Some Remarks on Morbus Coxarius, With an Account of P. S. Physick's Method of Treating This Disease (Classic Reprint)

Bücher

Angebote / Angebote:

Excerpt from Some Remarks on Morbus Coxarius, With an Account of P. S. Physick's Method of Treating This DiseaseIt must be regarded as an extremely fortunate circumstance for patients af¿icted with coxalgia, that the formation of pus takes place so very slowly, experience having fully proved that the case is ren dered much more tedious and uncertain by this occurrence. Mr. Brodie goes so far as to declare that he never knew an instance of an adult's recovering from this disease, after abscesses had formed. Children, however, frequently recover under these circumstances. Not long since I attended a boy in consultation with Dr. Physick, in whom a considerable abscess had formed in the acetabulum. The head of the thigh bone had been dislodged from its socket before we saw the case. The abscess burst externally, sinuses formed, from which there were copious discharges of purulent matter, and finally, the bottom of the acetabulum was destroyed, the abscess made its way into the pelvis, the ulceration extended through the coats of the rectum, and a portion of the purulent matter was discharged per anum, whilst a portion of the feces escaped through the openings in the hip. Notwithstanding all this, by a rigid perseverance in Dr. Physick's mode of treatment, the patient recovered with an anchy losed limb, and is now an active, healthy boy.The various appellations which have been used for the purpose of designating this disease, such as the scrofulous caries of the hip joint, abscess of the hip joint, Spontaneous luxation of the os femoris, and the scrofulous hip, I consider as objectionable, inasmuch as they only serve to point out a particular state of the affection. It is true that in the generality of cases the disease is met with in patients who possess a scrofulous diathesis, but it is equally certain that it attacks those who are entirely free from any such condition of the system. The exciting cause of the disease is most commonly supposed to be exposure to cold, it is probable however that it is often produced by external violence. On this account children should not be encouraged to jump from too great a height, the disease may possibly have been frequently excited by this cause. Several cases have also presented themselves, in which excessive exercise and falls upon the trochanter major appear to have produced the complaint.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.