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This a little experience will readily teach. It is further to be particularly observed that the inflammation attendant on a recent wound is removed by the caustic, when the same degree of inflammation at a later period, and with suppuration, would be aggravated and require the cold poultice and lotion, and render the formation of an adherent eschar impossible.

There is reason to believe the inhabitants are afraid of the affluence of foreign travellers. We were sixty-six days on this march; my strength was exhausted, my limbs swelled, and my feet almost in a state of suppuration.

The obstruction from the bulk of this substance must have affected the brain, and probably induced the thickening of the pia mater, the hydatids, and the beginning of suppuration, whereas the dura mater, being of a harder texture, was not injured .”

The treatment of wounds with respect to their cure by preserving them from bacterial and other poisons has been so greatly improved that it is now regarded almost as a crime to permit suppuration and other horrible processes which were formerly supposed to be the necessary concomitants of healing.

When there is widespread suppuration in the marrow, and the shaft is extensively bared of periosteum and appears likely to die, it may be resected straight away or after an interval of a day or two. Early resection of the shaft is also indicated if the opening of the medullary canal is not followed by relief of symptoms.

Contusion of muscles or nerves may produce partial atrophy and paresis, as is often seen after injuries in the region of the shoulder. In alcoholic or other debilitated patients, suppuration is liable to ensue in bruised parts, infection taking place from cocci circulating in the blood, or through the overlying skin. Terminations of Contusions.

When the lumen of a tubular organ, such as the appendix or the Fallopian tube is blocked also, the action of pyogenic organisms is favoured and suppuration ensues. #Pus.# The fluid resulting from the process of suppuration is known as pus. In its typical form it is a yellowish creamy substance, of alkaline reaction, with a specific gravity of about 1030, and it has a peculiar mawkish odour.

The pyogenic membrane, like the granulations of a sore, which it resembles in nature, forms pus, not from any inherent disposition to do so, but only because it is subjected to some preternatural stimulation. In an ordinary abscess, whether acute or chronic, before it is opened the stimulus which maintains the suppuration is derived from the presence of pus pent up within the cavity.

We there read of the suppuration, and stench that follow after seven or eight hundred lashes; and that some men have complained that its offensiveness was almost equal to the whipping. We there read of the surgeon discharging a pound and a half of matter from an abscess, formed in consequence of a merciless punishment.

In moderately acute cases the tendon and its sheath become covered with granulations, which subsequently lead to the formation of adhesions; while in more acute cases the tendon sloughs. The pus may burst into the cellular tissue outside the sheath, and the suppuration is liable to spread to neighbouring sheaths or to adjacent bones or joints for example, those of the wrist.