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Updated: June 21, 2025
There the abdominal wall on either side of the middle line becomes thin and distended to form a pouch, the scrotal sac, into which the testis passes, still remaining attached to the peritoneum which lines the pouch, while the distal end of the vas deferens retains its original connexion with the urethra.
#Chilblains.# Chilblain or erythema pernio is a vascular disturbance resulting from the alternate action of cold and heat on the distal parts of the body. Chilblains are met with chiefly on the fingers and toes in children and anæmic girls. In the mild form there is a sensation of burning and itching, the part becomes swollen, of a dusky red colour, and the skin is tense and shiny.
Rotation of the distal phalanx upon its transverse axis produces a condition, with respect to this peculiar impediment, that is equivalent to added and excessive length of the deep flexor tendon. Where there occurs suppuration, by careful inspection of the coronary region, one may early recognize detachment of hoof.
#Gangrene following Ligation of Arteries.# After the ligation of an artery in its continuity for example, in the treatment of aneurysm the limb may for some days remain in a condition verging on gangrene, the distal parts being cold, devoid of sensation, and powerless. As the collateral circulation is established, the vitality of the tissues is gradually restored and these symptoms pass off.
When some time has elapsed since the accident, the proximal end may be so retracted that it cannot be brought down into contact with the distal end, in which case a slip may be taken from an adjacent tendon; in the case of one of the extensors of the thumb, the extensor carpi radialis longus may be detached from its insertion and stitched to the distal end of the tendon of the thumb.
Felton, he encased the distal half of the horn in a covering by means of the tissue and the bandage, which he fixed securely with the sealing-wax. "I'll saw the horn off and bring it up to the hotel myself, with the ox-gall," said Mr. Felton. "You shall have them in half an hour."
Defective formation associated with atrophy is also illustrated in the bones of the lower limbs of persons who are unable to stand or walk, and in the distal portion of a bone which is the seat of an ununited fracture.
Carter's drawings in Gray's 'Anatomy. The hand is drawn to a larger scale than the foot. The line 'a a' in the hand indicates the boundary between the carpus and the metacarpus; 'b b' that between the latter and the proximal phalanges; 'c c' marks the ends of the distal phalanges.
The valves in the veins would seem to show conclusively that the venous current did not come from the heart, and surgeons must have observed thousands of times the every-day phenomenon of congested veins at the distal extremity of a limb around which a ligature or constriction of any kind had been placed, and the simultaneous depletion of the vessels at the proximal points above the ligature.
The anterior portion of the capsular ligament forms sheaths for the extensor tendons, and both portions of the joint have an attachment around the distal end of the radius and another at the proximal end of the metacarpal bones. Etiology and Occurrence.
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