None
Surgical clcanlinefis may be obtained by either the aseptic or the antistptk method. In the aseptic method heat, chemical germicides, or both are used to cleanse the instiu- ments, the field of operation, and the hands of the surgeon and his assistants. After the incision has been made no chemical germicide w used, the wound being simply sponged with gauze sterilized by heat; if irrigation is ncces.sary, boiled water is used, and the wound is dressed with gauze k. ASF.PS/S AND A.VTISEPSIS. 78I wbicli has been rendered sterile by heat. The aseptic nietliod .should be used only in non-infected areas. The elimination of chemical germicides lessens serous flovf and often enable.^ the surgeon to dispense with drain.-ige> tubes. If irrigation is not practised and the wound u dressed with dry gauze, the procedure is said to be by the ■'dr>'" method. In the antiseptic method the same preparations arc made for the ojieration as in the aseptic method, but during the operation sponges impregnated with a chemical germicide arc used, and the wound is dressed with gauze containing corrosive sublimate. If the wound is not flushed with a chemical germicide, and is dressed witli dry gauze, the operation is said to be by the " dry " antisep- tic method. The antiseptic method is always preferred in infected areas. Dr^- dressings arc usually preferable to moist dressings, because they arc more absorbent and do not act as poultices, and dry dressings may be used even when the wound has been flushed, {'reparations for an Operatitm. — The sui^con and his assistants remove their coats, roll up their sleeves, and envelop their bodies in aseptic or antiseptic sheeLs to pro- tect the patient and themselves. The hands and forearms are scrubbed with so.ip and hot water. There is nothing equ.il to the ethereal soap of Johnson, which is a solution of castile soap in cthcf! The brush employed is kept con.'*tanlIy in a i : 1000 solution of con-osive sublimate. The nails are cut short, arc cleansed with a knife, and the hands arc again scrubbed, The hands arc dipped in a hot solution of corrosive .tublrmate. and with the fore- arms are scrubbed for at least a minute, the nails receiving especial care ; they are then dipped for one minute into pure alcohol and are again bathed with the mercurial solution. Kelly disinfects the hands by washing them with soap and water, dipping them in a solution of pcrmang.in^ite of potas- I I i 782 A laANUAt. OF SURGSHy. aium (a sntunited .solution in boiltn;; distilled water), decolorizing them in » saturatetl solution of oxalic nci<t~ Instnimcnts are disinlected by boiling for fifteen minutes in a I \nir cent, solution of carbonate of sodium and then rinsint; tlicm in a 5 per cent, solution of carbolic acid. They arc kept in trays containing boiled water. Instrumentii can be disinfected satisfactorily by keeping them for fifteen inniutes in a 5 per cent, solution of carbolic acid. In.'ttrumcnts with handles of wood must not be boiled, but they arc disinfected by carbolic acid. After the completion of the operation the instrument!) *ihould be scrubbed with .soap and water, boiled, and dried. Marine sponges arc rarely used, snull pieces of sterilized or anti.septic gauze being preferred. In the abdo* men Athlon s aseptic gauw; paiLs are employed, These pads arc about ten inchc-s square, and are made of a number of folds of gauze stitched loosely at the edges. Whenever possible, give the patient some days' rest in bed before a severe operation, and place him on a diet nutritious but not bulky. Tile night before the operation give a saline cathartic, and tbe morning of the openition employ an enema. When- ever possible, give' a general wann bath the day before- The evening before the operation scrub the entire field and well clear of it with soap and water, shave if ncccssarj*, wa.th with clhcr, scrub well with hot corrosive-sublimate solution (1 : 1000), apply a layer of moist corrosive-sublimate gauze, and place otcr this dry antiseptic gauxe, a rubber dam, and a bandage. On removing the dressings to perform the operation, scrub the part again with hot mercurial solution. In emci^cflcy cases disinfection must be practised just pre- vious to the operation. The favorite ligature matcrlil is catgut, which is ivell |>re- pareti by bmiing in alcohol. Another method is to take the raw catgut, soak it in ether for twenty-four hours, soak it for twenty-four hours in an alcoholic .solution of corrosi^ /ISF.PXtS ANH A.S'TISF.rSIS. 783 sublimate (1:500). wind it on stcriliKcd glass rods, and place it for keeping in ether or in alcohol. Fowler's cat- gut is cirricd in tubes of alcohol hermetically itcalird, each tube holding twelve ligatures. Johnson's quick method of preparing catgut is as follows; Place it for twenty-four hours in ether; at the end of this period place it in a solution con- taining 30 grains of corrosive sublimate, lOO grains of tartaric acid, and 6 ounces of alcohol. The small gut is kept in this for ten or fifteen minutes, the larger gut from twcnt>' to thirty minutes, but never longer. It is placed for keeping in a mix- ture containing I drop of chloride of palladium to % ounces of alcohol. This gut is strong and reliable. At the time of operation the gut is placed in a solution two-thirds of which is 5 per cenL carbolic-acid solution anil one-third of which i.t alcohol, Chromicized gut will not be absorbed so readily as other gut. It is prepared by adding 200 parts by weight of catgut to 200 [Kirts of carbolic acid, 2000 parts of water, and l part of chromic acid. After remaining in this solution twenty-four hours it is transferred for permanent keeping to ether or to alcohol. Sutures of silk should be well boiled before using. A convenient method of preparation is to wind the silk on a glass spool, place the spool in a large test-tube, close the moulh of tlie tube with absorbent cotton, introduce the tube into a steam steriliser, and keep it there for one hour. These tubes arc carried in wooden boxes .sealed with rubber corks. Silk- womi gut is prepared^by placing it in ether for forty-eight hours and in a solution of corrosive sublimate (1 : 1000) for one hour. It is carried in a long tube filled with alcohol. A few minutes before using, the gut is placed in carbolic acid and alcohol (two-thirds of a 5 per cent, solution of acid, one-third of alcohol). Sihvr wirt is prepared by boiling. Dressings arc made of cheese-cloth. This cloth is boiled In a solution of carbonate of soda, rinsed out, and dried; I p A MAlfVAL OF StTSCEUr it is ibcn soaked for tweoty-lbur hours in a solution coabiti ing I pan of corrosive subliauK. 2 parts of tablC'SoIt, and 500 parts of water. It is kept in jars, and it may be main- tained moist or dry. Sfrrifis^ti gtiate is prvparcd b>- boiling the material in soda, nn'tin^;. 3n<l cither boiling it for fifteen minutes or placing it^ in the stcim stcrili^r for the same time. V fatfi^M-m gaust is useful for packing and for dressing foul wounds. It is prepared as foltott-s: Make an emulsion com- posed of equal quantities by weight of iodoform, glycerin, ami alcohol, and add corrosive sublimate in the proportioa of I p.irt to the tcxx> of the mixture. This mixture stands for three days. Take moist bichloride gauze, saturate it with the emulsion, let it drip for a time, and keep it in sterilized and covere<l glass jars (Johnson). Lister's c>'anide gauze (double cyanide of zinc and mercur>-| nmu be dipped into « a corrosive-sublimate solution (1 : 2Oa0l before using. All | antiseptic appliances can be bought ready prqnrcd from reliable firms. Small wounds in which drainage is not em- ployed nwy often be dressed by laying a film of aseptic ab- sorbent cotton over tlie wound and applying, by means of a ck-an camel' .■»- hair brush, iodoform collodion (grs. xlviij to J^). When a wound t.s dressed with gauze a rubber dam must always be laid over the dressings, so as to diffuse the dis- charge and prevent it from coming rapidly to the surface Drainage is obtained when needed by rubber tubes or by strands of horsehair, silkworm gut^ or catgut, but these three last-named materials will not drain offpu.i. Dressings must be changed as soon as soaking is apparent. Stitches may usually come out about the sixth thy. In large wounds only a portion of them are taken out at one time, the balance being allowed to remain for a couple of days longer. When a stitch begins to cut it is doing no good, and it should be removed, no matter how sljort a time it has been in place. I 4 ASEPSIS AND AKTISEPStS. 78s Preparation of Marine Sponges, — Heat out the dust ; place them for forty-eight hours in a solution of hydrochloric acid (ij per cent.); wnsh tliem out with water; place them for one hour in a solution of permanganate of potassium (.'jiij to 5 pints of water); soak for four hours in a solution contain- ing 10 ounces of liyposulphile of sodium, 5 ounces of hydro- chloric acid, and 3 pints of water; wash with running water for six hours. Keep the sponges in a Jar containing corro- sive-sublimate solution (l : lOOO). After using, wash in hot water, soak for half an hour in a solution of sodtuin carbonate (1 ; 32), wash in hot water, and replace in corrosive sublimate. A marine sponge inevitably becomes foul in its mtcrior, and should not be used. To cUan the vagina or reetiitn, use a sponge soaked with crcolin and Johnson's ethereal soap [i : 16), and subsequently irrigate with corrosive-sublimate solution. Senn'i Decalcified Bone-chips. — Take the shaft of the tibia or femur of a recently killed ox, saw it into portions two inches in length, remove the marrow and periosteum, and place the bits of bone in a 15 per cent, solution of hydro- chloric acid. Change the solution every twenty-four hours. In from two to four weeks the bone will be decalcified. Wa.sh in distilled water, place the bone in a dilute solution of pota.th to neutralise the acid, and then immerse for twenty-four hours in distilled water. The portions of bone are now cut into strips in the direction of the long axis of the scgmenLs, each strip being thrce-qu-irters of an inch wide and being sliced up into bits one millimetre thick. Tlicac chips arc kept in an alcoholic solution of corrosive sublim.-itc (1 : 500). I { tu t ' INDEX. AbbS's calgul ring, 638 tnelhod of iDtestlanl anastomosis, 63S siring saw, 613 Abdomen, diseases of, 606 injuries of, 606 operations upon, 629 Abdominal section, 629 bleeding in, 253 for appendicitis, 631 wail, contusion of, 606 gunshot wound of, 610 penelraling wound of, 610 wounds of, 610 Abscess, acute, 90, 91 appendicinai, 92, 622, 625 Brodie's, 298 cerebral, from eai disease, 559 chronic, 97 coid, 97 of lymphatic glands, 99 dorsal, 98 extraduial, 559 forms of, 90 gluteal, 403 iliac, 99 ischiorectal, 662 lumiiar, 99, 403 iyniphalic, 97 mediastinal, 93 inciasiaiic, 123. 12S of antrum of llijjhnion-, 93. 5K3, 5S+ of tone, 298 of the brain, 556 of (he cerebellum, 566 of [he hip, 403 of the kidney, 705 of the l.irjnji, 93 of the liver, 92 of the lung, 93 of the maxillary antrum, 584 gf the prostate giand, 93, 748 Abscess of the scalp, 534 of the leiLporo-Epbaioidal lobe, 565 Paget's, 91 palmar, 511 perinephric, 93, 706 psoas, 99, 403 residual, 91, 144 retto -pharyngeal, 93, 98 scrofulous, 97 tuberculai, 90, 97, 143 Abscesses, 88 Acid, carbolic, as an antiseptic, 78 2 Actinomyces, 164 Actinomycosis, 19, 164 Acupressure in aneurysni, 240 Adams's operation, 474 Adenitis, chronic, 6S4 tuberculous, 144 Adenomata, 316 cystic, 217 Adhesions, 426 Agnew's operation for webbed fingers, S20 Air-passages, foreign tiodies in, 585 Alcoholic unconsciousness, 541 Aleppo boils, 6S0 Alimentary canal, foreign bodies in, 611 Allis's ether-inhalei, 669 signs, 374 Alo]>ccia of syphilis, 176 Ampiilalion, 761 ii la manchelte, 765 al ankle-joint, 773 lliogoff 's method, 774 Syme's method, 773 al cllx>w-joint, 769 at hip-joint, 777 Wyelh's method, 777 at metacsrpo -phalangeal joints, 768 at shoulder-joint, 770 Dupuytren's method, 771 T8T 788 INDEX. Ampotation >1 thouldcT-jdnt, Luiey'i method, 770 LisfwQC's method, 771 ■I wii)it-j<Hat, 768 Chopaits, 773 drcular, 764 modified, 765 elli|ilical method, 765 Hail method, 766 fur aneurysm, 240 for gangrene, 121 intertnedi]Ue, 7G1 me! hods of, 764 modified dtcular method, 765 of onn, 770 of fingeis, 767 dislai plialuiK of, 767 middle phalanx of, 768 proximBl pludnnx of, 76S of foot, 771 Chop»rt's method, 773 Fotbes's method, 773 Hey's method, 773 Lisfninc's metliod. 771 of fottMm, 769 TimIi; s nitralion, 761) iA L.iiul, 767 of It;;. 774 btluw Iho knee. 776 Canien's mutlicK^, 776 l.ileral tU|B. 775 I long aiUtriiir H.ip, 774 j lun^ ^Hi>terior and short anlciior ' Hap. 775 " ; modified circular. 77S 1 reclaoKuhr lla]S, 774 1 SidilliMs nidtii)-l, 774 I Synic's mctliOil, 776 \ thruii^h I he femoral cmiijlc-s, 776 lliTi^ii^li the kiice.joiiil, 776 •jf jwiiii., 7SS I of thii;li. 776 I Tcale's llajis in, 776 I of Iocs, 771 I oval nielhod, 766 1 primary, 7^^ , racket method, 776 secnndarv. 76t T-shai* of. 766 lh^^'^uch micidle tarsal joint, 77J Wycth's liloiidlciS, of hi])-joinl, 777 Wyelh'b [lins in, 764 j Amputations, special, 767 I Amylcnc^ 666 Amyloid degenei»tion, 404 Anxsthetio, 666 genenl, 666 focal, 673 pn^iaiilioiii for, 666^ 667 p«ittu»y,673 deilment of comjilicationi in, ^1 Ainnlhetic itate (nun chltsefcnn, 670 irom ether, 670 Auesthetici, 666 genen], 666 local, 666 Anoxtomolu, inteotioml, 637 with lings, 637 withoul rings, 63S Anutomotii-ringB, 637 AndeisoD'i method <rf tendoDJcngthm. Aoeuiysm, 329 acuprenure in, 240 aculc, 230 amputation f<Dr, 240 aiterio-venoiu, 130, Z4I t>v aiiasLomosis, 230, 242 capillar}', 2ji circumscrilitd, 231 cirsoid, 209, 231, 242 consecutive, 230 cylindrical, 231 ill tensed, 244 ^iissccling, 230 tlinlal li};ation in, 239 enibulic, 231 false, 229 forms of, 230 fu^ifornj, 230 uiili^iry, 231 iif \f>\K, 231 i>}ieralion for, Ancl's, 337 AnliUiis's, 237 E,r.i-.iliiT's. 23g Hunter's, 233 Wardrop's. 239 o]ierative treatment of, 237 sacculate^l, 230 secondary, 23I ^^Hfnlaneinis, 23I traumatic, 230-240 ireatiuenl of, by ligolute, 237 true, 229 verminous, 231 Angeiomota, 308 INDEX. 789 AnEdomaU, capilUrr, vA cavemous, 209 plexifonn, 209 simple, 208 Ankle-joinl disease, 409 osieoplistic resection in, 409 Syme's ampuuijon in, 409 Ankylosis, 425 bony, 426 extra- aiticuUi, 428 false, 428 fibrous, 426 mlra>aiticulBr, 425 osseous. 416 true, 426 Antagonistic micnriies, 30 Anlhrai, i6o benign, 680 forms of, 160 AnlisepsLS, 7 So Anliseptic suigicsl cleanliness, 7S0 Aotitoxine of tetania, 137 Atililoiine^, 27 Aulrum of Highmore, irflammation of, 583 injuries of, 583 Anus, diseases of, 654 fissure of, 665 injuries of, 654 prolapse of, 658 prurilLis of. 665 Apoplexy, 54a Appendicitis. 620 abdominal section for, 631 bacterium coii commune a cause of, 621, 622 calarthal, 622, 623 caused by foreign bodies, 622 by scylialae, 621, 622 cellulitis in, 622 etioloj.'y of, 621 gan^cnuus, 623, 624 local, peritonitis in, 6z2 oblitcrativc. 613 opetaliun for, 631 palholi^y of. 62! perfoiatton in, 622-624 recurrent, 623 septic peritonitis in, 623 simple larietal, 623 stercoral, 622 suppurative. 624 symptoms of, 624 Appendidtis, trsunutic, 613 treatment of, 625 Appendicular abscess, 92, 622-625 colic, 622-624 Arachnitis. 551 Arilor urim. 747 Areas, motor, 533, 534 Arterial ]iilts, 636 rupture with fracture, 326 sclerosis, 228 transfusion, 265 Arteries, calcification of, 22S infiammatioti of, 227 ligation of. See Ligalum. wound? of, 243 Arteritis acule, 227 chronic, 228 ohl iterative, 228 syphilitic. 178, 228 Aithrectomy. 4S1, 482 of knee-joint, 482 Arthritis, 397 defonnaDS, 416 gonorrhieal, 412 gouty, 415 infective, 411 neuropathic, 419 rheumatic, 414 septic, 411 tubercular, 398 Arthropaihie des ataxiques, 431 Arthropathy, tabetic, 4I9 Articular iiijuries. 422 wounds, 422 Artilicial respiration in aiueslhesia, 672 Asepsis, 780 Aseirtic uau2e, 784 surgical cleanliness, 780 woun<ls, 149 Aspiration of bladder, 713 of joint^^, 480 Aspirator. ]>ncu malic, 480 Atheroma, 228 Atony of l>ladder, 716 Atrophy of bone. 295 of muscles, 505 » Aulo-su^estion, 577 B ACT LI. us. 20 mallei, 33 of anthrax, 33 of ([landers, 33 of gonotriicea, 32 790 /NDMX. BkdUniof Koch, 3a of Lmtguten, 33 of miliffnanl cedoM, 33 of Neisier, 31 of NIcoIaier, 31 of lyphila. 33 of tetaniu, 31 of tubercle, 31, 138, 139 pyocyaneia, 31 Bacteria, 17-19 diBtributioQ of, 14 eflecU of heal and cold npolt, 33 life-coadiiions of, zl motile, 17 muUi)Jicalion of, at pathogenic, 19 BacietioTogy, 17 Bacterium coli commune of Ecchetich, 611, 633 Bilanitii, 74S Balano-posthitis, 748 Bandage, aalenor figuie-of-8, of ihosl- den, 690 Buton'i, 689 Borsch's, of eye, 688 circular, 6S5 Crosse il, of angle of jaw, 6S9 of eye, 688 demi-gaunilet, 6S6 DesauU's, 691 E^ march's. 762 gauntlet, 6S6 Gilison's, 689 hancjkeichicf, 692 oblique, of jaw, 6S9 of elbow, 690 of fool covering heel, 687 not covering heel, 687 of neclt and asilla, 690 posterior ligure-of-8, of the shoulder, 690 recurrent, of head, 693 of Mump. 69 z kibble's. 088 ^jucn, of groin, 690 of in!tep, 688 of shoulder, 690 spiral, 68; of fingeis, 686 reversed. 685 of lower extremity, 687 of upper extremity, 686 T, of penneom, 693 Bandage, Vdpen^ 350^ 390 BuUn'a buK&ige, 689 Banini's opemtiMi (or iemotnl hsnii, 646 for ii^uina] hcmia, 646 Bed-Mtrei, 107, lao Beet, ftingi ol^ 157 Bent tibia, osteotomy Tor, 473 Bichat't fissure, 530 Bigelow'i opetaiion for >i iji nl ^cal^ 730 Bigg'i appaiadu for banioM, 515 Bites of imecta and repdlem, 157, 158 of snake*, 159 Bladder, aipiralioD o^ 713 aloQy of, 716 coDtuiioa of, 7 14 eitraperiloneal mptnre of, 715, 716 female, growth* in, 736 injuries of, 714 imraperjtotiea] niptuie Of, 715, 716 operation! on, 726 rupture of,7[5, 716 stone in, 717 tumors of, 725 liliiiomyceles, 18 Hk'eiJing from kidney-substanCL, 697 from pelvis of kidney, 697 from ureter, 697 to death, 350 Ulitid Imil, 679 Itiood, tests for, 696 transfusion of, 263 boils, 679 endemic, of treses, 680 itund'f splint, 369 Uiine. abscess of, 398 jincur)'sin, 231 alropiiy of, 29J liypcnrupby of, 295 inllammsUion of, 395 plates of Sean, 638 Irinsplant^ition of, 477 B.ineclii|is, Senn's decalcified, 785 in treatment of necrosit, 303 tlonefelon. 513 Ikme- grafting, 477 BoneA, diseases td, 395 excision of, 481 open method, 481 subperiosteal method 481 injuries of, 395 INDEX. »> Bones of slcnll, diseases of, 535 malformations of, 5J5 operations on, 470 Borsch's eye- bandage, 6S8 Bougie, filifonn, 752 (esophageal, 604 Bowel- obsIrucIioD, 613 Bow-legs, 521 Brain, nlKccsi of, 556 comprea-ion of, 540 concussion of, 538 disease of, from ear diseasr, 55^ hemia of, 551 inflam Illation of, 551 lacerations uf, 538 malfuimaliuns of, 536 operations un, 562 technique of, 564 Iraiim:itic InBammolioa of, 5JI tuberculosis of. 144 tumor uf, 557 water dtl, 553 wuunds of, 549 Broca's regional terms, S30 BiU'lie's abscess, 298 Joint, 420 Biomide of ethyl, 666 BroDchoecie, 779 Biuises. See CimiUiiom. poiinciili 736 Bryant's trinngle, 375 Bubo of chancroid, 753 of gononhi-ea, 748 svphiblic, 17J tiunion, 514 Burns. 675 Bur^s, diseases of, 5(^3 injuries of, J03 Bursitis, J13 BuIiDTi, Muiphy'i, 639 CAl.ci;i.t, renal, 703 t'altuW, rcsical. 717 crashing of, 730 laleral lilholr-my for. 716 suprapubic lithotomy for, 73S Calyx-eyed needle, 632, 638 Cancer. See Carrinsmota. Cancrum oris, 1 18 Caput succe*ianeum, 527 Cubuncle, 680 Carcinoma of stomach, $1 1 Carcioomala, 317 CaidDonula, adentud, 221 classiAcntiou of, ai8 colloid, 221 cylindrical-ceDed, 219, 231 encephaloid, 119,120 glandular, Z2I bematoid, 220 melanotic, 230 of (EsophatTis, 603 of penis, 754 of rectum, 66i sciirhous, 661 spheroidal -eel led, 21S, 220 Huamnus-celled. 218 telangiectatic, 220 Cuden's amputation, 776 Caries, 296, 399, 579 cervical dyspnixa in, 574 in wrisl-joinl disease, 411 necrolica, 299 sicca in shoulder-joint disease, 410 spinal, 403 EUumous, 296-299 torticollis in, 574 CorlLlages, floaling, 200, 428 Cnstrslion, 758 Catarrh, venereal, 743 C-algut, cliromicized, preparation of, 7S3 prcpaniiion of, 782 Cautery, actual, in creatmeut of hemor- rhoj^e, 248 Cell-divisi'in, 76 Cellulitis, IJ2 diffused, 87 Cementomc, 201 Ccphalh^inalomn, 537 Cephalodynia, 504 Cercbellitis, 551 Cerebellum, abscess of, j66 Cerebral abscess, 556 fungu-i, 551 hemorrhage, 542, 544 itri lability, 539 Cerebri lis, 551 Cereliio-spinal fluid. How of, in fracture of base ot skull. 547 Cballi -stone, 4r6 Chancre, hard, 16S miied infection of. 168 soft, 752 Chancroid, 752 mixed iofeciioa of, 16B Chucot'i diieise, 419 ^H~^^^^H^I 7^ ^^^1 aMeehJalife4M^43l ChMt, MBCHhHM 0( SM Coils'* bactaK^ «6t ^^^1 tea -^ ^^M JiMMW of, 59J Cemtk, dul-rhc, 543 ^^H iijnri« cf, SM iW to tnin injury, 540 ^^M nouiMk of, 594 ClMriw'* OMnlion fi« (onnnl hernk. of aleolioUc iMosicatjan, 540 ^H 646 of 0|toiiFMKMna|[, 540 ^H Chkiiie^ method Ua findi^ fiante el |nH-^iqak, 54J ^H Ko»«do. S3'. 533 UMHM. J40 ^H ChQtaUiii, 677 Cam[mutoa ei Inin, 540 ^^| OwIkiI duk. 677 of tpiml rati, 5B0 ^^1 CUanfcnk 666 CoDcadou of tnui, 5 j8 ^H ■dmlniUratUin of, 668 d" sEtMl corI. 579 ^H OMHlylomui, 17s ^H OmndtMnau, 199^*00 QtoodiDMRonft. an Congcnilal hcreU, 65^ 654 ^^H Chopan'* ttmpMMion, pS line of la^uuiioa of lool, 771, 773 bvdrocdc, 759 ^^^M phiBKi^ 754 ^^^m Ownief. 743 wir-ncd:, JlS ^^^^H Cbontdili*. duieminucd, in iTphiU*, Connriction of e«nliae ccjliae of Mdb-^ '77 ■ch, 611 ' aireaictMd«Wt?n<. 7H of prlcnc onlk«, 611 ^M Chranic uteiitis. 118 Contnaion, UupujIreD^*, 519 ^^| Octliiciil itcnoui of orKieci of slom- of imucio, jog ^^^^H tub, 61 1 Coniufed wonndi, 149 ^^^^^| OltvinCBion, 7S4 of ■ncfica. 143 ^^^^H Gnad M1CU17VIU, 109, aji, h> CofUusioiu. 148 ^^^^H Cl«>.743 " C uti tRtin* " o( Kkin, loR. 309 of •bdonunal wall, 606 ^^^^H of bladdo'. 714 ^^^^1 a*Tiu, 6S1 <heU, J94 ^^^^H aeUfiDK of IMltUD, 7SJ of head, 5)8 ^^^^H «! nciiui, 785 deft paMc, 597 rautelc*, 507 ^^^^H of nerve*. 517 ^^^^H of ipinU cord, 579 ^^^^H opeisiion (or, 599 Cla«c>,30i Corn*. 68i ^^^^H aore-hilch. 435 Coinl|;ta, 400 ^^^^^H Cloicr cnuch. 727 Coiaiius. motbui, 4cx> ^^^^H Club-fool. 511 Cr*nicclom;, SJS ^^^^1 CMgolMion necratit, laS Cnnio-ccrahnil lojicwnipby, jjo, 534 Cripp'i operaiioQ, 661 ^^ Cnuhing cJ tciie*l cdcoll, 730 ^H ID lobcrclB, IJ9 Gxaitic b|iiivciitonMv 666, 674 Codlnc-pabonini:, 674 CWMiform uswoiomy, 471 ^H Cocci. 10 Curratnrf of tjiinc, J68 ^^| of suppuration, 31 Cuihine'i sutiite, 6j3 ^^^^| CoKiAani ovlfcnmv 194 CuUBciim hiinu, 315 ^^^^H Cynomcter, ^^^^1 Oodi'i nuthod «f p«rfn«Bl »«<tion. 74c^ Ilonler'i, 533 ^^^H « V "". Cyiltc adtnomau, 117 ~^^l CoHMlomf, 609 multiloctllar luinon, 301 ^^^^^^ Cohnheim'i thOMT of lunon, 193 Cyitith, 7» ^^^^B Coin-calcher, 6a( Cnld. ctr«cU of, 677 Cyxocclo, (141 ^^^^^^1 ^^^^^^H Colic, appcodicukr, 69a, 604 CjrtU, 191 I^^^^B Collape from hcin«R>u^, 151 dtfniigeroot, 20a ^^^^^H ^^^^^^^^^^^^^^^^^^^^^^^^^H ^^^^^^^^^^^F^^^^^^^^^^^^^^^^^^l tNDBX. 793 J 1 CTib of ipinc, idy Dulocadon, ludillaa], 430 A Ciemy-Lcmbrrt >ulur«. 633 iueoinplcic, 430 ^^ Ctetiiy's mctbod of teodos-lensUien- of ankie-joinE. 466 ^^^| Ing, 517 of astragalus, 46S ^^^H of caipiu. 454 ^^^H 1 DACTVLITUf, 190 of davido, 43l('440 ^^^H DcftfnM*, >^illt)c, 190 OCroniiBl end, 440 ^^^H DocalnlUB, ISO (Icnul end, 43S ^^^1 Dcformiiie* of »pine, cnngcnlMl, SW of coKtii eBttLl«|;a, 456 ^^ D^encratlon of niaiclci, S06 □f rlbov.jiiinl, 448 ^1 rmctioM of, 5x4 of fctnui, 457 H Denligcroui cjr*U, KM downward into obiuralot fonmen, H Dciugcmcni, inuinal, of knee-joint. 46t ■ 464 inio pubct, 461 H Dennalilu vcncniu, 67 S into sciaiie iioich, 460 H Onault'i flppuaiui. jjo. 691 lign of fracture of Wp, 374 DiaiTrlr-iU. J7 on to donuni of iUuoi, 4J7 ^^ luprupraou*. 46a ^^^H of fibula, 465 ^^^H Oia^luagmKic liomis, 654 (if lilp, anomaloua, 46a ^^^^| DiftfrboM of coniiipaiioD, di8 of humcniB, 44I ^| DlMiaiU, 310 of inferior mdio-ulnac aniouUtion, H Dickion'* theory of amyloid dcftcaeni' 453 m tion, 4(X| at knee, 463 ^H Diday's opcraiion for webb«d fingcn, of knee-joint. 463, 4G4 ^^^H S*> of lower jaw, 430 ^^^^| Digcilive Incl. diieaMo of, 597 of metacupal bono*, 4J4 ^^^H injuria of, 597 of melacarpo- phalangeal afticulMion, ■ I^glu, lupcTDDmeracy, 510 454 ■ Diplilhcrin, irsch«oli>tny in, 591 jolni ot the thuink 4J4 ■ Diploeocci, JO of metatanal bonea, 470 ^| Diiccl cell-diviiiom, 76 of Monletgia, 46a H IJitniliculnlinn U ankle joinl, 773 of pelvU, 4S« ■ ■1 el bow- joinl, 7(19 of pbalongM of finicen, 455 H «l hip-joini. 777 of Km, 470 H al knce-jinnt, 776 of ndhu, 4Jt V ■1 mctaearpo-pliaJanKcal joint, 76S of rihk, 456 al thonldor-joint, 769 of ^cniilunnr ranQme* of knee, 4^ al wrnl-jainC 76>i □f ihotilder<JDini, 441 DiaiiiffCli'in of hiuiili, 781 rcluclion of. Iiy nuiiiipulalion,444 of inrttuiiwnlii, jKj by KlenMiHi, 44; h of puieot, 78a oT (pine, jSo H Diilocuiun, 439 of ncrnum. 456 H anomaloiu, of lilp^ ^/b^ of rapetiiir liltlo-Gbular anjculation. 1 wtllUty, 441 465 ■ lulBteral, 4 JO of tanal bones, 470 ■ «mplet«,43o of lovduni, 509 ^1 complleaud, 430 ulna, 450 ^^^H oemjiound, ijp of wrisi, 451 ^^^H ■raumatic, 435 430 ^^H conj{cnU«J, 431 iraumAltc, 436 ^^^H couccutive, 431 |>Mtial, 4.10 ^^H (ledarmiTy in, 433 patbolok:>c«l,43a.43i ^^H double, 430 primitive, 430 ^^^H 79« nwEX. «lifMng,430 »eeoDdKy,430 •"Ple. 43" * •ingle, 430 •pODiuieons, 43a, 431 mb*Mtim>laid, 469 nbcUvicuUr, 442 tobcoracoid, 441 lubgleiKud, 441 lulspiiunis, 441 tniunatic, 430, 431,436 ipecial, 436 uDiUieiiJ, 430 with rraclnre, 315 Diij^ccmem in plaslic ■aigeij, 693 Dngot'l sign, 441 UapaylTen'i amputalioQ of ihoalda- joint, 7 If I cluiificalion of bunu, 675 conlisclion, 519 fiactore, 466 ipliol, 391 nilure, 631, 638 Ear dtseat^e is a cause of cerpbral ab- scei-, 559 Ecchontltos-:^, Zoo EcchymiiMs, 14S Eciemalous uruttiritis, 741 Effusion of lymph, i2 pleuTJIic, 593 Elbow, miner^^, 514 Elbow.jomL, ilUaniculalion Bl, 769 disease, 410 Elephantiasis. 6S4 Embolic aneurysm, 13 1 Emtxilism, izz, 133 fat. 124 Emphysema, gaiigrenoua, 157 Em(iyema. 593 Encephalitis. 551, 556 Enc^hilocele, 536 Encephaloid cancer, Z19, no Enchrunilromatn, 199 Encysted hydrocele of cord, 759 in^inal hernia, 653 Eodarteritin, obliterative, in sjpphilU, 178 EDgorgement of retention of uiioe, 711 Enteredomy, 611, 636 with drcolv tutaiit^, 6j6 Enttneeb, 641 Fntiiio epIplucU^ 641 BaUnlithB IB crfNtracud bom^fiM WxtrnvAm^bw, 63s EatercMteBMii^ 613 Epididirmitia. 74^ 758 amtj, opaBtiTe ■-— *—--' «( 561 Sjfi^bnea ■qMi»tioi^ 310 (> enat ttoebmaut. 381 cf hnmeiiM, 358^ 36a tt lower «Bd of leottr, 385 of lover CDd of tibia, 390 of ndiB^370 ef ^licreDdaf tibia, 389 Bpipbjnitn, acnto, 304 Epplaoei^64i Epiii-dw^ 75a E(MUuni^>54 Efatbdial DdootDtDea, soi Epitbdion% 118, 310 ^wlidei, GtawH, 198 WCODUtOli^ 198 Epuli*. fihrcMi, 1^ Eqninia, 163 Equino-nni, 533 Ension of jointi, 481, 483 of knee-joini, 4^3 Eiysipelas, 129 cellulo-cauneoua, iji clinical foima of, 130 cntaneous, 130 phiegmoQOlu, I3I streptococcus pyogeoes in, 119 Liylliema of syphilis, 173 l^march's bandage, 763 iiiteriupted splint, 490 Esllnniier's operation, 5oc^ 596 Elher, adniinistratioD of, 669 and clilorDfonn, relaliTc menu of 667,668 Hlher-sprav, 666 Elhyl bromide, 666 chloride, 666 EKci»ion in sliouldet-joini disease, 4I0 ill wrist-joint disea.'ie, 41 1 of ankle-joint, 495 Hancock's method in, 495 of astragalus, 497 operation for, bf subperiosleal ■nelhod, 497 of bones, oftn method, 481 Kubperiosteat locihod, 481 of clavicle, 498 of «ltMW-joint, 487 ^^^^^VJjE INDSX. 795 ExdiioQ of hip-Joint, 491 Fever, ithenic,7E interior csdtlon in, 491 mippuruivD, Si indtion of Urosi in, 49] tnipcot, 77, 80 lUcml OpOBlian, 491 tTBU malic, 80 of intern*! bemutiJiuidt, 657 lj]iei of, 78 cJ joint*. 4S1 uirthiaJ, 7J1 open method, 481 Fibniiil lumur of ulenu, 30$ Hibpcnoitcal methoil. 481 iccuiTcni. 113, 114 ^^^J of knre-joiiil, 493 Fibrii-uilciiouiit, 317 ^^^H Ulterior wmtlunu flap, 49J tlbMinnin, lof), 197 ^^^H of melDCOipal bones, 490 Fibtuniyoma, 20^ ^^^^| of metatuuJ bone of the bijj loe. rrbtoniiomali, 198 ^^^| 49S niinj-titcuma, ill ^^^| of metal mo phaLuigHl ntliculntioii Kibtvium. moliuifunii 198, >07 ^^^| of big Ice, 497 Filaria unguinit honiiiiit, 6S4 ^^^| of tEtugiliaKiu, 605 of ooe-b*lf a\ loirer jiw, 501 Flliforio ttouctf, 751 ^^^H Kiniicn, aniputalioa of, 76} ^^^H of m caleii, 394, 496 ir«tb«<l,5M V of phduiiEct, 490 TudoQ of cell*, II ^^H of fflorua. 6u of trctum, 661 Fbiurc, idlnLaiiolal, 5J3 ^^^^ <A anui. 665 ^^^H of hbi, 499 of BicliW, 530 '^^B of hl]oi>liler-joinl, 483-4116 of Ro1»i]ilo, SJt 1 of Usticle, 75S Ctiicnc'i mclliod of locating, J3I 1 of tongue, 601 Honley't melhod of locating, 533 ■ of up)>tr jaw, «ainp1sto, joo of Sylviiu. 511 fl Fiatuitt, 101, loi ■ of tnitt-joinl, 4S7 Litlet't open methoil, 4SS in ano, 663 ^| EKfoliuion, joi Fiicil dieuin^ 691 ^^^^ EiophthHlmic giMlit, 780 533 ^^H £xoitoniv30i M'l.-iliiig kidney, 701 ^^^| Ei^cntory Itpuotamy, 6ao Foot, ampnlntioii of, 771 ^^^| ExIiKlunl abMicM, }J9 Faic-iim, ain)Hi(Blioii •■f, 761) ^^^| EiUrunedullary hemiinhBEe, 5S0 Forci|;n bwlies in aii-)aHai:e*, 58J V Eittavuiuian of unne^ 716 ill alimcnUry ennui, 61 1 ^^J lb larynx, 5H6 ^^^^ Favcv, i6j in tiotx, J83 ^^^1 Fitly lumol. 196 in oiopliagus, 6oj ^^^| FcloH. 513 bone, 51^ in pha^a. ^A ^^^^ In netum, 6&1 ^^^^ <ie«l>. ill in trachea, J87 ^^^^ tiuperficiu, 51] in oicihre, 740 ^^^^ F«monl hemi*. &46, 654 Foi'i agiiioritui, 350 ^^^^ Femur, <al«olom)r Ihroogb neck of. 473 Ftaclurc-«[niii«, 434 ^^^H Feisuuon'i bucrsllon for cleft palate. Pnciuici, 306 ^^^1 600 Uanon'i, 3&S ^^H Fevar. 151 by Gontre-eoupk 310 ^^^| ■*ep(k,8o caniea o( 3I I V coiie*-», 368 m •sthenic, 78 hcniuirtiBi^ir, 345 coniminntcd, 310 ^^^H noTDiu, 79 cnnipMr. 307 ^^^H {iriniuy wuuml-, So oomplicaled. 307 ^^H xccoixUiy wound-, 81 <:uiniJuuiu>. 307 1 ^HT^^^^^^^I 1 ;p^ IMDEX. 1 Fnctura, coroiwuDd, tRalncnl of, 316 Fncnm of tiyoid tiMic. 335 nwitui ID, J17 d«lainH7 IB. 314 of iuynecal canilaga, 336 Ha^pumkti, 31S *< le»i JS*. Wa itlrca.3ia ol nwiv bene, 333 it^pl-W""" >n, vnictin of, Jt5 uf mctuttfpal buiics 371 exlnvaiitiou dT IiIochI in, jt6 of MtMHMl booet, J95 "Kiacn-ttlck," jo8 of aanal boiMt, 328 imiiaclffl, Jio o(atatkii,W3 of puclla, 3^ uiMMnpleu, 307 tndlroU, Jlo trBntvToc, j86 In dfaotr-joinl, 361 of pel™. 343 intn-ucoriiic, Jll of (lenU. 754 low U (undion in, 316 ■millipl^ J to of io»,3« of raillui. Jbj ntar «lbov-}obr, ]6l oonunicin of, 31s above Inaertion of prooMiir radii ttdxtDA >"• 3>5 terei maul*, j66 of accutyulum, ^6 below inieitiu* of pronaioe ndd of bunc* of (ool, 39J lort* muule. 367 of cwi»ii,37i head of, 36s of eUvidc, yfk lower ertrcmity, 368 unml*! end of, 351 Dcek of, 366 »h*fto(, 34< 'litft of, }66 Monial cod of, 35a of ribi, 337 of cDCcrx, 347 of cooul <wtil>|[t>, 340 of ucram, 346 of i.c«pul», 3J» of IbIm pclvit, 343 •ciomion procra of, 353 of femur, 37 a OOfieni'l procpn of, 354 Above oondf to, 383 Klenold cuvity of, 353 •stnaiMular, 37*^379 neck ut. 353 ptal trochaolct ot, 3S0 of ikul). 544 inincipBilni', 373 CDni|)DUDd, 544 long^iuctiiul up fium knoe^ 385 •kpmtvcl, {44 Mpantling eiihtr condyle, 3K4 ihah of, 381 nan-ilrprnsed, (44 of ioner table of, $44 uppci eurcmlly of, 37s of HbuU. 390 of outer lalile of, S44 punetuietl. {44 lower third of, 390 nppeT lira>tlurd> «f, 390 of Uattna, both bona, 370 nisplc, J44 treplilniii|[ for, 563 v»ull of, 544 of hunwruii.354 of [pine. jSo anuonucal neck of, 354 of Mcinuni, 341 at bue of <he conilylei, 361 of lupcrior nuxiUnr boiw, 331 eplcondyle of, \(» _ cxWtnal condyle of, 360 of tibi*, 3SS tuner matlrulni of, 389 ■ head of. 3$; of ulnn, 363 I internal cnadykof, 361 onronoid procCB of, 363 I lower fi.licuiity of, jte olecraDon prooeu of. 797 Fractures, Pott'i, 301 prelemaloral mobility in, 316 icpair of, 330 simple, 3<* sponlaneous, 310 stellate, 310 strain-, 308 symptoms of, 314 treatment of, 332 ununited, 310 varieties of, 306 vicious union in, 328 with dislocation, 325 Freezing, death by, 677 K[ost-bile, 677 F'umigalion in syphilis, 183 Fungus cerebri, 551 Funicular hernia, 653 hydrocle, 760 Furuncle, 679 Gall-stones in obstructed bowel, 614 Ganglia, 512 Gangrene, 109 acute, 113 amputation for, 121 chronic, no clasiiilicalion of, 109 decubital, izo diabetic. 117 dry, 109, no formi uf, 109, no from ergotism, I17 fnim froil-bite, 118 hivipital, 115 moist, 109-113 of penis, 7J4 I'oit's, no Raynaud's. 116 senile. III septic, I09-II4 ^ymmetncal, J 16 traumatic spreading, 115 Ganijreiioui ap|jendicitis, 623 Gant^s oper:ilion, 475 Gastroeniercatoray, 6l2, 636 (iastroslinny, 635 Gauze, antiseptic, preparation of, 783 aseptic, preparation of, 7S4 Iodoform, preparation of, 784 GcnitO'urinary organs, diseases of, 696 injuries of, 696 Gena ralgum, 520 Genu Talgum, odeotomy for, 471 Yuuin, 521 Germicides, chemical, 24 Gibson's taand^e, 689 Girdner's induction- balance, 550 Glanders, 163 Gleet, 74S Glio-sarcoma, 213 Globus hystericm, 604 Glottis, oedema of, 5S4 Goitre, 779 cystic, 779 exophthalmic, 780 librous, 7S0 pulsating, 780 Ganococcus, 32 Gonorrhoea, 743, 745 bacillus of, 31 in female, 749 GtHiorriKxal arthritis, 412 Gout, rheumatic, 416 Gouty urethritis, 742 Grafts, omental, 634 " Green-stick " bscture, 308 Growths in female bladder, 736 Gummata of syphilis, 179 scrofulous, 142 Gunshot wounds, 149 of abdominal wall, 6lo of arteries, 244 of head, 550 primary hemorrhage of, Z54 HfUATEMKSis, 257 Haematocele, 760 Hematoma, 14S of dura mater, 552 Haematuria, 696 vesical, 714 llsmoglobinuria, 697 Hi£iiKip(y<iLS, 25 8 Hallux valgus, 523 varus, 523 Halstead's suture, 632 " Hammer-toe," 523 HareJip, 597 Head, contusions of, 53^ diseases of, 530 gunshot wounds of, 55^ injuries of, 537 Healing by first inlention, 73 by granulation, 75 l^ second inltttlioa, 74 798 aaatx. Hcdiv bjr AM btoAw, 71 HcHt, diMHCi and iajndH d, 114 Heberdeo'i nndnriaei, 417 Hdneke-Uikolici opMiM^ Ct] HcBKaifaisc, S44 arrcit 0C151 a^allMV, trMtmcat o(l$3 cenbnl, 54) conKCUtive, J58 cotutirutionikl tynpteo* a( 144, S45 ulnulumi, 543 eitnunednlluj, 580 following kmpulation, 76a laleral lithotomy, 156 fimn bladder, 156 Irom cerdval unni, 151 from deep palmRr arc^ 149 Erom diplof, 351 from ear, 255 {ram incomplcie dinuoD of aitay, »50 Irom jntercosud uteiy, 351 from inlernal muiimujF utet7, 351 from large bowel, 357 ftom leech'biie, 255 from lung, 358 from ]Ki1niar arch. 249 fruin ;>r03late gland, 256, 69S from punctured wounds, J5( floni smalt bowel, 357 from smmach, 257 from loolh-sockel, 352 from utethra. Z55 from vessels id bony canal, 35 1 in abtlominal section, 253 intercurtenl, 35 S intennediate, 3;8 intra-abdominal, 153 intracranial. 542 inlramcdnliary, 580 )itiniaiy, golden rules for procedure in, 249 reactionary, 358 rectal, 255 recurrent, 258 renal, 357 secondary, 35S subcutaneous, 355 subdural, 543 umbilical, 355 urethra), 69S uterine, 257 Hemonbagic fever, 345 , »t% Hfwihufck, 654 HmliiHj qrphilii, 188 IwMiiwiil at, 190 HoMi, abdiXBiBa], 6fo MMinMtf 1 TMfctiM aft 653 cvdK^SSi d^ihngnHtic^ 654 dlnct ingainal, ^3 feaianl,654 &arid^ HfMntiaa fbrtvlkaleHC ><64fi a^M|i optntfoa fiorndicd one SilMA opcnttoafbr ndinl can of. 646 (uncBlar, ^3 tDcsiccnted, 641, 647 infiiitile, 653 inflamed, 641, 647 inguinal, Basiini's operation for, 646 Macewen's a>eration for, 643 into foramen of Winslow, 654 irreducible, 641, 646 Liltri's, 649 lumbal, 654 obstnicled, 647 obturalor, 654 of brain, 551 of muscles, jog perineal, 654 pudendal, 654 reducible, 641 radical treatment of, 643 seiilic, 654 strangulated, 641, 648 umbilical, 654 radical cure (tr, 646 venliBl, 654 Hernial sac, 640 Herniotomy, 651-653 Hesselbach'i uiangle, 653 Hey's amputslion of foot, 773 internal derangement of knee, 464 line of amputation of foot, 773 Hip-joint, diniticulation at, 777 ll^d^33H mOEX. 799 J Hip-joiat. «xcIilon nf, 491 tubcrciiluii* uf, 4<M InRamBMtion, di*coluntioa 10,45 ^^^| <UM)tdetei] fiioclioiM in, 46 ^^^H lli[ii)acr*tie counienance, 615 H<Hi|;ltlii']i <Uicue, Z03, 685 dBulon of iTinph in, 8i ^^^H of icruni in, 81 ^^^^| Holl.iw-locil, sa j exieiuuon of, 40 ^^^H Motni. cuoiicouB. lis exuiluion of fluids in, 36 ^^^| rionlcy'i cjOomeWr, S33 imiainnenl of ipcciil fancllont 11^ ^H Uou'einaid'i kotc. 514 .^fl Huli-liinwn'fc leclh, I90 local ifiDptomi of. 41 ^^^H llydui'i mola □( jirt|;nAiiC]', >0J (reatmoit of. .«t3 ciladii».6t4 c—ri by fccalKCT—Wii^ 6l5 b^fxa^a bDdia,6l7 ^ Sall-Hooci, 617 615 diMificMtoD of, 613 complete, 613 iBiuauuccptioB, 614 pBitial, 613 paaoge of % nfa« ia, 619 Kal of, 616 MmvnUtiaii cancd by TohalM, I17 band*, 614 ia «patBiw, 614 rtrictnre of, 614 umtment of, 6ig tnbcTculosU, 143 Intotine, itsectiwi of, 636 iDiure of, G31 Intrakition, potiid, I a; *ep<ic, iz{ Intracnntal hemonhage, 54a Intubation of larynx. 5S5, 591 lotussusccption, 614, 016 Involucrum, jo: Iodoform gauie. 7S4 Iritis, rheumatic, 1 77 Syphililic, 177 Iichto-rectal ab>css, 663 Islhnius of thyroid gland, posilion of, 59° Jacket, plaster of Paris, and juiy-cnasl, S7S Jacob's ulcer, 107, ziS Jarvis's atljiislet, 435 Jobeit's suture, 631-J6J4 ohnson's method of preparing catgut, 783 Joint, Brodie's (bjrstencal), 420 Ourcot's, 419 shoulder-, dislocation of, 441 Joints, aspiration of, 480 diseases and injuries of, 395 excision of, 4S1 looae bodies in, 438 neuralgia of, 431 itnuiiaDS,^ tabacnlmi of, 144 Jone*'i nanl iplkt, 331 Keen's B^od of T— t:,ff ^ 0^ didoctted, 701 BeMiBb7(W l*io«£nor, 7(M (VentiaB on, 709 petfcnlinc woud o^ jM nptacoCyaa NTEic>l,7a8 Knee, hiiiiiLiuaid'a, «t^ opemdoiB ^ooj 48X 't'*'**^, 41*7 enuianof,493 KBock-kDee,5ao MtMUm; for, 471 KfldMi*! Kcdiod of. fin lir ||Ml HHIIB^, 6l(] of Tedndi^ ■*»"iiltlcr-W-rt ^M^ tioiu,444 Koch's ciienit, 25 tuberculin, 146 Kraske's operation, 663 Kyphosis, 568, 573 Laminecttomv, 583 Laparotomy, 629 exploratory, 705 in intestinal obstraction, 6ao Latdiceous degeneralian, 404 Large inte^ine, identificadoii oT fioS Laryngolomy. quick, 591 Laryngo-lr.icheotomy, 593 Laiyni, anatomy of, 5^ diica^es and injuries of, 5S4, cgc inlubalion of, 593 Law of Colles, 188 of Milller, 193 of Vircbow, 192 " Lawn-tennis Him," 508 Lejomyomato, 204 Leiter's coil, 396 tube?, 415 Lembcn'i suliire, 633, 635, 638 Leptomeningitis, 551, 554,556 Leucumaloes, 27 Lipition in lahaiitie, 369 m txiangU of elec^oiv 382 I^^D^^VJH INDEX. 801 ■ LigalLoD in tiianglr of nKOsitjr, 383 LTmphulc ^lanilit luberculoai* of, 144 H oT utoja in conlinuirf, 265 warlk. 604 H of uilluty utciy, 174 Lxm^ihatia, diseain ud injnhc* 0^ 68j.^^^| ' of bnehiiii siltry, 371 nuicoac. 6S4 ^^^H of cuotid utcry. cummon, xSo Lymphoma, nuJi|[iuuit, 68$ ^^^^| cklernxl, iSj I.ympbomiii, aoj ^^^H inienAl, 3S4 Lymphontitra, ^4 ^^^^| of donalii |j«iIu uleiy, 18$ Lymph oaatcdma. 313 ^^^H of fcmor*] iftei;, 290 Lyua. 161 ^^^H of iliac uleik*, 1913 of lingua] ICU17, aSs '^^^^H MACKweit's operalian for congeniU] ^| bcmia, 644 ^^^1 of iwpliKal anor, 190 of radial artery, 368 In tngulnal hernia, 643 ^^^^L of tuljclavtau utciy, 177 for knocL-kncc, 471 ^^^H of libial artnjr, anl«ricir, 187 niprs mcalB] triangle, 534 ^^^^| poftciiar, 1S9 of nlur «MetT, 371 I.inc of Ntlaion in lnir«cR)»ulu fnctute Maooelouia. 3la ^^^H Macula eruption of lyphUii, 173 ^^^^| Mndunt-foot, I9 ^^^H of fomur, 37 Line* of ampuuiion 0 foot, 773, 773 MniiODnciivc'a luethratome, 7JI ^^^^| MBllgniinl vdcnu, 157 ^^^H Lipomnla, 196 lumur*, 194 ^^^H I.iquur CxXuniiii, 547 MnliiiKtiint;, SJ8 ^^^H l.ilfranc'i unpulation of foot, 771 LuUi't CjBilidc nuic, 7&t LiMon'i niodilicif citculu' uDpulatloii, Mniiiic spoa^;ci, pCFpontioo of. 783 ^| Muon't pini, 330 ^^^^k Hulold diieue, 557 ^^^1 76S I.ilholapBjiy ;jo mppuiBlioo, opcnli'iD f«, 565 ^^^H klaiuluy •nlram, alaceaa of, J&j ^^^| Id miUc diildicn. 733 Haydl'i opeislion, 639 ^^^H l.ithotURiy. 7^6^ 71S, 735 McBainty'i point, Aiii, 614, 63& ^^^H Lilholrily, rapid. 730 Mflniyre iplint. 383 ^^^1 Ullrt'i hernia. G49 Uealotoipy. 751 ^^^H Local Muotliclics, 666 MeUut, UrictQtc of, yjl ^^^H »l»ck,S77 venBTCa »ar«,7ja MNkcl't diverticulum, 614 ^^^| Mrni^tc'i diKaw, 176 ^^^H l-ockjaw, 133 Mcningiiii, 5J7 ^^^H liOddodx, 403. ;6S. w \Mitat% oprntiion, 613 tranmittle, 5$! ^^^H tabcrculoiu, 553 ^^^H Lnmbago, J04 HeninBOCclc, S;6, tfA ^^^1 Lntnbat abscoB, 403 MeniuKO'inyelllu. 578 ^^^H hernia, 654 Ueningo-lnyclotclc. Uicrobci,i7 ^1 Lyinpb, S3 anugoninie, 30 ^^^H Ljimpbadeiiiti*, 683 of mppurallon, 31 ^^^^| LymiihanKtioRiati, 109 jtlaocnial tranandnion of, 30 ^^^H c«*cmow, 3 to Microcephaliu, J3S ^^^H Ljrmplun^MUxu, 684 Micro 'Otguusni, 17 ^^^H LTUpbanpomB. 6&4 Uicfofihyu, iS ^^H LfO^hxiKitii, 683 tl MiciWMitt,iS ^^^H W 3 BIH 1 802 /AU>£X. ^M Midurkion, freijueacy of, 699 N«iM«^ iMcUiM, 3a ^1 MitutT matarfiia, 2^1 Miaart tlborr, JI4 Mixed lalodMlt, 30 Ntkion^ Ibi^ ^4 H NnwIuBM, i9t ^M of Kn-iilUt, 16S hnbar, 71a ^H IUB«n,ll3 Nrpbrillc colic. 705 ^H Unlet. hjMtd, of prtsuuicT, aoj NcphroliihMainx. 709 ^H Ui^itct ooium, 30S Itvfimiaimfby. 71 1 ^^ MoUnoUB Glnoom, 198, »yf Ncphioumjr, 709 Ncrrc, infnKirbiul, neuMtoiny of, $29 Moftoplct:'''' tmsiiintlc hysieiicsl, 578 MaonsVdrei'ingi, jsi imMire upoii, 5>6 tdiiic, suttchiDg of, S>9 Mcrbt J gtowilu, 191 u)narti<liil. DMRCtu«n7 oC S^ McirlnK cuiaiiiu. 400 Ktrvc-divitlan, ini|it«e chaaga tn, 516 Moiplxn, t'it Ncm-nilDn. 517 Matlifiullao, log NttVB, cootmion of, 5X7 Monon'i Hull), ;j6. 5^7 ■leganerinoD of, jsj MutlKtl' niJtki. ToS infludinalio* M. 5^4 ^J MolWKWl, SJiSJ* MouUi, 18 opoaUioru on, J17 ^^| Muuili, iliMxtc* of, ^7 IHiitcIurcd wonitdi of, 517 ^^| Mucuut {"'t'^^n '"^ (yiJiilK t7S iTgvnmtion ol^ 515 ^H M uILIociiIm' cf tiic Itirann, lot KCtkm of, S>S ^H Hiiiyhfi button, 659 Uucle^ ouophy of. JU5 Kovoui feter, 79 ^^M Nc<ii*l|:<a, 515 ^H ^^_ cuiitndioiu of. S09 mtncolal, 504 ^^M ^^B C)^lluiun^ of, (07 ^^1 dcf^nunlii.'n of, jo6 (if jcuDo, 411 ^H of uvoipi; iRaiiMiu of, Jij ^H ^^B di^ua kfid injaH0 of, 503 Nwuuttmita, Umuomk. 576 ^H ^^H hernia a(. 509 Nniractuy, S** ^H ^^1 lifpotroi'lij of, 50s Heuririi, $24 ^H ^H nature of, 508 malUple, $14 ^^| ^H saint of. joS HoHoiaa, 30J ^H ^H tunun of, J06 XtufomoU. M} ^^1 ^^f wounilB of, SO7 iMumiUic, 20S ^^M MbmhIm' tfaeumuiini (injal][ia}, ytj K<uK)p(Uhle uihtilia, 419 ^^M MyooM, 205 Ntvronhitptij. 527 ^^| 1 Myonuu, )04 Neunitomf, JtS ^^| 1 nloine intruanml, aO$ KilTiHU oudc, 666 ^^M 1 HyuMtit, J05 N»)i«l>>as llcUnkn'i, 4>7 ^^ 1 oxificun, J06 KoaB,tl8 1 1 MjrxomaU, toa NomuJ >aU->oliilx« \m ikm-mtUiim, 1 Hyxu-nrcoiuU, 20} 6*1 1 K<M. tjtt%a ludics to, sSj 1 N^.voiD lijwRin, 109 iqnriaB of, 583 Na'^v* IrjHirnu, 11)7 Niciiei, jj; OvrRucT*OM, iiuHtiMl, 6(j-6ij ^^ NiiN. -iUctsa of, 678 Otniinilor httab, 654 ^^1 NBIiform tluill, 189 OiloMo«au.mi ^^* 1 Neck, (tl>n),>Ic| of, 178 0'I>v7ci'* opcnUkoi d bUatxkiu of ' 1 Nccroti*, joi btynx, S9J 1 ^^L tuaGuladon, 1 18 ^H N«edk, ca]yx-eycJ, frjl, 6}S ■ of sloItU, $84 J Bi2iH^^ Odcacaf lu]mz, sS* OMeotomr for hallux valgn*, 476 (BNpliaen] boBglc, 604 figt latlpct equina- moi, 476 (EM^igMUnny, 60J fnr (alipea cqiiiiiilt, 477 QN|ih*eui, ducasts of, }97 for unuiitied fraciurc, 477 eMUon of, 605 br Tidout union of fiBCtare, 476 fotilgn bodiM in, tej linear, 470 ttriaim «r, 603, 604 lonriluJSnal, *97 of iluift of (dnor below Uochanieit, Ogtlon't opcniiion, 473 OmcBUl tnTi, 634 475 Onycliift. 68> lhrau|>h orck of lemur, 473 nwlipiuu, 683 0<m£ow of teieaiioD, 711 Opentiou f(N harc-lii', 59S for mulolcl (Dppurmlion, 565 PACHVUtHtMUTIl. SSI, SJt Toi ttona in womon, 7J4 Paoqneltn'a onlety, 717 fetrarix of leg. i6i PaUw, ckfl. S9T PMlmM uth, neaK>iihaj;c of, 149 MBrdl'i. 639 00 abdoincn, 619 paoriiAb In *7pbilU, 178 on blutdn. ttb Pancmlilit, neat* hemortha^. 618 on booei, 470 FlqUtooMii. 115 hpabt STfAiltitei, 174 on brmla, 503 on kiilncy. 709 PancoaMJ* aurtcull, afe on ncnrn, KX} OD iknil, 503 poioaidii, >6o ibondi^ S94 on ipliie, 583 pMmlTil*, h7«crtcal, $78 on vtKcular trMom, 160 intTphilis 178-180 ^^^ pntMniion lot, 781 technique of, 5&t hnfihimaiii^ 74)8 ^^^1 Pkt^ilcgla, idia of. 577 ^^^H Opium-polioni'ie, J41 UiHic nrBhiif in rncturt of bate <A Parke'k loluilon. 591 ^^^H PantuiTChU, 511 ^^^H *kuU, 548 PenU, anputitioa of, 755 ^^^H Orchid*, 7J7 GMoerof. 7$4 ^^H dlitmt uid injufta of, 736 ^^^H 0« Caleb, cxcblon of, 394 OnilicuD, m^oaili*. 506 buiDi« of, 754 ^^^1 KUicnac of; 754 ^^H OHeitis.195 iliumoiu, 196 PolonUa][ ului of foul, 107 ^^^H OitM-aithiitii. 416 Pttricwdintn, ia4 ^^^H OiwocUaU, jai PeriiMa) brniw, 736 ^^^H Owco-noUoa, 305 cjKloMniij, Uienl. 73s ^^^H OMcomMB, aoo ncdian, ^^^H 0>lrO'Ri^Flitit, acale difTuH, 303 thmnic, 30f heraia, 6J4 ^^^H icoion, CiKk'i method of, 740 ^^^H OttcO'pcrloMuU, 196 Pcflnephtic ahwn*, 7«A ^^^H diffu^397 Pninqiliiitiv. 706 ^^^H OltKftaUie pirlaalitii, 39S rcno-lilLi. chronic. 198 ^^^^| TWtoiiBai u •■dde'joint diwMc 409 in lyphlHs, I??-'/? ^^^| I'cfMoiituin, ioFIm or. ^^^H Oitcowopte ptint of qrphilli, 177 OMcMomc, 471 tobrrculowl of, I44 ^^^H CHuotomf, 470,51s PeriUniiii, <i6 ^^^H cuocifaini, 471 flbrleo-fdlMlc, 607 ^^^H foe bent llbls, 473 ploMie. 6a6 ^^^H for faulty ukykdl of hip-joant. 473 priniai;. tabMCalar.f ■Md^ DIP i? fto».5*3 F1i»ni^— ■ I'S IlMgocjta,a8 Phamjtadi,a8 Phaluigti, exdrioa o( 49D Mnnloo tnmor, 618 Hiim<»i«,7S4 PUelutii, 335 PUnMMnip n3 PiloiftH Pirosoo** Mnpoutiaii erf bol, 774 nscoital trammbnoD of mienmi, 30 Flatter bukd*^, nnonl of, Gga nntnof Am in componKl Runn, 3>7 Pluter-or-Fkrii b«iid*ge, 693 FUidc tnrgeiy, 693 Plenra. diieuei ■od JnjsriM tH, 593 Pleuritic efTusion, 593 Plcnmdynia, 504 Pneu malic aspitiloi. 480 Foi!OD-ash, 678 Poison-ivy, 678 PoiioD-osk, 67! Foiioaed wounds, 149 Polydactylism, 530 Polypi, 103 Glnoal, 198 Bethr, 305 gelalinouB, 203 nasal, 203 "Port-wine stains" of iltin, aog Potfs disease, 573 fracture, 391, 466 Preventiire inocuUciont, 39 Irepbining. J4G Primaiy amputation, 761 anKslheaia, 673 perilonittt, 636 Probang, bone-hair, 604, 605 Proctolomv, 66 1 Prnrtate gluid, diieasei and injuriea of, 736 hTpenrophy of, 755 Pnidalic alnccM, 748 FNMatitii, 748 ProtcctiTe inocnlsliou, 39 IVnltai of Mm. S6s "5 ♦3 ■94 I^pBiBf'Me. 1S4 PwIcmU httnfa, «S4 FMrid fattskaaaa, li? Tfywm\%, iK-ia7 »* ■■-■ -„/* ' ^NV^'c OMRJ, 31 l^nnqihTni^ yoB Rahb, i6a Railway ^ne, 57S-S77 Roiiiila, 601 Ray fangm, 19, 33, ift. Reaction of degeneration, 5x4 Reodioauy beiiiorrha|>e^ 3 eg Rectal imufflatioD of hrdRweD, 6* 616 Rectum, cancer of, 661 deanling of, 785 diseases and injuriea of, 654 excision of, 661 foreign bodies in, 663 prolapse of, 658 iCricture of, 660 nicer of, 6s9 wounds ol, 663 Recunent bemoirhage, 358 Reduction of hernia tn mm-, £eo at maitt, 650 Reef- knot, 168 Renal calculus, 703 Repwr, 73 Reptiles, biles of, 157 Resection of bones. See Sxtitioit, of intestine, 636 of joints. See ExtiiioH. Residual abscess, 144 Reipiratoi}' organs, surgery of, jgj Retained testicle 7^7 HiiS^^^V iffDsx. So; J Kclecliun of unnc, 711, 748 Scalp, alBCCM «r. 534 A H incMiiineiic« of, 711 cindd aoeuiyim of, 534 1 ^^1 Kdinilli, dilTiucd, d( lyptulis. 177 c?«.of,JM 1 dueuKS ot 534 1 ^^1 Krri.-'iclliiieiit in |ilai(iC Wtijen', 6^ ^^1 local cuiiiiiwus h]r|xnropbies of, ^4 ^^H Rlubdumyomau, 105 lupiu of, SJ4 ^^ KliciiiiiiUjc «tlhnli*,.4t4 iiM>lc*or.534 ■ ^^1 ^uul, 416 nmi of, (34 ■ lumon >»,SH ■ ^^1 iriiis, i;7 tDnKolfu, JD4 ^^1 "farti of. 534 ■ wtHUidi of, 537 ■ ^^1 KhciiiiiBlitiii, «cule, 414 ^^1 chcunic, 415 Sclu^JiiiycctM, 18 I ^^1 Kononhccal, 41* Scinhui, ail) % ^^1 niuicular. 503 Sotdiocis, 568 ^^H Klicumuliml ulhriti*, 416 ScnAilo, ^n, >4> ^H Rhtu poiviiii t'^fil^ SctaTaloilednaia, 141 H Ribk lEMcuon of, |a< Kibble-l bwulage, iSi Sdofxloui gunuDalii, 141 ^1 Seybala « a cwuc of B|>|i«ndicit», 6it ^^H Klck«t>, 147 Secuiidoiy aintnituion. 761 J ^^1 Kidcr'l tog, 508 Sidillol'k ainputali'in «t l«{, 774 f ^^1 Korkiii ulcer, aiS SeipncouiMn of celU, it ^^H Kulnnito't liuure, 53 1 Seui'a at^BiBlnt fat iuUaca|BDUr Inc- ^1 HoMul* of tirptuii*. t^* 1 Roles of inhoiUnce of typhilis, 18!) liir« of femur, 377 ■ ^^1 bone platan £38 ■ ^^1 « Run uouad," 6Sa dccalciAcd bo«c-chipa, 785 * ^^1 KupLa. 178. iSo nietliud (01 i^lro-cnlerottomy, R34 ^1 Kupturc, 640 S«p(icai11aiii*.4>i infection. Iij J Sacko-ILIAC Jcdnl, dtieMt of, 40J intuilcatlon, 115 ^^1 "S«iWI«-b.clt." S7» ptrilODitn, 616 ^^1 SalivMuii, 184 wcnUlds, 149 ^^1 S^Ml't opeMwo for fcmonl hernia, 446 Septicmua, 125 SequMiram, 301 H Sapnonia, 115 Senun, cffuson of, 8t ^^1 Suoocde in ayphtlu, 177 SuMint, alTeolar, 111 Shock, 150 local. S77 H black, aia of anntbwia.671 ^^1 ciynpelia in Ucatmeot of, 114 Shonlder-jciiot diataae, 409 ^^1 glint -celled, 112 cxQaon 0(483 Sirnofinl'* honeUM« Mutnlqtirl, 764 SiIiO*te-of-»ixlB dronngiv 693 ^^1 i:l">-, ai.) ^H licinunhagic, llj ^^H iTinpha-, III Silk saiui«>, prcpamiion of, 183 Silkwonn |-u^ [a«|i«iatbn ul, 783 ^^1 mdanolk, :li ^^1 mlicd-oelled, 3ti Sinui, 108 ^^H myd^ ail rvpUueof, J44 ^^1 piMUcnn, 113 Ibrambciii, $57 ^^1 Sarcomoia, ito Uifcctivt, s«9 Sldo, dueatM at, 67S ^^1 louud'MUed, 213 ^^1 ■jBodU-celM; 111 lypbilitic, 17a ^^1 Sajn'iknee^oiol iplint, 408 plxler-of-fiahi jwket, $74, STS tDbneuload of, 14a ^^1 Skia-paftini;, 6^ ^1 Scald*, 67s Rtnreidin'a mOitfjA, 694 ^1 «r ^anU,676 Thicncli'i method, 695 8o6 INDEX. Skull, fractuK oT, 544. 