Publisher's Synopsis
Excerpt from Multiple Lympho-Sarcomata: With a Report of Two Cases
He dated his illness from about this time, attributing it to the water he drank while in Pittsburgh.
The present attack came on with diarrhoea, and two weeks later micturition became painful.. He had four or five stools a day; the diarrhoea stopped two days before his admission. Vomiting set in at this time and was intractable; every time he took a drink of water he would be seized with it, and he complained of a peculiar sensation as if something solid remained behind. He had a heavy feeling in the epigastrium, but no sharp pain. Micturition was still painful at this time. He said that he had not slept for some nights prior to his entrance to the Hospital. He had been constipated for the last few days and had had no passage from his bowels since the cessation of the diarrhoea. He complained of cramps in the calves of his legs.
Status Praesens. - Patient is emaciated, very sallow, his skin is harsh and dry, and he has a moderate anaemia. The tongue is red, dry and inclined to be glazed; on the dorsum, pointed. Pupils are equal and react to light. Temperature normal and subnormal pulse 98, small in volume and regular. Respiration 20.
Chest and heart normal. The abdomen is retracted, tympanitic, tender on pressure, particularly in lower zone and iliac regions. No tumor palpable; no special tenderness anywhere. No spots, nor rash. Spleen not palpable, nor is dullness increased. Liver normal. Rectum: the mucous membrane feels a little rough perhaps otherwise normal. No glandular enlargement anywhere over the body, so far as can be determined.
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