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Lectures on the Principles and Practice of Physic Volume 2 - Brossura

 
9781234561260: Lectures on the Principles and Practice of Physic Volume 2

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1871 edition. Excerpt: ...quantities of warm water had without difficulty been injected, I infer that the concretion had been impacted high up in the bowel, probably at the valve of the caocum. Some years previously the lady had suffered severe abdominal pains, which at the time were ascribed to the passage of a biliary calculus through the gall-ducts. In this instance, again, there was no evidence of any strong contractile efforts of the bowel above the place of obstruction. I would not advise you, however, to try firm pressure in any of these cases. You might easily rupture the distended, thin, unadherent, almost rotten intestine, by rough or careless manipulation. There is one further expedient which I should recommend in those trying cases which we know (no matter how) are of necessity fatal. In cattle that are 'blown' by over-feeding on wet clover, a rough procedure, that of piercing the distended bowel with a hay-fork, has often been practised by farmers with complete success. The distress from extreme distention of the intestines by wind is so intense, the craving for relief from that distress so importunate, and the comfort from obtaining it so great, that were I the subject of such pressing and prolonged torment, I should beg to have the inflated bowel eased by puncture with a fine trocar, even if I might (what is improbable) so lose a day or two of painful life. Since this thought was forced upon me by sufferings that I had personally witnessed, I have been gratified to learn, from a communication made to the Clinical Society by Mr. Thomas Smith, that the same thought (as was natural) had occurred to others before me, and been acted on with all the success of which it was capable; by Dr. Braxton Hicks, as well as by Mr. Smith, in this country, and by...

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