File:Tri-State medical journal and practitioner (1897) (14591954437).jpg

Identifier: tristatemedicalj4189unse (find matches)
Title: Tri-State medical journal and practitioner
Year: 1897 (1890s)
Authors:
Subjects: Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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ure of thetear-duct. By a blenorrhoea of thetear-sac we understand a catarrhal inflammation of the mucous membrane,in which the secretion is deposited upon the surface only. This diseasedcondition is brought about in several ways: 1. It may be the result of a severe conjunctivitis. 2. Catchingcold. 3. Acute and chronic infectious diseases of the eye. 4. Stricture ofthe tear-duct. 5. Diseased conditions within the nose. 6. Sex (much cry-ing; females indulging in this little pastimemore frequently ). 7. Erysipelas.8. Syphilis. (.». Tuberculosis. 10. Injuries. 11. Conformation (flat sunkenbridges). Dacryocystitis consists in an inflammation of the connective tissuesurrounding the sac, resulting in a purulent disintegration of the sub-mucous tissue, with the formation of an abscess which ruptures externally. The connection between the two diseases is that the blenorrhcea pre-cedes the dacryocystitis and gives rise to it. The sac being filled with *Read before Peoria City Medical Society.
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486 Original Articles. purulent secretion, it only will require a small defect in the epithelial lin-ing of the mucous membrane to permit of the penetration of the micro-organisms present in the secretion, whence they excite a purulent inflam-mation. Constriction of the lachrymal duct develops usually as the result of(a) inflammation of the nasal mucous membrane. Under this head maybe mentioned acute and chronic catarrh, whether one of simple nature orone of scrofulous or syphilitic origin. The swelling- of the submucouscavernous tissue may reach such a high degree as to press upon or by con-tinuity cause closure of the duct and, later, stricture. (/?) In the atrophicform of rhinitis we have no swelling, but a general cicatricial contractionof the whole mucous membrane of the nose, which may continue from thelower orifice into the duct itself, and thus lead to narrowing of its lumen.(c) Ulcers, by their healing and consequent cicatricial contraction. (d)Tumors, as polypi and exostoses

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