None
See Goiter, simple, toxic, 775, 784 treatment of, 785 simple, 778 cough in, 779 diagnosis of, 779 from branchial cyst, 782 from lymphosarcomata, 782 diffuse, 779 dysphagia in, 779 enucleation in, 783 excision in, 783 exenteration in, 784 involvement of nerves in, 779 ligation of arteries in, 784 nodular, 780 pain in, 779 resection in, 784 symptoms of, 778 treatment of, 782 operative, 783 indications for, 783 Gonorrheal arthritis, surgical history of, 771 vaccines in, 181 v. 457 diagnosis of, 458 discharge in, 458 operation in, 460 treatment of, 460 infectious labyrinthitis and, treat- ment of, 465 otitic meningitis and, 467 diagnosis of, 469 headache in, 468 Kernig's sign in, 468 rigidity of neck in, 468 symptoms of, 468 vomiting in, 468 treatment of, 469 sinus thrombosis and, 466 chill in, 466 fever in, 466 leukocytosis in, 466 symptoms of, 466 treatment of, 467 Maxilla, correction of related nasal and developmental defects of, by separa- tion of superior maxillae, 568 Maxillae, separation of, immediate effect j of, 576 Maxillary bones, immediate surgical separation of, to widen the nares for the improvement of respiratory and other conditions, 571 Medulla pblongata, tumors of, 339 Meningitis, otitic, mastoiditis and, 467 diagnosis of, 469 headache in, 468 Kernig's sign in, 468 rigidity of neck in, 468 symptoms of, 468 treatment of, 469 vomiting in, 468 Meningitis, tuberculous, 404 diagnosis of, 404 treatment of, 404 Meningocele, diagnosis of, from pneu- matocele, 277 spuria (traumatic) of scalp, 278 diagnosis of, 279 from hematoma, 267 treatment of, 280 Menopause, artificial, surgical prognosis and, 73 Mental depression inexophthalmic goiter, 790 irritability in exophthalmic goiter, 790 Mesopharynx, operations on, 518 Metabolism, exophthalmic goiter and, Metastatic inflammation, 127 Metzer and Auer's method of anesthesia, 99 Michel's clip, 488 Moebius's sign in exophthalmic goiter, 792 Morphin and atropin in local anesthesia, 108 Motor zone of brain, tumors of, diagnosis of, 333 Mouth, cysts of, 547 examination of, focal infection and, 540 operations on, major, 655 postoperative treatment and, 141 trench, 546 treatment of, 547 Mucous glands, cysts of, retention, 547 symptoms of, 548 treatment of, 548 membrane, cysts of, deep-seated, 548 diagnosis of, 548 symptoms of, 548 treatment of, 548 Multilocular cysts of jaws, 551 diagnosis of, 552 prognosis of, 552 treatment of, 552 Muscles of scalp, 264 Muscular weakness in exophthalmic goiter, 791 Myelogenous sarcoma of skull, 323 Myeloma of skull, 325 Myoma of uterus, roentgen rays in treatment of, 260 Myxedema, 772, 813 N NARES, posterior, carcinoma of, opera- tion for, 663 Nasal accessory sinuses, diseases of, diag- nosis of, asthma in, 491 bronchitis in, 491 headache in, 490 pain in, 490 840 INDEX Nasal accessory sinuses, diseases of, diagnosis of, pus in, 491 roentgenograms in, 490 transillumination in, 491 treatment of, 491 operations on, 493 after-treatment in, 497 anesthesia in, 493 sounding of sinuses in, 495 technic of, 493 surgery of, 489 polypi, 517 treatment of, 517 septum, treatment of, in operations for harelip, 590 snare, 494 speculum, Heffernan's, 477 Killian's, 479 Nasopharynx, postoperative treatment and, 141 Nausea complicating anesthesia, 105 in infectious labyrinthritis, 463 postoperative, anesthesia and, 42 treatment and, 147 Neck, abscesses of, 707 treatment of, 708 actinomycosis of, 684 diagnosis of, 694 from syphilis, 695 treatment of, 695 aneurysms of, 690 diagnosis of, 690 treatment of, 692 angioma of, 716 bloodvessels of, injuries of, 680 boils of, 706 diagnosis of, 706 treatment of, 706 burns of, 679 treatment of, 679 carbuncle of, 707 treatment of, 707 carcinoma of, 718 diagnosis of, from tuberculous cervical lymphadenitis, 700 cellulitis of, 707 chronic inflammatory processes affecting, 697 cysts of, 710 blood, 712 bursal, 712 dermoid, 711 diagnosis of, 710 echinococcus, 713 embryonic, 711 lymphatic, 713 retention, 712 treatment of, 713 enchondroma of, 717 fibroma of, 715 fistula of, congenital, 677 Neck, fistula of, congenital, treatment of, 678 furunculosis of, 706 diagnosis of, 706 treatment of, 706 glands of, excision of, in tuberculous cervical lymphadenitis, 701 injuries of, 679 lipoma of, 715 dissecting, 715 treatment of, 716 nerves of, injuries of, 680 neuroma of, 716 operations on, 724 anesthesia in, 726 protection of field in, 725 skin incisions in, 726 wound infection in, surgical prognosis and, 51 rigidity of, in otitic meningitis, 468 sarcoma of, 719 syphilis of, 695 diagnosis of, 696 from actinomycosis, 695 from tuberculous cervical lymphadenitis, 699 treatment of, 697 teratoma of, 711 tumors of, 710 benign, 714 treatment of, 717 malignant, 718 treatment of, 722 palliative, 722 veins of, injuries of, 680 Necrosis of jaws, 649 diagnosis of, 652 etiology of, 649 pathology of, 649 periostitis and, 649 symptoms of, 652 treatment of, 652 Nephritis complicating anesthesia, 105 Nerve exhaustion theory of etiology of shock, 118 Nerves, injuries of, surgical prognosis and, 73 involvement of, in goiter, 779 of scalp, 265 diseases of, 283 diagnosis of, 283 treatment of, 283 Nervous excitability in exophthalmic goiter, 790 symptoms in exophthalmic goiter, 790 system, effect of anesthesia on, sur- gical prognosis and, 42 Neuralgia, malposed unerupted teeth and, 558 Neurasthenia, malposed unerupted teeth and, 558 Neurofibroma of scalp, 283 Neuroma of neck, 716 plexiform, of scalp, 283 INDEX 841 Neuroses, postoperative, surgical prog- nosis and, 75 Neurotic temperament, surgical prog- nosis and, 28 Nevi, vascular, of scalp, 286 Newborn, hemorrhagic diseases of, blood transfusion in, 191 Nitrous oxide in general anesthesia, 95 surgical prognosis and, 40 Non-hyperplastic atoxic goiter, 774, 778 toxic goiter, 775, 784 Non-neoplastic swellings of scalp, 277 Nose, anatomy of, 474 septum of, deviation of, 476 operations for, 476 after-treatment in, 482 complications of, 482 hematoma and, 482 technic of, 476 tonsillitis and, 483 surgery of, 473 Novocain as local anesthetic, 109 Nystagmus, abscess of brain and, 350, 470 tumors of brain and, 350 OBESITY, surgical prognosis and, 30 Occipital lobe of brain, tumors of, 336 Ocular symptoms in exophthamic goiter, 791 Odontoma of jaws, 553 composite, 555 treatment of, 557 epithelial, 554 fibrous, 555 follicular, 554 compound, 555 radicular, 555 Open-drop method anesthesia, 98 Operating room, after-care of, 88 preparation of, 88 Opsonic index, 173 Opsonins, 172 Oral anesthesia, 102 Osteitis deformans of skull, 315 diagnosis of, from leon- tiasis ossea, 313 Osteoma of skull, 320 diagnosis of, 321 treatment of, 322 Osteomyelitis, acute pyogenic, of skull, 315 diagnosis of, 316 prognosis of, 316 treatment of, 316 vaccines in, 185 Osteoperiosteal grafts, 643 Osteoplastic frontal sinus operation, Beck's, 498 after-treatment in, 503 technic of, 498 Otitic meningitis, mastoiditis and, 467 Otitic meningitis, mastoiditis and, diag- nosis of, 469 headache in, 468 Kernig's sign in, 468 rigidity of neck in, 468 symptoms of, 468 treatment of, 469 vomiting in, 468 Oxycephalia, 391 Oxygen in general anesthesia, 95 surgical prognosis and, 40 PACHYMENINGITIS externa, 392 interna hemorrhagica, 392 diagnosis of, 393 treatment of, 393 Paget's disease of bone, 315 ! Pain in acute otitis media, 450 in diagnosis of diseases of accessory nasal sinuses, 490 in goiter, 779 in inflammation, 127 in postoperative treatment, 147 Palate, cleft, 600 operations for, 582, 601 age and, 607 anesthesia in, 612 Brown's, 607 clamps in, 604 Davies-Colley, 605 field of operation in, 609 first aid in, 582 hemorrhage and, 607 median flap sliding, 607 method of including bone with mucoperiosteum in flap formation, 605 openings, 604 paring the fissure borders in, 609 phonation and, 619 position of patient in, 609 preparation of mucoperios- teal flaps in, 612 reversal of mucoperios- teum in flap formation, 604 suture in, 613 transplantation of tissue to cover palate defects in, postoperative surgical correction of, 617 treatment of, non-surgical, 600 postoperative, 616 surgical, 601 Paralysis, facial, nerve anastomosis for, 689 Paralytic distention, postoperative treat- ment and, 151 Parasacral anesthesia, 115 Parasitic cysts of jaws, 553 Parathyroid glands, injury to, in treat- ment of exophthalmic goiter, 798 842 INDEX Parathyroid glands, surgical importance of, 810 Paravertebral anesthesia, 114 Parenchymatous inflammation, 127 Parotid gland, carcinoma of, radium in treatment of, 228 Parotitis, surgical prognosis and, 72 Percy's method of blood transfusion, 200 preparation of tube, 201 Pericementitis, calcic, 542 phagedenic, 542 Pericranial sinus, diagnosis of, from pneumatocele of scalp, 278 Perineural anesthesia, 112 Periosteal cysts of jaws, 551 symptoms of, 551 treatment of, 551 Periostitis, necrosis of jaws and, 649 of skull, 315 diagnosis of, 316 prognosis of, 316 treatment of, 316 Peritoneal adhesions, surgical prognosis and, 62 Peritoneum, operations on, wound infec- tion in, surgical prognosis and, 53 Peritonitis in acute dilatation of stomach in postoperative treatment, 156 Perivascular tissues in inflammation, 126 Pernicious anemia, blood transfusion in, 192 Phagedenic pericementitis, 542 Pharynx, carcinoma of, operation for, 663 radium in treatment of, 228 operations on, 513 tumors of, 513 operations for, 514 after-treatment in, 515 Beck's, 515 technic of, 514 radium treatment of, 517 after-treatment in, 517 Phlebitis, surgical prognosis and, 60 Phonation, operation for cleft palate and, 619 Pineal gland, tumors of, 347 symptoms of, 347 treatment of, 382 Pleura, injury to, in treatment of exoph- thamic goiter, 799 Pleurisy, surgical prognosis and, 55 Plexiform angioma of scalp, 285 neuroma of scalp, 283 Pneumatocele of scalp, 277 diagnosis of, 277 from cephalhematoma, 278 from meningocele, 277 from pericranial sinus, 278 from tuberculosis of mas- toid, 278 treatment of, 278 Pneumonia, lobar, surgical prognosis and, 55 Poisoning, illuminating gas, blood trans- fusion in, 192 Polypi, nasal, 517 treatment of, 517 Pons, tumors of, 339 Port-wine stains of scalp, 286 Postoperative hyperthyroidismand treat- ment of exophthalmic goiter, 797 nausea, anesthesia and, 42 treatment, 139 abdominal distention and, 151 acidosis and, 157 acute dilatation of stomach and 155 chloroform anesthesia and, 156 constipation and, 156 diarrhea and, 156 peritonitis and, 156 prognosis of, 157 * pyloric spasm and, 156 trauma and, 156 treatment of, 157 vomiting and, 156 alimentary tract and, 141 artificial heat and, 147 bladder and, 149 bowels and, 141, 149 care after operation, 146 recovery from opera- tion, 150 choice of anesthetic and, 140 complications and, 151 conduct of operation and, 143 correct diagnosis and, 139 diet and, 148 drainage and, 144 dressings and, 145 field of operation and, 141 hemorrhage and, 151 hiccough and, 157 treatment of, 157 intestinal obstruction and, 152 mechanical, 153 pain in, 153 symptoms, 153 treatment, 153 vomiting in, 153 mouth and, 141 nasopharynx and, 141 nausea and, 147 nourishment and, 141 operating table and, 142 pain and, 147 paralytic distention and, 151 patient's clothing and, 142 position and, 146 pulmonary embolism and, 161 symptoms of, 161 treatment of, 161 pulse and, 150 respiration and, 150 respiratory tract and, 141 restraint and, 146 shock and, 151 temperature and, 150 INDEX 843 Postoperative treatment, thirst and, 148 thrombophlebitis and, 159 treatment of, 160 time in bed and, 150 urinary tract and, 142 vomiting and, 147 vomiting, anesthesia and, 42 Pregnancy, anemia complicating, blood transfusion in, 190 Procain as local anesthetic, 109 Prognathous lower jaw, 567 bilateral resections to re- duce, 567 Proliferous cysts of jaws, 552 treatment of, 552 Prostate gland, enlargement of, roentgen rays in treatment of, 260 Pseudoleukemia, diagnosis of, from tuberculous cervical lymphadenitis, 699 Pseudomembranous inflammation, 127 Pulmonary complications, postoperative, surgical prognosis and, 55 embolism, postoperative treatment and, 161 Pulse in abscess of brain of otitic origin, 470 in erysipelas of scalp, 273 in postoperative treatment, 150 in tumors of brain, 353 Pulse-pressure, surgical prognosis and, 32 Punctured wounds of cranial bones, 294 of scalp, 268 Purulent inflammation, 127 Pus in diagnosis of diseases of accessory nasal sinuses, 491 Pyemia, blood cultures in, 134 chills in, 136 complications of, 136 diagnosis of, 136 etiology of, 133 fever in, 136 hemorrhage in, 136 pathology of, 135 prognosis of, 137 symptoms of, 136 treatment of, 137 vomiting in, 136 Pylori c spasm in acute dilatation of stomach in postoperative treatment, 156 Pyorrhea alveolaris, 542 diagnosis of, 544 erne tin and, 546 endameba gingivalis and, 543 etiology of, 542 ionic medication and, 545 pathology of, 543 prognosis of, 544 surgical aspect of, 542 symptoms of, 544 treatment of, 544 QUININE salts as local anesthetic, 110 RADICULAR odontomas of jaws, 555 Radiography, malposed unerupted teeth and, 561 Radiology in abscess of brain, 356 in tumor of brain, 356 Radium, Barlow's experiments with, 216 in carcinoma of breast, 225 of esophagus, 228 of face, 220 of parotid gland, 226 of pharynx, 228 of rectum, 228 of stomach, 228 of tonsil, 228 of uterus, 229 Carrel's experiments with, 212 effect of, on animal and vegetable life, 215 efficiency of, in malignant disease, 209 in epithelial tumors, 220 in leukoplakia, 227 rays of, direction of, 210 in sarcoma of skull, 224 technical application of, 230 in tumors of jaw, 218, 219 of pharynx, 517 in warts of vocal cords, 218 Ranula, 548 diagnosis of, 548 etiology of, 548 symptoms of, 548 treatment of, 548 v. 278 diagnosis of, 279 treatment of, 280 muscles of, 264 nerves of, 265 diseases of, 283 diagnosis of, 283 treatment of, 283 elephantiasis of, 283 neurofibroma of, 283 plexiform neuroma of, 283 von Recklinghausen's disease of, 283 non-neoplastic swellings of, 277 pneumotocele of, 277 diagnosis of, 277 from cephalhematoma, 278 from meningocele, 277 from pericranial sinus, 278 from tuberculosis of mas- toid, 278 treatment of, 278 port-wine stains of, 286 rodent ulcers of, 289 sarcoma of, 291 diagnosis of, 293 from syphilis, 276 nodular, 291 prognosis of, 293 treatment of, 293 warty, 292 sebaceous cysts of, 280 treatment of, 281 syphilis of, 274 diagnosis of, 274 from carcinoma, 277, 291 from lupus, 276 from sarcoma, 276 tuberculosis of, diagnosis of, from carcinoma, 291 tumors of, 280 vascular nevi of, 286 wens of, 280 treatment of, 281 wounds of, gunshot, 271 punctured, 268 complications of, 269 Scars, surgical prognosis and, 73 Sebaceous cysts of scalp, 280 diagnosis of, from dermoid, 280 treatment of, 281 Secondary anemia, blood transfusion in, 190 Sensory zone of brain, tumors of, diag- nosis of, 333 Septic infections, malignant, 132 Septicemia, blood cultures in, 134 transfusion in. 191 diagnosis of, 136 diarrhea in, 136 etiology of, 133 fever in, 136 glands in, 136 Hippocratic facies in, 136 Septicemia, leukocytosis in, 136 morbid anatomy of, 134 prognosis of, 137 pulse in, 136 spleen in, 136 sweating in, 136 symptoms of, 135 treatment of, 137 urine in, 136 vaccines in, 179 diagnosis of, 180 dose in, 180 prognosis of, 180 vomiting in, 136 Septum forceps, 481 knife, Freer's, 477 of nose, deviation of, 476 operation for, 476 technic of, 476 treatment of, 476 Serous cysts of scalp, diagnosis of, from dermoid, 280 Serums, 170 Shock, 117 complicating anesthesia, 106 critical level of blood-pressure in, 118 definition of, 117 diagnosis of, 121 from hemorrhage, 121 etiology of, theories of, 118 acapnia, 118 cardiac failure, 120 fat embolism, 118 nerve exhaustion, 118 suprarenal exhaustion, 119 as exemia, 120 postoperative treatment and, 151 surgical, blood transfusion in, 191 methods of combating, 123 operations in, relation to, 123 prognosis and, 45 abdominal operations and, 49 age in, 47 brain surgery and, 49 cachexia in, 48 intrathoracic operations and, 49 laryngeal operations and, 49 operations on extremities and, 50 previous nerve exhaustion in, 47 recent severe illness in, 48 sepsis in, 48 temperament in, 47 treatment of, 122 prophylactic, 121 in treatment of exophthalmic goiter, 797 Side chain theory of Ehrlich, 169 Silkworm gut, preparation of, 89 Sinus, frontal operations on, 498 846 INDEX Sinus, pericranial, diagnosis of, from pneumatocele of scalp, 278 sphenoid, operations on, 512 thrombosis, mastoiditis and, 466 chill in, 466 fever in, 466 leukocytosis in, 466 symptoms of, 466 treatment of, 467 Skin, disinfection of, 86 in exophthalmic goiter, 792 Skull, acromegaly of, 311 treatment of, 313 actinomycosis of, diagnosis of, from tuberculosis, 319 acute pyogenic osteomyelitis of, 315 diagnosis of, 316 prognosis of, 316 treatment of, 316 atrophy of, 307 diagnosis of, 309 excentric, 308 extracranial pressure and, 308 intracranial pressure and, 307 of rickets of, 308 senile, 308 treatment of, 311 cavernoma of, 322 chloroma of, 325 cholesteatoma of, 322 contusions of, 294 diagnosis of, 294 prognosis of, 295 coverings of, 263 echinococcus cysts of, 322 treatment of, 322 fractures of, 295 of base, 300 comminuted, 297 compound, of vault, 298 of external table, 299 fissured, 296 hemorrhage in, 300 of internal table, 299 prognosis of, 303 simple, 296 symptoms of, 300 treatment of, 303 gigantism of, 313 injuries of, in infants and young children, 307 leontiasis ossea of, 313 diagnosis of, 313 from acromegaly, 313 from osteitis defor- mans, 313 from sarcoma, 313 treatment, 313 myeloma of, 325 osteitis deformans of, 315 osteoma of, 320 diagnosis of, 321 treatment of, 322 osteomyelitis of, 308 periostitis of, 315 diagnosis of, 316 Skull, periostitis of, prognosis of, 316 treatment of, 316 sarcoma of, 322 diagnosis of, 324 from leontiasis ossea, 313 from syphilis, 318 histology of, 323 myelogenous, 323 treatment of, 325 radium in, 224 syphilis of, 316 diagnosis of, 317 from sarcoma, 318 from tuberculosis, 318 symptoms of, 316 tuberculosis of, 318 diagnosis of, 319 from actinomycosis, 319 from glanders, 319 ^ from syphilis, 318, 319 symptoms of, 319 tumors of, 320 wounds of, 293 gunshot, 304 diagnosis of, 306 prognosis of, 306 treatment of, 306 incised, 293 punctured, 294 Sluder's tonsil operation, 524 Beck's modification of, 525 La Force's modification of, 525 Spasm, pyloric, in acute dilatation of stomach in postoperative treatment, 156 Specific infective inflammation, 127 Sphenoid sinus, operations on, 512 sounds, 497 Spinal anesthesia, 112 surgical prognosis and, 40 Spine, tuberculosis of, diagnosis of, from wry-neck, 670 Splints, interdental, 625 Staphylorrhaphy, 581, 601 compression, 601 Stellwag's sign in exophthalmic goiter, 792 Sternomastoid muscle, division of, in treatment of wry-neck, 671 Stevenson's adenotome, 530 Stomach, carcinoma of, radium in treat- ment of, 228 dilatation of, acute, postoperative treatment and, 155 surgical prognosis and, 68 Stovain as local anesthetic, 109 Streptococcus viridans, dento-alveolar abscess and, 536 Stricture of esophagus, esophagoscopy for, 765 Stupor in tumors of brain, 353 Subhyoid pharyngotomy, 729 Sublingual bursa, hydrops of, 550 Subtemporal decompression, 407 anesthesia in, 423 INDEX 847 Subtemporal decompression, bone defect and, 429 cerebral exploration in, 432 closure in, 435 dural opening in, 432 extracranial incision in, 429 • field preparation in, 423 Suppurative arthritis, vaccines in, 180 Suppurative inflammation, 127 Supranasal route in operation for tumors of hypophysis, 371 Suprarenal exhaustion theory of shock, 119 Surgical dressings, disinfection of, 91 fever, 131 nature of, 131 prognosis, 17 accidents and, 37 acidosis and, 33 acute bronchitis and, 36 dilatation of stomach and,66 postoperative congestion of lungs and, 55 age and, 25 alcoholism and, 30 anemia and, 36 anesthesia and, 38 effects of, on immunity factors, 42 on kidneys, 41 on liver, 41 on lungs, 42 on nervous system, 42 remote, 41 postoperative nausea and,42 vomiting and, 42 artificial menopause and, 71 blood-pressure and, 32 bronchitis and, .55 bronchopneumonia and, 55 chloroform and, 40 complications and, 37 constitution and, 28 cystitis and, 69 diabetes and, 32 embolism and, 57 air, 59 fat, 59 ether and, 38 general factors influencing, 25 heart disease and, 31 hemophilia and, 34 hemorrhage and, 43 injury to ureter and, 69 intestinal auto-intoxication and, 34 jaundice and, 35 lobar pneumonia and, 55 nerve injuries and, 71 neurotic temperament and, 28 nitrous oxide and, 40 obesity and, 30 oxygen and, 40 parotitis and, 70 peritoneal adhesions and, 62 phlebitis and, 60 i Surgical prognosis, pleurisy and, 55 postoperative intestinal fistulas and, 70 obstruction and, 64 neuroses and, 73 pulmonary complications and, 55 susceptibility to fatigue, 73 ventral hernia and, 66 pulse-pressure and, 32 renal disease and, 32 scars and, 71 sex and, 28 shock and, 45 abdominal operations and, 49 acute, blood transfusion in, 191 age in, 47 brain surgery and, 49 cachexia in, 48 intrathoracic operations and, 49 laryngeal operations and, 49 operations on extremities and, 50 previous nerve exhaustion in, 47 recent severe illness in, 48 sepsis in, 48 temperament in, 47 spinal anesthesia and, 40 statistics in, 17 wound infection and, 50 in accidental wounds, 54 in gynecological operations, 52 in operations on breast, 51 on face, 51 on head, 51 for hernia, 51 on intestinal tract, 52 on neck, 51 on peritoneum, 53 in war wounds, 55 Sweating in exophthalmic goiter, 792 Syphilis of brain, 404 diagnosis of, 404 treatment of, 405 of neck, 695 diagnosis of, 696 from actinomycosis, 695 from tuberculous cervical lymphadenitis, 699 treatment of, 697 of scalp, 274 diagnosis of, 274 from carcinoma, 277, 291 from lupus, 276 from sarcoma, 276 of skull, 316 diagnosis of, 317 from sarcoma, 318 from tuberculosis, 318 symptoms of, 316 848 INDEX TACHYCARDIA in exophthalmic goiter, 789 Technical efficiency, 77 arrangement of operating room and, 78 automatic action and, 78 concentration, 77 constancy of working plan and, instruments and, 77 limited number of assistants and, 77 preparation and, 77 system and, 77 Teeth, malposed unerupted, 558 carcinoma and, 558 diagnosis of, 560 headache and, 558 neuralgia and, 558 neurasthenia and, 558 pathological significance of, 558 radiography and, 561 sarcoma and, 558 treatment of, 561 Temperature in postoperative treatment, 150 Temporal lobes of brain, tumors of, 325 Teratomas of jaws, 552 of neck, 711 Terminal infections, 133 Tetany, thyroidectomy and, 810 Thirst, postoperative treatment and, 148 Thoracic duct, injuries of, 690 Thrombophlebitis, postoperative treat- ment and, 159 Thrombosis of intracranial blood sinuses, 401 diagnosis of, 401 treatment of, 402 Thymectomy, 824 anesthesia in, 825 technic of, 824 Thymus gland, anatomy of, 822 enlargement of, roentgen rays in treatment of, 260 function of, 822 hypertrophy of, 822 diagnosis of, 823 thymectomy in, 824 treatment of, 824 x-ray in, 823, 824 internal secretion and, 822 physiology of, 821 surgery of, 821 thyroid gland and, 823 Thyreotomy, 728 Thyreotoxicosis, 813 Thyroid gland, adenoma of, 813 carcinoma of, 807 diagnosis of, 807 treatment of, 807 diseases of, roentgen rays in treatment of, 259 Thyroid gland, electrical conductivity in its relation to, 819 hyperplasia of, 812 mechanism of nervousness in infections in relation to, 817 sarcoma of, 807 diagnosis of, 807 treatment of, 808 thymus gland and, 823 murmur in exophthalmic goiter, 789 Thyroidectomy in exophthalmic goiter, 802 tetany and, 810 Tinnitus, abscess of brain and, 349 tumors of brain and, 349 Tongue, tumors of, 658 operation for, after-treatment in, 661 Kocher's, 659 methods of, 658 Tonsillectofny in tumors of tonsil, 662 Tonsillitis, operations for deviation of nasal septum and, 483 Tonsils, carcinoma of, operation for, 662 radium in treatment of, 228 clamp, 533 diseases of, 518 treatment of, 521 operations on, 522 accidents in anesthetics in, 522 dissection, 531 technic of, 531 Sluder's, 524 Beck's modification of, 525 La Force's modification of, 525 surgical correction of palatal and pharyngeal defects fol- lowing, 620 technic of, 524 pillar retractor, 531 snare, 529 surgical diseases of, 661 operations for, 661 tonsillectomy in, 662 Topical application of anesthetic, 111 Torticollis, 669. spasmodic, 673. See Wry-neck, spasmodic. Toxemia, blood transfusion in, 191 Trachea, collapse of, in treatment of exophthalmic goiter, 798 injuries of, 690 operations on, 727 j Tracheotomic bronchoscopy, 756 Tracheotomy, 732 Transfusion of blood, 187. See Blood transfusion. Transillumination in diagnosis of dis- eases of accessory nasal sinuses, 491 Transsphenoidal methods of operation in tumors of hypophysis, 370 Traumatic aneurysm of scalp, 283 cephalohydrocele of scalp, 278 fever, aseptic, 132 inflammation, 127 INDEX 849 Tremor in exophthalmic goiter, 790 Trench mouth,- 546 treatment of, 547 Trismus, 649 Tropocain as local anesthetic, 109 Tuberculosis of cervical glands, diagnosis of, from wry-neck, 670 of mastoid, diagnosis of, from pneu- matocele of scalp, 278 ofscalp, diagnosis of, from carcinoma, 291 of skull, 318 diagnosis of, 319 from actinomycosis, 319 from glanders, 319 from syphilis, 318, 319 symptoms of, 319 of spine, diagnosis of, from wry- neck, 670 Tuberculous cervical lymphadenitis, 699 diagnosis of, 699 from carcinoma, 700 from Hodgkin's dis- ease, 699 from leukemia, 699 from pseudoleukemia, 699 from syphilis, 699 excision of glands of neck in, 701 treatment of, 700 operative, 701 meningitis, 404 diagnosis of, 404 treatment of, 404 Tumors of brain, ataxia and, 351 cerebrospinal fluid and, 354 choked disk in, 352 convulsions in, 353 deafness and, 349 diagnosis of, 327 disorientation and, 351 dysmetria and, 351 headache in, 352 lumbar puncture and, 354 nystagmus and, 350 pulse in, 353 radiology in, 356 signs of, 352 stupor in, 353 symptoms of, 352 tinnitus and, 349 treatment of, 358 vertigo and, 351, 353 vomiting in, 353 of carotid gland, 720 diagnosis of, 721 symptoms of, 721 treatment of, 721 of central gray matter of brain, 336 cerebellar, treatment of, 364 of cerebellopontine angle, 338 treatment of, 364 of cerebellum, 337 of cerebral peduncles, 340 of corpora quadrigemina, 340 Tumors of corpus callosum, 337 epithelial, radium in treatment of, 220 of frontal lobes, diagnosis of, 332 of Gasserian ganglion, removal of, 383 of hypophysis, 340 treatment of, 367 of jaw, radium in treatment of, 218, 219 of medulla oblongata, 339 of motor zone of brain, diagnosis of, 333 of neck, 710 benign, 714 treatment of, 717 malignant, 718 treatment of, 722 of occipital lobe, 336 of pharynx, 513 operations for, 514 after-treatment in, 515 Beck's, 515 technic of, 514 radium treatment of, 517 after-treatment in, 517 technic of, 517 of pineal gland, 347 treatment of, 382 of pons, 339 of scalp, 280 sensory zone of brain, diagnosis of, 333 of skull, 320 of temporal lobes, diagnosis of, 325 of tongue, 658 Turmschadel, 391 Typhoid fever, hemorrhages in, blood transfusion in, 190 ULCER, varicose, vaccines in, 186 Ulcers, rodent, of scalp, 289 Unchromicized catgut, preparation of, 89 Unerupted teeth, malposed, 558 carcinoma and, 558 diagnosis of, 560 headache and, 558 neuralgia and, 558 neurasthenia and, 558 pathological significance of, 558 radiography and, 561 sarcoma and, 558 treatment of, 561 Ureter, injury to, surgical prognosis and , 71 Urinary tract in postoperative treatment, 142 Uterus, carcinoma of, radium in treat- ment of, 229 850 INDEX Uterus, myoma of, roentgen rays in treat- ment of, 260 Uvula, carcinoma of, operation for, 663 VACCINES, 163, 170 bacterial, administration of, 178 making pure cultures, 175 preparation of, 174 Wright's method, $76 sensitized, 178 in carbuncle, 184 definition of, 170 Ehrlich's side chain theory, 169 in empyema, 185 in erysipelas, 185 in furuncle, 182 in gonorrheal arthritis, 181 history of, 168 in osteomyelitis, 185 preparation of, general priciples of, 170 in rheumatic arthritis, 181 diagnosis in, 182 dosage in, 182 in septicemia, 179 diagnosis of, 180 dosage in, 180 prognosis of, 180 in suppurative arthritis, 180 in varicose ulcer, 186 Varicose ulcers, vaccines in, 186 Vascular nevi of scalp, 286 Vasomotor symptoms in exophthalmic goiter, 792 Ventral hernia, postoperative, surgical prognosis and, 68 Ventricles of brain, puncture of, 385 Vertigo in abscess of brain of otitic origin, 470 in infectious labyrinthitis, 463 in tumors of brain, 353 Vincent's method of determining the moss grouping of blood in blood trans- fusion, 199 Vocal cords, warts on, radium in treat- ment of, 218 Vomer, treatment of, in operations for harelip, 590 Vomiting in acute dilatation of stomach in postoperative treatment, 156 complicating anesthesia, 105 in erysipelas of scalp, 273 in infectious labyrinthitis, 463 in otitic meningitis, 468 postoperative, anesthesia and, 42 treatment of, 147 in pyemia, 136 in tumors of brain, 353 von Graefe's r.ign in exophthalmic goiter, 791 von Recklinghausen's disease of scalp, 283 WAR wounds, infection in, surgical prog- nosis and, 55 Warts, cutaneous, of scalp, 281 on vocal cords, radium in treatment of, 218 Wehnelt radiometer, 246 Wens of scalp, 280 Word blindness in abscess of brain of otitic origin, 470 Wound infection in gynecological opera- tions, surgical prognosis and, 52 in operations on breast, surgical prognosis and, 51 on face, surgical prognosis and, 51 on head, surgical prognosis and, 51 *for hernia, surgical prog- nosis and, 51 on intestinal tract, surgical prognosis and, 52 on neck, surgical prognosis and, 51 on peritoneum, surgical prognosis and, 53 Wounds, accidental, infection in, surgical prognosis and, 54 infection of, bacteria causing, 82 healing of, 128 by first intention, 128 granulation, 129 primary union, 128 by second intention, 129 of scalp, gunshot, 271 punctured, 268 of skull, 293 gunshot, 304 incised, 293 punctured, 294 war, infection in, surgical prognosis and, 55 Wright's method of preparation of bacterial vaccines, 176 Wry-neck, simple, 669 diagnosis of, 669 open division of sternomastoid muscle for, 671 subcutaneous division of sterno- mastoid muscle for, 671 spasmodic, 673 division of cervical nerves for, 673 of rotating muscles for, 673 Kocher's operation for, 673 treatment of, 673 X-RAYS. i -P DO NOT jjf 1 i i 1 REMOVE j. j • i £ THE 11 J J 3 0! \ M 8 0 I 10 •H CO O EJ t «H rH O •H tc CO CARD ? FROM ^ ' THIS \ POCKET \^ Acme Library Card Pocket 3 H Under Pat. "Ref. Index FU»" Made by LIBRARY BUREAU. 