The students guide to surgical diagnosis / by Christopher Heath.

  • Heath, Christopher, 1835-1905.
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: The students guide to surgical diagnosis / by Christopher Heath. Source: Wellcome Collection.

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    Osteo- iiiyelitis. ^22 After Amputation. ]'yrcmi;i. diagnosis of erysipelas; the repetition of the rigors, with pain in one or more of the large joints, and a tendency to jaundice will confirm that of pyaemia (532). 620. A swollen, tense condition of a stump,. in which there is no pocketing of matter, accompanied by great rise of temperature and a rapid feeble pulse, is apt to be followed by profuse discharge of offensive pus from the medullary canal and around the bone, which will be bare, the case being one of osteo-myelitis or inflammation of the medullary membrane. Symptoms of pyemia may at any moment arise in such a case. Necrosis. 521. The failure of a stump or compound fracture to heal, dejDends j)robably upon necrosis of the bone. A probe introduced into the unhealed sinus will touch bare bone, which may be simply a ring, the vitality of which has been destroyed by the saw, or a large sequestrum extending some inches up the limb. After six weeks or more, the necrosis will generally be thrown oif, and may be removed. Phlebitis, 622. A hard, swollen, and tender condition i of the main veins of a stump, imply that they have been the subjects of plilehitis. Secondary abscesses may be looked for in the course of: