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Updated: April 30, 2025
In later years the tibia may present alterations in shape resulting from antecedent gummatous disease for example, nodular thickenings of the shaft, flattening of the crest, or a more uniform increase in thickness and length of the shaft of the bone, which, when it is curved in addition, is described as the "sabre-blade" deformity.
The time required for the tissues to return to the normal varies from a few hours to several weeks. An acute inflammation may end in the chronic form. This may then terminate in new formations, such as adhesions, fibrous thickenings and bony enlargements. Severe inflammation, especially if localized and superficial, may result in death of the part or gangrene.
In severe cases, intra-uterine fractures occur, and during parturition fresh fractures are almost sure to be produced, so that at birth there is a combination of recent fractures and old fractures united and partly united, with bendings and thickenings of the bones. Large areas of the cranial vault may remain membranous.
The treatment may be repeated, if necessary, after an interval of two weeks. Thickenings or enlargements in this region may involve a variety of structures. Thickening of the skin, tendons and sheath may occur.
Flowers about 2½ inches across, produced abundantly in August; rays narrow and pointed, cupped, with the ends turning outward; leaves lanceolate and sessile; rootstock creeping, forming tuberous thickenings at the base of the stems, which Asa Gray tells us were "the Indian potato of the Assiniboine tribe," mentioned by Douglas, who called the plant H. tuberosus. H. maximiliani.
Sins are all imperfections, thickenings of the soul from self-will: pure soul is necessary for the happy reception of this celestial activity, and because impurities are automatically dissipated by this activity, and the dissipation or dispersion of them is the most awful agony conceivable when too suddenly done, what is bliss to the saint is the extremity of torture to the sinner.
These fringes may be detached and form loose bodies like those met with in joints; less frequently there are fibrinous bodies of the melon-seed type, sometimes moulded into circular discs like wafers. The presence of irregular thickenings of the wall, or of loose bodies, may be recognised on palpation, especially in superficial bursæ, if the sac is not tensely filled with fluid.
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