. Diseases of the stomach : including dietetic and medicinal treatment . OF THE STOMACH 1. Much valuable evidence may be aftorded by the physical inspec-tion of the patient. Stout, healthy looking indi\iduals with broadcostal angles are rarely subject to functional disorders of digestion andin such subjects atony is comparatively rare. Those who are delicatelybuilt, of highly sensitive nervous organizations, and who are thin andpeaked, are more liable to the disorder, and especially is this thecase with those whose costal angle is sharp and who present the otherstigmas of the enteroptotic habi
. Diseases of the stomach : including dietetic and medicinal treatment . OF THE STOMACH 1. Much valuable evidence may be aftorded by the physical inspec-tion of the patient. Stout, healthy looking indi\iduals with broadcostal angles are rarely subject to functional disorders of digestion andin such subjects atony is comparatively rare. Those who are delicatelybuilt, of highly sensitive nervous organizations, and who are thin andpeaked, are more liable to the disorder, and especially is this thecase with those whose costal angle is sharp and who present the otherstigmas of the enteroptotic habitus. Gastroptosis is the strongestpresumable j)roof of atony, and occurred in over one-third of thewriters cases of the ailment. Fig. 56. Writers gastrodiaphane. 2. An atonic stomach may not necessarily })e a large stomach at alltimes, but it is a stomach that is abnormally distensible and lackingtone, tends to sag deeper and deeper as more food is put into it. Ex-amination of the patient as he lies down may show that the greatercurvature lies at or ab()^•c the umbilicus, especially if the organ be com-paratively empty. When he stands, however, and several glasses ofwater are taken, the lower cur\ature sags so as to reach 2 or more inchesbelow the umbilicus. This is more clearly shown by .r-ray examinationthan by the other means, for it is often very difficult to locate the lowercurvature in the standing i)<)sture. (lastr()diaj)hany or the introductionof small electric lights into the stomach, so that they lie in the mostdepeiident portion of the organ, would api)arentl\ be of service, as itwould seem that the lower curvature of the stomach could be locatedi)y tlic point of inaximuni intensity of the transmitted il
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1913
