A System of practical medicine v. 4, 1886, Volume 4

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Lea Bros. & Company, 1886

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Page 5 - Principles of Surgery and of Clinical Surgery in the Jefferson Medical College, and A.
Page 1 - Revised and Edited by Louis Starr, MD, Clinical Professor of Diseases of Children in the Hospital of the University of Pennsylvania; Physician to the Children's Hospital, Philadelphia.
Page 625 - Eczema is an inflammatory, acute or chronic, non-contagious disease of the skin, characterized at its commencement by erythema, papules, vesicles, or pustules, or a combination of these lesions, accompanied by more or less infiltration and itching, terminating either in discharge with the formation of crusts or in desquamation.
Page 354 - ... infection may sometimes linger for months, and be complicated with cystitis. In chronic cases of urethritis, where the walls of the urethra are very much thickened and the canal narrowed, dilatation with steel sounds is recommended.
Page 156 - Vesical irritation, moreover, is sometimes caused by the dragging of the uterus upon the neck of the bladder. This traction occurs not only in .ascent, but also when the organ descends below a certain level. In the foregoing paragraphs traction due to the falling pelvic floor has been discussed as a cause of descent. The impairment of the uterine supports may, however, be such that instead of falling and dragging the FIG.
Page 409 - Carl Braun, in a fabulous experience of over one hundred and fifty thousand obstetrical cases, has never observed a single fatal termination. On the other hand, Robert Barnes has himself seen 9 fatal cases ; McClintock collected close...
Page 550 - ... and the victim of its attack only becomes cognizant of the disease when he notices some marked failure in certain muscular powers. The tailor notices that he cannot hold his needle, the shoemaker wonders that he cannot thrust his awl, the mason's hammer has grown too heavy for his strength, the gentleman feels an awkwardness in handling his pen, in pulling out his pocket handkerchief, or in putting on his hat (ROBERTS). On comparing the weakened member with its fellow, it is seen to be wasted,...
Page 357 - Now this condition of the parts disappears during the involution which takes place after delivery ; but when from any cause the process of involution is interrupted, the enlarged vessels and relaxed condition of the urethral walls remain and sometimes increase. When to this state of the parts a catarrh of the mucous membrane is added, the enlargement of the membrane by swelling still further increases the caliber of the canal. The dilatation caused by passing calculi may remain permanently, and the...
Page 149 - ... movements of the uterus. The body is furthermore bent forward upon the cervix, so that its anterior surface rests upon the empty bladder. The angle of the normal anteflexion, according to careful measurements by Schultze, is about 48°; Fritsch says that 90° is the physiological limit. This question will be further considered under the subject of pathological anteflexions. Normal Movements of the Uterus. Strictly, the uterus can have no absolutely normal position or location, because it has...
Page 169 - ... the uterus, finding it impossible to hold its position against the pessary, instead of taking its proper position, may be bent over it in exaggerated retroflexion, with the cervix between the pessary and the pubes, or the whole organ may slip off to one side of the instrument into a malposition more serious than the one for which relief _is sought.

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