Surgery.

Date:
[1913]
Catalogue details

Licence: In copyright

Credit: Surgery. Source: Wellcome Collection.

    182/412 page 154
    What are the Signs and Symptoms of a Hernia ? (а) A swelling in the region of a hernial orifice. (б) On coughing a characteristic “ impulse ” is imparted to the swelling. (c) Vague colicky pains in the vicinity of the swelling. (d) In inguinal hernia some male subjects suffer from pain shooting along the spermatic cord towards the testis. Give the Clinical Features of an Enter ocele. (a) A smooth elastic swelling, which is— (b) Resonant on percussion, and which has— (c) A gurgling sound during reduction. (d) The first portion of the bowel is more difficult to reduce than the last portion. Give the Clinical Features of an Epiplocele. (а) An uneven doughy swelling, which is— (б) Dull on percussion ; there is an— (c) Absence of gurgling sound during reduction. (d) The first portion is less dijficiilt to reduce than the last portion. What are the Clinical Conditions of a Hernia ? A hernia is either— (а) Reducible, (б) Irreducible, (c) Strangulated, or (d) Obstructed. Mention the Chief Causes of Irreducibility. (а) The formation of adhesions between the sac and its contents. (б) Fatty accumulations in epiploceles. (c) A great increase in the bulk of the contents. Describe Obstruction of a Hernia. Obstruction or incarceration is brought about by the
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