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Medical Herald Volume 32 ebook

Medical Herald Volume 32 by Books Group

Medical Herald Volume 32
Author: Books Group
Page Count: 384 pages
Published Date: 01 Mar 2012
Publication Country: Miami Fl, United States
Language: English
ISBN: 9781130179590
File size: 8 Mb
Download Link: Medical Herald Volume 32

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. 1913 Excerpt: ...constipation, mental depression and languor, the absence of acids and presence of tumor (50 to 60 per cent; 95 percent of all gastric tumors are cancer) and all this with a steadily downward course, we have every reason to diagnosticate cancer of the stomach and that of a hopeless character. There are few periods of gain in the natural course of cancer of the stomach. Careful feeding and nursing may give periods of improvement, but these must not be construed as signs of a benign condition. The history as it is presented with its varying symptoms and their relation to each other and their changes as to time and intensity is the first great factor in diagnosis. We may repeat that, however carefully one compiles and correlates the symptoms of cancer of the stomach, he thus obtains but half the picture, because the patient in his attitude, acts and appearance quite supplier the other half and we must greatly depead on this factor when in the presence of gas trie cancer. All aids to a diagnosis must be borneis mind and brought into co-operation in a consideration of these cases. Serology has given us but little aid. Gastroscopy has not yielded definite results and chemical tests give at best only an inference in the waj' of evidence and are, moreover, cumbersome. Therefore, until a pathognomonic symptom or group of correlated symptoms be found, or a specific reaction be discovered, or a curative serum developed, we must base our conclusions for diagnosis chiefly on the clinical history, a task often difficult and tedious. In summing up points bearing on the diagnosis of cancer of the stomach we shouli not neglect the aid furnished by differential diagnosis. When we find gastric symptoms which suggest carcinoma, we should also take into consideration pernicious ...

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