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Impaired movement of tendons and joints is, therefore, a common sequel to this variety of whitlow. The treatment consists in inducing passive hyperæmia by Bier's method, and, if this is done early, suppuration may be avoided. If pus forms, small incisions are made, under local anæsthesia, to relieve the tension in the sheath and to diminish the risk of the tendons sloughing.
Pencroft had torn up his shirt, and was mechanically making lint. Spilett then explained to Cyrus Harding that he thought he ought first of all to stop the haemorrhage, but not close the two wounds, or cause their immediate cicatrisation, for there had been internal perforation, and the suppuration must not be allowed to accumulate in the chest.
"If, as it unfortunately happened, the point of rupture had not immediately closed again, if it had remained open until suppuration ceased and contraction and healing of the perforated appendix had taken place, opium would have been regarded as instrumental in saving the patient, and unquestionably, at least to some extent, justly so.
In the Therapeutic Gazette, August 15, 1896, there is a translation of the report of a case by Voss, in which a child of five pushed a dry pea in his ear. Four doctors spent several days endeavoring to extract it, but only succeeded in pushing it in further. It was removed by operation on the fifth day, but suppuration of the tympanic cavity caused death on the ninth day.
Sinuses form, and the whole foot becomes greatly swollen and distorted by flattening of the sole and dorsiflexion of the toes. There is but little pain, and no glandular involvement or constitutional disturbance. The disease runs a prolonged course, sometimes lasting for twenty or thirty years. Spontaneous cure never takes place, and the risk to life is that of prolonged suppuration.
It even seemed to the reporter that this water, being slightly sulphurous, which was explained by the neighborhood of the volcano, had a more direct action on the healing. The suppuration was much less abundant, and thanks to the incessant care by which he was surrounded! Herbert returned to life, and his fever abated.
12th " One million trillionth, or one quadrillionth, marked IV., and so on indefinitely. "gastralgia, epistaxis, haemoptysis, asthma and suppuration of the lungs, megrim, deafness, cataract and amaurosis, paralysis, loss of sense, pains of every kind, etc., appear in our pathology as so many peculiar, distinct, and independent diseases."
Accordingly, many abscess cavities resulting from deep-seated suppuration are of irregular shape, with pouches and loculi in various directions an arrangement which interferes with their successful treatment by incision and drainage.
In 1622 she complained of a pain in her left breast, whereon there appeared at first a hard knob no bigger than a small pea; it increased in a little time very much, was very hard, and sometimes would look very red; she took advice of surgeons, had oils, sear-cloths, plates of lead, and what not: in 1623 it grew very big, and spread all over her breast; then for many weeks poultices were applied to it, which in continuance of time broke the skin, and then abundance of watery thin stuff came from it, but nothing else; at length the matter came to suppuration, but never any great store issued forth; it was exceeding noisome and painful; from the beginning of it until she died, she would permit no surgeon to dress it but only myself; I applied every thing unto it, and her pains were so great the winter before she died, that I have been called out of my bed two or three times in one night to dress it and change plaisters.
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