American Red Cross Text-Book on Home Hygiene and Care of the SickAmerican National Red Cross
Science
American Red Cross Text-Book on Home Hygiene and Care of the Sick
American National Red Cross
Home nursing; Hygiene; Nurses; Nursing
[Illustration: FIG. 22.--"THE HISTORY OF A BOIL" (continued). The poison
from these germs diffuses through the cutis. The capillaries dilate. The
leucocytes force their way through the walls of the capillaries and
travel towards these germs. Note the dumb-bell shape of the leucocytes
as they pass through the minute holes in the capillary walls, and their
pseudopods as they travel towards their common destination, attracted by
the poison from the germs. The skin in this region is now swollen, red,
hot, and painful. (_From Emerson's "Essentials of Medicine."_)]
At this point, if the injury begins to heal or the bacterial infection
to yield, the extra blood supply is gradually carried off, the blood
vessels resume their normal size, and the tissues return to their usual
condition. If, however, the infection does not yield so quickly, more
and more white blood corpuscles assemble and pass through the walls of
the tiny blood vessels into the tissues. Here the struggle continues.
Some bacteria and some white blood corpuscles are killed, and substances
are formed which liquify these dead cells and also some cells of the
surrounding tissues. The resulting fluid is called pus or matter, and in
the case of a boil we then say it has come to a head. If the infection
occurs near a cavity or near the surface of the body, the pus may escape
by breaking through at the point of least resistance, and may carry most
of the poisons along with it. If the pus finds no outlet it may be
gradually absorbed by the blood stream, and healing may result without
discharging. On the other hand, the germs may make their way into the
circulation, thus causing the serious condition known as blood
poisoning.
[Illustration: FIG. 23.--"THE HISTORY OF A BOIL" (continued). The
migration of leucocytes has continued until now they form a dense mass
surrounding the germs. The poison of the germs has killed all the
leucocytes and also all the cutis immediately around them, and now
digestive fluids from the dead leucocytes is turning the whole dead mass
into liquid pus. The boil has "come to a head." There is a little lump
on the skin and through its thin covering of cuticle can be seen the
yellow pus. (_From Emerson's "Essentials of Medicine."_)]
Inflammation may be treated by means of hot applications, cold
applications, or counter-irritants. The effect of heat is to dilate the
vessels and hence to increase the flow of blood to the injured part.
This increased blood supply makes the reparative process go on more
vigorously, and also makes it possible for the accumulated fluid to be
more rapidly carried away. Moist heat softens the tissues so that pus,
if formed, can escape more easily.
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