Saunder's pocket medical formularyW.B. Saunders, 1900 - 298 pages |
Popular passages
Page 276 - Give opium and constipating food — boiled eggs, cheese, puddings, potatoes, etc. Never close any wound of the abdominal wall till all hemorrhage has ceased. Never, under any circumstances, apply pressure to a wound of the abdominal wall to arrest hemorrhage. Never mind increasing a superficial wound of the abdomen in order to remove a foreign body or to secure a bleeding point. Never probe any wound in the abdominal wall. Never forget that all abscesses of the abdominal wall should be opened freely...
Page 277 - Do not forget that incisions for abscesses in neck and face should run parallel with the wrinkles and folds. Do not be afraid of hurting the lacteal tubes in mammary abscess. More harm is done to the gland by the enlargement of the walls of the abscess than by a free incision. Never make a palmar incision except in the middle of the lower third and in the axial line of the fingers or at the sides of the palm. Do not forget, in opening a deep abscess in the lumbar region without the projection of...
Page 277 - Never forget that early openings are imperative in abscesses situated: 1. In the neighborhood of joints. 2. In the abdominal wall. 3. In the neck, under the deep fascia. 4. In the palm of the hand. 5. Beneath periosteum. 6. About the rectum, prostate and urethra. To wait for abscesses to "point" or to "burst" in these situations is culpable as well as cowardly.
Page 274 - ... turn it over upon the face for a moment, thrusting a finger into the mouth and sweeping it round, to bring away anything that may have gotten in or accumulated there. Then...
Page 282 - Never apply lead lotion (Goulard water) should there be the slightest abrasion of the corneal epithelium. [Solid particles of oxide or carbonate of lead become deposited and form permanent opacities.] Never trust the nurse with verbal instructions for washing out the baby's eyes in infantile ophthalmia. Do it yourself. Never forget that wounds of the ciliary region are most dangerous, and if they involve the lens, or if they are attended witb loss of vitreous, they need excision of the eye.
Page 277 - Never plunge in opening abscesses; never squeeze the sac after doing so. Do not forget that your incision should radiate: 1. In abscesses pointing near the nipple. 2. In abscesses near the anus. 3. In scarifying the chemosis of the cornea.
Page 276 - Always relax the adbominal wall after suturing. Never ligature en masse in cutting off omentum. Do it piecemeal. [The constricted edge of the apron of omentum may unravel, and fatal hemorrhage result.] In protrusion of the viscera, never neglect to pass your finger fairly through the wound to make sure that the reduction has been complete. And be careful never to push the bowel into an interstice between the muscle or into superitoneal tissue.
Page 277 - Hilton's method (ie, scalpel, director and dressing forceps). Never, under any circumstances, use for exploratory puncture "that surgical abomination — a grooved needle" — for it * will allow contamination of all the tissues through which it brings the fluids. (Thornton.) Never plunge in opening abscesses; never squeeze the sac after doing so.
Page 281 - ... force, rupture and hemorrhage take place. . Do not forget, also, that too forcible a suction applied to the vascular false membranes, which often occupy the pleural cavity, may give rise to hemorrhage into the pleura. Always stop if pain is complained of. DISLOCATION. Never attempt to reduce a dislocation of humerus in an old person without first examining the state of the arteries to inspire you with caution and gentleness. Never put a booted foot in the axilla to reduce dislocation. Always...