Diseases of the intestinesW. Wood, 1904 - 397 من الصفحات |
عبارات ومصطلحات مألوفة
abdomen abdominal wall abscess acid acute affection amount anæmia anus appears appendicitis attack biliary blood cæcum cancer catarrh cathartics cause cells chronic colic colon color condition consists constipation dejecta develop diagnosis diarrhoea diet disease doses duodenal ulcer duodenum dysentery eggs especially evacuation examination exist fæces fecal matter flexure frequently gastric give rise hemorrhage hemorrhoids ileum iliac injections instances intestinal canal intestinal catarrh intestinal obstruction intestinal tract intestinal wall large bowel latter lesions liver lumen membranous enteritis meteorism mucosa mucous membrane mucus muscles neoplasm nervous normal Nothnagel occasionally occlusion occur opium organs palpation paralysis passage patient perforation peristalsis peristaltic peritonitis piles portion present pressure principally produce prognosis quantity rare rectal rectum region rule sensations sigmoid flexure small intestine solution sometimes sphincter stenosis stomach stools stricture symptoms tænia tapeworm tenesmus tion tissue treatment tube tumor usually vomiting Wochenschr worms
مقاطع مشهورة
الصفحة 214 - Jn a straight line from the umbilicus to the anterior superior spine of the right ilium, he notices successively the character of the various structures as they come beneath and escape from the fingers passing over them. In doing this the pressure exerted must -be deep enough to recognize distinctly, along the whole route traversed by the examining fingers, the resistant surfaces of the posterior abdominal wall and of the pelvic brim. Only in this way can we positively feel the normal or the slightly...
الصفحة 306 - Abstain from administering cathartics in slight transient disturbances of digestion — let nature take her own course. Never put a patient on a one-sided diet for too long a time; the exclusion of vegetables, fruits, and starchy foods in general from the diet is frequently the cause of marked constipation. A hygienic mode of living, regular habits, less business strain and worry, and more outdoor life and exercise, are of great importance.
الصفحة 171 - If the tumor is located farther up in the large bowel or the small intestine the results of an operation are not so promising, for here the recognition of the growth is possible only at an advanced period, and by that time often adhesions with other organs and cancerous infection of the glands have already taken place. Excision of the tumor and resection of the intestine in the neighborhood of the neoplasm, with an end-to-end anastomosis, should be practised whenever feasible. In case, however, total...
الصفحة 198 - The hemorrhage is decidedly diminished, the parts are more accessible, and the principal vessels can nearly all be secured before they are divided. An incision was carried from the lower part of the sacrum down to the anus, until the posterior wall of the rectum was reached. I then removed the coccyx, for two reasons — first, I wished to narrow the gut as high up as possible, and, secondly, I thought that the proposed action of the levator ani might thus become less impeded. The lumen of the rectum...
الصفحة 268 - There is one measure for the treatment of acute intestinal obstruction, and that is by means of laparotomy. The operation should be performed at the earliest possible moment, as soon, indeed, as the diagnosis is reasonably clear.
الصفحة 178 - ... haemorrhage was taking place. Later on I shall narrate a few cases illustrative of this fact. The arterial variety, as described by some authors, consists in tumors in which are found numerous arteries and veins freely anastomosing, tortuous, and sometimes dilated into pouches. They are described as varying in size, sessile or somewhat pedunculated, attaining sometimes very considerable dimensions, glistening or slightly villous on their surface, slippery to the touch, hard and vascular, with...
الصفحة 171 - ... enterocolostomy, or, if the cancer is situated in the rectum, a colostomy (artificial anus) will be of benefit. These operations are palliative in nature and prolong life, at the same time making it more comfortable. They are intended to allay the symptoms of obstruction and to carry the fecal matter over a new route, not passing through, and thus not irritating, the cancerous area. In some instances of inoperable cancer of the rectum curettage, followed by the application of the thermocautery,...
الصفحة 230 - ... operation. 2. In cases of acute appendicitis the patients always need careful observation. If the pulse goes up above 116 to 120, and has the tendency to stay there, the indication for an operation is given. In case of doubt, the operation is better than waiting. 3. In cases of sub-acute (mild) attack of appendicitis, also after the first severe attack from which the patient recovers without immediate operation, the appendix should be removed. The appendix, once inflamed, has to be looked upon...
الصفحة 214 - I have lately found that for myself an easy way is to stand on the patient's right, using three right-hand fingers to feel with, and three left-hand fingers placed upon these to press with. The fingers that are to do the feeling are pressed by means of the three others down under the border of the right rectus abdominis muscle at the level of the navel, and slowly drawn toward the examiner. My sole landmark, the ascending colon, is then felt to slip out from under the fingers, and by repeating the...
الصفحة 193 - ... the pile from its connection with the muscular and sub-mucous tissues upon which it rests; the cut is to be made in the sulcus or white mark which is seen where the skin meets the mucous membrane, and this incision is to be carried up the bowel, and parallel to it, to such a distance that the pile is left, connected by an isthmus of vessels and mucous membrane only.