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Treatment. The general treatment of embolic gangrene is the same as that for the senile form. Success has followed opening the artery and removing the embolus. The artery is exposed at the seat of impaction and, having been clamped above and below, a longitudinal opening is made and the clot carefully extracted with the aid of forceps; it is sometimes unexpectedly long (one recorded from the femoral artery measured nearly 34
Pim saw a colored woman of twenty-four who, on December 29, 1858, was delivered normally of her first child, and who died in bed at 3 A.M. on February 12, 1859. It rested upon the abdominal muscles of the right side. The pelvic viscera were normally placed and there was no inguinal nor femoral hernia.
They receive lymph from the deep lymphatics of the lower limb, and some of the efferent vessels from the femoral and superficial inguinal glands. The lymph then passes on through the femoral canal to the external iliac glands.
There was a large amount of pus in the peritoneum. It was sowed with all possible precautions. Blood from the basilic and femoral veins was also sowed. So also was pus from the mucous surface of the uterus, from the tubes, and finally that from a lymphatic in the uterine wall. Interpretation of the disease and of the death.
An oval swelling forms in the upper part of the thigh, is soft and prominent when the muscle is relaxed, less prominent when it is passively extended, and disappears when the muscle is thrown into contraction. It is liable to be mistaken, according to its situation, for a tumour, a cyst, a pouched vein, or a femoral or obturator hernia.
In digging foundations, beds of round pebbles, mixed with small bivalve shells, are found; and according to the report of persons worthy of credit, there were discovered, thirty years ago, at the bottom of the ravine of San Juanillo, two enormous femoral bones, four feet long, and weighing more than thirty pounds.
Aneurysms of the vessels of the #forearm and hand# call for no special mention; they are almost invariably traumatic, and are treated by excision of the sac. Aneurysms appearing in the region of Poupart's ligament may have their origin in the external or common iliac arteries or in the upper part of the femoral.
In the same manner, by employing a conducting arc composed of two pieces of zinc and silver soldered together endways; and resting, as before, one of the extremities of the metallic circuit on the femoral nerve, it is necessary, in order to produce contractions, to bring the other extremity of the conductor nearer and nearer to the muscles, in proportion as the irritability of the organs diminishes.
The liability to femoral hernia is in like manner increased by the upright position. Now, if man has always been erect from his creation or, if that term be disliked, from his origin we have evidently nothing to hope from the future in the way of an amendment of this and other defects.
The wound was in her thigh, going obliquely upwards, and therefore, as he thought, could not have been given by the deceased herself. The knife, too, was as he said, laid farther than the deceased could have carried it after the receipt of the wound, which being in the femoral artery must be mortal in a minute, or a minute and a half at most.
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