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

17.29 Necrosis

Death of the Bones. Necrosis.

This is like mortification of the soft parts. It occurs from injuries and inflammation of the periosteum.
It is known by dull, deep seated sometimes acute pain; and is followed by increase of size, from the formation of new bone around the old, the old being gradually broken into pieces, and discharged through external openings.
As blood poison may often result from absorption of dead bone tissue that has not had a proper outlet, it is usually the best treatment to make an incision over a swelling in bone troubles, should pus be suspected. If made under the antiseptic conditions already advised, the improvement will be noticed when the pus escapes, and the local condition, which is severe enough looked at from any direction, will remain as it is and not go into a general body infection which may cause death or lead to amputation at a much higher level than would have been the case.

Treatment. Poultices and quieting fomentations. Resort will generally be made to surgery.
The greater the amount of bone involved the larger amount will have to be removed, and as no healing may be expected, as long as any infective material remains, all bone that is in any way diseased must be scraped or even chiseled away. Nature is very kind in restoring bone and if only the outside shell of the large bones, like the tibia or shaft of the lower leg, remains, it will fill in by granulation and make a sound bone.

Unnatural Growth of Bones. Exostosis.

THIS disease consists either of a tumor of a bony nature, growing upon and arising from a bone, or an enlargement of a bone. It springs from the periosteum, or from the surface of a bone, or from its spongy texture. The enlargement or the tumor may be white and hard, like ivory, or dark colored and spongy, or a mixture of the two.
At first, a tumor of this kind is not attended with pain or inconvenience. It comes on slowly, and sometimes remains nearly stationary for several years.

Treatment. If the tumor be large and inconvenient, remove it with the knife. If not, use local pressure with pads and bandages.

Diseases of the joints.

Some, of these diseases begin in the cartilages, some in the synovial membrane, and others in the heads of the bones.

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