Monographic Medicine; The Prognosis of Internal Diseases Volume 6

Monographic Medicine; The Prognosis of Internal Diseases Volume 6

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1916 edition. Excerpt: ... Diverticulum--a circumscribed dilatation of the intestine--may be either congenital or acquired. Aschoff classifies diverticulum as either true or false. The false diverticulum is characterized by coves in the intestinal wall in which the hollow opens into the muscularis and causes prolapse of the mucosa. The true diverticulum is characterized by a localized excavation of a part of the intestinal wall in which the mucosa is included. The one (false) is a mural, the other (true) is a diverticulum of the mucous membrane. The false is included between the mucosa and peritoneal covering of the gut. The true diverticulum is usually congenital. The intestinal surface has the appearance of partial perforation and the coves are most abundant and usual at the sigmoid flexure. The appendix may be involved, and unquestionably appendicular diver-ticulum is a cause of appendicitis. Diverticulum may be single or multiple. The acquired diverticula are found in advanced life. Diverticula may lead to obstipation, pocketing, inflammatory conditions (diverticulitis and perisigmoiditis), giving rise to serious symptoms. Intestinal obstruction may be caused by Meckel's diverticulum (See Intestinal Obstruction), or the smaller multiple or single diverticula may lead to stricture with consecutive dilatation, gangrene, ulceration, perforation, fistula formation (vesico-colic fistula) and distant suppuration, also thrombosis (phlebitis). In elderly subjects carcinoma is simulated. A surprisingly large number of physicians have recently suffered from the disease and have been successfully operated.(resection). The results at the Mayo and other clinics where a large number of cases have been detected, have been surprisingly satisfactory. Unfortunately the diagnosis is not...
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Product details

  • Paperback | 598 pages
  • 189 x 246 x 31mm | 1,052g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236661494
  • 9781236661494