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Osler remarks that Professor Agnew knew of a case of a bleeder who had always bled from cuts and bruises above the neck, never from those below. The joint-affections closely resemble acute rheumatism. Bleeders do not necessarily die of their early bleedings, some living to old age.
The external bleedings are seldom spontaneous, and generally follow cuts, bruises, scratches, and often result seriously. A minor operation on a hemophile may end in death; so slight an operation as drawing a tooth has been followed by the most disastrous consequences. Armstrong, Blagden, and Roberts, have seen fatal hemorrhage after the extraction of teeth. MacCormac observed five bleeders at St.
In 14 cases the transmission was direct from the father to the child, and in 11 cases it was direct from the mother to the infant. The hemorrhagic symptoms of bleeders may be divided into external bleedings, either spontaneous or traumatic; interstitial bleedings, petechiae, and ecchymoses; and the joint-affections.
Death of skin is more liable to occur in bleeders, and when the slough separates the blood-clot is exposed and the reparative changes go on extremely slowly. Suppuration may occur and lead to the formation of an abscess as a result of direct infection from the skin or through the circulation. Treatment.
"You saw some blood, yes ... Frank, I wish't you wouldn't interrupt me when I'm talkin'.... Well, about three weeks ago I met up with a man that claimed he had a remedy to cure bleeders. I let him try his hand on Jeremiah and he done a good job.
The seriously wounded had to be carried on stretchers through mud almost knee deep, while the others were placed on two-wheeled carts and brought to the boat, a distance of two miles. After two hours they succeeded in getting six wounded Americans on board, one dying, another almost dead, and a third in a state of shock from a shrapnel wound in thigh. Necessary to ligate heavy bleeders.
The term hæmophilia is applied to an inherited disease which renders the patient liable to serious hæmorrhage from even the most trivial injuries; and the subjects of it are popularly known as "bleeders." The cause of the disease and its true nature are as yet unknown.
Thirdly, let no woman bleed, but such as have gone through a course of midwifery at college, for those who are unskilful may cut an artery, to the great damage of the patient. Besides, what is still worse, those pretended bleeders, who take it up at their own hand, generally keep unedged and rusty lancets, which prove hurtful, even in a skilful hand.
#Injuries of Bursæ.# As a result of contusion, especially in bleeders, hæmorrhage may occur into the cavity of a bursa and give rise to a bursal hæmatoma. Such a hæmatoma may mask a fracture of the bone beneath for example, fracture of the olecranon. #Diseases of Bursæ.# The lining membrane of bursæ resembles that of joints and tendon sheaths, and is liable to the same forms of disease.
A number of cases have been recorded in which arthritis deformans has followed upon antecedent disease of the joint, such as pyogenic or gonorrhœal synovitis, upon repeated hæmorrhages into the knee-joint in bleeders, and in unreduced dislocations in which a new joint has been established.
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