Articoli correlati a A System of practical surgery Volume 5

A System of practical surgery Volume 5 - Brossura

 
9781153424370: A System of practical surgery Volume 5

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1904 Excerpt: ...result. The most favorable form of diffuse peritonitis is the so-called fibrinosuppurative peritonitis of the progressive type. In this form the inflammation extends step by step until the pus occupies a considerable portion of the peritoneal cavity or is disposed in solitary abscesses which are shut off by adhesions between the coils of intestine. SYMPTOMS. For the sake of clearness, it is well to group symptoms which may arise during an attack of appendicitis under three heads: a. Symptoms which are due to disease of the appendix itself, b. Symptoms which are associated with-the peri-appendieular inflammation, c. Symptoms of diffuse peritonitis or other outcome of the trouble. a. Symptoms of Appendicitis when the Inflammation is Limited to the Appendix.--The pathological changes which take place in the appendix during an attack of inflammation of this organ are, as stated above, a severe catarrh with hemorrhage or ulcers of the mucous membrane. A rapid restoration of the normal condition is interfered with by the stenosis which these lesions produce, so that the course of the trouble is apt to be marked by exacerbations when stenosis interferes with the discharge of secretion, alternating with periods of improvement when such discharge takes place. It is well, therefore, to separate the symptoms into those which exist during an acute attack and those which exist in the intervals between attacks. There are certain symptoms which may be regarded as preceding a first attack. These are transitory colicky pains in the abdomen, slight disturbances of the stomach, intestine, liver, kidneys, or bladder, without visible cause therefor, pains which are often called rheumatic, or nervous, or hysterical, or which in women are frequently referred to the pelvic organs....

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