File:Lectures on the American eclectic system of surgery (1866) (14589747268).jpg

Identifier: lecturesonameric1866hill (find matches)
Title: Lectures on the American eclectic system of surgery
Year: 1866 (1860s)
Authors: Hill, Benjamin L. (Benjamin Lord), 1813-1871 Scudder, John M. (John Milton), 1829-1894, ed
Subjects: Surgery, Eclectic General Surgery
Publisher: Cincinnati : Scudder and McCarthy
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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f not also of the external, to be a first or early occur-rence. Whether formed by and within, or only from and aboutthe vessel, an enlarging and pulsating tumor is the charac-teristic result. When much of its capsule or sac is not consti-tuted of any of the proper coats of the vessel, but of a cystproduced from the effused lymph surrounding an orifice throughwhich it receives its deposit of* blood, it is called ealse aneurism.When there is no such covering, the artery only continuing topour out its blood into the cellular tissue, it constitutes diffusedanuerism. When the effusion runs alono- between the coats of ANEURISM—NATURE AND TREATMENT. 579 the artery itself, it is sometimes distinguished as a dissectinganeurism. The exciting cause may be local injury, violentbodily exertion or strong mental emotion. The patient oftenrefers to a strain when something was felt to give way.There is generally a predisposing cause in some form of cachexia,such as syphilis or mercurialism. Fig. 25.
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The diagnostic symptoms are obvious: The swelling beatssynchronous with the artery, along the course of which it occurs,and can be emptied of its contents by simply pressing on the Fig. 26.

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