In diseases accompanied with obstruction the portal vein, which cirrhosis the liver may taken as a type, the engorgement the veins in the gastric and lower esopha EXAMINATION OF THE BODY FLUIDS geal mucosa often cheap article writing service results in hemorrhage. custom speech writing services In visceral engorgement cardiaa disease may have the same result, and occasionally in leukemia, splenic anemia and other diseases causing great enlargement the spleen. Aortic or other aneurisms may rupture into the stomach or recommended essay writing service esophagus and cause fatal loss blood. Traumatism especially kicks, blows and crushing injuries, may cause even fatal hematemesis. I have seen fatal vomiting blood from the giving way improperly prepared catgut after gastro-enterostomy. After the ingestion corrosive sublimate, lime, mineral acids or other corrosive poisons, blood may ejected.
The black vomitus yellow fever consists partially digested blood, and the thin dark vomitus peritonitis from the same cause.
Minute erosions often occur in the gastric mucous membrane after severe writers wanted abdominal operations, and especially when the omentum wounded, and the dark vomitus may receive its color from hemorrhage from these erosions.
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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The blood often fresh and free from admixture with mucus or food. Repeated hematemesis may occur from a fissure or erosion small as discoverable only with utmost care at operation, that essay help live chat ulceration cannot rejected as a cause without great circumspection. help with writing essays at university In general hematemesis serves indicate gastric rather than duodenal ulcer, and melena has a contrary significance, The bleeding in cancer rarely profuse, but in such small amoTints that becomes partially digested and ejected as cofFeeground material.
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.
Subphrenic abscess, hepatic abscess, empyema, suppuration bronchial glands and similar conditions are rare causes purulent vomiting, the pus reaching either the stomach or esophagus The round worm not very infrequently vomited and the segments tapeworm are occasionally seen.
Very rarely the larvae certain flies, trichinae, small echinococcus cysts from rupture a larger cyst near the stomach, hookworms term paper helper and possibly other parasites are ejected. Such occurrences should investigated with a good deal skepticism, since imperfect observation or deliberate deception often met with. This occurs as a result intestinal obstruction top essay writing services from any cause, and earlier in proportion the nearness the obstruction the pylorus, its acuteness and its completeness. It may delayed indefinitely if the lesion chronic and low in the intestinal tract. After the stomach contents essay helper are ejected, bile and then the contents the small bowel follow, becoming more writing services company and more offensive in most cases. If the vomitus in cancer the stomach suddenly becomes fecal in character, without failure bowel movement, a perforation the lesion into a neighboring loop bowel shoul'd suspected. EXAMINATION OF THE BODY FLUIDS The normal adult passes some five or six ounces gms.