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Image from page 165 of “Modern surgery, general and operative” (1919)

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Identifier: modernsurgerygen1919daco
Title: Modern surgery, general and operative
Year: 1919 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery, Operative
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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sion; they are opened inorder to dilate the new door, and are closed again upon a drainage-tube,which is pulled through from opening to opening as the instrument is with-drawn. WTien pus burrows, insert a grooved director in each channel and slitthe sinus with a knife. An abscess may make an opening through dense fascia,the opening being small like the neck of an hour-glass {shirt-stud abscess).Always examine to see if such a condition exists, and if it is found, incise thefascia. In a deep abscess containing putrid pus frequent irrigation is desirable.In such a case two tubes may be employed (Fig. 78). The tubes are preventedfrom slipping in by the use of a safety-pin (c). The irrigating fluid is passedinto the cavity d) through the tube 6, which is without fenestra, and mostof it runs out through the tube c, which possesses fenestra. Rest is of the first importance in the healing of an abscess, and we try toobtain it by bandages, spUnts, and pressure, which will immobilize adjacent

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Classification of Ulcers 163 muscles and approximate the abscess walls. If an abscess is slow to heal, useas a daily injection a solution of corrosive sublimate of the strength of i: 1000,or 3 drops of nitric acid to i oz. of water, or 3 gr. of zinc sulphate to i oz. ofwater, or a 5 per cent, solution of carbolic acid, or a 2 per cent, aqueous solu-tion of pyoktanin, or 20 drops of tincture of iodin to i oz. of water, or a 2 percent, solution of acetate of aluminum. The constitutional treatment of anabscess depends upon the severity of the morbid process and the importanceof the structures involved. In a serious case the patient should be put tobed, opiates should be given with a free hand, the bowels be kept active bycalomel and salines, skin activity be maintained, the taking of nutritious foodinsisted on, and stimulants liberally employed. Purulent Effusions.—(See Suppurative Thecitis, Palmar Abscess, Sup-purative STiovitis, Purulent Peritonitis, Empyema, etc.) VII. ULCERATION A

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Image from page 263 of “The innocents abroad;” (1897)

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Identifier: innocentsabroad01twai
Title: The innocents abroad;
Year: 1897 (1890s)
Authors: Twain, Mark, 1835-1910
Subjects: Voyages and travels
Publisher: Hartford, American publishing company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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that any ofthem have called for theirdividends yet. One mandid fight along till he wassixty, and started after hispension, but it appearedthat there had been a mis-take of a year in his fam-ily record, and so he gaveIt up and died. These artists will take particles of stone or glass no largerthan a mustard seed, and piece them together on a sleeve but-ton or a shirt stud, so smoothly and with such nice adjust-ment of the delicate shades of color the pieces bear, as toform a pigmy rose with stem, thorn, leaves, petals complete,and all as softly and as truthfully tinted as though IS^ature hadbuilded it herself. They will counterfeit a fly, or a high-toned bug, or the ruined Coliseum, within the cramped circleof a breastpin, and do it so deftly and so neatly that any manmight think a master painted it. I saw a little table in the great mosaic school in Florence—a little trifle of a centre table—whose top was made of somesort of precious polished stone, and in the stone was inlaid the

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THE PENSIONER. WONDERFUL MOSAICS. 247 ■figure of a flute, with bell-moutli and a mazy complication ofkeys. No painting in the world could have been softer orricher •, no shading out of one tint into another could havebeen more perfect; no work of art of any kind could havebeen more faultless than this flute, and yet to count the multi-tude of little fragments of stone of which they swore it wasformed would bankrupt any mans arithmetic! I do notthink one could have seen where two particles joined eachother with eyes of ordinary shrewdness. Certainly we coulddetect no such blemish.- This table-top cost the labor of oneman for ten long years, so they said, and it was for sale forthirty-five thousand dollars. We went to the Church of Santa Croce, from time to time,in Florence, to weep over the tombs of Michael Angelo,Raphael and Machiavelli, (I su23pose they are buried there,but it may be that they reside elsewhere and rent their tombsto other parties—such being the fashion in Italy

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