The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . Fi<. 698.—Aual Dilator. Fig. 699.—Speculum Ani. may alvva3s readily be detected by everting the mucous membrane ofthe anus, and by lifting up or turning aside the pile that covers thelower end of the crack. During this examination, it will usually- befound that the sphincter ani is in a more or less spasmodically contractedstate, admitting the finger and instrument with difficulty. Symptom!^.—-The s3mptoms of ulcer or fissure in the anus are ver}^characteristic. The patient complains of pain,
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . Fi<. 698.—Aual Dilator. Fig. 699.—Speculum Ani. may alvva3s readily be detected by everting the mucous membrane ofthe anus, and by lifting up or turning aside the pile that covers thelower end of the crack. During this examination, it will usually- befound that the sphincter ani is in a more or less spasmodically contractedstate, admitting the finger and instrument with difficulty. Symptom!^.—-The s3mptoms of ulcer or fissure in the anus are ver}^characteristic. The patient complains of pain, usually of a severe burningcharacter, on the passage of a motion, especially if a hard one ; occasion-ally it occurs at the time of defecation, but more frequently commencesa few minutes afterwards, and continues from half-an-hour to severalhours. The pain is very severe, and peculiarly wearing and burning;it is generall} most felt opposite the sacro-iliac articulation, but notunfrequently radiates round the pelvis or down the thighs. In manycases it produces a good deal of continued irr
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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative
