The practice of surgery . inciples—we support the partand we stimulate and equalize the circulation. That form of antiseptic poultice which I prefer is made of sheet-wadding pads wa-apped in absorbent gauze and covered with somewaterproof material, like oiled-silk or parchment paper. The pads* Compare the action of poultices with the Bier treatment. felon; whitlow; paronychlv; palmar abscess 747 are wrung out of a hot creolin solution, 1: 200. One may use bichloridor boric acid, but carbolic acid never. The poultices should do muchmore than cover the affected region only. If the whole finger i


The practice of surgery . inciples—we support the partand we stimulate and equalize the circulation. That form of antiseptic poultice which I prefer is made of sheet-wadding pads wa-apped in absorbent gauze and covered with somewaterproof material, like oiled-silk or parchment paper. The pads* Compare the action of poultices with the Bier treatment. felon; whitlow; paronychlv; palmar abscess 747 are wrung out of a hot creolin solution, 1: 200. One may use bichloridor boric acid, but carbolic acid never. The poultices should do muchmore than cover the affected region only. If the whole finger is in-volved, wrap the hand; if the hand is involved, include the forearm inthe poultice. Thus we shall quiet the adjacent muscles and protect theefferent lymphatics. It is well also to put on a light splint outside ofthe poultice for more perfect immobilization of the parts. Then as to the drainage of these abscesses—gauze wicking is usuallysufficient. Do not jpack the cut with gauze. That will cork up the r: J. • ^. Fig. 461.—Examining infected axilla. pus. Gauze packing is never used except to check hemorrhage. Todrain, lay gently into the cut one or two wicks or tapes. These willcarry off by capillarity the secretions, and, being interposed between thecut edges, will prevent a superficial gluing together of the skin woundand a consequent pocketing and burrowing of pus in the deeper demonstrate further the treatment of felons let us considera second case. The patient has been aware of a throbbing pain, in-creasing in severity, for four days, over the middle phalanx of hisring-finger. The primaiy cause of the trouble is unknoTVTi to observe that the whole finger is hot and swollen, and on compressing 748 MIXOR SURGERY—DISEASES OF STRUCTURE between ones thumb and fin^or the lateral vessels on either side ofhis finger one plainly fools thoni throbbing. That is a distinctive andinteresting point in the tliagnosis of localized inflammations of thistype. Y


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910