Excerpt from The Practitioner, Vol. 31: A Journal of Therapeutics and Public Health; July to December
The following case well illustrates the impossibility of arriving, in some instances, at a positive diagnosis between these diseases. No attempt will be made to give detailed notes, but merely a bare summary of the symptoms, and the conclusions arrived at. On October 22, 1880, I was called to see a gentleman, aged 61, who for some time past had been feeling unwell, causing his wife considerable anxiety. He was stout, exsanguine, with an aspect highly cachetic, heart"s impulse excessively weak, dyspn?a being excited by the least exertion. Great debility was complained of, with a feeling of being generally unwell, but no ache or pain was anywhere felt. There was a great distaste for food, and a feeling of uneasiness after eating, and often considerable flatulence. The bowels were confined. A stomachic pill and a general tonic were prescribed, milk, as food, was ordered to be taken liberally, and strict injunctions were given that no exertion should be undertaken; especially going up and down stairs was to be avoided. October 25th.
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