Zincum Metallicum - General symptoms - T.F. Allen

GENERAL

General

The stomach was considerably dilated as far down as the navel, its peristaltic movement being at times very appreciable through the abdominal wall.

the pylorus, hypertrophied, sunken, and movable, formed a tumor sensible to the touch, sometimes to the right, sometimes to the left of the umbilicus. At last under the right false ribs another hard tumor was found, slightly, indented, not well defined, but painful when pressed, and which gave rise to the idea that a new growth depended from the liver.

but repeated examinations showed that its size was very variable, that prolonged pressure of the fingers caused its gradual disappearance, and that is was most evident during the violent gastric crisis from which the patient suffered.

it was caused purely by the contractions of the hypertrophied muscle, on the right side, resting upon a solid surface formed by the increased mass of the liver,.

The urine, which was dark and somewhat turbid, deposited a large sediment, composed of urate of ammonia, with a few crystals of oxalate of lime and a few cells of renal epithelium.

at times a pellicle formed on its surface after standing (Carbonate of Zinc?). A specimen was examined.

color rather dark amber, somewhat turbid, but becomes clearer on boiling.

odor after standing from the previous evening (in a corked bottle) sickening and wheylike, causing a suspicion of the presence of sugar.

reaction acid, specific gravity 1023, no albumen.

sugar distinctly present, though in small quantity, by Moore's and Trommer's test.

deposit on standing two hours, about one fifth.

composition on microscopic examination, as above stated,.

Shaking chill, with pale sunken face, weak, rapid, and irregular pulse, often with nausea and vomiting.

at last the pulse became large and full, with general heat, red face, skin swollen, followed by very restless sleep, with distressing dreams and exhaustion, followed at last by copious sweat.

the whole attack usually lasted from eight to ten hours, generally began at the end of a day's work, continued through the night, and ceased in the morning, so that the man was able to return to work,.

Febrile paroxysms several times a day, recurring in the forenoon and afterwards.

chilliness and shivering, flushes of heat over the whole body, violent trembling of all the limbs, extreme sickness, even to faintness, qualmish taste, with loathing of the morsels of food in the mouth, feeling of emptiness in the stomach, violent throbbing through the whole body, with short, hot breath, with very dry mouth, hot, dry hands,.

Nausea, with retching and vomiting of bitter slimy liquid, and at last of food, with shocks of coughing, with a feeling of warmth, especially in the abdomen, perspiration, chilliness over the arms, shuddering of the body, empty eructations, hiccough, rumbling and griping in the abdomen.

nausea, relieved by sitting bent over.

on sitting erect, on vomiting and on pressure on the abdomen the nausea and vomiting immediately returned (after ten minutes, till after three hours and a half),.

While drinking, vomited so that the whole mouth became filled.

with it the cheeks were filled out and distended, without nausea.

he went to the door and vomited twice.

the ejecta, consisting of the contents of the stomach, were somewhat acrid, and caused burning on the face where they touched it.

the throat was raw for a long time afterwards,.

Vomitings almost continuous, returning regularly three or four times a day.

the matter vomited, the daily quantity of which varied from 600 to 2000 grams, gave an acid reaction and a smell of rancid oil. Besides the remains of the food the presence of products of fermentation was proved, such as butyric acid and lactic, the existence of a large number of sarcinae and cryptogams. The gas from the eructations burned in daylight with a pale flame, scarcely visible, indicating the presence of hydrogen,.