. The principles and practice of modern surgery . invariable cause, is themost probable that can be assigned.§ In England it most frequentlyaffects females about the age of puberty, and in many cases is obviouslyconnected with uterine derangement. Patients so often refer its origin to * From the Kings College collection. The oesophagus is seen to be pushed to theright side by the tumour. ■\ Mr. Howship gives a case of bronchocele with the jugular vein passing through itssubstance. The patient suffered greatly from congestion in the head. \ Vide Baillies Morbid Anatomy, by Wardrop, 2d ed. p. 84


. The principles and practice of modern surgery . invariable cause, is themost probable that can be assigned.§ In England it most frequentlyaffects females about the age of puberty, and in many cases is obviouslyconnected with uterine derangement. Patients so often refer its origin to * From the Kings College collection. The oesophagus is seen to be pushed to theright side by the tumour. ■\ Mr. Howship gives a case of bronchocele with the jugular vein passing through itssubstance. The patient suffered greatly from congestion in the head. \ Vide Baillies Morbid Anatomy, by Wardrop, 2d ed. p. 84, and Turners Art ofSurgery, vol. i. p. 1 98. The cut exhibits a preparation in the Middlesex Hospital Mu-seum. § Capt. Alexander Gerard, in his account of Korrawur in the Himmalayas, says, thatalthough the Korrawurrees can get nothing but snow for some months in the year, theyare not so subject to goitres as the people that live in the damp grounds in the forest atthe foot of the hills, where there can never be any snow water. 35* Fig. 414 BRONCHOCELE. some twist or strain of the neck, that there is some reason for believingthat such an accident may be an exciting cause. There are some personswho always have more or less enlargement of the thyroid gland, and whoinvariably find it increase in bulk when their health is out of order, ortheir strength lowered. Treahnent.—The best remedy for this disease is iodine. The doseshould not be large enough to cause pain or disorder of the stomach, orany diminution of the general health. The tincture of pure iodine is ob-jectionable, because it is not miscible with water, and is apt to cause painin the side. But the iodine should be combined with an alkali, or withthe iodide of potassium, or with iron ; and an aromatic or a little hyoscya-mus often makes it sit more lightly on the stomach, (F. 44.) Before ad-ministering the iodine, however, it is useful, if the complaint is of recentorigin, to apply leeches, and purge the patie


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