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Updated: May 12, 2025
It is attended with great pain, which is increased on moving the arm, and there is marked constitutional disturbance. When suppuration occurs, its spread is limited by the attachments of the axillary fascia, and the pus tends to burrow on to the chest wall beneath the pectoral muscles, and upwards towards the shoulder-joint, which may become infected.
Its large doubly-pinnate leaves of dark and lighter green, for both shades are observed on the same tree; its lavender-coloured flowers hanging in axillary clusters from the extremities of the shoots; its yellow cherry-like fruits some of which are already formed, all point out its species.
Besides, the malignant condition has spread. There is pressure upon the submaxillary and subclavicular ganglia, and probably the axillary ganglia also. His respiration, circulation and digestion will soon be obstructed and strangulation will be rapid." He sighed and stood with an unlighted cigar in his mouth, his face rigid, his arms folded.
When the terminal bud is thus prevented from continuing its growth, the nearest axillary buds are developed. One shoot usually gets the start, and becomes so much stronger that it throws the other to one side.
The flower-cluster leaves a concave, semicircular scar, in the leaf-axil. Balm-of-Gilead. 1. Branch in winter state: a, leaf-scar; b, bud-scar. 2. Branch, with leaf-buds expanded. 3. The terminal buds are the strongest and not very many axillary buds develop, so that the tree has not fine spray. The leaf-arrangement is alternate, on the 2/5 plan.
I also met with a tree about twenty feet high belonging to the natural order Dilleniaceae, with large spreading branches, producing at the axilla of the leaves from three to five large yellow flowers, with a row of red appendages surrounding the carpels, and a fine species of Calophyllum, with large dark green leaves, six to eight inches long, two and a half to three inches broad, beautifully veined, and with axillary racemes of white, sweet-scented flowers; the seed being a large round nut with a thin rind, of a yellowish-green colour when ripe.
In suppuration of the axillary glands the abscess may be quite superficial, or it may be deeply placed beneath the strong fascia and pectoral muscles, according to the group of glands involved. The diagnosis of septic lymphadenitis is usually easy.
As a rule, the bracts are grown together with their axillary flower-stalk. This cohesion is not complete, nor is it always developed in the same degree. Sometimes it extends over a large part of the two organs, leaving only their tips free, but on other occasions it is limited to a small part of the base.
Thomson has collected 86 cases of thoracic defects and summarizes his paper by saying that the structures deficient are generally the hair in the mammary and axillary regions, the subcutaneous fat over the muscles, nipples, and breasts, the pectorals and adjacent muscles, the costal cartilages and anterior ends of ribs, the hand and forearm; he also adds that there may be a hernia of the lung, not hereditary, but probably due to the pressure of the arm against the chest.
Bergh remarks that it is generally intermediate in color between the eyebrows and the axillary hair, the latter being more or less decolorized by sweat, and that, owing to the influence of the urine and vaginal discharges, the labial hair is paler than that on the mons; blondes with dark eyebrows usually have dark hair on the mons.
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