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主题:A Contribution to the Pathology of Phlegmasia Dolens.djvu/22

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DR. ROBERT LEE ON

and principal branches of the internal saphena vein, to the ankle are enlarged, indurated, and very painful on pressure; a considerable degree of swelling exists in their whole course, but the integuments though hotter than on the outer surface of the limb, retain their natural colour and do not pit. Pressure over the situation of the femoral vein excites no pain, and the vein itself cannot be felt. Along the outer surface of the limb there is neither swelling, nor increased heat, nor sensibility.

The pulse is slightly accelerated, tongue clean, bowels open. When the pain is severe, she states that she has feverish attacks, which are however of short duration.

During gestation she enjoyed good health, but observed the veins of the left lower extremity to swell much more than those of the right.

27th. The internal saphena vein continues in the same state, and the swelling is not increased along its course. Considerable tenderness is now experienced in the situation of the femoral vein, though it is not distinctly perceptible to the touch.

March 1st. The swelling along the course of the saphena vein particularly in the leg is increased. Its branches both in the thigh and leg, are hard, knotted, and very painful. The integu-


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