. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. eatment. Dr. Perry writes that the patientdied on October 4th. Case VIII. Dilatation of theStomach, forming a Visible Tumor; Nodular Mass at the Pylo-rus.—January 10, 1893, Captain , of Virginia, patient of Dr. R. J. Hicks and Dr. Salzer, came complaining of dyspepsia anddiscomfort after eating. The patient has been a healthy man, a free liver, and a latesitter ; irregular in his meals. He has not been a chronic dys-peptic, and has only had an occasional attack of indigestio
. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. eatment. Dr. Perry writes that the patientdied on October 4th. Case VIII. Dilatation of theStomach, forming a Visible Tumor; Nodular Mass at the Pylo-rus.—January 10, 1893, Captain , of Virginia, patient of Dr. R. J. Hicks and Dr. Salzer, came complaining of dyspepsia anddiscomfort after eating. The patient has been a healthy man, a free liver, and a latesitter ; irregular in his meals. He has not been a chronic dys-peptic, and has only had an occasional attack of indigestion untilthe onset of the present trouble. From Christmas, 1891, he hasbeen ailing, though able to attend to his business. He has hadloss of appetite ; no special nausea, and has never vomited anylarge quantity. After eating, however, particularly an ordinarymeal, he has feelings of uneasiness and distress, and rumbling anddistention in the upper part of the abdomen. He has never hadany severe pain, but a sense of uneasiness when the stomach is fulland occasionally a griping pain. Ever since the attack of diarrhcea. Fig. 7.—The position of the noduleand outline of the stomach inCase VII. 18 THE DIAGNOSIS OP ABDOMINAL TUMORS. following the influenza he has had obstinate constipation. Therehas been persistent loss of weight, from a hundred and ninety to ahundred and forty-five pounds. Though attending to his business,he is at times very weak and feeble, and feels that he has lost agreat part of his former vigor. Present Condition.—Thin, not extremely emaciated, not ca-chectic ; color of mucous membrane good. Abdomen a little belowlevel of costal margin; marked fullness in epigastric and umbilicalregions, leaving a definite furrow along right costal margin. Dur-ing observation distention becomes much more marked, and atintervals the outline of the stomach is unusually distinct. Wavesof peristalsis pass actively from left to right, and the lower limit ofthe stomach is seen to b
Size: 1233px × 2027px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidlecturesondi, bookyear1901
