Surgical emergencies : together with the emergencies attendant on parturition and the treatment of poisoning : a manual for the use of general practitioners / by William Paul Swain.

  • Swain, William Paul.
Date:
1874
Catalogue details

Licence: Public Domain Mark

Credit: Surgical emergencies : together with the emergencies attendant on parturition and the treatment of poisoning : a manual for the use of general practitioners / by William Paul Swain. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    beneatli the ocular conjunctiva, then it spreads to the eyelidsj the lower one being generally the first affected. Bleeding from the nose and mouth, if continuous^ indicates fracture through the ethmoid, body of the sphenoid, or basilar pro- cess. Large and continuous bleeding from the ears points to fracture through the petrous por- tion of the temporal. So, too, the profuse dis- charge of cerebro-spinal fluid indicates rupture of the cerebral membranes. In fractures of the base the following symptoms indicate injury to nerves :—Loss of smell and sight indicate injury to the 1st or 2nd pair; ptosis and dilated pupil to the 3rd; paralysis of the face and loss of sensa- tion on the injured side, loss of taste and sensation on the same side of the tongue, and loss of sen- sation in the nostril, to the 5th; internal stra- bismus, to the 6th; loss of hearing and facial paralysis, to the 7th. The 8th and 9th pair are seldom injured ; but when they are, aphonia, dys- phagia, and dyspnoea are the prominent symptoms. Wounds of the face should be brought together very accurately, if possible with plaster only, the surface being painted over with flexile collodion. The strapping should not be removed for some days, unless swelling and redness appear. When the wound cannot be kept in apposition with plaster alone, serrefines will be found useful, as avoiding the cicatrix left by a suture. For sewing wounds about the eyelids a very fine curved needle is Injuries to cerebral Injuries to the face. Wounds.