Dissertations on Inflammation, Vol. 2 — John Shaqi
Dissertations on Inflammation, Vol. 2Burns, John
Science
Dissertations on Inflammation, Vol. 2
Burns, John
Inflammation
When the suppurative action has existed a certain time, we find, that
it gradually extends itself to the skin, purulent matter being formed,
instead of organic particles; on which account, the cavity enlarges,
and the covering becomes daily thinner. At last, the action reaches
even to the cutis, which becomes white and flaccid, first at a point,
and then to a greater extent[27]. When this happens, the thin covering
is either torn by the pressure of the contained fluid, acted on by
the surrounding parts, or acting by its own weight; or, if this does
not take place, the suppurative action still proceeds going through
the cutis, the organisation of which, like that of the parts below,
is lost: The thin cuticle now rises up into a little blister, and
then gives way. The matter runs gradually out, the sides collapse,
and come nearer by degrees to each other, at the same time that the
ulcerative action succeeds to the suppurative. The quantity of the
discharge, therefore, daily lessens; the internal surface, or sides of
the abscess, come in contact; and the granulations at the margin or
circumference unite; those belonging to one side uniting with those
of the other, and thus producing recovery by successive circles of
reunion, which form rapidly, or more slowly, according to circumstances.
[27] In proportion as the action extends outward, it also becomes more
concentrated. An abscess is therefore somewhat conical, or at least
hemispherical, the base being turned inward, and the apex outward. When
the action reaches the surface, it is first at a single point; but, by
degrees, it becomes extended, and the apex becomes broader.
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