Glycosuria in connection with appendicitis, diabetes mellitus : a clinical lecture delivered at the Philadelphia Polyclinic, February 16, 1894 / by Solomon Solis-Cohen.

  • Solis-Cohen, Solomon, 1857-1948.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Glycosuria in connection with appendicitis, diabetes mellitus : a clinical lecture delivered at the Philadelphia Polyclinic, February 16, 1894 / by Solomon Solis-Cohen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    suit through portal infection following appendicitis. We have no evidence of it here, but it must be borne in mind. Q. Are you thirsty ? A. Sometimes. Dr. Moore says he is thirsty—wants a great deal of water. Q. Do you sweat ? A. Sometimes he sweats, but not as a general rule. If a patient sweats a great deal, as a matter of course the quantity of urinary water will be diminished. And then again we have been treating this man with salines and drawing off large quantities of fluid by the bowels, so that the patient is actually passing more water, though not by the kidneys, than at first sight appears. On casual inspection, he exhibits some of the symptoms of vaso-motor ataxia. This and diabetes are very often as- sociated, and in such cases there is frequently a gouty di- athesis. We have no special record as to the urates'or uric acid in this man’s secretions. Q. Do you feel weak ? A. Yes. Q. When did you first begin to feel weak ? A. Only for about two weeks. Q. Before that you felt pretty strong ? A. Yes. In this case, then, there is no history of gradual weak- ness, which is one of the very early symptoms of ordinary cases of diabetes. The patient will complain of languor and disinclination to work long before sugar can be found in the urine. Q. Have you indigestion ? A. For five or six months he has complained of a sense of discomfort in the epi- gastrium and palpitation of the heart; had nausea some weeks ago. This may have been due to his appendicitis ; it is diffi- cult to decide.