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Diseases Of The Rectum And Pelvic Colon | by Martin L. Bodkin



The zealous purpose of mastering the relationship of proctorial to the many ailments commonly treated by the general practitioner has been my aim during a long and varied practice. In this text I have attempted to simplify the descriptions of the common diseases of the colon, sigmoid flexible, rectum and anus, and to present them in the plainest and most direct language.

TitleDiseases Of The Rectum And Pelvic Colon
AuthorMartin L. Bodkin
PublisherMartin L. Bodkin
Year1913
Copyright1913, Martin L. Bodkin
AmazonDiseases of the rectum and pelvic colon

Illustrations Specially Drawn By Francis A. Deck

This Book is gratefully Dedicated to John Griffin, A.M., M. D. in appreciation of his never faltering confidence and interest in my scientific work.

-Preface
The zealous purpose of mastering the relationship of proctorial to the many ailments commonly treated by the general practitioner has been my aim during a long ...
-Chapter I. Anatomy And Physiology
To aid in the surgical description and for the purpose of locating diseases in general as described in this text the following anatomical divisions will be ...
-The Rectum
The rectum is usually defined as that portion of the intestinal canal situated between the semi-lunar valves of Morgan. where it pierces the pelvic floor and ...
-Arteries, Vein's And Nerves Of The Rectum And Anus
The Superior Hemorrhoid Artery, derived from the inferior presenter, divides into two branches descending along the posterior wall of the rectum. This artery, ...
-Chapter II. General Examination
The examination for the diagnosis of diseases affecting the rectum and anus is ordinarily looked upon by the physician and patient with a sense of repugnance, ...
-General Examination. Part 2
The symptoms at times may be grouped together, as they are almost constant accompaniments of this disease and one might easily make a partial diagnosis by ...
-General Examination. Part 3
The Exaggerated Lithology Position is seldom excepting for fistula which involve the recto-vaginal outlets. This position is one most commonly used by American ...
-General Examination. Part 4
O’Neill rectal speculum and many others, are ordinarily associated with so much pain when an attempt is made to open the valves of the speculum, that ...
-General Examination. Part 5
This method of examination with the idea of viewing the rectum or anal canal is most unsatisfactory as a rule, and the physician will find the use of Sims's ...
-Anesthesia
The subject of anesthesia in the operative treatment of rectal diseases is one that is dependent in most instances upon the technical knowledge of the case ...
-Chapter III. Examination Of Feces
The examination of the fecal dejects in the diagnosis of diseases of the rectum is only of value in corroborating the conditions made visible with the aid of ...
-The Diagnostic Value Of Fecal Examination In Some Forms Of Intestinal Diseases
Cancer of the Colon, sigmoid or rectum does not present any diagnostic features, which are revealed by microscopic examination. The microscopic examination of ...
-Chapter IV. General Diagnosis
An attempt is herewith made to group the rectal diseases commonly existing together; to differentiate these diseases when occurring separately, and to suggest ...
-General Diagnosis. Part 2
Affections of the Sigmoid Flexible are characterized by pain in the left inguinal region of the abdomen. Pain in this region is quite as significant of sigmoid ...
-General Diagnosis. Part 3
Pain Re flexed from a neighboring organ may simulate fissure by causing painful defalcation. In men, diseases of the Benito-urinary organs, the bladder or ...
-Chapter V. General Symptoms
The symptoms and general points in the diagnosis of the common affections of the colon, rectum and anus are herewith grouped together in order to assist in ...
-General Symptoms. Continued
Diarrhea is a common symptom of many rectal and intestinal diseases. It almost always accompanies stricture, carcinoma, ulceration, adenoidal, prolapse, ...
-Chapter VI. Malformations
Embryology and Histology teach us that the rectum is a development of the hypo blast and fibroblast, in connection with the rest of the colon. Further, we ...
-Malformations. Part 2
Anal Opening at Some Abnormal Point, Treatment. If the abnormal opening is situated near the normal site of the anus, the rectum should be dissected out, ...
-Malformations. Part 3
The operation of Grizzlies recognizes the sphincter action at the vaginal anus and takes the tissue as a whole and aims to preserve it after removal to the ...
-Malformations. Part 4
The diagnosis in these cases is usually made a few days after birth by the mother or the attendant calling attention to the absence of bowel movement. When a ...
-Chapter VII. Catarrh Diseases Of The Rectum And Colon
It might be well to say, in advance of the consideration of the simple catarrh and specific inflammations of the colon and rectum, that those enumerated under ...
-Simple Catarr Colitis And Proctorial
Proctorial, or inflammation of the rectum is a common disease in the adult and child, associated with a colitis. The onset of an intestinal catarrh may not be ...
-Simple Catarr Colitis And Proctorial. Part 2
Etiology. The influences said to cause this disease, or relate to it, are so many that it is a question as to our having any satisfactory idea of its true ...
-Simple Catarr Colitis And Proctorial. Part 3
The tongue is coated, the abdomen distended, there is a general depression and the extremes of heat of summer, or cold of winter are felt acutely. There are ...
-Specific Catarrhal Inflammations
These diseases of the colon, sigmoid, and rectum, represent different catarrh inflammations, the result of a specific organism introduced into the body in ...
-Specific Catarrhal Inflammations. Part 2
Localized ulceration may be reached through the kaleidoscope or proctorial, treated with pure tincture of iodine and dusted over with some antiseptic powder.
-Specific Catarrhal Inflammations. Part 3
Diphtheria Colitis only occurs as a complication of the pharyngeal affection. Ulceration Colitis, Sigmoid and Proctorial, occur as the result of other diseases ...
-Specific Catarrhal Inflammations. Part 4
Secondary Membranous Colitis is the term given to a condition in which there is a membranous deposit upon the walls of the colon secondary to some other ...
-Specific Catarrhal Inflammations. Part 5
This affords the means of irrigating the entire colon from the cecum to the rectum. A solution of one per cent. nitrate of silver followed by a saline solution ...
-Chapter VIII. Sigmoiditis
The sigmoid flexible is probably more vulnerable to simple catarrh diseases than any other portion of the large intestine, because of its peculiar anatomical ...
-Sigmoiditis. Continued
Chronic Strophic Sigmoid manifests itself by an atrophy of the mucous membrane and glandular elements. This atrophy extends throughout the mucous membrane and ...
-Chapter IX. Colostomy
The term colostomy is intended to indicate the operation when any part of the colon is brought out, attached to the skin and opened for the purpose of ...
-Colostomy. Part 2
Mayday’s operation, as modified by Cuttle, for the establishment of an artificial anus is as follows: An incision three inches long is made through the ...
-Colostomy. Part 3
These fibers run transversely and may be cut or separated. The external border of the quadratures lumberer and the transverses fascia is then exposed. All ...
-Chapter X. Closure Of Artificial Anus
The ordinary methods in vogue for the surgical treatment of these cases include removal of the spur and re-establishment of the normal channel either by ...
-Chapter XI. Prolapse Of The Rectum
Prolapses Agni, Providential Recto and Prolapses Mucosae Recto are the somewhat indefinite terms used to describe the version and prolapse of the rectal walls.
-Incomplete Prolapse
Prolapses Mucosa Recto The connective tissues and sub mucous tissues of the rectal wall in health is held so loosely that a certain amount of sliding downward ...
-Incomplete Prolapse. Continued
Fig. 30. Complete rectal prolapse, third degree. O Phosphor ........... M. xii. Aether is .............. M. xxiv O Morph cum Saltine ad............ ii. Si One ...
-Complete Prolapse
Providential Recto This form of prolapse, while occurring frequently in children, is most common in the adult. The erect position of man in walking tends to ...
-Complete Prolapse. Part 2
Constitutional Treatment is again emphasized for the good effects produced in all of these cases, both young and old. Drastic Purgatives are contraindicated in ...
-Complete Prolapse. Part 3
This method is very successful in the treatment of complete prolapse of the first degree during the early stages, before there is great thickening of the ...
-Complete Prolapse. Part 4
During the operation the parts are steadied and prevented from retraction by allowing long ends to the sutures in the muscular and mucous membrane layers. The ...
-Chapter XII. Fistulae
A Fistula is the result of an abscess, or burrowing of pus to a greater or lesser degree into the surrounding tissue. The term has been derived from the Latin ...
-Fistulae. Part 2
Fig. 38. Fistula-. A. complete sub muscular; B, incomplete sub mucous external. The procedure laid down by Goodall and Miles is quoted as follows: The course ...
-Fistulae. Part 3
The Mastic [ligature or silk ligature which has been used since the time of Celsius, is applicable for the non-operative treatment of the complete fistula or ...
-Fistulae. Part 4
Excision with Immediate Suture is almost exclusively applied to those cases of small fistulous tracts of the complete external variety which are short and ...
-Fistulae. Part 5
When lateral sinuses are discovered in this variety of phis-tulae, the lateral branches should be divided up to the main channel and a single cut made through ...
-Fistulae. Part 6
Should the opening be large, the best results follow when the fistulous tract is dissected out and the rectal and vaginal surfaces united by separate tiers of ...
-Fistulae. Part 7
Recto-labial. In the treatment of recto-labial cases care should be exercised to avoid the sacrifice of the perineum. Ordinary incision, as practiced on simple ...
-Chapter XIII. Fissure In Anal
Anal fissure is technically a small ulcer, the result of a crack or elongated break in the mucous membrane at the anal orifice. The ulceration is of a ...
-Fissure In Anal. Continued
Surgical treatment consists of dilatation, excision, and division. Fig. 48. Fissure in anew Bilateral incision. Dilatation, or stretching of the anal orifice ...
-Chapter XIV. Abscesses
Correctional abscess or per-proctorial are the terms commonly designated to mean the collection of pus or suppuration in the region about the anus and the ...
-Abscesses. Part 2
Fig. 50. Subdivision of perinea space (schematic). For convenience in describing the exact position of diseased conditions in relation to the anal margin and ...
-Abscesses. Part 3
The Pelvis-rectal Abscess has its origin in the loose connective tissue existing between the elevators an and the peritoneum above, in what is known as the ...
-Chapter XV. Structure Of The Rectum
The term stricture of the rectum is used to indicate a constriction or narrowing of the lumen at any portion of the anal canal or rectum. This definition is ...
-Structure Of The Rectum. Part 2
Stricture of this pathological nature seldom exists by itself and there is usually an abscess or pocket of broken-down tubercular tissue from which a fistulous ...
-Structure Of The Rectum. Part 3
Diagnosis. Digital examination for the diagnosis of this condition is again emphasized as the only positive means of discovering a stricture within reach of ...
-Structure Of The Rectum. Part 4
The after-treatment of posterior proctorial should consist of a daily flushing out of the rectum and every precaution to keep the wound healthy. Tincture of ...
-Chapter XVI. Constipation
Constipation may be defined simply as the slow movement of the digestive residue, or the fecal mass through either the small or large intestines or a ...
-Constipation. Part 2
Weak Abdominal Muscles. Persons suffering from weak abdominal muscles, the result of diseases which cause muscular atrophy, or that have interfered with a ...
-Constipation. Part 3
When constipation is due to hypertrophy of Houston's valves, Valvoline is indicated and may be accomplished with the clips made for that purpose. Constipation, ...
-Chapter XVII. Fecal Impaction And Obstipation
Fecal Impaction indicates the accumulation of fecal matter at some point in the large intestine or rectum which resists the ordinary efforts of expulsion or ...
-Chapter XVIII. Pruritis Ani
Prurient an is the term commonly used to indicate an itching or irritation in the anal canal or on the per-anal skin. This symptom or irritation is classified ...
-Pruritis Ani. Continued
Or Ac. Carbolic ........................ M. v Ac. Salicylic .......................... M. XX Eng Zinc Ovid ...................... M. i In the chronic form of ...
-Chapter XIX. Hemorrhoids
Hemorrhoids or piles are the terms used to mean a hypertrophy of the tissue and a varicose of the blood vessels at the lower end of the rectum or at the margin ...
-Hemorrhoids. Part 2
Resinous cathartics are in general known to be the cause of hemorrhoids, as well as drugs which produce congestion of the pelvic veins, such as saccharides, ...
-Hemorrhoids. Part 3
Mixed Hemorrhoids (Internal and External). In most instances the treatment of this variety of hemorrhoids may be the same as that employed for the internal, as ...
-Hemorrhoids. Part 4
The regulation of the bowels should be such that the fecal mass be kept soft and nonirritating and abdominal straining at stools prevented. The continuous use ...
-Hemorrhoids. Part 5
The applications are necessarily repeated two or three times at intervals of five days or a week. There is no necessity for local anesthesia when using nitric ...
-Hemorrhoids. Part 6
Powell Acid carbolic........... gr. xiii Tr. Thurber ......... 3.i Aqua distillate ......... q. s. ad SS Misc Agnew recommends the following mixture: Plumb ...
-Hemorrhoids. Part 7
The hemorrhoid becomes very much distended and it may be necessary to puncture large ones to allow the blood to escape, in order to prevent sloughing. The ...
-Hemorrhoids. Part 8
Eucalypti may be used in the same strength as cocaine, but has the advantage of not being so poisonous. Ethyl chloride has been advocated by the inexperienced ...
-Hemorrhoids. Part 9
A table to facilitate the computation of the solutions of cocaine, eucalypti quinine and urea hydrochloride has been appended and will be found very useful to ...
-Hemorrhoids. Part 10
Complications which follow the Whitehead Operation. The complications and objections as enumerated by various operators are that it takes considerable time and ...
-Hemorrhoids. Part 11
The sphincters having been thoroughly stretched, an incision is made in the mucous membrane at the posterior membrane fissure and with the blunt point of the ...
-Hemorrhoids. Part 12
The clamp is applied in the longitudinal axis of the rectum, grasping the hemorrhoid as near to its base as possible without tearing the mucous membrane, the ...
-Hemorrhoids. Part 13
The Ordinary Xerography Cattery, supplied for burning artistic wood designs, has proven a most efficient and reliable instrument for the clamp and cattery ...
-Hemorrhoids. Part 14
From what I have said of the impossibility of stretching the sphincters under eucalypti it follows necessarily that this method is not applicable to the cure ...
-Hemorrhoids. Part 15
The procedure thus far described, it will be noticed, is applicable only to hemorrhoids which can be brought outside the sphincter by an effort of the patient ...
-Hemorrhoids. Part 16
The Crushing Operation. The crushing operation is probably one of the oldest for the treatment of hemorrhoids. It was formerly the custom to seize the whole ...
-Hemorrhoids. Part 17
The period of confinement after hemorrhoid operations varies with the method of operation from a few days to several weeks. An ordinary local anesthesia ...
-Chapter XX. Non-Malignant Growths Of The Rectum
The non-malignant tumors of the rectum are commonly classified as polyp The term is applied to any outgrowth having a narrow, peculated attachment and a large ...
-Non-Malignant Growths Of The Rectum. Continued
Myxomatosis are slow in growth and present the characteristics of a cyst or fluid mass on palpation. They do not form metastases but when imperfectly removed ...
-Chapter XXI. Malignant Growths
Cancer and sarcoma are classified as malignant diseases because of their tendency to infiltrate the surrounding tissue: infect the lymphatic glands and distant ...
-Malignant Growths. Continued
Diarrhea with blood, pus and mucus may simply indicate the presence of an ulcer. The blood indicates the effect of the disease generally upon the system in the ...
-Carcinoma
Cancer unfortunately occurs more frequently in the rectum than any other portion of the intestinal canal. It is found usually in the form of the epithelial, ...
-Carcinoma. Part 2
Symptoms. At first the patient complains of weight and fullness in the rectum or pelvis when the growth is high up, associated as a rule with very little pain; ...
-Carcinoma. Part 3
The differential features of adenoid, papillary, and cancer are briefly enumerated as follows: ADENOMA PAPILLOMA CANCER I. Adults usually. 1. Seldom in ...
-Carcinoma. Part 4
Drugs can do no more than add to the comfort of these sufferers. Intestinal antiseptics which control digestive disturbances, and stimulation in the form of ...
-Carcinoma. Part 5
It will he observed that having tied off the main blood vessel supplying this loop there will he little or no hemorrhage and no pain in this resection; and ...
-Carcinoma. Part 6
Kramer’s operation and operations which advise the removal of portions of the sacrum are less frequently advised. It has been found that the rectum and ...
-Carcinoma. Part 7
Fig. 75. Ab domino-anal extirpation. Weir's method-sigmoid sutured to the peritoneal cavity is closed, and afterward the abdominal wound. He completes the ...
-Carcinoma. Part 8
To free the rectum of its anterior peritoneal coat an incision is carried across the gut one inch above the tumor extending through the cool-ed-sac between the ...
-Carcinoma. Part 9
When the tumor is low down and less than two inches from the anal opening the perinea operation is advocated. But if it be found that there is too great ...
-Carcinoma. Part 10
Fig. 78. Skin incision for perinea mastectomy Birmingham’s method. Fig. 79. Perinea extirpation of the rectum. Que nus method. The nucleation of the ...
-Carcinoma. Part 11
Separation of rectum from vagina opening inducing the sphincters. The wall of the vagina is then dissected from its attachment to the rectum, exposing the ...
-Chapter XXII. Causes Of Bleeding From The Rectum
Rectal bleeding is so commonly associated with hemorrhoids that one is apt to be careless and fail to make either an ocular or digital examination to verify ...
-Chapter XXIII. Venereal Diseases Of Anus And Rectum
Venereal diseases of the rectum and anus are infrequent in this country. They are observed most often as a complication or secondary to infection at some other ...
-Chapter XXIV. Foreign Bodies In The Rectum
Foreign bodies are sometimes introduced into the rectum for the relief of constipation, by accident or for other purposes. Persons living in regions where lime- ...
-Chapter XXV. Hysteria And Neuralgia
This condition ordinarily indicates an affection of the rectum in the form of pain or muscular contraction, the cause of which is not understood and no ...
-Chapter XXVI. Injuries And Diseases Of The Coccyx
Diseases attributed to this bone, or at its junction with the sacrum, are so common and often referred to the rectal specialist that their consideration here ...
-Chapter XXVII. Fecal Incontinence
Fecal Incontinence may manifest itself in the partial or complete forms, the result of disease in the lower rectum, or the destruction of the contractile power ...
-Chapter XXVIII. Relation Of Gynecology To Rectal Diseases
The rectum and the genitourinary organs are so closely grouped together in the pelvic cavity; the nerves, blood vessels, and lymphatics so intimately ...
-Relation Of Gynecology To Rectal Diseases. Continued
The anal mucous membrane or muscular apparatus are often irritated and kept in a condition of pain, by cystitis, vulcanologist, displacements and adhesion of ...
-Chapter XXIX. Formulary
The following formulaic of prescriptions is appended for the purpose of aiding in the adoption of some definite recognized medication in the treatment of the ...







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previous page: A Manual Of Pathology | by Joseph Coats, Lewis K. Sutherland
  
page up: Disease Booksno next page