The home medical adviser, a popular work on the treatment of disease . in exophthalmicgoiter. Feeding of the dried thyroid glands produces wonderfulresults in the cretin and in myxedema. Osier affirms that goiter may be prevented and cured in goitrousdistricts by drinking only boiled water. RUPTURE Hernia, or rupture, consists of a protrusion of a portion of thecontents of the abdomen through the abdominal wall under the super-ficial tissues and skin. Commonly the protrusion is a part of thebowel or its fatty covering (omentum). The usual seats of ruptureare at the navel and groin. Rupture at
The home medical adviser, a popular work on the treatment of disease . in exophthalmicgoiter. Feeding of the dried thyroid glands produces wonderfulresults in the cretin and in myxedema. Osier affirms that goiter may be prevented and cured in goitrousdistricts by drinking only boiled water. RUPTURE Hernia, or rupture, consists of a protrusion of a portion of thecontents of the abdomen through the abdominal wall under the super-ficial tissues and skin. Commonly the protrusion is a part of thebowel or its fatty covering (omentum). The usual seats of ruptureare at the navel and groin. Rupture at the navel is called umbilical 114 GROWTHS AND SWELLINGS hernia; that at the groin either inguinal or femoral, according toslight differences in site. Umbilical hernia is common in babiesand occurs as a whole in only five per cent, of all ruptures, whereasrupture in the groin constitutes ninety-four per cent. (Fig. 45). Oneper cent, of females and six and seven-tenths per cent, of males areruptured (Kingdon). Rupture may also arise from the giving away of scars after. Fig. 45. -Sites of Rupture. 1 and 2 Epigastric Hernia; 3 Umbilical Hernia; 4 In-guinal Hernia; 5 Femoral Hernia. abdominal operations, and will occur at almost any point at whichthere is a scar. It is chiefly in wounds which have been kept openfor drainage that rupture arises. Rupture rarely follows in woundswhich are closed at operation and heal without the formation of —-Rupture is sometimes present at birth. The ordinarycause of rupture is natural weakness of the structures at the pointsat which they ordinarily occur. Twenty-five per cent, of personswith rupture record a history of the same trouble in their is six times more frequent in men than in women, and is RUPTURE 115 favored by severe muscular work, obesity, chronic coughing, constipa-tion, diarrhea, straining to pass water, sudden strain in lifting, andblows on the abdomen. Symptoms.—Rupture first appears as a fullness or
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