Notes on surgery for nurses / by Joseph Bell.

  • Bell, Joseph, 1837-1911.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Notes on surgery for nurses / by Joseph Bell. Source: Wellcome Collection.

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    LLOOMEiSCo No. This Diagram may help you to understand the generalization we call the Inflammatory Process. Take the diagonal red line gradually broadening as it goes downwards. Follow it. In its tirst inch Congestion need not necessarily leave the region of health, for no visible or permanent structural change is present. When we come to the level of Stasis it is disease—but may right itself. A little lower down Effusion takes place ; and from this to get back to Health we need a process, shown in the upward thin line, Absorption. A little further down we have Suppuration, either in discharge or abscess, and this can recover only when free egress is insured. Both effusion and suppuration are abortive and exhaust- ing, but not necessarily destructive of tissue. Still further down the line we have Ulceration, which needs for its repair the complicated process of Granulation and Cicatrization, not unfrequently ending in the troublesome result. Contraction. Follow the down grade still further to Gangrene. Alongside these later stages I put in a rough way the constitutional results of fever—Hectic, Pyaemia, and Septicaemia. I would not insist too strongly on the exactness of the position of the two latter ones.