. Physical diagnosis . severenose-bleed, and occasionally from other causes. (e) Pus is not of great diagnostic value. Large amounts meanthe breaking of an abscess (appendix, pus tube) into the amounts occur in ulcers or even from catarrh. (/) Shreds of tissue point to ulceration. (</) Gall Stones.—In suspicious cases break up the faeces in asieve with plenty of water. The peculiar, facetted shape of mostgall stones should be familiar to the student from the study of mu-seum specimens. If the patient has been taking olive oil in largedoses, pseudo-concretions made up of faecal


. Physical diagnosis . severenose-bleed, and occasionally from other causes. (e) Pus is not of great diagnostic value. Large amounts meanthe breaking of an abscess (appendix, pus tube) into the amounts occur in ulcers or even from catarrh. (/) Shreds of tissue point to ulceration. (</) Gall Stones.—In suspicious cases break up the faeces in asieve with plenty of water. The peculiar, facetted shape of mostgall stones should be familiar to the student from the study of mu-seum specimens. If the patient has been taking olive oil in largedoses, pseudo-concretions made up of faecal matter and oil may de-ceive the inexperienced. Intestinal Parasites. Bacteria.—Only the tubercle bacillus can be recognized withoutculture methods, which do not fall within the scope of this book. For the identification of tubercle bacilli the following method isto be recommended: Dilute the stool with ten volumes of water,mix thoroughly, and let it stand in a wide-mouthed bottle for CABOT-PHYSICAL DIAGNOSIS. PLATE. Fig. 1.—Trichomonas bominis. (Leuckart.)


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