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Wounds invading the tissues adjacent to joints, when these wounds are of considerable extent, cause inflammation of such articulations by contiguous extension of inflammation. As long as an injury remains practically aseptic, or if infected and the septic process does not involve the joint proper by direct extension, no more serious disturbance than a simple synovitis will result.
Chiefly, because of the difficulty encountered in keeping the hock joint in an aseptic condition or securely bandaged, open tarsal joint constitutes a more serious condition than a similar affection of the fetlock. Otherwise, a very similar condition obtains and the same diagnostic principles serve here that have been described on page 110 in considering open fetlock joint. Treatment.
When she hurried to the Church for mercy it was desolation to learn from the pulpit that her heart clamor for divorce was not a cleanly and aseptic impulse, but an impious contribution to the filthy social condition of the United States. Charity had no one to confide in, and she had no new grievance to air. Everybody else had evidently been long assured of her husband's profligacy.
Indeed this whole subject, the virtual anticipation of our nineteenth-century principles of aseptic surgery in the thirteenth century, is not a dream nor a far-fetched explanation when one knows enough about the directions that were laid down in the surgical text-books of that time.
One of the most constant symptoms is the early occurrence of severe neuralgic pain, and this is usually associated with marked hyperæsthesia. #Regeneration.# Process of Repair when the Ends are in Contact. If the wound is aseptic, and the ends of the divided nerve are sutured or remain in contact, they become united, and the conducting paths are re-established by a regeneration of nerve fibres.
Acute arthritis may be septic or aseptic, and there seems to be a remarkable tendency for recovery in cases of septic arthritis involving this joint in the horse. Chronic arthritis with destruction of articular surfaces and ankylosis, is seldom observed.
Pads of sphagnum moss, sterilised by heat, are highly absorbent, and being economical are used when there is much discharge, and in cases where a leakage of urine has to be soaked up. #Means adopted to combat Infection.# As has already been indicated, the same antiseptic precautions are to be taken in dealing with infected as with aseptic wounds.
This method of studying ulcers has the practical advantage that it furnishes us with the main indications for treatment as well as for diagnosis: the cause must be removed, and the condition so modified as to convert the ulcer into an aseptic healing sore.
The bacillus may be obtained by swabbing the throat with a piece of aseptic not antiseptic cotton wool or clean linen rag held in a pair of forceps, and rotated so as to entangle portions of the false membrane or exudate. The swab thus obtained is placed in a test-tube, previously sterilised by having had some water boiled in it, and sent to a laboratory for investigation.
As they are ignorant of aseptic precautions, their manipulations must necessarily contaminate the site of operation; for this reason and others as well women who attempt to perform an abortion upon themselves imperil their lives.
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