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"Lessened Urine toxicity means in-
creased blood toxicity _ which means
increased blood pressure due to
irritation of arterioles, thus impeding
circulation which brings on critical
irritation which means Eclampsia"
Working on such a theory the prop-
er treatment of eclampsia is if
B.P. is over 140 use Vaso-motor dilators
Examine Urine - if Urea below 2%
increase elimination
[Sketch] Angle suture first =
No indication for open Operation in
fract. Patella if pat. able to flex &
xtnd leg which shows that Quadricep
xten. is intact.
If unable to xtend then open oper.
must be done: Capsular & lat.
lig. cut strate across - lat. lig.
suturd first thus opposing bony
fragments - then sut. across top -
then purse-string-skin closed
Gastro-enterostomy
1. Deliver Gr. Omen. & Trans. Col.
2. Open Trans Meso-col. into [lis.?] Per. Cav
3. Deliver post. surf. Stomach [sketch]
4. Place clamp on Stom.
5. Delvr. first loop of Jejunum
6. Place clamp on Jej.
7. Stay sut. at proximal angle
8. Start Lemb. sut. at opposite angle &
sut. to stay sut. & tie, leave need. on.
9. Open
10. Start over & over sut. to opp. angle
& out at angle then Connell sut.
11. Pick up other needle & complete
Lembert.
Re-inforce angles
Umbil. Hernia
1. Transverse incis. below & above Umbil
down to fascia
2. Xpose ring & free
3. Open sac & reduce Hern. [arrow up]
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