Handbook of diseases of the ear : for the use of students and practitioners / by Urban Pritchard.

  • Pritchard, Urban.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Handbook of diseases of the ear : for the use of students and practitioners / by Urban Pritchard. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    103/318 (page 81)
    pain is very severe, a couple of leeches should be ap- plied in front of the tragus. Carbolized poultices and hot fomentations are of great service, but these must not be continued after the pain has disappeared; when poultices are used they should be small and encased in gauze so that they may be removed entire. As soon as the discharge makes its appearance, warm injections containing a little carbolic acid or other antiseptic, are advisable. Again, if there is considerable discharge, with pain, a warm lead and morphia injection (hq. plumb, and liq. morph. aa 5 ss., water =-x., one tablespoonful to a wine- glass of warm water) will be serviceable. When all the acute symptoms have gone and the swelling has nearly disappeared, means for the preven- tion of a return should be employed ; and for this pur- pose I make use of some dilute mercurial ointment, as for instance (ung. hyd. nit. 5j., ol. amygd. gj.). This is to be painted into the ear with a camel's hair brush two or three times a day, are being taken to line the whole of the cartilaginous portion of the meatus with the ointment. This treatment, whether by causing absorption or by destroying Lcewenburg's organisms, will in most cases prevent a return, but it should be persisted in for some three or four weeks. The patient's general health must not be overlooked ; tonics, etc., often being required. It is well to warn the patient of the tendency to recur- rence of the disease ; otherwise should it return he may consider that the surgeon has not properly treated the case. G