CHAPTER XLVIII (Part 6)

Duct carcinoma, 482, 4-8 7 dilated, of breasi. 482, 486 papilloma, 482. 487 Ducts, wounds of, 62 Duodenal ileus, chronic, 578 ulcer, 577 perforated. 542 Dupuytren's contraction 707 fraettire, 213 Dye. discoloration from 16 Dysphagia. 440 hysterical, 443 724 INDEX Eocliymosis, 35 Ectopia vesicae, 691 Eczema, 604 of scrotum, 632 Eczematoue ulcer, 293 Effusiou, pericardial. 149 Egg-sbell crackling, 225 Elbow, ankylosis of. 362 diseases of. 345 dislocation of, 187 fracture of, 187 Electricity in diagnosis, 86 Elephantiasis of scrotum, 633 Embolism, fat-, 28 pulmonary, 29, 5 9 0 Emphyeema, surgical, 3 5, 130 of face, 114 Empyema, 146 of antrum, 390, 4 2 6 pulaatin.g, 285 Bncephalocele, 286 Enchondroma, multiple, 711 of nasal septum, 429 Endocarditis, 149 Endothelioma of bone, 327 of naso-pliarynx, 439 Enteroptosis, 581 Epididymis, examination of, 640 Epididymitis, varieties of, 649 Epilepsy. 24 Epiphysis, separated, 41 Epispadias, 619 Epistaxis, 421 Epithelioma, 257, 297 of anus, 609 of gum. 384 of lip, 415 of mouth, 432 of nipple, 486 of penis, 626 of pharynx. 439 of scalp, 368 of scars, 70 of scrotum, 634 of tongue, 438 of tonsil. 431 of umbilicus, 493 Epulis, fibrous, 384 m.veloid, 384 Erection, painful, 675 Erysipelas, 28 of scalp, 76 ■ of scrotum, 632 Erythema marginatum, 604 Ethmoid crqis, disease of, 426 Exostosis, 324 snbunaii:il. 715 Extradural ab>ic('ss, 98, 378 Extraspinal tumours, 409 Extravasation of blood, 18 of urine, 633 Face, congenital deformities of, 413 gangrene of, acute, 415 injuries of, 113 Facial cleft, lateral, 413 nerve, injuries of, 96 Ffecal fistula. 665 impaction. 5 5 4, 559 tumours, 521 Faeces, a^-cumulation of, 556 diagnostic value of, 600 examination of, in anal and rectal disease, 600 in indigestion, 572 incontinence of, 105 Family history in diagnosis, 3 Fat-embolism, 28 Female genital organs, ex- ternal, affections of, 628 Femoral thrombosis, postop- erative, 589 Femur, fractures of, 2 0 0 , 203 Fever, hectic, 28 traumatic. 26 urethrp,!, 704 Fevers, surgical, 25 Fibro-adenoraa of breast, 484 Fibroma, diffuse. 258 of bone, 328 submucous, of mouth. 432 Fibula, dislocation of, 206 fracture of. 210 Fingers, deformities of. 706 dislocation of, 194 fracture of, 194 Fissure in aiio, 607 Fissured fracture, 41 Fistula. 169. 299 abdominal, 169 anal, 605 branchial. 465 frccal, 665 of abdominal wall, 491 salivary. 115. 416 umbilical. 491 urachal. 491 urinar.v. 665 vesical, 695 Flat-foot. 713 " Floating " Idduey, 505 of pat-ella, 354 Fluctuation. 221 wave 225 Follicular tonsillitis, 456 INDEX 725 Follicular vulvitis, 629 Foot, deformities of. 713 dislocations of, 213 fractures of, 213 injuries of, 211 Forearm, fracture of, 190 Foreign bodies, 1-22 , in air-passages, 125 iu bladder, 177 in heart, 143 . iu lung, 143 in naso-i5liarynx, 125 . in nose, 429 in pharyux or oeso- phagus, 123 . — - in pleura, 143 in rectum, 177 . in urethra, 177 in vagina, 177 Fracture, 40 about a joint, 44 about elbow, 187 about knee, 201 about shoulder. 184 about wrist, 191 Bennett's, 194 CoUes's, 192 comminuted, 43 ■ complete, 42 ■ depressed, 78 dislocation of liip, 203 of spine, 107 double, 43 Dupuytren's, 213 fissured, 41 greeustick, 41 impact-ed, 41 malunion of, 321 of acetabulum, 172 of astragalus, 215 of carpus, 193 of clavicle, 182 of coccyx, 109 of elbow, 187 of facial bones, 114 of femur, 203 nock of, 200 of fibula, 210, 215 of fingers, 194 of foot, 213 of forearm, 190 of humerus, 186 of hyoid hone, 121 of laryngeal cartilages, 121 • of leg, 20l of lower jaw, 115 of malleolus, 215 of metacarpus, 194 Fracture of metatarsus, 215 of OS calcis, 214 of patella, 206 of pelvis, 172 of radius, 190, 192 • of rib, 132 ■ of scaphoid of carpus, 193 of scapula, 182 . of skull, 78 base of, 81 of sternum. XZ': of tibia, 210 . and fibula, 209 of toes, 215 of ulna, 190, 192 • of vertebras. 107 of wrist and liand, 191 Potfs, 213 splintered, 43 spontaneous, 42, 317 Freciuency of micturition, 677 Frontal sinus, di.sease of, 426 Functional muscular atony, 69 Fungus testis, 535 Funicular hernia, 593 Furuncle, 458 Fusiform aneurysm, 280 Galactocele, 484 of tunica vaginalis, 644 Galactophorous duct, dilated, 473 Gall-bladder, gangrene of, 516 rupture of, 545 tumours of, 504, 515 Gall-stones, 515, 580 impaction of, in bowel, 554 Ganglion, circumscribed, 711, 715 compound, 711 Gangrene, causes of, 305 diabetic, 309, 310, 312 septic, 309 dry. 304 from arterial disease, 310 gas, 2 7, 309 hospital, 309 infective. 307 mixed, 305 moist, 304 of face, acute, 415 of gall-bladder, 516 of lung. 147 of penis, 626 ■ of llaynand's disease, 311 • of scrotum, 636 senile, 310 septic, acute, 309 726 INDEX Gangrene, signs of, 302 • • spontaneous, 309 • traumatic, 307 spreading, 308 trophic, 312 Gangrenous appendicitis, 540 Gas gangrene, 2 7, 309 ■ in tumours, 221 Ga«trio crises in tabes dor- salis, 548 ulcer, 574 • perforated, 542 Gestation, ruptured tubal, 542 Gingivitis, aphthous. 381 mercurial, 381 Glands, axillary, examination of, 475 cervical, inflammation of, 456 enlarged, 417 inflammatory, 265 • malignant, 266 syphilitic, 265 tuberculous, 265 tumours of, 263 Gleet, 687 Glossitis, acute, 455 superficial, 450 Gonorrhoea, 621, 680 Gouorrhoeal arthritis, 336 Gout, 3 3 7, 716 acute, 337 chronic, 343 Gouty ulcer, 294 Granuloma of gume, 383 Graves's disease, 469 Greenstiok fracture, 41 Groin, sinuses in, 664 deep 664 tumours of. fluid, 666 solid, 670 ulcers of, 663 Gullet (see ffisophagus) Gumma, 515 in muscle, 267 Gummatous arthritis, 341 ulcers, 625 Gums, diseases of. 581 granuloma of. 383 tumoiii's of. 383 Gunshot wounds in neck, 119 H;cmarthru.«, 334 Hrematncclo of cord. 643 ■ I'lic.vsted, 660 vaginiil. 644 Itrematoma, 36 of abdoniiii.Tl wall, 493 of pelvis, 171 Htematoma of septum, 114 of sheath of rectus mus- cle, 493 ■ of steruo-mastoid, 460 pulsation of, 75 suppuration of, 75 Hfematomyelia, 101 Hamatorrhachis, 101 Hasmatiiria, 682 HiEuiomedlastinum, 139 Hiemopericardium, 138 Haemophilia, 4 Hsemopneumothorax, 136 Haemorrhage, arterial, 59 concealed, 66 in abdomirKil contusions 150, 151 intermeiliate, 65 • intracranial, 92 prostatic, 682 renal, 683 secondary. 65 venous, 58 vesical, 682 • Haemorrhoidal varix, 612 Haemorrhoids. 608 internal, 613 prolapsed, 609 strangulated, 610 Haemothorax, 135 Hallux rigidus, 715 valgus, 714 Hammer-toe. 715 Hand, acute inflammation of, 708 chronic disease of, 709 deformities of, 706 Hare-lip, 413 Hay-fever, 426 Head, injuries of, 72 tumours of, 364 Healing, local disturbances in. 65 pi'oce.ss of. 62 Heart, injuries of, 136 wounds of. 141 Hepatic abscess, ruptured. 545 Hernia, abdominal, varieties of. 591 acquired. 593 cerebri, 99 congenital, 592 contents of. 594 " en bisao." 595 en bloc reduction of ,552, 593 funicular, 593 gangrene of. 596 incarcerated. 597 inflamed, 597 INDEX 727 Heruia, inguinal, varieties of, 592 internal, 554 , 5 7 9 irreducible, 596 of lung, 131. 140 . Eichter's, 597 strangulated, 551, . 597 — effects of taxis on, 597 testis, 635 ventral, 170 Herpes, 419 prteyutialis, 623 Hip, diseases of, 346 dislocation of, 202 . congenital, 352 pathological, 352 osteo-arthritis of, 354 tuberculosis of, 353 History, family, 3 of affection, 5 personal, 5 Hodgkin's disease, 265 Hospital gangrene, 309 Hour-glass stomach, 576 Humerus, fracture of, 186 Hunterian chancre (see Chan- cre, hard) Hydatid disease (see Cysts, hydatid) Hydrocele, infantile, 659 of canal of Nuck, 669 of cord, 642 diffuse, 662 encysted. 659 of hernia, femoral, 669 of hernial sac. 669 of testicle, encysted, 644 vaginal, 643 Hydrocephalus, 371 Hydro - hsematocele, vaginal, 644 Hydronephrosis, 696 Hydrophobia, 32 false, 32 Hygroma, cystic, 2 5 9 , 670 Hypersemia, 16 Hypersesthesia, 11 of mamma, 483 Hypernephroma, 703 Hypertrophy, 242 of bone, 320 of breast. 481 • of gum, 383 • of lip, 419 of nymphse, 629 of pylorus, congenital, 520 — of skull, 370 of tonsils, 436 Hypospadias, 619 Hysteria, 405 in joint disease, 329 Ichthyosis, lingual. 450 Ileal kink, 577 . Ileus, duodenal, chronic, 578 Iliac abscess, 666, 6 6 8 Impacted fracture, 41 Impaction, ftecal, 554, 559 Incarcerated hernia, 597 Incontinence of fseces, 105 of urine, 104 Indigestion, chronic, 562 . examination in, 567 X-ray, 572 . history in, 563 • symptoms of. 554 Inflammation, acute, 239 chronic, 241 Infraction of skull, 78 Infrapatellar bursitis, 357 Inguinal hernia, 592 Inguino-scrotal tumours, 657 Injuries aboiit ankle, 211 about knee, 204 and operations, complica- tions of. 19 constitutional effects of, prim- ary, 19 , — secondary, 24 examination of bone in, 37 of joint in, 43 < f muscles in, 51 of nerves in, 50 — of skin and subcu- taneous tissue in, 35 of abdomen, 150 ■ of chest, 128 of cranial contents. 85 of face, 113 of foot, 211 of heart, 136 of leg, 209 of ligaments of spine, 109 of lung. 133 of neck, 118 of pelvic viscera, 173 of penis, 178 ■ of scalp, 73 of scrotum. 178 of spinal cord and nerves, 100 of testicle, 17? 728 INDEX Injuries of thigh, 203 of vault of skull, 77 — of vertebree, 107 Injury, influence of, 6 Innominate aneurysnj, 463 Internal hernia, 551, 579 Intertrigo, 632 Intestinal obstruction, acute, 546, 550 chronic, 554 congenital, 560 Intestine, atony of, 558 rupture of, 156 tumours of, 521 Intoxication, pyrogenic, 26 Intra-abdominal abscess, 587 Intracranial haemorrhage, 92 lesions, 85 tumours, 371 Intraperitoneal abscess, 512 Intrascrotal swellings, 638 Intussusception, 546. 553 chronic, 522, 55 9 Ischio-rectal abscess, 604 Involution cysts of breast, 484 Jaundice, acholuric, 517 Jaw, ankylosis of, 361, 391, 392 dislocation of, 117 Jaws, diseases of, 384 tumours of, 386 Joints, diseases of, acute, 334 chronic, 339 dislocation of (see Dislo- cation) effusion of blood into, 46 ■ examination of, 43 internal derangement of, 45 sprain of. 45 STippuration of. 335 wounds of, 61 Kidney, abscess of, 549 congenital cystic. 702 examination of, 695 floating, 505 haemorrhage from, 683 movable. 505, 545. T04- papilloma of pelvis of. 703 rupture of, 155 ■ tuberculosis of. 701 tumours of, 505. 702 Kidneys, tests of fnnction.il activity of. 695 Kink. Ileal, 577 Knee, injuries about, 204 Knee-joint, bursae of, 357 ■ diseases of, 354 • loose bodies in, 356 Kraurosis vulvae, 530 Labial abscess, acute, 628 cysts, 417 Labyrinthitis, acute, otitis media and, 380 Laceration of arachnoid, 91 of brain, 91 of lung, 135 • of urethra, 174 Laryngeal cartilages, frac- ture of, 121 Tjaryngoscope in diagnosis, 124 Larynx, scalds of, 127 Lateral curvature, 402 Tjcad colic, 547 Leg, injuries of. 209 Ijeontiasie, 389 Leptomeningitis, 378 diffuse, 97 Leucocythsemia. medullary, 517 Leucoplakia of tongue, 450 of vulva, 629 Leukaemia, lymphatic. 266 Ligaments, laceration of. 45 of spine, injuries of, 109 rupture of, 45. 46 Tiigamentum patella, rupture of, 46 T>imbs, asymmetry of. 57 Lipoma, 258 congenital. 259, 410 diffuse. 259. 461 encapsuled. 461 of abdominal wall, 492 of bone. 328 of mouth, 433 of scrotum, 634 of spermatic cord, 642. 661 retroperitoneal. 523 subaponeurotic. 642 Lips, .affections of. 415 epithelioma of. 415 ■ tumours of. 419 Liver abscess. 515 albuminoid. 513 . Biedd's Inbo of, 50i ruptui'e of. 154 . tumours of. 503. 508 Lividit.y as a diagnostic sign. 16 f,ocn 1 iz:) t ion, oi-i-ebr.T! 87 INDEX 729 Locomotor ataxy, gastric crises in. 548 Lumbago, 13, 3 97 Lung, abscess of, 147 collapse of, postopera- tive, 585 gaugreue of, 147 hernia of, 131, 140 injury of, 133 laceration of, 135 ■ rupture of, 135 wound of, 141 Lupus, 414 Jjympli scrotum, 633 Lymphadenoma, 266 Lymptiatic cysts. 460 glands (sec Glands) leuksemia. 265 Lympho-sarcoma, 266, 267 Macroclieilia, 419 Macroglossia, 455 Ma-crostoma, 413 Malignant pustule, 416 Malleolus, fracture of, 215 Mallet-tinger. 194 Malunion of fracture, 321 Mamma [sec Breast) Manubrium, separation of, from gladiolu.s, 132 Massive collapse of lung, 585 Mastitis, acute, 480 chronic, 483 Maxillary antrum, disease of, 386, 422, 425, 42 6 Measurement of lower limb, 196 of upper limb, 179 • Medio-tarsal dislocation, 214 Melanoma, 258 Meningitis, 97, 101 acute, 112 lepto-, 378 dinus©, 97 pachy-. 9 8 , 377 eerous, 579 Meningocele, 366. 371 • traumatic, 36, 7 3 Meningo-cerebritie, 97 Meningo-encephalocelo, 371 Mesenteric vessels, thrombo- sis of. 548 Mesentery, tumours of, 511, 521 Metacarpus, dislocation of, 191 fracture of, 194 Metatarsalgia. 717 Metatarsus, dislocation of, 214 Micturition, clianges in, 677 duration of, 678 frequency of, 677 Ijaiu in, 674 unconscious, 677 Middle-ear disease, complica- tions of, 375 Milk congestion, 479 cysts, 484 duct, dilated, 482, 4 8 6 Mixed gangrene, 305 Moist gangrene, 304 Molar teeth, absence of. 573 Mollities ossium, 316, 317 MoUuscum coutagicsum, 257 tibrosum, 158 Morbus coxEB, 3 5 3, 667 Morris's bitrochanteric test, 199 Morton's disease, 717 Motor area, 87 Mouth, diseases of, 431 Movable kidney, 505, 545, 704 Mucous cysts of tongue, 455 paten, 256, 431 Multilocular cysts, 389 Mummification, 304 Mumps, 418 Muscle, bruise of, 47 rupture of, 47 tumour.s of, 267 Myelitis, 102 Myelocele, 407 Myeloid epulis, 384 Myeloma, 326 Myocarditis, 149 Myositis ossiticans, 268, 325 traumcitic, 144 Myxoma, 260 of spermatic cord, 642 Ntevo-lipoma, 260 Naevue, 259 cutan'oous, 365 cesophageal. 444 of scalp, 355 rectal, 612 spinal, 410 subcutaneous, 366 Nails, aflections of, 712 Nasal fossa, obstruction in, 427 Naso-phary nx, disea.ses of, 438 foreign bodies in, 125 Neck, contusions of, 121 diseases of. 456 wounds of. 118 Necrosis, 300. 324 730 INDEX Necrosis of alveolar process, 382 of jaw, 3 8 2 , 386 of scalp, 367 of skull, 81 Nelaton's line, 199 Nephritis, tuberculous, 701 Nerves, cranial, lesious of, 95 • injuries of, 50 Neuralgia, 69 of breast, 483 of rectum, 618 of testicle, 656 Neurasthenia, traumatic, 99 Neuro-fibronia, 260 Neuroma, 70, 2 60 ■ of bre-ast, 484 ■ plexiform, 260 Neuromimesib • in joint dis- ease, 329 Nigrities linguae. 450 Nipple, cracked, 482 eczema of, 482 epithelioma of, 486 examination of, 472 ■ Paget's disease of. 482 Nodes, syphilitic, 369 Nodule, painful subcutaneous, 260 Nodules, carcinomatous, sec- ondary, 262, 268 rheumatic, 262 ■ sarcomatous, 263 ■ secondary, 263 Noma vulvee, 628 Nose, chondroma of, 423 chondro-sarcoma of, 424 ■ deformity of, 423 ■ discharges from, 422 diseases of, 421 ■ enchondroma of, 429 examination of. 424 • fracture of roof of, 83 obstruction of, 423 (sec also Khiuitis) Nymphse, hypertophy of, 629 Obesity, 501 Obliterative arteritis, 311 Obstruction, intestinal {see Intestinal obstruction) nasal, 423 Occupation curve of spine, 401 Oculomotor nerve, injury of, 95 Odontome. 384. 388, 389 CEdema, 224 l,ymphfttic, m tnmoui-e, 251 ffidema, malignant (sec Gas gangrene) of brain, 97 of scrotum, 652 of spermatic cord, 662 ffisophagoscopy, 125, 441 CEsophague, foreign bodies in, 123 rupture of, 444 stricture of, 441, 44-4 tumours of, 442 Olfactory nerve, injuries of, 95 Omenta, tumours of, 510 Onychia maligna, 712 Operations, abdominal. se- quelae of, 583 Orbit, fracture of roof of, 83 Orchitis, acute, varieties of, 650 chronic, 651 tuberculous, 651 Os calcis, dislocation of, 214 fracture of, 214 Osgood's disease, 211 Osteitis deformans, 3 2 3, 370, 402 fibrosa, 326 Osteo-arthritis, 341 of hip. 354 of temporo - mandibular joint, 391 Osteoma, 370 of jaw, 389 of nasal septum, 429 Osteomalacia, 316, 317 Osteo-myelitis, 319 ■ acute, 319 of skull, 81 of spine, acute, 549 eyphilitic, 367 tuberculous, 368 Osteo periostitis, acute, 385 Osteo-phlebitis, 81 Otitis media, complications of, 375 Ovarian cysts (see Cysts, ova- rian) tumours, 507. 518 twisted, 508 Ozffina, 427 Pachymeningitis, 9 8, 377 Paget's disease of bone, 323 of nipple, 482 Pain, character of, 14 constitutional influence of, 14 INDEX 731 Pain, fascial and ligament- ous, 13 nerve, 11 . nerve-root, 11 . referred, 12 Palate, cleft, 433 perforation of, 433 . • tumours of, 434 ulcers of, 433 Palsy (see Paralysis) Pancreatic calculus, 581 cyst, 164 Pancreatitis. acut«, 548 chronic, 580 Papilloma, 256 duct. 482 . of mouth, 431 of penis, 626 of renal pelvis, 703 of tongue, 450 Paralysis, flaccid, 403 motor, 85 reflex. 85 sensory. 85 spastic, 402 Paraphimosis, 619 Parietal vessel of chest-wall, wound of, 139 Paronychia, 709 Parotid abscess, 418 gland, wound of, 113 tumour, 418 Parotitis, acute, 418 Parovarian cyst, 518 Parrot's nodes, 369 Patella, dislocated, 46 . 2 0 6 "floating" of. 354 fracture of, 206 Patient, examination cf, 8 Pelvic abscess, 172, 587, 6 69 ■ wall, tumour of, 508 Pelvis, examitation of, 534 fracture of. 172 hsematoma of. 171 Injuries of, 171 Penis, cicatrices on, 627 congenital malformations of 619 ■ erection of, painful. 675 gouty indurations of, 627 injuries of, 178 tumours of. 626 ulcers on, 622 Peptic ulcer (of moulli), 431 Percussion results, 533 Perforating ulcer. 541 Of foot, 294, 715 Perforative appendicitis, 540 Periappendicular abscess, 541 Pericardial effusion, 149 Pericarditis, 148 Pericardium, wounds of, 141 Periosteal sarcoma, 325 Periostitis, 322 acute, 318 chronic, 322 tuberculous, 322 typhoid, 322 Periphlebitis, 262 Peripleuritic abscess, 145 Peristalsis, 556 Peritoneal abscess, 163 Peritonitis, 169 ■ acute, 548 chronic, 559 general, 162 localized, 163 tuberculous, 511 Periurethral abscess, 689 Peroneal teno-synovitis, 359 Personal history in diagnosis, 5 Perthes" disease, 352 Phagedtena. 626 Pharynx, diseases of, 439 foreign bodies in, 123 Phimosis, 620 Phlebitis, 262 Piles (see Haemorrhoids) Plantaris tendon, rupture of, 211 Plastic bursitis, 344 Pleura, wounds of, 140 Pleurisy, 146 ■ diaphragmatic, 547 Pleuro-pneumonia, traumatic, 147 Pneumatocele, 131, 149 Pneumonia, lobar. 547 traumatic, 147 Pneumothorax, 131 Poisoning, irritant, 547 Poliomyelitis, 404 Polypus, antro-choanal, 428 fibrous, 428 mucous, 427 nasal, 427 of gum, 383 • of rectum. 610 ■ of umbilicus, 491 Postoperative thrombosis. 589 Pott's disease, 402 fracture, 213 puffy swelling, 75 Pouch, pharyngeal. 442 I Prepatellar bursitis, 357 732 INDEX Prepuce, affections of, 619 Preputial calculus, 620 Priapism, 104 Procidentia recti, 609 Proctitis, chronic, 612 Prolapse, rectal, 609 Prostate, enlargement of, 690 • examination of, 689 Prostatic calculus, 689, 690 Prostatitis, acute, 689 chronic, 690 Prostration with excitement, 25 Prurigo, 634 Pseudo-coxalgia, 352 P s e u d o -h e rm ap h rod i t i 8 m , 6 1 9 Psoas abscess, 354, 666, 668 bursitis, 354 Puffy swelling, Pott's, 75 Pulmonary embolism, 29 , 5 9 0 Pulsating empyema, 285 Pysemia. 2 7, 68^ portal. 589 Pyelitis, 700 Pyelography, 692, 695, 697, 699, 704 Pyelonephritis, 701 Pylephlebitis, 515 Pylorus, carcinoma of, 520 • congenital hypertrophy of, 520 — — stenosis of, 575 tumours of, 509 Pyonephrosis, 698 Pyoperioardium, 149 Pyorrhoea alveolaris, 382,574 Pyosalpinx, 543 Pyrogenic intoxication, 26 Pyuria, 585 Radiographic examination (see X-rays)