Functional & organic diseases of the stomach / by Sidney Martin.

  • Martin, Sidney, 1860-
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Functional & organic diseases of the stomach / by Sidney Martin. Source: Wellcome Collection.

    388/568 (page 364)
    1. Th<, Blood Voviited iiiay he Siacdlowed.—In this case, the blood comes either from the nose, ear or buccal cavity, from the lungs or from the oesophagus. In fracture of the base of the skull and in other injuries of the head, blood may pass into the stomach and be afterwards vomited. In epistaxis, a similar event may occur, especially if the bleeding be profuse and the patient be in the recumbent position, or if the bleeduig occurs chiefly from the posterior part of the nasal cavities. In the profuse epistaxis of some cases of chronic Bright's disease this occasionally occurs, as well as in other forms of bleeding from the nasal cavities. In Heeding from the lungs, if profuse and slow, swallowed blood may be vomited. Cases occur, however, which at the first onset are very difficult to recognise, as when the early tubercular patient has a profuse hemoptysis associated as it not uncommonly is with vomiting. At the first onset, this may appear like hsematemesis, but is readily recognised (see Diagnosis, p. 372). In bleeding from the oesophagus, blood may enter the stomach. In acute inflammatory conditions of the gullet, due almost solely to swallowed poisons, this may occur, but in such cases a similar condition of the stomach is present (see below). In cancer of the gullet, the bleediug is as a rule insignificant, and only small quantities of blood are brought up, except in those cases where the aorta is opened by the growth, when the bleeding is profuse and fatal. Lastly, profuse and fatal bleeding occui's when an aneurysm of the aorta opens into the gullet. 2. The Blood Vornited comes from the Stomach itself.— The many conditions in which the stomach is the seat of haemorrhage in hsematemesis may be divided into three groups, viz.— {a) Where the bleeding is due to disease of the stomach itself. (/3) Where it is due to a tumour or growth attached to the stomach.