Medical Bulletin - Pennsylvania. University. Department of Medicine Volume 23

Medical Bulletin - Pennsylvania. University. Department of Medicine Volume 23

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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. 1911 edition. Excerpt: ...and nerve tissue, we have no means at our command to positively prove that the trouble is confined to either substance; it may be a neuromyositis, but for therapeutic purposes it is looked upon as a muscular disturbance, the minute nerve fibers being lost sight of, because of our ability to so successfully manipulate muscle tissue. Given sciatic symptoms, the diagnosis of this type of cases rests upon the muscular resistance offered in palpation and the pain elicited upon pressure, alone, at about the area shown in the accompanying drawing. Petre"n gives two possible explanations for the symptoms: "(1) that the symptoms may be due to a myositis followed by compression of the nerve, or (2) that the inflammation may have extended to the trunk of the great sciatic nerve or its immediate neighborhood;" and he further remarks that "each may hold good in different cases." The duration of the disease is uncertain; it may last for many months, but under proper treatment the intensity of the pain usually subsides in a few days, and in long-standing cases a few weeks may be required for the removal of the indurated area. The best plan of treatment is that giving temporary relief, which is to be followed by the removal of the cause. The acute cases should be given a saline purge at once and kept at rest in bed until there is an amelioration of the symptoms; this usually occurs soon, but atmospheric conditions sometimes act unfavorably. The part may be immobilized: however, there is no absolute need for this unless it affords relief to the patient. The drug of choice for internal use is aspirin, and a dram and a half or even more in twenty-four hours may be necessary; the usual doses given are entirely inadequate. Locally, more

Product details

  • Paperback | 216 pages
  • 189 x 246 x 12mm | 395g
  • United States
  • English
  • black & white illustrations
  • 123690818X
  • 9781236908186