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Massage, passive movement, hot and cold douching, and other measures, may be necessary to get rid of the chronic œdema, adhesions of tendons, and stiffness of joints which sometimes remain. In situations where a constricting band cannot be applied, for example, on the trunk or the neck, Klapp's suction bells may be used, small incisions being made to admit of the escape of pus.
When adhesions have formed between the iris and the structures in relation to it, the pupil dilates irregularly under atropin. Although complete recovery is to be expected under early and energetic treatment, if neglected, iritis may result in occlusion of the pupil and permanent impairment or loss of sight.
He displays superhuman sagacity in circumventing his foes, he performs prodigies of valor, he forms the most sentimental attachments, and receives with a romantic confidence the adhesions of men who come over to his side from the enemy, and who, being traitors to old friends, would seem to be only worthy of suspicion and distrust in being received by new ones.
The bishops of Italy hastened to express their concurrence, with one exception, Ariano, who had participated in the revolutionary movement, and who came to an unhappy death within the year. There came, in due course, numerous adhesions from all parts of the world, together with countless addresses from the clergy of the second order.
Whenever he had gathered two or three about him they strayed off as the others came up, and we left him sardonically patient of their adhesions and defections, which seemed destined to continue indefinitely, while we struggled out through the postal-card boys and mosaic-pin men to our carriage.
Passive movements and massage must be commenced as early as possible and be perseveringly employed to diminish the formation of adhesions and resulting stiffness. Subperiosteal Whitlow. This form is usually an extension of the subcutaneous or of the thecal variety, but in some cases the inflammation begins in the periosteum usually of the terminal phalanx.
The giving way of adhesions may be attended with an audible crack; and the procedure is often followed by considerable pain and effusion into the joint, which necessitate rest for some days before exercises and manipulations can be resumed. Operative treatment may be called for in cases in which the bones are closely bound to one another by fibrous or by osseous tissue.
In the process of repair, one or both ends of the muscle or tendon may become fixed by adhesions to adjacent structures, and if the distal portion of a muscle is deprived of its nerve supply it may undergo degeneration and so have its function impaired. Rupture of a muscle or tendon is usually the result of a sudden, and often involuntary, movement.
Dry pleurisy of the left chest is not an infrequent cause of these pains, and of course serious disease of the lungs, as tuberculosis, unresolved pneumonia, pleuritic adhesions, ennphysema and tumor growths, may all be the cause of a referred cardiac pain, the heart being disturbed secondarily.
All adhesions should be broken up and the fat be removed, and the hernia replaced within the abdomen. Care should be taken that no loop of intestine is allowed to remain. Then a large needle with double thread made of ten strands should be run through the middle of the incision in the end of the peritoneum, and tied firmly in cross sutures.
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