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OCCLUSION OF MESENTERIC VESSELS.

JAMA. 1900;XXXIV(4):242-243. doi:10.1001/jama.1900.02460040052016.
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ABSTRACT

The difficulties in the way of an accurate diagnosis of intra-abdominal morbid conditions are often many, and sometimes insurmountable except through surgical intervention and ocular inspection, but an approximate degree of accuracy can often be reached from a careful consideration of all of the features present in the individual case. Nausea, vomiting, and constipation, with a coated tongue, offensive breath and headache are common to many of these conditions, but it is rather their grouping and their association with other phenomena that can be considered to be at all distinctive. Pain is not always referred to its point of origin; fever will be present only when toxic substances are absorbed into the circulation; nausea, vomiting and constipation may be due to other causes than intestinal obstruction, and even this may be due to physiologic—pathologic—rather than mechanical causes; and tumidity may be either of gaseous or of solid origin. When these

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