A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . First form of arterio-venous fistule.(Wyeth.) Second form of arterio-venous fistule.(Wyeth.) tion of the vein at the site of the fistule, and leads to hypertrophyand tortuosity of it and other veins in the vicinity. ARTERIO-VENOUS WOUNDS AND FISTULES. 277 The vibration and murmur may be transmitted along the veins to aconsiderable distance from the opening; especially is this the case inan upward direction. The swelling, vibrati
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . First form of arterio-venous fistule.(Wyeth.) Second form of arterio-venous fistule.(Wyeth.) tion of the vein at the site of the fistule, and leads to hypertrophyand tortuosity of it and other veins in the vicinity. ARTERIO-VENOUS WOUNDS AND FISTULES. 277 The vibration and murmur may be transmitted along the veins to aconsiderable distance from the opening; especially is this the case inan upward direction. The swelling, vibration and murmur are les-sened by elevation of the limb, and increased by its being placed in adependent position. Digital compression of the vein at the cardiac sideof the tumor increases these phenomena, but similar compression onthe distal side exerts no influence whatever. Compression of theartery above the swelling causes immediate arrest of vibration andmurmur, which are at once reestablished upon removal of upon the artery below may be expected to increase the sizeof the swelling. The arterial trunk above the seat of disease may after a ti
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