System of Surgery Volume 1

System of Surgery Volume 1

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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. 1895 edition. Excerpt: ... parotid and thyroid glands, and exceptionally in the testicle. Metastatic deposits in the internal organs often go undetected, their presence bein, of course, by no means so evident as in the situations mentioned. ndeed, the special symptomatology of abscesses in internal 0rgans--and they may occur in almost any--is not characteristic: in the lungs there may be cough and expectoration, with some dyspnoea, but so long as the abscesses are small there is little to judge from. With pleuritie exudation, however, the evidences of dyspncea, with dulness on pressure, faintness or absence of respiration-and voice-sounds, indicate the condition; sometimes there are the other evidences of pleurisy--the inability to take a long breath, difiiculty in lying upon one side or the other, and increase in frequency of the respiration. Icterus is liable to be present in metastases into the liver, but, as this is also present as the result of the destruction of the red blood-corpuscles in hnematogenic icterus, the condition is not diagnostic of the metastases unless it be associated with increased area of liver-dulness and localized tenderness, with possibly a tumor if the abscess become very large. In splenic involvement the increased area of dulness is almost the only sign to indicate the local trouble, and it is a further source of confusion if the question of malaria comes up. The spleen is, however, one of the rarer seats of secondary deposits. The only case of secondary pytemic abscess in the muscular tissue of the heart that I have any knowledge of I saw at the autopsy of an Italian laborer who died in the New Haven Hospital after an illness of nearly two months. This case will be referred to again in speaking of the mixed form of pyosepticaemia. We...show more

Product details

  • Paperback | 410 pages
  • 189 x 246 x 21mm | 730g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236800672
  • 9781236800671