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During the first four years she felt discomfort in the region of the umbilicus. About the seventh year she suffered tumefaction of the abdomen and thought she had conceived again. The abscess burst and an elbow of the fetus protruded from the wound. A butcher enlarged the wound and, fixing his finger under the jaw of the fetus, extracted the head.
Hughes gives an excellent description of the clinical aspect of arthritis which applies here: Acute arthritis begins like an ordinary attack of synovitis. In joints other than the pedal and pastern, there is sudden and extensive swelling, which at first is intra-articular, succeeded by extra-articular tumefaction, and accompanied by violent lameness. The pain soon becomes intense and agonizing.
I then introduced the blunt end of a curved needle between the eye and the lid; and thus drawing up the lid with the right hand, while I pressed gently on the eye with the left hand, I accomplished my object. I then subtracted three ounces of blood and gave a physic-ball. On the following day the eye was hot and red, with some tumefaction.
Now is not this the cause of all tumefaction, as indeed Avicenna has it, and of all oppressive redundancy in parts, that the access to them is open, but the egress from them is. closed? Whence it comes that they are gorged and tumefied.
Her labor was easy enough; she flowed a good deal, seemed exceedingly prostrated, had ringing in her ears, and other symptoms of exhaustion; the pulse was quick and small. On the second and third day there was some tenderness and tumefaction of the abdomen, which increased somewhat on the fourth and fifth. He had cases in midwifery before and after this, which presented nothing peculiar.
There was subsequently at attack of inflammatory fever, followed by tumefaction of the abdomen, convulsions, and death on the ninth day. The fetus had been contained in the peritoneal coat of the ovary until the fourth month, when one of the feet passed through the cyst and caused the fatal result.
"Fop" remained in this condition till the following autumn, suffering at times considerably from the increased inflammation and tumefaction of the lids, which continued obstinately to persist, insomuch that when turned out by the pressure of the fingers on them, they immediately contracted, and were forced inwards on the ball when freed from the fingers.
The symptoms of myxedema, as given by Ord, are marked increase in the general bulk of the body, a firm, inelastic swelling of the skin, which does not pit on pressure; dryness and roughness which tend, with swelling, to obliterate the lines of expression in the face; imperfect nutrition of the hair; local tumefaction of the skin and subcutaneous tissues, particularly in the supraclavicular region.
In similar cases tumefaction assumes enormous proportions, and Schenck speaks of a man whose head exceeded that of an ox in size, the lower part of the face being entirely covered with the nose, which had to be raised to enable its unhappy owner to breathe. Rayer cites two instances in which elephantiasis of the breast enlarged these organs to such a degree that they hung to the knees.
Generally the attendant is alarmed by a snoring or wheezing noise emitted by the animal in respiration, before he is aware of the existence of any tumefaction. This continues to increase, embracing in its progress the adjacent cellular and muscular tissues, and frequently the submaxillary and parotid glands.
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