. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. ng the stomach, it isfound to occupy nearly the whole ab-domen. The tympany begins aboveat the fifth rib and extends to thepubes. The lesser curvature is seenjust above the umbilicus. There isvery prominent distention in thepyloric region, and the gastric tym-pany extends nearly to the right an-terior superior spine. No nodularmasses or tumor could be felt. Withthe stomach tube a large quantity ofa greenish-yellow liquid with rem-nants of food was removed. Whenthe stomach wa
. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. ng the stomach, it isfound to occupy nearly the whole ab-domen. The tympany begins aboveat the fifth rib and extends to thepubes. The lesser curvature is seenjust above the umbilicus. There isvery prominent distention in thepyloric region, and the gastric tym-pany extends nearly to the right an-terior superior spine. No nodularmasses or tumor could be felt. Withthe stomach tube a large quantity ofa greenish-yellow liquid with rem-nants of food was removed. Whenthe stomach was emptied there thencould be felt midway between theumbilicus and the costal margin aridge-like mass about the size of thethumb, which was freely movable and descended with inspiration, and which subsequent exami-nations showed was extremely variable, not being palpable whenthe organ was very greatly distended. With lavage and feeding atshort intervals the patient improved very much and the stomachreduced very materially in size and she gained in weight. From the prolonged history of dyspepsia and the fact that she. Fig. 8.—Outline of the stomach inCase X, showing the positionof the ridge-like mass. 22 THE DIAGNOSIS OF ABDOMINAL TUMORS. had on several occasions vomited blood, this was very probably aninstance of dilatation from the cicatrization of an ulcer ; and thesmall, elongated nodular thickening in the region of the pylorusalso suggested this condition. General Remarks on the Diagnosis of the Tumor causedhy Dilated Stomach.—Inspection gives most important in-formation, the value of which may be gathered from thefact that in these ten cases the diagnosis was made de in mind, in the first place, that a dilated stomach mayoccupy every region of the abdomen except the upper partof the epigastric and may form a very prominent tumor.
Size: 1224px × 2042px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidlecturesondi, bookyear1901
