=WEEPING SINEW; GANGLION.=--This is a swelling as large as a large
bean projecting from the back or front of the wrist with an elastic or
hard feeling, and not painful or tender unless pressed on very hard.
After certain movements of the hand, as in playing the piano or, for
example, in playing tennis, some discomfort may be felt. Weeping sinew
sometimes interferes with some of the finer movements of the hand.
The swelling is not red or inflamed, but of the natural color of the
skin. It does not continue to increase after reaching a moderate size,
but usually persists indefinitely, although occasionally disappearing
without treatment. The swelling contains a gelatinous substance which
is held in a little sac in the sheath of the tendon or sinew, but the
inside of the sac does not communicate with the interior of the sheath
surrounding the tendon.
=Treatment.=--This consists in suddenly exerting great pressure on the
swelling with the thumb, or in striking it a sharp blow with a book by
which the sac is broken. Its contents escape under the skin, and in
most cases become absorbed. If the swelling returns a very slight
surgical operation will permanently cure the trouble.
=CINDERS AND OTHER FOREIGN BODIES IN THE EYE.=[4]--Foreign bodies are
most frequently lodged on the under surface of the upper lid, although
the surface of the eyeball and the inner aspect of the lower lid
should also be carefully inspected. A drop of a two per cent solution
of cocaine will render painless the manipulations. The patient should
be directed to continue looking downward, and the lashes and edge of
the lid are grasped by the forefinger and thumb of the right hand,
while a very small pencil is gently pressed against the upper part of
the lid, and the lower part is lifted outward and upward against the
pencil so that it is turned inside out. The lid may be kept in this
position by a little pressure on the lashes, while the cinder, or
whatever foreign body it may be, is removed by gently sweeping it off
the mucous membrane with a fold of a soft, clean handkerchief. (See
Figs. 6 and 7.)
[Illustration: FIG. 6.
FIG. 7.
REMOVING A FOREIGN BODY FROM THE EYE.
In Fig. 6 note how lashes and edge of lid are grasped by forefinger
and thumb, also pencil placed against lid; in Fig. 7 lid is shown
turned inside out over pencil.]
Hot cinders and pieces of metal may become so deeply lodged in the
surface of the eye that they cannot be re
|