On Rest and Pain: A Course of Lectures on the Influence of Mechanical and Physiological Rest in the Treatment of Accidents and Surgical Diseases, and the Diagnostic Value of Pain. Delivered at the Royal College of Surgeons of England in the Years 1860, 1861, and 1862 |
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Rest and Pain: A Course of Lectures on the Influence of Mechanical and ... John Hilton, III No preview available - 2016 |
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abdominal abscess accident acetabulum anatomy anchylosis anterior crural applied arachnoid artery articular associated believe blood bone brain branch calcis cause cerebro-spinal fluid cervical cervical vertebræ child coccyx concussion condition cured by Rest cutaneous diseased joints dislocation distribution disturbance dura mater epiphysis examination external fascia femur fifth nerve filaments finger flexed foot fracture Guy's Hospital head hip disease hip-joint disease inch inflamed inflammatory influence injury inner side interior irritation knee knee-joint lecture ligament limb lower lumbar mechanical rest median nerve medulla oblongata months mucous membrane muscles muscular neck nerves supplying nervous obturator obturator nerve occurred opening pain patella patient pelvis physiological rest placed portion position posterior pressure rectum recumbent repair result sacro-iliac sacrum scrofulous sensitive serous membrane sinus sinuses skin skull sphincter spinal marrow spine splint structures suffering suppuration surface surgeon symptoms tendons thigh tibia tion treatment ulcer upper ventricle vertebræ walk
Popular passages
Page 96 - Hilton is of the greatest interest, namely, that " the same trunks of nerves whose branches supply the groups of muscles moving a joint, furnish also a distribution of nerves to the skin over the insertion of the same muscles, and the interior of the joint receives its nerves from the same source.
Page iii - On the Influence of Mechanical and Physiological Rest in the Treatment of Accidents and Surgical Diseases, and the Diagnostic Value of Pain.
Page 287 - A theory founded upon nature, that should bind together the scattered facts of medical knowledge, and converge into one point of view, the laws of organic life, would thus on many accounts contribute to the interest of society.
Page 50 - If a patient complains of pain on the surface of the body, it must be expressed by the nerve which resides there; there is no other structure that can express it, and somewhere in the course of its distribution, between its peripheral termination and its central, spinal or cerebral origin, the precise cause of the pain expressed on the surface must be situated.
Page 129 - Paget, to whose lot it has fallen to see more of these cases than to any other surgeon, save perhaps the late Sir B. Brodie, speaks as follows in his ' Clinical Lectures and Essays, ' edited by Howard Marsh, p. 197 : ' Among all the joints, the hip and the knee, which are the most frequent seats of real disease, are equally so of the mimicry — a fact not easy to account for. It may be due to mental association, perhaps unconsciously, or to a mingled inheritance — for instance, to an inheritance...
Page 159 - ... of the genitals, and when I at that moment looked at him seriously, averted his face as if ashamed. I felt convinced that the whole of the symptoms were the result of onanism. On October 30th I insisted upon his not sleeping alone, so that he might not be able to continue his habit unobserved, and ordered five grains of mercurial ointment to be rubbed once a day into the axilla, so as to divert his mind from the thing I had in view, and I desired that a blistering fluid might be applied to the...
Page 159 - I found him sitting in his chair, the left forearm flexed, with the left thumb turned inwards towards the palm of the hand, and the fingers flexed over it ; his face flushing very readily. The skin was cool, and there was no thirst. The pulse was not quick, but the heart was very excitable ; the tongue clean ; the pupils dilated ; skin exquisitely sensitive to the touch when attention was directed to that point, but not when the mind was diverted from it. The contraction of the limb and hand was...
Page 119 - ... ear was a small gland enlarged in the upper part of the neck. He had tried various remedies for this discharge, and had gone, I believe, to some surgeons who attended specially to the ear, but, as far as I could learn, no good resulted from any of their applications. Upon examining the ear from which the offensive discharge proceeded, I found a slight ulceration upon the floor of the auditory canal. On arguing the question out between us, we came to the conclusion that the ulceration probably...
Page 33 - ... of sensation on the surface of one or both limbs, or of parts of one or both limbs. Then, perhaps, he is ordered by the surgeon to increase his exercise, so as to overcome the effect of disuse, especially if he is thought to be a malingerer. This adds to the exhaustion of the spinal marrow, and the plan, if persevered in, most probably leads to paraplegia. The confirmation of the accuracy and applicability of these views is, I think, made apparent when it is added, that all these morbid effects...
Page 3 - ... so far as we know, be independent of every other ; for it is only in virtue of each being supposed to be an ultimate property or to point to an ultimate property that it has any claim to be taken into the account. Thus, if any two of the properties are found to be joint effects of the same cause or to stand to each other in the relation of cause and effect, they furnish only one argument instead of two. If we say of A that he is likely, under some particular conjuncture of circumstances, to act...