The practice of surgery / by James Gregory Mumford ... with 682 illustrations.

  • Mumford, James Gregory, 1863-1914.
Date:
1910
Catalogue details

Licence: Public Domain Mark

Credit: The practice of surgery / by James Gregory Mumford ... with 682 illustrations. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    50/1044 (page 46)
    In Studying intestinal surgery bear in mind that there are three im- portant divisions of the subject: (a) The surgery of injuries; (b) of inflammations; (c) of new-growths; while at the same time one must II (Monks). remember constantly that lesions of the intestines often are secondary and complicate far-reaching constitutional disturbances. In consider- Fig. 19.—Intestinal localization (Monks). ing these three types of disease, remember that they all cause death in much the same way—through interference with metabolism, and in the end through peritonitis and toxemia. SYMPTOMS The examination for intestinal lesions is a difficult matter frequently, because the intestines are not always accessible by the methods employed in the examination of the more fixed abdominal organs. The patient's symptoms are an important guide: Pain suggests the location of trouble, but pain may be reflex or referred. The character of the discharge from the bowels is of value—frequent, loose, watery, bloody, lumpy, sHmy movements must be investigated, while the microscope and