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Total baldness increased this resemblance still more, for, under the rough skin of this reptile-shaped forehead, could be distinguished the slightest protuberances, the smallest sutures of his skull; as to his visage, let one imagine some old parchment drawn over the face, and only slightly tightened from the cheek-bone to the angle of the lower jaw, the ligament of which was plainly visible.
The 4th, 5th, and 6th ribs and cartilages are divided and the outer cutaneous flaps turned up; pushing aside the pleura with the finger, expose the pericardium and incise it longitudinally; suture the heart-wound by interrupted sutures. Del Vecchio adds that Fischer has collected records of 376 cases of wounds of the heart with a mortality two to three minutes after the injury of 20 per cent.
This complication is not usually serious, and can be prevented and controlled by observing proper precautions in cutting off the cord, or by picking up the cut ends of the vessel and ligating it. Packing the scrotal sack with sterile gauze or absorbent cotton, and closing the incision with sutures may be practised for the purpose of stopping this form of haemorrhage.
He advises tracheotomy whenever there is great difficulty of respiration, and describes how it should be done. After the dyspnea has passed the edges of the wound should be brought together with sutures. It is not surprising, then, to find that the treatment of fractures and luxations is eminently practical, and, indeed, on any subject that he touches he throws practical light.
Jagor did not himself visit these interesting caves, but he has brought crania thence which are of the highest interest, and which I must now mention. It is, as the traveler reports, celebrated in the locality "on account of its depressed gigantic crania, without sutures." The singular statement is made clear by means of a well-preserved example, which I lay before you.
With the execution of a good surgical technic, the ruptured tendon might be sutured; the wound of the tendon sheath as well as that of the skin carefully united by means of gut sutures, the leg bandaged and immobilized with leather splints and recovery follow in a reasonable percentage of cases so treated.
It is not known how far they represent a distinct and perhaps earlier experiment in negro-making, though this is the prevailing view; or whether the negro type, with its tendency to infantile characters due to the early closing of the cranial sutures, is apt to throw off dwarfed forms in an occasional way.
Treatment is only called for when it is causing inconvenience, the muscle being exposed by a suitable incision, the herniated portion excised, and the rent in the sheath closed by sutures. #Dislocation of Tendons.# Tendons which run in grooves may be displaced as a result of rupture of the confining sheath.
It was of a man in the prime of life, with the sutures scarcely closed, and only two teeth lacking, and none unsound, and I sent it on to the great craniologist, who replied with warm thanks. The skull, he said, was the finest for intellectual development in his collection, and he read a paper on it before the Imperial German Academy.
The horse looked as if he had labored far, while his rider was calmly resting; for the cross-felled sutures of his flank were crusted with gray perspiration, and the runnels of his shoulders were dabbled; and now it behooved him to be careful how he sucked the earthy-flavored water, so as to keep time with the heaving of his barrel.
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