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

17.55 Chronic Inflammation of the Lachrymal Sac

Chronic Inflammation of the Lachrymal Sac.

WHEN the mucous lining of the nasal duct gets thickened and obstructed, the patient complains of great weakness of the eye, which is constantly weeping, the nostril on the same side having a corresponding dryness. The tears not passing down through the obstructed duct, collect in the lachrymal sac, and form a small tumor by the side of the nose. By pressing the finger upon this, the tears may be squeezed out through the upward passage, and glairy mucus along with them. There is generally tenderness of the sac, and sometimes redness of the skin. There is commonly inflammation of the mucous membrane lining the eyelids, etc.

Treatment. The acute inflammation of the sac must be treated by purgatives and cold washes.
Chronic inflammation of the sac requires a special attention to the general health. The diet should be carefully regulated, and the alkaline sponge bath used every day, with brisk rubbing after it. When the sac gets very full, the patient should try gently to force the contents down in~ the nose by pressing upon the upper side of the tumor and be may promote the same object by strongly drawing in his breath often with his mouth and nostrils both tightly shut. The so called citrine ointment, full strength, may be applied to the, eyelids at bed time, and a little of prescription (211) may be dropped once during the day into the inner comer of the eye.

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