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. 1891 Excerpt: ...long as the muscular walls of the gut retain vigorous contracting power, there is constant regurgitation of liquids and gases into the stomach, whence they are quickly vomited. When paralysis allows wide dilatation and consequent kinking, the contents of the gut cannot escape, and meteorism reaches its extreme limit. ...
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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. 1891 Excerpt: ...long as the muscular walls of the gut retain vigorous contracting power, there is constant regurgitation of liquids and gases into the stomach, whence they are quickly vomited. When paralysis allows wide dilatation and consequent kinking, the contents of the gut cannot escape, and meteorism reaches its extreme limit. An irregularity in the abdominal distention is of diagnostic value; in both volvulus and strangulation the constricted loop is the first to become inflated; this loop, if of any length, will produce a local tumefaction preceding the general swelling. Invagination usually gives but little meteorism. In general, the distention is proportionate to the suddenness and acuteness of the process. Peristalsis.--This, in peritonitis aud paralysis of the bowel from other causes, is absent. In mechanical obstruction it is violent and long continued, and can be perceived by palpation and auscultation. Urine.--Though much has been written upon this subject, there is little here to guide us. In amount, it probably depends upon the frequency of vomiting. In strangulation it has often been observed to contain albumin, while in pure obstruction indican in large quantities is always found. We have made a number of personal observations upon this test, but find indican so frequently present in other pathological conditions, or even when the urine is in all respects normal, that the finding of it in any given case is without value. Vomiting.--In strangulation, vomiting comes on early and becomes fecal rapidly. In other forms of obstruction the vomiting may be slight, or even wanting altogether. In peritonitis it is bilious and at times takes the form of an outpouring from the stomach with scarcely any effort on the part of the patient, and with all the symptoms of ...
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