Annals of Anatomy and Surgery Volume 7-8

Annals of Anatomy and Surgery Volume 7-8

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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. 1883 edition. Excerpt: ... which he had removed from a man 62 years of age, of spare habit, who, five years ago, began to suffer from symptoms of stone, and was then relieved of a small calculus, by the median incision, so far as he could judge from the appearance of the cicatrix in the perineum. A very short time, however, after this operation, the symptoms of stone re-appeared and increased in severity, especially during the past year. The urine was continuously bloody and voided every ten minutes in great agony. After putting the patient in bed, elevating the hips, and adminis tering alkalies fora few days, he was sounded. Theinstrument entered the bladder, which was much contracted, without difiiculty, but no rapping sound against the stone could be obtained, only a rubbing could be felt. It could be appreciated, however, by the exploration that the calculus was a large one. There was much tenderness in the hypogastrium, and examination by the rectum showed plainly the encroachment of the stone backwards, and gave great pain. After having examined the urine several times, and not obtaining any special evidence of kidney trouble, the patient was etherized, and a bi-manual exploration was resorted to, when a stone about the size of a duck's egg was recognized In view of the great irritability and contraction of the bladder, and the size of the stone, he determined to resort to lithotomy rather than to attempt to remove so large a calculus by rapid lithotrity. The lateral incision was made and a calculus, weighing 2,070 grains, or four ounces and two and a half drachms, was removed. When he first introduced his finger into the bladder he thought that there were two stones. The two stones were placed face to face so completely as to convey the impression...show more

Product details

  • Paperback | 198 pages
  • 189 x 246 x 11mm | 363g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236912071
  • 9781236912077