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After some little difficulty the point of the arrow was raised above the sternum, and it was extracted without the loss of an ounce of blood. The edge grazed against the sheath of the innominate artery during the operation. The missile measured an inch at the base, and was four inches long. The health of the patient underwent remarkable improvement immediately after the operation.
In the innominate bones of a young child the box-shape exists, while its prominent abdomen resembles that of the gorilla. The gibbon exhibits this iliac expansion through the sitting posture which developed his ischial callosities. Similarly iliac expansion occurs in the chimpanzee.
The Moore-Corradi method has been successfully employed, access to the sac having been obtained by opening the abdomen. Ligation of the aorta has so far been unsuccessful, but in one case operated upon by Keen the patient survived forty-eight days. #Innominate aneurysm# may be of the fusiform or of the sacculated variety, and is frequently associated with pouching of the aorta.
The vessels which take part in the process of absorption. Absorption. The process of sucking up nutritive or waste matters by the blood-vessels or lymphatics. Accommodation of the Eye. The alteration in the shape of the crystalline lens, which accommodates, or adjusts, the eye for near or remote vision. The cup-shaped cavity of the innominate bone for receiving the head of the femur.
Thus, if a man had one ox, and his neighbour another, and they agreed that each should in turn lend the other his ox for ten days to make use of, and then one of the oxen died while working for the man to whom it did not belong, an action cannot be brought on hire, nor on a loan for use, for a loan for use ought to be gratuitous: but an action should be brought as on an innominate contract.
But what earthly use has a man for valves in the intercostal veins which carry blood almost horizontally backward to the azygos veins? When recumbent, these valves are an actual obstacle to the free flow of the blood. The inferior thyroid veins which drop their blood into the innominate are obstructed by valves at their junction.
At the autopsy 3/4 pint of blood was found in the stomach, and a perforation was discovered on the right side of the esophagus, leading into a cavity, in which a blackened half-penny was found. A probe passed along the aorta into the innominate protruded into the same cavity about the bifurcation of the vessel.
The shoulder girdle is formed by four bones—two clavicles, or collar bones, and two scapulæ, or shoulder blades. The pelvic girdle consists of two large bones of irregular shape, called the innominate bones. They connect behind with the sacrum and in front they connect, through a small pad of cartilage, with each other.
In three of the cases collected there was no autopsy and the vessel affected was not known. In a child of three years that had swallowed a half-penny, Atkins reports rupture of the innominate artery.
A careful consideration of the position in which the swelling first appeared, of the direction in which it has progressed, of its pressure effects, and of the condition of the pulses beyond, may help in distinguishing between aortic, innominate, carotid, and subclavian aneurysms. Skiagraphy is also of assistance in recognising the vessel involved.
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