Inhaltsangabe
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1889 Excerpt: ... For some days I tried the effect of opium and grey powder, using At the same time hot fomentations, but as the symptoms became alarming, and there was an evident spread of peritoneal mischief, I made an incision as in Fig. 3, C, dissected carefully inward to the posterior part of ascending colon, and gave exit to some ounces of pus, dark and foetid, which lay high up in front of the kidney. I laid in a large drainage tube, and applied antiseptic dressings. On the twelfth day after this the patient was able to leave his room, and in one month recovery was complete. There was no further pain, only from the bowel, and the constipation yielded to mild laxatives, while the jaundice rapidly disappeared, the evacuations being deeply stained with bile. The diagnosis made in this case was that an abscess had formed in front of the right kidney, and that the pressure exercised by the surrounding effusion compressed the descending duodenum, thus causing the vomiting and obstructing the common bile duct, thereby producing jaundice. The haemorrhage was evidently the result of pressure on the colon, causing a hyperaemic condition of the mucous membrane. Cask IV.--Pelvic peritonitis from perforation of ileum; Operation; 'Recovery with faecalfistula.--J. C, aged twenty-one years, came under my care on June 9th, 1889, with the following history. For some months he had been unwell, suffering much from repeated attacks of diarrhoea and cramps in lower abdomen, but had been able to go about until ten days before he came under observation, when, after severe pain in the right inguinal region, and down the right thigh, he became faint and was obliged to go to bed; since that time he suffered from severe pain over the area marked B, Fig. 4, occasional fits of vomiting, and great ...
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