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Updated: May 7, 2025
I then introduced a trocar and canula, and drew off fifty ounces of pus, slightly tinged with blood. I re-adjusted the compresses and bandage over the sinus, hoping that a part of it at least would become obliterated before it became necessary to open it more freely. Feb. 15th, 5 P. M., pulse 112, temp. 102.5.
The patient was in great collapse, but quickly rallied, only to suffer renewed hemorrhage from the internal carotid nine days later. This was controlled by pressure with sponges, and a quart of hot water was injected into the rectum. From this time on the patient made a slow recovery, a small sinus in the lower part of the neck disappearing on the removal of the catgut ligature.
Halsted reports the history of a boy of seventeen, who, while out fowling, had the breech-pin of a shot-gun blown out, the sharp point striking the forehead in the frontal suture, crushing the os frontis, destroying 1 3/4 inches of the longitudinal sinus, and causing severe hemorrhage from both the longitudinal and frontal sinuses.
These symptoms are due, in the majority of cases, to an aneurysmal varix of the internal carotid artery and cavernous sinus, which is often traumatic in origin, being produced either by fracture of the base of the skull or by a punctured wound of the orbit.
The larvæ of the sheep Bot fly live, during April, May and June, in the frontal sinus of the sheep, and also in the nasal cavity, whence they fall to the ground when fully grown. In twenty-four hours they change to pupæ, and the flies appear during the summer. Its habits are not known, though the young of other species infest the opossum, squirrel, hare, etc., living in subcutaneous tumors.
We did nothing but stand about and talk in subdued tones, until the doctor had completed his examination of the silent figure by the light of my lamps. It did not last long. "Death was instantaneous," he said, as he stepped down from the car. "The bullet appears to have passed straight along the longitudinal sinus, and, as near as I can tell, he must have been dead about an hour."
There is a distinct crater on the S. wall, not shown in the maps. Between this side of the formation and the bay is a number of hills running parallel to the shore-line: these, with the intervening valleys, will repay examination at sunrise. MAUPERTUIS. A great mountain enclosure of irregular shape, about 20 miles in diameter, in the midst of the Sinus Iridum highlands, N. of Laplace.
In the publication before alluded to, I have mentioned the case of a middle-aged man with a psoas abscess depending in diseased bone, in whom the sinus finally closed after months of patient perseverance with the antiseptic treatment.
The most part of spices which commeth into Persia is brought from the Island of Ormus, situate in the gulfe of Persia called Sinus Persicus, betweene the maine land of Persia and Arabia, &c.
It is recognised clinically by the characteristic cauliflower growth at the orifice of the sinus, and by the offensive nature of the discharge. A similar epithelioma may arise in connection with a chronic ulcer of the leg. The cancer may infect the femoral lymph glands.
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