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A good many different forms of severe painful conditions, especially all those complicated by peritonitis, were included under the term, and the modern student of surgery is likely to wonder whether these old observers had not noted that the right iliac region was particularly prone to be the source of fatal conditions.
When he "strings," as he called it, the sartorius, that ribbon muscle shows itself as a tight cord, extending from the front of the iliac spine to the inner side of the knee. Another trick was to leave flaccid that part of the serratus magnus which is attached to the inferior angle of the scapula whilst he roused energetic contraction in the rhomboids.
The aorta at last divides into two main branches, the common iliac arteries, which, by their subdivisions, furnish the arterial vessels for the pelvis and the lower limbs. Left Cavities of the Heart.
In 8 cases out of 2200 Bergh found the pubic hair forming a large curly wig extending to the iliac spines. The individual hairs have occasionally been found so stiff and brush-like as to render coitus difficult.
The os innominatum may be so fractured that the pelvic girdle is broken, as in fracture of the iliac shaft, or in a manner that the girdling continuity of the innominate bones is not interrupted. It naturally follows that greater injury is done when the pelvic girdle is broken than when it is not, except in cases where the acetabulum is involved and its brim not completely divided.
On the same day that I made the enquiries I have been repeating, a letter arrived; written not by her, but at her request; which informed me that, if I meant to see her alive, I must use all possible speed: for that she had been suddenly seized with dangerous and intolerable pains; which according to the description given in the letter, were such as I found from enquiry belong to the iliac passion; and that she was then lying at the last extremity.
Because of the relationship between the long axes of the femur and iliac shaft it is evident that the angle formed by these two bones is maintained chiefly by the gluteus muscles during weight bearing. Contraction of muscular fibers of the gluteus medius causes extension of the femur and muscular strain is prevented to a great degree by the inelastic portion of this muscle.
Wednesday, Feb 11th, 9:30 A. M., pulse 90, temp. not taken. Condition good. Ordered a laxative. Friday, Feb 13th, considerable inflammation over the left iliac crest, in the centre of which, a spot as large as the thumb nail, looks gangrenous. The inflammation extends over a surface as large as the two hands. Some bullae or blebs have formed in the vicinity of the gangrenous spot.
Other glands strengthen or invert their motions by sympathy. 8. Vomiting performed by intervals. 9. Inversion of the cutaneous absorbents. 10. Increased secretion of bile and pancreatic juice. 11. Inversion of the lacteals. 12. And of the bile-ducts. 13. Case of a cholera. 14. Further account of the inversion of lacteals. 15. Iliac passions. Valve of the colon. 16. Cure of the iliac passion. 17.
De Haeu, by means of a syringe, forced so much water into the rectum intestinum of a dog, that he vomited it in a full stream from his mouth; and in the iliac passion above mentioned, excrements and clyster are often evacuated by the mouth. See Section XXV. 15.
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