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Updated: May 26, 2025
Swelling is a valuable local symptom. It is produced by the inflammatory exudates. Pain results from the pressure on the sensory nerves by the inflammatory swelling. For example, the laminae of the foot are imprisoned between the horny wall and the pedal bone.
The absorption and elimination of exudates, pus, etc., take place during the period of abatement. It is accompanied by a gradual lowering of temperature, pulse rate and the other symptoms of fever and inflammation. V. Resolution or Reconstruction.
Heat is indicated in all inflammations, excepting when of bacterial origin. It stimulates the circulation and reabsorption of the inflammatory exudates, and by relaxing the tissues helps greatly in relieving pain. Its action consists principally in the contraction of the dilated blood-vessels. Continuous irrigation of the part with cold water is the most satisfactory method of applying cold.
This battle between the forces of disease and the healing forces is accompanied by the disintegration of tissues due to the accumulation of exudates, to pus formation, the development of abscesses, boils, fistulas, open sores, etc., and to other morbid changes.
An iodid circulating in the blood seems to aid absorption. It has long been believed that iodin in the blood tends to promote absorption of thickened, left-over material from exudates, and to prevent the formation of strong fibrous adhesions. Until our knowledge is more exact in this matter, it is advisable to use iodid as suggested. If the above-named dose is not tolerated, less should be given.
On post-mortem examination the blood is found tarry and dark, and bloody exudates may be found in the abdominal and thoracic cavities. The spleen is soft and two or three times larger than normal. The diagnosis should be confirmed by finding the B. anthracis in the blood and tissues. The death-rate is very high, usually about seventy-five per cent. The treatment is preventive.
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