Clinical lectures and essays

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D. Appleton, 1875 - 428 sider

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Side 7 - The old people that are thin and dry and tough, clear-voiced and bright-eyed, with good stomachs and strong wills, muscular and active, are not bad ; they bear all but the largest operations very well. But very bad are they who, looking somewhat like these, are feeble and soft-skinned, with little pulses, bad appetites, and weak digestive power, so that they cannot, in an emergency, be well nourished.
Side 269 - Ignorance about sexual affairs seems to be a notable characteristic of the more civilized part of the human race. Among ourselves it is certain that the method of copulating needs to be taught, and that they to whom it is not taught remain quite ignorant about it.
Side 254 - I have seen carbuncles spread in as large a proportion of cases after incisions as in cases that have never been incised at all. I have in my mind a striking case that occurred to me early in practice, when I followed the routine, and, in a friend of my own, divided a carbuncle most freely. I cut it after the most approved fashion in depth and length and width, and then it spread. After two or three days more all the newly-formed part was cut as freely as the first, and then it spread again, and...
Side 410 - If there is any difference from its usual appearance, it is, that the ligament of the patella appears rather more relaxed than in the sound limb. The leg is readily bent or extended by the hands of the surgeon, and without pain to the patient: at most, the degree of uneasiness caused by this flexion and extension is trifling. But the patient himself cannot freely bend, nor perfectly extend, the limb in walking ; he is compelled to walk with an invariable and small degree of flexion. Though the patient...
Side 197 - edited by Howard Marsh, p. 197 : ' Among all the joints, the hip and the knee, which are the most frequent seats of real disease, are equally so of the mimicry — a fact not easy to account for. It may be due to mental association, perhaps unconsciously, or to a mingled inheritance — for instance, to an inheritance of nervous constitution and of relative weakness in the joint or joints most weak in progenitors.
Side 328 - You will find, in every day's practice, that fatigue has a larger share in the promotion or permission of disease than any other single casual condition you can name.
Side 14 - The worst of this class are such as have soft, loose, flabby, and yellow fat ; and I think you may know them by their bellies being pendulous and more prominent than even their thick, subcutaneous fat accounts for ; for this shape tells of thick omental fat ; and, I suppose, of defective portal circulation. I know no operations in which I more nearly despair of doing good than in those for umbilical hernia or for compound fractures in people that are over-fat after this fashion. Nothing short of...
Side 286 - Chastity does no harm to mind or body ; its discipline is excellent ; marriage can be safely waited for...
Side 260 - ... his occipital spine to the third cervical vertebra. He measured it for his own amusement, and it was fourteen inches over its surface transversely, and nine inches vertically — a carbuncle, then, of the largest size, and one, it might have been supposed, attended with considerable risk to life. I urged him very strongly to take a large quantity of what is called " support," for I was at that time under an impression of its necessity.
Side 262 - This should be spread large enough to cover the whole carbuncle, and over it should be laid a poultice of half linseed-meal and half bread. And, if you want to exercise your skill, learn to make that poultice well, and to put it on well, and to keep it in its place well. That mode of dressing the carbuncle, so far as the materials are concerned, will last through its whole course...

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