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主题:A Contribution to the Pathology of Phlegmasia Dolens.djvu/23

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PHLEGMASIA DOLENS.

ments along the inner surface of the thigh and leg, are hot, but retain the natural colour and do not pit, except along the front of the tibia.

7th. Swelling diminished, and the branches of the saphena vein in the leg less hard and painful.

10th. She suffers much more from pain in the leg, particularly along the exterior surface from the ankle to the knee joint, where several indurated branches of veins can be felt. The whole leg is now affected with a considerable degree of swelling, without increased heat or tension of the integuments. The branches of the internal saphena vein in the thigh are still hard and painful, and the femoral vein is now perceived to be enlarged and indurated, under Poupart's ligament, though but little sensible when pressed. The limb is extremely feeble, and great pain is produced by attempting to extend it.

18th. The leg and ankle are œdematous, and the extremity is left in a state of great debility. The femoral vein cannot now be distinctly perceived, but the coats of the saphena are still thickened and indurated, though perfectly free from pain. General health good.

The foregoing example of inflammation of the internal saphena vein, occurred in a patient of the Middlesex Hospital, and I was indebted to the


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