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This disturbance of the heart is often unrecognized, and has been simply referred to as "the heart growing weaker from the fever process." The acute infections most likely to cause a myocarditis are rheumatism, influenza, sepsis, cerebrospinal meningitis, diphtheria, typhoid fever, scarlet fever, and mouth and throat infections.
The most frequent infectious cause is rheumatism; other infectious causes are cerebrospinal fever, typhoid fever, acute miliary tuberculosis, pneumonia and Sepsis. Accidental causes are traumatism and an adjacent inflammation of the pleura.
As stated above, if pericarditis develops during the progress of chronic disease, such as interstitial nephritis, or during sepsis, or from abscesses or growths in the region of the pericardium, the prognosis is bad. In acute pericarditis, absolute mental as well as physical rest is essential.
The skin, when it is closely peppered with shot, is liable to lose its vitality, and with the addition of a little sepsis, readily necroses and comes away as a slough. When the shot have diverged so as to strike singly, they seldom do much harm, but fatal damage may be done to the brain or to the aorta, or the eye may be seriously injured by a single pellet.
The earlier the wound is disinfected the greater is the possibility of diminishing this risk. If cleansing is carried out within the first six hours the chance of eliminating sepsis is good; with every succeeding six hours it diminishes, until after twenty-four hours it is seldom possible to do more than mitigate sepsis. (J.
The mortality of genuine hydrophobia is from 30 to 80 per cent, influenced by efficient and early cauterization and scientific treatment. There is little doubt that many of the cases reported as hydrophobia are merely examples of general systemic infection from a local focus of sepsis, made possible by some primitive and uncleanly treatment of the original wound.
If sepsis is already established, and evidence of general infection is present, the wound should be opened up sufficiently to admit of thorough disinfection and drainage, and the constricting bandage applied to aid the defensive processes going on in the tissues.
Other measures for combating the local sepsis, such as the irrigation method of Carrel, may be considered. If the wound involves one of the extremities, it may be useful; and it imparts confidence to the nurse, and, it may be, to the patient, if a Petit's tourniquet is loosely applied above the wound, which the nurse is instructed to tighten up in the event of bleeding taking place.
Smith had a cut finger which was not quite healed and it is supposed that a dust-speck from the pages of the old book must have entered the wound and induced sepsis. He was found unconscious in his chair with the book open at the thirtieth chapter of Proverbs." Yes, I sometimes find it hard to understand what Harrington, a man of really fine sensibilities, sees in Mrs. Harrington.
That they had some idea of the danger of sepsis may be gathered from the fact that they suspected iron surgical instruments and advised the use of others of less enduring character. The Talmud itself was indeed a sort of encyclopedia in which was gathered knowledge of all kinds from many sources. It was not particularly a book of medicine, though it contains so many medical ideas.
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