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abdomen abscess acute affected artery become bladder blood bone bowel brain bursa canal caries cause cavity cerebral cervical chronic cleft compression concussion condition congenital contusion cranial cyst deformity diagnosis disease displacement dorsal dura mater enlargement epicranial aponeurosis especially excision extensive external fissure fistula fluid foot forceps foreign body fracture frequently glands growth haemorrhage head hernia incision increase infection inflammation inflammatory injury intestine intra-cranial iodoform joint laceration larynx lateral lesion ligaments localised lumbar lung mastoid meningitis mouth mucous membrane muscles nasal neck necrosis nerve nose obstruction occur opening operation pain palate paralysis patient perforation pericranium peritoneum peritonitis pharynx pia mater pleura position posterior present pressure rare region removed result ribs rupture scalp septic sheath side sinus skin skull soft sometimes spinal cord spine suppuration surface surgeon sutures swelling symptoms syphilitic tendon tion tissue tongue tracheotomy treatment trephine tube tuberculous tumour ulceration usually vertebra vessels wall wound
Page 543 - Adhesion of the Soft Palate to the Posterior Wall of the Pharynx ; with a Description of the Parts seen on Dissection.
Page 754 - I believe, in a large number of cases, what happens is as follows: During the passage of a motion one of these little valves is caught by some projection in the fecal mass and its lateral attachments torn; at each subsequent motion the little sore thus made is reopened and possibly extended; the repeated interference with the attempts at healing, ends in the production of an ulcer, and the torn-down valve becomes swollen and edematous, constituting the so-called pile, or, as it sometimes has been...
Page 852 - E E— 18 and are unaccompanied by history of haematuria, the strumous nature of the disease is fairly clear ; but when they are associated with a history of haematuria and sharp lumbar or testicular pain in an otherwise healthy-looking person, calculus is greatly more probable.
Page 858 - ... 6. When the pelvis of the kidney is dilated, the resulting tumor may press upon the liver so as to be indistinguishable from it; it may, and often does, reach down into the iliac fossa; and occasionally it extends inward beyond the middle line of the abdomen. I have opened an hydronephrotic swelling which crossed the linea alba fully two inches. As a rule, however, renal enlargements never invade the pelvis, rarely reach the median line, and frequently are separated from the hepatic dullness...
Page 841 - ... wounds or concussions of the kidney. Traumatic nephritis is not usually serious, provided the damage inflicted on the kidney is not great and the large vessels are not ruptured. If severe, the kidney may be softened down into a mere pulp. Treatment. — If the kidney has been penetrated, urine will drain away by the external wound. If the organ has been opened by subparietal laceration or rupture, the chief danger when the large vessels are uninjured is from infiltration of urine into the cellular...
Page 618 - Surgical treatment has been most discouraging in acute peritonitis following upon gangrenous hernia, upon operation, and upon puerperal infection. It has met with but little better results in cases of perforation, in which the serous inflammation has been well established.
Page 618 - ... peritonitis the procedure adopted must obviously depend upon the cause and degree of the trouble. If the exudation be serous it will suffice if the fluid be evacuated, if the peritoneal cavity be gently dried in its most dependent parts by means of gauze sponges, and if the abdomen be closed without drainage. When the exudation is sero-purulent or purulent it is in many cases desirable that the cavity be irrigated. The fluid which appears to be best suited for this purpose is a •6 per cent,...
Page 754 - ... and how painful they are when dragged upon. Now the torn-down anal valve resembles closely this condition of the finger, except that in the former it is situated at the acutely sensitive anal margin, and subjected to the periodic strain of a passing motion; it is therefore not to be wondered at that the pain should be so excessive as to seriously affect the general health and render life miserable.
Page 604 - ... (4) No tissue in the body provides more favourable conditions for healing than does the peritoneum. (5) The peritoneum does not show the same degree of vulnerability in all parts, nor are all portions of it alike in the manner in which certain lesions are responded to. The part which is apparently most sensitive to infection, and which is most prone to rapidly spreading and diffuse inflammation, is that which covers the small intestine. The parietal peritoneum has certainly not so high a degree...