The Surgical Clinics of Chicago Volume 3, No. 5

The Surgical Clinics of Chicago Volume 3, No. 5

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1919 edition. Excerpt: ...was frequency of urination. He was treated at this hospital in November, 1918, for chronic skin disease of the face, which was diagnosed blastomycosis. Denies luetic infection and does not use alcohol. He has lost about 25 pounds during the past six months. On examination we see that this man is of slender build, apparently somewhat emaciated. He is about the ward and says that he feels well and has a good appetite. His face is scarred over the nose and both cheeks, giving the appearance of a healed lupus vulgaris. Just below the angle of the right scapula is a prominent swelling about the size of a small orange. The skin is normal and movable over it. It is not tender to manipulation and is firmly attached to the deeper structures by a broad base. It gives a sense of fluctuation to palpation. There is no lobulation or puckering of the skin when the swelling is pushed to one side, practically ruling out a soft lipoma. Aspiration yielded a thick yellowish pus, the cultures from which remained sterile after twenty-four hours. Smears were stained for tubercle bacilli with negative result. Examination for blastomyces was also negative. Considering the possible origin of this cold abscess, it might be an empyema necessitatis, but examination of the chest is negative and there is no sputum. The other two possible sources are tuberculous rib and Pott's disease of the spine. x-Ray examination should differentiate. Plates were made which show a rarefaction of the body of the sixth thoracic vertebra with a Fig. 430.--Roentgenogram showing shadow of large cold abscess above'level of heart shadow along thoracic spine. large abscess of this region (Fig. 430). Further examination for signs of Pott's disease shows no deformity of the spine; on bending more

Product details

  • Paperback | 60 pages
  • 189 x 246 x 3mm | 127g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236578406
  • 9781236578402