Notes on surgery for nurses / by Joseph Bell.

  • Bell, Joseph, 1837-1911.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Notes on surgery for nurses / by Joseph Bell. Source: Wellcome Collection.

    51/190 (page 43)
    exposure to vicissitudes of temperature, such as tall London footmen with their tight garters, washerwomen, cooks, engine-drivers. What we first notice is a fuhiess of the veins indicated by bulging and formation of long, blue, corded look- ing masses in the leg and thigh. After a severe blow, fall, or exposure to cold, a portion of the livid blue swelling becomes hard, red, and painful. These symptoms indi- cate that the blood has become stagnant in the inflamed vein. The stagnant clot may then undergo certain changes, i.e., i. If the patient at once is put to bed, with the limb raised and fomented, all may return again to health, and no bad result follow ; or 2. The clot may sup- purate, and either soften and empty itself, or require to be opened—in either of which cases an ulcer remains, which is very difficult to heal, for this reason, that its surface is really the pos- terior wall of the inflamed vein, a tissue which, from its very nature, is most unsuitable for the formation and growth of granulations. A third possible result of the inflamed clot may be a most dangerous one—that is, a portion of it may become detached, get into the current of blood, and thus may find its way through the