Notes on surgery for nurses / by Joseph Bell.

  • Joseph Bell
Date:
1895
Catalogue details

Licence: Public Domain Mark

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

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    column of blood, and thus relieve the pressure. The bandage must be applied directly to the skin, not too tightly, and should always be removed at night, being put on whenever the patient wakes, before any walking about. A^ote.—Wash the bandage every night in cold, not warm, water. 2nd^ Ulcers prevented from /lealing from Con- stitutional Causes.—These are very various and important. i. We may group together and describe side by side ulcers prevented from healing, and, indeed, caused by those consti- tutional conditions of the cellular tissue we call gummata. These are of two great varie- ties—(i.) Strumous; and (2.) Syphilitic. In both the pathology simply given is somewhat as follows:—{a.) A portion of the cellular tissue of the limb immediately subcutaneous becomes inflamed and thickened with new material, forming a little nodular projection under the skin ; this is at first not very pain- ful, and rarely red. It gradually goes on, if untreated, till it {b.) softens in the centre. A small opening forms, into which a probe can be passed, and through which projects, or at least is visible, a thick, yellow, leathery-looking sub- stance, which extends under the raised and
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