A practical treatise on medical diagnosis for students and physicians (1904) (14754807584)

Identifier: practicaltreatis1904muss2 (find matches)

Title: A practical treatise on medical diagnosis for students and physicians

Year: 1904 (1900s)

Authors: Musser, John Herr, 1856-1912 Pancoast, Henry

Subjects: Diagnosis Diagnosis, Radioscopic Diagnosis

Publisher: Philadelphia and New York : Lea

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

n more than asmall proportion of the cases, it may be stated that the underlying causali condition is anything that constricts the thorax and enlarges the; abdominal cavity (Steele and Francine), in other words, pressure on the 1038 DISEASES OF THE STOMACH. stomach from above, or removal of the support from below by the sink-ing down of the contents of the lower half of the abdomen. A varietyof factors may bring about such a state of affairs : tight lacing and thepressure of the waist-band, pressure from a neoplasm of the liver, dilata-tion and pyloric obstruction, general muscular debility and emaciationafter an acute systemic disease, relaxation of the abdominal walls anddiastasis of the recti (Webster) after repeated pregnancies, and finally,traumatism and sudden muscular over-exertion. Steele divides the casesinto primary gastroptosis with pyloric dilatation and secondary gastro-ptosis with general dilatation, the gastrectasis in the latter group beingprobably the basal condition.

Text Appearing After Image:

Dilatation with pyloric obstruction. Gastroptosis, with general dilatation. It is evident from the causes enumerated that women are the chiefsufferers from the disease; but as the available statistics are hardlynumerous enough to furnish a trustworthy basis for calculation, andthe condition may, in addition, exist without producing symptoms, theincidence is difficult to determine. The proportion as regards sex isprobably about 7 to 1 in favor of women, except in the secondaryand much rarer form, gastroptosis with general dilatation, in whichthe relation is reversed. The disease is most common in early adultand middle life; but the fact that aj few cases in children have beenreported by Hemmeter would seem to indicate that more careful physicalexamination might result in a considerable lowering of the age limit.Persons whose occupations require them to stand for a number of con-secutive hours, as saleswomen, and motormen and conductors on trolley- PHYSICAL SIGNS OF G ASTRO PTOSIS. 1039

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1904

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