Page:A Contribution to the Pathology of Phlegmasia Dolens.djvu/14

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DR. ROBERT LEE ON

leaves the ham; in this latter situation pressure produces much suffering, as it does down the whole posterior part of the leg. The parts of the limb out of the course of this vessel and of the great superficial veins are comparatively much less painful than on the lower and anterior part of the thigh; for several inches above the knee firm and continued pressure is borne without complaint. The countenace is pale and sunk. The pulse rapid. There is great irritability and prostration of strength.

29th. The swelling is so much augmented in the last affected limb, that the femoral vein can no longer be distinguished.

8th January. Tumefaction and pain gradually declining in both extremities, which now admit of being moved, but cannot be extended. The feet are more swollen and tender than any other part of the limbs.

17th. General health improved. No pain experienced in the course of the great vessels. Left leg and both feet slightly œdematous.

12th Feb. Has been gradually improving since the last report. There is great weakness in both extremities, but pain is nowhere felt, and the slight degree of swelling remaining is confined to the left ankle and leg. No induration nor en-