Annual Report of the Supervising Surgeon-General of the Marine Hospital Service of the United States 1901

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He complained of nausea and jiain in his stomach. He had eaten very little for two days, as he became sick soon after taking food in his stomach and usually vomited it. He said he had a chancre twenty years ago. which was followed by an enlargement of the glands in the groin, sore throat, and an eruption on his body.
Phiifiicnl e.ramination. — Cervical glands enlarged; slight dullness on percussion over both lungs: the respiratory sounds are roughened, Imt no r;iles are present.
A blowing murmu
...r is heard over the apex of the heart. A tumor is felt extend- ing from 1 inch below the xiphoid cartilage to the umbilicus. This tumor is hard and irregular in outline, and the pulsations of the aorta are transmitted through it. The spleen is slightly enlarged. The vomited matter is of a yellowish-green color, and has an acid reaction; no free or combined hydrochloric acid is present; no cells resembling cancer cells can be found by the microscope. On November 16. at 2.30 a. m. . the patient vomited coffee-colored matter after an attack of severe pain.

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