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Updated: May 25, 2025
If it is not evident that an open joint exists and the articular cavity is not exposed to view a positive diagnosis may be early established by carefully probing the wound. In some cases where a small wound has perforated the joint capsule, swelling and slight change of relation of the overlying tissues may preclude all successful exploratory probing.
ZONE OF FLOW, ZONE OF FLOW AND FRACTURE, AND ZONE OF FRACTURE. We may believe that at depths which must be reckoned in tens of thousands of feet the load of overlying rocks is so great that rocks of all kinds yield by folding to lateral pressure, and flow instead of breaking.
There must be remains of early and better states covered up and hidden away in her soul, but not lost; and by means of these she may be saved yet, I fear, that only through deep suffering will the overlying accretions of folly be broken away."
The completeness of the analgesia of the articular structures and of the overlying soft parts is illustrated by the fact that in one case the patient himself was in the habit of letting out the fluid from his elbow with the aid of a pair of scissors, and that in another the joint was painlessly excised without an anæsthetic.
A portion of the way is dangerous, the moraine bluff being capped by an overlying lobe of the glacier, which as it melts sends down boulders and fragments of ice, while the strip of sandy shore at high tide is only a few rods wide, leaving but little room to escape from the falling moraine material and the berg-waves.
Dunsford, the elderly country parson, once fellow and tutor of his college, still reports the conversations of the friends; Milverton and Ellesmere are, in their own way, as fond of one another as ever; Dunsford is still judicious, kind, good, somewhat slow, as country parsons not unnaturally become; Ellesmere is still sarcastic, keen, clever, with much real worldly wisdom and much affected cynicism overlying a kind and honest heart.
And so, staying till about four o'clock, we set out, I alone in the coach going and coming; and in our way back, I 'light out of the way to see a Saxon monument, It consists of three upright stones and an overlying one, and forms a small chamber open in front. It is supposed to have been the centre of a group of monuments indicating the burial-place of the Belgian settlers in this part of Britain.
As the quartz insensibly passes into the sandstone, it seems probable that the former owes its origin to the sandstone having been heated to such a degree that it became viscid, and upon cooling crystallised. While in the soft state it must have been pushed up through the overlying beds.
No difficulty is encountered in recognizing these conditions even where considerable organization of tissue overlying distended thecae occurs. In such cases there may be only slight fluctuation of the enlargement, but if necessary, an aseptic exploratory puncture may be made with a suitable needle or trocar. Treatment.
In most parts a soft sand overlying hard loam, like work en pise, limestone and coralline; it shows evidences of inundation: water-worn stones of a lime almost as compact as marble, pieces of quartz, selenite, basalt, granite, and syenite in nodules are everywhere sprinkled over the surface.
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