Transactions of the Medical Society of Virginia, Volume 37, Part 19061906 |
Contents
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Common terms and phrases
abdominal Albemarle Alumni Amer April Assn Asst Attended Sess Balt Balto blood Board bone Born Richmond cancer cent Charlottesville City Committee companies condition cure Danville diagnosis Dinwiddie disease Ditto doctor doses duct educ EDWARD Elec Elect Ex-Pres Exam examination fracture fragments gall bladder gall stones gastric ulcer George Grad Health hemorrhage Henrico High School Hosp hospital incision infection Inst intestinal JAMES JOHN Jour June Lynchburg M. D. Jeff M. D. Med M. D. Univ malarial Medical Society Memb method months Norfolk Obstet operation Papers for Soc Passed Passed Med patient Petersburg Phila physician Pittsylvania practice pregnancy present President-Dr Prof removed Richmond Richmond Acad Roanoke Sept slow sand filter Society of Virginia stomach Surg surgeon symptoms Tazewell tion tissue treatment tube typhoid fever urine Vice-President-Dr Washington WILLIAM wire
Popular passages
Page 178 - The patient should be placed in a good light, and if a child, properly held. In cases where it is possible to get a good view of the throat, depress the tongue and rub the cotton swab gently, but freely, against any visible exudate, revolving the wire between the fingers, so as to bring all portions of the swab in contact with the mucous membranes or exudate.
Page 306 - College, and at the time of his death was president of the board of trustees of the New York State Normal School at New Paltz.
Page 108 - This is my theory as to how the whole thing is done, and it seems reasonable, for if a gall stone can come out of the tubes, why cannot the oil go in, if the position is favorable, like pouring liquid into a bottle ? This is the only way in which I can account for the facts, which have been observed too often to be considered a mere accident or a post hoc.
Page 13 - And, seeing ignorance is the curse of God, Knowledge the wing wherewith we fly to heaven, Unless you be possess'd with devilish spirits, You cannot but forbear to murder me.
Page 108 - ... elevated four inches, the oil glides out of the stomach into the duodenum and backs up as in a reservoir. When the position is changed to the left side, as described, the oil finds its way into the common duct and perhaps into the gall bladder, and so the tubes are lubricated, the calculi are oiled up, and when the patient assumes the upright position the oil flows out by the force of gravity and brings the calculi along with it. This is my theory as to how the whole thing is done, and it seems...
Page 228 - There is apt to be nausea, hiccough, and extreme tenderness of the abdominal walls. The escape of the fetus from the tube without much loss of blood is marked by severe pain referable usually to the side, tenderness of the abdomen, and often a temperature rise. The rupture may be spontaneous or provoked by some slight trauma. Physical Diagnosis. — The os and cervix are often soft, and either firmly confined by adhesions or pushed entirely out of their natural position by the rapidly enlarging cyst.
Page 228 - It may possibly be differentiated from these by the history, the malposition of the uterus, and the disturbances of pregnancy. In the second period of pregnancy diagnosis is not so difficult, but it is nearly always Impossible to distinguish one variety from another. In making a diagnosis we have what we can elicit from the story of the patient In her own words, her replies to minute questionings, and a physical examination. After the escape of the...
Page 227 - ... or reddish nature, and may be apparently so profuse as to call for the tamponade. In the primary abdominal type there may be no disturbance of the menstrual function. The return of the menses is indicative of fetal death. The rectum may be Irritable and pulsation can often be elicited by vaginal palpation. The most typical symptom is metrorrhagia coincident with the symptoms of pregnancy in Its early stages. If associated with this is a discharge of decidual tissue one should expect extrauterine...
Page 227 - The symptoms are divided into those common to all varieties, and those peculiar to individual varieties. Of the first class are the reflex symptoms which belong to all normal pregnancies. The nausea and vomiting are commonly severe and begin usually early in pregnancy. Two symptoms specifically point to extra-uterine gestation. They are the bloody discharge, and the abdominal pains which are as a rule colicky and sharp, they start from the region of the tumor and radiate downwards and outwards. These...
Page 229 - ... minute questionings, and a physical examination. After the escape of the fetus from the tube and the beginning of the secondary abdominal type, the acute symptoms may subside, but there are apt to be recurrent attacks of pain. An apparently normal condition necessarily tends to throw the physician and patient off their guard, The diagnosis is naturally difficult, because of the irregularity of the symptoms, the frequency with which it is simulated by other conditions, and the ease with which...