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The black vomitus yellow fever consists partially digested blood, and the thin dark vomitus peritonitis from the same cause.
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In those diseases accompanied bleeding under the skin and from the mucous membranes, such as malignant small-pox, hemorrhagic measles, typhus fever, the purpuric group, hemophilia, leukemia, severe anemia, and occasionally in the new-born, hematemesis It an open question whether the alleged hysterical bleeding and vicarious menstruation not proceed from some definite organic lesion. The most significant hemorrhages from the stomach arise from ulcer and cancer. Severe bleeding occurs if an ulcer opens into a considerable artery, though fatal hemorrhage not very common from ulcer.
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Articles food a reddish color may simulate fresh blood in the vomitus, and bismuth, iron, and dark-colored ingesta may resemble the coflFee ound vomitus. The detection red blood cells under the microscope or blood coloring matter chemically or the spectroscope may necessary clear the diagnosis. Pus vomited after being swallowed, or as the result suppurative gastritis or perigastric abscess from which has reached the stomach.
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