The two patients whom I bring before you this morning are both advanced in life; one of them is 57 and the other is 76 years of age. Both are emaciated and pale; both are cachectic and enfeebled. There are, however, certain differences between them which will become apparent on closer examination. The younger man is simply pale and thin, without special discoloration of the skin. The left foot is somewhat edematous and the glands above the clavicle, on the left side of the neck, are considerably enlarged. The expression of his countenance is careworn and the face is furrowed with deep lines. The tongue is pale, covered with a gray coating, and rather reduced in size. The thoracic viscera seem to be healthy, though the cardiac beats are frequent and feeble. The liver is small and the spleen is hardly distinguishable. Placing the patient on his back and palpating
LYMAN HM. CANCER OF THE STOMACH. JAMA. 1897;XXVIII(12):529–533. doi:10.1001/jama.1897.02440120003002
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