The Etiology, Pathology and Treatment of the Accidents, Diseases And
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THE ETIOLOGY, PATHOLOGY, AND TREATMENT OF THE ACCIDENTS, DISEASES, AND CASES OF POISONING, WHICH DEMAND PROMPT ACTION. DESIONEO FOB STUDENTS AND PRACTITIONERS OF MEDICINE. BY JOSEPH W. HOWE, M. D., TniTIBO BCRGBON TO CHARITY HOSPITAL; LECTUREK ON SURGERY IN THE MEDICAL DS- PARTHENT OF THE UNIVERSITY OF NEW YORK, ETC., ETC. NEW YORK: D. APPLETON AND COMPANY, 549 Jc 651 BROADWAY 1871. PEEFAOE. This volume, as its title indicates, is designed as a guide in the treatment of eases of emergency occurring in medi- cal, surgical, or obstetrical practice. I have endeavored to combine, in a narrow compass, all the important subjects, giving special prominence to points of practical import in preference to theoretical considerations, and, with the re- sults of my own personal observation, uniting the latest views of European and American authorities. J. W. H. 86 West 24Tn Street, June 1, 1871. 21G935 /V / /O / — COIsITENTS. CHAPTER I. IIMMOBRnAOE. rtai Gonerol Considerations. — Eesulta of Negligence. — Arterial and Venous Hoomorrhage. — Effects of Profuse Itomorrbago. — Natural and Arti- ficial Methods of suppressing Ilsemorrbago.—Iltomorrhagic Diathesis. Constitutional Treatment .—Transfusion, . .9 CHAPTER II. SPECIAL HJEifOItRUAOES. Bleeding from the Nose, Mouth, Lungs, Stomach, Intestines, Kidneys, Ure- ters, Bladder, Urethra, Erectile Tissue of Penis,—Ecchymosis, . 21 CHAPTER III. njEMORRUAO^ FROM THE UTERUS. Menorrhagia.—Metrorrhagia.—Accidental Hremorrhage.—Placenta Prrevia. —Post-partum Hiemorrhagc, . , . .41 CHAPTER IV. WOUNDS OF IMPORTANT ORGANS. Wounds of the Throat, Lungs, Pericardium, Heart, Abdomen, Intestines, Bladder, PerinsDum, Joints.—Rupture of Liver, Perineal Section, Para- centesis, Thoracis. —Gunshot-Wounds, . .47 CHAPTER V. WOUNDS OF ARTERIES AND VEINS Ligation of large Arteries : Arteria Innominata, Subclavian, Common Carotid, Axillary, Brachial, Radial, Ulnar, Palmar Arch, Femoral, Popliteal, An- terior Tibial, Posterior Tibial. —Air in the Veins.—Causes of Death.— Treatment, ......... 65 —— CONTENTS. CIIArTER VI. POISONED WOUNDS. Dissecting Wounds.—Hydrophobia in Dogs.—Hydrophobia in Mnn.—Rattlc- sniUio-Dltos.—Insoot-Bites.—Coutipedo.—Tttrontulo.—Scorpion, . ti CnAPTER VII. EXTRACTION OF FOIiEIOS BODIES. Foreign Bodies in the Larynx, Traclioa, Broncliinl Tubes, Pharynx, lEsopIi- ngus, Eyes, Nose, Ears, Urethra, Bladder, and lioctuin.—Tracheotomy. Loryngocomy,—(Esophagotomy, . .85 CHAPTER VIII. • DCnXS AND SCALDS.—EFFECTS OF COLD. Varieties of Deformities produced by Burns. —Operation for closing the Eye. —Spontaneous Combustion — Classiflcntion of Burns — Constitutional Symptoms.— Duodenal Ulcer— Causes of Death — Post-mortem Ap- pearance.—Elfjcts of Cold.—Frost-Bite, ..... 101 CHAPTER IX. STRANGULATED HERNIA. Causes and Symptoms of Strangulation.—Ileus.—Volvulus.—Operations for Inguinal and Femoral IlernitD.—Taxis, . .112 CHAPTER X. LOSS OF CONSCIOUSNESS. COMA. m Coma from Cerebral Extravasation, Depressed Fracture, Pressure of Inflam- matory Products, Embolism, Thrombosis, Urremia, Alcohol, Hysteria, Epilepsy.—Concussion, . .118 CHAPTER XI. LOSS OF CONSCIOUSNESS-iCosTisvEV). srwcoPE. Syncope from Loss of Blood—Thrombi of the Pulmonary Veia—Anaimia. Mental Emotions—Blows on the Epigastrium—Collapse, . .133 CONTENTS. 7 CHAPTER XII. ASP//rS/A. PiOl Respiratory Apparatiw.—ElFoctB of Non-iiOration of Blood.—Strangulation.— ComproHsion of tlio Thorax.-Inhalation of Poisonous GaBcs.—Signs of Death.— Iiijurics Drowning.— to the Spinal Cord.-Strycbuia, . 13tt CHAPTER XIII. SUNSTIiOKE. Synonymos.—First Recorded Cases.-Sunstroke in Crowded, Ovorhoatod Buildings.—Varieties of Sunstroke.— Symptomc— Treatment.— Post- inortom Appearances, , . ... 168 CHAPTER XIV. DYSPN(EA. Causes of Hurried Respiration.-DyspnoDa in Asthma, True and False Croup, Congestion of the Lungs, Cardiac Disease, Pulmonary (Edema, Pulmo- nary Apoplexy, 165 CHAPTER yv (EDEMA GLOTTIDIS. Location of the Effusion.—(Edema Glottidis in Bright's Disease—Inflammo- mation—Collateral (Edema— Syinptoras.-Treatraent, . .172 CHAPTER XVI. CONVULSIO N S. Tonic and Clonic Spasms.—Irritation of the Tuber Annulare.—Infantile Convulsions.—Convulsions from Ura!mic Poisoning,