. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. uggested, of course, cancer,against which, however, was the not-able fact that he had improved somuch after a very severe attack lastyear, in which the liver was prominent hemispherical mass iathe right epigastric region was sugges-tive of abscess. Though he had hadno chills and no fever, and althoughin the history not one of the usualaetiological factors preceding abscessof the liver was present, the sallowcachexia, the dragging pains on at-tempting to lie on t
. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. uggested, of course, cancer,against which, however, was the not-able fact that he had improved somuch after a very severe attack lastyear, in which the liver was prominent hemispherical mass iathe right epigastric region was sugges-tive of abscess. Though he had hadno chills and no fever, and althoughin the history not one of the usualaetiological factors preceding abscessof the liver was present, the sallowcachexia, the dragging pains on at-tempting to lie on the left side, andthe prominent doughy tumor of the liver, made an exploratory ex-amination advisable. An aspirator needle was thrust deeply intothe most prominent part of the tumor and immediately a grayishand subsequently a reddish-brown pus flowed out freely. The patient was removed to the City Hospital, where on Septem-ber 21st Dr. Chambers opened the abscess and removed a gallonand a half of reddish, thin pus, which microscopically was made upof a granular debris, very few pus cells retaining their contour ; no. Fig. 23.—Outline of the liver andsituation of the tumor in CaseXXVII. TUMORS OF THE LIVER. fS amoebae. The patient rallied from the operation, but sank and diedin about ten days. Case XXVIII. Abscess of the Liver; Tumor in the Right Epi-gastric Region; Rupture into the Lung.—Simon G., aged twenty-seven years, admitted July 11, 1893, complaining of hiccough andpain below the ribs on the right side. He has always been healthyuntil five years ago, when he was laid up in the Hebrew Hospitalfor six weeks with a severe cough. His habits are good and he hasnot had venereal disease. Three weeks ago his present illness began with irregular crampsin the hepatic region. He had hiccough for nearly a week, day andnight, and this was in reality his most distressing symptom. Hehas vomited several times ; lost his appetite and has only been ableto take milk and whisky. The bowe
Size: 1229px × 2033px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidlecturesondi, bookyear1901
