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The case was one of strangulation of an umbilical hernia. Sloughing of the Intestine Following Intussusception. Lobstein mentions a peasant woman of about thirty who was suddenly seized with an attack of intussusception of the bowel, and was apparently in a moribund condition when she had a copious stool, in which she evacuated three feet of bowel with the mesentery attached.
The diseases that appendicitis may be confounded with and must be differentiated from are obstruction, renal colic, hepatic colic, gastritis, enteritis, salpingitis, peritonitis due to gastric or intestinal ulcer, enterolith, obstipation, invagination or intussusception, hernia, external or internal, volvulus, stricture and typhoid fever.
When we examine carefully the differences between the living and the not-living, we see that the chief difference between them is in their origin. The matter of growth is not a real distinction; for crystals grow on the outside, while inorganic liquids grow by intussusception, as when a soluble substance is added to them, in very much the same way as an animal grows by the ingestion of food.
What intussusception, what potation, and, as a necessary consequence, alas! what rubification! But I have seen such noses. Beware of them! they are bad noses, very bad noses, I assure you.... Do not, I pray you, consider me irreverent, if I say that Nosology will prove highly favorable to the cause of religion.
In all cases the process of evolution consists in a succession of changes of the form, structure, and functions of the germ, by which it passes, step by step, from an extreme simplicity, or relative homogeneity, of visible structure, to a greater or less degree of complexity or heterogeneity; and the course of progressive differentiation is usually accompanied by growth, which is effected by intussusception.
As the witty and effective translator of a witty and effective work, he has added sections in brackets on English and American history which are based on original investigation and of permanent value to all future historians. Handerson's Baas is thus more complete and valuable than the Rhinelander's original text." Handerson appear as follows: An unusual case of intussusception.
This intussusception of the ideas of inanimate objects, and their faithful storing away among the sentiments, are curiously prefigured in the material structure of the thinking centre itself. In the very core of the brain, in the part where Des Cartes placed the soul, is a small mineral deposit, consisting, as I have seen it in the microscope, of grape-like masses of crystalline matter.
When his seeds are sown in these solutions, we see inert matter germinating, "putting forth bud and stem and root and branch and leaf and fruit," precisely as in the living vegetable kingdom. It is not a growth by accretion, as in crystallization, but by intussusception, as in life.
If 'peritonitis' inflammation is neglected, or drastic purgatives are too often and too plentifully administered, a peculiar contraction of the muscular membrane of the intestine takes place, and one portion of the bowel is received within another there is 'intussusception'. In most cases, a portion of the anterior intestine is received into that which is posterior to it.
I will say nothing of medical treatment in this case; for I do not know the symptoms of intussusception, or how it is to be distinguished from acute inflammation of the bowels. Acute inflammation will not long exist without producing it; and, if its existence should be strongly suspected, the treatment would be the same as for inflammation.
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