The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
It may lead to a better understanding of the teaching contained in
the following pages if it is here made clear just what is understood
by the suffix “_itis_” in medical terminology. The old tendency was
to regard all morbid conditions as expressions of inflammation in
some of its protean manifestations. The attempt has been made in this
work to distinguish as clearly as possible between _inflammation,
as an expression of infection_, and the vascular, nutritional, and
other changes which may be brought about by perverted nutrition
without necessary participation of parasites. To describe “ostitis,”
for example, as “inflammation of bone,” is to revert to an obsolete
definition. Let us, then, always translate the termination “itis”
as implying an _affection_, not necessarily an inflammation, of
the structure named in the word to which it is affixed. With this
conception of the word or the term there can be no contradiction in
its use under various conditions, and one does not necessarily commit
himself, by using it, to any definite view concerning the pathology of
the affection which is thereby implied.
With regard to one other feature there has been also a departure from
previous nomenclature. The term “lymph glands” or “lymphatic glands”
has always seemed objectionable, because, although they belong to the
lymphatic system, they are in no sense glands, having no ducts, and no
distinct secretion to be discharged through passageways. Whether in any
sense they are to be regarded as furnishing an “internal secretion”
is not the question here, their most obvious function being to act
as filters. Throughout the work, then, the term “lymph gland” has
been carefully excluded and the more accurate and far preferable term
“lymph node” has been substituted. This seems to be a suitable place to
explain the substitution and the reason therefor.
PART I.
SURGICAL PATHOLOGY.
CHAPTER I.
HYPEREMIA: ITS CONSEQUENCES AND TREATMENT.
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