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November 1940

Proctoscopic Examination and Diagnosis and Treatment of Diarrheas.

Arch Intern Med (Chic). 1940;66(5):1188. doi:10.1001/archinte.1940.00190170179008

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This volume deserves favorable recognition. It is a well dressed book, almost a primer, small enough to fit readily into one's pocket, well printed and clearly illustrated. There is a bibliography of fifty-eight references which evidently have been selected as worthy representatives of sound proctology. There is an adequate index.

The contents are divided into seven parts. In the first part the technical side of proctologic examination is well explained. Then the common causes of diarrhea and their methods of treatment are considered. The author argues that for practical purposes in clinical work six fundamentally different kinds of diarrhea should be recognized. These are as follows: diarrheas of mechanical origin, usually from tumors and occasionally from adhesions; diarrheas from impaired digestive secretion; diarrheas from abnormal metabolism; diarrheas from drugs or of nervous origin; infectious diarrheas; diarrheas secondary to general disorders such as nephritis or leukemia, and finally, diarrheas due to

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