CUPRUM ACETICUM.
Neutral Acetate of Copper, C2H3CuO3 + Aq. The symptoms here included, from various kinds of food cooked in
copper vessels, belong to the acetate, subacetate, carbonate, and some organic salts of
copper, the action of all of which is nearly or quite identical.
Preparation
, Triturations.
Authorities.
1, Fabas,
Journ. de Méd., XVI, 228, poisoning by verdigris, from Hahnemann’s Cuprum; 2, Hamburg Mag., VIII, 442, poisoning by verdigris, from ibid.; 3, Lauzonus, Misc. Nat. Cur., Dec., III, case 7 to 8, obs., 10,
from verdigris, ibid.; 4, Orfila, Toxicologie, cases of
poisoning by verdigris, ibid.; 5, Percival, Med. Trans,
III, 8, from eating coppery pickle, ibid.; 6, Pet. de
Abbano, De Venen., c. 16, effect of verdigris, ibid.; 7,
Pyl, Samml., VIII, 90, poisoning by verdigris, ibid.; 8,
Ramsay, Med. Obs. and Enq., from verdigris in food, ibid.; 9,
Zwinger, Act. Helvet., V, 252, from verdigris, ibid.; 10,
Drouard, Expér. et Obs., Sur l’empoison. par l’oxide de Cuivre, Diss. de Paris, 1802,
effects of swallowing about a drachm of Egyptian salve (vert de gris, honey, and vinegar),
from Wibmer; 11, Pyl, Samml., van Aufs., a. d.
Staats-arzk., Vol. VIII, poisoning of a girl aged 24, by 4 ounces of vert de gris, Wibmer,
same case as number 7; 12, Duval, Diss. sur la Toxicol.,
1806, poisoning of a man by vert de gris, Wibmer; 13,
same, poisoning of a soldier by 1 1/2 ounces, Wibmer; 14,
Reveillé Parise, Gaz. de Santé, 1820, poisoning of a man aged 29, by a large dose, Wibmer;
15, Albert, Henke’s Zeit. f. d. Staats, 1832, poisoning
of a family from eating sausages poisoned by V., Wibmer; 16,
Rhodius, Obs. Cent., III, Obs., 95, a gardener poisoned by fishes cooked with salt and oil
in copper vessels, Wibmer; 17, Strack, Journ. de
Med.-Chir., etc., t. 24, 1766, poisoning of four children from beans cooked in copper,
Wibmer; 18, Navier, Contre-poisons de l’ars., du subl.
cord., du Vert de gris, etc., Paris, 1777, a girl aged 18, poisoned by butter from a copper
spoon, Wibmer; 19, Jeanroy, Mem. de la Soc. Roy. de
Méd., 1778, poisoning of a family by meat cooked in copper, Wibmer; 20, Fahner, Beit. Zar. pr. cud. Ger. Heilk., 1, 297, a girl aged
18, poisoned by beans cooked in copper, Wibmer; 21,
Marizot-Deslandes, from Drouard’s Diss., a woman poisoned by fish cooked with vinegar in
copper, Wibmer; 22, Langenbeck, Deutsche Klinik, 1851,
thirty-one persons poisoned by food cooked in fat which had become green from remaining two
days in copper vessels, Fr. Mag., 4, 859; 23, Renauldin,
Journ. Univ. Med., 1820, a man aged 24 swallowed 3 or 4 grains of verdigris in coffee, Fr.
Mag., 4, 511; 24, Wittcke, Med. Zeit. v. Ver. Preuss.,
1838, a man aged 30, took half an ounce of V., Fr. Mag., 1, 44; 25,
Beer, five cases of poisoning by candies colored with copper, from Orfila’s Toxicology; 26, Orfila, a man aged 44, took half an ounce of verdigris; 27, same, poisoning by food cooked in copper; 28, Frank, Journ. de Med., 1755, a lady and four daughters by
milk soup cooked in copper (Hempel’s Mat. Med., II, 249); 29,
Munneke Archiv. f. Hom., 15, 3, 109; persons poisoned by broth cooked in copper; 30, Escolar, L’Union, 1854, poisoning of an apothecary by
pounding verdigris (Herschel’s Archiv., 2, 81); 31,
Reinhardt and Henke, a man took 3 ounces for suicid, from the same; 32,
Davidson, Med. Facts and Obs., London, 1792, p. 61, eight persons poisoned by soup served
with a copper ladle greened by long exposure to the air; 33,
Clapton, Clin. Soc. Trans., Lond., 1870, a sailor drank lemon-juice which had stood in a
copper kettle; 34, Corrigan, Dubl. Hosp. Gaz., 1854,
poisoning of a man by handling verdigris; 35, Armstrong,
five persons poisoned by pudding containing verdigris, Med. Times, 1844 (from Berridge’s
collection, suppl. to B. J. of Hom., 1874); 36, Journ.
de Chim. Méd., 1854, four persons poisoned by verdigris in soup (Berridge’s coll.); 37, Boggs, lady poisoned by an injection from a brass syringe
covered with verdigris, Berridge, from Lancet, 1869; 38,
Fothergill, poisoning by water from a spring impregnated with copper, Berridge, from
“Caution to Heads of Families,” 1790; 39,
Journ. Gén. de Méd., 1827, sixteen persons poisoned by milk from a goat that had eaten
sour soup from a copper vessel (goat died), (Berridge’s coll.); 40,
The Chemist, men poisoned by wine from copper vessels, Berridge’s co ll.; 41, Journ. de Connais., 1843, a woman poisoned by verdigris; 42, Reinhardt, Henke’s Zeit., 1854 (Band F. M. Ch. Rev.), a man
poisoning by 1 1/2 ounces; 43, Moore, Lond. Med. Gaz.,
44, p. 487, poisoning of Hindoos on shipboard by verdigris; 44,
La Chinque (Lond. Med. Gaz., 4, 155), poisoning by vinegar in which copper coin had been
steeped; 45, Chevallier, Le Cuivre, etc., p. 20,
poisoning of four persons by grape-jelly containing acetate of copper; 46, Pritchard, Lond. Med. Gaz., 11, 211, effects of milk cooked
in copper; 47, Journ. Gén. de Méd. (from Med.-Chir.
Rev., 1, 158), poisoning by peas that had stood in copper vessels; 48,
Taylor, Guy’s Hosp. Rep., 1866, poisoning of six persons by gravy cooked in copper; 49, Croserio, Journ. de la Méd. Hom., 1, 1846, poisoning by
artichokes kept in a copper vessel; 50, Breyfogle, Med.
Investigator, 8, 481, poisoning of several persons by food cooked in copper; 51, Elb (from Hering’s Cuprum), effects of Cupr, ac.,
accidentally taken in a large (homœopathic) dose; 52,
Degrange, Journ. de Méd. de Bordeaux (Lond. Med. Gaz., 31), fatal poisoning by the
carbonate.
MIND.
► Emotional. ► Attacks of rage frequently returning; she tried to bite the
bystanders, [8]. ►
Attacks of mania; he fancies that he is a military officer; a fancy that he is
selling green vegetables; a fancy that he is repairing old chairs. Merry singing. He spits
in the faces of the attendants, and laughs heartily at it, [8].
► *Attacks of mania, with full, rapid, hard pulse, inflamed
eyes, wild look, and disconnected talking, ending with sweat, [8]. ► Attacks of surly,
ill-natured mania, [8]. ►
*Delirium, [8], [13]. ► Delirium furious during
the first day (in only one boy), [22]. ► Delirium (appeared in seven of the worst cases) of a quiet
kind, consisting of unintelligible murmurings, at times interrupted by lamentations, [22]. ► Delirium or
constant sopor, in some amounting to complete coma, in others, on the contrary, to complete
sleeplessness, [22]. ►
Slight delirium, [23]. [10.]
► *Disconnected, delirious talking, [8]. ► Raving during sleep (second
day), [29]. ► *Talks
all the time (third day), [49]. ► Taciturnity (second day), [44].
► *Crying like a child, [8].
► Frequent crying out, [14].
► Their look is confused, but they are in full possession
of their mental faculties, and their speech is easy and perfectly rational. Nevertheless
they are still liable to these paroxysms of howling, which always come unexpectedly, [28]. ► Anxiety, [15], [21], etc. ► *Great anxiety (soon after), [41]; (third day), [49]. ► *Great anxiety, with unusual tossing about the bed, [29]. [20.] ► That anxiety peculiar to pain in the stomach, [4]. ► Apprehensiveness, [17]. ► Loss of
sensitiveness, and moping in a corner, [8]. ► Intellectual. ► *Loud
speaking aroused them from their fancies; they were obliged, however, to think a long time
before they could answer, [22]. ►
Loss of consciousness, [20]. ►
He fell down unconscious, with sudden convulsions, [8].
► Found stretched without sense upon the floor (after two
hours and a half), [44]. ►
In thirty to sixty minutes, they sank into a semi-conscious state, voice very faint, eyes
half open, fixed, glassy, insensible to light, pulse very weak, in some quick, in others
slow, difficult to arouse, and when aroused, complaining of a cold, and of violent pain in
the abdomen, [50]. ►
Lethargic stupefaction, [18].
HEAD.
► Confusion and Vertigo.
► *Great confusion of the head, [22]. [30.] ►
Great confusion of the head, with beating pains in it (second day), [29]. ► Vertigo, [22], [25], [29]. ► Vertigo, even to falling
down if she arose from bed; this was especially distressing when she was obliged to rise on
account of her bowels, [29]. ►
Vertigo, a very marked and persistent symptom, mostly violent; it usually
outlasted all the other symptoms, though it was generally relieved by the evacuations of the
bowels; it was always combined with a certain degree of stupefaction, [22]. ► Vertigo, so violent that
the patient is unable to sit up in bed, [22]. ► Spinning vertigo, [51].
► Reeling from side to side, increasing so that patients
were obliged at last to go to bed, [22]. ► General Head. ► The
head is drawn obliquely, [8]. ►
The head is drawn backward, [4]. ►
Violent congestion to the head, [29]. [40.] ► Dulness and headache, [8]. ► Heaviness of the head,
[22]; (third day), [49],
etc. ► Head heavy and pained (second day), [41]. ► Feeling of heaviness in
the head, [26]. ►
Pain in the head (after half an hour), [42]. ► Most violent pains in the head, chest, and abdomen, [29]. ► Pains in the
head, becoming more and more intolerable (two cases), [45].
► Compressive pain in different parts of the head (third
day), [49]. ► Headache,
[25]; (after twenty-five hours); (after forty-two
hours), [45], etc. ►
Headache in nearly all cases; in severe cases very violent, especially in the forehead and
vertex, becoming less after one or two days, sometimes, however, returning, [22]. [50.] ►
Headache in the evening, [30]. ►
Much headache, [19]. ►
Great headache, [21]. ►
Severe headache, succeeded by vomiting and purging, [35].
► Violent headache, [10],
[18], etc. ►
Frightful headache, [25]. ►
*Agonizing headache at distinct intervals like paroxysms, lancinating pains, sometimes in
the forehead, sometimes in the top of the head, sometimes in the temples or occiput,
aggravated by the slightest pressure (third day), [49].
► Sensation of pressure and heaviness in the head, [22]. ► Very severe
lancinations in the head, especially when turning it to either side; it felt as if fastened
to the shoulders by a long peg (third day), [49]. ► Throbbing pain in the whole head, [29]. [60.] ►
Beating headache, [29]. ►
Forehead. ► Violent pain in the frontal
region, [22]. ►
Violent pains in the forehead, [31]. ► Temples. ► Temporal
veins much swollen and hard (third day), [49]. ► Painful throbbing in the temporal arteries, [29]. ► Parietals. ► Unpleasant drawing in left side of head, extending to the
face, the ear, behind the ear, and to the same side of the neck, as if all the parts were
put on the stretch (second day), [49]. ► External Head. ► Hair
sensitive, and as if sore when touched (third day), [49].
► Peculiar, indescribable sensation in the scalp of the
upper part of the head, like a pricking tickling (third day), [49].
EYE.
► Objective. ► Red inflamed eyes, with a wild look (during the delirium), [8]. ► Brilliant eyes
(soon), [41]. [70.]
► Sparkling eyes (soon after), [41]. ► Staring, sunken eyes, [8]. ► Eyes prominent
(second day), [41]. ►
Eyes sunken, [26]. ►
Eyes sunken and dim, [22]. ►
Eyes sunken, deeply seated, surrounded by blue rings, [4].
► Fixed eyes, [8]. ► Eyes fixed upward, [52].
► Brow. ►
Severe pain over eyes (after half an hour), [42]. ► Lids. ► Eyelids very
red and swollen, so that they could hardly be opened (third day), [49]. ► Conjunctiva. [80.] ► Conjunctiva yellow, of
a greenish hue, [30]. ►
White of the eye somewhat red (second day), [29]. ► Conjunctiva of eyes bloodshot, [43].
► Pupil. ►
Pupils dilated, [22]; (second day), [44]. ► Pupils always very much
dilated, but sensitive to light, [22]. ► Pupils contracted (second day), [29]. ► Pupils contracted in only
three cases (out of thirty-one) in which there was much congestion of the head during the
first days, [22]. ►
Vision. ► Photophobia (second day), [29]. ► Eyes cannot
tolerate the lamp-light, [29]. ►
Frequent blackness before the eyes, flickering and vision of sparks, [22].
EAR.
[90.] ► Difficult hearing, [26].
► Slight deafness, [4].
► Complete deafness, in a girl of 22, [22]. ► Roaring and ringing in the
ears (second day), [29]. ►
Roaring and ringing in the ears, in some cases continuing a long time, and associated with
difficult hearing, which only gradually disappeared during convalescence, [22].
NOSE.
► Nose red and
swollen (third day), [49]. ►
Very violent fluent coryza, with lachrymation and smarting in the eyes (third day), [49]. ► Epistaxis (fifth
day), [41]. ►
Profuse epistaxis, with petechiæ, in a child, twenty-four hours before death, [22].
FACE.
► Objective. ► Countenance heavy (second day), [41]. [100.] ► Features sad, depressed, [4].
► He was a miserable-looking man, [33]. ► Face expressed the
greatest anxiety, [14]. ►
Countenance expressive of pain (soon), [41]. ► Face expressive of great pain, [24].
► Paleness (second day), [44].
► Pale face, [17], [52]; (third day), [41].
► Face pale, collapsed, [22].
► Face pale, with expression of the greatest prostration,
or even of complete stupidity, [22]. ► Jaundice, with quiet expression, [4]. [110.] ►
Jaundice appeared on the second day, was still worse on the third, with vomiting and
eructations, sensation of heaviness in the head, difficult hearing, grayish stools, great
thirst, dark turbid urine, with yellowish sediment; jaundice disappeared after about two
weeks, [26]. ► Face
and eyelids red (second day), [41]. ► Face, in some cases, red and turgid, during the first days, [22]. ► Face in one case
red, in the others pale, [25]. ►
Face very red and swollen (third day), [49]. ► Face flushed (second day), [41].
► Features altered, full of anxiety, [4]. ► Swelling of face (soon
after), [41]. ►
Face and eyelids swollen and red (second day), [41]. ► Face puffy, red, hot, [29].
[120.] ► Sunken face,
[22]. ► Face
sunken, yellow, [30]. ►
Features distorted (from larger quantities), [43]. ► Spasmodic distortion of the face, [8]. ► Face at times spasmodically
distorted, when the eyes seemed staring and retracted in the orbits, [29]. ► Lips. ► Lips swollen (third day), [41].
► Chin. ►
Spasmodic contraction of the jaws, [4]. ► Could not speak on account of tetanic contraction of the jaws
and spasm of the pharynx, [14]. ►
Teeth firmly closed (after three hours), [44].
MOUTH.
► Gums. ► Gums ulcerated (third day), [41].
► Tongue. [130.]
► Tongue swollen and pale, [46].
► Tongue rather white (second day), [49]. ► White furred tongue, [5]. ► Tongue at first
coated white or yellowish, moist; in worse cases the margins became red, after one or two
days, while the back remained pale, or the whole tongue seemed red with enlarged papillæ,
but moist; in the worst cases it became very red and dry, the papillæ very prominent,
giving the tongue a rough look; when the disease was at its height it was cracked and
brownish; in other cases the epithelium came off on the eighth day, and the whole mucous
membrane of the mouth was loosened in large flakes; in another case on the sixth day some
roundish ulcers with a yellow base appeared at the tip and on the margins, [22]. ► Tongue green, [23]. ► Tongue greenish, [30]. ► Tongue, in
several cases, red, in other moist, and covered with a whitish or yellow fur, [22]. ► Tongue furred and clammy, [43]. ► Tongue moist and
flabby, [33]. or yellowish fur, [22]. ► Tongue, in mild cases,
moist and pale, or only red on the margins, but in most cases, red, dry, rough, with
enlarged papillæ, [22]. [140.]
► Tongue dry, [29].
► Tongue and throat affected, as well as the mucous
membrane of the mouth (second day), [41]. ► General Mouth. ►
Dryness of the mouth, [25]. ►
Dryness of the mouth and throat, [29]. ► Mouth dry (second day), [49].
► Dry mouth, without thirst (third day), [49]. ► Pretty sharp pain in mouth
and pharynx, [45]. ►
Saliva accumulating, and flowing from mouth, [51]. ► Saliva. ► Much viscid
saliva (third day), [41]. ►
Saliva accumulating, and flowing from mouth, [51]. ► Accumulation of water in the mouth, [29]. ► Taste. [150.] ► Taste flat, [26]. ► Foul, nauseous,
bitter taste in mouth, [43]. ►
Metallic taste in mouth (after half an hour), [42]. ► Copperlike taste in mouth, [35].
► Taste of copper, for several days, [50]. ► Sweetish coppery taste in
the mouth, [29]. ►
Coppery taste in the œsophagus (third day), [49]. ► No taste in the mouth, [30].
THROAT.
► Objective.
► Inflammation of the throat, preventing swallowing, [4]. ► Swelling of throat
(second day), [41]. [160.]
► Throat very much swollen (second day), [41]. ► Throat hard and swollen;
could not swallow; in course of day, the difficulty of deglutition had increased so much
that the patient did not wish to swallow any more (second day), [41]. ► Spasm of the throat, which
prevents speaking, [4]. ►
Dryness of the throat, with thirst, [3]. ► Burning sensation in throat (after twelve hours), (one case),
[48]. ► Burning
heat in throat (soon), [41]. ►
Sense of constriction in throat, [37], [45]. ► Pressive pain in the
throat, [29]. ►
Pricking sensations in throat, [36]. ► Uvula. ► Diffuse
redness of the velum, with croupous exudation on the tonsils, [22].
[170.] ► Velum palati
and posterior wall of the pharynx dark brownish-red, dry, without a trace of mucus, with
great difficulty in swallowing, and rough voice, [22].
► Fauces and Œsophagus. ►
Spotted redness of the faces, [22]. ► Constriction of gullet (soon), [41].
► *With ineffectual attempts at vomiting, they suffered from
a distressing feeling of constriction in the course of the œsophagus, and across the chest,
in the direction of the diaphragm, [43]. ► Swallowing. ►
Swallowing difficult (third day), [13]. ► Swallowing painful, [52];
(second day), [41].
STOMACH.
► Appetite.
► Disinclination to eat, [52].
► Loss of appetite, [22],
[43]. ► Loss of
appetite, even aversion to food, [22]. ► Appetite completely lost, [22].
[180.] ► No appetite;
although stomach felt empty, as if wanting food (third day), [49].
► Anorexia, [26]. ► A very great desire for acids; they want nothing else, for
several days, [50]. ►
Thirst. ► Thirst, [10], [13], etc. ► Great thirst, [22], [26], [51]. ► Great thirst for cold water, [29].
► Thirst urgent, [37],
[43]. ► Intense
thirst, [45]. ►
Severe thirst (after twelve hours), (one case), [48]. ► Violent thirst, [24]. [190.] ► Very violent thirst, [26], [29]. ► Extremely violent thirst, [4].
► Unquenchable thirst, [25].
► Eructations and Hiccough. ►
Eructations, [26]. ►
Constant eructations, [5]. [Not found. -Hughes.] ► Frequent eructations of sourish bitter water preceded by
hiccough (sixth day), [29]. ►
Frequent bitter and sourish eructations, as from heartburn, rising into the throat, so that
it was spasmodically constricted, and swallowing was prevented (sixth day), [29]. ► Hiccough (after three
hours), [44]. ►
Hiccough, with spasmodic contractions of the pharynx, [29].
► Violent hiccough (after three hours), [13]. [200.] ► Frequent singultus, often loud enough to be heard all over
the house, the patient being unconscious, [50]. ► Nausea and Vomiting. ►
Nausea, [25]; (soon), [39].
► Feeling of nausea (after twelve hours), [48]. ► Nausea and vomiting, [17], [29]; (after
twelve and twenty-six hours), [48]. ► Nausea and frequent vomiting, [19].
► Nausea and vomiting of green substances, [20]. ► *Nausea and vomiting of
greenish liquid, [23]. ► *Nausea, and in many cases, at times yellowish-green vomiting,
[22]. ► Became sick
(two women; after fifteen minutes), [35]. ► Desire to vomit, [36]. [210.] ► Inclination to vomit
(two cases), [45]. ►
Great inclination to vomit, [29]. ► After the discharge of the contents of the stomach, and small
quantities of bile, dry retching commenced, [43]. ► Violent retching, vomiting, [29].
► Vomiting, [3],
[15], [16], etc.
► Vomiting, with colic, [12].
► Vomiting of ingesta (soon after), [49]. ► In one case, vomiting of
what had been eaten for breakfast, though at no other time; for several days, [50]. ► Vomiting of an offensive
odor, tasting like copper, preceded by constant hiccough, [5].
► Vomiting of green fluid (after one hour), [42]. [220.] ► Vomiting of frothy fluid, mixed with blood (second day), [41]. ► Vomiting of blood
and mucus, [25]. ►
Vomiting of porraceous and bloody matter, [39]. ► Vomiting very frequent and violent, consisting of food and
much greenish bitter fluid, [22]. ► Vomiting of green slimy substances of a bitter taste, at one
time of clear, very tenacious saliva, of a sweetish taste, [29].
► Vomiting of viscid, glairy matter, of a greenish color,
and tinged with blood (fourth day), [41]. ► Vomiting and diarrhœa became bloody (in three cases),
excessively bloody in one instance, though these cases had but
little pain in the bowels, and much more
cramping in the limbs, [50]. ►
Vomiting attended, in each case, by a burning nausea arising from
the stomach to the throat, [50]. ► Vomiting several times during the night, [52]. ► Frequent vomiting of an
almost brownish-yellow, in part blackish-green substance, [25].
[230.] ► *Very frequent
vomiting, usually after drinking (in a boy), [22].
► Constant vomiting, [1],
[27], [33]. ► Constant vomiting, with most frightful pains in the abdomen, [7]. ► With the cramps, a
constant vomiting of greenish and yellowish-green bile, [43].
► Constant vomiting and purging, [29]. ► Forcible vomiting, [3]. ► Violent vomiting,
frequently, [18]. ►
Violent vomiting and copious diarrhœa (after a quarter of an hour), [26]. ► Violent vomiting of green
bilious substances, together with frequent liquid stools, [22].
► *Violent vomiting of greenish water, coming on suddenly,
and attended by copious greenish diarrhœa and violent pain in the bowels, [50]. [240.] ► Excessive vomiting, with constant pains in the stomach and
tenesmus, [3], [4].
► Greenish vomiting, [30].
► Vomited violently, and threw up all the poison
(immediately), [40]. ►
About 2 pounds of a distinctly greenish fluid, with some blood, were ejected (second day), [41]. ► Stomach. ► Epigastric region somewhat distended, and painful to touch, [29]. ► Stomach weak, [28]. ► Pain in the
stomach, [5]. ►
Pain in region of stomach (after twelve hours), [48]. ► Intense pains in the region of the stomach (after two hours),
[28]. ► Violent
pains in stomach and belly, [47]. [250.] ► Violent pains in
digestive organs (almost immediately), [40]. ►► *Violent pains and cramps in stomach and bowels
(after a few hours), [43]. ►
Violent cardialgia, [27]. ►
Acute pains in stomach; in some cases very intense (soon), [39].
► Burning in stomach, rising into throat and mouth (third
day), [49]. ► A
constant burning pain, or a sensation of internal heat in the epigastric region, [22]. ► Stomach at times
contracted, [14]. ►
Cramp in the stomach. [3]. ►►
*Violent griping and pressure in the stomach, followed by vomiting, [29]. ► *Severe griping and
colicky pains in stomach and bowels, [37]. [260.] ► A constant pinching
pressure in the stomach, which at times extended up into the throat, and at times down into
the intestines, [29]. ►
Violent tearing pains in the stomach, [31]. ► Violent tearing pain in the pit of the stomach, [13]. ► Violent colic in
stomach and bowels (soon after), [49]. ► Coliclike pain in stomach (after half an hour), [49]. ► Stomach tender
upon pressure (after three hours), [44]. ► Epigastric region sensitive (many cases), [22]. ► Epigastric region
exceedingly sensitive to touch, [24]. ► Vomiting aggravated the distress in the stomach and bowels, [29].® 2000
Article