None
ABSCESS, 156, 157 atheromatous, 259 callosities of the hand the starting-points of, 171 drainage in, 165 fluctuation in, 158 formation, 147 lung, experimental, 145 psoas, 525 retropharyngeal, 525 shirt-stud, 1 68 tubercular, membrane of, 520 wall of, 157 Abscess-formation in osteo- myelitis, 198 Abscesses, cold, 519 treatment, 548 mammary, 165 metastatic, 362 of heart, 376 of kidneys, 376 miliary, in pyaemia, 363 palmar, course of pus bur- rowing in, 171 Absorption in bone-tubercu- losis, 522 callus, 249 Acetabulum, wandering, 536 Acid, carbolic, in asepsis, 789 causing fever, 323 in erysipelas, 406 in gangrene, 275 in treatment of boils, 174 in wounds, 789 nitric, in hospital gangrene, 431 method for detection of cancer, 672 Acromegaly, 615 relation of thymus gland to, 6i5 Actinomyces, 76 cultures, 470 staining, 77 Actinomycosis, 469 history of, 469 prognosis, 475 symptoms, 471 treatment, 475 Actinomycosis, appearances of, post-mortem, 471 in cattle, 476 52 Actinomycosis, deposits in, metastatic, 473 expectorations in, 474 infection through the intes- tinal tract, 474 through the respiratory tract, 474 the lungs in, condition of, ; 474 in man, 471 of mouth, 472 progress of the disease, 472 of skin, 475 transmission, 470 Active hyperaemia (see Hy- pertemid). Adenitis, tubercular, treatment, 588 of neck, tuberculous, 586 Adeno-carcinoma of kidney, 697 of rectum, 691 of uterus, 674 Adenoma, 737 of breast, 738 classification of, 738 cysto-, of breast, 739 fibro-, of breast, 738 of kidney, 741 sebaceum, 740 of sweat-glands, 650, 740 of testis, 742 ^irophobia, 458 Agar-agar, 34 Air and sepsis, 786 Air, bacteria in the, 786 embolism, 296 Air-passages, sarcoma of the, 725 Alcohol in septicaemia, 354 Ammonaemia, 346 Amputation in gangrene, 263, 433 in osteomyelitis, 21 1 Amputation-stumps, neuroma of, 773 Amyloid degeneration, 329 Anaesthesia in rabies, 454 Anagnostakis, 785 Aneurism, cirsoid, 780 Aneurisma racemosum, 780 Angioma, 777 cavernous, 779 Angioma venosum, 780 Angio-myoma, 776 -neurology, 79 -sarcoma, 708, 719 of kidney, 719 Animals, rabies in, 453 Ankylosis, 625 cartilage, destruction in, 625, 626 experimental, 627 in joint-tuberculosis, 534 Anthrax, 477, 484 convulsions, tetanic, 481 diagnosis, 481 epidemics, 477 incubation, 479 infection, method of, 478 prognosis, 482 treatment, 483 Anthrax, appearances of, in man, 480 pathological, 481 post-mortem, 482 bacillus, 70 in catgut, 798 distribution of, in man, 482 pyocyaneus, action of, 483 spores, 72, 477 Antiseptics, 784, 801 aristol, 790 carbolic acid, 789 corrosive sublimate, 789 dermatol, 790 hospitals before, 784 iodoform, 790 of a lacerated wound, 802 styrone, 794 subgallate of bismuth, 790 suppuration favored by, 150 Arsenic, bromide of, in cancer, 700 Arteries, healing of, 250 ligature of, 251, 254, 255 callus after, 251 organization of thrombus after, 252 role of thrombus after, 254 nutrient, in osteomyelitis, 197 Arthrectomy, 554 Arthritis, chronic dry, 623 817 8i8 INDEX. Arthritis deformans, 620 eburnation of bone in, 622 treatment, 624 osteomyelitis followed by acute suppurative, 205 Arthropathy, spinal, 624 Arthrotomy, 553 Ascites, hypenemia following tapping for, 87 Asepsis, air and, 786 and sepsis of the Greeks, 785 carbolic acid in, 789 corrosive sublimate in, 789 disinfection of skin, 790 iodoform in, 790 room, preparation of, 786 spray in, 787 wound-infection, 788 Aseptic fever (see Fever). 819 Benign tumors (see Tumors). Bicarbonate of soda, to pre- vent rusting of instru- ments, 795 Big-jaw, 469 Bismuth, subgallate of, 790 Black tongue, 397 Bladder, cancer of, 694 villous, 694 distended, catheterization of, in hypersemia, 87 extirpation of, 696 papilloma, 752 sarcoma of, 719 tuberculosis of, in women, 579 Blood, buffy coat of, 100 circulating, toxic products in, 138 coagulation of, 100 color of, in inflammation, 9°. 97 corpuscle of, third, 98 in fever, 312 bacterial growth favored by the state of, 150 in lymphoma, 733 pus in, 363 in pyaemia, 363 in pyaemia, 371 slowing of, 89 Blood-clot, absorption of, fever caused by, 100, 321 in after-treatment of osteo- myelitis, 215 organization, 231 in tendon repair, 233 Blood-corpuscle, third, 98 Blood-corpuscles, white, dia- pedesis, 93 increase of, in inflamma- tion, 99 Blood-flow, increased, in ac- tive hypersemia, 80 Bloodletting, 133 Blood-pigment in ulcer, 184 Blood-plaques, 99 in pyaemia, 361 Blood-serum, bactericidal ac- tion, 41 in tetanus, 451 in therapy, 153 therapy in rabies, 803 Blood-vessels in inflammation, 92 action of, 92 dilatation of, 95 escape of fluids from, 108 small budding growth from, 229 Body exposed to cold, 303 to constant heat, 303 Body temperature, inequalities in, 302 Boil, core of a, 172 Boiling instruments for sterili- zation, 795 Boils, treatment of, carbolic acid in, 174 prophylactic, 174 sulphide of calcium in, 175 Bone atrophy in joint tubercu- losis, 534 neuro-paralytic, 611 senile, 609 callus, 245, 246 intermediate, 245 ossification of, 247 chemical changes in, in osteomalacia, 599 chips in after-treatment of osteomyelitis, 216 decalcification of, 809 diseases of, 597 eburnation of, 208 in arthritis deformans, 621 fistula after osteomyelitis, 214 fracture of, callus after, 245 changes following histo- logical, 246 healing of, 244 hyperplasia of, 612 internal callus, 245 lime-salts of, absorbed in osteomalacia, 597 marrow, changes in, patho- logical, 616 necrosed, solvent action of pus on, 200 spontaneous fracture from, 200 non-union, 250 osteoblasts, 246 repair, 245 absorption of callus, 249 hyaline cartilage in, 249 reproduction, 246 sarcoma of, 712 central round-cell, 714 central spindle-cell of, 713 spontaneous fracture in, 7H sequestra of, in osteomye- litis, 199 tissue, destruction of, in hip- joint disease, 536 tuberculosis, (see Tubercu- losis}. tumors, myeloid, 713 typhoid, 193 Bones affected in osteoporosis, 610 ostitis deformans, 613 in rickets, 608 chemical changes in, in ostitis deformans, 599 of cranium in sarcoma, 717 flat, in osteomyelitis, 203 Bones, medullary tissue of, in osteomalacia, 598 in pyaemia, 377 Bottles, hot-water, burns from, 272 Brain, nerve-tissue repair in, 242 in pyaemia, 376 sarcoma of, 729 Breast, adenoma of, 738 cancer of, 662 colloid, 665 heredity in, 663 medullary, 664 metastasis in, 667 pain in, 666 scirrhous, 664 traumatism in, 663 cysto-adenoma of, 739 fibre-adenoma of, 738 hypertrophy of, 740 pigeon, 607 sarcoma of, 723 malignancy, 724 Breath in pyaemia, odor of, 369 Bromide of arsenic in cancer, 700 Bromine in hospital gangrene, 432 Brownian movement, 19 Brushes used in disinfection, . 793 Budding growth from small blood-vessels, 229 of muscle-fibres, 237 Buffy coat of blood, 100 Burns from hot-water bottles, 271 shock from, 290 CACHEXIA, cancerous, 646 Calabar bean in tetanus, 448 Calcium, sulphide of, 175 Callus absorption, 249 after fracture of bone, 245 ligature of an artery, 251 bone, 245, 246 intermediate, 245 ossification of, 247 Canals, plasma, in capillary development, 230 Cancer, 638 bacillus of, 639 cells, 644 as protozoa, 640 chimney-sweep's, 658 in cicatrix, 660 coccidium in, 640 detection of, nitric-acid method for, 672 diagnosis of, extent of, 672 distribution, 643 en cuirasse, 667 etiology of, 639 820 INDEX. Cancer, extension through lym- phatics, 645 infiltration in, round-cell, 651 lymphatic system in, 645 medication in, 698 melanotic, 648 origin of, epithelial, 638 pearls in, epithelial, 649 protozoa in, 640 scirrhous, 647, 664 spider, 777 stricture of rectum from, 692 treatment, therapeutic, 701 bromide of arsenic in, 700 Chian turpentine in, 701 pyoktanin in, 700 Cancer of bladder, villous, 694 of breast, 662 classification, 663 colloid, 665 diagnosis, 670 duration of life of, 669 heredity, 663 history of, clinical, 666 locality, 663 medullary, 664 metastasis in, 668 operation, mortality after, 669 Paget's disease of the nip- ple, 671 pain in, 666 scirrhous, 664 traumatism in, 663 of face, 652 seat, 654 superficial, 653 ulcerations in, 654 of hand, 656 metastasis in, 656 of intestines, 689 of kidney, 696 of labia, 657 of larynx, 686 of lip, metastasis in, 656 smoking a cause, 655 treatment, 66 1 of oesophagus, 684 treatment, 685 of penis, 657 treatment, 66 1 of rectum, 690 Kraske's operation, 693 relieved by erysipelas, 398 of scrotum, 658 tar and paraffin in, 659 of skin, 652 deep-seated, 649 superficial, 650 treatment, 660 of stomach, 688 of testicle, 698 of tongue, 677 Cancer of tongue, beginning of, 680 diagnosis, 682 leucoma an early stage of, 679 metastasis, 680 operations for, 682 of uterus, 672 body, 674 cervical canal, 674 diagnosis, 676 hemorrhage early symp- tom of, 676 heredity in, 673 hydrometra in, 675 metastasis, 675 pregnancy a cause of, 673 treatment, 677 vaginal portion, 673 Cancroin, 699 Cancrum oris, 270 Capillaries, distention of, in inflammation, 92 Carbolic acid (see Acid). Carbuncle, appearances, cause of crater-like, 177 columnse adiposae in, 176 condition, gangrenous, 181 diabetes predisposing to, 175 constitutional diseases pre- disposing to, 175 excision, total, 181 fascia limiting extent of, 177 hair- follicles in. 176 inflammation of deeper tis- sues, 177 of lip, 179 meningitis from, 180 necrosis in, coagulation, 179 peculiarities, anatomical, 176 size, 179 swelling, features of, 177 symptoms, constitutional, 179 thrombosis of facial vein in, 180 treatment, 180 radical, 181 Carcinoma, 638 classification, 647 in the granulations of osteo- myelitis, 208 of skin, 648 Carcinosis, acute miliary, 646 Caries, 523 of the ribs, 525 Caries sicca, 531 in shoulder-joint tuber- culosis, 538 Cartilage in ankylosis, destruc- tion of, 625 cells in rickets, 605 Cartilage, epiphyseal, in osteo- myelitis, 196, 199, 201 hyaline, in bone-repair, 249 in the joint, 767 in tuberculosis, ulceration of, S3' Castration in tuberculosis of testicle, 580 Cattle, actinomycosis in, 476 Cell-division, indirect, 218 Cell-infiltration, inflammation dependent on the amount of irritation, 108 Cell-proliferation, 218 theory of, 101 Cells, amoeboid movement of, 101 cancer, 644 as protozoa, 643 cartilage, in rickets, 605 of cord in shock, 285 embryonal, 220 epithelioid, in granulation tissue, 229 in tuberculosis, 506 formative, 220 giant-, sarcoma, 706 muscular, proliferation in repair of muscle, 236 plasma, 220 slumbering, in tendon repair, 234 spindle-, in granulation tis- sue, 227 tissue-, proliferation of, in inflammation, 104 wandering, 93, 101 in inflammation, IOI Cephalalgia in hydrophobia, 458 Chemotaxis, 152 negative, 153 positive, 153 Chilblains mistaken for sym- metrical gangrene, 273 Children, surgical scarlet fever frequent in, 324 scrofulous, 594 Chill, 307 of fever, 307 Chills in pyaemia, 366 Chloral in tetanus, 448 Chloroform balsam, 29 in tetanus, 449 Chlorophyll, 22 Chondroma, 765 osteoid, 765, 768 of parotid gland, 768 Chondrosarcoma, 716 Cicatrices, cancer developing in, 660 Cicatrix, arterial, after ligature, 253 tendon, 234 Cilia, 19 INDEX. 821 Circulation in inflammation, 92 Circumcision, rite of, trans- mission of tuberculosis in, 510 Cirrhosis, 127 Civil War, hospital gangrene in, 410 Clefts, branchial, 751 Coagulation, blood, 100 of fibrous exudations, 113 Coagulation-necrosis, 257 in carbuncle, 179 after suppuration, 156 after infective thrombi, 147, 148 Cocci, erysipelas, action on sarcoma of, 735 pyogenic, experimental in- oculation in man, 139 in osteomyelitis, 194 Coccidium in cancer, 640 Cold, action of, 91 catching, 122, 303 reaction from, 304 Cold bath, reaction from, 304 in treatment of inflam- mation, 133 Collapse, 277 Color of blood in inflamma- tion, 97 of an inflamed part, in Color picture, 25 Columnse adiposre in car- buncle, 176 Complexion in keratosis, 652 Condenser, Abbe, 25 Connective tissue, cancer, 665 formation, 221 Convulsions,tetanic,in anthrax, 481 Cornea, leucocytes in, 102 structure, 102 Corpuscle, blood- (see Blood- corpuscle}. Erysipelas, conditions predis- posing to, atmospheric, 387 contagiousness of, 385 disturbance, gastric, 400 duration of, 390 of epidermis, 381 facial, 394 lachrymal ducts a starting- point, 395 meningitis following, 396 puerperal fever and, 386 habitual, 390 hemorrhage in, 399 inflammation of skin in, 388 inflammations, malignant, 393 influence, curative, 400 inoculation experiments, 382 of mucous membranes, 397 neonatorum, 388, 396 oedema of glottis in, 398 patient, isolation of, 408 phagocytosis, 107 phlegmonous, 392 relapse, 408 spread of, tendency, 389 streptococci in, 399 entrance, point of, 386 seat of, 384 streptococcus of, 382 and pyogenes streptococcus, identity of, 383 synovitis following, 392 following vaccination, 385 vesicles in, 389 virus, 382 wound, condition of, 390 Erythema, toxic, 324 Erythromelalgia, 87, 275 Euphoria, 348 Exanthemata, metastatic in- flammations of joints in, 543 Excision, treatment of tendon- sheath tuberculosis by, 593 Exostosis, 769 ivory, 769 submanual, 770 Expectorations in actinomy- cosis, 474 Exudation, 109 cause of, explanation, 113 in inflammation, 94 inflammatory, uses of, 113 FACE, cancer of (see Cancer). erysipelas of the, 394 tuberculosis of, 528 Fainting, 296 Fallopian tubes a source of tubercular peritonitis, 569 tuberculosis of, 573 Farcy, 485-494 Farcy-buds, 491 Fascia limiting extent of car- buncle, 177 Fat-embolism, 204, 296 Fat in staining bacteria, the removal of, 29 in pus of osteomyelitis, 204 Fatigue, meaning of, 283 Fat-neck, 761 Felon, 167 cutaneous form, 168 incision in case of, 170 character of pain diagnostic as to form, 169 periosteal form, 169 reaching to the tendon- sheath, 169 treatment, 170 Fermentation, 23 theoiy of Pasteur, 23 Fever, absorption of blood-clot causing, 100, 321 antiseptics causing, 323 aseptic, 319 bacteria in, 323 chemicals causing, 323 temperature, 320 tension from suture caus- ing, 323 blood-changes in, 312 from carbolic acid, 323 causes of, 314 the chill of, 307 defervescence, 308 defined, 315 due to diminished heat-elim- ination, 308 increased heat - produc- tion, 309 fastigium, 308 heat-production in, causes of, 311 hectic, 519 in tuberculosis, 519 iodoform causing, 323 nerve-action, 313 neurotic theory of, 314 puerperal, and erysipelas, 386 scarlet, surgical, 323, 324 toxic erythema, 324 origin in surgical cases, 323, 326 secondary, 327 splenic, 477 stage of invasion, 308 suppurative, 327 amyloid degeneration, 329 bacteria in, 329 emaciation in, 328 leucocytes in, 329 operations in, 330 temperature in, 328 treatment, 330 Fever, symptoms of, 307 traumatic, cleaning of the wound, 318 gangrene, 265 temperature, 317 urea, excretion, 312 urethral, 124, 331 nerve-action in, 333 without bacteria, 315 Fevers, surgical, 316-333 Fibrin formation in inflamma- tion, 1 08 Fibro-adenoma of the breast, . 738 -glioma, 763 -lipoma, 761 -myoma, 775 Fibro-blasts, 220, 224 Fibroma, 753 molluscum, 754 multiple, 754 naso-pharyngeal, 759 papillary, intracanalicular, 738 of skin, multiple, 754 soft, 757 Fistula in ano, 567 Fistula, bone, after osteomye- litis, 214 defined, 190 treatment, 191 Krause's emulsion in, 191 Fontanelles in rickets, 606 Fracture of bone, callus after, 245 histological changes fol- lowing, 246 spontaneous, 207 from bone-necrosis, 200 in bone-sarcoma, 714 Fragilitas ossium, 610 Frog's tongue, passive hyper- semia, study of, 89 Frost-bite a cause of gan- grene, 268 treatment of, 269 Furuncle, 172 Furunculosis, 174 epidemics of, 173 GANGLIA, perivascular, in ac- tive hyperaemia, 82 paralysis of, 87 Gangrene, 256—276 ainhum terminating in, 275 amputation in, 263, 433 bacteria in, 266, 267 bed-sore, 271 carbolic, 275 causes of, 256 mechanical action, 256 arterial changes, 258 putrefactive changes, 266 INDEX. 823 Gangrene, causes of, vaso- motor disturbance, 274 extravasation of urine, 270 arterial injury, 265 demarcation in, line of, 260 diabetic, 264 diphtheritic form of, 421 emphysema, 267 tibial artery, 262 ergotism, 271 foudroyante, 267, 394 frost-bite a cause of, 268 fulminating, 267 hospital, 409-433 amputation in, 433 at Andersonville, 411 atmospheric conditions affecting epidemics of, 420 in the Civil War, 410 contagiousness, 418 in the Crimean War, 410 diagnosis, 429 discharge in, 425 erysipelas a complication, 427 forms of, 420-422 hemorrhage in, 425 incubation of, period, 420 joints as affected by, 426 micro-organisms in, 415 mortality, 430 non-infection of wounds in same person, 419 post-mortem appearances, 429 prognosis, 430 pulpy, 424 relation to diphtheria, 420 study of, microscopic, 416 synonyms, 409 temperature in, 426 treatment, 430 bromine in, 432 carbolic acid in, 433 nitric acid in, 431 ulcerating, 423, 424 infection in, bacterial, 266, 267 moist, 260 intoxication in, septic, 428 moist, 260 mummification, 260 neuropathic, 256 noma, 270 senile, 260 symmetrical, 272 chilblains mistaken for, 273 symptoms of, 262 traumatic, 265 ulceration in, phagedenic, 424 Garden soil, bacilli of tetanus in, 436 Gastrostomy, 685. Gelatin, 34 Generation, spontaneous, 17. Genito-urinary tuberculosis, 573 Germ-theory of disease, 17 Gentian-violet, 27 Giant-cell formation, 219 Giant - cells as phagocytes, 107 in sarcoma, 706 in tuberculosis, 59, 505 Gigantism, 615 Gland, parotid, chondroma of, 768 thymus, relation of, to acro- megaly, 615 Gland-ducts, sudoriparous, the entrance-gates of infec- tion, 172 Glanders, 485-494 acute, 487 bacillus of, 6l changes in, pathological, 489 epidemics, 493 laws concerning. 493 infection, method of, 486 in man, 487 mucous membrane in, 488 nodules in, 490 prognosis, 491 transmission in utero, 486 Glands, lymphatic, prognosis of tuberculosis of, 588 mesenteric, tuberculosis of, 570 scrofulous, 585 Glioma, 763 Gliosarcoma, 707 Glottis, redema of, in erysipe- las, 398 Goitre, 743 epidemic, 746 exophthalmic, 747 Gonococcus, 50 diagnosis of, 52 in endocarditic and meta- static inflammation, 52 growth, 51 Gonorrhosa a factor in spread of tuberculosis, 575 Goose-flesh, 303 Gram's method, 27 Granulation, healing by, 225 tissue, 157, 226, 228 Granulations, carcinoma in the, osteomyelitis, 208 Graves's disease, 747 Grawitz. slumbering-cell the- ory, 105 Greeks, sepsis and asepsis of, 785 HAIR-FOLLICLES in carbuncle, 176 Hand, cancer of, 656 metastasis in, 656 callosities of, the starting- points of abscess, 171 Head tetanus, 441 mortality of, 442 Healing by first intention, 222 by granulation, 225 by second intention, 225 by third intention, 232 Heart, abscesses of, metastatic, in pyaemia, 376 Heat-equilibrium, 302 Heat, metabolism a source of, 304 as a symptom of inflamma- tion, 115 in the treatment of inflam- mation, 133 Heat-production from glandu- lar activity, 304 in fever, causes, 311 in health, 304 in inflamed part, 115 through the nerves, 305 Hemorrhage in erysipelas, 399 in hospital gangrene, 425 causing shock, 289 symptoms of, 286, 296 an early symptom of cancer of the uterus, 676 Heredity in cancer of breast, 663 of uterus, 673 of tuberculosis, 508 Herpes due to trophic nerves, 123 Hip disease, decubitus in, ul- cerating, 536 Hip-joint disease, 514, 535, 536 destruction of bone tissue, 536 Hodgkin's disease, 730 Hospital gangrene (see Gan- grene]. Hospitals before antiseptics, 784 table for patients in shock, 298 Hot water as stimulant of the constrictor nerves, 88. bottles, burns from, 272 Hydrocele of neck, 751 Hydrometra in cancer of ute- rus, 675 Hydrophobia, 453-468 cephalalgia in, 458 changes in nervous system, 462 death-rate of, 467 deglutition in, 457 etiology, 455 824 INDEX. 827 ODONTOMA, 770 Odor of breath in pyaemia, 369 Odors, foul, cause of septicae- mia, 343 (Edema, collateral, 88 inflammation in, 112 of glottis in erysipelas, 398 malignant, bacillus of, 67 clinical examples, 163 pseudo-, bacillus of, 69. Phosphorus in rickets, 609 Pigeon breast, 607 Placenta, passage of bacillus through the, 75 Plasma canals in capillary de- velopment, 230 cells, 220 Plaster of Paris in treatment of joint-tuberculosis, 546 Plate culture, 36 Plethora, 79 Pleurosthotonos, 441 Pneumonia caused experiment- ally by infection of au- reus, 145 in pyaemia, 375 Polyp, naso-pharyngeal, 727, .757 Port-wine marks, 777 Post-mortem appearances in actinomycosis, 471 in anthrax, 481 in hospital gangrene, 429 of hydrophobia, 462 in pyaemia, 375 in rabies, 455 in septicaemia, 349 in tetanus, 443 Potatoes as nutrient media, 33 Pott's disease, 513, 523 tuberculosis, 524 Poultice, antiseptic, 165 Poultices, action of, 133 Pregnancy a cause of cancer of uterus, 673 Prostate, myoma of, 776 Prostration without reaction, 277 Proteid, bacterial, 152 defensive, 153 protective, 153 Protoplasm, bacterial, 18 Protozoa in cancer, 640 cancer-cells as, 699 in lymphoma, 734 Proud flesh, 187 Psammoma, 783 Pseudarthrosis, 250 Pseudo-leukaemia, 730 tuberculosis, 595 Psoas abscesses, 525 Psorosperms, 641 in Facet's disease, 672 Ptomaines a cause of septicae- mia, 342 Pus, action on necrosed bone, solvent, 200 in blood, 363 in pyaemia, 363 blue, 1 60 burrowing of, in palmar ab- scesses, course of, 171 calomel, 142 laudable, 160 Pus in osteomyelitis, 198 fat in, 204 peptone in, 159 red, 1 60 sterile, 140 tubercular, 160 without bacteria, 140 Pustule, 172 malignant, 479 Pyaemia, 356 diagnosis, 378 prognosis, 378 symptoms, 366 treatment, 378 Pyaemia, abscesses in, meta- static, 362, 376 miliary, 363 bacteria of, 359 blood in, 371 blood-plaques in, 361 bones in, 377 brain in, 376 breath in, odor of, 369 chills in, 366 chronic, 374 curetting vein of sinus in, 379 endocarditis, 360 in ulcerating, 365, 372 experimental, 358, 359 heart in, 376 history of, 356 hyperaesthesia, 370 infection, intravascular, 364 route of, 361 inflammation of connective tissue in, 377 influenced by age and sex, 366 by seasons, 365 joint-affection in, 371 joint-inflammation in, 377 kidneys in, 376 in osteomyelitis, 202 pneumonia in, 375 post-mortem appearances, 375 puerperal, 373 pus in the blood in, 363 in the thoracic duct in, 364 spontaneous, 364 temperature in, 367 thrombosis in, 361 thrombo-phlebitis in, 361 Pyaemia, urine in, 370 wounds predisposing to puer- peral septicaemia, 343 Pyocyaneus, 47 Pyoktanin in cancer, 700 RABIES, 453 dumb, 453, 455 furious, 453. 829 Rosary, rachitic, 607 Rubor, symptom of inflamma- tion, no Rupture, muscle, in tetanus, 439 SACRO-ILIAC SYNCHRONDRO- sis, tuberculosis of, 528 Salt-solution, infusion of, 299 Sapraemia, 337 symptoms, 343 Sarcoblasts in muscle-repair, 235. 236 Sarcoma, 702 action of erysipelas cocci on, 735 alveolar, 705 of bones of cranium, 717 changes in, retrograde, 708 chondro-, 716 Cohnheim's theory regard- ing, 703 etiology, 703 giant-cells, 706 metastatic, 708 organisms in, 704 osteo-, 712 osteoid, 716 periostea!, 544, 715 pigment, multiple, 711 pigmented, 707 prognosis, 724 round-cell, large, 705 spindle-cell, central, 713 treated by streptococcus of erysipelas, 734 Sarcoma of the air-passages, 725 of bladder, 719 of bone, 712 central round-cell, 714 spindle-cell of, 713 spontaneous fracture in, 7H of brain, 729 of breast, 723 malignancy, 724 of intestine, 729 of kidney, 718 of larynx, 726 of nasal passages, 727 of pharynx, 728 of soft palate, 728 of stomach, 729 of testis, 721 of tonsil, 725 of uterus, 720 osteoid, 716 pigment, multiple, 711 Sardonic grin, 439 Scarlet fever (see Fever}. surgical, liability of children to, 324 Scar-tetanus, 435 Schluck-pneumonia, 123 Scirrhus cutis, 651 Scrofula, bacteria in, 594 bone disease in relation to tuberculosis, 515 Scrofuloderma, 561 Scrotum, cancer of, 658 tar and paraffin in, 659 Sea-voyage in tuberculosis, 580 Section, nerve, degeneration after, 238 neuromata after, 241 prognosis, 241 Sepsis and asepsis of the Greeks, 785 Septicaemia, diagnosis, 353 symptoms, 343 treatment, 353 alcohol in, 354 Septicaemia, a bacterial disease, 336 bacteria in, 337 cause of foul odor, a, 343 ptomaines a, 342 trauma a predisposing, 341 diarrhoea in, 347 disinfectants in, 354 entrance of poison, 341 eruption in, scarlet, 347 euphoria in, 348 genito-urinary infection, 343 icterus in, 347 leucocytes in, 347 lungs the starting-points of, 342 lymphatics in, 347 in osteomyelitis, 202 osteomyelitis a starting-point for, 342 post-mortem appearances, 349 puerperal, 343 spontaneous, 352 temperature in, 346 Sequestra of bone in osteomy- elitis, 199 Sequestrum, separation of, in osteomyelitis, 213 in tarsus, 522 Shock, 277 diagnosis, 295 prognosis, 297 symptoms, 296 treatment, 297 enemata in, 299 Shock, age influencing, 293 from blows in the neck, 290 from burns, 290 causes of, 288 cells of cord in, 285 from concussion of larynx, 290 hemorrhage causing, 286 hospitals, table for patients in, 298 auto-infusion, 299 Shock, irritation in, pneumo- gastric, 281 insidious, 287 local, 288 mental emotion a cause of, 292 mental condition in, 294 nature of, 279 nerve-centres in, 284 nerve-exhaustion in, 283 nerve-injury causing, 286 nerve-irritation in, degrees of, 283 mechanical, 283 pneumogastric, 281 neurasthenia following, 293 over-stimulation of nerves, 283 pain in, 291 clinical picture, 278 from railway injuries, 293 reflex vaso-motor paralysis, 279 semilunar ganglion, 289 stimulants in, 299 suppressed lactation, 294 temperature in, 294 torpid form, 286 varieties, 286 vaso-motor theory of, 280 vomiting in, 294 Shoulder-joint, tuberculosis of, 53« caries sicca in, 538 Sinuses, curetting the, in mid- dle-ear suppuration, 379 Skin, actinomycosis of, 475 cancer of, 652, 660 deep-seated, 649 superficial, 650 carcinoma of, 648 condition of, pathological, in erysipelas, 398 disinfection of, in surgical asepsis, 790 fibroma of, multiple, 754 infection of tuberculosis through the, 510 inflammation of, in erysipe- las, 388 inoculation, tubercular, 561 pigmentation, 90 Skin-grafting, 189 Skin tuberculosis, 558 treatment, 563 Slough, 128 Sloughs in phlegmonous in- flammation, 162 Slumbering-cell theory, Gra- witz, 105, 220 Smoking, a cause of lip can- cer, 655 Snake-bite, 495, 503 changes following, patho- logical, 499 830 INDEX. Snake-bite, mechanism of, 497 mortality of, in India, 495 antitoxic serum in, 503 stimulants in, 501 symptoms, 498 treatment, 500 strychnia in, 502 venom of, action, 497 Snakes, deaths from, in India, 495 venom, secretion of, 496 Spasm, muscular, in joint-tu- berculosis, 533 Spasmotoxin, 55 Spasms in tetanus, 438, 439 Spermatocele, 743 Spinal-cord degeneration a cause of changes in joints, 624 Spina ventosa, 521 Spirilla, 21 Spore-formation, bacteria, 20 -staining, Moller, 29 Spores, bacillus, anthrax, 72 anthrax, theory of dissemi- nation by earth-worms, 478 Sporulation, 21 Sputa, staining for the bacilli of tuberculosis, 57 Staining, bacteria, methods, 26 removal of haemoglobin and fat in, 29 spores, 29 sputa for the bacilli of tuber- culosis, 57 Staphylococci, 21 in osteomyelitis, 194 Staphylococcus, action of, pep- tonizing, 146 cereus albus, 26, 45 flavus, 26, 45 epidermidis albus, 790 pyogenes albus, 45 aureus, 43 in osteomyelitis, 194, 195 citreus, 45 viridis flavescens, 45 Sterilization, 31 dry heat, 32 fractional, 31 steam, 32 Sterilizer, Arnold, 32 Sternum, tuberculosis of, 527 Stimulants in shock, 299 in snake-bite, 501 Stomach, cancer of, 688 leiomyoma of, 775 sarcoma of, 729 Streptococci, 21 action of, in suppuration, 146 on the tissues, 146 in coagulation-necrosis, 148 Streptococci in erysipelas, 382, 3^3. 831 Tetanus, head, 441, 442 facial-nerve paralysis in, 442 hydrophobicus, 441 hysterical contraction of jaws simulating, 445 immunity to, 451 mortality of, 447 muscle rupture in, 439 muscles in, masseter, 438 nerve-changes in, 444 nerve-injury a cause of, 435 nerve-origin, 434 post-mortem changes in, 443 scar-, 435 spasm in, tonic, 438 spasms in, 439 strychnia-poisoning simulat- ing, 445 temperature in, 440 wounds in, character of, 443 following punctured wounds, 436 Tetany, 446 Therapy, blood-serum in, 153 Thiersch skin-grafting, 189 Throat, tuberculosis of, 565 Thrombi, infective, 147 coagulation-necrosis after, 147, 148 Thrombo-phlebitis, 147 in pysemia, 361 Thrombosis, infective, appear- ance of tissue after, 148 in pysemia, 361, 375 of facial vein in carbuncle of lips, 1 80 Thrombus formation in infec- tive inflammation, 147 organization of, after ligature of an artery, 252 role of, after ligature of arte- ries, 254 Thymus gland (see Gland]. Thyroid, accessory, 745 extract, treatment with, 747 Tissue, appearance of, after in- fective inflammation, 148 abscess, wall of, 157 bone, destruction of, in hip- joint disease, 536 cicatricial, contraction, 226 connective, 220, 665 inflammation of, in pyae- mia, 375, 376 granulation, 157, 226 epithelioid cells in, 229 intercellular substance in, 229 spindle-cells in, 227 vascular loops in, 228 medullary, of bones in osteo- malacia, 598 Tissue, medullary, changes in, in ostitis deformans, 598 nerve, repair in brain, 242 from pre-existing tissue, 238 new, capillary development in, 229 repair in granulation, vascu- lar loops in, 228 Tissue-cells, proliferation of, in inflammation, 104 repair of, process, 104 Tissue-metamorphosis, theory, 103 Tissues, action of streptococcus on the, 146 bacterial development in, mechanical conditions favoring, 149 hardening of, pathological, 30, 807 inflamed, fibrin formed in, 108 fluids in, 108 in inflammation, action of, 101 elasticity of, 96 Tongue, black, 397 cancer of (see Cancer). of the frog, changes caused by ligature, 94, 97 tuberculosis of, 566 warts a pre-cancerous stage in the, 679 wooden-, 476 Tonsil, sarcoma of, 725 Torpor, traumatic, 277 Toxalbumin, 152 Trauma a cause of inflamma- tion, 121 predisposing cause of septi- caemia, 341 relation of, to tuberculosis of testicle, 577 tumors from, 636 Traumatism in cancer of breast, 663 Trephining in osteomyelitis, 211 Tropho-neurosis, reflex, in os- titis deformans, 600 Tubercle, anatomical, 510, 562 submiliary, bacilli in, 506 Tuberculosis, 504-528 abscesses, cold, 519 absorption of small nodules, 518 bacilli in, 505 staining sputa for the, 57 bacillus of, 56 Koch's demonstration of, 505 Ziehl's method of stain- ing for, 57 Tuberculosis, cartilage in, ul- ceration of, 531 cheesy degeneration in, 507 connective-tissue, 589 contagion through the lung, 5°9 contagiousness of, 504 cutis vera, 560 degeneration in tubercle, 5.07 direction of disease in gen- ito-urinary tract, 577 entrance of virus, mode, 508 epithelioid cells in, 506 exanthemata, a predisposing cause, 511 experimental, 515 fistula in ano, 567 frequency of, 512 giant-cells in, 59, 505 gonorrhoea a factor in spread of, 575 hectic fever, 519 hereditary, 508 hydrops articuli, 531 infection in, 61 genital tract aided by gon- orrhoea, 575 genito-urinary tract, 573 intravascular, 511 through the skin, 510 inoculability of, 504 in joints, 514, 529 miliary, following opera- tions, 534 in milk, 509 often multiple, 512 papillomatosa cutis, 563 Pott's disease, 524 psoas abscess, 525 pseudo-, 595 rice-bodies, 590 sea-voyage in, 580 secondary, 510 spread of, from bone to joint, 530 transmission of, in the rite of circumcision, 510 urethritis, 574 verrucosa cutis, 562 vertebral column common- est seat of, 523 vesicula seminalis, 578 zoSglceica, 595 Tuberculosis of bladder in wo- men, 579 of bone, 513 absorption of diseased por- tion, 522 cheesy sequestra, 517 diagnosis, 521 infarctions in, 518 joints most usually at- tacked, 535 lesion, seat of, 521 832 INDEX. Tuberculosis of bone, second- ary changes, 517 of elbow-joint, 539 of face, 528 of Fallopian tubes, 573 genito-urinary, 573-583 of mesenteric glands, 570 joint-, 529-557 ankylosis following, 534 bone-atrophy in, 534 extension of, 547 pain in, 540 resection in, 552 treatment of, iodoform in, 548 plaster of Paris in, 546 of kidneys, 581 of knee-joint, 536 of lymphatic glands, prog- nosis, 588 of lymphatics, 585-589 of mamma described, 583, 584 of membrane, 519 of abscess, 520 of mucous membrane, 565 of muscles, 593 of omentum, 750 of ovaries, 576 of rectum, 568 of ribs, 526 of sacro-iliac synchondrosis, 528 of shoulder-joint, caries sic- ca in, 538 of skin, 558 treatment, 563 of sternum, 527 of tendon-sheaths, 589 symptoms, 591 treatment by excision, 593 of testicle, castration in, 576, 580 relation of trauma to, 577 symptoms, 578 of throat, 565 of tongue, 566 of urethra, 581 of uterus, 573 of vagina, 574 of vulva, 574 Tumor albus, 537 Tumor, inflammation a symp- tom of, in Tumors, 633 benign, 737 bone, myeloid, 713 classification, 637 embryonic theory of origin, 635 Tumors, heredity, 636 heterologous, 634 homologous, 634 from trauma, 636 Turpentine, Chian, in cancer, 701 Typhoid, bone, 193 Tyrotoxicon, 342 ULCER, 182 blood-pigment in, 184 callous, 187 caused by infectious disease, 182 characteristics of, anatom- ical, 182 defined, 182 erethistic, 186 fungous, 187 inflammatory, 184 mal-perforant, 185 phagedenic, 188 from pressure, 185 rodent, 649-655 malignancy of, 654 treatment, 66 1 treatment of, 188 varicose, 184 Ulceration of cartilage in tu- berculosis, 531 endocarditis in, 363, 365, 372 Ulcerations, tuberculous, 563 Ulcers, phagedenic, 1 88 strapping, 189 torpid, 187. (See Ulcer.} Urea, excretion of, 312 Urethra, tuberculosis of, 581 Urine, extravasation of, cause of gangrene, 270 in pyaemia, 370 Uterus, cancer of (see Can- cer). diagnosis, 676 hemorrhage an early symptom of, 676 heredity in, 673 hydrometra in, 675 pregnancy a cause of, 673 myoma of, 775 sarcoma of, 720 tuberculosis of, 573 VACCINATION against bacillus anthracis, 74 erysipelas following, 385 Vagina, tuberculosis of, 574 Vapor-bath in tetanus, 450 Vascular loops in granulation tissue, 228 Vaso-constrictor nerves, 82 Vaso-motor centre, 8 1 disturbance cause of sym- metrical gangrene, 274 theory of shock, 280 Venom secretion of snakes, 496 Vertebral column the common- est seat of tuberculosis, 523 Vesicles in erysipelas, 389 Vesicula seminalis, tuberculo- sis of, 578 Vessel-wall in inflammation, changes in, 95 Vessel-walls, molecular changes in, causes of inflammatory phenom- ena. 118 stomata in, formation of, in inflammation, 1 13 Virus, erysipelas, 382 hydrophobia, modification of, 464 increased virulence, 465 tuberculosis, mode of en- trance, 508 Vomiting in shock, 294 Vulva, lupus of, 575 tuberculosis of, 574 WALL OF ABSCESS TISSUE, 157 Wart, venereal, 752 Warts a pre-cancerous stage in the tongue, 679 Water in the knee, 544 Wens, orbital, 751 Whitlow, melanotic, 710 Women, tuberculosis of blad- der in, 579 Wooden-tongue, 476 Wool-sorter's disease, 76, 479 Wound, erysipelas, condition of, 390 treatment, 407 flaps, coaptation of, 222 Wound-healing, 221 Wound-infection, sources of, 788 'Wounds, dissecting-room, 350 non-infection of, in same per- son in hospital gan- grene, 419 punctured, followed by tet- anus, 436 XERODERMA PIGMENTOSUM, 660 Xylol balsam, 29 ZIEHL'S SOLUTION, 27 Zymotic disease, 17 3 m O 50 02 o 00 30 00 •9 Date Due fy* ^ t*>; S§ °00420 062 WO 1U2 W289s Warren, John Collins. Surgical pathology Warren, John Collins. Surgical pathology WO W289s 1891* MEDICAL SCIENCES LIBRARY UNIVERSITY OF CALIFORNIA, IRVINE IRVINE, CALIFORNIA 92664. 