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Updated: May 8, 2025
The subsequent degeneration and death of the granulation tissue under the necrotic influence of bacterial toxins results in disintegration and crumbling away of the trabecular framework of the portion of bone affected. Clinically, carious bone yields a soft grating sensation under the pressure of the probe. The macerated bone presents a rough, eroded surface.
The patient, then, has an indefinite and stupid expression, he understands questions put to him with difficulty, and answers them with effort or not at all. Dagonet says stupor results from various causes, such as exhaustion, or emotional and intellectual factors. Clinically it varies in kind and degree according to the situation in which it develops.
It is common for portions of fascia, ligaments, or tendons to slough, and this may often be recognised clinically by a peculiar crunching or grating sensation transmitted to the fingers on making firm pressure on the part.
Clinically the disease is attended with the gradual and painless development during childhood or adolescence of a number of tumours or irregular projections of bone, at the ends of the long bones, the vertebral border of the scapula, and the cristal border of the ilium.
Gross alterations in the ends of the bone are thus brought about which can be recognised clinically and in skiagrams, and which tend to restrict the normal range of movement.
Berserkers and juramentados continue to fight and kill though carved by scores of mortal wounds. Men with bullets in the heart or brain fight on, though already clinically dead. Death seemed an inescapable part of this kind of strength. But there was another type that could easily be brought about in any deep trance hypnotic rigidity.
In the electric fish a part of the muscular mechanism is replaced by a specialized structure for storing and discharging electricity. We found further that electric fish could not discharge their electricity when under anesthesia, and clinically we know that under deep morphin narcosis, and under anesthesia, the production both of heat and of muscular action is hindered.
Clinically, loose bodies composed of fibrin constitute an unimportant addition to the features of the disease with which they are associated. They never give rise to the classical symptoms associated with impaction of a loose body between the articular surfaces.
Whether the administration of alkalies to the point of increasing the alkalinity of the blood is any protection against the complication of endocarditis has also not been positively demonstrated, although clinically such treatment is believed by a large number of practitioners to be wise.
The ovarian dermoid appears clinically as an abdominal or pelvic tumour provided with a pedicle; if the pedicle becomes twisted, the tumour undergoes strangulation, an event which is attended with urgent symptoms, not unlike those of strangulated hernia. The treatment consists in removing the tumour by laparotomy.
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