Syllabus of the course of lectures on the principles and practice of surgery : delivered in the Jefferson Medical College, Philadelphia / by Thomas D. Mütter.

  • Mütter, Thomas D. (Thomas Dent), 1811-1859.
Date:
1848
Catalogue details

Licence: Public Domain Mark

Credit: Syllabus of the course of lectures on the principles and practice of surgery : delivered in the Jefferson Medical College, Philadelphia / by Thomas D. Mütter. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    Division.—Almost every writer has given his own classification. I adopt that of Mr. Lawrence. He makes four varieties :—1. Erythema. 2. Simple Erysipelas. 3. (Edematous Erysipelas. 4. Phlegmonous Erysipelas. The erysipelas ambulans vel erraticum of La Motte, and the universal erysipelas of Hoffman and others, being mere modifications of one form or the other of the varieties made by Lawrence, should not be considered as peculiar forms of the complaint. The division into idiopathic and symptomatic may be retained. Symptoms.—Vary in the different forms. Seat of the disease.—Commencing on the surface of the skin, it gradually becomes more profound until it involves in some cases the subjacent cellular and other tissues. Question of its contagiousness Still a disputed point. For my own part 1 believe that it is not. It may be epidemic. Causes.—Predisposing—constitutional and local. Prognosis.—Depends on location and extent—the health and condition of the patient. Diagnosis.— May be confounded with common phlegmon. Treatment.—Varies somewhat with the kind of erysipelas. May be divided into—1. Constitutional. 2 Local. Being essentially inflammatory; antiphlogistic remedies are required in the first stage. Emetics are often useful. In phlegmonous and (edematous ery- sipelas, when sloughing occurs, it often becomes necessary to support the con- stitution. The local remedies are very numerous. 1st, cold; 2d, leeching; 3d, scarifi- cations ; 4th, incisions; 5th, blisters ; 6th, argent, nit. as applied by Davidson, or after the method of Higginbottom ; 7th, tinct. of iodine; 8th, British oil; 'jrh. ungt. hyd. mit.; 10th, dry powders; 11th, compression, as recommended by Velpeau and Bretonneau Examination of the value of these different agents. » ANTHRAX, OR CARBUNCLE. Definition.—A deep-seated, circumscribed inflammation of the skin and cellular tissue, characterized by its hardness, peculiar burning pain, and termi- nation in gangrene. Varieties —Benign and malignant. Causes —Constitutional and local. Symptoms.—Vary with sta'ge. Diagnosis Pustule maligne may be mistaken for it; also, common furuncle, and erysipelas. Prognosis.—Depends on location and general health of patient. Termination. Treatment.—Varies with stage. PURUNCCLOS OP. BOIL. Definition. Causes. Symptoms. Diagnosis. Prognosis. Termination.