. A practical treatise on medical diagnosis for students and physicians . xcessive deposit of fat in the abdominalwalls and omentum accounts for the wholeenlargement or only serves to mask thepresence of a tumor. Enlargement of thebelly is only one of the features, thoughfrequently the most pronounced evidenceof obesity ; whereas in enlargements of theabdomen from tumors and ascites (PlatesXXXYIII. and XLIII.) there is usuallya marked contrast between the size of theabdomen and that of the rest of the the last month or two of preg-nancy the abdominal enlargement is gen-eral, especi
. A practical treatise on medical diagnosis for students and physicians . xcessive deposit of fat in the abdominalwalls and omentum accounts for the wholeenlargement or only serves to mask thepresence of a tumor. Enlargement of thebelly is only one of the features, thoughfrequently the most pronounced evidenceof obesity ; whereas in enlargements of theabdomen from tumors and ascites (PlatesXXXYIII. and XLIII.) there is usuallya marked contrast between the size of theabdomen and that of the rest of the the last month or two of preg-nancy the abdominal enlargement is gen-eral, especially when the woman has previously borne children. Enlargement due to accumulation of gas within the bowels is generaland may attain a very high degree, lending the abdomen a uniformlyarched appearance like that of a barrel. The diaphragm may be forcedupward so as to interfere seriously with respiration and heart action. Indebilitated children the enlargement due to flatulence is associated withflaccidity of the abdominal walls, causing lateral and central Size of uterus at various periods ofpregnancy. (Jewett.) DILATATION OF THE COLON. 511 A moderate degree of distention may be the result of eating certainarticles of food, such as turnips or beans. Excessive accumulations ofgas are observed in typhoid fever; peritonitis, operative and non-opera-tive ; and in stenosis of the colon or rectum from any cause. Excessivedistention is also common in hysteria. Dilatation of the Colon. In chihlren the enlargement of the abdomenmay be general. The dilatation may be temporary, as in constipationwith obstruction ; or in rare instances permanent, when the distention ofthe abdomen gradually becomes enormous. The dilatation often beginsin childhood and continues through adult life, unless it becomes so severeas to cause death from malnutrition, copra?mia, and })ressure. Congenitalobstruction, the eating of oatmeal and similar food are some of thecauses. The constipation may con
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