Modern surgery, general and operative . he process is physiological, and, as a rule, ceases spon-taneously (Guelliot). If it lingers, the application of belladonna ointmentwill stop secretion. If the nurse meddles with the glands and tries to squeezeout the fluid, acute mastitis is apt to arise in one gland, or occasionally in skin of the breast reddens, the gland swells and becomes tender and pain-ful, the child loses its appetite and becomes feverish, restless, and a condition is treated by the local use of alcohol. If pus forms, thelocal signs and constitutional symp
Modern surgery, general and operative . he process is physiological, and, as a rule, ceases spon-taneously (Guelliot). If it lingers, the application of belladonna ointmentwill stop secretion. If the nurse meddles with the glands and tries to squeezeout the fluid, acute mastitis is apt to arise in one gland, or occasionally in skin of the breast reddens, the gland swells and becomes tender and pain-ful, the child loses its appetite and becomes feverish, restless, and a condition is treated by the local use of alcohol. If pus forms, thelocal signs and constitutional symptoms are aggravated. Evacuate the pus,dress with hot antiseptic fomentations, and be sure that the chfld is wellnourished. Tonics and stimulants are indicated. A condition identical with the secretory activity of the glands of the new-born may occur in either sex at puberty. The methods of treatment are thesame in both cases. As a matter of fact, at this time of life rarely more thanone lobule inflames, and suppuration is most Fig. ggg.—Hypertrophy of breast. Chronic Mastitis 1425 x\cute mastitis is most usually met with in a woman who is nursing a child,and is due to bacterial infection. Primipara are particularly liable to developmastitis. So are women with deformed nipples. In most cases an abrasionof the nipple exists, and through this breach of continuity bacteria gain en-trance to the breast-tissue. The abrasion may be so slight that it can onlybe detected when the nipple is examined through a magnifying-glass (Marma-duke Sheild). Streptococcic infections are very generally due to inoculationof a fissure of the nipple. Bacteria may pass up the milk-ducts, coagulat-ing the milk and penetrating through the walls of the acini. Staphylococcinot unusually pursue this route in reaching the breast-tissue. Occasionallycausative bacteria reach the breast through the arteries (in septicemia andin septic wounds of the genital organs). Symptoms.—There are pain, swelling
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
