Handbook of Diseases of the Rectum

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C. V. Mosby, 1913 - Rectum - 335 pages

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Page 252 - ... appendicostomy should be performed and irrigation practiced through the appendiceal stump. The water is allowed to pass out through the rectum into a catchbasin and is not an unpleasant method of treatment. Dr. Jelks prefers the method suggested by Dr. James P. Tuttle, of New York City, who conceived the...
Page 67 - ... of some portion of the intestinal tract. Obstipation, on the other hand, is a condition in which there is a sufficient quantity of fecal material, and a normal functional activity; but in which some deformity, growth, flexion, constricture, or foreign body in the intestinal canal offers a mechanical obstruction to the passage of the fecal current. These two conditions are so frequently confounded in the mind of the average practitioner that the distinction must be always borne in mind ; for the...
Page 267 - ... without. The important point, however, is that the effect lasts from seven to fourteen days, a time abundantly sufficient to allow healing by granulation to become well advanced. This is in marked contrast to the ephemeral influence of cocaine and adrenalin, which act only by causing a contraction of the muscular walls of the blood-vessels.
Page 266 - J4 per cent solution only traces can be discovered. To what extent this fibrinous exudate is subsequently converted into fibrous tissue has not yet been definitely determined, but apparently nearly all is absorbed. In order to determine the subjective sensations of the injection and to determine the question of a possible zone of hyperesthesia about the anesthetized zone, Hertzler studied the effect by injection in the skin of his own leg.
Page 313 - Body cylindrical, somewhat attenuated anteriorly. Buccal cavity with two pairs of ventral teeth curved like hooks, and one pair of dorsal teeth directed forward; dorsal rib not projecting into the cavity.
Page 313 - Male, 7 to 9 mm. long; caudal bursa with short dorso-median lobe, which often appears as if it were divided into two lobes and with prominent lateral lobes united ventrally by an indistinct ventral lobe; common base of dorsal and dorso-lateral rays very short; dorsal ray divided to its base; its two branches being prominently divergent and their tips being bipartite; spicules long and slender. Female, 9 to 11 mm long; vulva in anterior half of body, but near equator.
Page 265 - Ark., published a short article calling attention to the local anesthetic effect of quinin and urea hydrochlorid. He recommended the use of a 1 per cent, solution for local injection and from 10 to 20 per cent, for local application to any mucous surfaces. Aside from this article by Dr.
Page 73 - When a patient consults you complaining of infrequent or insufficient bowel movements, the first thing to do is to make a diagnosis between constipation and obstipation. The patient should be examined carefully...
Page 266 - Experiments performed on rabbits showed that the thickening was not due to cellular infilration at all as was supposed on clinical grounds, but was due to a pure fibrinous exudate free from cells. This exudate was proved to be fibrin by Mallory's and Weigert's stain. The reaction appears, therefore, to be purely chemical in nature. The exudation of the fibrin begins to appear within a few minutes. In a general way it was determined the amount of exudate...

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