. Diseases of the rectum and anus: designed for students and practitioners of medicine. es most of the time, frequentlystrains to relieve the bowel, the abdomen grows tense, thepulse is weak and thread-like, the temperature irregular, res-piration difhcult, the face expresses suffering; then occursvomiting, first of the gastric and later of the intestinal con-tents, including meconium; the extremities become cold, and ^ Boston Medical and Surgical Journal, October, 1838. CONGENITAL MALFORMATIONS 79 death finally ensues from exhaustion and lack of nourishmentor from rupture of the intestine and
. Diseases of the rectum and anus: designed for students and practitioners of medicine. es most of the time, frequentlystrains to relieve the bowel, the abdomen grows tense, thepulse is weak and thread-like, the temperature irregular, res-piration difhcult, the face expresses suffering; then occursvomiting, first of the gastric and later of the intestinal con-tents, including meconium; the extremities become cold, and ^ Boston Medical and Surgical Journal, October, 1838. CONGENITAL MALFORMATIONS 79 death finally ensues from exhaustion and lack of nourishmentor from rupture of the intestine and collapse. The symptoms differ in the various types of congenitalocclusion. In the first variety, where narrowing of the anusonly is present, constipation and diarrhea are noticeable, orthe meconium may be slowly discharged. Where a fistulaopens into the urethra or bladder the urine has a fecal irritation caused by the feces induces urethritis or cystitis,respectively. When there is a communication with the vaginathe opening is usually large, and the feces are expelled with. Fig. 38.—Imperforate Anus, the Rectum Terminating In the Bladder. little pain beyond that depending upon excoriation of the gen-itals. DIAGNOSIS When undue contraction of the anus or the rectum existsin the newly-born a diagnosis is usually easy. The contractionwhen high can be located with the finger or a probe, and whennear the anus can be easily seen, especially if it is due to afold of skin stretching partially over the anal aperture. When the occlusion is complete and induced by a mem-brane, a correct diagnosis can readily be reached from thebulging caused by pressure of retained meconium upon thebowel when the child cries or cousfhs. In those cases where 80 DISEASES OF THE EECTUM AND ANUS the anus is absent and the rectum ends in a sac, much in-genuity is required to determine the exact condition, becausethere are no external manifestations to serve as a guide. Muchinformation is to be obta
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
