. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. e has passed no blood, andthere is no albumin; no tube casts. The patient was seen again Jan-uary 10th. General condition hasbeen excellent, and he has been atwork. There is no cachexia. Thetumor masses previously noted werepresent with great distinctness. Thelower one appeared to be scarcely solarge as on previous the left inguinal region, about three centimetres from Poupartsligament, there is a freely movable, subcutaneous nodular bodyabout the size of a be
. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. e has passed no blood, andthere is no albumin; no tube casts. The patient was seen again Jan-uary 10th. General condition hasbeen excellent, and he has been atwork. There is no cachexia. Thetumor masses previously noted werepresent with great distinctness. Thelower one appeared to be scarcely solarge as on previous the left inguinal region, about three centimetres from Poupartsligament, there is a freely movable, subcutaneous nodular bodyabout the size of a bean. The inguinal glands are not enlarged. It did not seem possible to arrive at any conclusion asto the nature of these tumors. The strongest possibility-seemed to be of their connection with, the intestine, as hehad tenesmus, diarrhoea, and melsena, but the patientsexcellent general condition and rapid improvement wouldseem to contraindicate new growth. While preparing this lecture for the press this patientwas seen (December 20th). His condition remains excel-lent and he has been steadily at work. The lower tumor. Fig. 37.—Situation of the tumors inCase LIV. MISCELLANEOUS TUMORS. 155 is no longer palpable; tlie upper is still quite distinct,though smaller than at date of former note. Its positionis unchanged. The following case I regarded at first as tumor of thestomach, but on subsequent examination it seems to be ex-tremely doubtful whether it is really in this organ: Case LV. Tumor Mass in the Epigastrium of Doubtful Na-ture.—Kate H., aged forty-one years, admitted August 29, 1893,complaining of pain in the left side and swelling in the epigastrium. There is nothing of moment in the family history. Shehas been healthy with the exception of typhoid fever at twenty-one and pleurisy last winter. She has had at times irregularcramps in the abdomen. For several years she has had dyspep-sia, suffering with belching after eating and slight months ago she had an
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