Virginia medical monthly . pre-ferably warm. Two years ago he commenced tolose weight and at this time noticed a smallknot in the stomach, which is now lower downand more to the left than formerly. Fortwelve months he has had occasional spells ofnausea and vomiting. At this time he noticedthat his tongue was thickened, red, and haddeep furrows, and there appeared on the backof both hands a symmetrical eruption. Heconsulted a physician in Raleigh who pronounc-ed it pellagra and gave him four injections of000. For the last three or four months heclaims to have vomited up everything he atefrom fi
Virginia medical monthly . pre-ferably warm. Two years ago he commenced tolose weight and at this time noticed a smallknot in the stomach, which is now lower downand more to the left than formerly. Fortwelve months he has had occasional spells ofnausea and vomiting. At this time he noticedthat his tongue was thickened, red, and haddeep furrows, and there appeared on the backof both hands a symmetrical eruption. Heconsulted a physician in Raleigh who pronounc-ed it pellagra and gave him four injections of000. For the last three or four months heclaims to have vomited up everything he atefrom five minutes to one hour after account of weakness and loss of weight, hehas been unable to work ami has now been con-lined to the house for the last three weeks. !lisoriginal weight was 190; lie now weighs is but little pain but a constant sorenessin the region of the stomach. Examination.—Tall, thin, emaciated pressure, 110-80. Heart and lungs nega- 108 VIRGINIA MEDICAL MONTHLY. [August,. ii. Drawing- of the specimen removed illustrating- thetumor and great hypertrophy of the stomach wall,proximally. tive. Above and to the left of the umbilicus adistinct tumor the size of a hens egg, is is movable, more upward and to the right,and can be shoved up under the costal is painless. There are no enlarged glandsfound in the axilla., epicondylar or inguinalregions. Blood.—White cells, 4,400. Haemoglobin,85 per cent. Urine.—Color amber, clear, sediment none,specific gravity 1030, reaction acid, albumintrace, sugar negative, indican negative, acetonenegative, blood none, pus few cells, casts pres-ent, hyalin, mucus abundant. Wassermarm negative. Stomach contents.—Test meal Ewald. Vom-ited. Quantity received about 30 ounces; odor
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
