When, at the end of three weeks, the danger of embolism is past, douching and gentle massage may be employed to disperse the œdema; and when the patient gets up he should wear a supporting elastic bandage.
Embolism plays an important part in determining one form of gangrene, as has already been described.
It is necessary to avoid handling the parts, lest the clot be displaced and embolism occur.
Gangrene due to thrombosis or embolism is sometimes met with in patients recovering from typhus, typhoid, or other fevers, such as that associated with child-bed.
Danger from air embolism is exceedingly doubtful, unless great quantities were forced into a large vein by artificial means.
Portions of this thrombus, or clot, may be washed away and produce embolism of a smaller artery.
It is often due to embolism of infective material, gangrenous matter, etc.
Senn found that fatal air embolism could hardly occur spontaneously in a healthy jugular vein, as the walls collapse readily from atmospheric pressure.
The partial paralysis of the bowel, which is brought on by the embolism and thrombosis of the mesenteric arteries, forms in great part the chief and leading feature of the series of symptoms known as the “colic” of horses.
The variety of the anatomical derangements caused by embolismand thrombosis of the intestinal arteries is faithfully mirrored by the variety of the clinical symptoms and the different degrees in the intensity and course of the colic.
The dangerous symptoms of the worm-aneurism are exclusively due to embolism and thrombosis of the affected artery, arising from the parietal clot.
In embolismand thrombosis of the mesenteric arteries the symptoms during life are entirely identical with those observed in the so-called colic of horses, as has been determined by numerous observations.
These small, beady excrescences may become detached, and floating off in the general current, give rise to embolism in distant parts.
An embolism means the obstruction of a blood vessel by some foreign material.
Embolism in the brain often produces sudden unconsciousness and paralysis.
Of the latter he gives a number of quoted instances; he only admits seeing one case, that of an aged man in the Pennsylvania Hospital, in whom the disease was caused by embolism of the dorsal artery.
The symptoms of the subsequent effects of thrombosis and embolism are to be inferred from what has already been stated with regard to the nature of the possible lesions.
Embolism of the carotids, especially of the left carotid, is more likely to ensue than embolism of the subclavians.
A considerable hæmaturia often excites suspicion of an embolism of the renal artery, the hemorrhage coming from the vessels in the neighborhood of the obstructed region.
Murchison reported a case in which embolism of the left femoral artery occurred, and subsequently of the left middle cerebral artery, inducing death.
When an artery becomes obliterated, whether from embolism or thrombosis, the part which it supplies should be surrounded with cotton wool and every effort made to favor the establishment of the collateral circulation.
Hemiplegia, or perhaps aphasia or other evidence of localized disturbance, follows central embolism; angina pectoris, with a disturbed cardiac action, results from embolism of the coronary artery.
Here, too, a source of embolism must be found, that {66} the local destruction of tissue may be attributed to embolic obstruction of vascular territories.
Embolism of the coronary arteries is rare, while embolism of the splenic artery, the left renal and left iliac arteries, is comparatively common, and in the order mentioned.
There is, however, always danger of a portion of the thrombus becoming detached and producing embolism of the pulmonary artery.
The suggestion may be hazarded that in some of the cases where there is severe delirium ending in stupor and death there has been multiple capillary embolism of the cerebral vessels.
Sometimes it results from capillary embolism (Rokitansky, Virchow, cited by Luton, op.
Thrombosis is favored, and where atheromatous ulcers are formed, embolism is to be feared.
Quite different would it be should one of the small arteries of the brain, the lenticulo-striate, for example, which supplies the corpus striatum, become the seat of a thrombosis or embolism caused by arteriosclerosis.
Lymphangitis and venous thrombosis are not of infrequent occurrence in connection with varicose ulcers, while embolism and even pyemia are sometimes in evidence.
Perforating ulcer from lesions of the central nervous system is comparatively rare and it is doubtful if it is ever due to embolism or to ligation of the arteries.
The bacillus of typhoid fever (Eberth's bacillus) is responsible for some cases of gangrene, for some of embolism and for not a few bone and joint diseases.
Thrombosis and embolism cause a sudden or gradual stoppage of the blood stream in a vessel, and in consequence, either moist or dry gangrene occurs, depending on the time required for the obstruction to become complete.
It is possible that fat embolism may account for death in some of the more rapidly fatal cases.
In the majority of patients embolism happens about the twelfth day.
Hunterian Lecture on Thrombosis andEmbolism after Operations on the Female Pelvic Organs.
The symptoms of pulmonary embolism may occur at any period from the hour of the operation up to the thirtieth day.
Post-operative embolism of the pulmonary artery is an important matter for surgeons interested in the operative treatment of uterine fibroids, for it follows such operations more frequently than any other.
It is important to note that these fatal cases of pulmonary embolism occur when they are least expected, and it is an unusual sequence in patients with obvious thrombosis of the femoral and saphenous veins.
I have seen five examples of this mild form of pulmonary embolism after hysterectomy.
This dislodged a clot, and the woman was seized with the symptoms of pulmonary embolism and died in forty-seven minutes.
In cases ofembolism of the pulmonary artery, death does not always occur immediately, but may be postponed for an hour or more after the lodgment of the embolus.
A pulmonary embolism is not necessarily fatal, for a woman after a pelvic operation may complain of sudden pain in the chest, urgent dyspnœa, exhibit great mental distress, and in a short time spit up sputum mixed with blood.
Fat embolism in the brain has been shown by various authors to be accompanied by minute hemorrhages, in the midst of which by proper stains the fat embolism can be made out.
Possibly fat embolism should be added to the list of possible causes of the hastening of the neurosyphilitic process.
Massive multiple gas embolism through sudden decompression is not a suitable explanation of a case with death delayed, as in this instance, even if Arnoux’s explanation is suitable for cases of immediate death.
