. The practice of pediatrics. alf-hour, day and treatment is ardu-ous, and, of course, inmany instances impos-sible, particularly indealing with young in-fants. With older chil-dren the dressing may bechanged without awak-ening the patient. For infants the treatment may be continued withgood effect from 14 to 16 times a day. The last dressing for the nightis to be kept bound on the parts. The use of ointments and local ap-plications other than cold is disappointing. The ice-bag is not so sat-isfactory as the wet compress. Suppurative Cases.—Even when the cold compress or ice-bag isa
. The practice of pediatrics. alf-hour, day and treatment is ardu-ous, and, of course, inmany instances impos-sible, particularly indealing with young in-fants. With older chil-dren the dressing may bechanged without awak-ening the patient. For infants the treatment may be continued withgood effect from 14 to 16 times a day. The last dressing for the nightis to be kept bound on the parts. The use of ointments and local ap-plications other than cold is disappointing. The ice-bag is not so sat-isfactory as the wet compress. Suppurative Cases.—Even when the cold compress or ice-bag isapplied at the first suggestion of swelling and used faithfully, the casesof streptococcus infection usually go on to suppuration. RepeatedlyI have seen the adenitis, which is often an early complication of diph-theria, disappear quickly after full doses of diphtheria antitoxin. Whenthe swelling softens, we know that suppuration has taken place, and ouronly treatment is to incise freely, allowing the pus to escape, and place. Fig. 50.—Axillary adenitis. PERSISTENT SIMPLE ADENITIS 409 in the wound a strip of sterilized gauze to assist in drainage and to pre-vent too early closure of the incision. The wound should be dressedonce daily. Extirpation of the diseased gland is not to be advised untillater, if at all. In fact, a greater part of all the gland tissue may haveundergone suppuration, producing complete destruction. PERSISTENT SIMPLE ADENITIS After an acute adenitis, in a small percentage of cases, the gland orglands will remain persistently enlarged, so as to constitute a deformity may likewise be the result of a series of acute attacks,each leaving the gland a little larger than before. Whether theseglands are tuberculous fromthe outset, or become solater, it is impossible tostate. I know, however,from observation of manypatients, that some caseswhich do not show the dis-tinctive characteristics oftuberculous adenitis whichwe have been taught toexpect, do
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
