The Proctologist and Gastroenterologist Volume 2

The Proctologist and Gastroenterologist Volume 2

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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. 1916 edition. Excerpt: ...he had been very much depressed, feeling that he would never find improvement. On the (nth treatment he reported that his itching was better in the day time but not much changed at night, and onthe 10th treatment it was better both_day and night. The appearance about the anus is very much improved and he is improving rapidly in every way. Case CXVlI.--March 14, 1916, Mr. B., age 48. I operated on this patient, Jan. 7, 1905, for an irritable ulcer and internal hemorrhoids. His recovery was perfect_and he had no more trouble until, Jan. 1, 1916, when he tells me he had an aching in the rectum, has not been constipated. He describes a dull throbbtingl pain with a slight burning near the mucocutaneous border, worse after a s oo. _ _Examinzition shows evidence of pruritus ani although he says that the itching has not _been very severe in its character. Digital examination shows a tight sphincter with most pain 1 inch up anal canal on the left side. The lower side of the prostrate was quite tender. Diagnosis_ was reserved. The next day he came in saying that a severe pain came on late in the P. M. and lasted all night. On examination I find unmistakable evidence of an ischiorectal abscess iind ad'ised immediate operation which was not accepted and I have not seen ilm SIHCB. t tB&1cteriologic report showed streptococcus fecalis infection. Patient not rea e. Case CXVIII.--March 14, 1916, Mr. P., age 37, constipated up to 4 years flgfl. complains of frequent, severe headaches with a stiff neck and pruritus ani Was well up to 1903 when he had an attack of catarrhal jaundice of six or eight _weeks duration. Pruritus usually begins in P. M. and is quite intense on retir"lE The posterior anal skin shows moderate maceration with moisture, more

Product details

  • Paperback | 206 pages
  • 189 x 246 x 11mm | 376g
  • United States
  • English
  • black & white illustrations
  • 1236918770
  • 9781236918772