. A practical treatise on medical diagnosis for students and physicians . (atrophy,dilatation, tumor); (3) the effect upon its function. 1. The Morbid Process. The symptoms due to the morbid process arenot different from the symptoms of similar morbid processes elsewhere,save that they are modified by the function of the organ or its specialconstruction. Hence, congestions are attended by discharge of mucus;linflammations by pain and by a flow of mucus and pus; ulcers 1010 DISEASES OF THE STOMACH. by pain and the accidents of ulceration (hemorrhage); malignant dis- jease by pain and swelling (


. A practical treatise on medical diagnosis for students and physicians . (atrophy,dilatation, tumor); (3) the effect upon its function. 1. The Morbid Process. The symptoms due to the morbid process arenot different from the symptoms of similar morbid processes elsewhere,save that they are modified by the function of the organ or its specialconstruction. Hence, congestions are attended by discharge of mucus;linflammations by pain and by a flow of mucus and pus; ulcers 1010 DISEASES OF THE STOMACH. by pain and the accidents of ulceration (hemorrhage); malignant dis- jease by pain and swelling (tumor), and its accidents, hemorrhage and !obstruction; while each condition is attended by characteristic generalphenomena. But the stomach is highly sensitive and resents the intru-sion of disease or of that which (1) causes disease or (2) irritates theaffected part. Expression of this resentment is shown in hypersestheticsymptoms—pain; in the abolition or derangement of function—indiges-tion ; and in the great pathological reflex act of the stomach—vomiting, j. Stomach and duodenum, the liver and most of the intestines having been removed. The pyloric!end of the stomach should be conceived as turned directly backward. (Testut.) It will be seen later that this may be a symptom of any local morbidprocess affecting the organ, either directly by the disease which is its ex-citing cause, both of which are operative in irritant inflammations; orindirectly because the process has set up undue sensitiveness. In thelatter instance any such material as food, which the stomach is accustomedto receive, becomes as much an irritant as mucus, pus, or blood. 2. Anatomical Symptoms. The morbid processes modify the anatom-jical structure and lead to other morbid conditions, as we see when dila-jtation succeeds inflammation or obstruction at the orifices. The symp-} NERVE MECHANISM OF THE. STOMACH. 1011 toras of the secondary conditions are the same as elsewhere—inatrophy, diminution i


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