Essentials of surgery, together with a full description of the handkerchief and roller bandage : arranged in the form of questions and answers prepared especially for students of medicine / by Edward Martin.

  • Martin, Edward, 1859-1938.
Date:
[1900],1909
Catalogue details

Licence: Public Domain Mark

Credit: Essentials of surgery, together with a full description of the handkerchief and roller bandage : arranged in the form of questions and answers prepared especially for students of medicine / by Edward Martin. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Name the varieties of erysipelas. 1. Cutaneous or simple. 2. Cellulo-cutaneous orp?degmonous. 3. Cellular or diffuse cellulitis. Describe simple erysipelas. Constitutional symptoms. Kigors, headache, and fever, the temperature suddenly rising to 103° or 104°; with nausea and vomiting. The fever shortly assumes a typhoid type. Local symptoms. A rash, rapidly spreading from a scratch, abrasion, or wound, and characterized by well defined margins, rosy-red hue, smooth, glazed, oedematous, slightly raised surface, stiffness and burning pain, frequently hlebs or vesicles, involve- ment of nearest lymphatic glands. The eruption may suddenly disappear from one part to reappear in another, erysipelas ambidans. The pathogenic organism of simple erysipelas has been isolated. It is found blocking the lymph vessels and spaces in the spreading borders of the inflammation, shows up well in dry cover glass preparations, appearing as micrococci grouped in chains, and is diagnostic of erysipelas. The eruption lasts about four days in one part, and as it subsides is followed by desquamation. Give the treatment of simple erysipelas. If there is a distinct wound, thoroughly cleanse and drain it. Freely open the bowels by a saline cathartic. Milk diet for the first few days. Tr. fer. chlor. UL xx. every two hours from the first: shortly begin quinine, in tonic doses (gr. v. to x. daily), stimulants, and as free a diet as the stomach will bear. To the eruption apply starch and zinc oxide, equal parts of each, and cover in with cotton-wool; or apply a 50 per cent, ichthyol ointment, over which is placed salicylated cotton. Describe phlegmonous erysipelas. The skin and subcutaneous tissues are both affected ; the symptoms are, in general, the same as for simple erysipelas, but more marked. The swelling is greater, the edges not so sharply circumscribed, the color darker, blebs and vesicles are more common. The surface, at first densely indurated, becomes boggy in spots