Circumscribed abscess of bone : a paper read before the Harveian Medical Society at the first meeting of the session 1867-68 / by T. Carr Jackson.
- Jackson, T. Carr (Thomas Carr), 1823-1878
- Date:
- 1867
Licence: Public Domain Mark
Credit: Circumscribed abscess of bone : a paper read before the Harveian Medical Society at the first meeting of the session 1867-68 / by T. Carr Jackson. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
24/28 page 24
![of chronic periostitis. But it is evident that the symptoms just enumerated vary so remarkably in different cases that each of them demands a careful consideration and a separate study. I am inclined to place most reliance on the pain^ which is usually the first in the order of occurrence, and also the most marked characteristic of all the Cases. It may be doubted whether it is ever absent during the whole progress of any Case, notwithstanding its remissions and apparent fluctuations, which would appear to amount to complete intermissions. The character of the pain is peculiar. In the earliest stage of the disease it is generally referred to rheumatism or growing pains, gradually becoming intensified into a throbbing and gnawing pain, marking the expansion of the osseous tissue by the formation of fluid within it, and utterly destructive of the rest and comfort of the sufferer.* The access of the paroxysm is also a characteristic. In a large majority of cases it comes on sometime during the afternoon or evening, and remains during the subsequent twelve hours, at the close of which it gradually subsides and disappears. In some instances, however, it is more or less constant. The situation of the pain forms another of its characteristics ; the place of its greatest intensity being one small spot, which marks the situation of the Abscess—a point of great practical importance to remember in the operative treatment of this disease, and well illus- trated in both my Cases where the Abscess existed. * It is scarcely necessary to urge that those maladies Avhich may mimic the real disease,—viz. neuralgia, .and hj'stcrical ]iain of hone, —reriuire the most attentive coiisideralion in a diagnostic jmint of view.](https://iiif.wellcomecollection.org/image/b22336941_0026.jp2/full/800%2C/0/default.jpg)
