Diseases of the intestines

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Wood, 1900 - 391 pages
 

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Page 203 - ... successively the character of the various structures as they come beneath and escape from the fingers passing over them. In doing this, the pressure exerted must be deep enough to recognize distinctly, along the whole route traversed by...
Page 302 - Abstain from administering cathartics in slight transient disturbances of digestion; rather let Nature take her own course. Never put a patient on a one-sided diet for too long a time; the exclusion of vegetables, fruits, and starchy foods in general from the diet is frequently the cause of marked constipation. A hygienic mode of living, regular habits, less business strain and worry, and more outdoor life and exercise, are of greatest importance to prevent constipation.
Page 203 - He then draws the examining fingers over the abdomen in a straight line from the umbilicus to the anterior superior spine of the right ilium...
Page 188 - The hemorrhage is decidedly diminished, the parts are more accessible, and the principal vessels can nearly all be secured before they are divided. An incision was carried from the lower part of the sacrum down to the anus, until the posterior wall of the rectum was reached. I then removed the coccyx, for two reasons — first, I wished to narrow the gut as high up as possible, and, secondly, I thought that the proposed action of the levator ani might thus become less impeded. The lumen of the rectum...
Page 264 - There is one measure for the treatment of acute intestinal obstruction, and that is by means of laparotomy. The operation should be performed at the earliest possible moment, as soon, indeed, as the diagnosis is reasonably clear. In case of acute abdominal trouble in which the diagnosis is not clear- the better and safer course is to operate.
Page 73 - ... of which about two or three ounces dissolved in six to eight ounces of water are injected. The different beef juices (Valentine's beef juice, bovinine, Mosquera's beef jelly, etc.) may also be dissolved in water, and injected in corresponding quantities. b. — The milk and egg enemas...
Page 337 - I believe that the reverse of the proposition may also as confidently be affirmed — namely, that if neurasthenic patients be closely questioned, very few will be found who have not had at some time repeated characteristic passages of stringy mucus, associated with abdominal pains.
Page 220 - ... operation. 2. In cases of acute appendicitis the patients always need careful observation. If the pulse goes up above 116 to 120, and has the tendency to stay there, the indication for an operation is given. In case of doubt, the operation is better than waiting. 3. In cases of sub-acute (mild) attack of appendicitis, also after the first severe attack from which the patient recovers without immediate operation, the appendix should be removed. The appendix, once inflamed, has to be looked upon...
Page 266 - ... intestinal obstruction, and that is by means of laparotomy. The operation should be performed at the earliest possible moment, as soon, indeed, as the diagnosis is reasonably clear. In case of acute abdominal trouble in which the diagnosis is not clear, the better and safer course is to operate. . . . The earlier the operation the less the need for enterostomy. Laparotomy should be performed at an early enough period to render an opening into the bowel unnecessary
Page 161 - If the tumor is located farther up in the large bowel or the small intestine the results of an operation are not so promising, for here the recognition of the growth is possible only at an advanced period, and by that time often adhesions with other organs and cancerous infection of the glands have already taken place. Excision of the tumor and resection of the intestine in the neighborhood of the neoplasm, with an end-to-end anastomosis, should be practised whenever feasible. In case, however, total...

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