Transcription

"Lessened Urine toxicity means in-

creased blood toxicity _ which means

increased blood pressure due to

irritation of arterioles, thus impeding

circulation which brings on critical

irritation which means Eclampsia"

Working on such a theory the prop-

er treatment of eclampsia is if

B.P. is over 140 use Vaso-motor dilators

Examine Urine - if Urea below 2%

increase elimination

[Sketch] Angle suture first =

No indication for open Operation in

fract. Patella if pat. able to flex &

xtnd leg which shows that Quadricep

xten. is intact.

If unable to xtend then open oper.

must be done: Capsular & lat.

lig. cut strate across - lat. lig.

suturd first thus opposing bony

fragments - then sut. across top -

then purse-string-skin closed

             Gastro-enterostomy

1. Deliver Gr. Omen. & Trans. Col.

2. Open Trans Meso-col. into [lis.?] Per. Cav

3. Deliver post. surf. Stomach [sketch]

4. Place clamp on Stom.

5. Delvr. first loop of Jejunum

6. Place clamp on Jej.

7. Stay sut. at proximal angle

8. Start Lemb. sut. at opposite angle &

    sut. to stay sut. & tie, leave need. on.

9. Open

10. Start over & over sut. to opp. angle

       & out at angle then Connell sut. 

11. Pick up other needle & complete

      Lembert.

      Re-inforce angles

                           Umbil. Hernia

1. Transverse incis. below & above Umbil

     down to fascia

2. Xpose ring & free

3. Open sac & reduce Hern. [arrow up]