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

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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$is an area of redness, induration, and great a>dcma. The neigh- boring lymphatic glands are involved. Fever of an adynamic type develops, and the patient commonly perishes of exhaustion or syncope. Dia(jnosi<i by examining the contents of the vesicle \ bacilli from z^^ao to y^'fln of an inch in length can be detected by low powers of the microscope. How do you treat malignant pustule ? Freely excise the pustule, and either cauterize the wound with caustic potash or carbolic acid, or wash thoroughly and repeatedly with 0 per cent, potassium permanganate solution. A stimu- lant, tonic, and supporting treatment is indicated constitutioa- ally. The Healing of Wounds. Describe the process of repair in incised wounds. Bepair takes 'place in all toounds by the organization of plastic lymph. If the wound is an incised one, if its surfaces are accurately approximated, if it is not subject to irritation, either mechanical or chemical, the exudation takes place in minimum quantity, the red blood corpuscles of the blood clot are absorbed; in twenty-four hours the surfaces adhere, and in two or three days the thin layer of plastic lymph which binds them together is supplied with vessels ; this is called union by adhesion or by first intention. Inflammation scarcely passes the first stage; there is simply a little hyperfemia, puffiness, and tenderness about the lips of the wound. If the wound surfaces are not accurately apposed, if they are subject to irritation, either mechanical, from improper dressing, or chemical, from irritating applications or the pro- ducts of germ life, the exudation becomes excessive ; there is death of tissue, there is suppuration ; if tension and other sources of irritation be removed by free discharge, the gap is promptly filled in with organized plastic lymph or gramdations, and the wound heals by gramdation or second intention. If healthy granulating surfaces can be brought together and$