Licence: Public Domain Mark
Credit: Notes on minor surgery / Edward O. Otis. 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.
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![ment, about as large as the end of the thumb, is to be thoroughly rubbed in over the gland for from fifteen to twenty minutes every day or every other day. I have also used iodide of potash made into an ointment with lanolin, but have not been able to obtain as good results from it as from the iodide of mercury ointment. In almost every case constitutional treatment is also needed in the form of iron, cod-liver oil or mercury, and it goes without saying that the hygienic conditions should be carefully regulated. Recently, chloride of calcium has been advocated as efficacious in scrofulous glands, given in 10 gr. doses three times a day and gradually increased to 20 grs. [Vide Practitioner, London, January, 1886.] In a case of enormously en- larged glands, in which it was used for many weeks, I could detect no especial improvement. Within the last year or two a number of very suggestive papers have been written upon this subject, the titles of some of which I will give for those who wish to make further investigation : I. On the Nature of Scrofulous Glands of the Neck and their Surgical Treatment. By Kendal Franks [London Lancef), June 19 and 26, 1886. II. The Surgery of Scrofulous Glands. By T. Prigden Teale (^Medical Times and Gazette'), January 10, 1885. III. Enlarged Cervical Glands. By H. F. Vickery, Boston (^Medical and Surgical Journal), March 11, 1886. IV. Rest in the Treatment of Scrofulous Glands of the Neck.' By F. Treves (^London Lancet), June 5, 1886. Enlarged inguinal glands are also of frequent occurrence, and are a very interesting study, both as to their cause and treatment. Here, again, one should have in mind the cause of the lymphatics which supply the different glands in the groin. Of the superficial glands, with which we have most to do, there are two groups, those above Poupart's ligament and those below. Those above are counted with the lymphatics coming from the integument of the scrotum, penis, parietes of the abdomen, perineal and gluteal regions; those below with the lymphatics coming from the inferior extremity. The long axis of those above is parallel with the leg. If we can then deter- mine the position and form of the enlarged gland, we shall know in what region to look for the cause of the bubo, whether in the genito- urinary, lower abdominal or gluteal regions, or to the leg or foot. In considering iaguinal glands one must always bear in mind the possi-](https://iiif.wellcomecollection.org/image/b22275253_0011.jp2/full/800%2C/0/default.jpg)
