periderm, bark, &c . The
See also:grape is
See also:proof against the inroads of the yeast-plant so long as the husk is intact, but on the husk being injured the yeast-plant finds its way into the interior and sets up vinous
See also:fermentation of its
See also:sugar . The
See also:root of the French
See also:vine is attacked by the Phylloxera, but that of the
See also:American vine, whose epidermis is thicker, is protected from it . The larch remains
See also:free from parasitism so long as its covering is intact, but as soon as this is punctured by
See also:insects, or its continuity interfered with by cracks or fissures, the Peziza penetrates, and before long brings about the destruction of the branch . So long as the epidermis of animals remains sound, disease germs may come in contact with it almost with impunity, but immediately on its being fissured, or a larger
See also:wound made through it, the underlying parts, the
See also:blood and soft tissues, are attacked by them . A very remarkable instance of an acquired means of protecting a wound against parasitical invasion is to be found in granulations . Should these remain unbroken they constitute a natural barrier to the penetration of most pathogenic and other forms of germ-
See also:life into the parts beneath .
Bacteria of various kinds which alight upon their surfaces begin to fructify in abundance, but are rapidly destroyed as they burrow deeply . This is accomplished by a twofold agency, for whilenumbers of them are seized upon by the granulation phagocytes, others are broken up and dissolved by the liquid filling the granulation inter-spaces (Afanassieff) . This latter, or histolytic,
See also:property is not
See also:con-fined to the liquid of granulations; normal blood-serum possesses it to a certain extent, and under bacterial influence it may become very much exalted . Jurgelunas makes out that when an animal is rendered immune to a particular micro-organism this histolytic property becomes exalted .
See also:DROPSY During conditions of health a certain quantity of lymphy liquid is constantly being effused into the tissues and serous cavitieof the
See also:body, but in the case of the tissues it never accumulates to excess, and in that of the serous cavities it is never more than sufficient to keep them moist . When any excessive accumulation takes place the
See also:condition is known as "hydrops " or " dropsy." A " transudate " is a liquid having a composition resembling that of blood-serum, while the
See also:term " exudate " is applied to an effused liquid whose composition approaches that of the blood-plasma in the relationship of its solid and liquid parts, besides in most cases containing numbers of colourless blood-corpuscles . Exudates are poured out under inflammatory conditions, while none of the truly dropsical effusions are of inflammatory origin; and hence the class of exudates, as above defined, may be rejected from the category of liquids we are at
See also:present considering . Where the dropsical condition is more or less general the term " anasarca " is applied to it; if the tissues are infiltrated locally the term " oedema " is employed; and various names are applied, with a
See also:local significance, to dropsies of individual parts or cavities, such as " hydrothorax," " hydro-peritoneum " or " ascites," " hydrocephalus," and so on . In "anasarca " the tissues which suffer most are those which are peculiarly lax, such .as the
See also:lower eyelids, the scrotum, and the backs of the hands and feet . It is invariably the result of some cause acting generally, such as renal disease, valvular defect of the heart, or an impoverished state of the blood; while a mere oedema is usually dependent upon some local obstruction to the return of blood or
See also:lymph, or of both, the presence of parasites within the tissue, such as the filaria sanguinis hominis or trichina spiralis, or the poisonous bites of insects . Dropsy of the serous cavities is very commonly merely
See also:part of a general anasarca, although occasionally it may be, as in the case of ascites, the sequel to an obstruction in the venous return . Dropsical liquids are usually
See also:pale yellow or greenish, limpid, with a saltish taste and alkaline reaction, and a specific gravity ranging from 1005 to 1024 .
They all contain albumen and throw down a precipitate with
See also:heat and nitric acid . None of them, in man, coagulates spontaneously, although they contain fibrinogen . The addition of some of the liquid squeezed out from a blood-
See also:clot, of the squeezed blood-clot itself, or of a little blood-serum, is sufficient to throw down a fibrinous coagulum (
See also:Buchanan), evidently by these substances supplying the
See also:fibrin-ferment . The proteid constituents are very much like those of blood-serum, although they never come up to them in amount (
See also:Runeberg) . The quantity of proteid
See also:matter in a purely dropsical effusion never amounts to that of an inflammatory exudation (Lassar) . Certain
See also:peculiar substances, probably degenerative products, some of them reducing copper, are occasionally met with . The liquid of ascites sometimes contains chyle in abundance (hydrops lacteus), the
See also:escape having taken place from a ruptured receptaculum chyli . In a given case of anasarca due to a cause acting generally, it will be found that the liquid of the pleural cavity always contains the highest percentage of proteid, that of the peritoneal cavity comes next, that of the cerebral ventricles follows this, and the liquid of the subcutaneous areolar tissue contains the lowest . The reason of this is apparently that the negative pressure of the pleural, and partly of the peritoneal, cavity tends to aspirate a liquid relatively thicker, so to speak, than that effused where no such extraneous mechanism is at
See also:work (
See also:James) . The subject of the conditions under which dropsical liquids are poured out opens up a very wide question, and one about which there is the greatest diversity of opinion . It turns in part, but in part only, upon the
See also:laws regulating the effusion of lymph, and physiologists are by no means at one in their conclusions on this subject . Thus Ludwig was of opinion that the lymph-flow is dependent upon two factors, first, difference in pressure of the blood in the capillaries and the liquid in the plasma spaces outside; and, secondly, chemical interchanges setting up osmotic currents through the vessel-walls .
His results, so far, have been confirmed byStarling, who finds that the amount of lymph-flow from the thoracic duct is dependent upon difference in pressure . It varies with the increase of the intracapillary or decrease of the extra-capillary pressure, and is also in part regulated by the greater or lesser
See also:permeability of the vessel walls . 1-Ieidenhain, on the other
See also:hand, rejected entirely the filtration view of lymph-formation, believing that the passage of lymph across the capillary
See also:wall is a true secretion brought about by the secretory
See also:function of the endothelial plates . Starling does not accept this view, and cannot regard as an article of faith Heidenhain 's dictum that normally filtration plays no part in the formation of lymph .
See also:Lazarus-Barlow, again, looks upon the pouring out of lymph as evidence ofthe demands of the tissue-elements for
See also:nutrition . An impulse is communicated to the blood vessels in accordance with this demand, and a greater or smaller outflow is the result . He traces various local dropsies to the
See also:starvation from which the tissues are suffering, the liquid accumulating in excess in accordance with the demand for more nourishment . It may be asked, however, whether a dropsical tissue is being held in a high state of nutrition, and whether, on the contrary, the presence of lymph in excess in its interstices does not tend to impair its vitality rather than to lend it support . According to Rogowicz and Heidenhain, certain substances in-crease the quantity of lymph given off from a part by acting upon the cells of the capillary wall; they hold, in fact, that these sub-stances are true lymphagogues . Heidenhain recognizes two classes, first, such substances as peptone, leech extract and
See also:crayfish extract; and, secondly, crystalloids such as sugar,
See also:salt, &c . Starling
See also:sees no reason to believe that members of either class
See also:act otherwise than by increasing the pressure in the capillaries or by injuring the endothelial wall . The members of the first class influence the endothelial plates of the capillaries injuriously, inducing thereby increased permeability; those of the second class (sugar, &c.), on injection into the blood, attract
See also:water from the tissues and cause a condition of hydraemic plethora with increased capillary pressure .
The increased flow of lymph is due to the increased pressure in the abdominal capillaries . It is now coming to be recognized that increase of blood pressure alone is not sufficient toaccount for all dropsical effusions . Much more important is the effect of the alteration in the amount of crystalloids in the tissues and blood and therefore of the alteration in the osmotic pressure between these . Loeb found experimentally that increase of metabolic products in muscle greatly raised its osmotic pressure, and so it would absorb water from a relatively concentrated sodium chloride solution . Welch produced oedema of the lungs experimentally by increasing the pressure in the pulmonary vessels by ligature of the aorta and its branches, but this raised the blood pressure only about one-tenth of an atmosphere, while in some of Loeb's experiments the osmotic pressure, due to retained metabolic products, was equal to over
See also:thirty atmospheres . Thus differences in osmotic pressure may be much more powerful in producing oedema than mere differences in blood pressure . Now differences in the amount of crystalloids cause alteration in osmotic pressure while the proteid content affects it but little; and of the crystalloids the chlorides appear to be those most liable to variation . Widal,
See also:Lemierre and other French observers have noted a diminution in the excretion of chlorides in nephritis associated with oedema; Widal and Javal found that a chloride-free
See also:diet caused diminution in the oedema and a chloride containing diet an increase of oedema . Oliver and Audibert published some cases of cirrhosis of the
See also:liver with ascites in which they got results comparable to those of Widal . Some other observers, however, have not got such
See also:good results with a chloride-free diet, and Marishler, Scheel, Limbecx, Dreser and others, dispute Widal's hypothesis of a retention of chlorides as being the cause of oedema, in the case of renal dropsy at all events; they assert that the chlorides are held back in
See also:order to keep the osmotic pressure of the fluid, which they assume to have been effused, equal to that of the blood and tissues . Certainly not all cases of renal dropsy show diminution in the excretion of chlorides . Bainbridge suggests that a retention of metabolic products may cause the oedema in renal disease,
See also:Bradford having previously shown that loss of a certain amount of renal tissue caused retention of metabolic products in the tissues .
As sodium chloride is one of the most permeable of crystalloids it seems
See also:strange that damage to the renal tissue should impede its excretion . Cushny has shown experimentally that slowing of the blood-flow through renal tissue causes less sodium chloride to appear in the urine while the excretion of
See also:urea and sulphates remains unaffected; apparently the chloride, being more permeable, is reabsorbed and so only appears to be excreted in less quantity . In the dropsy of cardiac disease, owing to the deficient oxidation from stagnation of blood, metabolic products must accumulate in the tissues; also lymph return must be impeded by the increased pressure in the
See also:veins and so dropsy results (
See also:Wells) . The local oedema seen in some
See also:nervous affections might be explained on the hypothesis of increased metabolic activity in these areas due to some local nervous stimulation . Thus, while increased pressure in the blood or lymph vessels may be one factor, and increased permeability of the capillary endothelium another, increased osmotic pressure in the tissues and lymph is probably the most important in the production of dropsy . This increased osmotic pressure is again due to accumulation of crystalloids in the tissues, either products of metabolism due to deficient oxidation from alteration in the blood or other cause, or, it may be, as in some cases of nephritis, owing to a retention or reabsorption of chlorides in the tissues .
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