International Record of Medicine and General Practice Clinics Volume 59

International Record of Medicine and General Practice Clinics Volume 59

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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. 1894 edition. Excerpt: ...There was still no appearance of infection of the wound, but to make sure of this the sutures were removed. No pus was found, and examination per oaginam was negative. The temperature varied from 100'6 to 103, the pulse from 140 to 180. and the diarrhoea continued. Her condition was the same on December 4th----the temperature, 101 to 102'8; pulse, 126 to 140. The following day she had incontinence of urine and faces; the temperature was 1014" to 103'8, and the pulse 124 to 142; there was also marked tympanites. On December 6th, as the patient was going from bad to worse, and tenderness and fullness on the right side were more marked, it was determined to open the abdominal cavity over the site of the appendix. The patient was ansesthetized and the peritomeum opened, when five or six ounces of foetid pus escaped at once. Examination showed the abscess cavity to be shut off from the general cavity by adhesions, which were not disturbed. The cavity was washed out with hydrogen dioxide and lightly packed with iodoform gauze. There was no connection between the abscess and the original incision. Eight hours after the operation her temperature had fallen to 994, and the pulse to 128. The next day she was doing well. The abscess was washed out with hydrogen dioxide and an iodoform-gauze drain inserted, and this treatment was continued daily till December 10th, when, as there was no pus, the drain was omitted and the cavity was allowed to collapse, the wound being gradually drawn together by adhesive strips. It was noted on December 20th that the patient was rapidly gaining in strength, and that the cicatrization of the wound was nearly complete. This case teaches the folly of delaying reopening the abdominal cavity if a coaliotomy more

Product details

  • Paperback | 900 pages
  • 189 x 246 x 45mm | 1,574g
  • United States
  • English
  • black & white illustrations
  • 1236770293
  • 9781236770295