The Surgical Clinics of Chicago Volume 1

The Surgical Clinics of Chicago Volume 1

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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. 1917 edition. Excerpt: ... are equal. The knee-jerks in both knees are strong and equal. There is no Babinski and no sensory paralysis. Ophthalmoscopic Examination.--The pupils dilate equally and completely under atropin. The retina of the left eye is greatly discolored, showing evidence of a moderate chorioretinitis. The disk is blurred at the edges and sunken in the center, with the vessels dipping down into it. The vessels are congested but not pulsating. The choking of the disk covers two diopters. The retina of the right eye shows chorioretinitis, as in the other eye. The disk is also choked, but only to the extent of one diopter. The vessels are dilated, but not pulsating. ac-Ray examination discloses an irregular, oblong defect at the site of the previous operation (Fig. 253). COMMENTS AND OPERATION Dr. Ochsner (September 20, 1916): The history shows distinctly that we have here a cortical irritation. The injured area is plainly shown. I have a drawing here with which I wish to show where the primary injury was which affected the speech center on the left side, and also the motor areas controlling the upper and lower extremities. This area corresponds to the area of his deformity, and so we shall expect to find the cortical irritation to be due to pressure from protruding bone, old scar-tissue, or an organized blood-clot. The patient has been given grain of morphin and Tfo grain of atropin one-half hour before the anesthesia with ether was begun. This is done so that a minimum amount of anesthetic will be needed during the operation. As a rule, when a patient has been thoroughly anesthetized by this method, it is not necessary to apply any additional anesthetic throughout the course of the operation. We shall first elevate the head, as in the goiter operation, in...show more

Product details

  • Paperback | 348 pages
  • 189 x 246 x 18mm | 621g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236527496
  • 9781236527493