The Practitioner Volume 77

The Practitioner Volume 77

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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. 1906 edition. Excerpt: ... in association with an invagination from the external epiblast. Such an association is suggested in the case of the cervix, although there is no embryological evidence of it. Casualty Physician, St. Bartl0lonmu's Hospital, ' Registrar, National Hospital for Paralysis and Epilepsy. THE question of the conditions underlying an attack of acute abdominal pain is obviously one of great importance, and I shall endeavour to draw attention to some points which it is essential to bear in mind when dealing with such cases. A very brief consideration of the causes of pain felt in the abdomen at once makes it evident that cases of this kind may be divided into two main classes. (i) Those where the pain is merely referred to the abdomen, the morbid condition giving rise to it existing in some other part of the body. (ii) Those where the pain is due to intra-abdominal disease. Taking the first class, we frequently find mistaken diagnoses arising from failure to bear in mind the existence of such referred pain. Diseases of the pulmonary and nervous systems are perhaps the most likely to give rise to such mistakes. It is well known to all, though, as I have mentioned, sometimes overlooked, that intra-thoracic affections may give rise to acute pain, which is referred to the abdomen. Such pain, coupled with the evident illness of the patient, has before now led to a laparotomy being needlessly performed. In most cases a thorough examination of the patient, combined with careful consideration of the various points observed, would have obviated this, and I may well take this opportunity of urging most strongly the necessity of making such an examination, and the care that is needed to avoid focussing too much attention on what at first sight appears to be...
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Product details

  • Paperback | 322 pages
  • 189 x 246 x 17mm | 576g
  • United States
  • English
  • black & white illustrations
  • 123677339X
  • 9781236773395