A practical treatise on medical diagnosis for students and physicians / by John H. Musser.

  • Musser, John Herr, 1856-1912.
Date:
1904
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on medical diagnosis for students and physicians / by John H. Musser. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

    1244/1378 (page 1110)
    the fever and the appearances of intoxication are probably the result of infection. Violent delirium resembling acute mania and not unlike that seen in atropine-poisoning, occurs in some instances. Symptoms of localized peritonitis arise, and if the patient lives, the tumor increases to a considerable size. Diagnosis. The symptoms resemble those of acute intestinal obstruction, intoxication with irritant poison, or -perforation of the gastro-intestinal or biliary tract, or an attack of hepatic colic. In several instances laparotomy has been performed for the relief of supposed obstruction. The intense pain in the epigastrium, with violent vomiting and distention of the upper abdomen, without a possible cause for obstruction, are favorable to aeute pancreatitis. The difficulty of diagnosis, however, is so great that resort Fig. 388. Tumor of the pancreas. to laparotomy is justifiable in order to determine the exact nature of the condition. In a most interesting case reported by W. S. Thayer, the diag- nosis of acute pancreatitis (confirmed by laparotomy) was based upon the history of previous attacks of pancreatic pain, with fever, vomiting, and collapse, occurring in an adult who was over-fat and an alcoholic ; the exclusion of disease in other organs and the absence of a history of gall- stones, gastric ulcer, or abscess from other causes ; the occurrence of pain ; the presence of a deep-seated tumor with indistinct signs of fluctuation, which was not movable with respiration, and the dulness of which was