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HEMATEMESIS

HEMATEMESIS A series of 280 cases at the Bronchoscopic Clinic affords abundant illustrations of the well known errors incident to inferential diagnosis as to the source of blood issuing from the mouth, and illustrates how a positive diagnosis can be reached in practically all cases in which the blood comes from the food passages proximally to the pyloric antrum, with all the certainty afforded by direct inspection and, in suitable cases, by biopsy. Complete histories and the serologic and other tests in use by clinicians were made in all cases; but in this presentation everything that was negative or irrelevant will be omitted. Nine cases have been selected as illustrative of the most important points. Case 1. —Hematemesis in a man, aged 50. There was a history of gradual loss of weight and strength, slight difficulty in swallowing of six months' duration, melena and occasional vomiting of dark, blood-tinged food http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1925 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1925.02670120008003
Publisher site
See Article on Publisher Site

Abstract

A series of 280 cases at the Bronchoscopic Clinic affords abundant illustrations of the well known errors incident to inferential diagnosis as to the source of blood issuing from the mouth, and illustrates how a positive diagnosis can be reached in practically all cases in which the blood comes from the food passages proximally to the pyloric antrum, with all the certainty afforded by direct inspection and, in suitable cases, by biopsy. Complete histories and the serologic and other tests in use by clinicians were made in all cases; but in this presentation everything that was negative or irrelevant will be omitted. Nine cases have been selected as illustrative of the most important points. Case 1. —Hematemesis in a man, aged 50. There was a history of gradual loss of weight and strength, slight difficulty in swallowing of six months' duration, melena and occasional vomiting of dark, blood-tinged food

Journal

JAMAAmerican Medical Association

Published: Sep 19, 1925

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