the effects of the continued compression, which had been previously
employed, soon subside. The after applications must be varied according
to the appearances which the part presents.
Laceration of a large or small bloodvessel is a frequent consequence
of _bruise_ of the scalp.—Blood is effused, and the surrounding parts
are thereby separated to a greater or less extent; and thus a tumour
is formed, either rapidly or slowly, according to the size of the
injured vessel. The swelling is in general large, soft in the centre,
and hard towards its circumference; the blood in the latter situation
being coagulated, and firmly impacted in the condensed cellular
tissue; whilst in the centre it is fluid, or at least partially so,
and occupies a free cavity. These characters of the tumour are apt
to mislead a careless or inexperienced examiner, the feel being in
some degree similar to that attending fracture with depression, but
still easily distinguishable from it by attentive and experienced
manipulation. By pressing the finger or thumb firmly on the centre
of the tumour, the blood is displaced, and the bone felt distinctly.
In slight cases of this affection, no treatment is required, as the
tumour is of no importance, and soon disappears, by the effused blood
being absorbed. When, however, the swelling is accompanied with
unpleasant symptoms, cold applications are to be made to the part,
and low diet, with occasional purgatives, enjoined. If inflammatory
symptoms occur, local abstraction of blood may be necessary, followed
by hot fomentations to the part. When the pain has ceased, and the
swelling is not speedily removed, absorption is promoted by stimulating
applications, such as fomentation with a solution of the muriate of
ammonia in a decoction of the anthemis nobilis, in the proportions
of ℥ss. to ℔ii.; a spirit lotion containing the tincture of
arnica montana, in the proportion of one part to fifteen or twenty of
water, will be found a good application in many such cases.
Such tumours may ultimately require to be laid open, in consequence
of the blood putrefying and becoming mixed with purulent secretion.
Under no other circumstances is incision warrantable, as unhealthy,
troublesome, and tedious suppurations are sure to follow.
Public-domain text, read in full here on John Shaqi.
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