The practice of surgery . r becomepale and glassy; and the dischargemay for a time cease—returning thin,non-laudable, perhaps the pericranium be exposed, itwill be found separating more andmore from the bone beneath, with pusinterposed. If the bone be denuded,it will be found white, dry, sonorous,non-vascular—in fact, at first dying,and speedily dead. If the scalphave not been divided, either by ac-cident or by design, it is the seat ofwhat is termed the puffy tumor; aswelling of greater or less extent,caused partly by accumulation of pusbetween the necrosed bone and itspericran
The practice of surgery . r becomepale and glassy; and the dischargemay for a time cease—returning thin,non-laudable, perhaps the pericranium be exposed, itwill be found separating more andmore from the bone beneath, with pusinterposed. If the bone be denuded,it will be found white, dry, sonorous,non-vascular—in fact, at first dying,and speedily dead. If the scalphave not been divided, either by ac-cident or by design, it is the seat ofwhat is termed the puffy tumor; aswelling of greater or less extent,caused partly by accumulation of pusbetween the necrosed bone and itspericranium, partly by change ofstructure in the soft parts exteriorly,which are involved more or less in the extending inflammatory process,and are consequently the seat of effusion and exudation. Indeed, this puffy tumor, though a valuable and peculiar sign of the internal evil,is not to be regarded as of a special nature; being only the ordinaryproduct of ripe inflammation ; oedema by serum externally, infiltration Fig. Plan, illustrative of Abscess of the DuraMater, a. The cranium, b. A suppurated spaceleft by detachment of the dura mater, c. Ditto,by elevation of the pericranium; b and c con-stitute the central space of true inflammation:d, the arc of active congestion; p., that of simpleexcitement; c, d, e, constituting Potts puffytumor. 5-4 ABSCESS OF THE DURA MATER. by fibrinous exudation more deeply, and accumulated pus overlayingthe bone [Principles, 3d Am. Ed. p. 118). These symptoms, local and constitutional, occurring together, denoteinterior suppuration at the injured part. The local signs followinga smart blow on the head, and attended with languor, pain, restlessness,watching, quick pulse, headache, and slight irregular shiverings, doalmost infallibly indicate an inflamed dura mater, and pus either formingor formed between it and the Treatment.—The general principles applicable to the treatment ofabscess must be carried out, if possible. The pus must
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