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Updated: May 23, 2025
Leucocytosis is met with in nearly all acute infective diseases, and in acute pyogenic inflammatory affections, particularly in those attended with suppuration. In exceptionally acute septic conditions the extreme virulence of the toxins may prevent the leucocytes reacting, and leucocytosis may be absent. The absence of leucocytosis in a disease in which it is usually present is therefore to be looked upon as a grave omen, particularly when the general symptoms are severe. In some cases of malignant disease the number of leucocytes is increased to 15,000 or 20,000. A few hours after a severe hæmorrhage also there is usually a leucocytosis of from 15,000 to 30,000, which lasts for three or four days (Lyon). In cases of hæmorrhage the leucocytosis is increased by infusion of fluids into the circulation. After all operations there is at least a transient leucocytosis (post-operative leucocytosis) (F.
The frequent occurrence of post-operative and post- traumatic pain is accounted for by the fact that the operation or the injury has lowered the threshold of the brain- cells to trauma; the brain and not the local sensitive field is the site of the pain.
In 1888, Sir Felix Semon, as an outcome of a collective investigation, established for all time that cretinism, myxedema and post-operative myxedema were one and the same.
In this manner it is easy to differentiate post-operative or post-traumatic edemas which may or may not cause lameness. At any rate, it is essential to take into account all determinate conditions that may assist in the prognosis of any given case, for the purpose of being able to outline rational remedial measures.
Recurrences were noticed in 11.3 per cent of all the cases; in simple glaucoma 14.3 per cent as against the acute and chronic forms with 6 per cent. A return of the glaucoma was noticed in 7 per cent of the pale, oedematous, post-operative scars, in 16 per cent of the flat cicatrices, and in 24 per cent of the ectatic variety.
In severe cases, and especially when the vomited matter resembles coffee-grounds from admixture with altered blood the so-called post-operative hæmatemesis the best means of arresting the vomiting is by washing out the stomach. Thirst is relieved by rectal injections of saline solution.
They exhausted every means of physical, laboratory and radiological examination short of re-opening his chest and looking in, and at last the chief surgeon was forced reluctantly to admit that there was nothing left for him to do but provide post-operative follow-up care for the irascible old man.
Hæmorrhage from the mucous membrane of the stomach after abdominal operations apparently also due to toxic causes and not to the operation gives rise to the so-called post-operative hæmatemesis. #Constitutional Effects of Hæmorrhage.# The severity of the symptoms resulting from hæmorrhage depends as much on the rapidity with which the bleeding takes place as on the amount of blood lost.
I have found that, by blockingthe field of operation with local anesthesia, post-operative pain is diminished; that is, since the local anesthesia prevents the strong stimuli of the trauma from reaching the brain, its threshold is not lowered. There is a close resemblance between the phenomena of pain habit, of education, of physical training, of love and of hate.
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