. Medical diagnosis for the student and practitioner. e like. It frequently separates into three layers on standing, and is bitter andfoul to the taste. 900 MEDICAL DIAGNOSIS The total acidity is increased by fermentation acids and the microscopeshows in benign cases the yeasts and sarcinae; in cancer (90 per cent, of ob-structive cases) the Boas-Oppler bacilli. The fatty acids may be presentby chemical and microscopic tests, the urine is scant, concentrated if vomitingbe profuse, and if gastric acidity be high is often alkaline in reaction. The persistent presence of bile in large quantity in


. Medical diagnosis for the student and practitioner. e like. It frequently separates into three layers on standing, and is bitter andfoul to the taste. 900 MEDICAL DIAGNOSIS The total acidity is increased by fermentation acids and the microscopeshows in benign cases the yeasts and sarcinae; in cancer (90 per cent, of ob-structive cases) the Boas-Oppler bacilli. The fatty acids may be presentby chemical and microscopic tests, the urine is scant, concentrated if vomitingbe profuse, and if gastric acidity be high is often alkaline in reaction. The persistent presence of bile in large quantity invariably points to duo-denal stenosis. In stenotic cases the symptoms may come and go over long periods be-cause of the changes in calibration due to temporary local congestion of themucous membrane. Such remissions or intermissions are more frequently seen in benign thanin malignant cases, but may occur in either. Complications.—Acute auto-intoxication occasionally occurs and evencoma may result. Extreme distention may not only produce dyspepsia,.


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922