File:The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner (1888) (14594592350).jpg

Identifier: rulesofaseptican1888gers (find matches)
Title: The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner
Year: 1888 (1880s)
Authors: Gerster, Arpad G. (Arpad Geyza), 1848-1923
Subjects: Antisepsis Surgery, Operative
Publisher: New York, D. Appleton and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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sistibly to scratching, and the small excoria-tions thus produced are often the portals of infection. 2. Infection through Lesions of the Mucous Membranes.—Less numerousthan the lesions of the skin, yet productive of frequent mischief, are thetraumatic and inflammatory lesions of the mucous membranes. Slightinjuries to the lips, tongue, buccal and faucial mucous membrane are verycommon. In most cases a profuse flow of saliva is instantly jiroduced bya painful injury, and, if haemorrhage be also present, infection rarely takesplace. Healthy oral cavities and their adnexa are especially exempt frominfectious processes following injuries. Even gunshot wounds of these partscan heal without suppuration under favorable circumstances : Case.—E. L., aged eiphteon, admitted to Mount Sinai Ilospita), December 7, 1884,with suicidal fresh pistol-shot wound of the tongue, extending from the tip backwardto the left side of the base, dividing the organ in two uiicfpial ))nrt.s. (Junshot perfora-
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Fig. 4.—Culture of chain-coccus from a ease of acute progressive gangrene. light.Fig. 5.—Chain-coccus of erysipelas (Fehleisen). Transmitted light.Fig. 6.—Chain-coccus of erysipelas by reflected light. (From Rosenbach.) Transmitted NATURAL HISTORY OF IDIOPATHIC SUPPURATION. 173 tion of tlie ))illars of the fauces of the left side; gunshot wound of the posterior pharyn-geal wall, tbe point of entrance situated Just bacl< of the faucial ))iilars of the left side,about an inch and a quarter from the median line, all of tliese injuries being producedby a bullet of 22 mm. caliber. A second non-penetrating gunshot wound on the fore-head without a point of exit. Free hasmorrhage from the tongue, and also a streamof arterial blood fi-om the pharyngeal wound. The latter being in close vicinity to theleft internal carotid artery, the left common carotid was tied at once as a preventivemeasure, mainly with a view to the possibility of subsequent suppuration and second-ary hjBinorrhage.

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