Surgery : its theory and practice / by William Johnson Walsham.

  • William Walsham
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Surgery : its theory and practice / by William Johnson Walsham. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    58/772 page 46
    An account of the lesions of the skin, mucons meni- hranes, tonsils, lymphatic glands, bones, joints, testis, that are regarded as local symptoms of struma, is given in the section on Diseases of Eegions. All that need here he said is, that such lesions arc of a very chronic and indolent natm-e ; that they are set up by very shght and apparently inadequate causes ; that they exhibit a marked tendency to suppuration and progressive destruction or undermining of the tissues, and but little tendency^ to repair; that they are often productive of much scarring and deformity, as when they occm- as abscesses in the neck ; that they are generally very obstinate and intract- able as regard's treatment; and that they often become tuberculous, and may then terminate in general dissemi- nation of the tubercle through the body and death. The treatment should be both constitutional and local. Thus the patient should be placed under as perfect hygi- enic conditions as possible, with residence at the seaside. The diet should be nourishing but unstimulating, with plenty of milk and cream, -whilst cod-hvcr oil and_ the syrup of the iodide or phosphate of iron are especially indicated. The local treatment required for the various lesions that may be present will bo given when describing these affections as they occur in special tissues and SYrniLis. Syphilis may be divided into 1, the acquired, and 2. the'inherited or congenital. _ Acquired SYriiiLis is a constitutional disease duo to direct inoculation Avith a siwcific virus. It is cliavac- tcrized by the appearance, after a certain period of incu- bation, during which the poison is circulating_ m the system of a local lesion at tlie seat of inoculation, fol- lowed by induration ot the nearest lymphatic glands, and after a variable time bv certain alfections of the skin and mucous membraiK-s. and mure rarely of the deeper tissues and still later 1)V hhroid changes in the tissues and viscera, or the formation ot gummata which are ex- ceedingly liabh) to break down and su].purate. (!,nmtl ouUiiH' oflhe <lheuse.—^V^yo\\,\ ]KM-haps a slight abrasion, which li'eals in a fevv davs. and is thought no more of, nolhmg is noticed till about the end ol three weeks or a month. Attention is then called to the part
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