A system of surgery : pathological, diagnostic, therapeutic, and operative . Bone infiltrated with tubercular matter. CHAP. VIII. NEURALGIA. 849 which is usually met with in bone, the phlegmonous, as stated elsewhere, beingof extremely rare occurrence. The symptoms attending it are generally obscure,but its existence may be suspected when, along with the ordinary signs of osteitis,the affected part is the seat of circumscribed, deep-seated, gnawing pain, with Fiff. Tubercular excavatiou of the cuneiform bone. excessive tenderness at one particular spot, and a glossy, shining, oedematousc


A system of surgery : pathological, diagnostic, therapeutic, and operative . Bone infiltrated with tubercular matter. CHAP. VIII. NEURALGIA. 849 which is usually met with in bone, the phlegmonous, as stated elsewhere, beingof extremely rare occurrence. The symptoms attending it are generally obscure,but its existence may be suspected when, along with the ordinary signs of osteitis,the affected part is the seat of circumscribed, deep-seated, gnawing pain, with Fiff. Tubercular excavatiou of the cuneiform bone. excessive tenderness at one particular spot, and a glossy, shining, oedematouscondition of the integuments. The breaking of the abscess is always precededby considerable swelling of the soft structures, and by more or less disturbanceof the system, the constitution frequently sympathizing severely with the localtrouble. In addition to these circumstances, the history of the case, as the ageof the patient, the site of the morbid action, and the absence or coexistence ofstrumous disease in other structures, will generally furnish useful light, and thusmaterially aid in the establishment of a correct diagnosis. The treatment of tuberculosis of bone does not materially diifer from that oftuberculosis generally. As the local deposit is usually merely a reflection of thestate of the system, the great object should be to employ such remedies as arenecessary to modify this condition of the constitution and to provide for the sup-ply of a better and


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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery