Abdominal Pain: Its Causes and Clinical Significance

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Churchill, 1905 - Abdomen - 304 pages
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Page 109 - A line drawn from a point midway between the anterior superior spine of the ilium and the symphysis pubis to the inner side of the inner condyle of the femur, will be nearly parallel with the course of the artery.
Page 94 - ... for several days, diarrhoea may supervene. The pain may be so severe as to produce syncope or collapse, and though the pain does not quite pass away, it has a tendency to be paroxysmal and to be increased by movement; it is associated with well-marked tenderness just above the umbilicus or between it and the ensiform cartilage. The pain is soon followed by...
Page 89 - ... at the junction of the upper two-thirds with the lower third of a line drawn from the ninth rib to the umbilicus.
Page 93 - I believe that nearly every serious attack of biliary colic is accompanied by adhesive peritonitis, as experience shows that adhesions are found practically in all cases where there have been characteristic seizures.
Page 91 - ... other complications. (See sections on inflammatory affections of the gall-bladder and bile-ducts.) The following symptoms will be considered in detail : (a) Paroxysmal Pain. — For the most part the patient complains of pain under the right costal margin or in the epigastrium, whence it radiates over the abdomen and to the right subscapular region ; but in some cases the pain radiates to the left shoulder. These attacks come on suddenly when the patient is quite well, and usually end by causing...
Page 220 - Anoint freely and widely with hydrated lanolineoleate of mercury (20 per cent.) and rub in; besmear a piece of lint with the same and leave on until a second inunction is performed twelve hours later. Every case should be treated for at least twenty-four hours before operation; preferably forty-eight hours should be given, with at least two separate periods of 'rubbing in' for about ten minutes on each occasion.
Page 92 - These attacks come on suddenly when the patient is quite well, and usually end by causing nausea or an attack of vomiting. The vomiting leads to relaxation of the duct, and if the gall-stone be small it may pass on and thus end the attack. The seizures come on without apparent cause, although at times they may appear to be brought on by exertion or by taking food.
Page 203 - When asked to point out its position, they indicate this by carrying a hand behind the trunk and drawing the extended thumb straight across the back, in a transverse line, about half-way between the inferior angles of the scapula; and the renal region.
Page 11 - Transversalis abdominis. 19. Obliquus internus. 21. Obliquus externus. 23, 23. Anterior crural nerves. 25, 25. Obturator nerves. 27, 27. Crural branch of genitocrural nerve. 29. Genital branch of genito-crural nerve. 31. External iliac artery. 33. External abdominal ring.
Page 12 - PLEXUS. The lumbo-sacral cord (resulting as before described from the junction of the fifth and part of the fourth lumbar nerves), the anterior divisions of the first three sacral nerves, and part of the fourth unite to form this plexus. Its construction is simpler than that of the spinal nerve-plexuses already described, as the several nerves unite without much interlacement into an upper large, and a lower small, cord or band. The upper band is formed by the union of the lumbo-sacral cord...

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