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Having chosen the subject of aneurism, I
shall first say what an aneurism is, and then dis= cribe its nature, progress and treatment.
Aneurism is known to surgeons as being a
pulsating tumours connected with the heart, or to an artery, and containing blood, but I do not wish you to understand me to say that all pul= sating tumours are aneurisms, for you may occasion= ally find an abscess or tumour that pulsates freely caused in this way. You will find an abscess near or over an artery; the abscess being much very swollen will cause pressure on the artery, any evolution of the heats pulsation may be distinctly felt because of the circulation being partially stopped by the pressure of the abscess on whatever artery it may be; now the only way to distinguish a pulsating abscess from an aneurism is to cause pressure to be made on the artery above the tumour, and if you see that the tumour does not decrease in size, you may be very certain that it is an abscess; but you should never [...] your [...] into it without having your [...] and all other instruments necessary for taking up an artery at hand, in case you should need them.
Aneurisms are divided into two classes; ex=
ternal and internal. By external aneurisms I
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