Medical and Physiological Problems ...

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Page 146 - Alison, concluded that it is satisfactorily ascertained that no point of the brain, higher than the corpora quadrigemina nor of the cerebellum is essentially concerned in sensation.
Page 58 - Whether the boundaries of the pain or soreness extend beyond what the suspected inflammation could produce ? Thus, if inflammation of the liver be suspected, and we find the soreness extending to the ileum or groin, or to the opposite side of the abdomen...
Page 58 - Whether there be any pain or tenderness on pressure in the corresponding portion of the spinal column : because, if there be, although it may not absolutely decide whether inflammation be present or not, it is quite sufficient to account for both the pain and tenderness, without assuming the existence of any inflammation. 2.
Page 58 - Again, if the whole abdomen be tender to the touch in a case otherwise closely resembling peritonitis, and we find the tenderness is not confined to the abdomen, but extends over the hips and lower extremities, it is obvious, we can attach no importance to the abdominal soreness as a sign of inflammation.
Page 121 - ... the application of a blister to the nape of the neck, and the use of an anodyne fomentation to the inflamed parts.
Page 170 - ... nerve for the perception of cold applied to the face, and connected with the phrenic and intercostal nerves, by which the act of inspiration is performed, and also with the cutaneous nerves of the whole surface, by which a general constriction of the capillaries is produced ; one for the perception of irritations of the nostrils, connected with the phrenic and lower intercostals and lumbar nerves, by which the act of sneezing is performed; and one for the perception of pain in the eyeball, cheeks,...
Page 75 - ... stimuli. Antimonials may occasionally be useful as an auxiliary, from their known effect in restraining vascular action, provided in the early stages they do not occasion vomiting. Our first great object is to take off the impulse of blood from the arteries of the head by bleeding carried to such an extent as shall powerfully and decidedly affect the system, and by repeating it at short intervals as soon as these effects begin to subside. The first bleeding should probably be from the arm, but,...
Page 58 - Whether, if there be no spinal tenderness or pain, the soreness of the abdomen be superficial or deep-seated, which may be ascertained with tolerable certainty in all cases, by an examination directed to that end. And whether, if both superficial and deep-seated, as it usually is in peritoneal inflammation, gentle, steady, pressure with the flat of the hand can be easier borne, than with the points of the fingers. In pain and soreness from affection of the spinal nerves it commonly can be so borne,...
Page 202 - I believe its power of saving life in these circumstances depends principally on its specific property of producing congestion in the brain. That amount of congestion by which it occasions apoplexy when given in large doses to persons in health, seems only sufficient to sustain the natural and necessary tension of the cerebral vessels in those who are dying of hemorrhage. Persons die in cases of hemorrhage, not so much from mere debility of the heart's action, as from the loss of nervous power in...
Page 189 - When the results are sinking and faintness without stupor, they commonly arise many hours after the exhibition of the medicine, and are in fact mere symptoms of exhaustion, following the declining influence of an over-dose. They may be removed or alleviated by renewing the opiate in a smaller dose, or, if other considerations render this unadvisable, by stimulants frequently repeated, and eventually by sleep. It is often of great importance in medical practice, and especially so in all dangerous...

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