Chapter 17 - Surgical Diseases
Modern Surgery
Inflammation
Suppuration and Abscess
Mortification
Pyaemia
Ulceration and Ulcers
Boils
Carbuncle
Malignant Pustule
Burns and Scalds
Frost Bite
Chilblains
Mechanical,Injuries
Septic Wounds
Incised Wounds
Rules for Examining and Dressing Wounds
Antiseptic Dressings
Way Wounds Unite
Punctured Wounds
Lacerated Wounds
Granulation and Scarification
Gunshot Wounds
Poisoned Wounds
Fractures
Way Broken Bones Unite
Dislocations
Different Diseases of Bones
Pereostitis
Necrosis
Coxalgia
White Swelling
Bunions
Whitlow
Stiff Joint
Tumors
Cancer
Polypus
Piles
Wens
Aneurisms
Bronchocele
Water in the Scrotum
Blood in the Scrotum
Phlebitis
Varicose Veins
Hernia
Varicocele
Deformities and Irritations of the Spine
Wry Neck
Foreign Bodies in the Eye
Stye
Inflammation of the Edge of the Eyelids
Disorder of the Lashes
Ptosis
Chronic Inflammation of the Lachrymal Sac
Opthalmia
Inflammation of the Cornea
Inflammation of the Iris
Weakness of Sight
Imperfect Vision
Short and Long Sight
Squinting
Affections of the Ear
Inflammation of the Meatus
Wax in the Ear
Earache
Inflammation of the Tympanum, Deafness
Bleeding from the Nose
Ingrowing Toe Nail
Chafing and Excoriation
Foreign Substances
Bleeding from Wounds
Proud Flesh
Ambrine
Compression of Arteries to Stop the Flow of Blood
Anesthetics
Care of the Teeth
Rotting of the Teeth
Tooth-Ache
Filling Teeth
The First Teeth
Cleaning the Teeth
Ulcer of the Stomach
Glanders
X-Ray
Radium
Trachoma
Arterio-Sclerosis
Flatfoot
Riggs' Disease
Bandages

17.20 Lacerated Wounds

Contused and Lacerated Wounds.

THESE, are produced by cudgels, stones, bullets, or whatever else of a blunt nature tears asunder the muscular fibres, leaving jagged and uneven surfaces. They are rarely healed without suppuration, and are frequently followed by violent inflammation. They suppurate and slough, but they do not bleed much, not even, sometimes, when large arteries are torn asunder. Whole limbs are occasionally torn away without hemorrhage. In warm climates, lock jaw is a frequent consequence of them.

Treatment. Draw the edges of the wound loosely together, and retain them with a few strips of adhesive plaster. Sometimes a suture, here and there, will be proper. If a great deal of inflammation ensues, take away the adhesive plaster and the stitches, and apply a poultice, or water dressing; and if there be much fever, restlessness, or delirium, saline purgatives (18), (25), and opium (118), will be needed; but especially will it be necessary to again disinfect the wound, and by every means possible render the field aseptic.
The wound having thrown off its slough is, suppurated, become clean, and formed granulations, the poultices are to be taken off, and simple dressings substituted. These should be adapted to the conditions of the sore, according to the directions for treating ulcers.
When the wound is so severe that extensive mortification will be sure to follow, the limb must be immediately taken off, to save the life of the patient.

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