Industrial medicine and surgery . anuary 5, 1914. This was two days after heremployment. One of the witnesses suggested the use of iodin, butthe patient did not think this necessary. January 10, five dayslater, she reported to the doctors office with marked lymphangitis of 1 First joint index finger right hand stiff, one and third fingers of right hand are flexed and stiff, one fingers of right hand slightly flexed and stiff, one finger left hand amputated, one finger right hand amputated, one case. HAND INFECTIONS 587 the arm and considerable indurat
Industrial medicine and surgery . anuary 5, 1914. This was two days after heremployment. One of the witnesses suggested the use of iodin, butthe patient did not think this necessary. January 10, five dayslater, she reported to the doctors office with marked lymphangitis of 1 First joint index finger right hand stiff, one and third fingers of right hand are flexed and stiff, one fingers of right hand slightly flexed and stiff, one finger left hand amputated, one finger right hand amputated, one case. HAND INFECTIONS 587 the arm and considerable induration about the axilla, which extendedonto the chest wall, subclavicularly and back to the border of thescapula. Swelling was quite firm and tender, but no inflammatoryreaction of the skin was present. Temperature was 102°; pulse a slight tonsillitis and pharyngitis, but otherwise the generalexamination was negative. There was no localized infection about thepoint of injury. The patient was sent to the hospital and under a. Fig. 121. general anesthetic the axillary and the shoulder absesses were incisedat three different points, and tube and gutta-percha drainage least 8 ounces of thin, yellowish pus was evacuated. Large hotboracic dressings were applied to the site of operation and a secondlarge hot dressing applied from the fingers to the axilla over the siteof the lymphangitis. Subsequent course: In spite of the evacuationof the pus, the temperature continued to rise. The second day the
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