A system of surgery : pathological, diagnostic, therapeutic, and operative . ^M^ debris of the affected ganglions. Finally, the matter may •--e>e occur as an infiltration, or as a distinct abscess. The scrofulous pus from amicroscopical characters of pus fiom a lymphatic ganglion lymphaticgiaud. 2J0dia-are seen in fig. 202. meters. The occurrence of suppuration is announced by increasedheat, pain, redness, and swelling, along with a sense of throbbing, and by highconstitutional disturbance, attended by chilly feelings, or even rigoiS, follov/edby fever and perspiration. The treatment is str
A system of surgery : pathological, diagnostic, therapeutic, and operative . ^M^ debris of the affected ganglions. Finally, the matter may •--e>e occur as an infiltration, or as a distinct abscess. The scrofulous pus from amicroscopical characters of pus fiom a lymphatic ganglion lymphaticgiaud. 2J0dia-are seen in fig. 202. meters. The occurrence of suppuration is announced by increasedheat, pain, redness, and swelling, along with a sense of throbbing, and by highconstitutional disturbance, attended by chilly feelings, or even rigoiS, follov/edby fever and perspiration. The treatment is strictly antiphlogistic. If the phenomena are clearly denotivcof the existence of pus, an early incision is made, free and dependent, to favorthorough evacuation and prevention of reaccumulation. The operation is fol-lowed by warm water-dressing or an emollient cataplasm. The use of a tentwill occasionally be required to maintain patency of the puncture. 2. Chronic adenitis is a very common occurrence; it generally succeeds to DISEASES OF LYMPHATIC VESSELS, ETC. CHAP. Hvpertrophied lymphatc the acute Tarietr of the disease, but tliere are eases in which it is seerninsrlv,although not ia reality, a primitive affection. However this may be. its effect isgradually to produce enlargement and induration of the affected bodies, until, in many eases, there is complete sub-Fig. 203. version of the natural structures. In the earlier stages of the disease,the ffland is of a reddish, brownish,mottled hue, considerably increasedin size, and of a firm, fleshy con-sistence ; by and by, however, itassumes a grayish or whitish aspect,becoming almost homogeneous, andcutting very much like an unripeapple or pear ; in some cases it isquite soft and lacerable. Whenthe transformation is verv srreat,the hardness of the gland may beequal to that of scinhus, with whichit is then liable to be distinct capsule, composed of dense cellular substance, generally surrounds theenlarg
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
