The practice of obstetrics, designed for the use of students and practitioners of medicine . gins in the interstitialtissue (Fig. 971). When itbegins in the acini, the in-terstitial tissue becomessecondarily involved, andvice versa. If the inflam-matory process begins in theparenchyma, the symptomsare a chill or chilly sensation and a sharp rise of temperature, perhaps to 104° F. or even higher. Thepatient seldom complains of pain in the breast, but examination discloses ahard, localized swelling which is tender to the touch but not unbearably so;there may also be a slight redness of the skin.


The practice of obstetrics, designed for the use of students and practitioners of medicine . gins in the interstitialtissue (Fig. 971). When itbegins in the acini, the in-terstitial tissue becomessecondarily involved, andvice versa. If the inflam-matory process begins in theparenchyma, the symptomsare a chill or chilly sensation and a sharp rise of temperature, perhaps to 104° F. or even higher. Thepatient seldom complains of pain in the breast, but examination discloses ahard, localized swelling which is tender to the touch but not unbearably so;there may also be a slight redness of the skin. When the process begins in theinterstitial tissue, it is also accompanied by localized swelling, which, how-ever, is not at first well defined. This swelling gradually increases and rednessof the skin soon appears. In this form of mastitis the temperature rise isgradual and a well-marked chill is not common, although chilly sensationsmay occur. Whenever the fever continues for thirty-six hours, it is likelythat a suppuration is taking place; a rapid pulse is also considered Fig. 968.—Massage and Milking of Distended orCaked Breasts through Hot Moist hands are used to jointly massage the breastand empty the milk ducts. 764 PATHOLOGICAL PUERPERIUM.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1