Texas Medical Journal Vol 13 PDF Download

Excerpt from The Texas Medical Journal, Vol. 22: From July, 1906, to June, 1907 All cases of stomach trouble that have continued for a few weeks and that do not get better by ordinary diet or treatment, or that steadily grow worse, should be examined by means of the stomach tube. The tube is introduced best by. Having the patient slightly elevate his chin, Open his mouth, the end of the tube thoroughly wet in warm water, is passed back to the pharynx, the patient told to close his lips, breathe deeply through his nose and swallow, the tube is gently pushed into the stomach. A slight resistance is usually met at the cardiac entrance. The introduction of the tube shows: (1) The condition of the (esophagus, whether strictured or not; (2) by forcing air into the stomach through the bifurcated tube the percussion method will usually determine with readiness the size of the stomach, and the escape of the air through the whistle on the bifurcation not connected with the compressed air apparatus will show the contractility and motor power of the stom ach much better, I think, than the use of iodid of potash or iodipin, as frequently recommended; (3) it serves to remove the test meal for chemical examination, and thereby makes a diagnosis possible which could not otherwise be made. In removing the test meal it is frequently much more easily done by having the patient recline on the left side with head some lower than the body, after the tube is in position, thereby securing the aid of gravity, as well as the suction of the bulb. This question can not be dealt with here, but will say in passing, that the test for hcl acidity, butyric, and lactic acids and the microscopical examinations can be made quickly by most anyone and will be frequently all the chemical examination needed. Not more than a pint of warm water should be introduced into the stomach and withdrawn by siphon and the quantity measured. If this be done before breakfast, as it should, and the amount be more than that introduced, it shows retention or hypersecretion, with or without stagnation, which calls for the continued use of the tube as a therapeutic agent. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.