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Updated: July 8, 2025
#Tuberculous disease in the glands of the groin# is comparatively rare. We have chiefly observed it in the femoral glands as a result of inoculation tubercle on the toes or sole of the foot. The affected glands nearly always break down and suppurate, and after destroying the overlying skin give rise to fungating ulcers. The treatment consists in excising the glands and the affected skin.
In aneurysmal varix, a not infrequent result of a bullet wound or a stab, the communication with the vein may involve the main trunk of the femoral artery.
Occlusion of the inferior vena cava as a result of infective thrombosis is a well-known condition, the thrombosis extending into the main trunk from some of its tributaries, either from the femoral or iliac veins below or from the hepatic veins above. Portions of the softened thrombus are liable to become detached and to enter the circulating blood, in which they are carried as emboli.
During these attacks the large arteries femoral, brachial, and subclavian can be felt as firm cords, while pulsation is lost in the peripheral vessels. Gangrene eventually ensues, is attended with great pain and runs a slow course. It is treated on the same lines as Raynaud's disease.
In pigmented or melanotic cancers of the skin, the glands are early infected and increase rapidly, so that, when the primary growth is still of small size as, for example, on the sole of the foot the femoral glands may already constitute large pigmented tumours. [Illustration: FIG.
When the deep veins iliac, femoral, popliteal are involved, there is great swelling of the whole limb, which is of a firm almost "wooden" consistence, and of a pale-white colour; the œdema may be so great that it is impossible to feel the affected vein until the swelling has subsided. This is most often seen in puerperal women, and is known as phlegmasia alba dolens.
Wagtail had also to go on deck, but Paul Gelid remained firm as a rock. The limb was cut off, the arteries taken up very cleverly, and the surgeon was in the act of slacking the tourniquet a little, when the thread that fastened the largest, or femoral artery, suddenly gave way and a gush like the jet from a fire engine took place.
In every case there must exist either restriction of movement or an evident abnormal position of the leg, or both conditions may exist at once. Also, the leg may be markedly shortened. Lusk cites a case of a mule which had suffered femoral luxation.
Sometimes also specimens of fatty and earthy deposits in the arteries occur, in which exact similarity is shown in the plan, though not in the degree, with which the disease affects severally the humeral and femoral, the radial and peroneal, the ulnar and posterior tibial arteries." Dr. William Budd gives numerous instances of symmetry in disease, both lateral and serial.
He had frequently felt the same quick, hard beat in the femoral artery of his lambs when overdriven. It suggested a consumption too great of a vitality which, to judge from her figure and stature, was already too little. "What is the matter?" "Nothing." "But there is?" "No, no, no! Let your having seen me be a secret!" "Very well; I will. Good-night, again." "Good-night."
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