. Medical diagnosis for the student and practitioner. ler Vacilli. produce it. Unfortunately, the ingestion of cooked meat even if takenforty-eight or seventy-two hours previously may cause a false reaction. TheWeber-Miiller test should be given preference. MICROSCOPIC GASTRIC FINDINGS 377 GENERAL MICROSCOPIC FINDINGS.—The food detritus dependsupon the character of the meal previously taken and the time elapsing since starch andits ingestion, but, in general, consists of muscle fibers and starch granules, more u ers or less changed by cooking and digestion, the former being recognized bvtheir
. Medical diagnosis for the student and practitioner. ler Vacilli. produce it. Unfortunately, the ingestion of cooked meat even if takenforty-eight or seventy-two hours previously may cause a false reaction. TheWeber-Miiller test should be given preference. MICROSCOPIC GASTRIC FINDINGS 377 GENERAL MICROSCOPIC FINDINGS.—The food detritus dependsupon the character of the meal previously taken and the time elapsing since starch andits ingestion, but, in general, consists of muscle fibers and starch granules, more u ers or less changed by cooking and digestion, the former being recognized bvtheir markings, the latter by their peculiar form and structure or their bluereaction with Lugols solution. Skins of fruit, seeds of berries or even the indigestiblemore digestible substances, if remaining from a remote meal, point to im-paired motility or actual stenosis. Saliva is indicated by pavement epithelium and the so-called salivarvcorpuscles, and the various vegetable cells are usually so peculiar and bizarreas to at once suggest their Photomicrographs of feces from three cases of advanced pyloric carcinoma showingBoas-Oppler bacilli in the stools. In all of these the organisms were most abundant inthe gastric contents. The Boas-Oppler bacilli are seen as large segmented organismsslightly different in form in the three specimens. In Fig. 445 they are shown with many of the other forms of fecal organism, among whichtheir size easily distinguishes them, and in Fig. 446 they are the predominant bacilli. Fig. 447 shows many short, thick-rodded bacilli that may be mistaken for the Boas-Oppler, but the difference in size between these (bac. areogenous capsulatus) and theBoas-Oppler will be noted by comparing the first with the second forms, about half a dozenof the Boas-Oppler being shown in the same field. X 1000. (Basslers Diseases of theStomach and Alimentary Tract, copyright, F. A. Davis Company, 1916.) Fat may appear in the form of crystals or of the highly refrac
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922
