The R E P book : first aid in accidents and ailments.

Date:
1903
Catalogue details

Licence: In copyright

Credit: The R E P book : first aid in accidents and ailments. Source: Wellcome Collection.

    77/268 page 73
    throughout) then stimulation with Elliman’s two or three times a day, and pressure by firm bandage. Painting the area swollen with iodine may be useful, but the most effective treatment is the rubbing with Elliman’s and rest. Sometimes the acute inflammation goes on to abscess, a most serious condition needing immediate operation ; this usually is associated with wounds. One form of whitlow is due to this cause, and may result in total destruction of the tendon and a stiff finger or even loss of the whole hand. CHRONIC TENO-SYNOVmS Is of two varieties, one follows an acute attack in which the patient has been badly treated or in which the patient would not give the part rest, and so it has become chronic. 2nd Tubercular Teno-Synovitis. It is most important to differentiate between them, but this is often difficult and a surgeon should be consulted. Both may need operation, but the former can usually be successfully treated without. Its signs are a practically painless swelling, not tender when pressed on, which feels fluid, i.e., soft and boggy. Some creaking is present and weakness is a marked sign. The condition is due to the accumulation of synovial fluid something like white of ogg> but thicker and more glutinous than normal. The commonest tendons to be involved in a simple Teno- Synovitis are those stretching the thumb away from the palm {see fig- 39) Nos. 9 and lo), and the swelling produced is found on the outer border of the fore-arm passing from behind forwards within a few inches of the wrist. Treatment.—Stimulating with Elliman’s by rubbing and kneading the part with the Embrocation three times a day. If this should fail, the part may be slightly blistered by using Elliman s (see page 85) and then pressure by bandage applied for two days, to be followed by systematic rubbing. If no improvement results, a surgeon should deal with the case. This treatment is injurious to Tubercular Teno-Synovitis. This form is characterised by absence of an acute attack—though not always—greater chronicity, a family history of consumption, no
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