File:Modern surgery, general and operative (1914) (14778955371).jpg

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ous erysipelas. The redness ofcellulitis is about the wound; it spreads, but does not fade at the center as doesordinary erj^sipelas; red lines due to lymphangitis ascend the limb from theinfected wound, and the anatomically associated lymphatic glands enlarge.In the wound and its neighborhood there is severe throbbing pain. Theconstitutional symptoms of infection develop rapidly. In trivial cases thelymphatics dispose of the poison and suppuration does not occur. Insevere cases pus forms about the wound and IjTnphatic glands may sup-purate. In staphylococcic infection pus is thick, in pure streptococcic in-fection it is thin. Phlegmonous erysipelas may develop, and septicemia orpyemia may arise. Treatment.—Open, disinfect, and drain the wound. Paint iodin uponthe skin over inflamed lymphatic vessels and glands and cover with ichthyolointment, or rub Credes soluble silver ointment into the skin over the inflamedlymph-glands and vessels. Dress the wound and the adjacent inflamed area
Text Appearing After Image:
Fig. 100.—Acute cellulitis of palm and forearm following a slight wound. with hot antiseptic fomentations. Secure rest of the part. It may be neces-sar\^ to make incisions as in phlegmonous er^sipelas. In some cases it isnecessary- to remove breaking-down glands. The constitutional treatment isthat employed for septicemia. XII. TETANUS, OR LOCKJAW Tetanus is a microbic disease invariably preceded by some injury andcharacterized by spasm of the voluntarv^ muscles. The wound may have beensevere, it may have been so slight as to have attracted no attention, it mayhave been inflicted upon the alimentary canal by a iish-bone or other foreignhody, or may have been situated in the nose, urethra, rectum, vagina, or ear.It is possible that infection can occur through a mere abrasion of a mucousmembrane. Sir David Semple has recently sought to demonstrate thattetanus does not of necessity depend on spores or bacilh introduced at thetime of the injury. He believes that spores may be taken up f

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