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On the other hand, she occasionally wandered about at night. It should be added that during the stupor an alveolar abscess developed which discharged pus. It was washed out and healed. Then she was sent to the Manhattan State Hospital and admitted to the service of the Psychiatric Institute. Under Observation: 1.
If the parts are badly infected and profuse discharge of pus exists a daily change of dressings is necessary. In the average instance, however, semi-weekly treatments are sufficient. And in many instances where one is obliged to travel a considerable distance to handle the affected animal one weekly dressing of the wound will suffice after the second treatment.
The joint is held rigid in the flexed position, and the least attempt at movement causes severe pain; the slightest jar even the shaking of the bed may cause agony. The joint is hot, tensely distended, and there may be œdema of the peri-articular tissues or of the limb as a whole. If the pus perforates the joint capsule, there are signs of abscess or of diffuse suppuration in the cellular tissue.
#Pneumococcal affections of joints#, the result of infection with the pneumococcus of Fraenkel, are being met with in increasing numbers. The local lesion varies from a synovitis with infiltration of the synovial membrane and effusion of serum or pus, to an acute arthritis with erosion of cartilage, caries of the articular surfaces, and disorganisation of the joint.
Sometimes it is hour-glass or dumb-bell shaped, as is well illustrated in the region of the groin in disease of the spine or pelvis, where there may be a large sac occupying the venter ilii, and a smaller one in the thigh, the two communicating by a narrow channel under Poupart's ligament. By pressing with the fingers the pus may be displaced from one compartment to the other.
It had long been recognized that, now and again, a wound healed without the formation of pus, that is, without suppuration, but both spontaneous and operative wounds were almost invariably associated with that process; and, moreover, they frequently became putrid, as it was then called, infected, as we should say, the general system became involved and the patient died of blood poisoning.
A general typhoid condition existed, the temperature ranging from 101 to 103.5; the pulse from 115 to 135, tongue coated, poor appetite, and in short, the patient in a very critical condition. The use of chloroform, and the shock from the evacuation of the pus, added to the gravity of all the symptoms, and for about two weeks the patient was in great danger of death from asthenia.
In man its first symptom is a discharge of pus from the canal through which the urine passes. Its later stages may involve the bladder, the testicles, and other important glands. It may also produce crippling forms of rheumatism, and affect the heart. Gonorrhea may recur, become latent, and persist for years, doing slow, insidious damage. It is transmitted largely by sexual intercourse.
The scorbutic ulcers presented a dark, purple fungoid, elevated surface, with livid swollen edges, and exuded a thin; fetid, sanious fluid, instead of pus. Many ulcers which originated from the scorbutic condition of the system appeared to become truly gangrenous, assuming all the characteristics of hospital gangrene.
Hence it is easy to understand how, when a wound is very large, the crust beneath the rag may prove here and there insufficient to protect the raw surface from the stimulating influence of the carbolic acid in the putty; and the result will be first the conversion of the tissues so acted on into granulations, and subsequently the formation of more or less pus.
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