. A practical treatise on medical diagnosis for students and physicians . ium supplemented by percussion and 1040 DISEASES OF THE STOMACH. auscultatory percussion, is absolutely indispensable, and the most practi-cable as well as the most effective means of accomplishing this object isby simple inflation through a stomach-tube with an ordinary atomizerbulb. The carbon dioxide method has the sole advantage of enabling oneto dispense with the introduction of a stomach-tube, and the distinctdisadvantage that the gas rapidly escapes through the oesophagus and intothe small intestine, so that the d
. A practical treatise on medical diagnosis for students and physicians . ium supplemented by percussion and 1040 DISEASES OF THE STOMACH. auscultatory percussion, is absolutely indispensable, and the most practi-cable as well as the most effective means of accomplishing this object isby simple inflation through a stomach-tube with an ordinary atomizerbulb. The carbon dioxide method has the sole advantage of enabling oneto dispense with the introduction of a stomach-tube, and the distinctdisadvantage that the gas rapidly escapes through the oesophagus and intothe small intestine, so that the distention does not last long enough for athorough examination to be made. With ordinary inflation, if the air ispumped in rapidly at first, spasm is induced at the pylorus and preventsthe premature escape of the distending medium into the small intestine. -(Pepper and Stengel.) The stomach should first be emptied in the usualmanner, after which an atomizer bulb is fitted to the stomach-tube, Math-out removing the latter, and the distention carried to a point just short. Inflation of stomach. of causing discomfort. Owing to the lax condition of the abdominalwalls, the outline of the stomach is usually at once visible, or it can bedetermined by palpation, or, as some authorities advise, by auscultatorypercussion. The percussion-note over the distended viscus is of coursetympanitic. The following sign may be sufficient: when the bulbof the syringe is compressed, forcing the air through the tube, apeculiar metallic ring can be heard with the stethoscope over thestomach. When the bell of the instrument is moved along beyond thestomach limits, the sound instantly loses its metallic character. Thesame authority advises that the air be allowed to escape before the tubeis withdrawn, in order to prevent the distress which often accompaniesthe escape of the air from the stomach, probably on account of a spasmat the cardiac orifice. When gastroptosis is present, the greater curva-ture is f
Size: 1917px × 1303px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidpracticaltre, bookyear1904
