File:Modern surgery, general and operative (1919) (14597541937).jpg

Identifier: modernsurgerygen1919daco (find matches)
Title: Modern surgery, general and operative
Year: 1919 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery, Operative
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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sed as to permit of its soaking with sweat. Fig. 439 shows the Spraguehot dry-air apparatus. Dr. H. A. Wilson inserts in the oven humidin, a productobtained in the purification of salt, which absorbs the moisture entirely. Cotton should not be used towrap the limb, because, if thebottom of the oven becomesvery hot, the cotton mayignite and burn the patient.A physician or nurse shouldconstantly watch the appa-ratus during its employ-ment.^ Biers box is of woodlined with asbestos. It isheated through a flue by gasor alcohol lamps. Aspirationand the subsequent use of aplaster-of-Paris bandage maybe tried in Hngering cases ofchronic synovitis. Arthritis.—By this termis meant not only inflamma-tion of a synovial membrane,but also of other structurescomposing and surroundinga joint. It may follow trau-matic synovitis; it may bedue to pus-organisms, totubercle bacilU, to infectiousdiseases (gonorrhea and ty-phoid fever), to rheuma-tism, to gout, to syphilis,Arthritis may be either acute or
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Fig. 439.—Sprague hot dry-air apparatus,lesions of the spinal cord. and tochronic. Poncets Tuberculous Arthritis (Tuberculous Articular Rheumatism, seepage 275J.—It was pointed out by Grocco in the early 8os that tuberculouspatients may develop joint disease without tubercles, cold abscesses, or de-struction of the joint; Poncet, of Lyons, has written extensively on this subject.He maintains that joint inflammation is often the first evidence of extra-articulartuberculosis or of a distant latent lesion of tuberculosis. The joint inflammationis due to toxins, the joint fluid does not contain bacilli, and tubercles do notdevelop in the joint structures. Such a joint may eventually develop into a true tuberculous joint withbacilli and tubercles. In many cases the joint recovers, with some stiffness orperhaps even ankylosis. The process may be acute, subacute, or chronic.One joint only may sufifer. Several or most of the joints may be simultaneouslyinvolved. It is most apt to arise af

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