Journal of the Medical Society of New Jersey . titis,pyelitis, endometritis, salpingitis, etc. (e) Development of changes in the thy-roid gland, whether as adenomatous tumors,general enlargement of the thyroid, or ex-ophthalmic goitre. (f) 1 Stills disease. (g) Infections of the skin, of a pustu-lar nature. (h) Infection of the large intestine by organisms which produce the several var-ieties of mucous and ulcerative colitis. (i) Ulcerative endocarditis. As Dr. Bainbridge has very aptly stated—The trend of modern medicine is to con-sider so-called functional affections as way-stages to organic
Journal of the Medical Society of New Jersey . titis,pyelitis, endometritis, salpingitis, etc. (e) Development of changes in the thy-roid gland, whether as adenomatous tumors,general enlargement of the thyroid, or ex-ophthalmic goitre. (f) 1 Stills disease. (g) Infections of the skin, of a pustu-lar nature. (h) Infection of the large intestine by organisms which produce the several var-ieties of mucous and ulcerative colitis. (i) Ulcerative endocarditis. As Dr. Bainbridge has very aptly stated—The trend of modern medicine is to con-sider so-called functional affections as way-stages to organic disease, and to trace thegiven conditions back, through the factorswhich initiated the functional derangementto the underlying cause or causes of theactual organic disease. Constipation, forexample, is not regarded as a disease, butas an indication of an underlying patho-logical condition. We hear much more,to-day, of toxins, poisons produced bygerms, than of the germs themselves; moreof bacterins—substances introduced into the tv 30 Fig. IV. Bismuth column reached the ob-struction in the sigmoid where its completepassage was delayed for several days. organism for the purpose of producingimmunity—than of a mysterious, inherentcapacity to resist disease. Indeed, in nodepartment of medicine and surgerv is thisback to the cause movement more notice-able than is that which deals directly withthe gastro-intestinal tract. Members of the medical profession arealmost daily called upon to diagnose andtreat cases of so-called stomach trouble,which is only one of the many symptoms ofauto-intoxication. In a very few instances,the cause of distress lies wholly within the July, 1914 Journal of the Medical Society of New Jersey. 339 stomach but in the vast majority of casesthe real seat of trouble is far more symptoms may be due to an abnormalcondition, at a point within the intestinaltract; or if pathological lesions should bepresent, within the stomach, they may,
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