. Annals of surgery . forty-eighthours. The first night after, the patient is more restless and sometimes believesthe treatment has done him harm. The second night he sleeps well, theinfected area ceases to be painful and the infected part can lie moved withoutdistress. From that time on, the principal object of treatment is to preventreinfection. Sometimes the induration is gradually absorbed with little or nodischarge. At other times it breaks down and discharges through numeroussinuses. But usually a large carbuncle will soften up and take on the appear- * Abstract of cases omitted lieraiis
. Annals of surgery . forty-eighthours. The first night after, the patient is more restless and sometimes believesthe treatment has done him harm. The second night he sleeps well, theinfected area ceases to be painful and the infected part can lie moved withoutdistress. From that time on, the principal object of treatment is to preventreinfection. Sometimes the induration is gradually absorbed with little or nodischarge. At other times it breaks down and discharges through numeroussinuses. But usually a large carbuncle will soften up and take on the appear- * Abstract of cases omitted lieraiisc of lack of KAVMOXD \V. I-F.\VIS ance of an abscess. In such cases it is a sini])lc matter to lance it antl peniiitfree drainage. Almost no scar results from this treatment. Ross ?- describes one case of severe carbuncle of the face and neck curedby use of X-ray. I was impressed by the fa\urable. though few. repcirts of the use of received further encouragement to try this metlmd from Dr. James Fig. I.—Case XVI. Twenty-two days after X-ray. Illustratincarbuncles. Carbuncle 0x5 cm. at tunc of adn ult on moderate sized Corscaden, whose dtfice 1 >hare. and wlm has had se\cral successful cases ofcarbuncle treated b\ X-ray. He very kindly placed his machine at my disposal,and has given me must \aluable suggestions and adxice in the management ofthe .sixteen cases 1 .mi lure reporting. The general plan ui management of these cases has been as follows. Firstthe administration of a tw(i-thir(K er\thematiius ddse of X-ray, when first seen,or as soon as a diagnosis nf carlmnclc cmild be made. The following formulawas employed : 90 kildvults; anode skin distance _5 cm. ; filter I cm. of wood,6 mm. Bakelite, i mm. aluminum, 4 mm. leather; current 4;j this formula the erythematous dose is about Oo milamjiere minutes. Ineach of the cases here re])urted a duse (if 40 miliampere minutes was given. CONSERVATIVE TREATMENT ul- CARBUNXLES Immediately fo
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
