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Chapter LVII: Amputations (3)

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Dislocations, 524
of ankle, 544
of astragalus, 544
of carpus, 536
of clavicle, 529
treatment of, 529
complicated, 524
compound, 524
congenital, 524, 526
diagnosis of, 525
of elbow, 534
treatment of, 536
of fibula, 544
of foot, 544
treatment of, 544
habitual, 524
of hand, 536
of hip, 537
classification of, 537
congenital, 471
diagnosis of, 473
treatment of, 474
signs of, 538
symptoms of, 538
treatment of, 539
unreduced, 542
of jaw, 667
lower, 527
treatment of, 528
of knee, 543
symptoms of, 544
treatment of, 544
of larynx, 528
of lens, 604
metacarpophalangeal, 536
treatment of, 537
of nerves, 624
of patella, 543
treatment of, 543
pathological, 524, 526
of penis, 1008
of radius, 536
recurrent, 524
of ribs, 529
of semilunar cartilages, 543
of shoulder-joint, 530
anterior, 530
diagnosis of, 532
downward, 530
posterior, 530
subclavicular, 531
subcoracoid, 531
subglenoid, 531
subspinous, 532
symptoms of, 532
treatment of, 532
Kocher’s method, 533
upward, 530
of spine, 631
treatment of, 632
of sternum, 528
symptoms of, 525
of tendons, 330
of tibia, 543
traumatic, 524
treatment of, 527
of ulna, 536
of wrist, 536

Dissecting aneurysm, 339, 342

Diverticulitis, 822

Diverticulum, Meckel’s, 262, 822
pharyngeal, 262
vesical, 262

Downes’ electrothermic clamp, 236

Drainage tubes, sterilization of, 248

Dressings, sterilization of, 247

Duct carcinoma, 290
salivary, fistulas of, 649
foreign bodies in, 648
thoracic, injuries to, 725
treatment of, 726

Duodenal ulcers, 825
symptoms of, 825
treatment of, 826

Duodenostomy, 806

Duodenotomy, 928

Dupuytren’s contraction, 319
treatment of, 320

Dysenteric ulcers of intestines, 827

Dysentery, secondary infection in, 166

E

EAR, auricles of, supernumerary, 605
congenital malformations of, 604
epithelioma of, 605
external auditory canal, diseases of, 607
foreign bodies in, 606
keloid of, 605
lymphangioma of, 606
middle, diseases of, 607
neoplasms of, 605
overlapping, 605
papilloma of, 605
rodent ulcer of, 606
syphilis of, 137
tumors of, 605

Ecchondroses, 272

Echinococcus cyst of lung, 732
of skin, 310

Ectasine, 85

Ecthyma, 132

Ectopia of bladder, 978
treatment of, 978

Eczema of nipple, 316

Edema, definition of, 22
gangrene from, 73
of glottis, 699
of larynx, 683
malignant, 75, 108
bacillus of, 54
definition of, 108
postmortem appearances of, 108
prognosis of, 108
symptoms of, 108
treatment of, 108

Edematous ulcers, 67

Effusion, definition of, 22

Elbow, amputation of, 1031
Charcot’s disease of, 390
dislocations of, 534
treatment of, 536
excision of, 410

Electroconductivity of urine, 959

Electrothermic clamp, 236

Elephantiasis, 370
of hand, 370
of leg, 370
of penis, 370
of scrotum, 371
of vulva, 371

Elongation of nerves, 612
of uvula, 682

Embolism, 38
air, 38
fat, 39
prognosis of, 40
symptoms of, 40
treatment of, 40
following abdominal operations, 784
gangrene from, 73
of mesenteric vessels, 938
of veins, 363

Embryonal adenosarcoma, 268
hypothesis of the cause of tumors, 256

Emphysema, gangrenous, 75, 108

Emprosthotonos, 100

Empyema of appendix, 860
definition of, 62
of gall-bladder, 919
of lung, 736

Encephalitis, 573

Encephalocele, 576
of orbit, 593

Encysted hydrocele of testicle, 260, 261

Endarteritis, 338

Endocarditis, secondary infection in, 169
ulcerative, in septicemia, 88

Endoscope, use of, 158

Endothelioma, 274
of abdominal wall, 784
of jaw, 668
of liver, 914
of lung, 732
of orbit, 593
of thyroid, 712

Endotracheal goitre, 713

Enterocele, 892

Enterocolitis, diagnosis of, from appendicitis, 857

Enteroplication, 850

Enteroptosis, 967

Enterosepsis, 83

Enterostomy, 789, 849

Entropion, 601

Enucleation of globe of eye, 596

Eosinophilia, 30

Epicanthis, 600

Epidermoids, 264

Epididymitis, 151, 1016
treatment of, 1017

Epigastric artery, ligation of, 359

Epiglottis, diseases and injuries of, 683

Epilepsy, Jacksonian, 581
treatment of, 581

Epiphysitis, acute, 421

Epiplocele, 892

Epispadias, 1005
balanic, 1005
penile, 1005

Epistaxis, 680
treatment of, 681

Epithelial molluscum, 312
odontomas, 281

Epithelioma, 286
of abdominal wall, 784
diagnosis of, from tuberculosis, 293
of ear, 605
of face, 640
of jaw, 668
of larynx, 687
lymph nodes in, 286
malignant chorion, 292
microscopic appearances of, 285
of orbit, 593
of penis, 1010
seats of, 286
of skin, 315
diagnosis of, 315
treatment of, 315
suprarenal, 292
of tongue, 660
treatment, 660

Epulis, 270, 668

Equinia, 105. _See_ Glanders.

Erectile tumors, 277

Erethistic ulcers, 66

Eruptions in septicemia, 88

Erysipelas, 93
of abdominal wall, 783
definition of, 93, 94
diagnosis of, 95
epidemic form, 93
etiology of, 93
idiopathic, 93, 94
of mouth, 657
organism relation to streptococcus, 93
pathology of, 93
phlegmonous, 75, 93
postmortem appearances of, 95
prognosis of, 95
of scalp, 545
symptoms of, 94
toxin in treatment of carcinoma, 296
traumatic, 93, 94
treatment of, 95
wandering, 94

Erysipelatous laryngitis, 95
pneumonia, 95

Erythroblasts, definition of, 29

Esmarch’s bandage, 234

Esophageal bougies, 743
hemorrhoids, 365
snare, 740

Esophagectomy, 745

Esophagismus, 742

Esophagoscope, 740

Esophagotomy, 745

Esophagus, anatomy of, 737
cancer of, 744
diverticula of, 737
externalization of, 746
foreign bodies in, 739
treatment of, 740
hemorrhage of, 744
malformations of, 737
operations on, 745
perforation of, 742
resection of, transthoracic, 745
rupture of, 741
stricture of, 742
wounds of, 741

Esthiomene, 876

Estländer’s cheiloplastic operation, 648

Ether, 193
accidents from, 194
action of, 194
administration of, 195
narcosis by rectum, 196
petroleum, 199

Ethmoidal sinus, operations on, 610

Ethyl bromide, 198
chloride, 199
local use of, 199

Eucaine, 207

Excision of ankle, 414
of elbow, 410
of fingers, 412
of foot, 415
of hand, 412
of heel, 414
of hip, 412
of joints, 407
of knee, 413
of shoulder, 409
of wrist, 411

Exophthalmic goitre, 713
treatment of, 714

Exophthalmos, 594
treatment of, 594

Exostoses, 272
of bone, 441

Exstrophy of bladder, 978
treatment of, 978

Extragenital chancre, 127, 145

Extravasation of blood, gangrene from, 73

Exudates, 23
croupous, 23
difference between hyperemic and inflammatory, 23
diphtheritic, 23
fibrinous, 23
interstitial, 23
mixed, 23
mucous, 23
parenchymatous, 23
serous, 23

Eye, accommodation of, defects of, 604
globe of, enucleation of, 596
muscles of, defects of, 604
nerves of, disturbances of, 604
sclerotic of, rupture of, 604
syphilis of, 136, 597

Eyeball, injuries of, 603
treatment of, 604

Eyelids, blepharitis, 601
marginalis, 601
chalazion, 601
coloboma, 600
ectropion, 602
Arlt’s operation for, 602
Dieffenbach’s operation for, 603
Fricke’s operation for, 603
Richet’s operation for, 603
entropion, 601
epicanthis, 600
hordeolum, 600
stye of, 600
trichiasis, 601
xanthelasma, 601

F

FACE, absence of, 638
actinomycosis of, 640
arteries of, ligation of, 352
burns of, 639
contusions of, 639
epithelioma of, 640
gangrene of, 640
malformations of, acquired, 639
nerves of, injuries of, 640
operations on, 642
syphilis of, 640
tuberculosis of, 640
tumors of, 641
ulcers of, 640
wounds of, 229, 639

Facial artery, ligation of, 352
bones, fractures of, 489
nerve, operations on, 616
neuralgia, 640
palsy, neuro-anastomosis for, 616
paralysis, 640

Facultative pyogenic organisms, 53

Farcy, 105. _See_ Glanders.

Fasciæ, contraction of, 319
treatment of, 320

Fat embolism, 39
prognosis of, 40
symptoms of, 40
treatment of, 40

Fatty degeneration of arteries, 339
of veins, 361

Fecal fistula, 839
impaction, intestinal obstruction from, 832

Feet, arthritis deformans of, 388

Fehleisen’s coccus, 93

Felon, 328

Femoral artery, aneurysm of, 346
ligation of, 359
hernia, 895
treatment of, 908

Femur, fractures of, 509
diagnosis of, 511
lower end, 513
treatment of, 513
prognosis of, 511
shaft, 513
treatment of, 512

Fencer’s bone, 331

Fetal infection, 48
rickets, 181, 433

Fibrin, 28

Fibrinoplastic tuberculous peritonitis, 791

Fibrinous exudates, 23

Fibro-adenoma, 284

Fibro-epithelioma, 282

Fibrokeratomas, 311

Fibroma, 269
of abdominal wall, 784
of bladder, 992
of bone, 438
of breast, 760
desmoids, 271
epulis, 270
of jaw, 668
keloid, 270
of liver, 914
molluscum, 313
treatment of, 313
of nasopharynx, 679
of nerves, 622
psammoma, 271
of testicle, 1017
of thorax, 729

Fibrous odontomas, 281

Fibula, dislocations of, 544
fractures of, 519
treatment of, 521

Figure-of-8-bandage of leg, 189

Filaria medinensis, 309

Filiform warts, 311

Finger, amputation of, 1029
excision of, 412
trigger, 320
treatment of, 320

Finney’s pyloroplasty, 810

Finsen light in treatment of cancer, 296

Fissured ulcers, 66

Fissures in ano, 876

Fistula, 63
causes of, 63
congenital, 63
foreign bodies, 63
necrosed material, 63
preëxisting abscess, 63
traumatic destruction of tissue, 63
chylous, 368
definition of, 63
fecal, 839
lacrymal, 600
treatment of, 63

Fistulas, biliary, 917
gastric, 801
of lips, 638
perineal, 1013
treatment of, 1013
rectal, 880
treatment of, 880
of salivary ducts, 649

Fistulous ulcers, 66

Flat-foot, 468

Floating liver, 910
symptoms of, 910
treatment of, 911

Follicular odontomas, 281
compound, 281

Folliculitis, 149, 307, 1013

Foot, amputation of, 1037, 1041
Bruns’ method, 1042
partial, 1034
Teale’s method, 1042
club-, 465
congenital, 466
treatment of, 466
dislocations of, 544
treatment of, 544
excision of, 415
flat-, 468
fractures of, 523
Madura, 110
treatment of, 110
ulcer of, perforating, 66, 310

Forearm, amputation of, 1031
fractures of, 501
treatment of, 501

Foreign bodies in abdomen, 783
in bladder, 982
in blood, 35
in brain, 565
in esophagus, 739
treatment of, 740
in knee-joint, 402
in pharynx, 673
treatment of, 673
in rectum, 874
in respiratory passages, 672
in salivary ducts, 648
in stomach, 794
operations for, 806
symptoms of, 794
treatment of, 794
in tonsils, 663
in urethra, 1009

Formalin gut, 247

Fractures, 479
Bennett’s, 506
of clavicle, 493
treatment of, 493
Colles’, 503
treatment of, 504
comminuted, 479
complete, 479
compound, 480
treatment of, 487
delayed union in, 485
dentated, 479
depressed, 479
diagnosis of, 481
by fluoroscope, 482
by skiagram, 482
extra-articular, 479
of facial bones, 489
of femur, 509
diagnosis of, 511
prognosis of, 511
of fibula, 519
treatment of, 521
fissure, 479
of foot, 523
of forearm, 501
treatment of, 501
green-stick, 479
gunshot, 480
of hand, 507
of humerus, 495
condyles of, 498
external, 499
internal, 499
epicondyles of, 497
intercondyloid, 499
shaft of, 496
supracondyloid, 497
surgical neck of, 496
treatment of, 495
of hyoid, 491
impacted, 479
incomplete, 479
intra-articular, 479, 482
-uterine, 481
of larynx, 491, 676
of leg, 518
treatment of, 521
longitudinal, 479
of malar, 489
of maxilla, inferior, 490
treatment of, 490
superior, 489
multiple, 479
non-union in, 485
of nose, 489
oblique, 479
of olecranon, 501
partial, 479
of patella, 516
treatment of, 517
pathological, 479
of pelvis, 507
treatment of, 508
of penis, 1008
of radius, 502
lower end of, 503
treatment of, 504
and ulna, 503
repair of, 483
ribs, 491
symptoms of, 492
treatment of, 492
of scapula, 494
acromion process of, 494
coracoid process of, 495
surgical neck of, 495
single, 479
of skull, 549, 552
base of, 556
diagnosis of, 557
prognosis of, 557
treatment of, 558
vertex of, 552
comminuted, 552
diagnosis of, 554
gunshot, 553
splintered, 552
treatment of, 555
of spine, 629
spiral, 479
spontaneous, 434
of sternum, 491
symptoms of, 492
treatment of, 492
of thigh, 509
of tibia, 518
treatment of, 521
transverse, 479
traumatic, 479
treatment of, 486
of ulna, 501
treatment of, 501
of wrist, 507
of zygoma, 489

Frambœsia, 308

Frank’s method of gastrostomy, 807

Fricke’s operation for blepharoplasty, 603

Friedländer, bacillus of, 54

Frontal abscess, 569
sinus, operations on, 609

Frostbite, 302, 639
gangrene from, 73
treatment of, 302

Fungi, 55
actinomycis, 55
aspergillus, 56
leptothrix, 56
Madura foot, 56

Fungous granulations in tuberculosis, 115
hematodes, 276
ulcers, 66

Funicular hernia, 891
hydrocele, 261

Furuncle, 304
definition of, 60
treatment of, 304

Fusiform aneurysm, 339, 343

G

GALACTOCELE, 760

Gall-bladder, anatomy of, 915
cancer of, 927
empyema of, 919
fistulas of, 917
hour-glass, 916
malformations of, 916
operations on, 927
after management of, 932
anastomotic, 932
tumors of, 927

Gall-ducts, operations on, 928

Gallstones, 922
diagnosis of, 925
intestinal obstruction from, 833
symptoms of, 924
treatment of, 926

Galoche chin, 638

Ganglion, 327

Gangræne oris, 75

Gangrene, 22, 73
angioneurotic, 76
bed-sores a cause of, 74
causes of, 73
constitutional, 74
infectious, 75
local, 73
traumatic, 73
from chemical agents, 74
from edema, 73
from embolism, 73
from frostbite, 73
from extravasation of blood, 73
from ligation of arteries, 73
from thrombosis, 73
from tumors, 74
of face, 640
foudroyante, 75, 108
definition of, 73
diabetic, 74
dry, 76
gazeuse, 108
gross appearances of, 76
hospital, 75
of lung, 734
moist, 76
line of demarcation in, 76
mummification in, 76
noma, 75
phagedenic, 77
senile, 76
signs of, 77
of spleen, 941
spontaneous, 76
symmetrical, 74, 76
symptoms of, 77
of tongue, 659
treatment of, 77
visceral, 76

Gangrenous cellulitis of abdominal wall, 783
cholecystitis, 920
emphysema, 75, 108
pancreatitis, 946
septicemia, 108
stomatitis, 75, 658

Gaspard, putrid fever of, 81

Gasserian ganglion, operations on, 614

Gastrectasis, 796

Gastrectomy, 813

Gastric anastomosis, 816
dilatation, 793, 795
fistulas, 801
intra-abdominal, 801
tetany, 798
ulcer, 799
diagnosis of, from appendicitis, 857
operations for, 811
symptoms of, 800
treatment of, 800

Gastritis, phlegmonous, 804
symptoms of, 804
treatment of, 805

Gastro-enterostomy, 799, 811, 817

Gastrojejunostomy, 816

Gastropexy, 797, 811

Gastroplication, 811

Gastroptosis, 793, 797
Rovsing’s operation for, 813
treatment of, 797

Gastrorrhaphy, 806

Gastrostomy, 806
Frank’s method, 807
Witzel’s method, 807

Gastrotomy, 794, 806

Genitalia, chancroid of, 144
syphilis of, 138

Genito-urinary tract, infection through, 49

Genu valgum, 463
varum, 463

Giant-cell sarcoma, 274

Gigli saw, 588

Gila monster, poisoning by, 172

Gingivitis, interstitial, 657
ulcerative, 664

Glanders, 105, 308
diagnosis of, 106
etiology of, 105
incubation in, 105
organism of, 105
prognosis of, 106
symptoms of, 105
treatment of, 106

Glands, salivary, inflammation of, 649
tumors of, 650

Glandular cysts, 261, 284

Glaucoma, 597
treatment of, 597

Gleet, 155. _See_ Gonorrhea,
chronic.

Glioma, 279
of retina, 595

Glossitis, 658

Glottis, edema of, 699

Gluteal hernia, 897

Glycogen in blood, 33

Glycosuria, 945
a cause of gangrene, 74

Goitre, 283, 712
colloid, 713
endotracheal, 713
exophthalmic, 713
treatment of, 714
malignant, 715

Gonococcus myositis, 331
pyemia, 152
septicemia, 152
tendovaginitis, 331

Gonorrhea, 146
chronic, 155
treatment of, 156
classification of, 148
complications of, 149
balanitis, 149
Cowperitis, 150
cystitis, 151
epididymitis, 151
folliculitis, 149
gonorrheal rheumatism, 152
lymphangitis, 151
peri-urethritis, 149
postgonorrheal arthritis, 152
prostatitis, 150
treatment of, 152
of conjunctival sac, 599
course of, 149
diagnosis of, 147
of joints, 392
of lymph nodes, 376
secondary infection in, 169
of seminal vesicles, 1021
of testicles, 151
treatment of, 151
treatment of, 152
in women, 158
treatment of, 159

Gonorrheal proctitis, 875
rheumatism, 152
synovitis, 385

Grafting of nerves, 612
of tendons, 324

Granny knot, 241

Granulation tissue, relation of, to infection, 96

Granuloma, coccidioidal, 309
of thorax, 729

Graves’ disease, 713

Gritti’s method of amputation of knee, 1044

Groin, spica bandage of, 189

Guinea worm, 309

Gumma of penis, 1009
of syphilis, 133

Gummas of tuberculosis, 114

Gummatous syphilide, 134

Gums, retrocession of, 657

Gunshot wounds, 220
of abdomen, 232
of bladder, 233
of chest, 722
diagnosis of, 225
of face, 229
foreign material in, 224
of head, 228, 565
treatment of, 565
of heart, 231
hemorrhage from, 223
of joints, 228
key-hole, 225
of kidney, 233
localizing symptoms, 223
multiple, 224
of neck, 229
pain from, 223
prognosis of, 225
of respiratory passages, 675
shock from, 223
of small intestines, 823
of spinal column, 230
of spleen, 233
of thorax, 230
treatment of, 225

H

HALL’S, MARSHALL, method of artificial respiration, 204

Halstead’s operation for cancer of breast, 766
for hernia, 904

Hammer-toe, 321
treatment of, 321

Hand, amputation of, 1031
arthritis deformans of, 388
dislocations of, 536
elephantiasis of, 370
excision of, 412
fractures of, 407

Hands, sterilization of, 245

Harcourt inhaler, 197

Hare-lip, 638
operation for, 645

Head, arteries of ligation of, 352
injuries of, 545
previous and during birth, 549
caput succedaneum, 549
cephalhematoma neonatorum, 549
depression of skull, 549
fractures, 549
surgical diseases of, 545
wounds of, gunshot, 228, 565
treatment of, 565

Heart, aneurysms of, 732
carcinoma of, 336
malposition of, 334
rupture of, 336, 732
surgical diseases of, 334
tumors of, 336
wall of, abscess of, 733
wounds of, 334, 733
gunshot, 231
suture of, 335 (note),
treatment of, 335

Heel, excision of, 414

Hematoma of scalp, 218
of testicle, 1015

Hematorrhachis, 625, 634
treatment of, 634

Hematomyelia, 625, 634
treatment of, 634

Hematuria, 959
treatment of, 959

Hemiglossitis, 659

Hemoglobin, 33

Hemorrhage after abdominal operations, 780
from breast, 755
control of, 234
in amputations, 1024
by angiotribe, 236
by chemical agents, 235
by cold, 235
by destructive methods, 236
by digital compression, 235
by elastic bandage, 234
by electrothermic clamp, 236
by forced flexion, 235
by gelatin, 235
by heat, 235
by ligature, 236
by hemostats, 236
by mechanical means, 236
by pressure, 235
by styptics, 235
by torsion, 236
by tourniquet, 234
of esophagus, 744
from gunshot wounds, 223
intracranial, 563
intra-ocular, 604
intra-orbital, 592
of larynx, 683
secondary, 237
signs of, 237
treatment of, 237
of spinal cord, 625, 634
subdural, 564
traumatic intraventricular, 564

Hemorrhagic pancreatitis, 946
ulcers, 66
treatment of, 72

Hemorrhoidal veins, phlebitis of, 362

Hemorrhoids, 364, 882
esophageal, 365
treatment of, 883

Hemostats, control of hemorrhage by, 236

Hemothorax, 736

Hepatic abscess, 911
symptoms of, 912
treatment of, 912

Hepaticostomy, 928

Hepaticotomy, 928

Hepato-cholango-enterostomy, 932

Hermaphrodism, 1007

Hernia, 890
acquired, 890
causes of, 890
cerebri, 566
prognosis of, 566
treatment of, 566
classification of, 890
congenital, 890
diaphragmatic, 897
acquired, 897
congenital, 897
femoral, 895
treatment of, 908
funiculi umbilicalis, 896
funicular, 891
gluteal, 897
incarceration of, 892
infantile, 891
inflamed, 892
inguinal, 893
congenital, 894
direct, 893
indirect, 893
treatment of, 908
inguinoproperitoneal, 898
interstitial, 898
ischiatic, 897
Littre’s, 898
lumbar, 897
of lung, 725
of muscles, 330
obturator, 897
ovarian, 897
pelvic, 897
perineal, 897
postoperative, 896
treatment of, 909
properitoneal, 891, 897
reducibility of, 892
retroperitoneal, 891, 897
Richter’s, 898
scrotal, 895
signs of, 892
strangulated, diagnosis of, from appendicitis, 858
intestinal obstruction from, 829
strangulation of, 892
symptoms of, 893
taxis in, 899
traumatic, 890
treatment of, 898
Bassini’s operation, 902
Halsted’s operation, 904
Kocher’s operation, 904
McArthur’s operation, 904
Park’s operation, 905
radical cure, 901
umbilical, 896
treatment of, 909
varieties of, 893
ventral, 896
treatment of, 909

Hernial aneurysm, 339

Herpes, diagnosis of, from chancroid, 145
preputialis, 1009
zoster, 728

Heteroplasty, 602

Highmore, antrum of, operations on, 611

Hip, ankylosis of, 404
caries of, 452
diagnosis of, 454
prognosis of, 454
symptoms of, 453
muscle atrophy, 453
spasm, 453
pain, 453
treatment of, 454
dislocations of, 537
classification of, 537
congenital, 471
diagnosis of, 473
treatment of, 474
signs of, 538
symptoms of, 538
treatment of, 539
unreduced, 542
excision of, 412
-joint, amputation of, 1045
Davey’s method, 1045
McBurney’s method, 1045
Woodbury’s method, 1045
Wyeth’s method, 1045
tuberculosis of, 424

Hodgen suspension splint, 515

Hodgkin’s disease, 376
diagnosis of, 377
symptoms of, 377
treatment of, 378

Hordeolum, 600

Hornets, poisoning by, 172

Hour-glass gall-bladder, 916
stomach, 793

Housemaid’s knee, 333

Howard’s method of artificial respiration, 204

Hueter’s incision in excision of elbow, 410

Humerus, fractures of, 495
condyles of, 498
external, 499
internal, 499
epicondyles of, 497
intercondyloid, 499
shafts of, 496
supracondyloid, 497
surgical neck of, 496
treatment of, 495

Hunterian chancre, 127

Hunter’s method of treating aneurysm, 347

Hutchinson’s teeth, 140

Hydatid cysts, 263
of liver, 913
treatment of, 913
of lung, 732
of omentum, 935
of spleen, 943
disease of bone, 432
treatment of, 432

Hydatidiform mole, 292

Hydramnios, 263

Hydrarthrosis, 386

Hydrencephaloceles, 577

Hydroceles, 261, 1018
of canal of Nuck, 261
chylous, 372
of cord, 261
encysted, of spermatic cord, 1019
of testicle, 260
funicular, 261
of neck, 261
ovarian, 261
treatment of, 1018

Hydrocephalus, 263, 578
meningeus or externus, 578
prognosis of, 579
in rickets, 162
treatment of, 579
ventriculorum or internus, 578

Hydrocholecyst, 259

Hydrometra, 259

Hydronephrosis, 971
treatment of, 973

Hydrophobia, 102
diagnosis of, 104
dumb, 103
furious form, 102
incubation in, 103
paralytic type of, 103
postmortem changes in, 104
symptoms of, 103
treatment of, 104
virus of, 102

Hydrops, 333

Hydrothionemia, 82

Hydrothorax, 736
chylous, 368

Hygroma, 333

Hyoid bone, fractures of, 491

Hyperemia, 19
active, 20
of dilatation, 21
of paralysis, 21
passive, 21
results of, 22
acute swelling, 22
chronic swelling, 22
gangrene, 22
nutritional changes, 23
resolution, 22
treatment of, 23

Hyperinosis, 28

Hypernephroma, 292, 970

Hyperostoses of bone, 441

Hyperplasia, definition of, 22, 25

Hyperthyroidism, 713

Hypertrophy, 25
of bone, 422
of breast, 756
of clitoris, 1007
congenital, 26
of lips, 638
pathological, 26
physiological, 25
of prostate, 995
diagnosis of, 996
symptoms of, 997
treatment of, 998
senile, 26
of skin, 311
of spleen, 941
of thymus, 717, 751
of thyroid, acute idiopathic, 711
intra-uterine, 711
of tonsils, chronic, 662
of veins, 361

Hypinosis, 28

Hypodermoclysis, 186

Hypognathy, 638

Hypopyon, 62, 598

Hypospadias, 1005
balanic, 1005
penile, 1005
penoscrotal, 1005
perineoscrotal, 1005

Hypostatic inflammation, 47
pneumonia, 21

I

IDIOPATHIC erysipelas, 93, 94
hypertrophy of thyroid, 711
pyemia, 91

Ignipuncture, 184

Ileus, 828

Iliac artery, aneurysm of, 346
common, ligation of, 356
external, ligation of, 357
internal, ligation of, 357

Imperforate anus, 873
rectum, 872

Implantation dermoids, 266

Incised wounds, 214
of bloodvessels, 216

Incontinence of urine, 982

Indolent ulcer, 66

Indurated ulcer, 67

Infantile hernia, 891
scorbutus, 161

Infection, auto-, 79
circumstances favoring, 46
association of organisms, 46
fetal infection, 48
habits and environment, 47
hereditary influence, 46
local predisposition, 47
preëxisting disease, 47
virulence of organism, 46
classification of, 50
mixed, 51
primary, 50
pyogenic, 51
secondary, 51
terminal, 51
tertiary, 51
relation of granulation tissue to, 96
of lymph nodes to, 96
sources of, 48
alimentary canal, 49
from flies, 50
from within system, 50
from without, 50
genito-urinary tract, 49
milk in lacteals, 50
mucous membranes, 48
respiratory tract, 49
skin, 48
tonsils, 49

Inflammation, 43
ameboid movement of cells in, 43
as cause of tumor, 256
of bladder, 984
symptoms of, 984
treatment of, 985
of breast, 756
chemotaxis in, 44
of corpus cavernosum, 1009
diapedesis of leukocytes in, 43
hypostatic, 47
of iris, 598
of jaw, 667
of kidney, 956
of larynx, 683
leukocytic increase in, 44
of mediastinum, 728
opsonins in, 44
of pancreas, 946
phenomena of, 43
of prostate, 994
of rectum, 875
of salivary glands, 649
specific irritants in, 45
of spleen, 941
of stomach wall, 804
of thymus, 717
of tongue, 658
of veins, 361

Influenza, secondary infection in, 167

Infra-orbital nerve, operation on, 613

Infusion of blood, 185
intravenous, 186

Ingrowing toe-nail, 318

Inguinal hernia, 893
congenital, 894
direct, 893
indirect, 893
treatment of, 908

Inguinoproperitoneal hernia, 898

Inhaler, Harcourt’s, 197

Innominate artery, aneurysm of, 345
ligation of, 350

Insane, othematoma of, 605

Insanity, traumatic, surgical treatment of, 582

Instruments, sterilization of, 246

Intercondyloid fracture of humerus, 499

Intercostal neuralgia, 728

Interrupted suture, 241

Interscapularthoracic amputations, 1033

Interstitial exudates, 23
gingivitis, 657
hernia, 898
pancreatitis, 950

Intestinal biliary fistulas, 917
diverticula, 262, 822
ulcers, diagnosis of, from appendicitis, 857

Intestine, large, anomalies of, 869
cancer of, 870
obstruction of, 870
from intussusception, 870
from volvulus, 870
stricture of, 870
syphilis of, 869
tuberculosis of, 869
operation on, 840
anastomotic, 842
appendicostomy, 850
colopexy, 850
colostomy, 849
enteroplication, 850
enterostomy, 849
small, 822
actinomycosis of, 827
cancer of, 828
treatment of, 828
malformations of, acquired, 823
congenital, 822
obstruction of, acute, 828
from bands, 833
fecal impaction, 832
gallstones, 833
intestinal loops, 834
intussusception, 829
causes of, 830
symptoms of, 831
treatment of, 832
invagination, 829
neoplasms, extrinsic, 833
intrinsic, 833
peritonitis, 833
slits and apertures, 834
strangulated hernias, 829
strictures, 832
volvulus, 832
postoperative, 834
symptoms of, 834
treatment of, 836
chronic, 838
symptoms of, 838
treatment of, 839
stricture of, 827
obstruction from, 832
symptoms of, 828
treatment of, 828
syphilis of, 827
tumors of, 828
ulcers of, 825
cancerous, 827
duodenal, 825
symptoms of, 825
treatment of, 826
dysenteric, 827
tuberculous, 827
symptoms of, 827
treatment of, 827
typhoidal, 826
symptoms of, 826
treatment of, 826
wounds of, 823
gunshot, 823
symptoms of, 824
treatment of, 824
suture of, 840
Lembert’s, 841
Murphy button, 844

Intoxications, acid, from anesthetics, 203
acute, 174

Intra-abdominal gastric fistulas, 801

Intracanalicular adenofibroma, 285

Intracranial aneurysm, 345
development, defects of, treatment of, 580
hemorrhage, 563
suppurations, treatment of, 573
tumors, 582
symptoms of, 583
treatment of, operative, 585
vessels and sinuses, injuries of, 563
aneurysms following, 564
sources of, 563
subdural hemorrhage, 564
traumatic intraventricular hemorrhage, 564

Intracystic villous papilloma, 282

Intralaryngeal tumors, 686
symptoms of, 687
treatment of, 687

Intramammary abscess, 757

Intra-ocular hemorrhage, 604
tumors, 594

Intra-orbital hemorrhage, 592

Intraspinal cocainization, 207
hemorrhage, 634
treatment of, 634

Intratracheal tumors, 686

Intra-uterine hypertrophy of thyroid, 711
rickets, 432

Intraventricular hemorrhage, traumatic, 564

Intubation of larynx, 693

Intussusception of intestines, large, 870
small, 829

Invagination, intestinal obstruction from, 829
of rectum, 881
treatment of, 882

Iodine gut, 247
reaction of blood, 33
toxic effects of, 175

Iodoform, toxic effects of, 175

Iris, cysts of, 594
inflammation of, 598

Iritis, 598

Irritation as cause of tumor, 255

Ischiatic hernia, 897

Ischiorectal abscess, 879, 1013

Ivy poisoning, 173

J

JACKSONIAN epilepsy, surgical treatment of, 581

Jarvis’ snare, 678

Jaundice in appendicitis, 856

Jaws, ankylosis of, 667
dislocation of, 667
inflammation of, 667
lower, dislocations of, 527
treatment of, 528
operations on, 668
osteomyelitis of, 667
periostitis of, 667
postgonorrheal arthritis of, 667
synovitis of, acute, 667
tumors of, 668

Jejunum, peptic ulcer of, 816

Joints, ankylosis of, 403
treatment of, 405
arthritis of, 382
chronic, 386
treatment of, 386
gonorrheal, 392
osteo-, 387
treatment of, 389
postgonorrheal, 392
syphilitic, 385
tuberculous, 393
diagnosis of, 398
pathology of, 394
symptoms of, 397
treatment of, 398
diseases of, arthropathic, 394
neuropathic, 389
diagnosis of, 392
treatment of, 392
osteopathic, 394
surgical, 379
excision of, 407
of ankle, 414
of elbow, 410
of fingers, 412
of foot, 415
of hand, 412
of heel, 414
of hip, 412
of knee, 413
of shoulder, 409
of wrist, 411
hysterical, 392
treatment of, 392
inflammation of, 382
injuries to, 380
knee-, foreign bodies in, 402
movable bodies in, 401
diagnosis of, 402
symptoms of, 401
treatment of, 402
pannus of, 395
scrofula of, 393
sprains of, 380
symptoms of, 380
treatment of, 380
synovitis of, 382
acute, 383
treatment of, 383
chronic, 386
treatment of, 386
dry, 383
gonorrheal, 385
purulent, 383
symptoms of, 383
treatment of, 385
treatment of, 385
syphilis of, 135
wounds of, gunshot, 228, 381
amputation in, 381
excision in, 381
penetrating, 381

K

KAHLER’s disease of bone, 442

Kangaroo tendons, sterilization of, 248

Karyokinesis, 44

Keel-shaped chest, 718

Keller’s method of extirpating varicose veins, 366

Keloid, 270, 312
cicatricial, 70
of ear, 605
treatment of, 271, 313

Keratosis of skin, 314
treatment of, 314

Key-hole wounds, 225

Kidney, abscess of, 957
absence of, 955
actinomycosis of, 964
adenoma of, 969
congenital, 969
anomalies of, 955
calculi of, 965
diagnosis of, 965
symptoms of, 965
treatment of, 966
carcinoma of, 969
cystic, 969
decapsulation of, 960
floating, diagnosis of, from appendicitis, 858
hemorrhage from, 959
treatment of, 959
horseshoe, 955
hydronephrosis of, 971
treatment of, 973
hypernephroma of, 970
infection of, 956
inflammations of, 956
injuries to, 955
movable and floating, 966
symptoms of, 967
treatment of, 967
multicystic, 969
operations on, 974
pain in, 956
polycystic, 969
pus in, 961
treatment of, 961
pyohydronephrosis of, 972
pyonephrosis of, 972
sarcoma of, 969
surgical, 956, 957
symptoms of, 957
treatment of, 957
syphilis of, 138, 964
tuberculosis of, 118, 961
diagnosis of, 962
symptoms of, 961
treatment of, 963
tumors of, 969
wounds of, gunshot, 233

Knee, amputation of, 1043
Gritti’s method, 1044
Sabanejeff’s method, 1044
Stephen Smith’s method, 1043
ankylosis of, 404
arthritis deformans of, 388
dislocations of, 543
symptoms of, 544
treatment of, 544
excision of, 413
housemaid’s, 333
-joint, foreign bodies in, 402
tuberculous disease of, 456
treatment of, 456

Knock-knee, 463
treatment of, 464

Knots, 242
clove hitch, 241
granny, 241
reef, 241
Staffordshire, 241

Kocher’s operation for hernia, 904
on tongue, 661
treatment of dislocations of shoulder-joint, 533

König’s cheiloplastic operation, 648
incision for excision of ankle, 415

Kyphosis, 444

L

LACERATIONS, 212
of abdominal wall, 781
of bladder, 981
of bloodvessels, 216
of brain substance, 564
prognosis of, 564
symptoms of, 565
of lung, 721
treatment of, 722
of urethra, 1008

Lacrymal fistula, 600
tract, diseases of, 599

Lacteals, milk in, infection through, 50

Laminectomy, 636

Langenbeck’s operation on tongue, 662

Laparotomy, 773
exploratory, 773

Laryngeal phthisis, 684
polypi, 686

Laryngectomy, 689

Laryngismus stridulus, 164
in rickets, 162

Laryngitis, erysipelatous, 95

Laryngoceles, 707

Larynx, chondritis of, 683
dislocations of, 528
edema of, 683
epithelioma of, 687
fracture of, 676
hemorrhage of, 683
inflammation of, 683
intubation of, 693
malformations of, 671
operations on, 688
papilloma of, 686
perichondritis of, 683
sarcoma of, 687
strictures of, 684
symptoms of, 684
treatment of, 684
syphilis of, 138, 686
treatment of, 686
tuberculosis of, 684
treatment of, 685
wounds of, 675
treatment of, 675

Leeching, 183

Leg, amputations of, 1039
Bier’s osteoplastic, 1028
circular, 1041
Pirogoff’s, 1040
elephantiasis of, 370
figure-of-8-bandage of, 189
fractures of, 518
treatment of, 521

Leiomyoma, 277

Lembert’s suture, 841

Lens, dislocation of, 604

Leontiasis, 438

Leprosy, 308
bacillus of, 54

Leptomeningitis, 572
diagnosis of, 573
prognosis of, 573
suppuration, 572
symptoms of, 572
traumatic basilar, 572
treatment of, 753

Leptothrix fungi, 56

Leukemia, 32
lymphatic, 32
pseudo-, 32
splenomedullary, 32

Leukocytes, classification of, 30
count, differential, 32
definition of, 29
diapedesis of, 43
migration of, 43
physical properties of, 40

Leukocytosis in septicemia, 88

Leukoderma, 131

Leukokeratosis, 137

Leukopenia, 30

Leukoplakia, 137, 659
treatment of, 659

Ligation of arteries, 350
abdominal aorta, 356
axillary, 355
brachial, 355
carotid, common, 351
external, 352
internal, 352
circumflex, 359
epigastric, 359
facial, 352
femoral, 359
gangrene from, 73
iliac, common, 356
external, 357
internal, 357
innominate, 350
lingual, 352
occipital, 352
popliteal, 360
radial, 356
temporal, 352
thyroid, inferior, 353
tibial, anterior, 360
posterior, 360
ulnar, 356
vertebral, 353

Ligatures, 236
fate of, 237

Lingua plicata, 652

Lingual artery, ligation of, 352
nerve, operations on, 616

Lipoma, 269
of breast, 760
dolorosa, 269
subcutaneous, 269
subserous, 269
subsynovial, 269
of testicle, 1017
of thorax, 729

Lips, absence of, 638
congenital defects of, 638
fistulas of, 638
hypertrophy of, 638
operations on, 645

Liquid air, 205
in treatment of cancer, 296

Lister’s incisions in excision of wrist, 411

Litholapaxy, 987, 988

Lithotomy, 987, 988
perineal, 990

Lithotrity, 987

Litigation spine, 628

Littre’s hernia, 898

Liver, abscess of, 911
symptoms of, 912
treatment of, 912
actinomycosis of, 914
adenoma of, 914
aneurysms of, 914
carcinoma of, 914
congenital displacements of, 910
cysts of, hydatid, 913
treatment of, 913
endothelioma of, 914
fibroma of, 914
floating, 910
symptoms of, 910
treatment of, 911
injuries of, 911
sarcoma of, 914
syphilis of, 138, 914
tumors of, 914
wounds of, 911

Lizards, poisoning by, 172

Lock finger, 320
treatment of, 320

Lockjaw, 97. _See_ Tetanus.

Lordosis, 461

Ludwig’s angina, 658, 703

Lumbar abscess, 114
hernia, 897

Lumpy jaw, 109

Lungs abscess of, 734
actinomycosis of, 732, 734
carcinoma of, 732
decortication of, 750
dermoids of, 732
echinococcus cysts of, 732
empyema of, 736
endothelioma of, 732
gangrene of, 734
hernia of, 735
hydatid cysts of, 732
laceration of, 721
rupture of, 725
sarcoma of, 732
syphilitic gumma of, 732
tumors of, 732
wounds of, 724
treatment of, 726

Lupus vulgaris, 306

Luxation, 524. _See_ Dislocations.

Lymph cysts, 278
nodes, 375
arrangement of, 369
carcinoma of, 376
cervical, affections of, 705
treatment of, 706
syphilis of, 705
tuberculosis of, 705
gonorrhea of, 376
in Hodgkin’s disease, 376
injuries and diseases of, 368
relation of, to infection, 96
syphilis of, 376
tuberculosis of, 376
tumors of, 378
vessels, arrangement of, 369
injuries and diseases of, 368
occlusion of, 369
acquired, 369
congenital, 369

Lymphangiectasis, 370

Lymphangioma, 278
cavernous, 278
circumscriptum, 374
treatment of, 374
of ear, congenital, 606
lymph cysts, 278
lymphatic nevus, 278
of skin, 315
treatment of, 315
treatment of, 279

Lymphangitis, 374
chronic, 375
gonorrheal, 151
treatment of, 375

Lymphatic chlorotic constitution, 163
constitution, 163
leukemia, 32
nevus, 278

Lymphatics, tuberculosis of, 116
tumors of, 378

Lymphatism, 163

Lymphedema, 369

Lymphocytosis, 30

Lymphodermia perniciosa, 164

Lymphoma, 378
malignant, 32

Lymphorrhagia, 372

Lymphosarcoma, 273, 378

Lyssophobia, 104

M

MCARTHUR’s operation for hernia, 904

McBurney’s method of amputation of hip-joint, 1045
point in appendicitis, 855

Macrocheilia, 373, 638

Macroglossia, 373, 660
congenital, 652

Macromelia, 373

Macrostoma, 638

Madura foot, 110, 309
fungi, 56
treatment of, 110

Malar bones, fractures of, 489

Malformations of anus, 872
of bladder, 977
of chin, 638
of ears, congenital, 604
of esophagus, acquired, 737
congenital, 737
treatment of, 738
of face, acquired, 639
of gall-bladder, 916
of intestines, large, 869
small, acquired, 823
congenital, 822
of larynx, 671
of nasal septum, 671
of nose, 676
of nostrils, 671
of pharynx, 671
of rectum, 872
of respiratory passages, acquired, 671
congenital, 671
treatment of, 671
of soft palate, 671
of sternum, 718
of stomach, acquired, 793
congenital, 793
of teeth, 652
of thorax, 718, 719
of tongue, 652

Malgaigne’s operation for hare-lip, 647

Malignant edema, 108. _See_ Edema, malignant.
pustule, 106. _See_ Anthrax.

Mania, traumatic, 175

Marasmic thrombosis, 36

Mastitis, 756
chronic, 757
treatment of, 758

Mastodynia, 758

Mastoid disease, 574
operation, 575

Matas’ method of treating aneurysm, 348

Maxilla, inferior, fractures of, 490
treatment of, 490
superior, fractures of, 489

Maxillary sinus, operations on, 611

Measles, secondary infection in, 167

Meatotomy, 155

Meckel’s diverticulum, 822

Median nerve, operations on, 623

Mediastinitis, 728
treatment of, 728

Mediotarsal amputation of Chopart, 1037

Megaloblasts, definition of, 29

Melanoma, 275
of skin, 316
treatment of, 317

Melanosarcoma, 275

Melon-seed bodies, 322

Meningeal artery, middle, injuries of, 563

Meningitis, 571
treatment of, 572

Meningocele, 576
cranial, 263
spinal, 625

Meningomyelocele, 626

Mercurial necrosis of bone, 428

Mercury, toxic effects of, 175

Mesarteritis, 338

Mesenteric phlebitis, 362

Mesentery, absence of, 939
actinomycosis of, 939
anatomy of, 937
cancer of, 939
cysts of, 940
embolism of, 938
injuries of, 938
syphilis of, 939
thrombosis of, 938
tuberculosis of, 939
treatment of, 939

Metacarpophalangeal dislocations, 536
treatment of, 537

Metastasis, 91

Metastatic abscess, 91
osteomyelitis, 92

Metatarsalgia, 470
treatment of, 470

Methylene bichloride, 198

Microblasts, definition of, 29

Micrococcus gonorrhϾ, 53
lanceolatus, 53
tetragenus, 53

Microörganisms in blood, 35

Microstoma, 638, 652

Mikulicz’s disease, 650

Milk in lacteals, infection through, 50
leg, 362

Milzbrand, 106. _See_ Anthrax.

Molluscum contagiosum, 312

Morphine, 205

Morrison’s operation on omentum, 936

Mortification, 73. _See_ Gangrene.

Morton’s disease, 470
treatment of, 470

Mother’s marks, 367

Mouth, absence of, 638
actinomycosis of, 657
bacteria of, 657
blastomycetic lesions of, 658
congenital defects of, 652
diphtheria of, 657
erysipelas of, 657
injuries of, 658
syphilis of, 657
tuberculosis of, 657
wounds of, 658

Movable bodies in joints, 401
diagnosis of, 402
symptoms of, 401
treatment of, 402

Mucous membrane, infection through, 48
syphilis of, 132
tuberculosis of, 115
polyp, 283

Mulberry growths, 282

Multicystic kidney, 969

Mumps, secondary infection in, 168

Murphy button, 820, 844

Muscles, atrophies of, 332
treatment of, 332
contractures of, 332
treatment of, 332
contusions of, 329
of eyes, defects of, 604
hernia of, 330
injuries of, 218
myalgia, 330
treatment of, 331
myositis, 331
calcificans, 331
ossificans, 272, 331
syphilitica, 136, 331
tuberculosa, 331
paralytic affections of, 332
treatment of, 332
parasitic affections of, 332
rupture of, 329
treatment of, 330
sprains of, 329
strains of, 329
syphilis of, 136, 331
tuberculosis of, 331
wounds of, 330

Musculospiral nerve, operations on, 623

Myalgia, 330
treatment of, 331

Mycetoma, 309

Mycosis fungoides, 308

Mycotic phlebitis, 90

Myeloid, 274

Myeloma of bone, 442

Myosarcoma, 274

Myositis, 331
calcificans, 331
gonococcus of, 331
ossificans, 272, 331
syphilitica, 136, 331
tuberculosa, 331

Myotomy, 327

Myxoma, 276
of bladder, 992
of bone, 441
cutaneous, 276
neuromyxoma, 276
polypi, 276

N

NAIL horns, 283

Naphthalin, toxic effects of, 175

Nares, anterior, plugging of, 681

Nasal cavities, neoplasms of, 677
symptoms of, 678
treatment of, 678
deformities, 676
polypi, 677
septum, malformations of, 671
submucous resection of, 677

Nasopharynx, fibroma of, 679

Neck, aneurysms of, 701
canal of, hydrocele of, 261
carbuncles of, 704
congenital anomalies of, 698
treatment of, 698
cysts of, 707
atheromatous, 707
bursal, 707
dermoid, 707
sanguineous, 701, 707
thyrohyoid, 707
hydroceles of, 261
injuries of, 698
muscles of, injuries of, 700, 701
nerves of, injuries of, 700, 701
phlegmons of, 700, 703
diagnosis of, 703
treatment of, 703
tumors of, 706
veins of, wounds of, 700
wounds of, 698
air-embolism in, 699
gunshot, 229

Necrosis of bone, 428
pathological, 428
toxic, 428
treatment of, 428
traumatic, 428
coagulation, 57
of skull, 549

Nephritis, chronic, treatment of, operative, 959
indications for, 960
septic, 956
symptoms of, 957
treatment of, 957

Nephrolysis, 960

Nélaton’s incision in excision of elbow, 410
operation for hare-lip, 647

Neoplasms of ear, 605
intestinal obstruction from, 833
of nasal cavities, 677
of spleen, 943

Nephralgia, 956

Nephrectomy, 960, 974

Nephrolithotomy, 966

Nephropexy, 968

Nephroptosis, 967

Nephrotomy, 960

Nervanin, 207

Nerves, acoustic, neurofibroma of, 584
anterior crural, operations on, 623
brachial plexus, operations on, 623
cervical plexus, deep posterior, operations on, 618
sympathetic, operations on, 618
cranial, injuries of, 612
dislocation of, 624
elongation of, 612
of eye, disturbances of, 604
of face, injuries of, 640
operations on, 616
fibroma of, 622
fifth, operations on, 613
Gasserian ganglion, operations on, 614
grafting of, 612
infra-orbital, operations on, 613
injuries of, 217
lingual operations on, 616
median, operations on, 623
musculospiral, operations on, 623
optic, tumors of, 593
peripheral, diseases and injuries of, 622
radial, operations on, 623
resection of, 613
sciatic, great, operations on, 623
seventh, operations on, 616
spinal accessory, operations on, 617
stretching of, 612
supra-orbital, operations on, 613
suture of, 612
tibial, operations on, 623
trunks, upper, injuries to, 725
treatment of, 726
tumors of, 622
ulnar, operations on, 623
wounds of, 612

Nervous system, syphilis of, 138

Nettle, stinging, poisoning by, 173

Neural cysts, 263

Neuralgia of breast, 758
treatment of, 758
facial, 640
intercostal, 728

Neurectomy, 612

Neuro-anastomosis for facial palsy, 616

Neurofibroma of acoustic nerve, 584
of skin, 313

Neuroma, 280
amputation, 1047
malignant, 280
plexiform, 280, 622

Neuromyxoma, 276

Neuroparalytic congestion, 20

Neurorrhaphy, 612

Neurotonic congestion, 20

Nevi of tongue, 659

Nevus, 277
lymphatic, 278
pigmentosus, 314
venous, 367
congenital, 367

Newborn, tetanus of, 97, 99

Nipple, chancre of, 759
eczema of, 316
fissures of, 756
Paget’s disease of, 316, 756

Nitze’s cystoscope, 993

Noma, 75, 658

Normoblasts, definition of, 29

Nose-bleed, 680
calculi of, 672
fractures of, 489
malformations of, 676
operations on, 644

Nostrils, malformations of, 671

O

O’DWYER’s intubation tubes, 693

Obligate pyogenic organisms, 52

Obstruction of intestines, acute, 828
from intussusception, 829
causes of, 830
symptoms of, 830
treatment of, 831
from invagination, 829
from strangulated hernias, 829
from volvulus, 832
large intestines, 870

Obstructive thrombosis, 36

Obturator hernia, 897

Occipital abscess, 569
artery, ligation of, 352
cephalocele, 576

Occlusion of lymph vessels, 369
acquired, 369
congenital, 369

Odontoma, 281
cementoma, 281
composite, 281
epithelial, 281
fibrous, 281
follicular, 281
compound, 281
of jaw, 668
radicular, 281
of teeth, 665

Oïdiomycosis, 310

Oïdium albicans of thrush, 657

Oiled silk, sterilization of, 248

Olecranon, fractures of, 501

Oligocythemia, 29

Ollier’s incision in excision of elbow, 410
of hip, 411
of knee, 413
of shoulder, 410
of wrist, 411

Omentopexy, 936

Omentosplenopexy, 936

Omentum, anatomy of, 934
cysts of, 935
injuries of, 935
operations on, 936
torsion of, 935
tumors of, 935

Onychia maligna, 318

Operations, abdominal, 773
on biliary passages, 927
on breast, 764
for cure of hernia, 901
on esophagus, 745
on face, 642
on gall-bladder, 927
on intestines, 840
on jaws, 668
on kidneys, 974
on larynx, 688
on lips, 645
mastoid, 574
on nose, 644
on omentum, 936
on prostate, 998
on spine, 636
on spleen, 943
on stomach, 805
thoracoplastic, 748
on thorax, 746
on tongue, 661
on trachea, 691
for tumors of brain, 585
on ureters, 976

Ophthalmitis, sympathetic, 595
treatment of, 596

Opisthotonos, 100

Opsonins in inflammation, 44

Optic nerve, tumors of, 593

Orbit, aneurysms of, 592
angioma of, 592
cellulitis of, 592
cysts of, dermoid, 593
parasitic, 593
encephalocele of, 593
endothelioma of, 593
epithelioma of, 593
injuries of, 592
treatment of, 593
sarcoma of, 593
syphilis of, 597
tumors of, 593
cystic, 593
vascular, 593
wounds of, 592

Orchitis, 1017
treatment of, 1017

Oropharynx, syphilis of, 137

Orthoform, 207

Osseous system, surgical diseases of, 416

Osteo-arthritis, 387
treatment of, 389

Osteo-arthropathic hypertrophiante pneumique, 436

Osteogenesis imperfecta, 435

Osteoma, 272
of bone, 441
of jaw, 668
of skull, 548
of thorax, 730

Osteomalacia, 434
prognosis of, 434
treatment of, 435

Osteomyelitis of abdominal wall, 783
acute, 416, 548
complications of, 419
diagnosis of, 419
etiology of, 419
organisms at fault in, 417
pathology of, 416
prognosis of, 418
symptoms of, 418
treatment of, 419
chronic, 421
tuberculous, 423
of jaw, 667
latent, 421
metastatic, 92

Osteopathic joint disease, 394

Osteoporosis, 422, 436
adiposa, 416

Osteopsathyrosis, 435

Osteosarcoma, 274

Osteosclerosis, 422

Ostitis deformans, 436

Othematoma of insane, 605
traumatic, 605

Otis’ dilating urethrotome, 157, 1012
urethrometer, 1012

Ovarian cystoma, 284
glandular, 284
papillary, 284
dermoids, 267
hernia, 897
hydrocele, 261
papilloma, 282

Ovary, tuberculosis of, 118

Overlapping ears, 605

Ozena, 137, 671

P

PACHYDERMATOCELE, 313

Pachymeningitis externa, 572
interna, 572

Paget’s disease of bones, 436
of nipple, 316, 756

Palate, cleft, operation for, 654
soft, diseases and injuries of, 682

Palsy, Bell’s, 640
facial, neuro-anastomosis for, 616

Palsies, cerebral, 478
treatment of, 478

Panarthritis, tuberculous, 395

Pancreas, abscess of, 949
adenocarcinoma of, 953
adenoma of, 953
affections of, acute, 946
chronic, 950
diagnosis of, 951
treatment of, 951
anomalies of, 944
calculi of, 954
cancer of, 953
cirrhosis of, 950
cysts of, 951
diagnosis of, 952
symptoms of, 952
treatment of, 952
injuries to, 947
neoplasms of, 951
non-traumatic surgical diseases of, 946
sarcoma of, 953
tumors of, 953

Pancreatic cysts, 262

Pancreatitis, acute, 946
diagnosis of, 947
from appendicitis, 858
symptoms of, 947
treatment of, 948
chronic, 950
gangrenous, 946
hemorrhagic, 946
interstitial, 950
subacute, 949
diagnosis of, 949
symptoms of, 949
treatment of, 950
suppurative, 946

Pannus of joints, 395

Panophthalmitis, 595
treatment of, 595

Papillary cystoma, 284

Papilloma, 282
of bladder, 992
cutaneous horns, 283
of ear, 605
of larynx, 686
ovarian, 282
of penis, 1009
of tongue, 659
treatment of, 283
villous, 282
intracystic, 282
warts, 282

Paracentesis, 184
by aspiration, 184
by incision, 185
of pericardium, 336, 733
by tapping, 185

Paraffin cancer, 316

Paralysis, diaphragmatic, 753
facial, 640
hyperemia of, 21
of nerve of eye, 604

Paralytic affections of muscles, 332
treatment of, 332

Paraphimosis, 1005

Parasitic affections of muscles, 332
cysts of orbit, 593
diseases of bone, 432

Parathyroids, diseases of, 710

Parenchymatous exudates, 23

Parietal abscess, 569
thrombosis, 35

Park’s club-foot brace, 469
operation for hernia, 905

Paroöphoritic cysts, 260

Parovarian cysts, 260

Patella, dislocations of, 543
treatment of, 543
fractures of, 516
treatment of, 517

Pelvic hernia, 897

Pelvis, fractures of, 507
treatment of, 508
rachitic, deformities of, 162

Penis, absence of, 1004
amputation of, 1010
balanitis of, 1005
balanoposthitis, 1005
congenital defects of, 1004
dislocation of, 1008
double, 1004
elephantiasis of, 370
epithelioma of, 1010
fracture of, 1008
gumma of, 1009
herpes of, 1009
injuries of, 1008
misplacement of, 1004
paraphimosis of, 1005
phimosis of, 1004
posthitis of, 1005
warts of, 1009

Peptic ulcer of jejunum, 816

Perforating ulcer of foot, 310

Perforations of biliary passages, 921
symptoms of, 922
treatment of, 922
of esophagus, 742

Peri-appendicular abscess, 860

Peri-arteritis, 338

Peri-articular cold abscess, treatment of, 399

Pericanalicular adenofibroma, 285

Pericarditis, 733

Pericardium, cardicentesis of, 336
paracentesis of, 336

Perichondritis, 683

Perigastritis, 804

Perilaryngeal abscess, 704

Perilymphangitis, 374

Perineal abscess, 1013
treatment of, 1013
fistulas, 1013
treatment of, 1013
hernia, 897
lithotomy, 990
prostatectomy, 999

Perinephritis, 961
symptoms of, 961
treatment of, 961

Periostitis, acute, 548
infectious, 420
causes of, 421
treatment of, 421
albuminosa, 421
of jaw, 667

Peripheral nerves, diseases and injuries of, 622

Perirectal abscess, 879
treatment of, 879

Peritheliomas, 275

Peritoneum, diseases of, 785
tuberculosis of, 116, 118

Peritonitis, 785
circumscribed, 786
classification of, 786
consecutive, 786
diagnosis of, from appendicitis, 857
diffuse, 786
following abdominal operations, 780
intestinal obstruction from, 833
prevention of, 251
putrid, 786
symptoms of, 786
traumatic, 786
treatment of, 787
tuberculous, 786, 790
ascitic, 791
fibrinoplastic, 791
treatment of, 791
ulcerative, 791

Peritracheal abscess, 704

Perityphlitic abscess, 860

Peri-urethritis, 149

Pes cavus, 471

Petroleum ether, 199

Phagedenic chancroid, 144
ulcers, 66

Phagocytosis, 30, 40

Pharyngeal diverticula, 262

Pharyngotomy, external, 664
subhyoid, 664
transhyoid, 664

Pharynx, adenoids of, 679
treatment of, 680
foreign bodies in, 673
treatment of, 673
malformations of, 671

Phimosis, 1004

Phlebectases, 364

Phlebitis, 361
acute, 361
chronic, 362
symptoms of, 362
treatment of, 363
mycotic, 90
obliterans, 362
sinus, 362, 571

Phleboliths, 36, 362, 364

Phlegmasia alba dolens, 362

Phlegmonous affections of rectum, 879
treatment of, 879
cholecystitis, acute, 920
erysipelas, 75, 93
gastritis, 804
symptoms of, 804
treatment of, 805

Phlegmons of abdominal wall, 783
of axilla, 751
of neck, 700, 703
diagnosis of, 703
treatment of, 703

Phosphorus necrosis of bone, 428

Phthisis, laryngeal, 684

Pigeon-breast, 162, 718

Piles, 364, 882
treatment of, 883

Pilonidal sinus, 635

Pirogoff’s amputation of leg, 1040

Pituitary adenomas, 285

Pleura, rupture of, 724
wounds of, 724
treatment of, 726

Pleurosthotonos, 100

Plexiform angioma, 278
neuroma, 280, 622

Pneumatocele of scalp, 545
treatment of, 546

Pneumocele, 725

Pneumonectomy, 750

Pneumonia, bacillus of, 54
erysipelatous, 95
secondary infection in, 167

Pneumopericardium, 337

Pneumotomy, 750

Poikilocytes, definition of, 29

Poisoning, arrow, 173
by bees, 172
by hornets, 172
ivy, 173
by lizards, 172
by scorpions, 172
by snake-bites, 171
by spiders, 172
by wasps, 172

Poliomyelitis, anterior, 477

Polycystic kidney, 969

Polycythemia, 29

Polyhydronephrosis, 972

Polymastia, 755

Polymazia, 755

Polyp, mucous, 283

Polypi, 276
laryngeal, 686
nasal, 677
rectal, 885

Polypoid degeneration, 678

Popliteal artery, ligation of, 360

Porencephalon, 580
in rickets, 162

Port-wine mark, 277

Posthitis, 1005

Postgonorrheal arthritis, 152, 392
of jaw, 667

Postoperative biliary fistulas, 917
cystitis, 985
hernia, 896
treatment of, 909
mania, 175

Pott’s disease, 444
causes of, 445
complications of, 446
diagnosis of, 448
laminectomy in, 637
prognosis of, 448
sequelæ of, 446
symptoms of, 445
treatment of, 448
by apparatus, 448
by forcible reduction, 450

Powell’s electric saw, 588

Prepatellar bursæ, 263

Procidentia, 881
treatment of, 882

Proctitis, 875
gonorrheal, 159, 875
symptoms of, 875
treatment of, 875

Profeta’s law in syphilis, 139

Prolapse of rectum, 881
treatment of, 882

Prolapsus cerebri, 566
prognosis of, 566
treatment of, 566

Pronated foot, 468

Propagated thrombosis, 36

Properitoneal hernia, 891, 897

Prostate, absence of, 994
cancer of, 1002
hypertrophy of, 995
diagnosis of, 996
symptoms of, 997
treatment of, 998
inflammation of, 994
operations on, 998

Prostatectomy, perineal, 999
suprapubic, 998

Prostatic adenoma, 285

Prostatitis, 150
acute, 994
chronic, 994
treatment of, 995

Prostatorrhea, 994, 1022

Protozoa, 56

Pruritus ani, 878
treatment of, 879

Psammoma, 271

Pseudocysts, 262

Pseudoleukemia, 32

Psoas abscess, 114

Ptosis, 604

Puerperal state, secondary infection in, 169

Punctured wounds, 213

Pus, absorption of, 62
bacterial determination of, as an indication to treatment, 57
blastomycetic, 56
clinical characteristics of, from different agencies, 57
encapsulation of, 62
formation, bacteria of, 51
facultative pyogenic, 53
obligate pyogenic, 52
ichorous, 59
pointing of, 58
sanious, 59
subfacial, collection of, 59
subperiosteal, collection of, 591

Pustular syphilides, 132

Pustulocrustaceous syphilides, 132

Putrid fever of Gaspard, 81

Pyarthrosis, metastatic forms of, 384
treatment of, 399

Pyelectomy, 976

Pyelitis, 956
symptoms of, 957
treatment of, 957

Pyelonephritis, 956
symptoms of, 957
treatment of, 957

Pyemia, 90
chronic, 92
complications of, 91
idiopathic, 91
postmortem appearances of, 92
prognosis of, 92
pyarthrosis of, 92
spontaneous, 91
symptoms of, 91
treatment of, 92
wound, 92

Pylephlebitis, 362, 918

Pylorectomy, 813

Pyloric stenosis, operations for, 808

Pylorodiosis, 808

Pyloroplasty, 808
Finney’s, 810

Pylorus stenosis of, 799
symptoms of, 799
treatment of, 799

Pyogenic organisms, facultative, 53
obligate, 52

Pyonephrosis, 961, 972
treatment of, 961

Pyopericardium, 336

Pyorrhea alveolaris, 664

Pyosalpinx, diagnosis of, from appendicitis, 858

Pyothorax, 736

R

RACEMOSE aneurysm, 344

Rachitis, 161. _See_ Rickets.

Radesyge, 308

Radial artery, ligation of, 356
nerve, operations on, 623

Radicular odontomas, 281

Radium in treatment of cancer, 296

Radius and ulna, fractures of, 503
dislocations of, 536
fractures of, 502
treatment of, 504
lower end of, fractures of, 503

Railway spine, 628

Ranula, 261, 660

Rauschbrand, bacillus of, 55

Raynaud’s disease, 74

Rectal fistulas, 880
treatment of, 880

Rectovaginal fistula, 839

Rectum, abscesses around, 879
treatment of, 879
adenoma of, 885
atresia of, 872
cancer of, 886
treatment of, 887
congenital defects of, 872
ether narcosis by, 196
examination of, 871
fistula of, 880
treatment of, 880
foreign bodies in, 874
imperforation of, 872
inflammation of, 875
injuries of, 874
invagination of, 881
treatment of, 882
malformations of, 872
phlegmonous affections of, 879
treatment of, 879
polypi of, 885
prolapse of, 881
treatment of, 882
strictures of, 877
treatment of, 877
syphilis of, 138
tumors of, 885
ulcers of, 876
catarrhal, 876
chancroidal, 876
symptoms of, 877
syphilitic, 876
treatment of, 877
tuberculous, 877
typhoid, 877

Reef-knot, 241

Regnoli-Billroth operation on tongue, 661

Reindeer tendons, sterilization of, 248

Renal abscess, 957
actinomycosis, 964
calculus, 965
diagnosis of, 965
symptoms of, 965
treatment of, 966
colic, 964
treatment of, 964
syphilis, 964
tuberculosis, 961

Repair, process of, 67
cells in, embryonal, 67
epithelioid, 67
formative, 67
giant, 68
granulation tissue in, 67
karyokinetic activity in, 68
scar formation in, 69
of wounds, 215
by first intention, 215
granulation tissue in, 215
by second intention, 216
by third intention, 216

Resection of esophagus, transthoracic, 745
of nerves, 613

Respiratory passages, burns of, 675
foreign bodies in, 672
fractures of, 675
infection through, 49
injuries of, 675
malformation of, 671
treatment of, 671
wounds of, gunshot, 675

Retention cysts, 259
of urine, 982

Retina, detachment of, 604
glioma of, 595

Retromammary abscess, 757

Retroperitoneal hernia, 891, 897

Retropharyngeal abscess, 114, 682

Rhabdomyoma, 274, 277

Rheumatism, gonorrheal, 152

Rheumatoid arthritis, 387

Rhinoliths, 672

Rhinophyma, 313, 641
treatment of, 314

Rhinoplasty, 644

Rhinoscleroma, 308, 641
bacillus of, 54

Ribs, dislocations of, 529
fractures of, 491
symptoms of, 492
treatment of, 492
malformations of, 718

Rice-grain bodies, 322

Richet’s operation for blepharoplasty, 603

Richter’s hernia, 898

Rickets, 161
causes of, 161
cerebral conditions in, 162
congenital, 161
cranial, 547
deformities of bones in, 162
fetal, 161, 433
hydrocephalus in, 162
laryngismus stridulus in, 162
pathology of, 161
porencephalon in, 162
symptoms of, 162
treatment of, 162

Rider’s bone, 218, 331

Riedel’s lobe, 910

Riggs’ disease, 664

Rodent ulcers, 66, 67, 288
of auricle, 606

Roe’s operation for pug-nose, 645

“Rose, the,” 93. _See_ Erysipelas.

Roseola syphilitica, 131

Rotz, 105. _See_ Glanders.

Round-cell sarcoma, 273

Rovsing’s operation for gastroptosis, 813

Rubber tissue, sterilization of, 248

Rubefacients, 183

Ruptures of bladder, 981
of diaphragm, 721, 753
of esophagus, 741
of heart, 336, 732
of lung, 725
of muscles, 329
of pleura, 724
of stomach, 794
of trachea, 699
of veins, 363

S

SABANEJEFF’s method of amputation of knee, 1044

Sacculated aneurysm, 339, 342

Sacro-iliac disease, 452
treatment of, 452

Saddle-nose, 489, 639, 644

Salivary calculi, 651
ducts, fistulas of, 649
foreign bodies in, 648
glands, inflammation of, 649
tumors of, 650

Saphenous vein, internal, extirpation of, 366

Sapremia, 86
chronic, 87
treatment of, 87
symptoms of, 86
treatment of, 87

Sarcoma, 273
of abdominal wall, 784
alveolar, 274
angiosarcoma, 275
of bone, 441
treatment of, 441
chondrosarcoma, 274
cylindroma, 275
diagnosis of, from carcinoma, 293
endothelioma, 274
general characteristics of, 275
giant-cell, 274
of jaw, 668
of kidney, 969
of larynx, 687
of liver, 914
of lungs, 732
melanosarcoma, 275
myeloid, 274
of omentum, 935
of orbit, 593
osteosarcoma, 274
of pancreas, 953
round-cell, 272
of skin, 316
spindle-cell, 273
of spleen, 943
of thorax, 730
of thyroid, 712

Sardonic grin, 100

Sayre’s incision in excision of hip, 411

Scabbard trachea, 713

Scalds, 300
treatment of, 301

Scalp, cellulitis of, 545
erysipelas of, 545
hematoma of, traumatic, 218
pneumatocele of, 545
treatment of, 546
tumors of, 546
acquired, 546
benign, 546
congenital, 546
gaseous, 545
malignant, 546

Scapula, fractures of, 494
acromion process, 494
coracoid process, 495
surgical neck, 495

Scarlatina, secondary infection in 167

Sciatic nerve, operations on, 623

Scleroderma, 313
pathology of, 313
treatment of, 313

Sclerosis, cerebral, in rickets, 162

Scoliosis, 459
etiology of, 460

Scopolamine, 205

Scorbutus, infantile, 161

Scorpions, poisoning by, 172

Scrofula of joints, 393

Scrofuloderma, 306

Scrotal hernia, 895

Scrotum, elephantiasis of, 371
shortening of, 1021

Scurvy, 160
pathology of, 160
symptoms of, 160
treatment of, 160

Sebaceous adenomas, 285
cysts, 285
of skin, 310
horns, 283

Seborrheic warts, 312

Sédillot’s operation on tongue, 662

Semilunar cartilages, dislocations of, 543

Seminal vesiculitis, 1021

Septicemia, 87
complications of, 88
cryptogenetic, 87
eruptions in, 88
gangrenous, 108
leukocytosis in, 88
postmortem evidences of, 88
spontaneous, 87
symptoms of, 88
treatment of, 89
ulcerative endocarditis in, 88

Septicopyemia, 90

Sequestration dermoids, 265

Sequestrum formation in bone, 429
treatment of, 429

Serous exudates, 23

Seton, counterirritation by, 184

Shingles, 728

Shock, 177
diagnosis of, 179
from gunshot wounds, 223
symptoms of, 179
treatment of, 179
types of, 179

Shoulder, amputation of, 1032
excision of, 409
-joint, dislocations of, 530
anterior, 530
diagnosis of, 532
downward, 530
posterior, 530
subclavicular, 531
subcoracoid, 531
subglenoid, 531
subspinous, 532
symptoms of, 532
treatment of, 532
Kocher’s method, 533
upward, 530
spica bandage of, 190

Sialoadenitis, 649

Sialolithiasis, 651

Sigmoidopexy, 870

Silk, sterilization of, 248

Silkworm gut, sterilization of, 248

Sincipital hydrencephalocele, 577
meningocele, 577

Singer’s nodes, 686

Sinus, 63
accessory craniofacial, operations on, 608
causes of, 63
congenital, 63
foreign bodies, 63
necrosed material, 63
preëxisting abscess, 63
traumatic destruction of tissues, 63
ethmoidal, operations on, 610
frontal, operations on, 609
intracranial, injuries of, 563
maxillary, operations on, 611
phlebitis, 362, 571
symptoms of, 571
pilonidal, 635
sphenoidal, operations on, 610
thrombosis, 570
diagnosis of, 570
prognosis of, 571
symptoms of, 570
treatment of, 573
treatment of, 63

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The principles and practice of modern surgeryChapter LVII: Amputations (3)

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