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Common Eocene ancestors occurred at the beginning of his lecture; and I believed that if it got no stronger than this, I could at least preserve the appearance of comprehending him; but it got stronger, and at sacro-iliac notch I may say, without using any grossly exaggerated expression, that I became unconscious. At least, all intelligence left me. When it returned, he was saying.
Chondromas springing from the pelvic bones usually arise in the region of the sacro-iliac joint; they project into the pelvis and press on the bladder and rectum, and on the sciatic and obturator nerves; sometimes also on the iliac veins, causing œdema of the legs. They are liable to take on malignant characters, and rarely lend themselves to complete removal by operation.
In lumbago lumbo-sacral fibrositis the pain is usually located over the sacrum, the sacro-iliac joint, or the aponeurosis of the lumbar muscles on one or both sides. The amount of tenderness varies, and so long as the patient is still he is free from pain. The slightest attempt to alter his position, however, is attended by pain, which may be so severe as to render him helpless for the moment.
#Diagnosis.# A cold abscess is to be diagnosed from a syphilitic gumma, a cyst, and from lipoma and other soft tumours. The differential diagnosis of these affections will be considered later; it is often made easier by recognising the presence of a lesion that is likely to cause a cold abscess, such as tuberculous disease of the spine or of the sacro-iliac joint.
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