Surgical Experiences: The Substance of Clinical Lectures

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Hardwicke, 1865 - 656 стор.
 

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Сторінка 103 - ... has penetrated. A blunt or flat-ended probe should in such cases be carefully passed into the wound, and being gently pressed against one of the cut edges of the bone, its thickness may be measured, and the presence or absence of the inner table may thus be ascertained. If it should be separated from the diploe, the continued but careful insertion of the probe will detect it deeper in the wound ; a further careful investigation will show the extent in length of this separation, although not in...
Сторінка 55 - That, as I am a christian faithful man, I would not spend another such a night, Though 'twere to buy a world of happy days ; So full of dismal terror was the time.
Сторінка 273 - This he did so successfully that, to use his own words, the patient some years after the operation made several voyages to sea, in which he was able to go aloft with considerable agility, and to perform all the duties of a seaman; that he was twice shipwrecked, and suffered great hardship without feeling any further complaint in that limb.
Сторінка 182 - ... struck. There is slight incontinence of urine, but her bowels are regular. Her general health and assimilative powers are good. Pulse 120 ; tongue slightly coated ; she has occasional rigors. There is a small ulcer on the left leg, about the size of a sixpence, with a broad red circumference. She was ordered to take two grains of calomel and half a grain of opium every night. Moxa to be made on the side of the spine ; water dressing to be applied to the ulcer. Aug. 27th. — She thinks that she...
Сторінка 32 - I have already said, to suspect, that when we attribute the whole of this mischief to the mere accidental curvature of the spine, in consequence of violence, we mistake an effect for a cause; and that previous both to the paralytic state of the legs, and to the alteration of the figure of the back bone, there is a predisposing cause of both, consisting in a distempered stale of the ligaments and bones, where the curve soon after makes its appearance.
Сторінка 381 - This enables you to see if you have removed a circle of healthy cellular tissue beyond its margin. These cases, in private practice, are the most disagreeable and unsatisfactory that you can have to do with. Of course, your conduct will be guided alone by a strict sense of duty : you will neither be tempted to operate on account of the fee, nor tempted to refuse on account of the discredit which follows in consequence of a return of the disease. You will calmly consider what is on the whole best...
Сторінка 178 - I know of no single vice which does so much harm as smoking. It is a snare and a delusion. It soothes the excited nervous system at the time, to render it more irritable and more feeble ultimately.
Сторінка 84 - The vital contrivances by which it acts, and by which its action is directed, are so beautifully perfect, that the extent of the opening of the curtain is indicative of the state of the nervous apparatus it is destined to protect, by preventing such an amount of light impinging upon it as would be liable to injure it. In disease of the globe of the eye, the dilated pupil indicates more or less pressure on the retina by some cause in the globe itself, such as a peruianeiitly turgid choroid, &c.
Сторінка 179 - I can always distinguish by his complexion a man who smokes much; and the appearance which the fauces present, is an unerring guide to the habits of such a man. I believe that cases of general paralysis are more frequent in England than they used to be, and I suspect that smoking tobacco is one of the causes of that increase."* — Vide Lancet for 13th December, 1856, page 641.
Сторінка 522 - ... of a patient without succeeding in passing a bougie. I am told that a hospital surgeon, now deceased, passed a sleepless night from ; vexation, if he failed to introduce an instrument into the bladder in presence of his pupils. Such a man must have made many a false passage. Every good surgeon will fail occasionally in the introduction of a bougie...

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