524: DISEASES OF THE STOMACH. 



milk with Vichy water. The washing out is to be repeated when 

 the stomach refills, and has a burning feeling, which may be in 

 two or three days.] 



CHAPTER III. 



CROUPOUS AND DIPHTHERITIC INFLAMMATION OF THE GASTRIC 

 MUCOUS MEMBRANE. 



CROUPOUS and diphtheritic inflammation of the gastric mucous 

 membrane is rarely observed, unless poisonous substances have 

 acted on it (see Chapter V.). In some cases, in infants, the catar- 

 rhal form of inflammation increases to the croupous ;. in others, 

 croupous and diphtheritic gastritis belongs to the secondary inflam- 

 mations occurring in the acute infectious diseases, especially in 

 typhus, septicaemia, and small-pox. 



Croup membranes rarely spread over a great extent of the gas- 

 tric mucous membrane ; they are usually limited to small circum- 

 scribed spots. The diphtheritic sloughs also form isolated patches ; 

 on falling off, they leave losses of substance with discolored ragged 

 bases. 



Unless pseudomembranes are vomited up, the disease is rarely, 

 if ever, recognized during life. The difficulties the disease causes 

 in children can never be rightly interpreted, and the severe symp- 

 toms of septicaemia, typhus, etc., are so little modified by an inter- 

 current croupous or diphtheritic gastritis, that in such cases also 

 diagnosis is impossible. 



CHAPTER IV. 



INFLAMMATION OF THE SUBMUCOUS CONNECTIVE TISSUE GASTRITIS 



PHLEGMONOSA. 



INFLAMMATION of the submucous connective tissue, which Roki- 

 tamky compares to pseudoerysipelas, is also rare. It occurs either 

 as a primary affection, without perceptible cause in previously 

 healthy persons, or, like the above, it is a so-called secondary or 

 metastatic inflammation, and, as such, accompanies typhus, septicae- 

 mia, and similar diseases. 



The submucous tissue of the stomach is diffusely infiltrated with 



