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A careful consideration of the position in which the swelling first appeared, of the direction in which it has progressed, of its pressure effects, and of the condition of the pulses beyond, may help in distinguishing between aortic, innominate, carotid, and subclavian aneurysms. Skiagraphy is also of assistance in recognising the vessel involved.
But it is not only a strong and practised hand that has done this deed; it was guided by an intelligence that knew how to proceed to insure a quick, almost instantaneous death, and at the same time a silent one." "You think it was done by a butcher?" "By a professional killer; the larynx has been cut above the glottis, and with the same stroke the two carotid arteries, with the jugular veins.
Dyspnea continued to increase, and eighteen days after admission the man was in great distress, very little air entering the chest. He had no pulse at the right wrist, and Pye-Smith was unable to feel either the temporal or carotid beats on the right side, although these vessels were felt pulsating on the left side.
The wound, which was a deep one, was five and a half inches from right to left across the throat to a point under the left ear. The upper portion of the windpipe was severed, and likewise the jugular vein. The muscular coating of the carotid artery was divided. There was a slight cut, as if in continuation of the wound, on the thumb of the left hand. The hands were clasped underneath the head.
I have seen a man chat quietly with bystanders while his carotid artery was being tied without the use of chloroform. During the Russo-Turkish war wounded Turks often astonished English doctors by undergoing the most formidable amputations with no other anaesthetic than a cigarette. Hysterical women will inflict very severe pain on themselves merely for wantonness or in order to excite sympathy.
Pepper records a case in which a knife was thrust through the spheroidal fissure, wounding a large meningeal vein, causing death from intracranial hemorrhage. Nelaton describes an instance in which the point of an umbrella wounded the cavernous sinus and internal carotid artery of the opposite side, causing the formation of an arteriovenous aneurysm which ultimately burst, and death ensued.
Yes, but that element is Sanguis Virginis. Well, and why not a virgin's blood? Great things must be purchased, cannot be plucked, like fruit, from every tree. Were it Sanguis Senis, now, who would tap a vein more readily than we, ay, even were a drop from the carotid required? And must the world lose all this divine gift for a simple? What did Abraham on Moriah?
The deputy coroner glanced at the notes on the back of the chart, then reversed it, holding it aloft so that all in the room could see the anatomical drawing of a human figure. "The knife penetrated this section of the neck, just missing the carotid artery," he began, using his pencil to indicate the spot marked on the chart.
Nothing prevented him from severing his carotid artery but the recollection that only the vulgar thus disposed of themselves. He thought of poison, whose sale was present death in Pekin, according to established law. Suicide by poison being a forbidden luxury, it recommended itself nimbly unto Mien-yaun's senses.
The sternohyoid and omohyoid muscles were divided; the internal jugular vein was cut through, and its cut ends were collapsed and 3/4 inch apart; the common carotid artery was cut into, but not divided; the thyroid cartilage was notched, and the external and anterior jugular veins were severed.
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