Transactions, Volume 2

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Kolckmann, 1881 - Medicine
 

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Page 535 - ... and uroerythrine at the decline of the disease indicates (according to Gulber's observations) insufficient hepatic function. The body temperature in enteric fever indicates the different stages of the disease no less definitely than the urine analysis. At the end of the third or beginning of the fourth week, the difference in the kind of temperature variation is well marked. This is the period when, according to the urine analysis, the hepatic insufficiency occurs, and the great differences between...
Page 445 - In these cases the knee-joint has been punctured over four hundred times. 3. In all these cases, with the exception of a very few, and these only in the early stages of treatment, the patient was not only permitted, but obliged to take' a daily and considerable amount of walking exercise. 4. In not a single instance has there been failure of absolute and entire cure, requiring, in one case, seventeen weeks, but in no other more than eleven weeks.
Page 373 - ... it needful to regard the question of contamination from the atmosphere at all ? If the answer must be given in the affirmative, and the choice must lie between the spray and antiseptic irrigation during the operation, at intervals varying according to the discretion of the surgeon, with syringing of the cavity of the wound after stitching, and syringing also at every dressing, then I should give my voice decidedly in favour of the spray, as being more sure of attaining its object, and involving...
Page 542 - ... that, as far as my experience goes, there is a more frequent absence of rose-coloured spots in India than in England. That the cases were really those of typhoid, although with an absence of spots, was proved by the post-mortem examination revealing the characteristic lesions. The typhoid fever in India frequently begins like remittent or intermittent. In fact, some of the cases were diagnosed as such, until two cases of sudden death occurred, and perforation of Peyer's patches was found. The...
Page 205 - ... fields for conquest by the knife; there must be portions of the human frame that will ever remain sacred from its intrusion, at least, in the hands of the surgeon. May there not be some reason to fear lest the very perfection to which ovariotomy has been carried may lead to an over-sanguine expectation of the value and the safety of the abdominal section and exploration, when applied to the diagnosis or cure of diseases of other and very dissimilar organs, in which but little of ultimate advantage,...
Page 204 - GENTLEMEN, — Surgery is never stationary. To be stationary while all around is in movement would be practically to retrograde. But movement does not necessarily mean advance. The general direction of the movement may undoubtedly be forwards, but the factors of that movement do not all equally tend to progress.
Page 373 - I am aware that, concomitantly with the perfecting of the spray there has been an improvement iu other parts of our antiseptic arrangements: and I am not prepared to say that our increased uniformity of good results may not be due to the latter rather than to the former. And it may be, for aught I know, that, when the International Medical Congress next meets, I shall be able to speak of results of a still higher order obtained without using the spray at all. For if further investigation should confirm...
Page 326 - That all carcinomata of the breast, if there are no evidences of metastatic tumors, and if thorough removal is practicable, should be dealt with as early as possible by amputating the entire mamma...
Page 205 - In the discussion of the next great question, I would submit that we may, with advantage, direct our attention less to the mere mechanical — the simple operative part of the business, the details of which are now well understood, than to the consideration of those higher questions as to the diagnosis and nature of the various forms of renal disease, in which Nephrotomy and Nephrectomy may be respectively used, with a reasonable hope of relief or cure. And in considering the prospects afforded by...

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