Licence: In copyright
Credit: Anaemia / by J.H. Bryant. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![Carcinoma of the stomach. Gastric ulcer. Chronic dyspepsia and gastritis, etc. 7. Long continued drain of albuminous ]■ fluids from the body. Discharging sinuses. Leucorrhoea. Prolonged lactation, etc. 8. Certain diseases of the spleen, lym- 1 phatic glands and bone marrow. Spleno-medullary leuchaemia. Lymphatic leuehsemia. Splenic anaemia. Hodgkin’s disease. I have already mentioned that this classifica- tion is a provisional one. I do not claim that it is either perfect or complete. You will, how- : ever, find it convenient to have in your mind such a list of classified causes when you have to investigate a case of anaemia with a view to finding out the cause or the nature of it. I will now proceed to give you some idea as to the manner in which a diagnosis can be arrived at. The investigation may be divided into three stages. 1. The careful analysis of the history of the condition. 2. The careful physical examination of the patient. 8. The examination of the blood. All possible causes of a secondary anaemia must be carefully excluded before a diagnosis of](https://iiif.wellcomecollection.org/image/b22411902_0012.jp2/full/800%2C/0/default.jpg)
