The Collected Works of Christian Fenger M D 1840 1902 volume 2

Cover The Collected Works of Christian Fenger M D 1840 1902 volume 2
The Collected Works of Christian Fenger M D 1840 1902 volume 2
Christian Fenger
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This condition is marked clinically by a sudden and violent onset; vomiting is violent and intractable ; large quantities of fluid are ejected ; the fluid is usually greenish, due to admixture of bile. The patient is reduced to a state of collapse or exhaustion which may prove fatal in a few days.
3. During the progress of the disease the abdomen becomes distended, the right hypochondrium remaining flatter. The bowels move spon- taneously, and a splashing sensation may be elicited over the site
... of the distention. Sensorium usually cloudy.
4. If treatment is unsuccessful, the abdomen becomes more dis- tended, vomiting ceases, and the patient dies of exhaustion.
5. Indications for treatment are: (a) Supportive measures, (fe) Use of stomach-tube one or more times daily, as early in case as possible. (c) Rectal feeding, (d) No food by mouth until vomiting is nearly or quite controlled.
6. The treatment without lavage is unavailable, and the use of narcotics worse than useless.
Rosenheim* has also observed cases of mechanical insufficiency of the stomach occurring periodically in neurasthenic patients.


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