Part 209

Development of gastric ulcer, influence of digestive action of gastric juice upon, 512

Diabetes, influence on causation of constipation, 642

DIABETES MELLITUS, 195 Definition, 195 Etiology, 203 Nervous shock, influence on causation, 203 Mental anxiety, influence on causation, 203 Malaria, influence on causation, 203 Injury, influence on causation, 203 Heredity, influence on causation, 203 Sexual excess, influence on causation, 203 Age, influence on causation, 203 Sex, influence on causation, 203 Race, influence on causation, 204 Geographical distribution, 203 Pathology and pathogenesis, 195 Hyperæmia of liver, relation of, to, 195 causes of, 195-199 Diabetic area of medulla oblongata, result of puncture, 195 Glycosuria, artificial methods of production, 195-199 Glycogenic influence, pathology of, 196 Sympathetic nerve, relation of, to production of glycosuria, 196 Glycosuria, artificial, irritative nature of, 198 Vaso-motor nerves, influence on production of glycosuria, 196-199 Glycosuria, production of, from medicinal substances, 198 Pavy's chemical theory of production of glycosuria, 199 Morbid anatomy, 199 Nervous system, lesions of, 200 Dickinson's alterations of nervous centres, 200 Blood-vessels, lesions of, 200 Pancreas, lesions of, 200 nature of lesions, 200 disease of, relation to causation, 201 Liver, enlargement of, 201 lesions of, 201 Kidneys, lesions of, 202 Testes, atrophy of, 202 Lungs, lesions of, 202 Phthisis, complicating nature of, 202 Symptoms, 204 Initial, 204 Thirst, 204 Dryness of skin, 204 Loss of weight, 204 Pruritus of genitalia, 204 Muscular weakness, 204 Sexual appetite, loss of, 204 Appetite, 204 Dyspepsia, 204 Vision, disorders of, 204 Hearing, disorders of, 205 Temperature, 204 Carbuncles and boils, 205 Ulcerated surfaces, 205 Eczema of genitalia, 205 Urethritis, 205 Coma, 204, 205 causes of, 205, 206 mode of onset, 205 Acetonæmia, 205, 206 Nervous symptoms, 205, 206 Cramps, 206 Facial paralysis, 206 Neuralgia, 206 Blood, alterations of, 206 presence of fat in, 206, 207 source of fat in, 207 corpuscles, diminution of, 207 Urine, changes in, 207 amount of sugar in, 207 effect of diet and exercise on amount of sugar in, 207, 208 presence of inosite in, 208 specific gravity of, 208 color of, 208 odor of, 208 acetone and alcohol, presence of, 209 Albuminuria, 208 Duration, 210 Complications, 210 Phthisis, 210 Duodenal catarrh, 210 Boils and abscesses, 205, 210 Jaundice, 210 Pancreatic disease, 210 Diagnosis, 210 Tests for sugar, 211 Fehling's test, 211 quantitative, 212 Fermentation test, 212 quantitative, 213 Picric acid and potash test, 213 quantitative, 214 Indigo-carmine test, 216 quantitative, 216 precautions, 217 Test for inosite, 217 Prognosis, 217 Influence of pancreatic disease upon, 218 of age upon, 218 of phthisis upon, 218 Treatment, 218 Dietetic, 218 By skim-milk, 218 mode of administering, 219 Peptonized milk, 219, 220 Saccharine foods admissible in, 220 Foods and drinks admissible in, 220, 221 Bill of fare for diabetics, 221 Alcoholic beverages admissible, 222, 225 Gluten bread, use of, 222 Bran bread, use of, 223 Almond food, use of, 223, 224 Substitutes for sugar in food, 224 Use of bicarbonate of sodium and potassium in place of sugar, 224 Hygienic, 225 Use of mineral waters, 225, 226 Ventilation, 225 Use of baths, 225 Medicinal, 226 Use of codeia, 226 of opium, 226, 227 of ergot, 227 of bromide of potassium, 227 of bromide of arsenic, 227 of arsenic, 227 of strychnia, 227 of phosphates, 227 of iodide of potassium, 228 of tincture of iodine, 228 of nitrate of uranium, 230 of lactic acid, 228 of cod-liver oil, 228 of soap, 228 of iodoform, 229 of salicylate of sodium and salicylic acid, 229, 230 of alkalies, 229 Transfusion of blood, 229 Of neuralgia, 229

Diabetes mellitus, influence on causation of pruritus ani, 909 simple gastric ulcer, 488 relation to disease of pancreas, 1117

Diabetic area of medulla oblongata, effects of puncture, 195

Diagnosis of ascites, 1177 of biliary calculi, 1078 of catarrh of bile-ducts, 1055 of occlusion of biliary passages, 1092 of cancrum oris, 342 in cholera infantum, 745 of cholera morbus, 723 of constipation, 648 of diabetes mellitus, 210 of dysentery, 806 of functional dyspepsia, 452 of enteralgia, 663 of entero-colitis, 740 of fistula in ano, 898 of gastralgia, 461 of acute gastritis, 468 of chronic gastritis, 475 of simple gastric ulcer, 514 of superficial glossitis, 357 of chronic superficial glossitis, 367 of parenchymatous glossitis, 363 of chronic parenchymatous glossitis, 368 of glossitis parasitica, 359 of gout, 124 of hemorrhage from bowels, 833 of hepatic colic, 1078 of hepatic glycosuria, 974 of ileo-colitis, 685 of acute intestinal catarrh, 684 of chronic intestinal catarrh, 710 of ulcerations in acute intestinal catarrh, 685 of intestinal cancer, 873 of indigestion, 630 of obstruction, 858 by fecal accumulations, 860 by internal hernia, 860 by gall-stones, 860 of seat of intestinal obstruction, 861 of intestinal ulcer, 828 of lardaceous degeneration of intestines, 876 of torsion of intestines, 860 of jaundice, 981 of lithæmia, 970 of abscess of liver, 1018 of acute yellow atrophy of liver, 1029 of amyloid liver, 1045 of carcinoma of liver, 1039 of cirrhosis of liver, 999 of fatty liver, 1049 of hydatids of liver, 1104 of hyperæmia of liver, 988 of liver-flukes, 1110 of lumbago, 77 of macroglossia, 353 of morbid dentition, 376 of acute oesophagitis, 414 of chronic oesophagitis, 417 of dilatation of oesophagus, 433 of paralysis of oesophagus, 429 of organic stricture of oesophagus, 424 of spasmodic stricture of oesophagus, 420 of ulceration of oesophagus, 418 of acute pancreatitis, 1119 of carcinoma of pancreas, 1126 of obstruction of pancreatic ducts, 1131 of perihepatitis, 989 of acute peritonitis, 1143 of tubercular peritonitis, 1167 of acute pharyngitis, 396 of chronic pharyngitis, 404 of syphilitic pharyngitis, 408 of tuberculous pharyngitis, 401 of phosphorus-poisoning, 1032 of pleurodynia, 77 of pseudo-membranous enteritis, 773 of purpura, 190 of suppurative pylephlebitis, 1101 of hypertrophic stenosis of pylorus, 615 of acute rheumatism, 47 of chronic articular rheumatism, 73 of gonorrhoeal rheumatism, 107 of muscular rheumatism, 76 of rheumatoid arthritis, 92 of scrofula, 248 of scurvy, 182 of cancer of stomach, 569 of cirrhosis of stomach, 613 of dilatation of stomach, 600 of hemorrhage from stomach, 584 of simple ulcer of stomach, 514 of aphthous stomatitis, 329 of catarrhal stomatitis, 325 of mercurial stomatitis, 347 of stomatitis ulcerosa, 337 of stomatorrhagia, 371 of hereditary syphilis, 309 of bone disease of hereditary syphilis, 289, 290 of erythema of hereditary syphilis, 278 of interstitial keratitis in hereditary syphilis, 299 of nervous disease in hereditary syphilis, 304 of pemphigus in hereditary syphilis, 276 of pustular syphilides in hereditary syphilis, 279 of roseola in hereditary syphilis, 278 of tabes mesenterica, 1191 of thrombosis and embolism of portal vein, 1096 of thrush, 334 of tonsillitis, 386 of tongue-tie, 349 of tubercular ulceration of tongue, 369 of torticollis, 78 of trichinosis, 961 of typhlitis and perityphlitis, 820

Diaphoretics, use of, in ascites, 1179 in muscular rheumatism, 77

Diaphragmatic hernia, 843

Diarrhoea, in acute gastritis, 467 in chronic gastritis, 475 in gout, 118 in acute intestinal catarrh, 679, 681 in chronic intestinal catarrh, 706 in intestinal indigestion, 627 in lardaceous degeneration of intestines, 874 in intussusception, 848 in amyloid liver, 1044 in diseases of pancreas, 1115 in acute secondary pancreatitis, 1121 in carcinoma of pancreas, 1126 in tabes mesenterica, 1190 in cancer of stomach, 550 in dilatation of stomach, 594 in aphthous stomatitis, 329 in catarrhal stomatitis, 323 in trichinosis, 960 influence on causation of prolapse of rectum, 881 and dysentery complicating acute rheumatism, 42

Diarrhoeal diseases of children, mortality in, 726, 727

Diet in biliousness, 967 in catarrh of bile-ducts, 1056 in biliary concretions and hepatic colic, 1079 in cholera morbus, 725 in constipation, 652, 654 in constipation of children, 656 in diabetes mellitus, 218-224 in functional dyspepsia, 452 in dysentery, 809, 812 in enteralgia, 666 in pseudo-membranous enteritis, 776 in acute gastritis, 468 in chronic gastritis, 476 in chronic superficial glossitis, 367 in parenchymatous glossitis, 365 in gout, 127, 133 in hemorrhage from bowels, 834 in hepatic glycosuria, 975 in intestinal cancer, 874 in acute intestinal catarrh, 687, 688, 690, 692 in chronic intestinal catarrh, 714, 716 in intestinal indigestion, 633, 634 in intestinal ulcer, 829 in lardaceous degeneration of intestines, 876 in jaundice, 983 in abscess of liver, 1021 in amyloid liver, 1046 in cirrhosis of liver, 1000 in fatty liver, 1050 in hyperæmia of liver, 988 in lithæmia, 971 in morbid dentition, 376 in acute oesophagitis, 416 in chronic oesophagitis, 417 in dilatation of oesophagus, 434 in oesophageal paralysis, 430 in acute pancreatitis, 1120 in carcinoma of pancreas, 1127 in acute peritonitis, 1151 in tubercular peritonitis, 1168 in acute pharyngitis, 398, 399 in phosphorus-poisoning, 1033 in purpura, 193 in rachitis, 159 in acute rheumatism, 69 in chronic articular rheumatism, 74 in gonorrhoeal rheumatism, 107 in rheumatoid arthritis, 102 in scrofula, 249 in scurvy, 183 in cancer of stomach, 576 in dilatation of stomach, 603, 608 in simple ulcer of stomach, 519-522 in aphthous stomatitis, 330 in catarrhal stomatitis, 325 in syphilitic children, 315 in thrush, 335 in tonsillitis, 388 in trichinosis, 962

Digestion, disturbances of, in Anchylostomum duodenale, 956 in Ascaris lumbricoides, 953 in ascites, 1177 in constipation, 853 in pseudo-membranous enteritis, 765 from presence of gall-stones, 1070 in gout, 118 in hepatic glycosuria, 974 in intestinal hepatitis, 993 in intestinal ulcer, 826 in lithæmia, 969 in abscess of liver, 1013 in echinococci of liver, 1104 in fatty liver, 1048 in carcinoma of pancreas, 1125 in tubercular peritonitis, 1166 in suppurative pylephlebitis, 1100 in non-malignant stricture of rectum, 886 in acute rheumatism, 27 in gonorrheal rheumatism, 104 in muscular rheumatism, 76 in scurvy, 173 in tabes mesenterica, 1189 in tape-worm, 940 in trichinosis, 960 in typhlitis and perityphlitis, 819

Digitalis, use of, in ascites, 1179 stupes, use of, in cirrhosis of liver, 1001

Dilatation of bowel in dysentery, 812 of oesophagus, 430 in organic stricture, 424 forcible, in organic stricture of oesophagus, 426 of stomach, 586 acute, of stomach, 610 of stomach in chronic gastritis, 472 in gastric cancer, 566 in simple ulcer of stomach, 503 in anal fissure and rectal ulceration, 912 of rectal pouches, 885 in non-malignant rectal stricture, 917 and incision of rectum for sphincterismus, 916

Dilators, use of, in cancer of oesophagus, 428

Diluents, use of, in chronic gastritis, 477

Diphtheria distinguished from acute pharyngitis, 396 influence of, on causation of acute peritonitis, 438 distinguished from tonsillitis, 387

Discharges, characters of, in dysentery, 796, 803 of fistula in ano, 898 mucous, in non-malignant stricture of rectum, 886 and purulent, in ulceration of rectum and anus, 894

Disinfectants, use of, in cancrum oris, 343

Disinfection in acute intestinal catarrh, 688 of discharges of dysentery, 808

Dislocation of intestine as a cause of obstruction, 851

Displacements of stomach, 617

Dissemination of echinococcus, 944

Distomum conjunctum, 947 crassum, 948 hepaticum, 946, 1109 heterophyes, 948 lanceolatum, 947, 1109 ophthalmobium, 948 ringeri, 948 sinense, 947

Diuresis, influence on causation of constipation, 642

Diuretics, use of, in ascites, 1178

Diverticula of stomach, 617

Dogs, infection of Tænia echinococcus, liability to, from association with, 945