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主题:A Contribution to the Pathology of Phlegmasia Dolens.djvu/20

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DR. ROBERT LEE ON

29th. Calf of the leg tumid and painful; great weakness of the whole extremity; the course of the femoral vein distinctly traced by the pain caused on examination; pulse 86; lochial discharge subsiding; milk abundant.

December 4th. The pain in the groin and leg, which for a day or two appeared to decline, has again become more severe; there is stiffness, with a sense of numbness in the limb, which she is unable to move, and a considerable degree of swelling from the knee to the ankle, as well as along the inside of the thigh. The integuments retain their natural colour, but their temperature is increased; no pitting from pressure, except on the tibia. A hard and painful cord distinguishable in the course of the great vein in the groin and upper part of the thigh. In the ham and lower half of the extremity pressure borne without complaint; little or no disturbance of the general functions.

9th. The pain has abated in the upper part of the thigh, and is now felt in the ham and calf of the leg, which is more swollen; skin colourless.

12th. The integuments of the leg and foot tender to the touch, and everywhere pit on pressure; temperature natural.

14th. Both pain and tumefaction gradually sub-


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