Modern surgery, general and operative . Fig. 73.—Infiltration of columna adiposa and subcutaneous tissue with pus in carbuncle (Warren). of the hair-follicle. These columns are known as columncB adiposes, and eachone contains a sweat-gland (Fig. 72). When pus runs down one of these col-umns, it seeks an outlet; it cannot spread easily to the sides, so it slowly worksits way to deeper tissue and from one to another interspace and finds its wayto the surface through other fatty columns (Warrens Surgical Pathology)(Fig. 73). When pus finds its way to the surface, an opening forms, hence the. Fig.
Modern surgery, general and operative . Fig. 73.—Infiltration of columna adiposa and subcutaneous tissue with pus in carbuncle (Warren). of the hair-follicle. These columns are known as columncB adiposes, and eachone contains a sweat-gland (Fig. 72). When pus runs down one of these col-umns, it seeks an outlet; it cannot spread easily to the sides, so it slowly worksits way to deeper tissue and from one to another interspace and finds its wayto the surface through other fatty columns (Warrens Surgical Pathology)(Fig. 73). When pus finds its way to the surface, an opening forms, hence the. Fig. 74.—Diagram of a carbuncle (Warren). Carbunclesdiabetes and numerous foci of pointing; finally a large opening forms (Fig. 74)are most common in the spring of the year. In persons withBrights disease carbuncles not unusually occur. The local symptoms in the beginning resemble those of a boil, but the con-stitution sympathizes from the very start (perhaps a chill and always a septicfever) and the pain is usually severe. The inflammatory area begins as apapule with an indurated base, it enlarges enormously, is boggy to the touch, Treatment of Carbuncle 151 is dusky in color, is edematous, and the skin is not freely movable over thedeeper parts. In a few days many pustules appear, each pustule marking thesite of a focus of necrosis. Large vesicles lilled with bloody serum very fre-quently form. In some cases about the tenth day the pustules rupture, thenecrotic plugs are discharged, and the case slowly progresses toward cure; butin many cases the carbuncle spreads at the periphery
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
