The stomach in its morbid states ; being a practical inquiry into the nature and treatment of diseases of that organ, and into the influence they exercise upon the origin, progress, and termination of diseases of the liver, heart, lungs, and brain / Langston Parker.

  • Parker, Langston, 1805?-1871.
Date:
1838
Catalogue details

Licence: Public Domain Mark

Credit: The stomach in its morbid states ; being a practical inquiry into the nature and treatment of diseases of that organ, and into the influence they exercise upon the origin, progress, and termination of diseases of the liver, heart, lungs, and brain / Langston Parker. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    the sternum, deep in the left hypochondrium, in the epigastrium, or in the right hypochondrium. The several scats of pain arc ge- nerally indicative of the seat of complaint, whether it be in the cardiac portion of the stomach, in the greater curvature, or in the pylorus. The state of sensibility in the centre of the epigastrium, which corresponds to the situation of the great nervous ganglia of the abdomen, is extremely deceptive, since most persons are sensi- ble to moderate pressure in this situation. Fulness in the epigas- trium and left hypochondrium is commonly attendant on the pri- mary stages of disease ; in the latter periods, when the coats of the stomach become thickened, this disappears, and is replaced by a resisting hardness and dull percussion. Fulness and distension sometimes run to so distressing an extent that the throat feels filled with flatus, and the stomach and bowels are distended to suffocation. If much gas be evolved during digestion, the sound is clear, when these regions are examined by percussion, and the extent of this clearness is very variable. I have noticed it, as in the subject of Case VI.,* extending below the umbilicus; after death the inflamed and dilated stomach was found occupying nearly the whole of the abdomen. Percussion is generally clear in the hypochondriac and epigastric regions in the earlier stages of inflammatory disease of the stomach, unless this organ be dis- tended by aliment. The temperature is always elevated, particu- larly in the centre of the epigastrium. After fits of repletion in persons accustomed to live well, and who habitually carry about with them the symptoms of chronic gastritis, there is commonly * Sec Case VI. in the Chapter On the Influence of the Stomach upon tlie Heart.