None
INJURIES BY ELECTRICITY, 88 1 clothing of the victim and pull him away from the wire, but do not touch his body with a bare hand. If a pair of rubber gloves can be obtained, the subject can be moved with impunity and the wires can be safely cut. If it is not possible to drag a person away from electric wires, the sur- geon can wrap his hands in dry cloth and lift the portion of the body in contact with earth or wire, and thus break the circuit and permit of removal of the body.^ A dry cloth can be pushed between the body and the ground, and the body can then be removed from the wires. It may be possible to push the wires away by means of a dry piece of wood, or to cut them with shears which have wooden handles and which are perfectly dry. Treat the general condition in the manner set forth in the article qn lightning-stroke (page 879). Very severe burns may be caused. The author has dressed a num- ber of electric burns with hot fomentations of salt solution during the first few days. This facilitates the separation of the sloughs and seems to aid the weakened tissues in resist- ing microbic invasion ; after sloughs separate, the part is dressed with dry sterile gauze. Antiseptic dressings can be used from the beginning, but they often fail entirely to arrest the sloughing. Iodoform produces much irritation. Ointments are very unsatisfactory. When the dressings are changed the part should not be washed with corrosive sublimate, as this agent produces much irritation ; peroxid of hydrogen should be employed, followed by hot normal salt solution. Sharpe removes sloughs by applying the following mixture : 2 parts of scale pepsin, i part of hydrochloric acid, U.S.P. ; 120 parts of distilled water. This mixture is washed off after two hours with peroxid of hydrogen. The same surgeon treats necrosis of bone by injecting every few hours a 3 per cent, solution of hydrochloric acid, using every second day the pepsin solution, and when necrotic areas come away packing with gauze. Skin-grafting by Reverdin's method or Thiersch's method is rarely successful. In some regions it is possible to slide a large flap in place to cover a granulat- ing area which will not heal. ' See the directions in Med. Record ^ Dec. 28, 1895, ^^'om Med. Press. 56 INDEX. Abbb's catgut rings in intestinal anastomosis, 689 method of intestinal anastomosis, 690 operation for stricture of esophagus, 623 string saw. 639 Abdomen, diseases and injuries of, 6a6 operations upon, 666 Abdominal hernia, 699 nephrectomy, 783 section, 666 for appendicitis, 668 wall, contusions of, 6a6 gunshot-wounds of, 63a penetrating wounds of, 633 wounds of, 63a Abeniethy's extraperitoneal method of Hgat* ing external iliac artery, 306 Abscess, acute, u6 symptoms ut, 99 appendicinal or appendicular, 100 treatment of, 103 Bezold's, 563 Brodie's, 312 cerebral, 560 cold, 105, 106 of lymphatic glands, 108 diagnosis of, loa disused, 98 dorsal, 107 extradural, 560, 564 forms of, q8 healing of, 87 iliac, 107 intramammary, 861 ischiorectal, 721 large cold, 109 Inmbar, 107 lymphatic, 98 mediastinal, loi metastatic, 99 of antrum of Highmore, loi, 596 treatment of, 103 of bone, 312 chronic, 108 of brain, 100, s6o symptoms of, s6i treatment of, 103, 568 of breast, loi , 860 acute, 861 chronic, 108 treatment of, 103 of cerebellum, 577 of frontal sinus, 597 of hip, 414 of kidney, 774 of larynx, loi of liver. 100, 660 treatment of, 102 of lung, loi, 607 pneumotomy for, 611 treatment ot, 103 of lymphatic glands, 108 of mammary gland, cold, 109 of maxillary antrum, 596 Abscess of mediastinum, loi treatment of, 103 of prostate from gonorrhea, treatment of, 82 1 of scalp, 540 of spleen, 665 of temporosphenoidal lobe, 576 opening of, 104 Paget's, 99 palmar, loi, 511 perinephric, loi, 776 perinephritic, loi 776 postpharyngeal, 107 prognosis ot, 102 prostatic, loi psoas, 107, X09 residual, 99 rest in, 63 retromammary, 86x retropharyngeal, 107 scrofulous, 98 shirt-stud, 105 subdural, 560 subphrenic, 100, 657 treatment of, loa tubercular, 105 varieties of, 98 Acetanilid^ 28 as a drying-powder, x66 Achillodynia, 219 Acid, carbolic, as an antiseptic, as Acquired syphilis, 185 Acromegaly, 320 Actinomyces, 183 Actinomycosis, 18, 183 cutaneous, 183 of bone, i94y 309 treatment of, 184 "Active clot," 247 Active hy[>eremia, 48 Actol, 29 Acupressure in hemorrhage, 26a in secondary hemorrhage from atheroma- tous vessels, 273 in treatment of aneurysm, 255 in varix, 243 Acute abscess, 96, 9^ symptoms of, 99 rheumatism, 435 tetanus, 144 Adamciewicz on cancer-cells, tii Adams's operation, 477 saw, 475. 476 Adenitis, tubercular, 154 Adenocek of mammary gland, 864 Adenoid cancer, 236 Adenomata, 232 cystic, of mammary gland, 864 treatment of, 233 Aerobic bacteria. Albert's disease, 319, 514 Albuminuria in syphilis, 198 Alcoholic unconsciousness, S47 Aleppo boil, 740 Alexander's niethod of prostatectomy, 837 method of treating snake-bite, 178 rules for catheterization in hypertrophy of prostate, 836 Alexins, 32 Alimentary canal, foreign bodies in, 633 tuberculosis of, 153 Allingham's decalcified bone bobbin, 685 method of excision of hemorrhoids, 716 Allis ether inhaler, 729 Aliis's rule fur reduction of dislocation of femur, 465 sign, 384, 463, 464 Alloxur bodies in the urine, 88 Almen's test for blood in urine, 764 Alopecia in syphilis. 195 treatment of, 203 Aluminum probe, Fluhrer's, 17a Alveolar sarcoma, 228 Ambulatory treatment of fractures, 336 Amotile bacteria, 17 Amputation, 841 a la manchette, 845 at ankle-joint, 853 PirogofTs method, 833 Syme's method, 853 at elbow-joint, 849 at hip-joint, 857 by bloodless method of Wyeth, 857 Jordan's, 859 Larrey's method, 858 Liston's, 854 at knee-joint, 855 at metacarpophalangeal joint, 847 at middle tarsal joint, 85a at the shoulder-ioint, 849 Dupuytren s method, 859 Larrey's method. 849 Lisfranc's method, 850 at tarsometatarsal articulation, 850 Hcy's method. 852 Lisfranc's method, 850 at wrist-joint. 848 by transfixion, 846 Choparl's, 852 circular. 844 modified. 845 classification of. 841 during shock, 164 elliptical. 846 flap method, 846 for aneurysm, 254 for chondroma, 218 for compound fracture, 339 for gangrene. 131 for gunshot- wounds, 174 for malignant edema, 175 for osteoperiostitis. 311 for sarcoma of a long bone. 229 for snakebite, 178 in di.il>clic gangrene, 127, 128 intermediate, 842 methods of. 844 modified circular, 845 of the arm. 849 of fingers, 847 distal phalanx of. 847 middle phalanx of, 847 proximal phalanx of, 847 of foot, 850 Chopart's, 850 Forbes's, 853 Hey's, 852 lisfranc's, 850 Amputation of forearm. See Am^utaiwn th r if ugh /area rm. of hand, 847 of leg, 854 by lateral flaps, 855 by long posterior and short anterior flap, 855 by rectangular flaps, 854 Garden's method, 856 Gritti's method, 856 just below knee, 85s modified circular, 854 SabanejefTs method, 856 Sedillot's method, 854 Syme's method, 855 through femoral condyles, 85s through knee-joint, 855 of penis, 833 of thigh, 856 Bell's method, 857 of thumb, 848 of toes, 850 oval, 846 prevention of hemorrhage in, 84s primary. ^42 racket. 846 secondary, 84a T-shaped, 858 through the forearm, 848 bv Teale's method, 848 Wyeth's bloodless, of hip-joint. 857 Amyloid degeneration due to syf^ilis, 198 Anaerobic bacteria. 23 Anastomosis, intestinal, 681 rings, 681 Anatomical snuflf-box, 28a tubercle, xsa Anderson's method of tendon-lengthening, 519 Anel's operation for aneurysm, asa Anesthesia, 735 by freezing, 734 general, 735 local, 734 preparation for, 735 primary, 732 treatment of complications of, 730 Anesthetic state from ether or chloroform, 729 Anesthetics, 725 Anesthetization as a cause of shock, lia Aneurysm, 245 acupressure in, 255 acute. 245 amputation for, 254 arteriovenous. 245, 355 by anastomosis, 245, 256 capillary, 246 causes of, 247 circumscribed, 246 cirsoid, 226, 246. 256 symptoms and treatment of, 257 consecutive, 245 cylindrical, 246 diagnosis, 249 from cyst or abscess. 349 from growths beneath a vessel, 349 dissecting. 245 electrolysis in, 354 embolic. 246 false. 245 forms of, 245 fusiform, 245 miliary. 246 -needle of Dupbytren, 379 of bone, 245 of Saviard, 278 operation for, Anel's, 25a Antyllus's, 252 brasdor's, 254 INDEX. 885 Aneutytm, operation for, Hunter's, 353 Wardrop s, 254 operative treatment of, 353 Pott's, «55 pulsation of, 348 sacculated, 345 secondary, 346 spontaneous. 346 siymptoms of, 348 traumatic, 345 treatment of, 350 by digital pressure, 351 by direct pressure, 351 by ligation, 353 by pressure, 251 bv rapid pressure, 351 1 uffnell's plan of, 350 traumatic, 355 true, 345 varicose, 355 treatment of, 356 verminous. 346 Aneurysmal bruit, 848 varix, 355 symptoms of, 356 treatment of, 356 Angioma of mammary gland, 864 Angiumata, 335 capillary, 335 cavernous, 335 plexiforni, 336 simple, 32$ treatment of, 336 Angular curvature of spine, 583 Ankle-joint disease, 419 dislocations of, 471 Ankylosis, 435 extra-articular, 436 £ilse, 436 tieaiment of, 437 fibrous, 435 intra-articular, 435 true, 435 treatment of, 435 Anodynes in inflammation, 76 Antagonistic microbes, 36 Antemortem thrombus, 1^3 Anterior angular splint, Stromeyer's, 431 triangle of the neck, 391 Anteroposterior curvature of spine, 583 Anthrax, 178 benign, 740 carbuncle, 170 edema of, differentiation from cellulitis, 179 external, 179 forms of, 179 internal, 179 intestinal, 180 pulmonary, 180 treatment of, 179 Antinosin, 38 Antiphlogistic regimen, 80 Antipyretics in inflammation, 76 Antisepsis, 43 Antiseptic poultice, 71 as a wound dressing, 166, 167, 175 Antistreptococcic serum, 36 in erysipelas, 143, 143 in septicemia, 138 Antitoxin of tetanus, 148 Antitoxins, 32 Antivenene serum, 178 Antrum of Highmore, diseases and injuries of, 596 inflammation and abscess of, 596 Antyllus operation for aneurysm, 353 Anus, diseases and injuries of, 713 fissure of, 734 Anus, imperforate, 733 prolapse of, 717 pruritus of, 724 Apathetic shock, 162 Aplastic lymph. 92 Appendicinaf abscess, too Appendicitis, 647 abdominal section in, 668 catarrhal, 650 etiology of. 648 foreign bodies as a cause of, 649 forms of, 650 gangrenous, 651 obliterative,65o operation for, 668 pathology of, 648 simple parietal, 650 stercoral , 649 suppurative, 651 symptoms of, 6;5i terminations 0(^653 traumatic, 649 treatment of, 653 Appendicular ab»cess, 100 treatment of, 103 colic, 649, 650 lithiasis. tubercular, 408 pathology and symptoms of, 408 treatment of, 410 typhoid, 422, 423 Arthopathie des ataxiques, 439 Arthropathy, tabetic, 429 Articular neuralgia, 431 Artificial anus, 645 leech, Heurteloup's, 65 Ascococci, 20 Asepsis, 42 886 IXDEX. Aseptic fever. 87 (jT^uze. 46 P«*. 93 A^ptic wounds. 161 Ashton's asepiic g^iiie p^ds. 44 AsphyxiJi. IvKoI. 136 Aspiration v«f joints. 4>S .Aspirator, pneumatic. 4S4 As^Jikr method of nenre>suCunof , 531 Astringents in iniljiiiunauoo, 66 AiJXiA from syphilid, 198 Ather ma. 243. 244 Atony of rl.+dJer. 790 Atr:>ph\ of t>one. j.-ij concentric, 309 eccenlr:C. 309 of m'j*cle>. 5-5 of thyroi J gland. "43 Autotraf»fus:.^n m %nock. 164 Aveling syringe in transfusion. 277 Axillary artery, anatomy of, »s6 ligation of. js6-»i3 BACilXf5 anthracJs, 41 coli com!nuni>, 41 maliei. 41 of anthrax, 41 of glanders. 4t of gonorrhea, 39 of K vh. 149 v^ Lofler a cause of fenders, iSa of Lustptrten. 41 <4 malignant edema, 41 of Neisser, 39 oi Nicola ier. 144 of syphilis. 41 c«f tetanuo. 144 of mbercul -»is. 40, 149 of typh.'id ie%-er, 41 pyoc\-aneu«. 30 antagonistic to anthrax, 179 p^- .'•genes f<stidus. 99 tet.<ni. 49 t;;Sercu osi>. a-"*. 149 Bavt-' . :- Atr : :; ir. : ar.ier. bic. rj am.;: r. :- d sir:! jv;- . •'. ? effect v.* — . .: n. heat, and cokt upon. 23 i fe cord : ."* o\ 2: ir.u.:;p'. ca: or. .^f. 71 pa -.».■>.. t.c.ii ; -. ■ « -f .. Baste .i. pr,":e:i. ;i Riiv:er:y«>:\ , :--4t Bac:cr:uT. c.-I. commure. 41 ter:::.\ 4: Ealar::^* ^:^ tiea:-.?: : v :". fn Ra'.apof'.sth.: *. Sir-. Sjx Rk d ruich :n ^Np": '.••.. j^ T-A ■•■.-.-<> fr> rr. syph *. 105 B.ir -.nzr. An:ercan. :• ihc fx>t. 751 H.xr. ■ •"■*^. 34". -^s B. rsch *. •.>! eye. 75; : rc-lar. -4? c rd. -sS cra\ii. -5 5 crossed, . r" a-'g'.? .-^f -aw. -ta * 1 -.■- *.. C\ O, Ni • * Dfsa-.ts. ->T F>n'..5r :*■.'*. r4r hgu -{.-.:"-?. :f S :h -ye*. -52 I 1 Bandage. ipiuntJet, 749 Gibson's. 347. 733 Hamilton's. 347 handkerchief 738 oblique, of jaw, 753 obkjng. 75& of etbow, 755 of fuuc cohering the heel, 751 DOC covering the heel, 751 French, 751 of neck and axilla. 755 piastcTHaf-Paris, 758 recurrent, of head, 757 ol Slump, 7^8 Ribbail's. 751' Selva's thumb. 750 silicateK>i-sodium, 759 spica. of groin. 754 of instep. 751 of shoulder. 754 cf thumb, 750 spiral. 748 of all the finders, 74a of fsxn oorenng the heel, 751 of palm or dorsam oi hand, 749 of upper extremity, 748 trrcned. of lover extremity, 790 T>, of perineum, 758 triangie. 758 Vdpeau's, 755 Bandages, 748 Barker s needle for wiring fnctared patdb, operauon lor exasMn of Tcrmifbrm wpes- d:x.«69 pc«nuc39 Barton s bandafe, 347, 759 fracture, xrf Basedcw's cHvraic. 745 Bassini. method of opersdv fc* femoral bei^ W Bassini *s operatkm for inguinal Bayer, treatment of spina baMa, 578 Beast- mimicry i:: fa3*drof4K.<bsa. la's Be:-scre, 117. xw Bee*, "lin^* ^f. 17^ Belncl.i's meth.yi cf pr^tAtect.-aiy. 557 Bej.:<^ carsula in parsirsg r.ar£^. 363 Heel's a=:rutau.'n at sh c:Iic;-^c«st. Su v-f t^ig*s. 557 Ber.:gr. ar.thrax. 74^. See ^M'rmn^-^ B-r.t :.-ia. ossctcsay f.r. 4-* IVro.d's abscess. 5*.: Bichas's fr^sure. l.>caf/e r-f. s ti B:eT*5 m»:h.-»i -i as;c::a£!:= :f Jeg by iattnl =:esho«: cf :rcAt:rsg r_SerriJj*». si F-cr! w's exacuasre. S;; l::hojr::e. n?.4 ^•perat: r. set B:^'s ap;urans« frr Hlt ijess. js; Biie-duct*. r-peure .f. ■:>: B;I. roth's saeiS.xf :£ l»";er toa .>..*, r« B::es .-f ;r*ec?s ri" sna'i^cs. : — Kai.Ser. a>p:r3k£?:K rf -^^ *::ry rf, "^ac chrrsic catarrt .-f. -"je co«r-:*j:ei .f. *?- «::scaMS i3»i rraTcs cC. fecaa'.e. g-.wr^c x. 30c :i 'jia ..n.: . c>;p^:. 752 V :* :r. ^h a:.d ri.\.s. -54 •"s* :?era::.E.s .:«, INDEX. 887 Bladder, rupture of, 788 stone in, 790. See Vesical calculus. tumors of. 798 wounds of, 788 Blastomycetes, 18 Bleeding from kidney, 764 from ureter, 764 {general, in inflammation, 73 ocal, in inflammation, 63 methods of, 64 Blind boil. 740 • Blisters in inflammation, 79 Bleeders, 263 Bleeding. See Metnorrhage. Blood in urine, tests for, 763 loss of, 258 -serum, germicidal power of, 35. See Hem- orrhage. transfusion of, 276 Bloodletting in atheroma, 244 Blue ointment, 69 pus. 05 Bodine s method of colostomy, 695 Boil, 739. See Furuncle. Aleppo, 740 blind, 740 Bond's splint, 3TO, 380 Bone, abscess oC 312 symptoms of, 31a treatment of, 312 actinomycosis of, 309 atrophy of, 309 as a predisposing cause of fracture, 327 caries of, 31^. See CunW. •chips for filling bone cavities, 317 Seun's decalcified, 48 chronic abscess of, xo8 cyst of, 309 felon. 513 ferrule, Senn's, 481 -grafting, 316 Kummat.1 of. 309 healing of. 86 hypertrophy of, 309 innammation of. 309 •marrow in treatment of osteomalacia, 321 necrosis of, 314 from osteitis, 310 sclerosis of. from osteitis, 310 tubercular diseases of, 154 tubercle of, 309 tumors of, ^09 Bones, afiections of, in syphilis, 195 diseases and injuries of, 309 diseases of, 309 of skull, diseases and malformations of, 535 operations upon, 475 Boric acid, 29 as a drying-powder, x66 Borsch's eye-bandage, 753 Bose's method, 603 Bottini's cauterization of prostate, 837 Bougie, esophageal, 621 filiform, 786 Bowel, obstruction of, 639 ulcer of, 646 Bow-legs, 522 Boyer's cyst, 514 Brachial artery, anatomy of, 284 li^^ation of, 284-286 Brain, abscess of, 100, 560 compression of, 545 concussion of, 541 diseases and malformations of, •;4i -disease from suppurative ear disease, 562 hernia of, 557 inflammation of, 557 Brain, laceration of, 543 malformations of, 541 -operations, technique of, 573 syphilis, 190 tumor of, 562 water on, 559 wounds of, 554 Brainard's bone-drills, 489 Brandt's operation of stomach-reefing, 681 Brasdor's operation for aneurysm, 254 Breast, abscess of, loi, 860 acute abscess of, 861 chronic abscess of, 108 diseases of, 859 inflammation of, 860 Bridge, periosteal, in simple firacture, 33a Brodie's abscess, 99, 106, 319 joint, 430 Bronchoccle, 743 Bronchus, foreign body in, 600 Brunonian movements, 17 Bruns's upward extension method of leduc- ing shoulder-joint dislocations, 453 Brush-bum, 167 Bryant's extension for fracture of thigh in children, 394 triangle, 384 Bubo, chancroidal, 831 in gonorrhea, treatment of, 8ai syphilitic, 190 treatment of, 199 Buck's extension-apparatus, 386 Buflycoat, 62 Bunion, 515 Burns, 736 symptoms of, 736 treatment of, 736 -.V-ray, 874 Bursitis, 514 gluteal, 414 Butcher's method of excision of metatarsal bone of great toe, 498 Button, Murphy's, 681, 683 Calculi^, renal, 772 vesical. 790. Sc^ Vesical calculus. Callous ulcer, 117 Callus, 333 Calmette's antivenene serum, 178 Calomel as a drying-powder, 166 fumigation in syphilis, aoi Calyx-eyed needle, 672 Cancers, 233. See Carcinomata. adenoid, 236 autotransference of, 212 causes of, 210-2x2 contagiousness of, aix en cuirasse, 867 glandular, 936 •nouses, 21: melanotic, 236 of lip, operation for, 618 of mammary gland, acinous, 866 duct, 868 treatment of, 868 of penis, 833 of rectum, 720 rest in, 63 of stomach, 634 symptoms of, 634 treatment of, 635 of tongue, diflferentiation of, from chancer, 189 Cancerous cachexia, 334 Cancrum oris, 129 Cannon-balls, wounds by, 171 Cannula 4 chemise, 270 Capillary angiomata, 225 Chtiie elotti dimingi, ,1 •- * T 15!!!^ Shir,'' '?^''- ■■=— 3»&i'Tirisr; I n irnnimriclurc, 78s II Vmonhige, 169 SiEirin'.'^' CholccyilulIcrwiDiry, 664.691 Ch.>l«y.l»ioinv.*ftj.«9j ChulnlDchciduodiiioliMiir. C6, ChstohichqiHsi. W4 Chsldiihiuii. &• CotcyKoi^nia, jsG C«k'i''op«ra"ion ol^' Df lymphatic ffl ■t^^ct^ Com rcSi™of h2m J dUftrtntiailon of, frtnn alcoholic TroiD hymeneal coma, 546 ftom pml^pilcplic conn, m emOTrhage, diign^i of, t Lrophy of bone, 309 wry-iKck, )» CangntiDn uf Ihyroid gland, 74 ™oV.li4w.j™.di "■JM ^ TMrnv/Mii «/" *r>- rawlin; paralytii, »j orbload-doL, 69 :urlin^i"u'lccr.«4C Cylindroma. «» Cyi'bcwaL'fcs incyMiti.,*} Idcdian, Soij ^r hemorrhage rroni proiute, 170 for myoiDa of the pmiate, 323 dcrm'oid7"i' 890 INDEX. ('.fnny-ljemheri suture, '^73 C2«rny'» method of tendon-kngthming, 519 tfAtryUlt^ in %yphiU%, i'.j \}AUfU, kiitiirc of the pericardium, 340 " l>jng«;r'/ti% arc;*," 54^/ Il.«ri«:r, pw^r'Aprrm, 312 I>'Ar*/inVi4l'ft CMve of electric «troke, 880 D.tVMine, mcth'^l of treating malignant pus* title, I'f^i \}»yy\ dire<,lor, 47^^ \ikto\\rn\Kt\i of piirictal pleura, 61a Ilet.iitiit.il MMngrcfie, 130 u\i.r.r, 117 Pccuhitiift, 117, 130 I>eep a(i«tcefcft, i/) I)rucrierMii<in, gelatinifortn, 409 ol riiii\clc%, 305 pulpy, 4#»}i rrjt.tinriH f»f, 527 I>elMyi-(I union, treatment of, 341 I delirious vhock, 163 I)clirium in f»h<>ck, 163 Ilelitefccence of inflammation, 55 Ilemarcution, line of, 121 I)emigauntlet bandage, 749 Ilcmokthen'k studio of action of Mannlicher rifle, i6>i Dentigerous cyst«, 219 Depletion in inflammation, 63 I)epreikhion-fracture, 52a DermatitiK venenata, 739 Dermoid cysts. 238 I)c!iault'ii iippuratuft, 756 bandage in fractureof clavicle, 360, 361,446, 447 in fracture of humerus, 364 in fracture of scapula, 362, 363 »•«". 384 DrHcenuens noni nerve as a guide to sheath of common carotid in ligation, 293 Diabetic gangrene, 137 Di.ipctlcvjs in inflammation, 53 Diaphorrtii's in inflammation, 75 Diaphragmatic herni.i, 713 DiaitluM of cunstipation, 643 Diasta«'iv. 3.»4 Diatlu'lir abscos";. 08 Dirk.in'..in*'» iIuntv. amyb^id tlegcneration. 415 Diilay's operation for webbed finger*. «i3i Dicflcnbach plan of treating old tr.tumatic ({i^locati«>n>, 444 Diffuse lipoma, ;i4 DitTiiscvl abscew, gS Dc« >ttve tract. di>oase> and injuries of, 612 Di»:ital vblalation of p\U>rii*. 674 D c-t'-. Mipcrnunierarv. 5-"i D phthrria. trachejlv'niy in. 603 I 'ipl.s..vci. .v^ Dipi evens of gonorrhea. 39 Diiiit cell v'.iv'.v.. n. ^i D.s.iitc;il..!iv'n a: ankle-joint. 853 At rI'o.»« -ioinl. c^4j at hip i .!;:. ?=;- a! kntc. Sii at mf:..varp- phalangeal joint of hand. S47 at sh> ;:;.ur-'o'.rt. j-^s; a: !..•> :n«:a:ar>ai .-rticwlati. n. ^5o I • Nr..se y vi.;v: n. 51 .. • cs phaj:.:^. ^Ir ■ • -».. K, .r.r..r>-vrfan<.r r\ j»: Disease of skin and nails, 799 ol thyroid gland, 743 of tongue, 613 Disinfection of hands, 43 of in&truments, 44 of patient, 44 Dislocated kidney, 769 Dislocations at metacarpophalangeal articula- tions, 459 axillary, 449 bilateral, 439 complete, 4^8 complicated, 438 compound, 438 traumatic, 443 congenital, 439 consecutive, 439 double, 438 habitual, 439 incomplete. 438 Monteggia's, 467 Nelaton's, 473 of ankle-joint. 471 anteroposterior, 473 lateral, 471 upward, 473 of astragalus, 473 of carpal bones, 459 of clavicle. 445 acromial end, 447 backward, of sternal end, 446 sternal end, forward, 445 upward, 446 of costal cartilages, 461 of elbow-joint, 454 backward, 455 forward, 455 inward. 456 outward, 456 of femur, 461 downward into obtnraicr 1 ischial, 467 on to dorsum of ilin«, 46a on to the pubes. 4^^ into sciatic notch. 4r4 Monteggia's, 467 (>crineal. 4C7 subspinous. 467 suprapubic. 4^? supraspinous. 466 with catching '^y z£ scur rcduct:ca, 4t-r of fibula. 4-1 of forearm. latcnC. 45^ of head of fccur »-.ir i: 467 of hip. an- ma. -"U* ^x congemra-. ope—in :«t i:r jar: ofh'p-J "ir.t. «t: See J~*:i.* fir; ifc ■■■ •.•■r*.' of humerus. 445 ot infer.sr rajjo^^i.ru.- ^rztZiXMiai. <5i of knee. 4r»5 hack wari, 4T* fv rm-ird . «f>? :-WAri. 4Si •uiwjirj:. 4T*:. of .: wer ■.*» . <«« I-:" mctacA'T- I S-o» ♦^ or" -r.eLaoi'7>-9«r-.Arjpt-. .r:cc ^51 .■•• rr.j'-c.-es «->t 0>:" pAtC-.i. 4?V. cf p*r v* 4*: frrw.ri •■?* t actt INDEX, 891 Dislocations of ribs, 461 of sca{>ula, lower angle, 4^8 of semilunar cartilages of icnee, 470 of shoulder-joint, 448 diagnosis of, 451 reduction by extension, 45a symptoms of, 449 treatment of, 451 of spine, 592 of sternum, 461 of tarsal bones, 474 of tendons, C09 of ulna at elbow-joint, 456 of ulnar nerve at elbow, 539 of the wrist, 458 backward, 458 forward, 458 old. 438 partial, 448 pathological, 449 primitive, 438 recent, 438 relapsing, 439 sacro-iliac, 461 secondary, 438 simple, 438 single, 438 spontaneous, 439 subastragaloid, 473 subclavicular, 449 subcoracoid, 448 subglenoid, 449 subspinous, 449 traumatic, 438 causes of, 440 compound, 443 diagnosis of, 441 old. 443 pathological conditions of, 440 recent simple, 442 special, 444 symptoms of, 441 treatment of, 442 unilateral, 438 with fracture, treatment of, 338 Dislocations, 438 Displaced liver, 661 Displacement in fracture, 337 in plastic surgery, 760 Dissection-wounds, 175 Diuretics in inflammation, 76 Diverticula of esophaeus, 633 Division of stemocleiaomastoid for wry-neck, 516 Donnellan'> case of electric stroke, 880 Dorsal abscess, 107 Dorsalis pedis artery, ligation of, 298, 399 Douche in inflammation, 6^ Doyen, exploratory operation of, 573 Drainage, 47 of wounds, 166 Dressings, gauze, 46 of wounds, 166 Dropsy, 407 of joint in gonorrheal arthritis, 434 Dry aseptic method, 42 cold in inflammation, 66 gangrene, 119. 120 treatment of. 122 heat in inflammation, 71 Drying-powder in wound dressings, 166 Duality theory of syphilitic infection, 187 Diigas s sign, 449 Dupuytren's aneurysm-needle, 379 classification of bums, 736 contraction. 520 symptoms of, 521 fracture, 472 Dupuytren's operation for amputation at shoulder-joint, 850 splint, 403 suture, 673 Ear. affections of. in syphilis, 195 disease, cerebral abscess from, 563 brain-disease from, 563 Eberth's bacillus, 41 Eccentric atrophy of bone, 309 Ecchondroses, 218 Ecchymosis, 160 Echinococcus as a cause of hydatid cysts, 338 Eczematous urethritis, 815 Edebohls's method of treating mobile kidney, 770 of nephrotomy, 780 Edema. 91 from fracture, treatment of, 338 in anthrax, 179 malignant, from wounds, 175 of glottis. Encysted abscess, o^ Endarteritis in syptiilis, 196 Endo-appendicitis, 651 Endocyst, 239 Endospore. 32 Enterectomy, 68x Enteritis, rest in, 63 EnterocelCj 6^ Entcrodysis m shock, 163 Entero-epiplocele, 699 Enteroliths in obstructed bowel. 640 Enterorrhaphy, 671 Enterostenosis, 639 Enterostomy, 694 Epididymitis, 839 in gonorrhea, 816 890 INDEX, Czerny-Lexnbert suture, 673 Czerny's method of tendon-lengthening, 519 Dactylitis in syphilis, 207 Dalton, suture of the pericardium, 240 " Dangerous area," 540 Darier, psoro&perm, 212 D'Arsonval's case of electric stroke, 880 Davaine, method of treating malignant pus- tule, 180 Davy's director, 47^ Dicollcment of parietal pleura, 612 Decubital gangrene, 130 ulcer, 117 Decubitus^ 117, 130 Deep abscess, 99 Defeneration, gelatiniform, 409 of muscles, 505 pulpy, 408 reactions of, 527 Delayed union, treatment of, 341 Delirious shock, 163 Delirium in shock, 163 Delitescence of inflammation, 55 Demarcation, line of, 121 Demigauntlet bandage, 749 Demosthen's studies of action of Mannlicher rifle, 160 Dentigerous cysts, 219 Depletion in inflammation, 63 Depression-fracture, 522 Dermatitis venenata, 739 Dermoid cysts, 238 Desault's apparatus, 756 bandage in fracture of clavicle, 360, 361, 446, 447 in fracture of humerus, 364 in fracture of scapula, 362, 363 *ign. 384 Descendens noni nerve as a guide to sheath of common carotid in ligation, 293 Diabetic gangrene, 127 DiapcdeMs in inflammation, 52 Diaphoretics in inflammation, 75 Diaphragmatic hernia, 713 Diarrhea of constipation, 642 Diastasis, 324 Diathetic abscess. 98 Dickins<jn's theory, amyloid degeneration. 415 Diday's operation for webbed fingers. 521 Dicffeiibach plan of treating old traumatic dislocations, 444 Diff"use lipoma, 214 T)ifl"used abscess, 98 Digestive tract, diseases and injuries of, 612 r)igital diialalion of pyloni?, 674 Digit-*, supernumerary, 521 Diphtheria, tracheotomy in. 603 l)iplococci, 2u Diplococcus of gonorrhea, 39 I)irect cell-division, 85 Disarticulation at ankle-joint, 853 at elbow-joint. 849 at hip-joint, 857 at knee. 855 at metacarpophalangeal joint of hand, 847 at shoulder-joint, 849 at tarsometatarsal articulation, 850 Disease production, 31 of esophagus. 612 of genito-iirinary organs, 763 of the hr.ul, 535 of the joirits, 406 of kidney, 7^18 of lymphatic s, 746 of mouth. (ii\i of rt-ctum and anus, 713 t)f scalp. of humerus, 448 of inferior radio-ulnar articulation, 459 of knee, 468 backward, 468 forward, 46S inward, 469 outward. 469 of lower jaw, 444 of metacarpal bones, 459 of mctacarpophalangealjomt, 459 of metatarsal bones, 474 of muscles, 509 of patella. 469 edgewise, 470 of pelvis, 461 of phalanges. 460, 474 of radius backward, 457 forward, 456 outward, 457 I\DEX. 891 Dttlocatkmt of ribs, 461 of ftcapola, lover aii|k. 44i of MmUitnar cartilages of kaee, 470 of shoulder-joint. 44t diagnoftb of. 451 recniction \rf ezteauoa, 45a tymptotts of. 449 treatment of. 451 of spine. 592 of stemam. 461 of tarsal bones. 474 of tendons, C09 of ulna at elbov-joiat, 456 of ulnar nenre at elbow. 539 of the wnst. 458 backvard. 4^ forward, 4^ old. 438 partial. 448 patholofica], 449 primitiTe. 4^ recent, 438 '•iaiwing, 439 sacro-iliac. 401 secondary, 438 simole, 438 single. 438 spontaneous. 439 subastragaloid, 473 subcbvtcular. 449 subcoracoid. 4^ subglenoid, 449 subspinoos. 449 traumatic. 438 cau»esof. 440 compound. 443 diagiKysis of. 441 old. 443 patholo^cal cooditioos of. 440 recent »imple. 443 special. 444 symptoms of. 441 treatment of. 443 unilateral. 438 with fracture, treatment of, 338 Di«locations, 438 Displaced liver, 661 Dispbcement in fracture. 327 in plastic uu^/ay, 760 Disftection-wounds, 175 Diuretics in inflammation. 76 Diverticula of esophagus, 693 Division of stemocleicfomastoid for wry-neck, 516 Donnellan's case of electric stroke, 880 Dorsal abscess, 107 Dorsalis pedi» artery, ligation of, 298, 299 Douche in inflammation, 6^ Doyen, exploratory operation of, 573 Drainage, 47 of wounds, 166 Dressings, gauxe, 46 of wounds, 166 Dro|»)r. 407 of j<nnt in gonorrheal arthritis, 424 Dry aseptic method, 4a cold in inflammation, 66 gangrene, 119. 120 treatment of, 122 heat in inflammation, 71 Drying-powder in wound dressings, 166 Duality theory of syphilitic infection, 187 Dugas s sign, 449 Dupuytren'k ancurysm-needle, 279 classification of bums. 736 contraction, 520 symptoms of, 531 fracture. 473 Dopvytrea's opoatioa for ampotatioo at shoulder-joint. 850 splint. 403 suture. 673 Eak. affiections of. in «y^ilia. 195 disease, cerebral absceu froa. 563 brain-disease horn. 563 Eberth's bacillus. 41 Elccentnc atrophy of booe. 309 Ecchoodroses. 218 Ecchymosis. 160 Echinococcus as a cause of hydatid cysts. 23» Ecrematous urethritis, 815 Edcbohls's method of treating aoUle kidney. 770 of nephrotomy, 780 Edema. 91 from fracture, treatment of, 338 in anthrax, 179 malignant, from wounds, 175 of glottic. 598 of larynx. 598 periarticular, 407 treatment of, 91 " Educated corpuscle," 34 Elbow, miners', 51; -joint disease, 420 dislocations of, 454 excision of, 490 Election, triangle of, 393 Electric stroke, eflects of, 880 treatment of, 880 Elect ricity, injuries by, 878 £lectroI>'sis in aneurysm, 350, 354 in angiomata, 236 Elect ropunctu re for cirsoid aneurysm, 257 for delayed union of fractures, 341 Elephantiasis, 747 arabum, 747 Elevation in treating contusions, 161 in treating inflammation, 63 in treatment of hemorrhage, 36a Embolic abscess, 98 Embolism, 134 fat. 135 symptoms of. 134 treatment of, Z35 Embr^'unic tissue, 51 formation of, in healing, 8| formation of, in inflammation. 91 Emphysema, gangrenous, 135 from wounds, 175 Emphysematous abscess, 98 EmprONthotonos in leunus, 145 Empyema, 102, 605 En bissac, reduction of hernia. 710 Encephalitis. 559 Encephalocele. 541 Encephaloid carcinoma, 236 Enchondromata. 217. Sec Ch^ndrotnata. Encysted abscess, <k) Endarteritis in syphilis, 196 Kndo-appendicitis, 651 Endocyst, 239 Endospore, 2a Entcrcctomy, 6S1 Enteritis, rest in, 63 Enteroccie, 6^> Entcroclysis m shock, 163 Entero-cpiplocele, 699 Enteroliths in obstructed bowel, 640 Enterorrh.iphy. 671 Entcrostenosis, 639 Enterostomy, 694 Epidulymitis. 839 in goiiorrhe.i, 816 894 INDEX. Fracture.^ of femur, intracapsular, differentia- tion of, from extracapsular, 385 1'ust above condyles, 394 ongitudinal, ^95 separating either condyle, 395 separation of the epiphysis of the great trochanter, 391 separation of lower epiphysis, 395 shaft of, ^i upper epiphysis of head of, 390 upper extremity of, 38a of nbula, 401 lower third of, 402 upper two-thirds of, 40a of forearm, both bones of, 377 of humerus, 363 anatomical neck of, 363 at lower epiphysis, 37^ at upper epiphysis, ■^€^ base of, condyles of, 370 external condyle of, ^>9 head of, 366 inner epicondyle of, 369 internal condyle of, 369 lower extremity of, 369 shaft of, 367 surgical neck of, 364 T-fracture, 371 upper extremity of, 363 of hyoid bone, 148 of inferior maxillary, 346 complications of, 347 symptoms of, 347 treatment of, 347 of ischium, 357 of lachrymal bone, 343 of laryngeal cartilages, 349 of leg, 400 of malar bone, 34s of metacarpal bones, 381 of metatarsal bones, 405 of nasal bones, 342 treatment o^ 342 of patella, 305 by direct force, 398 by muscular action, 395 transversa, 396 of pelvis, 354 of penis, 833 of phalanges, 381 of toes, 4;"j8 of radius, 375 above insertion of pronator radii teres muscle, 376 and ulna near wrist, 381 below insertion of pronator radii teres muscle, 376 head of, 375 lower extremity of, 377 neck of, 376 shaft of, 376 of ribs, 349 causes of, 3S0 complications of, 351 symptoms of, 350 treatment of, 351 of sacnim, 3:;7 of scapula, 362 acronuim of, 362 CO ra CO id process of, 363 glenoid cavity of, 36a neck of. 362 of skull, 54.J base of. 89s Fuller's method of prottatectomy, 837 Fulminating gangrene, 125 Fungi. 18 Fungous ulcer, 116 Fungus cerebri, 557 luematodeft, 227 Funicular hernia, 71a Furuncle, 739 symptoms of, 740 Furunculosis, 740 Galactocblb, 865 Gall-bladder, rupture of, 632 Gall-stones^ 661 causes of, 661 symptoms of, 662 treatment of, 663 Ganglia, 512 treatment of, 512 Gangrene, 119 acute, 124 ■ amputation for, 131 classification of, 119 chronic, 120 decubital, 130 diabetic, 127 discoloration in, 59 dry, 119, 120 foudroyunte, 125 from contusion, treatment of, 161 from ergotism, 128 from fracture, treatment of, 338 from frost-bite, 128 from infective organisms, 125 fulminating, 125 hoiipital, 125 moist, no, 124 of lung, 007 of penis. 833 postfebrile, 131 Pott'^l, X20 Raynaud's, 126 senile, i2z septic, 119 symmetrical, ia6 traumatic spreading, 125 Gangrenous emphysema, 125 from wounds, 175 Garel's sign, zoi Gasserian ganglion, removal of, 533 Gastro-enterostomv, 180 for cancer of pylorus, 237 for pyloric obstniction, 639 Gastrogastrostomy, 681 Gastroplication, 681 Gastrostomy, 678 for cancer of esophagus, 237 Gastrotomy, 676 in cardiac stenosis, 639 Gauntlet, 749 Gauze, Iodoform, preparation of, 46 Lister's cyanid, 47 pads. Ashton's, 44 sterilized, preparation of, 46 Gelatiniform degeneration, 40^ Geni to-urinary diseases, pain in, 766 organs, diseases and Injuries of, 763 Genu valgum, 522 osteotomy for, 473 varum. 522 Germicides, chemical, 24 Giant-cell sarcoma, 228 Gibney, method of treating sprains, 434 Gibson's bandage, 3^7, 753 Gila monster, bite of, 178 Girdle-pain in tetanus, 145 Girdner's telephonic probe, 173 Glanders, 182 Glanders, diasnosis of, 182 treatment of, 183 Glandulx Pleiades of Ricord, 190 Glandular cancer, 236 Gleet, 817 Glenard's disease, 661 Gliosarcoma, 229 Globus, 621 Glottis, edema of, 598 Glovers' »titch, 46 Gliick and Bariholow, anesthetic mixture of, 735 Gluteal artery, ligation of, 308 bursitis, 414 Glutol, -^9 in dressing wounds, 166 Goiter, 743 cA'stic, 743 exophthalmic, 745 fibrou.% 744 pulsating, 745 symptoms of, 744 treatment of, 744 Gonococci, determination of, 817 Gonococcus, 39 Gonorrhea, 815 abortive, 817 acute inflammatory, 816 treatment of, 810 black, 816 catarrhal, 817 in the female, 823 irritative, 817 of rectum, 823 subacute, 817 Gonorrheal artnritis, 423 changes in ihe joints in, 424 ophthuTmia, 8^22 rheumatism, 423 Gordon's pistol-shaped splint, 379 Gouley's divulsor, 826 tunnelled catheter, 785 Gout, rheumatic. 427. See Arthritis t^for- mans. Gouty arthritis, 426 Graft, omental, 674 Grant's clamp, 697 operation, ^78 Granulation, healing by, 84 -tissue, 5^ in repair of fractures, 3^2 Graves's disease, 745 Gravitative abscess, 98 Green-stick fracture, ^2 Gntti's amputation of leg, 856 Gross, antimonial and saline mixture, 74 incision of, 495 Gross's divulsor, 826, 828 method of amputation at elbow-joint, 840 rule for continuous treatment of syphilis, 200 urethrotome, 826. 8a8 Guerin's method of amputating fool, 852 Guitiras's (Ramon) method orexamining for urethral stricture, 825 Gumma in tertiary syphilis, 197 Gummy pus, 95 Gunshot- wounds, 168 amputation for, 174 dressing of, 173 hemorrnage in, 171, a68 of arteries, 258 of head, 555 treatment of, 556 pain from, 172 shock from, 172 symptoms of, 171 treatment of, 172 896 INDEX, Gussenbauer's clamp in delayed union of fractures, 341 suture, 673 Guthrie's rule for treatment of hemdrrhage, 263 Guyon's method of sterilizing catheters, 836 Hagboorn needle, use of, in ligation, 360 Hair, affections of; in syphilis, 105 Hahn, method of gastrostomy, 679 Hallux valgus, 525 varus, 525 Halsted's inflatable rubber cylinder for cir- cular enterorrhaphy, (A^ mattress-suture, 673 method of lateral intestinal anastomosis, 691 operation for cancer of breast, 868 for inguinal hernia, 704 subcuticular stitch, 43, 704 Hamilton's bandage for fracture of inferior maxillary, 347 bone-drills, 482 Hammer-toe, 526 Hancock's method of excising ankle-joint, 497 Handkerchief bandages, 758 Hands of operator, disinfection of, 43 Hard chancer, 187 Harelip, 612 operation for, 613 Harris's method of circular enterorrhaphy, 687 Hayden's treatment of chancroidal bubo, 83a Head, contusions of, 543 diseases of, 53^ gunshot -wounds of, 555 injuries of, 543 tetanus, 1^5 Healing by nrst intention, 82 by granulation, 84 by second intention. 84 by third intention, 85 Healthy pus, 94 Heart, diseases and injuries of, 939 suture of, 240 Upping of, 274 wounds and injuries of, 240 -wounds, treatment of, 240 Heat as a germicide, 29 forms of, for use in inflammation, 70 intermittent, 69 Heberden's nodules or nodosities, 427, 428 Hectic fever, 89, 100 Heiman's case of arthritis from gonorrheal ophthalmia, 423 Heineke-Mikulici operation, 630, 674 Helfcrich method of treating cielayed union of fractures, 341 Heller's test for blood in urine, 764 " Helpless eversion," 383 Hematemesis, 271 Hematic abscess, 90 Hematocele, 840 encysted, of the cord, 841 of the testicle, 841 parenchymatous, 841 vaginal. 840 Hematoid carcinoma, 236 Hematoma, 160 of dura mater, 558 Hematuria, 763 renal, 764 Hemoptysis, 271 Hemorrhage, 258 actual cautery in. 897 Hepatopexy, 661 Hcpatotomy, transthoracic, 103 Hereditary fragility of bones, xit syphilis, 185, 205. See Syphitts. Hereditation as a cause uf tumors, aio Hernia, abdominal, 699 anatomical, varieties of, 712 causes of, ^ congenital inguinal, 7x2 diaphragmatic, 71 ) direct inguinal, 713 -director, 702 encysted inguinal, 713 epigastric, 713 femoral, 712 Bassini's operation for, 705 Fabricius's operation (or, 706 funicular, 712 « herniotomy in, 711 incarcerated, 706 indirect inguinal, 7x3 infantile, 712 inflamed, 707 Inguinal, Bassini's operation for, 703 Fowler's operation for. 705 Macewen's operation for, 70X into the foramen of Winslow, 713 irreducible, 706 Littri's, 709 lumbar, 713 •needles, 702 oblique inguinal, herniotomy iii, 710 obstructed, 706 obturator, 7x3 of the brain, 557 of muscles, 509 perineal, 713 properitoneal, 713 pudendal, 713 reducible, 700 palliative treatment of, 700 radical cure of, 705 treatment of, 70X sciatic, 713 strangulated, 707 symptoms of, 708 treatment of, 709 umbilical. 713 herniotomy in. 71 x radical cure of, 705 ventral, 713 Herniotomy, 710 Herpetic ulcer, differentiation of, firom chan« cer, 189 Hetero-inoculation, 187 Heterologous tumors, 210 Heurteloup's artificial leech, 65 Hey, internal derangement of, 470 Hey's amputation at tarsometatarsal joint, 85a High tracheotomy. 602 Hilton's method of opening abscess, 104 Hip disease, 4x1. See Tuberculosis 0/ kip- Joint. differentiation from sacro-iKac disease, 413 from spinal caries, 4x3 excision of, 418 -joint disease, 41 x. See Tuberculosis 0/ kip-joint. dislocations of, 46X excision of, 493 Hodgen's splint for fractures of the thigh, 393 Hoffa's operation, 503 for congenital dislocation of hip, 503 Hollow-foot, 525 Horsley's cyrtometer, 537, 539 method of intestinal anastomosis, 69X of locating fissure of Rolando, 536 57 Hospital gangrene, X3S Hot-water bag, 71 Housemaid'slcnee, 5x4 treatment of, 515 Humerus, dislocations of, 448 fracture of, 363. See Fracture. Hunterian chancer, X87 Hunter's canal, 304 derivative of tuberculin, 157 operation for aneurysm, 2^2 Hutchinson's knee-joint sphnt, 4x9 teeth, 208 Hydatid cysts, 238 of liver, 659 of mammary glamd, 865 treatment of, 239 fremitus, 239 Hydrargyrism, 202, 203 Hydrarthrosis in gonorrheal arthritis, 494 Hydrencephalic cry, 560 Hydrenccphalocele, 543 Hydrocele, 839 congenital, 840 encysted, of the cord, 840 funicular, 840 infantile, 840 of a hernia, 840 Hydrocephalus, 543 acute. 5A2, 559 Hydronephrosis, 776 symptoms of, 777 treatment of, 777 Hydrophobia, 180 antitoxins of, x8i differentiation of, from lockjaw, x8i spurious, 181 treatment of, 180 Hydrophobic tetanus, 145 Hydrops articuli, 407 Hydrorrhachitis, 577 Hyoid bone, fracture of, 348 Hyperemia, active, 48 passive, 49 Hypcrflexion, brachial, 263 Hypertrophy of bone, 309 of muscles, 505 Hyphomycetes, 18 Hypodermoclysis, X37 in erysipelas, 143 in hemorrhage, 259 in shock, X64 Hypospadias. 830 Hypostatic abscess, 98 Hysterectomy for uterine hemorrhage, 971 for uterine myomata, 223 Hysteria, traumatic, 589 Hysterical joint, 430 IcHORUS pus, 95 Ichthyol, 69 Ileus, 639 Iliac abscess, 107 arteries, anatomy of, 505 ligation of, 305, 307 Iliofemoral triangle of Bryant, 384. Immediate union, 83 Immunity, 34 Imperforate anus, 723 Incarcerated hernia, 706 Incised wounds, 167 treatment of, 107 Incision of Gross of excision of hip-joint, 49$ Inclusion theory of Cohnheim, 210 Indian operation for rhinoplasty, 763 Indifferent tissue, 53 Indirect cell-division, 85 Indolent bubo, 190 Induction-balance of Graham Bell, 173 898 INDEX. Infantile hernia, 712 scurvy, 160 Infection, septic, 137 Infective myositis, 505 sinus-thrombosis. 564 Infected wounds, dressing of, 166 arthritis, 422 Inferior maxillary bone, fracture of, 346 Infiltration-anesthesia, 735 purulent, 96 Inflamed hernia, 707 joints, rest in, 62 Inflammation. 4)^-^2 as a cause of tumor, 210 causes of. 56 cell-proliferation in, ^3 changes in perivascular tissue in, 53 chronic, 81 circulatory changes in, 48 classification of, 54 constitutional symptoms of, 61 treatment of, 73 cupping in, 65 definition of, 48 of secretions in 61 derangement of aosorbents in, 61 diapedesis in, 52 discoloration in, 59 disordered fiinction in, 60 effusion of liquor sanguinis in, 90 extension of. 55 exudation of fluids in, 31 fever in, 61 formation of embryonic tissue in, 91 from fhicture, treatment of, 339 impairment of special function in, 61 in non-vascalar tissue, 54 migration in, p of antriim of Highmore. 596 of thyroid giand, 743 oscillation in, 50 pain in, 57 plastic. 52 relaxation in, 63 retardation of circulation in, 50 ser us. - 1 sta«:n.iti .>n of circul.iti jn in, 51 swelling: in. f>\. sympt-.m-i i.f. 56 tcnrjrrne-is in, 6j terniin.iti'jns of, 55, 90 trc ilmcnt of. 6.' tu:ii^f.»c:i -n in, (>j variclic'' of, 54. 55 va'.cular ;»nd circulatory changes. 48 va>cular chaii^e«i in. 48 vcnoeclion in. 73 Inflainniat ^ry fever. ^1 In<:ri'wn t'.c-r.ail. 74^ In),;uinal colj^t my, 694 Injury as a cau«e of tumor, 210 Inn. m.natc artery, anatomy of, 251 liC^'ti ^n of, 2^1 Inoc.i'.-it! 'Hs, pr -tcctive and preventive. 34 In^rrcis. bite* and stin.;s of, 176 In» n-.nia in syphilid, i .\, Instruments. «:<infrction '>f. 44 Inter. smI t.Cwragia, 504 Intcrd.iital ^v'.ini f->r fracture <A inferior m.i\: !.iry hone. 34S in !'r,n.t,:rc ■ !" ^ipcr: -r max.liant' Lone, 345 In:trmirtent hi:. it n intl.tmmat: jn, 6^ In:-::. .1 ..:,thr.ix, 17^ l.Tt- rj. .1: '. in pl.'i'itic surf-jry. 76J Irjtcrtr c :' r.crcd.ttry syp'iiiii. 207 !:.;':<: ::..'. ■■..-•. .i:::si'.. 6:1 ..jtcr.i., *: -.'. Intestinal approzimatioQ, 693 obstruction, 639 acute, 639 symptoms of, 6fO chronic, 639 symptoms of, 640 diagnosis of. 641 differentiation from other diKase», 643 prognosis of. 643 treatment of, 643 tuberculosis. 153 Intestine, malignant ttimor of, 647 resection of, 63 1 rupture of. without external wouiid, 609 suture of, 671 Intoxication, septic, 136 Intracapsular fracture of femur, 36»-3S Intracranial hemorrhage, 547 tumors, 565 Intraparietal fissure. 538 Intubation of larynx, 604 for fracture of hyoid bone. 348 of laryngeal cartilages. 349 Intussusception. 6j9 operation for, 694 Inversion of leg in intracapsular fractnre of femur. 383 Involucrum of bone. 31s lodism from syphilitic treatment, 305 Iodoform, 27 absorption. fe%'er of, 27 emulsion. 27 gauze. 46 lodol, 29 Iritis, differentiation of rheumatic, from syph- ilitic, 196 in syphilis, i^ Irreducible hernia. 706 Irrigation of voimds, 45, i^ Irritable ulcer. 116 Irritants in inflammation. 73 Ischiorectal abscess. 721 Italian method of rhinopilasty. 763 hr...l,.-. Jacob's ulcer. 117, 2.^5 Janet'> nicth. d of treating g^n-^rrhca. £19 Jerk -finger. 521 Jubert''- ^ulure, f>~x J..hn<lon'^ cthere.il s."»ap. 4.' method "'f jircp.ir.ng caigjt. 45 Joints, aspiraf-.n of, 4S4 di'>'ra!>e<i >i. 406 and injuric* of. 409 exci^.'jii of. 4^5 fl'.'.iling cartilages in. 437 !■:■ -St; h.i<l'e> in. 437 neural.; a of, 431 s> philitic affections of, ijs :u*r.'rcular di-easc of, 154 fjL'.rcuI NiN. 1 ^4 w ,und< and injuries of. 432 J:nc*"s na>i.il <plint. 3*5 J- V : .:. f r treatment f tracrures, 3-2. 373 J.r ; n^ arr.pi:t..:- n at h p-; n: r.iy m:tK .': ■ : fcaiing cano ^f >p-n«. sSt Jiir> -m ^st r'! >a\ re. 5-7 )i:\ en .c t.i>ue. 5; Kangak'i -rFNP- X sui-ro. 4^ K.tr\ kir'.e-iis. -: Keer.'s ::ii.i>::r. f r reaching spinal acces>ory r.erve. ^2. tr-'.it.Tiert • f I» ijuyfer/s cTiract-.r.. Jii K-!.y. v.v'.' ■.:• r.r.-.*. r. .: urr'.ers 7-5 :::•. •.'■■■d '' '.■•-'.:.U•^^l•.^.^ . ••erator'* hard>. 45 • jr- -.•..r::-.^ v ..t^ut. 45 Kc!.\ N v..(thcter. r^^ INDEX. 899 Keloid, 216 spontaneous, 317 treatment of, 217 Kidney, abscess of, 774 bleeding from, 764 diseases and injuries of, 768 dislocated, 769 floating or wandering, 768 injuries of, 770 laceration or rupture of, 770 mobile. 768 symptoms of, 769 treatment of, 770 movable, 768 operations on, 779 perforatine wounds of, 771 removal of, 781 surgical. 777 tuberculosis of, 778 treatment of, 779 tumors of, 768 Kite-shaped director, 479 Knee-joint disease, 418 excision of, 486 subluxation of, 470 Knock-knee, 532 osteotomy for, 475 Kocher, experiment of, 31 method of operating for inguinal hernia, 705 Kocher's excision of tongue, 619 incision for nephrorrhaphy, 783 lor nephrotomy. 780 method of circular enterorrhaphy, 686 of gastro-enterostomy, 680 of lumbar nephrectomy, 782 of pylorectomy, 676 of reducing dislocations of shoulder-joint, 45» Koch's bacillus, 40 circuit, 30 lymph. 35, 157 in tuberculosis, 156 tuberculin, 157 Konig's incision for nephrectomy, 781 Kraske, sacral resection of, 237 Kraske's operation, 730 Krause's method for removal of Gasserian ganglion, 535 of skin-grafting, 762 Kreolin, 27 Kyphosis, 583 Lacerated wounds. 167 Lachrymal bone, fracture of, 343 lacteal cyst, 865 Lagoria's sii^n, 384 Laminectomy, 595 for spinal caries, 587 in extrameduUary spinal hemorrhage, 366 La Mothe's method of reducing shoulder- joint dislocation, 453 Landerer's dry method, 43 Langenbeck's incision for abdominal nephrec- tomy, 783 operation, 494 Lankester, educated corpuscle, 34 Lannaiol, 29 Lannelongue's method of treating delayed union of fraciures, 341 of exposing the liver, 659 operation for microcephalus, 541 Laparotomy, 666 for non-suppuralive appendicitis, 668 Larrey's amputation at nip-joint, 858 operation for amputation at shoulder. 849 Laryngeal cartilages, fracture of. 349 Laryngotomy for fracture of laryngeal carti- lages, 349 Laryngotomy, quick, 604 Laryngotracneotomy, 604 Larynx, abscess of, 101 diseases and injuries of, 598 edema of, 598 foreign body in, 599 intubation of, 604 operations on, 601 wounds of, 598 Lateral curvature of spine, 580 sinus, location of, 539 Laudable pus, 94 Lawn-tennis arm, 508 Lead-water and laudanum, 68 Leech, artificial, 65 Leeches in osteitis, 311 Leeching, 64 Leg, chronic ulcer of, 113 ulcer of, XI3 Leiomyomata, 333 Leiter's tubes, 67 Lemhert's suture, 673 for longitudinally torn vein, 360, 365 Leontiasis ossium, 330 Leptomeningitis, acute, 558 chronic, 559 Leptothrix, 31 Leukocytes in Inflammation, 61 Leukocytosis, 53 Lcukomains, 33 Leukomata in syphilis, 194 Levis's splint, 379, 460 Ligation by means of Hagedorn needle, a6o in inflammation, 65 in continuity, instruments for, 378 in the tabatiere, 382 in triangle of election, 294 of necessity, 294 of arteries for aneurysm, 25a-35< in continuity, 278 incision for, 279 of axillary artery, 386-288 in the first part, 3S8 in the third portion, 387 of brachial artery, 284-386 at bend of elbow, 285 at middle of arm, 286 of carotid artery, common, 293-395 external, 295 internal. 205 of dorsalis peois artery, 398, 399 of facial artery, 397 of femoral arterj', 303-305 at apex of Scirpa's triangle, 304 in Hunter's canal, 305 of femoral vein, 266 of gluteal artery, 308 of iliac arteries, 305-307 by ahdominsil section, 306 external, by Abemethy's method, 306 of inferior thyroid artery, 390 of innominate arter>', 291 of lingual artery, 2^ of occipital artery, 298 j of popliteal artery, 302 of pudic artery, internal, 308 of radial artery. 281-283 in lower third, 282 in middle third, 283 in upper third, 283 of sciatic artery, 308 of subclavian artery, 388, 389 of temporal artery, 297 of thyroid artery, superior, 396 of tibial artery, anterior, 299-30X posterior, 301 of ulnar artery, 283, 284 of vertebral artery, 288, 290 goo INDEX, Ligature, lateral a€o •material, 45 subcutaneous, fur varicocele, 375 Ligatures, 260 Lightning, injuries by, 878 stroke, 878 treatment of, 879 Lilienthal's probe, 173 Line of demarcation, lat Linear craniotomy, 577 Lingual artery, ligation of, 296 Lipoma, cavernous, 314 diflfu^e, 214 nevoid. Sec Tetanus. Locus minoris resistentiae, 31 Lordosis, 583 Lorenz's operation for congenital dislocation of hip. 439. 503 Lorcta's operation, 639, 674 Loretin, 29 Lumbaco, 504 Lumbar abscess, 107 hernia, 713 nephrectomy. 781 puncture. 543, 595 Lumpy jaw, 19. 1H3 Lung, abscess of. 101. 607 diseases and injuries of 605 gangrene of, tV-7 tubercular cavity in, surgical treatment of, 608 Lupus, 151 cxedciis. if?2 hypertrojihicus, 15-* syphilitic. 297 vulgaris, i ^i Lusk. method yi{ ^kin-jjrafting, 760 Lust^jartcJi's bacillus, 41 in syphilis, 183 Luxatii> crecta, 449 Luxations, 438, See Diilocutions. Lymph e«lcm:». 867 effusion of, 91, 02 LyniphadcnKis. .«cute. 746 Lyniphadenitis. chronic, 747 infective, 746 Lymphangiectasis. 336, 747 Lymphangioma, 747 circumscriptum, 747 Lymphangioma ta, 336 treatment of, 337 Lymphangitis, 746 from septic wounds, 175 reticular, 746 tubular, 746 Lymphatic abscess, 98 glands, tuberculosis of, 154 nerves, 226 warts, 747 Lymphatics, diseases and injuries of, 746 Lymphomata, 33x idiopathic, 231 treatment of, 333 Lymphorrhea, 747 Lymphosarcoma, 228 Lyssa, 180. See Hydrophobia. MacCormac's rule for measuring for a truss, 701 Macewen's method of compression of aorta in amputation at hiCKJoint, 857 of operating in mastoid aisease, 575 operation of osteotomy for genu valgum, 47s for inguinal hernia, 701 triangle, 539 Macroglossia, 336 Macular syphilides, i^ Maculo-papular syphilides, 19a Madura foot. 19 Maisonneuve's symptom, 378 urethrotome, 826 Malar bone, fracture of, 345 Malaria, fever of, 89 Malgaigne's hooks, 397 method of treating fracttu^ of costal carti- Jagcs, 353 Malignant edema following wound, 175 onychia, 742 pustule, 178. See Anthrax. excision of, 179 tumor of intestine, 647 tumors, 237, 233 Malingering by persons injurod in accidents, 59 » Mallet-finger, 522 Mammary gland, adenocele of, 864 angioma of, 864 cancer of, 866 carcinoma of, 866 cold abscess of. 109 cystic adenoma of, 864 cystic degeneration of, 864 cysts of. 864 fioro-adenoma of, 863 hydatid cysts of, 865 involution cysts of, 864 malij^nant lu-nors of, 865 myxoma of, 864 s.trcoma of, 865 tuberculosis of, 108 tumors of, 863 Mammiilitis, 859 Mannlichcr rifle, velocity of bullet of. 169 Maragli.tno's antitubercular serum, 158 Marpin.^l abscess, 99 Marie's disease, 429 Marine sponges, preparation of, 47 Marsupialization, 659 Mason's pin. 343 Mastitis, acute, 860 symptoms of. 860 treatment of, 861 INDEX. 