The Collected works of Christian Fenger, M.D., 1840-1902. v. 1, Volume 1

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W.B. Saunders Company, 1912

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Contents

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Page 342 - ... of an abscess in the brain is as necessary as in any other part of the body, and we would add even more so. A correct diagnosis of abscess having been made, the further difficulty presents itself of locating it with sufficient accuracy so as to be able to find it. A number of cases are on record in which a correct diagnosis had been made, the trephine also put on more or less at the right place, but the knife or trocar being passed into the brain, nevertheless, missed the abscess.
Page 273 - You will next procure a straight board, to reach from the middle of the thigh to the middle of the calf, a roller and some lint or old muslin and a piece of stout cord, and you will have all that you will need.
Page 366 - ... modes of treatment. By far the greater number of cases of morbus coxarius are cases of tuberculosis. It is still an open question whether the tuberculosis originates as a local osteo-tuberculosis in the head or neck of the femur, or in the acetabulum, as Volkmann believes it to do in most cases, or whether it may not primarily be a tuberculous synovitis. But be this as it may, the knowledge of the fact that a primary osteo-tuberculosis often exists a long time without giving any symptoms (of...
Page 440 - Malignancy of a dermoid cyst from combination with carcinoma, sarcoma, and myoma. These tumors originating in the tissues of the cyst are not so very seldom met with, and have been observed more commonly of late years because a more minute microscopical examination is made now than in former years.
Page 400 - The thickest part of the sac is right behind the fundus uteri, one-fourth to one-half inch in thickness, and there the tissue, viz., fibers of the uterine tissue of upper surface of fundus, is continuous with the wall of the sac ; however, on the posterior surface of neck and fundus, the tissue of uterus is not continuous with the sac, but the latter is separated from the uterus by a short layer of connective tissue, that permits of dissection and leaves the posterior surface of uterus and wall of...
Page 403 - The head presentation deep down in the pelvic cavity, in the direction of the resultant of the forces developed by uterine contractions, supported his view of the case. It is not necessary for the production of mural pregnancy that the tubes be involved. He thought there was much in the remarks of Dr. Nelson and Dr. Dudley. In cases in which there was sufficient contractility it was best to remove the placenta. Even under these circumstances it was not absolutely necessary. There was no danger in...
Page 375 - After patient had been in the hospital one year, he was dischaged, as he was able to walk about with the aid of crutches and a high sole under the foot of the sound leg. He still had large, granulating tuberculous sinuses. The large granulating sinuses still remain and will have to undergo further treatment of scraping and iodoform dressing. He can bear the weight of his body on the affected limb ; there is only slight active mobility in the new-formed joint. In this case the five or six years...
Page 363 - ... •can be introduced. Experience has shown that these canals are liable to contract and close up before the pulmonary cavity has become obliterated. The canal leading through the pulmonary substance, into the cavity, is best made by means of the thermo-cautery, .as was proposed by Albert and Koch. Their method has been ^strongly advocated by Mosler as being superior to any other as yet suggested. The smaller burner of Paquelin's cautery should, as was done in my case, be gradually worked in through...
Page 363 - ... the cavity ; the shorter the canal is, the easier will it be to keep it open and to drain off the contents of the cavity. Besides, we may reasonably expect to find pleural adhesions where the cavity is most superficial. These will prevent the operation from causing a pyopneumothorax. It almost seems that, under these particular circumstances, our natural dread of opening a pleural cavity is founded in theory more than in practice.
Page 285 - ... matters. During the following week Dr. Lee did not see the patient, but on the fifteenth day after the injury, he called at the Doctor's office, and complained of inability to speak or swallow, and also of a severe pain in the right side of the neck, which, he said, he could not bend. His appearance was that of a man suffering from severe tonsillitis. With considerable difficulty Dr. Lee succeeded in opening the patient's mouth enough to permit of limited inspection. The tonsils and soft palate...

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