Now, this additional work which the patient does of herself is no longer the work of the uterus but of the epigastric muscles, which also help us in defaecation and micturition.
Now, this constriction might be divided in any direction were it not for the risk of wounding the epigastric artery, and also of injuring the spermatic cord, which is in close relation to the neck of the sac of an oblique hernia.
Wound of the epigastric artery is the chief danger, for in all cases it is close to the neck of the sac.
Besides this, by cutting the epigastric you destroy an important agent which would have carried on the anastomosing circulation, and thus greatly increase the risk of gangrene.
Though the latter is in some respects easier, the former method is generally to be preferred, being further from the seat of disease, and especially more out of the way of the epigastric and circumflex arteries.
The two large branches to the wall of the abdomen, the epigastric and the circumflex iliac, rise a few lines above Poupart's ligament.
A branch of the circumflex iliac artery will very likely be cut in dissecting through the muscles, and must be secured, as also any branches of the epigastric which may be divided in the incisions through the abdominal wall (ut supra, p.
The epigastric artery runs precisely along the inner margin of this opening, beneath which the external iliac artery is situated.
Thus, first, the epigastric artery is very likely to be wounded.
A fortnight later, while working in the trenches, he had more epigastric sensations with vague discomfort.
He would then relate how, after the epigastric sensation had begun, he tried to see if he could make out something abnormal; whereupon a little fiery wheel would appear and roll up nearer and nearer, so as to almost touch his eyelids.
In the genesis of this second seizure we may consider that the feeling of discomfort and the epigastric sensations served to recall the first seizure, so that the second one may be regarded as due to autosuggestion--that is, as hysterical.
Another prominent symptom is a sense of heaviness and heat in the epigastric region, after partaking of food.
Many minor symptoms developed, and in eleven months there appeared in the epigastric region a fluctuating swelling, which finally burst, and from it extended the end of the brush.
He passed himself off as an American savage; he swallowed as many as 30 or 40 large pebbles a day, demonstrating the fact by percussion on the epigastric region.
Scores of globules of mercury soon appeared over a vesicated surface, the result of a previous blister applied to the epigastric region.
As illustrative of the sensitiveness of the epigastric region, Vincent relates the following case: "A man received a blow by a stick upon the epigastrium.
The pains complained of were of an intermittent, burning, shooting character, chiefly in the epigastricand left lumbar regions.
On admission to the hospital in October, 1888, two fistulous openings were seen in the epigastric region, and the foreign body was located by probing.
With his belly on the ground he not only made the illusion more complete, but in this way he smothered "the epigastric voice.
Franck observed in the Hospital of Colmar a woman with the heart in the epigastric region.
Pertaining to the epigastrium, or to the epigastric region.
Near the umbilicus; -- applied especially to one or more small veins which, in man, connect the portal vein with the epigastric veins in the front wall of the abdomen.
In Lizards the iliac veins join the posterior cardinals, and so pour part of their blood into the kidneys; they also become connected by the epigastric veins with the system of the anterior abdominal or allantoic vein.
Thus the iliac veins become united with the system of the vena cava inferior through the vena renalis advehens on the outer border of the kidney, and with the anterior abdominal veins by the epigastric veins.
They become prolonged backwards, and after receiving theepigastric veins above mentioned from the iliac veins, and also veins from the allantoic bladder, unite behind into a single vessel.
There join the portal system in Myxinoids and many Teleostei a number of veins from the anterior abdominal walls, representing a commencement of the anterior abdominal or epigastric vein of higher types[232].
They unite with two epigastric veins (homologous with those in the Anura), which connect them with the system of the posterior cardinal veins.
The epigynum consists of a long epigastric furrow with a large lip-like opening near its median line.
The epigynum of this form was extremely undeveloped, having only a small epigastric furrow with depressions at either end.
Of the walls, may be dangerous from division of the epigastric artery; ventral hernia may follow, internal hæmorrhage, etc.
Acrid taste, tightness of throat, epigastric pain, and then symptoms of irritant poisons generally.
The abdominal vein of amphibians and reptiles is represented probably by theepigastric vein, which returns the blood from the omental mass of fat to the hepatic veins.
Burns has found the application of leeches useful, "especially if accompanied with pain or tension in the epigastric region.
The tongue is heavily coated, and there are epigastric tenderness, vomiting, constipation, and enlargement of the liver and spleen, with frequent jaundice.
It may be discriminated from relapsing fever, the first paroxysm of which it closely resembles, by the absence of severe articular pains, of tenderness in the epigastric zone, of enlargement of the liver and spleen, and of jaundice.
On the other hand, jaundice and tenderness in the epigastriczone are more common than in typhoid fever.
Nausea, vomiting, and epigastric and hypochondriac soreness were the prominent symptoms.
There may also be tenderness in the epigastric and hepatic regions, but the enlargement of the spleen so constantly observed in typhoid is generally wholly wanting in this fever.
There is also occasionally so much tenderness in the epigastric region as to give the impression at first to the attendant that there is inflammation of the stomach or liver.
Again, in cases where the vomiting and epigastric distress were severe and obstinate the application of a blister three inches square to the epigastrium is to be recommended.
The enlargement of the spleen subsides rapidly, that of the liver more gradually; epigastric tenderness subsides, but in many cases some degree of it persists for several days.
The torso is divided into three parts: the thoracic, the epigastric and abdominal.
Illustration] The chest is divided into the thoracic centre for the mind, into the epigastric for the soul, and into the abdominal for the life.
This distribution of the artery, however, is rare, and can occur only when the epigastric and obturator arise by a long common trunk, and even then it may not encircle the neck of a hernia, as I have witnessed.
The epigastric artery is situated behind the neck of the sac, on its inner side; and it is much displaced inwards in cases of old standing.
Occasionally a vessel of considerable size passes round the opening, connecting the epigastric with the obturator, when these arteries follow their usual course; and this also may surround the neck of the sac.
Its neck is short, and the epigastric artery is on its outer side.
You will be delighted also to hear that my epigastric nerve hasn't troubled me since I arrived.
It was Joplin, of Boston, who was speaking--Samuel Epigastric Joplin, his brother painters called him.
Heart's been acting queer all morning and my epigastric nerve is very sensitive.
So the proteids and carbohydrates didn't do your epigastric any good, old chap," remarked Pudfut in an effort to relieve the gloom.
Maybe it's your epigastric nerve; maybe it's your liver and will pass off, but I'd knock off work for a day or two if I were you.
It excites the epigastric nerve and induces dyspepsia.
Proteids, carbohydrates and my epigastricbe damned," exploded Joplin.
Where the cause of death has been typhoid, the umbilical, hypogastric and epigastric spaces should be sprayed.
The upper half of the duodenum is in the epigastric region and the lower half is in the umbilical region.
Tap the stomach through the epigastric region, aspirate the contents and inject strong fluid before removing the instrument.
One over the front part of the body, the superior and inferior mammary arteries branches of the subclavian artery and anastomosing with the superior and inferior epigastric arteries, branches of the external iliac and femoral arteries.
It extends to the right in a part of the epigastric space.
Epigastric pain, headache, and disturbances of the optic tract are important symptoms.
When the tumor is so situated as to occlude the hepatic or common duct, jaundice will be a symptom, and when the stomach is pressed upon there will be epigastric oppression and nausea.
Beyond determining the existence of a fixed point of epigastric tenderness, physical examination of the region of the stomach is usually only of negative value in the diagnosis of gastric ulcer.
Epigastric pain, and especially tenderness on pressure over the stomach, are not common symptoms in nervous dyspepsia.
But we are liable to be misled by pain: gastric pain is not a characteristic symptom; subacute forms of the disease may exist without any fixed pain; the sensation is rather that of burning, uneasiness, and oppression of the epigastric region.
The external opening is most frequently in the umbilical region, but it may be in the epigastric or in the left hypochondriac region or between the ribs.
At the same time, the increased dulness of the epigastricregion observed during the hypertrophic stage will have gradually ceased because of the shrinking of the left lobe.
In either event, the veins of the abdominal wall about the umbilicus communicating with the epigastric become enormously distended, and in some advanced cases of cirrhosis form a circle known as the caput Medusae.
Spasm of the upper part of the rectus abdominis muscle may simulate a tumor in the epigastric region.
Dilatation of the stomach in itself does not usually cause sharp epigastric pain, although it is often associated with painful diseases of the stomach.
The symptoms diagnostic of cancer of the cardia are dysphagia, regurgitation of food, obstruction in the passage of the oesophageal bougie, and sinking in of the epigastric region in consequence of atrophy of the stomach.
The most important anastomosis is that between the femoral and saphena and internal mammary and epigastric veins.
When sharp epigastric pain is felt continuously, it is usually inferred that the ulcer has extended to the peritoneum and has caused a circumscribed peritonitis, but this inference is not altogether trustworthy.
As for Lieutenant Rochas, who was also conscious of a terribly empty sensation in his epigastric region, he put on a brave face and laughed good-naturedly as he passed the thrice-lucky squad.
And thus we avoid the situation of the epigastric vessels.
The inner surface of the groin is divided into two pouches or fossae, by an intervening crescentic fold of the peritonaeum, which corresponds with the situation of the epigastric vessels.
The transversalis fascia investing the upper part of the hernial sac; g, the original situation of the epigastric artery internal to this hernia; g*, the new situation of the artery pushed inwards.
This hernia must be one of the external oblique variety, because it enters the open abdominal end of the infantile serous spermatic tube, which is always external to the epigastric artery.
If the hernia enter the inguinal wall immediately on the inner side of the epigastric artery, Fig.
The precise relations which the internal hernia holds in respect to the epigastric and spermatic vessels are also mainly dependent (as in the external variety) upon the situation where it traverses the groin.
The left internal abdominal ring complicated with the epigastric vessels, the vas deferens, and the spermatic vessels.
This fold is formed by the epigastric vessels and the umbilical ligament, which, being tenser and shorter than the peritonaeum, thereby cause this membrane to project.
The spermatic artery, veins, and vas deferens bending round the epigastric artery at the internal ring; m, the same vessels below the external ring.
The lines of incision required to avoid the epigastric artery.
The epigastric region does not affect the brain but the brain affects the epigastric region.
As for knowing whether his epigastric region has affected his brain, or his brain his epigastric region, we shall find that out, perhaps, whenever he dies.
The progressive deterioration wrought in the epigastric region, the seat of vitality, has vitiated the whole system.
Meurice often acknowledges to a sinking sensation in the epigastric region, and says it is as though something material were being drawn out of him at such moments.
One of the mediums, with whom some of my best and clearest raps were obtained, tells me he experiences a feeling akin to cramp in the epigastric region when the raps are particularly loud.
One of the most intelligent mediums I have come across describes it, as a sensation of cramp in the epigastric region; it seems to him at times as though he were on the verge of fainting.
The pulsation was felt more distinctly in the epigastric region.
The pulsation of the heart cannot be felt on the left side, and is barely perceptible on the right side of the sternum, and in the epigastric region.
The pulsation of the heart is felt most distinctly quite on the left side of the thorax, where there is a painful spot; it is perceptible also in the epigastric region.
Sometimes they are perceived a little below; often in the epigastric region; and not unfrequently beneath, and on the right side, of the sternum.
This is almost a pathognomonical symptom and is shown in hallucinations and nightmares of an erotic character, preceded by epigastric aura.
In spite of sharp pains in the epigastric region, he appeared to be in a strange state of euphoria or morbid bodily well-being, which prevented him from realising that he was in prison.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "epigastric" in a variety of sentences. We hope that you will now be able to make sentences using this word.
