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Show 416 or INFLAMMATION or THE vmx. OF THE INJ'URY OF THE NERVE. binds the arm, but is not itself inflamed and contractedr'. abscesses in the course of the vein. The danger is conceived to arise from the matter formed within the vein being carried into the circulation, or from the inflammation spreading to the heart, along the course of the veins. Adhesion would stop Here the fermentation and poultice must be used. Should the disease be suffered to continue, the elbow-joint will be bent, and the arm contracted, and the fingers drawn up. In this case the fascia must be slit up to relieve the swelling beneath. It may be rather a nice if not a dangerous opera- tion, to cut the fascia at the point, where the expansion goes off from the round tendon of the biceps ; and it will be better to begin an incision nearer the inner condyle of the humerus, and to continue it some inches down the arm. must be freely and early laid open. "Min . ,M‘ n. HIUIA ' If this inflammation is AN occurrence after bleeding, more common than the last, is inflammation of the lymphatic vessels. It is preceded by neglected in the beginning, hardness and permanent thickenening of the fascia and cellular membrane, with contraction the same irritable, hard, inflamed orifice, as in the inflamma- of the arm, are apt to follow. tion of the vein. Either arising from these suppurations following bleeding, or from accidental wounds, there will come a stifl'ness upon the elbow-joint, a tension upon the fore-part of the joint, which and inflammation of the arm ; sometimes only an inflamed cord tion has ceasedf. i. ,t. INFLAMMATION OF THE ABSORBENTS. It checks the motions of the fore-arm, even after the inflamm a- OF INFLADIJIATION OF THE VEIN. i There follows sometimes general swelling is felt running up in the course of the lymphatics; sometimes the inflammation runs retrograde, in a direction down the arm. The glands in the axilla are swelled and painful, and tumours and abscesses have formed in the course of the absorbent. This affection of the lymphatics or absorbents, is not the consequence of injuries received in the lymphatic from the point "I i '4 '. i t .' ..._ .A.‘l~<-1‘- ~0- ' _ .._.,--.-p. ._ . . 'rfial r~‘-.-=-- -._‘~L. JJUW such inflammation, and accordingly we have it recommended on the first surgical authority, that with the means of subduing inflammation, we should be careful to compress the veins above the inflamed part. \Vhen matter forms, it will in general point where the fascia is weakest. 4? Axornnn accident which follows bleeding, is an inflam ma- tion of the vein itself. This I presume will also be preceded by hardness, and inflammation of the wound, and gaping of the orifice; and inflammation, hardness, and pain, will be foruid in the course of the vein, which does not becom e turgid when a ligature is put about the arm. There follow this, " See some very characteristic cases, by Mr. Abernet hy, Surgical and Physiological Essays, Part 11. See also tilledz'cul Communications, Vol. II. 1* To remedy this, friction is m :1th with mercurial ointment and camphol‘; or a warm aromatic plaster in the day-time, with a poultice and campho r in the night. The arm must be extended by a splint upon the fore-part of the joint, padded at first with a compress to fill up the angle made by the flcX< ion, which should be gradually diminished until the arm can b e fully distended. From time to time the bandage must be undone, and the patient made to toss and more the arm. of the lancet, for several vessels are sometimes inflamed at once. They inflame and sympathise with the peculiar irritable state of the inflammation in the wound. The affection is attended with considerable fever and general irritability. The treatment is similar to that followed in common inflams mation. OF THE INJURY OF THE NERVE. Wunnn the nerve is wounded, the patient sometimes screams when the lancet enters ; and, in the only instance which I have known from the patient's description, though he had no apprehensions, and was suspecting nothing; yet in the very instant of striking the lancet, he was quite overcome-he was seized with inexpressible confusion and alarm, with trembling, |