CHAPTER XIII. GENERAL CONSIDERATIONS. (Part 2)

31 medicinal, 31 prescriptions, 31, 32 Mucous colitis, 40 colicky pain, 40 neurosis, 40 symptoms^ 40 tenderness over colon, 40 tenesmus, 40 urticaria, 40 Treatment, 40 diet, 40 irrigation of colon, 41 physical exercise, 40 relief of pain, 41 Weir-Mitchell feeding, 41 Obstruction of the bowel, 32 complete obstruction, 33 distention of abdomen, 32 fecal retention, 32 iliocecal junction^ 33 intussusception, 33 symptoms vary, 32 tenesmus, 33 termination, 33 tumor, 33 Treatment, 34 cathartics, 34 enemata, 34 purgatives, 34 surgery, 34 Visceroptosis, 41 symptoms, 42 284 INDEX. Diseases of the intestines — cont'd technic to determine displace- ment, 41 Treatment, 43 caution, 44 diet, 43_ mechanical support, 43 medicinal, 44 Weir-Mitchell feeding, 43 Diseases of the kidneys and blad- der, 71 Acute nephritis, 73 albumin, 74 anasarca, 73 anemia, 74 Bright's disease, 73 causes, 73 dropsy, 73 examination of urine, 74 pleural effusions, 74 scarlatina, 73 syphilitic nephritis, 74 typhoid, 73 uremia, 73 Treatment, 74 diaphoretics, 77 diet, 75 diuretics, 76 etiological factor, 74 purging, 77 malaria, 74 Petit's triangle, 75 prescriptions^ 76-78 salicylic acid, 75 symptomatic, 75 syphilis, 74 venesection, 75 Chronic interstitial nephritis, 81 arteriosclerosis, 81 cardiovascular findings, 81 chronic bronchitis, 82 edema, 82 enlarged prostate, 81 hypertrophy of heart, 82 impaired vision, 82 pulse, 82 retinal findings, 81 urinary findings, 81 urine, 81 Treatment, 82 arterial tension, 83 bowels, 83 Diseases of the kidneys and blad- der— cont'd clothing, 83 diet, 82 diuretics, 82 skin, 83 syphilitic nephritis, 83 worry, 83 Chronic parenchymatous nephri- tis, 78 albuminuria retinitis, 79 anemia, 78 asthma, 79 edema, 78 epilepsy, 78 uremic dyspnea, 78 urine, 78 vomiting, 79 Treatment, 79 Basham's mixture, 81 baths, 80 bowels, 81 clothing, 80 diet, 7p diuretics, 81 rest, 79 salt, 80 water, 80 Cystitis, 98 bacteria, 98 examination of bladder, 98 hypertrophied bladder, 98 interrupted micturition, 98 tubercle bacilli, 98 tubercular cystitis, 98 urinalysis, 98 Treatment, 99 cathartics, 99 causal therapy. 100 chronic form^ 100 crushing stone, 99 diet, 99 prescriptions, 99-101 relief of pain, 99 removal of stone, 99 urinary antiseptics, 99 Hydronephrosis, 91 aspiration, 91 congenital. 91 mistaken for ascites, 91 mistaken for ovarian cysts, 91 tumor, 91 INDEX. 285 Diseases of the kidneys and blad- der— cont'd Treatment, 92 aspiration, 92 bandage, 92 drainage, 92 incision, 92 nephrectomy, 92 Movable kidney, 71 floating kidney, 71 hydronephrosis, 72 hysteria, 71 jaundice, 72 nephroptosis, 72 palpable kidney, 71 palpation, 71 symptoms, 72 Treatment, 72 bandage, 72 forced feeding, 72 rest, 72 surgery, 73 tonic, 73 Nephrolithiasis, 92 cause of stones, 92 focus of pain, 93 hematuria, 93 gravel, 92 renal calculi, 93 renal colic, 92 sand, 92 stone, 92 symptoms, 93 vesical calculi, 93 x-ray, 93 Treatment, 94 baths, 94 chloroform inhalations, 94 diet, 96 _ dyspepsia, 97 examination of urine, 94 hyperacidity, 97 neurasthenia, 97 prescriptions, 94-97 renal colic, 94 surgery, 97 Pyelitis, 89 cystitis, 89 painful micturition, 89 polyuria, 89 pyuria, 89 reaction of urine, 89 Diseases of the kidneys and blad- der— cont'd symptoms, 89 tumor, 89 Treatment, 89 antiseptics, 90 astringents, 91 baths, 89 congestion, 90 diet, 89 gastric disturbances, 90 leeches, 90 prescriptions, 90, 91 relief of pain, 90 Uremia, 84 albuminuric retinitis, 85 asthenia, 84 brain tumor, 85 Bright's disease, 84 Cheyne-Stokes breathing, 84 coma, 84, 85 headache, 84 hemiplegia, 84 impaired vision, 84 latent form, 84 meningitis, 85 miliary tuberculosis, 85 muscular cramps, 84 odor of breath, 86 pulse, 84 uremic dyspnea, 84 urinalysis, 84 vomiting, 84 Widal reaction, 85 Treatment, 86 acute attack, 86. 88 cardiac tonics, 86 cathartics, 86 chronic attack, 88 convulsions, 87 diaphoretics, 86 diarrhea, 88 diet, 88 lavage, 88 prescriptions, 86-88 Renon's water diet, 88 uremic asthma, 88 venesection, 86 vomiting, 87 Diseases of the liver, 45 Abscess of the liver, 52 cases resemble malaria, 53 286 INDEX. Diseases of the liver — cont'd causes, 53 dislocation of heart, 54 enlarged liver, 53 puncturing of liver, 54 uncertainty of diagnosis, 52 Treatment, 54 inefficacy of drugs, 54 preventive, 54 surgery, 54 Acute yellow atrophy, 54 biliary cirrhosis, 54 coma, 54 pregnancy a factor, 54 reduction of liver, 55 symptoms, 54 urinalysis, 55 Treatment, 55 cathartics, 55 gastric sedatives, 55 Biliary cirrhosis, 51 cancer of liver, 52 chronic icterus, 51 chronic jaundice, 51 enlarged spleen, 51 gallstones, 51 Hanot's cirrhosis, 51 hemorrhage, 51 heredity as factor, 51 malignant disease of liver, 51 symptoms, 51 Treatment, 52 bowels, 52 diet, 52 quiet life, 52 Cancer of the liver, 55 ascites, 56 age when occurs. 55 enlarged liver, 56 enlarged lymph glands, 56 emaciation, 56 fatality, 56 icterus, 56 liver dullness, 56 nodular form, 55 primary, 55 secondary, 55 tumor form, 55 uncertainty of diagnosis, 55 Treatment, 56 palliative, 56 surgery, 56 Diseases of the liver — cont'd Icterus (jaundice), 45 a symptom, 45 causes, 45 examination of gallbladder, 45 examination of liver, 45 examination of urine, 45 hemorrhage^ 45 pulse, 45 respirations, 45 stools, 45 test for, 45 Treatment, 46 diet, 46 enemata, 46 prescriptions, 46, 47 purgatives, 46 Portal cirrhosis (Lannec's cir- rhosis, alcoholic cirrhosis), 47 albumin, 48 alcoholic history, 47 examination of pelvis in wom- an, 48 hemorrhage. 48 nodules of liver, 48 nutmeg liver, 48 ovarian cyst, 48 urea excretion, 48 Treatment, 48 alcohol, 48 ascites, 49, 50 bowels, 49 diarrhea, 49 diet, 48 hematemesis, 49 prescriptions, 49, 50 surgery, 50 Diseases of the lungs and pleurae, 163 Acute bronchitis, 163 atelectasis, 164 bronchial fremitus, 164 bronchi-pneumonia, 164 capillary bronchitis, 164 Charcot's crystals in sputum, 164 cough, 163 dyspnea, 164 examination of chest, 164 fever, 163 fremitus, 104 INDEX. 287 Diseases of the lungs and pleurae — cont'd percussion sound, 164 prolonged expiration, 163 spirals in sputum, 164 substernal soreness, 163 symptom in malaria, 163 symptom in typhoid, 163 vesicular murmur, 163 Treatment, 164 baths, 164 bowels, 165 diet, 167 foot bath, 164 mustard plaster, 164 prescriptions, 165-167 Acute pleurisy, 211 auscultation, 211 differentiating pleurisy and pneumonia^ 213 displacement of organs, 213 dyspnea, 211 effusion into pleural sac, 212 fever, 211 focus of pain, 211 Grocco's triangle of dullness, 212 posture of patient, 212 Skoda's resonance, 212 symptoms, 211 tumor of mediastinum, 213 withdrawal of fluid, 213 Treatment, 213 aspiration, 214 diet, 214 Potain's aspirator, 214 prescriptions, 215 rest, 213 technic of aspiration, 214 Bronchial asthma, 175 appearance of patient, 175 Charcot's crystals, 176 Curschmann spirals, 176 dyspnea in bronchial asthma, 176 dyspnea in cardiac asthma, 176 eosinophils of blood, 176 expiration, 175 inspiration, 175 premonitory symptoms, 175 spasm of glottis, 176 sputum, 175 Diseases of the lungs and pleurae — cont'd symptoms, 175 symptoms of dyspnea, 176 symptoms of emphysema, 176 Treatment, 176 attack, 176, 177 bowels, 179 change of climate, 179 chloroform inhalations, 177 chronic hronchitis, 179 diet, 179 emphysema, 179 interval, 176, 178 nitrite of amyl, 177 prescriptions, 178, 179 Bronchiectasis, 172 cerebral abscess, 173 cough, 173 grippe, 172 sputum, 172 symptoms, 173 tuberculosis of lungs, 173 Treatment, 173 internal antiseptics, 173 prescriptions, 173, 174 surgery, 174 vapor bath, 174 Broncho - pneumonia (lobular pneumonia), 190 age when occurs, 190 Bright's disease, 190 cyanosis, 190 dyspnea, 190 miliary tuberculosis, 191 percussion, 191 symptoms, 190 terminal event, 190 tubercle bacilli, 190 Treatment, 191 bowels, 191 diet, 193 fever, 191 pulse, 193 prescriptions, 192. 193 proper care of child, 191 tonics, 193 venesection, 193 Chronic bronchitis, 167 bronchorrhea, 168 coexisting emphysema, 168 288 INDEX. Diseases of the lungs and pleurae — cont'd examination of heart, 168 examination of urine, 168 lung tissue in sputum, 168 occupation a factor, 167 secondary to other conditions, 167 shortness of breathy 168 symptoms, 168 tubercle bacilli, 168 uric acidemia, 168 winter's cough, 168 Treatment, 169 bowels, 169 change of climate, 169 clothing, 169 diet, 169 dry catarrh, 169 moist catarrh, 169 nephritis, 172 prescriptions, 169-172 Chronic interstitial pneumonia, 194 apex beat of heart, 194 atrophy of lung, 194 auscultation, 194 cardiac failure, 195 chronic cough, 195 dyspnea, 195 hemorrhage, 195 history, 194 sputum, 195 tuberculosis, 195 Treatment, 195 breathing exercise, 195 change of climate, 195 clothing, 195 diet, 195 severe coughj 195 skin, 195 Edema of the lungs, 179 acute edema, 180 cyanosis, 180 due to engorgement, 180 dyspnea, 180 exudations into alveoli, 179 fatality, 180 inflammatory, 180 onset sudden, 180 pulse, 180 second pulmonic sound, 180 Diseases of the lungs and pleurae — cont'd sputum, 180 Treatment, 180 bleeding, 180 cardiac stimulants, 180 dry cupping, 181 mustard draft, 181 purging, 181 Emphysema, 196 bronchitis, 196 cough, 196 cyanosis, 196 dyspnea, 196 expectoration, 196 heredity, 196 hypertrophy of right heart, 196 percussion, 196 second pulmonic sound. 196 symptoms, 196 Treatment, 197 asthmatic attacks, 197 bowels, 197 chronic bronchitis, 197 diet, 197 Fowler's solution, 197 protection from exposure, 197 Lobar pneumonia, 181 acute tuberculo - pneumonic phthisis, 185 aspirator needle, 185 auscultation, 183 broncho-pneumonia, 184 cardiac dullness, 183 cerebrospinal meningitis, 184 chill, 181 cyanosis, 181 dyspnea, 181 fever, 181 focus of pain, 181, 182 heart failure, 183 hemorrhagic infarct, 184 Kernig's sign, 184 leucocytosis, 184 onset sudden, 184 palpation, 182 percussion, 182 pleurisy, 184 profound toxemia^ 183 pulmonary second sound, 183 pulse, 182, 184 INDEX. 289 Diseases of the lungs and pleurae — cont'd respiration, 182 second heart sound, 183 Skoda's resonance, 183 sputum, 181, 184 symptoms, 182 urine, 183 Treatment, 185 baths, 186 cold sweating, 188 conservation of heart, 185 convalescence^ 189 cough, 187 crisis, 189 diet, 185 expectorants, 187 fresh air, 185 heart failure, 187 hypodermoclysis, 189 - isolation, 185 prescriptions, 187-189 relief of pain, 186 rest, 185 skin, 186 sleeplessness, 187 strapping of chest, 186 tympanites^ 186 venesection, 187 Pulmonary gangrene, 197 fever, 198 sequence of lung conditions, 197 sputum, 198 symptoms, 198 typhoid, 197 Treatment, 198 carbolic inhalations, 198 diet, 198 position of patient, 198 prescriptions, 199 stimulants, 198 surgery, 199 Pulmonary tuberculosis^ 199 auscultation, 199, 202 breathing, 201 catarrh, 199 cough, 200 family history, 202 hectic fever, 200 hemorrhage, 201 Koch's tuberculin, 201 Diseases of the lungs and pleurae — cont'd loss of weight, 199 night sweats, 200 pain in chest, 201 percussion, 199 pulse, 201 rigid muscleSj 201 sputum, 200 symptoms, 199 temperature, 199 test for tubercular infection, 201 tubercle bacilli, 200 Treatment, 202 anorexia, 207 care of mouth, 203 cough, 208 diet, 202 exercise, 203 fever, 207 hemorrhage, 208 inhalations, 204 medicinal therapy, 203 mercurial treatment, 210 night sweats, 208 prescriptions, 204-209 skin, 208 sleeping arrangements, 203 sputum, 211 ventilation, 203 Diseases of the pancreas and peri- toneum, 62 Acute pancreatitis, 63 intestinal obstruction, 83 onset sudden, 63 symptoms, 63 Treatment^ 64 collapse, 64 pain, 64 rectal feeding, 64 surgery, 64 Acute peritonitis, 68 arteriosclerosis, 68 Blight's disease, 68 clinical picture, 68 enterocolitis, 69 facies, 68 focus of pain, 68 gout, 68 Hippocrates' facies, 69 hysteria, 69 290 INDEX. Diseases of the pancreas and peri- toneum— cont'd inflammation of peritoneum, 68 inflammation of viscera, 68 intestinal obstruction, 69 mental condition, 68 pulse, 68 respiration, 69 shock, 68 symptoms, 68 tuberculosis, 69 vomiting, 69 Treatment, 70 diet, 70 Fowler's position, 70 saline treatment, 70 surgery, 70 Carcinoma of the pancreas^ 66 anorexia, 67 ascites, 67 bowels, 67 distention of gallbladder, 66 edema, 67 enlargement of liver, 67 immobile tumor, 67 interstitial pancreatitis, 67 jaundice, 67 retention cysts, 66 Treatment, 67 draining, 67 extirpation of gland, 67 palliative, 67 rectal feeding^ 67 Chronic pancreatitis, 64 anorexia, 64 examination of feces, 64 focus of pain, 64 gallstones, 64 glycosuria, 64 indican, 65 islands of Langerhans, 64 jaundice, 64 onset gradual, 64 palpation, 64 Treatment, 65 anastomosis, 65 icterus, 65 surgery, 65 Hemorrhage, 62 fatality, 62 medico-legal view, 62 Diseases of the pancreas and peri- toneum— cont'd mistaken for intestinal ob- struction, 62 onset sudden, 62 pulse, 62 temperature, 62 vomiting, 62 Treatment, 62 heart depression, 63 laparotomy, 63 loss of blood, 62 pain, 62 Pancreatic cysts, 65 causes, 65 constipation, 65 examination in Trendelenburg position, 66 glycosuria, 66 jaundice, 65 location, 65 palpation, 65 shape, 65 tumor, 65 tumor of transverse colon, 66 vomiting, 65 Treatment, 66 draining, 66 surgery, 66 Diseases of the stomach, 9 Gastric cancer, 15 anasarca, 15 Boas-Oppler bacillus, 16 duration, 16 edema, 15 gastric tumor, 15 hepatic tumor, 15 hydrochloric acid, 15 increasing, 15 inspection, 16 lactic acid, 16 nodular swellings, 15 pain of carcinoma, 16 palpation, 16 symptoms, 15 symptoms of pancreatic can- cer, 16 tumor, 15 vomiting, 15 Treatment, 17 medicinal, 17 prescriptions, 17, 18 INDEX. 291 Diseases of the stomach — cont'd relief of pain, 17 surgery, 17 washing out stomach, 17 Gastric ulcer, 9 anemia, 10 appetite, 11 area of tenderness, 10 cause of pain, 9 dilatation, 10 enlargement of liver, 11 evidence, 10 examination of stools, 11 focus of pain, 9, 10 frequency in women, 10 hemorrhage, 10 hydrochloric acid, 9 pain after healing, 10 pain of gastralgia, 10 perforation, 10 relief from pain, 9 stomach tube, 11 surgery in perforation, 11 symptoms, 9 symptoms of perforation, 11 vomiting, 9 Treatment, 11 fasting, 11 medicinal, 12 prescriptions, 13-15 rectal feeding, 12 rest of stomach, 11 Gastritis, 18 alcohol as factor, 19 cardiac palpitation, 19 dyspnea, 19 gastric catarrh, 19 history of case, 18 locomotor ataxia simulates, 18 majority of cases afebrile, 18 mistaken for gallstones, 18 mistaken for infectious dis- ease, 19 mistaken for meningitis, 18 portal stasis, 19 test for knee jerk. 18 test for reaction of pupil, 18 Treatment, 19 prescriptions, 19-22 stomach tube, 19 vomiting, 19 washing of stomach, 19 Diseases of the stomach — cont'd Hematemesis, 24 anemia, 24 blood from lungs, 25 blood from stomach, 25 edema, 25 fatal synocope, 24 leukemia, 25 rupture of varix, 25 Treatment, 25 absolute quiet, 25 hypodermatic, 25 hypodermoclysis, 25 medicinal, 25 rectal feeding, 25 surgery, 25 Hyperchlorhydria, 22 cancer excluded, 22 children affected, 23 chlorosis, 22 eructation, 22 examination of stomach, 22 gastritis excluded, 22 heartburn, 22 hydrochloric acid, 22 hysteria, 22 neurasthenia, 22 pain variable, 22 relief of pain, 22 salivation, 22 symptoms in children, 23 vomiting of sour liquid, 22 Treatment, 23 diet, 23 medicinal, 23 prescriptions, 23, 24 washing out stomach, 23 Diseases of the vascular system, 127 Acute endocarditis, 132 auscultation, 132 causes, 132 precordial pain, 132 pulmonic sound, 132 simple endocarditis, 132 symptoms, 132 Malignant endocarditis, 132 chills, 133 emboli, 133 fever, 133 history, 132 sweat, 133 292 INDEX Diseases of the vascular system — cont'd symptoms, 133 Treatment, 133 diet, 133 enemata, 134 rest, 133 prescriptions, 134, 135 Angina pectoris, 154 arteriosclerosis, 155 common in men, 154 factors, 154, 155 neurotic form, 155 onset sudden, 155 symptoms, 155 syphilitic aortitis, 154 Treatment, 156 attack, 156 bowels, 157 chloroform inhalations, 156 diet, 157_ elimination, 157 hypodermatic injections, 156 interval treatment, 156 nitrite of amyl inhala- tions, 156 prescriptions, 157, 158 Arteriosclerosis, 158 attacks transient, 159 causes, 158 coronary arteries, 159 intermittent claudication, 160 symptoms, 159 Treatment, 160 baths, 160 bowels, 160 cathartics, 161 diet, 160 early diagnosis, 160 Fowler's solution, 161 kidneys, 160 prescriptions, 160, 161 quiet life, 160 venesection, 162 Palpitation, 152 anemia, 152 causes, 152 common in women, 152 pulse, 152 neurosis, 152 Diseases of the vascular system — cont'd urine, 152 Treatment, 153 anemia, 153 baths, 153 diet, 153 gastric disturbances, 154 prescriptions, 153, 154 sexual excitement, 153 Weir-Mitchell treatment, 153 Pericarditis, 127 acute fibrinous stage, 127 auscultation, 127 cardiac dilatation, 130 cardiac dullness, 129 cardiac effusion, 130 causes, 127 constitutional signs, 128 dysphagia, 129 dyspnea, 128 effusion, 128 first rib sign, 129 friction sound, 127 idiopathic varieties, 127 palpation, 128 paralysis of vocal cords, 129 percussion, 129 physical signs, 128 pleural effusion, 130 pulse, 128 Rotch's sign, 129 singultus, 129 symptoms, 128 triangle sign, 129 vomiting, 129 Treatment, 130 constipation, 131 diet, 130 medicinal, 130 prescriptions, 131 rest, 131 technic of aspiration, 131 Valvular diseases of the heart, 135 _ aortic incompetency, 135 auscultation, 136 Austin-Flint murmur, 137 causes, 135 examination of arteries, 136 focus of pain, 135 INDEX. 293 Diseases of the vascular system — cont'd mental disturbances, 136 pulse, 136 symptoms, 135 aortic stenosis, 137 arterial changes, 137 causes, 137 muscular hypertrophy, 137 pulmonary emphysema, 137 pulsus tardus, 137 symptoms, 137 systolic thrill, 137 mitral incompetency, 138 apex beat, 139 cardiac sleep start, 139 clubbing of fingers, 138 percussion, 139 physical signs, 139 pulmonic congestion, 139 pulse, 139 symptoms, 138 mitral stenosis, 140 common in women, 140 dullness, 140 hypertrophy, 140 location of murmur, 140 paralysis of vocal cords, 140 tricuspid insufficiency, 141 crural vein sound, 141 expansile pulsation of liver, 141 symptoms, 141 systolic murmur, 141 tricuspid stenosis, 141 cardiac dullness, 141 presystolic murmur, 141 symptoms, 141 Treatment. 142 Addison's pills, 149 arteriosclerosis, 146 baths, 142 cardiac failure, 147 cardiac stimulants, 144 cathartics, 142, 149 clothing, 142 cough, 150 diet, 142 dropsy, 147 insomnia, 149 mechanical, 142 medication, 142 Diseases of the vascular system — cont'd Nauheim treatment, 150 Niemeyer's pills, 149 paracentesis, 149 prescriptions, 143-150 rest, 142 Schott movements, 150 venesection, 147 Ductless glands, diseases of the (see Diseases of the ductless glands ) Dysentery, amebic (see Infectious diseases ) bacillary (see Infectious dis- eases.) E Edema of the lungs (see Diseases of the lungs and pleurae) Emphysema (see Diseases of the lungs and pleurse) Endocarditis, acute (see Diseases of the vascular system) malignant (see Diseases of the vascular system) Enteric fever (see Infectious dis- eases— Typhoid ) Enteritis, acute (see Diseases of the intestines) chronic (see Diseases of the in- testines ) Exophthalmic goiter (see Diseases of the ductless glands) F Fever, enteric (see Infectious dis- eases— Typhoid ) rheumatic (see Infectious dis- eases) scarlet (see Infectious diseases) G Gallbladder, diseases of the (see Diseases of the gallbladder) Gallstones (see Diseases of the gallbladder) Gangrene, pulmonary ( see Diseases of the lungs and pleurse) Gastric cancer ( see Diseases of the stomach) ulcer (see Diseases of the stom- ach) 294 INDEX. Gastritis (see Diseases of the stomach ) General considerations, 272 Physician and patient, 272 examination of abdomen, 278 examination of excretions, 277 examination of secretions, 277 knowledge of anatomy, 272 manipulation, 273 observ^ations of patient, 272 obtaining history. 273 palpation, 276, 277 patient's confidence, 272 physical characteristics, 274 physical examinations, 272, 273 physician's bearing, 272 posture of patient, 273, 274 test for arteriosclerosis^ 276