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Updated: June 1, 2025
The wound is then to be treated like other wounds. It should be remarked, however, that if the stone is very large, it should be simply pushed up to the fundus of the bladder and left there, and no effort should be made to extract it." This description of the diagnosis of stone and of the operation of lithotomy is copied almost literally from Roger of Parma.
The uterus does not increase specially in its posterior part, but quite uniformly, so that, as might be expected, the fundus gradually detaches itself from the abdominal wall. Even if the adhesions were not broken down they would of necessity be so stretched as to be useless for their original purpose after delivery. Bands of adhesion could not share in the process of involution.
After puncture of the membrane, the discharge came through the natural passage and the child lived; Morgagni mentions a somewhat similar case in a little girl living in Bologna, and other modern instances have been reported. The rectum may terminate in the vagina. Masters has seen a child who lived nine days in whom the sigmoid flexure of the colon terminated in the fundus of the bladder.
There were two pupils in the left eye, both to the outer side of the iris, one being slit-like and the other resembling the fourth pupil in the right eye. All six pupils commenced at the periphery, extended inward, and were of different sizes. The fundus could be clearly seen through all of the pupils, and there was no posterior staphyloma nor any choroidal changes.
Where the disease had been progressive the intima, the mucosa and submucosa very seldom, however, the serosa were perforated by ulcers; in many cases there were gangraenous patches in the fundus of the stomach and along the intestinal tract.
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