becoming thin and transparent, smooth on their external surface, and
furnishing a serous secretion. Not unfrequently, inflammatory action
in this tissue terminates in suppuration; and the pus, secreted by
the membrane, accumulates in the most dependent part of the cavity.
By collections of matter, whether serous, sero-purulent, or purulent,
within a serous cavity, the functions of the contained viscera are
deranged, much impeded, and in many instances morbid actions are
excited in them. The inflammation, whether it terminates in resolution,
or proceeds to serous effusion, adhesion, or purulent secretion,
is attended with constitutional disturbance, and the symptoms are
proportioned to the original intensity of the action, and the extent
and kind of its termination. The effusion of lymph, and consequent
adhesion, is, however, in many circumstances, a highly salutary
process, as in wounds and injuries of the hollow viscera: effusion of
their contents being thereby prevented, and the patient being saved
from the danger attending violent inflammation of those cavities and
their coverings, caused by the escape of a greater or less quantity
of irritating extraneous matter. Purulent collections also, in the
solid internal viscera, are thus allowed to discharge themselves
externally. The nature, symptoms, and consequences of inflammation of
serous membrane, will be more fully considered under the diseases of
particular parts.
OF INFLAMMATION OF TISSUES COMPOSING THE ARTICULATIONS.
Inflammation of the synovial surface occurs in consequence of wounds,
bruises, or sprains, and often from exposure to cold; from the latter
cause, the knee and elbow joints most frequently suffer, as they are
generally more exposed to its influence, and not so well covered with
muscular substance as the others. Constitutional diseases, such as
certain fevers, are followed sometimes by effusion of serous fluid into
joints. Purulent matter is also deposited in joints during certain
forms of suppurative fever; and this is attended by rapid change of
structure.
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