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主题:A Contribution to the Pathology of Phlegmasia Dolens.djvu/15

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PHLEGMASIA DOLENS.

largement is perceptible in the course of the femoral vessels.

The remedial means employed were local abstractions of blood by leeches, anodyne fomentations, and cold lotions. Purgatives and opiates were given according to circumstances; and low diet enjoined during the acute stage of the disease.

Dr. Sims, Mr. Arnott, and Mr. Prout, saw this patient at different periods during the progress of the complaint[1].

The symptoms observed in the foregoing cases were precisely those which have been described by continental authors, as Puzos, Levret, Callisen, and Gardien, and by the best writers on Phlegmasia Dolens in this country, as pathognomonic of

  1. Feb. 3, 1829. Mrs. P. is now under my care; and from the condition of the inferior extremities, and symptoms under which she labours, it appears highly probable that the iliac and femoral veins on both sides are partially, if not entirely, obstrueted. During the last year both limbs have been extremely feeble, and the feet and ankles have been so tumid and painful as often to prevent her from walking. She has also suffered from constant dull pain and sense of stiffness in the groins and upper and inner part of the thighs, where the enlarged femoral veins were formerly perceived, but which cannot now be felt on the most careful examination. Numerous large tortuous veins under the skin of both ankles and legs are, however, apparent.

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