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Before night I discovered that lint is an instrument of incalculable torture, and should never be used, as either blood or pus quickly converts some portion of it into splints, as irritating as a pine shaving. About nine o'clock I returned to the man I had come to help, and found that he still slept.
In my former cases the pustule produced by the insertion of the virus was more like one of those which are so thickly spread over the body in a bad kind of confluent smallpox. This was more like a pustule of the distinct smallpox, except that I saw no instance of pus being formed in it, the matter remaining limpid till the period of scabbing.
Accustomed as we were to misery, we found a still lower depth in his misfortune, and I would be happier could I forget his pale, drawn face, as he wandered uncomplainingly to and fro, holding his maimed limb with his right hand, occasionally stopping to squeeze it, as one does a boil, and press from it a stream of maggots and pus. I do not think he ate or slept for a week before he died.
They are filled with morbid exudates, pus, etc., which interfere with and make impossible normal nutrition and functioning. If suppression takes place during this stage, it is obvious that the affected areas will be left permanently in a condition of destruction. Here is an illustration from practical life: Suppose necessary changes and repairs have to be made in a house.
Sometimes, the milk is greatly changed in appearance, is foul smelling and contains pus. In congestion of the udder and rupture of the capillary vessels, the milk may contain blood. Mild inflammation of the udder responds readily to treatment. The interstitial form may terminate in abscesses and gangrene.
In advanced stages of the disease, attended with much defluxion from the nose, the cells of the ethmoidal bone and the frontal sinuses are filled with pus.
The wound is at that time, as a general thing, completely cicatrized. Should, however, some slight suppuration exist, a slight pressure must be used above the part where it is located, so as to cause the pus to leave, and if it continues more than five or six days, emollients must be supplied by alcolized water, or chloridized, especially in summer.
The process may remain localised to the ossifying junction, but usually spreads along the medullary canal for a varying distance, and also extends to the periosteum by way of the enlarged Haversian canals. The pus accumulates under the periosteum and lifts it up from the bone. The extent of spread in the medullary canal and beneath the periosteum is in close correspondence.
On Saturday, the 7th of August, he was so ill that the doctors declared he must submit to an operation, which was very urgent, and without which he could hope to live but a few days; because the abscess he had having burst the day he mounted on horseback, gangrene had commenced, with an overflow of pus, and he must be transported, they added, to Versailles, in order to undergo this operation.
Healing by second intention is characterized by pus formation and granulation tissue. After the first day, the surface of the wound may be more or less covered by red, granular-like tissue. Later this granular appearance is modified by an accumulation of creamy pus and swelling of the part, and finally scab formation and contraction of the new scar tissue.
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