The practice of surgery . ic and ex-haustion. Treatment consists in affording absolute rest to the part, by confine-ment to the recumbent posture ; with attention tothe general health, and patient continuance ofcod-liver oil. In the avowedly strumous casesthere is usually an intolerance of all forms ofactive counter-irritation, -which threaten to accele-rate the fatal issue by exhaustion; and, in suchpatients, -we are to content ourselves with rest andgeneral management, looking gloomily to theresult. And in all cases, caustic issues are onlyserviceable at the commencement of the p
The practice of surgery . ic and ex-haustion. Treatment consists in affording absolute rest to the part, by confine-ment to the recumbent posture ; with attention tothe general health, and patient continuance ofcod-liver oil. In the avowedly strumous casesthere is usually an intolerance of all forms ofactive counter-irritation, -which threaten to accele-rate the fatal issue by exhaustion; and, in suchpatients, -we are to content ourselves with rest andgeneral management, looking gloomily to theresult. And in all cases, caustic issues are onlyserviceable at the commencement of the prone position is usually preferable to thesupine; as relieving the spinal column more tho-roughly from the superimposed weight, and prov-ing favorable to venous return from the bodies ofthe vertebrae. And the prone couch, employedalmost constantly, day and night, will be foundin most cases a great assistance in the treatment;becoming, after a time, not only not irksome butabsolutely agreeable to the patient; and of course. of the Vertebrae ; pre-vimi, i, to maceration. Theaorta overlays the cyst of the abscess. LUMBAR AND PSOAS ABSCESS. 343 so managed as to avoid, as far as possible, even the very appearance ofrestraint. In all cases, mechanical adjustment of the distorted spineby force is manifestly at variance with both surgery and sense. Caries of the upper cervical vertebrae requires the most carefulmanagement, lest, by sudden motion, displacement should occur,causing fatal compression of the upper part of the cord. The patientseems to be instinctively aware of this hazard ; and, on moving hishead, always supports the chin carefully on the hand, while the wholebody—as a pillar—is made to turn in obedience to the direction of itscapital. Here, mechanical contrivance is most suitable and necessary ;in order to guard against sudden motion, and at the same time torelieve the diseased bones from the weight of the head (p. 286). Bythis and counter-irritation, with due attenti
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