Manual of Surgery by Alexis Thomson (golden son ebook .TXT) 📕
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ion is effected is essentially the same in all tissues, but the extent to which different tissues can carry the recuperative process varies. Simple structures, such as skin, cartilage, bone, periosteum, and tendon, for example, have a high power of regeneration, and in them the reparative process may result in almost perfect restitution to the normal. More complex structures, on the other hand, such as secreting glands, muscle, and the tissues of the central nervous system, are but imperfectly restored, simple cicatricial connective tissue taking the place of what has been lost or destroyed. Any given tissue can be replaced only by tissue of a similar kind, and in a damaged part each element takes its share in the reparative process by producing new material which approximates more or less closely to the normal according to the recuperative capacity of the particular tissue. The normal process of repair may be interfered with by various extraneous agencies, the most important of which are infection by disease
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428
Omental cyst, 329
Onychia, varieties of, 402
Operations during shock, 252
Opisthotonos, 114
Opsonins, 22
Orbital aneurysm, 317
Orthotonos, 114
Ossification in muscles, tendons, and fasciæ, 416
Ossifying junction, 434
Osteo-arthritis, 524
syphilitic, 522
Osteo-arthropathy, pulmonary, 480
Osteochondritis dessicans, 544
Osteogenesis imperfecta, 479
Osteoid sarcoma, 200
Osteoma, 191, 481
cancellous, 191
compact, 192
diffuse, 485
ivory, 192
multiple, 544
in muscles and tendons, 416
spongy, 191
subungual, 191, 404, 481
Osteomalacia, varieties of, 473
Osteomyelitis, 65, 437
acute, 65, 438, 451, 453
after amputation, 453
bipolar, 439
fibrosa, 476
gummatous, 462
from infection from soft parts, 453
pyogenic, 438
relapsing, 448
sequelæ of, 443
streptococcal, 451
tuberculous, 456, 458
in typhoid fever, 452
Osteophytes, 435
Osteoporosis, 437
Osteopsathyrosis, 479
Osteosarcoma, 200
Osteosclerosis, 435
Ostitis deformans, 474
rarefying, 474
Ovarian dermoids, 211
Ovary, grafting of, 16
Ozœna, 176
Pachydermatocele, 360
Paget's disease of bone, 474
of nipple, 397
recurrent fibroma, 199, 392, 420
Pain, starting, in joint disease, 502, 517
varieties of, 35
Painful subcutaneous nodules, 354, 392
Palate, syphilitic lesions of, 178, 462
Palmar ganglion, compound, 217, 423
Papilloma, varieties of, 201, 392
Paraffin cancer, 395
Paralysis, brachial birth, 362
Erb-Duchenne, 361
Klumpke's, 361
post-anæsthetic, 360
pseudo, of syphilis, 174, 466
Parasitic bacteria, 20
cysts, 213
Paronychia. See Onychia
Parotid abscess in pyæmia, 66
lymph glands, 321
tumours, 195
Parotitis, 66
Parrot's nodes, 175, 465
Passive hyperæmia, Bier's, 38
Pasteur's treatment for hydrophobia, 119
Pelvis, rickety changes in, 471
Perforating ulcer, 73, 82
Perichondritis, syphilitic, 465
Peri-lymphangitis, 325
Periosteum, function of, 434
gumma of, 464
in rickets, 469
Periostitis, 437. See also Osteomyelitis
syphilitic, 461
tuberculous, 455
Peripheral neuritis, 352
Peroneal nerve, 370
Peronei tendons, dislocation of, 409
Petrifying sarcoma, 200
Phagedæna, 153
Phagedænic ulcers, 80, 85
Phagocytes, 3, 22
Phagocytosis, 22
Phimosis, with hard chancre, 152
with soft sores, 155
Phlebitis, 285, 292
Phlegmasia alba dolens, 286
Picric acid, 13, 237
Pigeon-breast, 471
Plantaris, rupture of, 408
Pleurodynia, 413
Pleurosthotonos, 114
Pneumo-bacillus, Friedländer's bacteria, 28
Pneumococcal arthritis, 509
Pneumococcus, 28
Polypi, 195
Popliteal aneurysm, 320
artery, embolus of, 93
bursæ, 432
lymph glands, 323
nerves. See Common Peroneal Nerve and Tibial Nerve
Port-wine stain, 294
Post-anæsthetic paralysis, 360
-anal dimple, 211
Posterior auricular lymph glands, 322
Post-rectal dermoids, 211
Potato-nose, 393
Poultice, 37
charcoal, 84
Pre-auricular lymph glands, 322
Prepatellar bursa, 431
Pressure sores, 70, 82
Primary union of wounds, 2
Protopathic sensibility of nerves, 343
Proud flesh, 79
Psammoma, 200
Pseudo-leucæmia, 337
Pseudo-paralysis of syphilis, 174, 466
Psoas bursa, 430
Pulmonary osteo-arthropathy, 480
Pulsating aorta, 305, 314
exophthalmos, 317
hæmatoma of bone, 498
Punctured wounds, 222
Purpura, 280
Purulent blister, 55
Pus, 45
varieties of, 46
Pyæmia, 64
abscess in joints in, 508
Pyogenic bacteria, 24, 29
Quadriceps extensor femoris, rupture of, 408
Rabies, 118
Rachitis, 468
adolescentium, 472
Radial nerve, lesions of, 364
Radium, in lupus, 385
in cancer, 208
in nævus, 297
ulceration from, 239
Ranula, 329
Rarefying ostitis, 437
Ray fungus, 126
Raynaud's disease, 97
Reaction of degeneration, 347
Reactionary hæmorrhage, 272
Recklinghausen's disease, 355
Recurrent fibroid of Paget, 199, 392, 420
Repair. See Individual Tissues
conditions interfering with, 17
after loss of tissue, 4
modifications of, 4
of separated parts, 5
Rest, 17
Rests, fœtal, 181
Retention cysts, 212
Retro-pharyngeal lymph glands, 322
Reverdin's method of skin-grafting, 13
Rhabdomyoma, 196
Rheumatic arthritis, 524
fever, 509
gout, 524
torticollis, 413
Rheumatism, acute, 509
chronic, 523
gonorrhœal, 510
muscular, 412
scarlatinal, 508
Rheumatoid arthritis, 524
Rhinophyma, 393
Rickets, 468
bone lesions in, 469
changes in skeleton in, 470
late, 472
scurvy, 473
Rickety, dwarf, 469
pelvis, 471
rosary, 469
scoliosis, 471
Rider's bone, 418
sprain, 407
Rigidity of joints, 502
Rigor, 36
Risus sardonicus, 114
Rodent cancer, 210, 395
ulcer, 210, 395
Röntgen rays. See X-rays
Rose or erysipelas, 107
Roseola, syphilitic, 158
Rupia, syphilitic, 158
Sabre-blade deformity of tibia, 466
Sacculated aneurysm, 302
Saddle-nose deformity, 174
Saline infusions in hæmorrhage, 276
Salvarsan in syphilis, 162
Sapræmia, 60
chronic, 62
Saprophytic bacteria, 20
Sarcoma, 197
of bone, 492
inoperable, 201
of joints, 538
of lymph glands, 341
melanotic, 200
periosteal, 493
of skin, 398
of synovial membrane, 538
of tendon sheaths, 424
varieties, 199
Scab, healing under, 6
Scalds, 233
Scapula, winged, 363
Scarlet fever, joint lesions in, 508
Scars. See Cicatrices
Sciatic nerve, lesions of, 370
Sciatica, 371
Scirrhous cancer, 210
Sclavo's serum, 123
Scoliosis, rickety, 471
in sciatica, 372
Scorbutic ulcers, 77
Scrotum, elephantiasis of, 389
Sculler's sprain, 406
Scurvy, 473
rickets, 473
Sebaceous adenoma, 393
cysts, 389
horns, 389
Secondary hæmorrhage, 273
syphilis, 151, 147
Selenium in malignant tumours, 201, 208
Semilunar ganglion, 375
Semi-membranosus bursa, 432
Sepsis, 18
Septicæmia, 53, 63
Sequestrectomy, 446
Sequestrum of bone, 438
Serratus anterior muscle, paralysis of, 363
Serum, anti-diphtheritic, 109
anti-bacterial, 23
anti-tetanic, 117
disease, 23
in hæmophilia, 280
polyvalent, 23
Sclavo's, for anthrax, 123
treatment, 23
Seton, 217
Shell wounds, 231
Shock, 250
delayed, 252
Shoulder, fibrositis of, 413
Sinus, 59
epithelioma, 500
tuberculous, 143
“606,” 162
Skewers for prevention of hæmorrhage, 270
Skin, 376
abscesses of, 382
actinomycosis of, 126
cancer of, 394, 398
dermoids, 210
grafting of, 11, 14
preparation of, for operation, 244
repair of, 6
sporotrichosis of, 385
structure of, 376
syphilitic lesions of, 157, 166
tuberculosis of, 382, 385
tumours of, 391
Skull, bossing of, 465
craniotabes of, 175, 176, 465
diffuse osteoma of, 485
natiform, 176
Parrot's nodes, 465
syphilitic disease of, 462
unilateral hypertrophy of, 487
Slough, 86
Snake-bites, 131
Snuffles, 173
Soft chancre, 154
corns, 377
sore, 154
Spas, 531
Spasmodic tic, 373
Sphagnum moss, 247
Spinal arthropathies, 532
cord, joint affections in lesions of, 532
repair of, 9
syphilis of, 161
Spine, changes in rickets, 471
Spirilla, 19
Spirochæte pallida, 147
Spironema pallidum, 147
Splenic fever, 119
Spores, 18
Sporotrichosis, 385
Sprain of muscle, 405, 407
Sprinter's sprain, 406
Staphylococci, 19, 24, 438
Staphylococcus albus, 26
aureus, 25
Starting pains in joints, 502, 517
Stasis, 32
Sterilisation, surgical, 243
Sterno-mastoid lymph glands, 322
Stitch abscess, 51
Stitches. See Sutures
Streptococci, 19, 24
Streptococcus pyogenes, 26
Streptothrix actinomyces, 126
Strychnin poisoning, 115
Stump neuroma, 344
Styptics, 271
Sub-acromial bursa, 429
Sub-calcanean bursa, 433
Subclavian aneurysm, 317
Sub-crural bursa, 430
Sub-deltoid bursa, 429
Submaxillary lymph glands, 322
Submental lymph glands, 322
Sub-patellar bursa, 431
Subscapularis bursa, 430
Subungual exostosis, 191, 404, 481
Suction bells, 39
Suppuration, 45
chronic, 59
diffuse, 52
in mucous membranes, 52
in wounds, 50
Supra-clavicular lymph glands, 322
Supra-hyoid lymph glands, 322
Supra-scapular nerve, lesions of, 364
Surgery, definition of, 1
Listerian, 242
Surgical anatomy of blood vessels, 258
of bone, 434
of epiphyses, 434
of lymphatics, 321
of nerves, 342
of skin, 376
Surgical bacteriology, 17, 18
shock, 250
Sutures, 221
sterilisation of, 245
Sweat-glands, tumours of, 393
Syncope, 249
local, 97
Synostosis, 503
Synovial membrane, tumours of, 538
Synovitis, 501, 506
gonococcal, 510
septic, 506
serous,
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