. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. it may extend and infect larger areas, ormay disintegrate and give rise to general infectionby embolism (cf. Fig. 108). Various pyogenic affections may give rise tothrombo-phlebitis (lymphangitis, furuncle, carbun-cle, erysipelas, varicose ulcer of the leg). Otitismedia may cause thrombo-phlebitis of the lateralsinus. In the portal vein, infection by the bloodmay cause pylephlebitis and subsequent multipleabscesses in the liver. Carbuncle of the lips maycause meningitis through thromb
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. it may extend and infect larger areas, ormay disintegrate and give rise to general infectionby embolism (cf. Fig. 108). Various pyogenic affections may give rise tothrombo-phlebitis (lymphangitis, furuncle, carbun-cle, erysipelas, varicose ulcer of the leg). Otitismedia may cause thrombo-phlebitis of the lateralsinus. In the portal vein, infection by the bloodmay cause pylephlebitis and subsequent multipleabscesses in the liver. Carbuncle of the lips maycause meningitis through thrombo-phlebitis of thefacial and ophthalmic veins. When the lesion issuperficial, it gives rise to all the symptoms of puru-lent inflammation—redness, swelling and cedema ofthe skin and subcutaneous tissue, pain, fever andrigors. The skin is often tense and hard. Theinfiltration extends along the course of the veins, inthe form of hard cords. The presence of pus and theformation of abscess is indicated by yellowish coloringof the skin (Fig. 84), and later by fluctuation. 186 HoikenheiiiuT, Atlas. Tab. Fig. 8-1. riiioiiibophlebitis puiulciila acuta. Hebman tJnnipaiiy, Nc«-Nnrk. Thrombo-plilebitis of the deeper veins gives riseto severe symptoms—pain, high fever, rigors andchange in the general condition. Thrombo-phlebitis of the femoral vein, occurringin women as the result of puerpural parametritis, isknown as phlegmasia alba dolens (white leg). Inthis affection the whole leg is affected by painful,hard oedema, preventing any movement. The throm-bosis may be so extensive as to cause gangrene ofthe extremity. In every case of thrombo-phlebitis the walls of theveins remain thickened causing congestion which, inthe lower extremities, leads to deficient nutrition(ulcer, eczema, elephantiasis). Thrombi may be-come transformed into hard, painful phleboliths, bydeposit of calcareous salts. Differential Diagnosis. Superficial thrombo-phlebitis differs from lymphangitis in the ve
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