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The tumor, by the wenty-sifth da of herdisorder, ad attainei the fige of the fift; the dissiculi os deglutilion, hicli ad ii
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in sonae degre by injections of broth and jellies sit pined aWay, and after lying sonae time in a lethargi state, expired ithout any kind of suffering Neve have I seen a tu
Where, o a German nobleman who, in the exercise of hunting, turned his head sud lent anil violentinio one fide, and ad thencea fata aneurisin of the caroti artery Wascaused, and the carotid in his oman injured in iis coats by sonae violent stratii in car in her basket the malines of the tumor it place directi unde and ehin theangle of theba , iis manifest connection,iththe carotid artery, iis rising With achivis tion of the carotid, and gettin a Stronger pulsation in proportio ascit sige increased, proved, o in entire satisfaction, that it Wasa true aneurisin in hicli the ac silled by
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the carotid truti gave a heavie pulsation in proportion ascit a dilated. I neve sa this poOr creature in an violent paroXysin os
her head loW, stili, an flat, apparenti Oppressed languid, and unWilsing to speah, seemini in a Statem stupor perhaps onlylanguishing or an o Dod. The tumor occupiet the fide of the nech, silled ali theangle of the jaw, the wholeiand spread outupon it jus containe it the pulsation asileep heaVy, and impressive; O could notbiit De an wful presentiment that it mustfoon ursi. he live lis longe than fixweelis froni the very irs of her complainis; We a the aneurisin in iis incipient stage, and walched it through his hori period in whicli it increased to this fatal sige Tolno that suci a diseas does exist, for this hasbeen doubted, is nough to ut us On ur
sure of a distended artery, hicli in the ham destroy the kneeUoint, and malles the bones
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Carious, hord thus compres the exibie iube of the pharynX, an preventis vallo ing. his giri, allace, Xcept the ough, had n other complaint, an siept Way asone starved to death. emplum primum a Domino 3thy Cooperprolatum . MAR EDWARDs, aged 44, astrought tomyhouseb Mr Robert Pughi Gracechurch-street, thates might examine a tumor in thenech, hicli as obviousi an neurisin fine right caroti artery I advised heroobecome a patient in Guy' Hospital, and shewas admitte o the 23d of October 805. The account sh gave of the disease Was that the tumor appeare sive monilis besere, Siluated raster above themiddie of the nec
Medie Chirurgical Transactions Vol. i. 1809.
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and occasione a stron pulsation in thebrain that it graduali increasexupWariis,unti it reached the lower jaw, and extendeddownWard beloi themiddie of the necti; that for a forinight revious to her admission the pulsation incit anil in the brain ad
scarcet to bear the ouch that he had great dissiculi in alitia an solid ood, and
was constanti teage With a violent cough. Upon Xamination of the wellini found that it occupiet two-third of the neck ithail a very troia pulsator motion, and theskin Was hin at iis mos prominent pari. When the welling Was examined at the hospital great doubis ivere entertaine is there Was sum ient space belween the clavici and the tumor so the applicationi a iligature,
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inglut the probabilit os a fata terminationo the disease, I gaine lier consent and thato her relation to an operation Onari lay, Nov. I. 1805, the peration a performeli, in the presence of Alr earce, urgeon, and
M owen, apothecar to the Universa Dispensary Ratcsisse UighWay, o M Travers, surgeon, and that os sive ther medicat gentiemen. The tumor at this time reachedfrom nea the chin beyon the angi of the jaw, and extende doWnward to illiin linches of the clavicte. I made an incisiontivo inches long on the inne elige of the
sed the jugula vein The motion of this vetii produced the ni dissiculi in the operation, as unde the different states of breati, iniit sumetimes presented iiset to the knise, tense, and distended, and then a suddenlycollapsed blassing myringer into the wound
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to confine that ein, I made an incision ui/on the carotid artery, and havinilaid itiare, separate it frona the par vagum, and introducet a curve aneurisinat needie underit, taking care to exclude the recurrent nerveon the ne hand, and the par vagum On theother. The two thread mere then led abolithes an incli afunder, eing the greates distance to hicli the could e separated Ithought it prope noto ruit the risk of aliaemorrhagei divi ling the artery, a I Waskarful the ligatures ouldi thrown os by
the force of the heari, and the distance Wasto sinat to allo os an means eing sedio prevent it As oon a the threads eretied ali pulsation in the tumor eased, and the operation being concluded, and the wound supersiciali dressed, he rose Dona the chair in hich sh sat during the operation, and
was immediatet seiged with a sit of coughing, hicli I thought would have terminaledher existence This seeme to aris Dominuaccumulationis mucus in the trachea, Which
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a ramin of the tumor, hicli e thought vas reduCed one-thii d. herilept eightioursias night her pulse 94. Eriday, Nov. 8.-Evening I Was sent forb M OKen and M Roberis, ho alte natet satis With her, on account of their observin that her est arm and leg ere paralytic. I found them benumbed, and shemoved them illi great dissiculty but sher pulse Was eala, and sh laboured unde considerable constitutiona irritation, I
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and has sonae appetite, ut cannot Wallo soli is Her hie sustenance is arro TOOt,to hich, as he had been very much accuS-