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Other causes given are: Edema and congestion closing the lumen of the appendix, thus preventing drainage; constipation; digestive disturbances; traumatism; eating too freely while in an exhausted condition. "Whatever the predisposing causes may be in any given case, the exciting cause is always some infectious material.
There was no history of traumatism to account for strangulation. Longworth cites an instance of inversion of the diaphragm in a human subject. Bartholinus mentions coalition of the diaphragm and liver; and similar cases are spoken of by Morgagni and the Ephemerides. Hoffman describes diaphragmatic junction with the lung. Anomalies of the Stomach.
A. #Arrangement of Ulcers according to their Cause.# Although any given ulcer may be due to a combination of causes, it is convenient to describe the following groups: Ulcers due to Traumatism.
Recovery followed, and the patient was discharged in twenty-one days. Romme discusses the subject of punctured wounds of the liver, as a special text using the case of the late President Carnot. He says that in 543 cases of traumatism of the liver collected by Elder, 65 were caused by cutting or sharp-pointed instruments. Of this group, 23 recovered and 42 died.
Acute bursitis and thecitis is of frequent occurrence in horses because of direct injury from contusion, punctures and other forms of traumatism. These synovial membranes, with few exceptions, when inflamed occasion a synovitis that may be very acute, yet there is less manifestation of pain than in arthritis.
It is a cruel process, but a crampy will in childhood means moral traumatism of some sort in the adult. Few parents have the nerve to do this, or the insight to see just when it is needed. It is, as some one has said, like knocking a man down to save him from stepping off a precipice.
For many years bloodletting was considered of the greatest importance in the early treatment of this disease; but owing to the fact that, except from traumatism, pericarditis rarely occurs except as a sequela of acute disease after the patient has been sick along time, or as a terminal condition in a patient who has long been chronically diseased and therefore has already lost more or less strength, venesection has been nearly abandoned.
The general treatment is conducted on the same lines as on other forms of pyogenic infection. Definitions Clinical examination of an ulcer The healing sore. Classification of ulcers A. According to cause: Traumatism, Imperfect circulation, Imperfect nerve-supply, Constitutional causes B. According to condition: Healing, Stationary, Spreading. Treatment.
It weighed over 5 pounds, and was easily delivered entire after division and unwinding of the funis. No marks remained on the neck. The placenta followed ten minutes later and, so far as naked-eye experience indicated, seemed healthy. Intrauterine fractures are occasionally seen, but are generally the results of traumatism or of some extraordinary muscular efforts on the part of the mother.
Injury, such as stone-bruise, has been attributed as the initial cause, and well-authenticated cases have been reported in which traumatism is distinctly remembered; but Smyth, Weber, and several other observers deny that habits, accidents, or work, are a feature in causation. Von During reports a curious case which he calls sclerodactylia annularis ainhumoides.
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