Some new methods of test meal and feces examinations : their significance in clinical work / by Anthony Bassler.

  • Bassler, Anthony, 1874-
Date:
1910
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Licence: In copyright

Credit: Some new methods of test meal and feces examinations : their significance in clinical work / by Anthony Bassler. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ters of speculative assumptions rather than accurate clinical diagnoses. Without wishing to rock the pedestals of be- lief, teaching and division of internal medicine upon which golden gods have rested, it is never- theless true that clinical observation has shown that much has been advanced in a too definite way, or to have been accepted with but too scant or too theoretical a basis, or to have been passed by with a but too hurried attention. Among some of these may be mentioned the following: More cases of gastric ulcer exist without hyperacidity than with it.1 Gastric bleed- ing is a common finding in acute ulcers during the first days, and, when unhealed, rare after that. Vomiting (the cardinal symptom of severe stomach disease), boring pain (in contrast to simple distress of a hypersesthetic type which is so common in most other stomach and in many extra gastric affections), and intolerant stomach to foods, all, as symptoms, are seen present in but 25 per cent, of the cases of gastric ulcer, considering all of the twelve forms of ulcer pathologically seen.2 Cancer, diagnosed early enough for hope of cure by surgery, presents no subjective and often no definite objective symptoms. Collective vomiting of stagnant fer- menting foods and achylic fluids containing Boas- Oppler bacilli, lactic acid and blood usually means a mass in the epigastrium, emaciation, cachexia and ansemia and a case too late for hope of cure. Early cancer generally displays a normal or even a hyperacid stomach, and it is shown that in but very few of the early cases does the test meal 1 Graham and Guthrie. New York Medical Journal, September 4. 1909- a Bassler. Archives of Diagnosis, October, 1909.