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Updated: May 17, 2025
Postmortem examination revealed everything normal, and death must have been caused by syncope following violent pain. Watkins cites an instance occurring in South Africa. A native shearing sheep for a farmer provoked his master's ire by calling him by some nickname. While the man was in a squatting posture the farmer struck him in the epigastrium.
If the myocardium is much inflamed at the same time, the heart becomes more rapid and the blood tension lowered, and the apex beat diminished in intensity and perhaps not palpable. If there is pain, with or without pericarditis, it is often referred to the epigastrium, especially in children. The patient is often nervous, restless and sleepless. In simple endocarditis emboli rarely occur.
A ball entered between the 6th and 7th ribs just beneath the apex of the heart, traversed the lungs and issued at the right 9th rib. He fired his revolver on reception of this shot, and was soon bayonetted by his own comrades by mistake, this wound also penetrating the body. He showed a depressed triangular cicatrix on the margin of the epigastrium.
"A subluxation of the epigastrium. Ah, the words of learning will still come to my tongue, but it is hard to put into common terms. Methinks that it were well for me to pass my dagger through his throat, for his end is very near." "Not for your life!" cried the leader. "If he die without wound, they cannot lay it to our charge. Turn now to the other."
"Wine glasses!" whispered Homais. "If only we were in town, we could fall back upon stuffed trotters." "Be quiet! Sit down, doctor!" He thought fit, after the first few mouthfuls, to give some details as to the catastrophe. "We first had a feeling of siccity in the pharynx, then intolerable pains at the epigastrium, super purgation, coma." "But how did she poison herself?"
A case of dysuria in which the patient discharged urine from the stomach was reported early in this century from Germany. The patient could feel the accumulation of urine by burning pain in the epigastrium. Suddenly the pain would move to the soles of the feet, she would become nauseated, and large quantities of urine would soon be vomited.
Joplin waved his hand in protest and continued, without heeding the interruption: "Now, if you're stupid enough to stuff your epigastrium with pork, you, of course, get an excess of non-nitrogenous fats, and in order to digest anything properly you must necessarily cram in an additional quantity of carbohydrates greens, potatoes, cabbage whatever Tine shoves under your nose.
HERR BALAMSASS, the distinguished Vocalist from Italy, whose lower notes, as recently discovered by the celebrated examination before the Council of Trent, reach so far below the epigastrium as to be utterly inaudible to the most acute auricular organs!
Drops of sweat moistened Pécuchet's forehead, and Bouvard began to gnash his teeth: a cramp gripped his epigastrium; the floor, like a wave, seemed to flow under his heels; the sulphur burning in the chimney fell down in spirals. At the same moment bats flitted about. A cry arose. Who was it?
Both the gentlemen complained of a sudden feeling at the epigastrium, or, less learnedly, the pit of the stomach, changed color, and confessed to a slight tremor about the knees. The lady had a "grande revolution," as French patients say, went home, and kept her bed for the rest of the day.
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