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Updated: May 27, 2025
"You took care of it a while last winter. Well, there was a little improvement in the spring, not so much pain, but that in itself is a bad sign. We have done what we could, Farnham and I. But it don't yield to treatment; you know how these things are stubborn. We made a preliminary examination yesterday. Sinuses have occurred, and the probe leads down to nothing but dead bone.
They are indolent and painless, and rarely attract attention until they break down and form abscesses, which are usually about the size of a cherry, and when these burst sinuses or ulcers result. If the overlying skin is still intact, the best treatment is excision. If the abscess has already infected the skin, each focus should be scraped and packed.
Peckham was uttering these words in his thin, shallow whine, twanging up into the frontal sinuses. What was the use of losing his temper and throwing away his place, and so, among the consequences which would necessarily follow, leaving the poor lady-teacher without a friend to stand by her ready to lay his hand on the grand-inquisitor before the windlass of his rack had taken one turn too many?
The commonest sequel is the presence of a sequestrum with one or more discharging sinuses; owing to the abundant formation of scar tissue these sinuses have rigid edges which are usually depressed and adherent to the bone. The Recognition and Removal of Sequestra.
The bursæ and tendon sheaths in the vicinity may influence the direction of spread of the abscess and the situation of resulting sinuses. When the abscess is allowed to burst, or is opened and becomes infected with pyogenic bacteria, there is not only the risk of aggravation of the disease and persistent suppuration, but there is a greater liability to general tuberculosis.
Made an opening in the lower part of the pouch to the left of the pubis for better drainage, as the patient usually lies on the right side. Laxative has operated. After washing out both sinuses with a five per cent. solution of carbolic acid, I inject the smaller sinus with liquid vasaline. Feb. 20th, 9 A. M., pulse 112, temp. 103.5.
Cases like rupture of an aneurysm during labor, extensive hemorrhage, the entrance of air into the uterine veins and sinuses, and common lacerations will be omitted, together with complicated births like those of double monsters, etc., but there are several other cases that deserve mention. Eldridge gives an instance of separation of the symphysis pubis during labor, a natural symphysiotomy.
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