Identifier: systemofpractica04loom (find matches)
Title: A system of practical medicine
Year: 1897 (1890s)
Authors: Loomis, Alfred L. (Alfred Lebbeus), 1831-1895, ed Thompson, W. Gilman (William Gilman), 1856-1927, joint ed
Subjects: Medicine
Publisher: New York, Philadelphia, Lea Brothers & co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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pendulous abdomen maymake coitus an impossibility, and males having such deformity are oftensterile, their semen containing but few if any spermatozoa. The omentalfat is much thickened and partial circulation is obstructed. The facial expression is changed and capable of less variation thannormal. In females the breasts become greatly enlarged, elongated, andpendulous, and the creases formed beneath them and in the other foldsof the surface often become reddened, excoriated, and emit an offensiveodor from the difficulty of maintaining cleanliness and the formation offatty acids from the increased and decomposing sebaceous secretion.Pruritus, ersthenia, eczema, and other localized skin affections appear inand about the folds of the scrotum, groin, axilla, breasts, labia, etc.Acne is often present, as are comedones and intertrigo. The abdomencontinues to increase in size and becomes truly enormous, renderingphysical examination of the viscera wholly impossible. The umbilicus PLATE Vir.
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Excessive Obesity, Plethoric Type: Weight,410 pounds. SYMPTOMS. 1043 is deeply sunken, and the folds of the l)elly hang down over the genitaliaand thighs. The patient walks slowly, with a straddling gait, and allsudden movements are impossible. Walking may become altogetherimpossible from clumsiness, dyspnoea, or from pains in the back and legsproduced from the weight of fat and the effort to maintain a changedequilibrium. A woman lately in my wards at Bellevue Hospital, whoweighed over 400 pounds, seemed literally to flow over the narrow hos-pital cot as she lay upon it, and, lying upon her side, she so completelyfllled the bed that she was unable to turn without falling out, and had tobe helped out of the bed and turned about when she wished a change ofposition. Such patients cannot breathe lying flat upon the back, for theheavy abdomen, crowding upon the fat-laden viscera, presses the dia-phragm high up into the chest, dangerously impeding respiratory move-ments. The pulse becomes

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