North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
This practice is recommended by Mr. H., in various other affections; as
in inflammation of the fingers; in the fungous ulcer of the navel in
infants; in _tinea capitis_, &c. In this last case, we have ourselves
used it with marked advantage. In all cases, the lunar caustic has a
decided effect in _diminishing the irritability_ of the parts to which
it is applied; and hence should usually be preferred for the purpose of
forming a "_scab_," for such the eschar really is, in a practical view;
and we think that our author has hardly done justice to nature's
methodus medendi by "scabbing;" while he so ably and strenuously
recommends his own imitation of her process. Scabs may be formed by the
coagulation of blood; by the drying of mucus or pus; and by the
formation of an eschar, by the actual or potential cautery. The surgeon
may frequently reduce parts to the same situation, by the use of
gold-beater's skin, court-plaster, or other unirritating applications,
which prevent exposure and evaporation. In all cases, care must be taken
to prevent the surrounding inflammation from transcending the adhesive
stage.
45. _Haemorrhage from Lithotomy._--In the London Med. and Phys. Jour. for
Jan. Mr. JOHN SHAW has published an account of a patient, who
unfortunately perished from haemorrhage, in consequence of being cut for
the stone. The parts being injected after death, it was found, that the
bleeding proceeded from the _unusual distribution_ of a branch of the
pudic artery, which traversed the neck of the bladder, and lay directly
in the way of the incision. The pudic artery was uninjured.
46. _Extirpation of the Parotid Gland._--The best surgical writers have
condemned this operation, if not as absolutely impracticable,
nevertheless, as too dangerous to be ever attempted. Successful cases
have however been reported, and Mr. A. COOPER, in a letter to the
operator in the following case, avers, that he twice removed the parotid
gland in one year. Mr. KIRBY, late president of the Royal College of
Surgeons in Ireland, in a work published in 1825 at Dublin, on
haemorrhoidal excrescences, has given the details of a diseased parotid,
and of the operation for its removal. We condense from Johnson's Review
for April, 1826.
The patient was a poor female, aged 40, who had a tumour extending from
above the zygoma downwards on the neck, two inches below the angle of
the jaw, stretching as far forwards as the anterior edge of the masseter
muscle, forcing the ear backwards, and raising it outwards from its
natural position. Above the surface, it was about the size of a
goose-egg; immoveable; painful when handled; irregular on the surface,
and of a deep livid colour over the prominent points. Pains of a
lancinating character, extended over the head and neck, producing
sickness and want of sleep.
Public-domain text, read in full here on John Shaqi.
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