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The American Journal of the Medical Sciences, 1884, Vol. 88 (Classic Reprint)

Author : I. Minis Hays
Publisher : Forgotten Books
Release Date : 2016-12-05
ISBN 13 : 9781334520969
Pages : 622 pages
Rating : 4.5/5 (334 downloads)

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Download The American Journal of the Medical Sciences, 1884, Vol. 88 (Classic Reprint) PDF Format Full Free by I. Minis Hays and published by Forgotten Books. This book was released on 2016-12-05 with total page 622 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excerpt from The American Journal of the Medical Sciences, 1884, Vol. 88 This possibility of spontaneous resolution, together with the possibility of Spontaneous evacuation by ulceration upwards through the vault of the cranium, or downwards into the orbital or nasal cavity, furnish the best jus tification of the surgeon's non-interference with the disease; but when we consider how exceedingly rare is the spontaneous cure of brain abscess, this justification must appear rather slender. In the great majority of cases, the surgeon is deterred by the difficulties of the diagnosis. The symptoms of commotion of the brain and of fractures are recognized with comparative ease, but the symptoms of lepto meningitis (in ammation of pia mater), and of emmollition or encephalitis proper so closely resemble those of cerebral abscess that the formation of an accurate, differential diagno sis often becomes an impossibility. Thus we read of a number of cases in which trephining was performed with a view to evacuate an abscess, and in which the disease afterwards found to exist was meningitis or encepha litis. In not a few of the cases of meningitis (rivington, Gross, Shallon) the patients died in from three to twenty-four hours after the Operation. Such experience naturally makes the surgeon reluctant to have recourse to the trephine, and it does so, perhaps, more than is justifiable, acute lepto-meningitis being as necessarily fatal as cerebral abscess, if not even more so. Under such doubtful circumstances the operation of trephining will, in case the disease be lepto-meningitis or encephalitis, cut off some hours of more or less unconscious life, but, on the other hand, if an ah scess should be present, it may save the patient's lif8.'v The aspect 0f things is widely different in such cases as Dentu's, in which trephining and opening of the dura mater may be assigned as the causes of a subec quent and not pre-existent fatal lepto-meningitis. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works."