. Vorlesungen über die Diagnose von Bauchtumoren, an der Post-Graduate-Klasse der Johns Hopkins Universität, 1893. Eine gewöhnliche Ernährung, aber, zu finden, dass Thatit gab eine gute Menge von Bedrängnis, es wurde durch eine flüssige Ernährung von Ei albu-min und Milch ersetzt, die sehr gut vereinbart.geistig war er sehr verzagt. Bismut und Soda wurden zuerst eine Stunde oder so nach dem Essen gegeben, und sie erleichterten prompt das Gefühl der Unterdrückung. Es war nicht gedankenwert, ihn mit Lavaversuchen zu bedrängen oder Pausenfasten zu testen. Der Patient verließ das Krankenhaus am 19. Unverbessert. Patient starb am 28. September 1892. Fall XXI

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. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. an ordinary diet, but, finding thatit gave a good deal of distress, it wasreplaced by a liquid diet of egg albu-min and milk, which agreed very well.Mentally he was very despondent. Bismuth and soda were at firstgiven an hour or so after eating, andthey relieved promptly the sense of oppression. It was not thoughtworth while to distress him with attempts at lavage or test break-fasts. Patient left the hospital unimproved on the 19th. Patient died September 28, 1892. Case XXIII.—Unusually Large Cancer of the Stomach.—Mrs. L., aged about fifty years, seen September 12, 1892. Thepatient has been a high-strung, nervous woman, and has not beenin her usual health for the past two years, complaining chiefiy ofweakness and ill-defined nervous symptoms. I saw her a year agofor these symptoms, and at that time made an examination of theabdomen, which was negative. In June she was seen by a physi-cian, who tells me that there was a lump on the left side which hethought was a floating kidney.. Fig. 18.- Area of the tumor in CaseXXII. 60 THE DIAGNOSIS OF ABDOMINAL TUMORS. During the early summer she was under the care of a NewYork quack, who put her upon meat diet and hot water, underwhich treatment she appeared to improve. She went north to awatering place, and, though growing weaker and losing rapi-dly inweight, she kept up until August, when, on account of the swellingof the feet, she consented to go to bed. All this time she waschiefly on the meat diet, and apparently digested it very well, asshe had no eructations and no vomiting. Subsequently she had amore varied diet and complained a good deal of distention and un-easiness after eating, and on several occasions had regurgitation offood. The lump in the left side had apparently increased in size, but caused her very little pain, except when it was rubbed by themasseuse. The condition when I saw her wa

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