FREE BOOKS

Author's List




PREV.   NEXT  
|<   214   215   216   217   218   219   220   221   222   223   224   225   226   227   228   229   230   231   232   233   234   235   236   237   238  
239   240   241   242   243   244   245   246   247   248   249   250   251   252   253   254   255   256   257   258   259   260   261   262   263   >>   >|  
w of the commoner causes of the trouble, it will be clear that colic is merely a symptom of disease, not a disease in itself, and that no diagnosis has been made until the cause of the pain has been determined. Intestinal colic is paroxysmal, usually both beginning and ending suddenly. The pain is generally referred to the neighbourhood of the umbilicus, and may radiate all over the abdomen. It varies in intensity from a slight momentary discomfort to a pain so severe as to cause the patient to shriek or even to break out into a cold clammy sweat. It is usually relieved by pressure, and this point is one which aids in the differential diagnosis between a simple colic and peritonitis, the pain of the latter being increased by pressure. But should the colic be due to a malignant growth, or should the intestines be distended with gas, pressure will probably increase the pain. The temperature is usually subnormal, but may be slightly raised, and the pulse is in proportion. In the treatment of simple colic the patient must be confined to bed, hot fomentations applied to the abdomen and a purge administered, a few drops of laudanum being added when the pain is exceptionally severe. But the whole difficulty lies in making the differential diagnosis. Acute intestinal obstruction (ileus) begins just as an attack of simple colic, but the rapid increase of illness, frequent vomiting, anxious countenance, and still more the condition of the pulse, warn a trained observer of the far more serious state. Appendicitis and peritonitis, as also the gastric crises of locomotor ataxy, must all be excluded. COLIGNY, GASPARD DE (1519-1572), admiral of France and Protestant leader, came of a noble family of Burgundy, who traced their descent from the 11th century, and in the reign of Louis XI. were in the service of the king of France. His father, Gaspard de Coligny, known as the marechal de Chatillon (d. 1522), served in the Italian wars from 1495 to 1515, and was created marshal of France in 1516. By his wife, Louise de Montmorency, sister of the future constable, he had three sons: Odet, cardinal de Chatillon; Gaspard, the admiral; and Francis, seigneur d'Andelot; all of whom played an important part in the first period of the wars of religion. At twenty-two young Gaspard came to court, and there contracted a friendship with Francis of Guise. In the campaign of 1543 Coligny distinguished himself greatly, and was wounded at the s
PREV.   NEXT  
|<   214   215   216   217   218   219   220   221   222   223   224   225   226   227   228   229   230   231   232   233   234   235   236   237   238  
239   240   241   242   243   244   245   246   247   248   249   250   251   252   253   254   255   256   257   258   259   260   261   262   263   >>   >|  



Top keywords:

diagnosis

 

France

 
pressure
 

Gaspard

 
simple
 

severe

 

Coligny

 

increase

 

Chatillon

 

abdomen


patient

 
Francis
 

peritonitis

 

differential

 
disease
 
admiral
 
locomotor
 

father

 

excluded

 
gastric

Appendicitis
 

COLIGNY

 

crises

 

service

 
Protestant
 
descent
 

traced

 

leader

 

Burgundy

 

century


GASPARD
 

family

 

twenty

 

religion

 

period

 

played

 

important

 

contracted

 

greatly

 
wounded

distinguished

 
friendship
 
campaign
 

Andelot

 

marshal

 
observer
 

created

 
served
 

Italian

 
Louise