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Updated: June 17, 2025
The four principal symptoms of appendicitis are: pain, which is usually felt most keenly somewhere between the umbilicus and the right groin, though this is by no means invariable; tenderness in that same region upon pressure; rigidity of the muscles of the abdominal wall on the right side; and temperature, or fever.
Arnold relates the history of a case of dysuria in which urine was discharged from the nose, breasts, ears, and umbilicus; the woman was twenty-seven years old, and the dysuria was caused by a prolapsed uterus. There was an instance of anomalous discharge of urine from the body reported in Philadelphia many years ago which led to animated discussion.
CLASS VIII. The next class includes the parasitic terata, monsters that consist of one perfect body, complete in every respect, but from the neighborhood of whose umbilicus depends some important portion of a second body. Pare, Benivenius, and Columbus describe adults with acephalous monsters attached to them. Schenck mentions 13 cases, 3 of which were observed by him.
Infection takes place through the umbilicus, and manifests itself clinically by spasms of the muscles of mastication. It is almost invariably fatal within a few days. Prophylaxis. Experience in the European War has established the fact that the routine injection of anti-tetanic serum to all patients with lacerated and contaminated wounds greatly reduces the frequency of tetanus.
Colonel Harris was interested in the restored Triumphal Arch of Titus erected to commemorate the defeat of the Jews A.D. 70, also in the beautiful Arch to Severus. At the end of the Rostra, or Orators' Tribune was the Umbilicus Urbis Romae, or ideal center of Rome and the Roman Empire. True it was that all roads led to Rome.
It was not until adult life that from an abscess of the groin was expelled what remained of the spelling-book that had been driven into the abdomen during boyhood. Kyle speaks of the removal of a corn-straw 33 inches in length by an incision ten inches long, at a point about equidistant from the umbilicus to the anterior spinous process of the right ilium.
The abdomen was sewed up with a darning needle and black linen thread; the woman recovered and bore a healthy child at the full maturity of her gestation. Crowdace speaks of a female pauper, six months pregnant, who was attacked by a buffalo, and suffered a wound about 1 1/2 inch long and 1/2 inch wide just above the umbilicus. Through this small opening 19 inches of intestine protruded.
I called upon you two hours ago; but, like Antony, 'you revel long o' nights. Ah, that I could add with Shakspeare, that you were 'notwithstanding up. I have just come from Paris, that umbilicus terrae, and my adventures since I saw you, for your private satisfaction, 'because I love you, I will let you know; but you must satisfy me with a meeting. Till you do, 'the mighty gods defend you!
She had been exposed with her two infants, who had been born twenty days, to this freezing temperature, and died on the next day. An examination of her body revealed five mammae, of which four projected as ordinarily, while the fifth was about the size of that of a girl at puberty. They all had an intense dark ring about them; the fifth was situated about five inches above the umbilicus.
At nine months, length of child 18 to 22 inches; weight, 7 to 8 pounds; skin rosy; lanugo only about shoulders; sebaceous matter on the body; hair on head about an inch long; testes past inguinal ring; clitoris covered by the labia; membrana pupillaris disappeared; nails reach to ends of fingers; meconium at termination of large intestine; points of ossification in centre of cartilage at lower end of femur, about 1-1/2 to 2-1/2 lines in diameter; umbilicus midway between the ensiform cartilage and pubis.
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