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It may cause no symptoms or it may interfere with the use of the hand, especially in grasping movements and when the hand is dorsiflexed. In girls it may give rise to pain which shoots up the arm. Ganglia are also met with on the dorsum of the metacarpus and on the palmar aspect of the wrist. [Illustration: FIG.
"But might not the hand have become detached after lying in the pond for some time?" "No. It could not have been detached until the ligaments had decayed, and if it had been separated after the decay of the soft parts, the bones would have been thrown into disorder. But the egg-patches are all on the palmar surface, showing that the bones were still in their normal relative positions.
These are best made of pigskin or cordovan leather, which is horse hide. This should be about a sixteenth of an inch thick and cut to such a form that the tips enclose the finger on the palmar surface up to the second joint and leave an oval opening over the knuckle and upper part of the finger nail.
As examples of proximal ligation for secondary hæmorrhage may be cited ligation of the hypogastric artery for hæmorrhage in the buttock, of the common iliac for hæmorrhage in the thigh, of the brachial in the upper arm for hæmorrhage from the deep palmar arch, and of the posterior tibial behind the medial malleolus for hæmorrhage from the sole of the foot.
The packing should if possible be brought into actual contact with the leaking point in the vessel, and so arranged as to make pressure on the artery above the erosion. The dressings and bandage are then applied, with the limb in the attitude that will diminish the force of the stream through the main artery, for example, flexion at the elbow in hæmorrhage from the deep palmar arch.
They are met with chiefly on the palmar aspect of the fingers, and vary in size from a split pea to a cherry. The treatment consists in removing them by dissection. Parasitic cysts are produced by the growth within the tissues of cyst-forming parasites, the best known being the tænia echinococcus, which gives rise to the hydatid cyst.
The stigmatization ensued very soon after these seizures. On a Friday she bled from the left side of her chest. On the following Friday this flow was renewed, and in addition, blood escaped from the dorsal surfaces of both feet; and on the third Friday, not only did she bleed from the side and feet, but also from the dorsal and palmar surface of both hands.
"If you mean pronated in relation to the arm, that is impossible, for the position of the egg-patches shows clearly that the bones of the arm were lying in the position of supination. Thus the dorsal surface of the arm and the palmar surface of the hand respectively were uppermost, which is an anatomical impossibility so long as the hand is attached to the arm."
"But might not the hand have become detached after lying in the pond some time?" "No. It could not have been detached until the ligaments had decayed, and if it had been separated after the decay of the soft parts, the bones would have been thrown into disorder. But the egg-patches are all on the palmar surface, showing that the bones were still in their normal relative positions.
The populous missions of the Caribbee and Guiana Indians, governed by the Catalonian Capuchins, lie near the sources of the Imataca and the Aquire. The easternmost of these missions are those of Miamu, Camamu, and Palmar, situate in a hilly country, which extends towards Tupuquen, Santa Maria, and the Villa de Upata.
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