Essays In Pastoral MedicineWalsh, James J. (James Joseph)
Religion
Essays In Pastoral Medicine
Walsh, James J. (James Joseph)
First aid in illness and injury; Medicine
By this time the embryo is a minute longitudinal streak at the {74}
surface of one pole of the ovum. The "Primitive Trace" is like a
long inverted letter U, the legs of which are in apposition. The
Primitive Trace becomes a circular flattened disc; and it grows into
a cylindrical body by the juncture of the free margins which fold
downward and inward and meet in the median line, and this closes in
the pelvic, abdominal, thoracic, pharyngeal, and oral cavities. The
legs and arms bud from this cylinder later. While the ventral
cylinder is growing, another longitudinal cylinder is formed along
the upper surface of the embryo, which will contain the brain and
the spinal column. The subsequent development of the embryo and
foetus need not be known for an understanding of the material
considered in treating here of terata.
Human terata occur in certain rather definite, types of erroneous
development, and the classification of Hirst and Piersol (_Human
Monstrosities_, Philadelphia, 1891), which is a combination and change
of the classifications of Geoffrey Saint-Hilaire, Klebs, and Förster,
is the most satisfactory. There are four great groups of abnormally
developed human beings: (1) Hemiteratic; (2) Heterotaxic; (3)
Hermaphroditic; (4) Monstrous.
Hemiterata are giants, dwarfs, persons showing anomalies in shape, in
colour, in closure of embryonic clefts, in absence or excess of
digits, or having other defects. This group does not come under
discussion here, but attention should be called to the fact that women
who are dwarfs are to be warned before marriage that they cannot be
delivered normally,--that the caesarean section or symphyseotomy will
be necessary, or that certain physicians will practise craniotomy in
delivering them.
The Heterotaxic group comprises persons whose left or right visceral
organs are reversed in position through abnormal embryonic
development; the liver is on the left side, the heart points to the
right, and so on.
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