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Archives of Pediatrics (Volume 7)

Archives of Pediatrics (Volume 7)


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About the Book

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: PROLAPSUS RECTI DUE TO LARGE STONE IN THE BLADDER OF A CHILD THREE AND A HALF YEARS OLD: REMOVAL: CURE. BY A. CAILLfi, M.D., New York. Mary X., three and a half years old, came under my notice as a dispensary patient in November, 1888, with the following history, as furnished by the mother: About one year before presentation the child's gut was found prolapsed after each stool, and she appeared to be in great pain in passing her urine. She was taken to a number of physicians and dispensaries for treatment, and presented at almost all the clinics as a case of inveterate and severe prolapsus recti, and many methods of treatment were tried without affording the child the slightest relief or improvement. At my first examination I found the child to be anaemic, nervous, and cachectic in appearance, and suffering from diarrhoea and bronchitis. The rectum was prolapsed two inches, and during the examination it came down fully seven inches, and presented a slightly bleeding surface. A straining effort on the part of the child forced urine from the bladder, which was collected, and found to contain pus and much epithelium, as evidence of cystitis. The sphincter ani was relaxed to such an extent that three fingers could be passed through it without an effort. The child was then anesthetized, and a more careful examination showed the presence of a large stone, free, in the cavity pf the bladder. Speedy removal of the stone was suggested, and the supra- pubic operation decided upon, on account of the large size of the stone and the facility of access by this operation. The bladder was first thoroughly irrigated with a warm solution of boro-salicylic acid, and, after division of the skin in the linea alba, the patient was put in Trendelenburg's position, with head low. and rai...


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Product Details
  • ISBN-13: 9780217723527
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 374
  • Spine Width: 20 mm
  • Width: 189 mm
  • ISBN-10: 0217723527
  • Publisher Date: 12 Jan 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 667 gr


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