Let us now see what passes in a state of low combustion, such as may be the result of fermentation in vegetables, arising from heat, moisture, and motion, when impacted together.
If the abdomen is so firmly impacted that it can not be dealt within this way, one hind limb and the hip bone on the same side may be removed as described under "Amputation of the hind limbs," page 205.
The wound should be dressed once or twice a day with a 3 per cent solution of carbolic acid, forced gently in with a syringe, so as to remove any feed which may have become impacted and interfere with the healing process.
If the patient be in the habit of taking snuff, the practice must be abandoned, and the powder already impacted in the nostrils removed.
Complete and fatal retention has arisen from calculi having become impacted in the urethra, and been allowed to remain there, blocking up the passage entirely.
On making a section of it, about two-thirds of the brass curtain-ring, partially decomposed, were found firmly impacted in the centre.
Foreign bodies are also occasionally impacted in the nostrils: the procedure above described is to be adopted.
Tracheotomy is also preferable for the removal of foreign bodies, unless it is certain that the body is impacted in the rima, for in such circumstances laryngotomy is much more suitable.
A large substance firmly impacted likewise creates difficulty of breathing, by compressing the posterior part of the trachea.
Leach gives a case in which a bullet wasimpacted in the chest for forty-two years.
In 1895, in London, there was exhibited a specimen, including the end of the ileum with the adjacent end of the colon, showing a dessert spoon which was impacted in the latter.
Fatal peritonitis ensued and the spoon was found impacted in the last acute turn of the duodenum.
Eve reports a case in which a thimble was impacted in the right posterior nares.
According to the same authority, Paulus Aegineta also treated fully of wounds by arrow-heads, and described a method used in his time to remove firmly-impacted arrows.
The speaker suggested that part of the mucous membrane of the mouth with its tooth-germ had become impacted between the superior and premaxillary bones and thus cut off from the cavity of the mouth.
Ball, an Irish surgeon, has collected several instances in which the base of the skull has been driven in and the condyle of the jawimpacted in the opening by force transmitted through the lower maxilla.
Cazenave of Bordeaux relates a most marvelous case in which a primipara suffered in labor from an impacted head.
Hickman gives an instance of a steel ring which for thirteen and a half years had beenimpacted in the nasopharyngeal fossa of a child.
The man died one hour later in the greatest agony; so firmly was the eel impacted that even after death it could not be extracted, and the man was buried with it protruding from his mouth.
Barwell mentions a case in which a gum elastic catheter that had been passed into the vagina for the purpose of producing abortion becameimpacted in the pelvis for twenty months, and was then removed.
After the removal of the impacted plate and teeth she soon regained her health.
The term embolus is applied to any body carried along in the circulation and ultimately becoming impacted in a blood vessel.
When an embolus becomes impacted at the bifurcation of the popliteal, if gangrene ensues it usually spreads well up the leg.
Sometimes a portion of the clot in the sac is separated and becomes impacted as an embolus in the artery beyond, leading to thrombosis which first occludes the artery and then extends into the sac.
Direct infection sometimes occurs from an abscess, a cellulitis, or an infected wound in the neck; it has also occurred from a foreign body impacted in the œsophagus ulcerating through and perforating the gland.
In the impacted variety, the shortening seldom exceeds one inch; the eversion is less marked; there is some power of voluntary movement; and crepitus is absent.
For example, a fracture may exist and yet unnatural mobility may not be present, because the bones are impacted into one another, or because the fracture is an incomplete one.
The cricoid also marks the junction of the larynx with the trachea, and of the pharynx with the œsophagus; at this point there is a constriction in the food passage, and foreign bodies are frequently impacted here.
In comminuted and in impacted fractures with persistent deformity, complete excision of the bone yields good results.
The foreign bodies that are most likely to become impacted in the trachea are tooth-plates with projecting hooks, and small coins.
Osseous union is the exception in intra-capsular fracture, especially when the periosteum and the retinacular ligaments have been completely torn, but in sub-periosteal and in impacted fractures it sometimes occurs.
In skilled hands, the safest and most certain means of removing impacted foreign bodies is with the aid of the œsophagoscope.
This was introduced (its entire length) into the body, the theory being that it was necessary to get behind the impacted mass and force it out ahead of the water, which was theoretically correct, but in practice found sadly wanting.
Hot water is the best solvent for impacted faecal matter, and, on the other hand, water below the temperature of the body is likely to cause pain.
It impacted all aspects of life, and continues to be a source of vitality, as well as tension.
From the Middle Ages to the never abandoned missionary activity in Africa, Asia, and North and South America, the church impacted community life through actions that sometimes flew in the face of common sense.
AIDS impacted on the sense of invulnerability, assumed by individuals in industrialized countries as almost a right.
Still, feeling certain that the case was one of impacted gall-stone, I ordered the medicine to be repeated, and the stools to be again carefully examined.
I accordingly prescribed for the case as one of impacted gall-stone, and left instructions that the stools should be carefully examined for its appearance.
With a quick movement it is drawn outwards a short distance so that the point of the hook pierces the impacted substance.
The enucleation of a large impacted cervix fibroid requires to be conducted carefully, without undue display of force, or so much shock is produced that the patient’s life will be placed in the gravest peril.
Thus in one of my cases a man presented himself with a long pin impacted transversely above the vocal cords; it was found impossible to remove it by indirect laryngoscopy without serious injury to the parts.
When tumours are impacted in the pelvis the bladder is often pushed up into the hypogastrium; this happens with bilateral ovarian tumours, incarcerated fibroids, and especially with large cervix fibroids.
In the case of a round substance like a pea, especially if it is tightly impacted within the meatus, its removal is sometimes facilitated by first slicing it into pieces by means of a small bistoury.
When a tumour is impactedin the pelvis it may push the bladder high in the abdomen; in such an event this viscus is apt to be opened in making the incision.
Thus Gifford operated on a patient with intestinal obstruction; an impacted mass was felt in the ileum, it was extracted through an incision in the gut and proved to be a pad of cotton-wool enveloped in gauze.
A calculus was found tightly impacted in the ureter, near the kidney.
When this impacted matter reaches the surface, dust and smoke mix with it, then it is recognized by small, round, dark spots.
The comb and the brush may be used to remove the impacted matter, and relieve the disagreeable sensation.
The secretion of the oil-glands may become impacted around the hairs as they issue from the skin, and thus prevent their outward movement in growing.
In obstruction, the hard, impacted body can usually be felt by tracing the urethra along the lower and posterior surface of the penis and forward to the median line of the floor of the pelvis to the neck of the bladder.
The impacted intestine feels soft and doughy and is easily indented with the knuckles, forming a marked contrast with the tense, elastic, resilient, overdistended bladder.
If choked with oats or chaff (and these are the objects that most frequently produce choke in the horse), begin by gently squeezing the lower portion of the impacted mass and endeavor to work it loose a little at a time.
The rectum should always be examined, as impacted fecal masses will often be found there.
If the dilatation be due to stricture or to an impacted foreign body, the treatment should be directed to overcoming the one and removing the other.
That the usual solvents introduced by the stomach can effect the solution of impacted calculi has been declared impossible by Trousseau;[208] and with this conclusion I unhesitatingly agree.
At any moment the foreign body may lodge, become impacted in the canal, and all the grave symptoms of enteritis and general peritonitis present themselves.
If the jaundice persists months after such an attack of acute pain, and does not disappear after a year or more, it is probably due to an impacted calculus.
Gueneau de Mussy[6] reports a case in which there was an occlusion of the rectum by a mass of magnesia, which was so firmly impacted that it had to be removed by a mallet and chisel.
In this connection caution must be exercised not to confound masses of impacted feces with tumefactions.
Permanent occlusion may take place suddenly, as when a gall-stone is impacted immovably in the common duct, or when a round-worm makes its way into the duct and is firmly fixed there, incapable of further movement.
Recourse should not be had to this until all hopes of effecting a cure are gone, or only as an occasional remedy in impacted accumulations where the mass must be softened before it can be removed.
Usually, however, dilatation of the oesophagus is of mechanical origin, due to distension by food or water above a stricture or an impacted foreign body.
In addition to its use in washing out the ear in cases of foreign bodies, impacted cerumen, &c.
On the east we have the drift plain of Wellington Channel, impacted with floes, hummocks, and broken bergs; and to the south we look out upon a wild aggregation of enormous hummocks.
Thus, dried apples became one solid breccial mass of impacted angularities, a conglomerate of sliced chalcedony.
In this figure is represented a small calculus impacted in and dilating the membranous part of the urethra.
Debility often contributes to this form of indigestion, and the double colon may become badly impacted with alimentary matter.
Large, impacted crops are usually caused by the feeding of too much dry feed, fermentation of the contents of the crop and foreign bodies that obstruct the opening from the organ.
This duct may become closed by inflammation of the lining membrane of the nose, caries of the bone, ulcers, fungous growths, or by the presence of some extraneous substanceimpacted in it.
One of these stones had passed through the stomach into the intestines, and, after proceeding some distance along them, had been impacted there.
It was composed of heterogeneous materials,--large and small pebbles and boulders impacted together in a paste of clayey gravel and sand.
The air distal to the impacted foreign body is soon absorbed, and the negative pressure thus produced increases the impaction.
Should the foreign body be lost at the glottis it may, if large become impacted and threaten asphyxia.
When soft, friable substances, such as a bolus of meat, become impactedin the upper esophagus, the short mechanical spoon (Fig.
Yet only too often a practitioner will telegraph for a bronchoscope and forceps, and without any practice start in to remove an entangled or impacted foreign body from the tiny bronchi of a child.
I shall never know how many times I hit him, but I am confident that after he had begun his long staggering fall at least three additional bullets entered him ere he impacted on the deck.
