. A practical treatise on medical diagnosis for students and physicians . however, not usually recognizedat present. There is no real stage of hypertrophy; and while conges-tive enlargement does sometimes occur, it is by no means experience is most convincing on this point. There are,however, two sets of symptoms. During the first stage the symptoms are those of gastritis with enlarge-ment of the liver. The gastric symptoms are morning retching or vomit-ing, with discharge of mucus, associated with other symptoms of gastriccatarrh, as loss of appetite, nausea, tenderness in t
. A practical treatise on medical diagnosis for students and physicians . however, not usually recognizedat present. There is no real stage of hypertrophy; and while conges-tive enlargement does sometimes occur, it is by no means experience is most convincing on this point. There are,however, two sets of symptoms. During the first stage the symptoms are those of gastritis with enlarge-ment of the liver. The gastric symptoms are morning retching or vomit-ing, with discharge of mucus, associated with other symptoms of gastriccatarrh, as loss of appetite, nausea, tenderness in the epigastrium, eructa-tions, constipation, and loss of flesh and strength. The liver may befound a little swollen. The symptoms of the second stage are more severe and are due toobstruction of the portal capillaries. On examination ascites is transudate may be enormous, causing monstrous distention withpouting of the umbilicus. The spleen is found to be enlarged, extendingover twice or three times the normal area of percussion. If ascites does PLATE XLIIL. <P
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