. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. hundred cubic centimetres of sour, yellowish food matter,which gave the reactions previously noted. The patient continued to improve, gained in weight from ahundred and fourteen to a hundred and twenty pounds, and was in every way more comfortable. Hehad almost constantly, while in hos-pital, a little fever, temperature risingto 100°, sometimes to 101°, every special change occurred in theposition or condition of the tumormass. He was discharged February27th, and has
. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. hundred cubic centimetres of sour, yellowish food matter,which gave the reactions previously noted. The patient continued to improve, gained in weight from ahundred and fourteen to a hundred and twenty pounds, and was in every way more comfortable. Hehad almost constantly, while in hos-pital, a little fever, temperature risingto 100°, sometimes to 101°, every special change occurred in theposition or condition of the tumormass. He was discharged February27th, and has not since been heardfrom. Case XX. Tumor of the Body ofthe Stomach.—N. R., aged sixty-nine, shoemaker, German, came tothis country in 1872. AdmittedMarch 13th, complaining of loss ofappetite, nausea, and vomiting. Patient was sickly as a child. Sixyears ago he had a fever which kepthim in bed for three weeks. He hadbeen a moderate drinker ; denies syphilis. Has not been a dys-peptic. Present illness began before Christmas with pain after eating,nausea, and vomiting, the latter usually a short time after taking. Fia. 17.—Area of the tumor massin Case XX. NODL^LAR AND MASSIVE TUMORS OP THE STOMACH. 55 food. The appetite has failed and he has lost rapidly in has had much fullness and distress in the epigastric region, hutno very sharp pain. Of late all these symptoms have becomeaggravated. He has never had vomiting of large quantities offood. Present Condition.—Patient is a large man, still fairly wellnourished. The lips and mucous membranes are pale; tongue hasa thick white coat. Pulse is regular, 64, tension slightly increasedthe vessel wall sclerosed. Temperature is normal. Examinationof the thoracic organs is negative. The abdomen is symmetrical, except that there is a slightprominence at the end of the tenth rib on the left side; on palpa-tion, soft, and nothing is felt until the epigastric region is the region indicated in the figure is a mass wh
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