. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. after-treatment. In suppurative arthri-tis, which is often complicated by lymphangitis,lymphadenitis and other pyogenic conditions, arthrot-omy or resection of the joint must be performed toavoid general infection. These cases require longerimmobilization of the joint. Fig. Ill shows a case of acute and painful swellingin the region of the wrist joint in a woman. The skinwas red and tense. The swelling rapidly extended 285 to the forearm and to the fingers, so that the patientcould no
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. after-treatment. In suppurative arthri-tis, which is often complicated by lymphangitis,lymphadenitis and other pyogenic conditions, arthrot-omy or resection of the joint must be performed toavoid general infection. These cases require longerimmobilization of the joint. Fig. Ill shows a case of acute and painful swellingin the region of the wrist joint in a woman. The skinwas red and tense. The swelling rapidly extended 285 to the forearm and to the fingers, so that the patientcould not use the arm. The wrist joint and the meta-carpo-phalangeal joints could not be moved. Exam-ination of the genitals showed gonorrhea. On thefollowing day the joint effusion increased and waspartly evacuated by puncture. Gonococci were foundin the fluid. Under treatment by passive hypersemiathe pain subsided in a few days and the acute inflam-mation became chronic. Massage, active and passivemovements, combined with passive hypersemia,restored the function in four weeks. 286 Bockenheimer, Atlas. Tab. \ Fig. 112. Pustuia maligna. Rcbman Company, iSew-Vork. ANTHRAX — PUSTULA MALIGNA (Anthrax—Malignant Pustule)Plate Xr, Fig. 11-2. ANTHRAX — NECROSIS (Anthrax necrosis)Plate XCI, Fig. 113. Anthrax (splenic fever) is a bacterial disease whichoccurs externally on the skin, and internally in thelungs and alimentary canal. The bacteria have acharacteristic appearance. They of immo-bile rods (bacilli) with sharp, angular corners, andare often arranged in a row in long chains. In thecenter of the rods are clear spaces corresponding tospores, which are very resistant to dryness and anthrax bacillus was carefully studied by Koch,while Pasteur originated the protective inoculation ofanimals with attenuated cultures. The bacilli andspores are found in the alimentary canal of animals(horses and cattle); also in damp soil on which theseanimals graze, and in
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