FREE BOOKS

Author's List




PREV.   NEXT  
|<   554   555   556   557   558   559   560   561   562   563   564   565   566   567   568   569   570   571   572   573   574   575   576   577   578  
579   580   581   582   583   584   585   586   587   588   589   590   591   592   593   594   595   596   597   598   599   600   601   602   603   >>   >|  
sent, the horse reeks with sweat, and his anxious countenance shows the pain he suffers. He may lie down, though mostly he persists in standing, and the opposite limb becomes greatly swollen from bearing the entire weight and strain for so long a time. The wound, which at first appeared so insignificant, is now constantly discharging a thin, whitish or yellowish fluid--joint oil or water, which becomes coagulated about the mouth of the wound and adheres to the part in clots like jelly, or resembling somewhat the white of an egg. Not infrequently the joint opens at different places, discharging at first a thin, bloody fluid that soon assumes the character above described. _Treatment_ of these wounds is most difficult and unsatisfactory. We can do much to prevent this array of symptoms if the case is seen early--within the first 24 or 48 hours after the injury; but when inflammation of the joint is once fairly established the case becomes one of grave tendencies. Whenever a punctured wound of a joint is noticed, even though apparently of but small moment, we should apply without the least delay a strong cantharides blister over the entire joint, being even careful to fill the orifice of the wound with the blistering ointment. This treatment is almost always effectual. It operates to perform a cure in two ways--first, the swelling of the skin and tissues underneath it completely closes the wound and prevents the ingress of air; second, by the superficial inflammation established it acts to check and abate all deep-seated inflammation. In the great majority of instances, if pursued soon after the accident, this treatment performs a cure in about one week; but should the changes described as occurring later in the joint have already taken place, we must then treat by cooling lotions and the application to the wound of chlorid of zinc, 10 grains to the ounce of water, or a paste made of flour and alum. A bandage is to hold these applications in place, which is only to be removed when swelling of the leg or increasing febrile symptoms demand it. In the treatment of open joints our chief aim must be to close the orifice as soon as possible. For this reason repeated probing or even injections are contraindicated. The only probing of an open joint that is to be sanctioned is on our first visit, when we should carefully examine the wound for foreign bodies or dirt, and after removing them the probe must not again be used. The medi
PREV.   NEXT  
|<   554   555   556   557   558   559   560   561   562   563   564   565   566   567   568   569   570   571   572   573   574   575   576   577   578  
579   580   581   582   583   584   585   586   587   588   589   590   591   592   593   594   595   596   597   598   599   600   601   602   603   >>   >|  



Top keywords:
inflammation
 

treatment

 

swelling

 

orifice

 

discharging

 
symptoms
 
established
 

probing

 

entire

 
superficial

bodies

 

carefully

 
majority
 

instances

 

pursued

 
accident
 

examine

 
seated
 

foreign

 
ingress

perform

 

operates

 

effectual

 
tissues
 
prevents
 

closes

 

underneath

 
completely
 
removing
 

grains


bandage

 
joints
 

demand

 

increasing

 
removed
 

applications

 

chlorid

 

injections

 

occurring

 
contraindicated

performs

 
febrile
 

cooling

 

lotions

 

application

 

repeated

 

reason

 

sanctioned

 

noticed

 
whitish