A System of treatment v. 2, Volume 2

Front Cover
Macmillan, 1914


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Page 578 - They increase slowly, and but seldom, and only in their later stages, give rise to metastatic deposits in other parts of the body. They do not readily become adherent to important organs, though an exception to this statement must be made in the case of growths of the transverse colon, which frequently involve the stomach. Large portions of the colon can be removed without causing the patient any serious subsequent inconvenience or preventing him from enjoying life. The most important factor, as...
Page 308 - That when a radical operation can be performed, the thorough removal of the disease may bring about as much relief to the patient as does the operation for the removal of cancer in the breast, uterus, and other organs of the body, and that in some cases a complete cure may follow.
Page 382 - Leube, who states that onehalf or three-fourths of all cases of ulcer will be cured by four or five weeks of treatment, but if not cured in that time they will not be cured by medical treatment alone, has been more than borne out by the careful investigations undertaken by Dr. Bulstrode, at the instigation of Mr. Mansell Moullin, in 500 cases of ulcer occurring in the London Hospital from 1897 to 1902. He showed that 18 per cent, died while under medical treatment, and...
Page 439 - When there is delay in the passage of faeces through the intestines, the resulting constipation is frequently aggravated by neglecting to make a proper effort to evacuate the dry faeces collected in the bowel below the splenic flexure. Consequently this part of the intestine is never completely emptied, and an increasing degree of fiecal...
Page 699 - ... ounces of bile flowing from the fistula daily, produces so much discomfort, that in all the cases which have come under my notice the patients have preferred to accept the risks of operation rather than to retain their disability.
Page 183 - Bender's food may be given ; the peptonisation of the milk may be gradually diminished. As soon as the patient is able to swallow he should be encouraged to do so, provided coughing is not thereby set up. Minced meat or fish, custard, bread and milk, etc., may often be taken in the natural manner. It is quite impossible to foretell the length of time the patient will survive after the operation. The most promising case may die suddenly from septic broncho-pneumonia due to perforation of...
Page 331 - ... cases, and that it is difficult in the present state of our knowledge to say at first that the bleeding is not occurring from capillaries or small arterioles, it necessarily follows that medical treatment should always have a fair trial in every case of acute haematemesis.
Page 462 - ... greatly facilitated. Massage should never be employed if there is any evidence of inflammatory complications, and spastic constipation is generally made worse rather than better by this treatment. The bladder should be emptied immediately before the massage ; the patient should be recumbent and his knees raised by a pillow in order to relax the abdominal muscles as much as possible. The massage should be repeated daily, and should be continued regularly for several weeks at least. The best time...
Page 686 - In persistent jaundice ushered in by pain, and where recurring pains, with or without ague-like paroxysms, render it probable that the cause is gall-stones in the common duct. " (4) In empyema of the gall-bladder. " (5) In peritonitis starting in the right hypochondrium. " (6) In abscess around the gall-bladder or bile ducts, whether in the liver or under or over it.
Page 629 - Nelaton's guide, to detect any displacement of the femur at the hip joint, consists of a line drawn from the anterior superior spine of the ilium to the most prominent part of the tuberosity of the ischium.

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