. Surgical differentials. diate. Negati Moderate increase Often pressurepain. Negative. Softening. Mediate. Fracture, Metas- AT ,.tasis and death. NeSatlve- Remote. Disability. Negative. Lif e : Negative, improves. Almost surely fa-tal. Life negat ive,fuuction ques-tionable. Gangrene or rup-ture. Disability. Disability. Lossof extremity. May be fatal,func-tion impaired. or mixed. Disarticulation athip. TREATMENT. Excision of sac. Matas operation ifpossible. Undoubtedly much more might be said in attempting togive the differential diagnosis between these hypothetic


. Surgical differentials. diate. Negati Moderate increase Often pressurepain. Negative. Softening. Mediate. Fracture, Metas- AT ,.tasis and death. NeSatlve- Remote. Disability. Negative. Lif e : Negative, improves. Almost surely fa-tal. Life negat ive,fuuction ques-tionable. Gangrene or rup-ture. Disability. Disability. Lossof extremity. May be fatal,func-tion impaired. or mixed. Disarticulation athip. TREATMENT. Excision of sac. Matas operation ifpossible. Undoubtedly much more might be said in attempting togive the differential diagnosis between these hypothetical cases,but it is not claimed that this differential is complete in all de-tails. Further application of the scheme will supply these if CERVICAL ANASTOMOSIS. desired. As with Darwins article on earth worms, very little,will remain to be said after the scheme has been thoroughlyapplied. Earth worms have been observed for the last thirtyyears, but nothing new has been added to the observations ofthe famous {jtlCarofd. yJ <ujRc- » c/«e/» CcT-wca. ? fair. J^nfe-r cos***7 ^ Fig. Anastomosis. LIGATION. 35 Word schemes, however, are not the only ones which lendthemselves favorably to a discussion of the arteries. Fig. an invaluable diagrammatic scheme of the difficult andtoo-often asked cervical anastomosis. It is not artistic but im-mensely useful. One of the important differences betweenmedicine and surgery is that medicine is given over very largelyto diagnosis, whereas surgery is concerned more particularly, orat least to as great an extent, with treatment. An eminentauthority has said perhaps not too wisely, but certainly concise-ly, that in general the medical treatment of a given conditioncan be summed up in three words : Nurse, Feed and is obviously an exaggeration if applied too widely, but itserves to emphasize an important point. As a result of this essential difference between medicineand surgery, and partl


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