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主题:A Contribution to the Pathology of Phlegmasia Dolens.djvu/25

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PHLEGMASIA DOLENS.

to the course of the great vessels of the limb. There is some swelling of the leg and thigh, but the integuments are not tense, and they retain their natural colour and temperature. Pulse quick; tongue white, with thirst. Much general debility.

10th. The whole extremity is now swollen, but not tense. There is great sensibility and increased temperature along the track of the great vessels; the femoral vein can be distinctly felt indurated and enlarged for a space of three inches below Poupart's ligament, and when pressed, acute pain is experienced in its whole course to the ham. Pulse 100; tongue white. Prostration of strength continues.

15th. The pain and swelling of the extremity have been aggravated during the last two days, but they are again diminishing. Induration of the femoral vein with tenderness continues.

23d. The extremity is so completely deprived of all power that it is incapable of supporting the weight of the body. Sense of soreness in the course of the deep seated and superficial veins. In the ham one of these vessels seems to be indurated. There is a cluster of enlarged glands seated over the great vessels in the groin, the whole limb is larger than the other; no unnatural turgescence of the cutaneous veins is perceived.


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