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

17.64 Inflammation of the Meatus

Inflammation of the Meatus. Otorrhoea.

This is quite a common complaint among delicate children; and may occur as the result of scarlet fever, or be excited by currents of cold air, by rotten teeth, or by deranged stomach and bowels.

Symptoms. Fever, headache, intense pain in the ear, and swelling of the glands of the neck. After a time, a reddish, watery discharge comes on, which soon grows thicker and mattery. The fever disappears with the appearance of the thick matter. An examination with the speculum shows the whole meatus to be swollen, vascular, and covered with a slimy matter.
Unless great attention be given to cleanliness, the discharge becomes very abundant and fetid, and lasts for a long time; and if neglected, will be likely to lead to very serious consequences, even the decay of some of the bones of the head.

Treatment. While the inflammation is acute, and there is fever and pain, the diet should be confined to mere liquids, as rice water, gruel, etc., and the bowels should be opened with some preparation of salts, the ear being gently syringed, occasionally, with warm water or decoction of poppies, and being covered with a warm poultice of flax seed or bread and milk. In place of a poultice, a soft linen bag, filled with bran, and dipped in hot water, may be kept on the ear.
The pain and fever being gone, and the mattery discharge having come on, the case is to be treated like other chronic diseases of mucous membranes in scrofulous constitutions, by tonics, alteratives, warm baths, and out door exercise.
The ear may now be gently syringed out with castile soap and water, and immediately after with a weak solution of alum, or sulphate of zinc, one grain to a dram. This may be done twice a day. Or, a little of a mixture of two drams of solution of sugar of lead and half a pint of water may be dropped into the meatus, and, after remaining two or three minutes, be allowed to run out. If the discharge be very fetid, two drams of solution of chloride of lime, with half a pint of water, will make a suitable wash with which to syringe it, applying, once a day, a solution of tincture of iodine I dram to the ounce of water. Should the discharge stop at any time, and pain and fever come on, lay aside these astringent applications, and go back at once to the leeches, purgatives, poultices and fomentations.

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