A System of Medicine, by Many Writers Volume 4
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 edition. Excerpt: ... within our present point of view we do but note them and pass on. That the leather-bottle stomach like a dense pylorus is by no means always malignant my own experience can testify, and I am supported in this opinion by the records of Dr. Leith (p. 441), and of Drs. Perry and Shaw. When we turn from these chronic and mechanical cases of gas-treetasis to the acuter forms, or to forms which, if not very acute, are rather degenerative than mechanical in origin, we may fail to find compensatory hypertrophy. All the coats are thin, even wasted, as the partial obliteration of the secretory glands will show; and as the mucosa is almost surely the seat of a catarrhal process the muscularis is the less able to retain its natural elasticity. Mucus is found more or less abundantly in the cavity, and serves but too efficiently as the culture medium of yeast, sarcina, and other microbes, and as a source of some of the products of decomposition. The contents of the stomach are excessively acid, and the reaction is usually due to the organic acids--lactic and butyric. It is alleged that hydrochloric acid is often present, even to excess; certain authors say, indeed, that in some cases hyperchlorhydria may be the efficient cause of dilatation; but the grounds for this belief seem insecure. Diagnosis.--From what has gone before it is clear that the diagnosis of dilatation of the stomach must bo made by looking at the body, by handling it, by puffing out the organ with an inflator, and, as subordinate means, by percussion with or without simultaneous auscultation. The physician will also have the help of the symptoms and history of the case. To these aids is to be added an investigation of the contents of the organ by syphonage--perhaps the most valuable means of...
- Paperback | 510 pages
- 189 x 246 x 26mm | 903g
- 11 Jul 2012
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- Illustrations, black and white