section of hand through web of finger;
interossei. is there a generic nexium
web. Treated in time, nothing serious will generic brand for nexium happen ;
but delay is dangerous, for this little abscess in the
web can, in a few days, when will nexium become generic extend directly into the
palm, and while recovery is to be expected, the hand
will never be as good what is the generic name for nexium as it formerly was, once it has
sulTered from a deep palmar abscess.
At the beginning, metastatic abscess in the web
is not very painful. There is plenty of room for
the exudate ; therefore the pressure is not great at
first. At the same time, the pain at the original
site of infection is great and distracts the patient's
attention. If the diagnosis of metastatic abscess is
not made before the patient directs attention to it,
it is too late to prevent him from having a deep pal-
mar abscess. How then shall we make the diag-
nosis? First, by being aware of the fact that here
is the first site for the development of a metastatic
abscess, and that metastatic abscesses may develop
here in any kind of finger infection, but most often
in those of nexium 40 mg generic the skin and subcutaneous tissues ; and
secondly, what is the generic for nexium by looking for the abscess generic version of nexium in the web.
Pain on pressure over the web is a sign that infec-
tion is present. One may elicit tenderness deep in
the web within a few hours after the infection begins
there, nexium dosage 80 mg and when first the diagnosis is made is the
time to treat the condition. Never wait for that
sign which even fools may read — fluctuation. Re-
member that to delay, means to provoke a palmar
abscess.
Fig. 4 illustrates the proper way to open a web.
Cut straight through it for at least half an inch
from its free edge, and if pus -is not found, open
bluntly through the fat in the middle of the incision
still further toward the palm. If one cuts back
farther than the point where the pus is, he will carry
the infection into the palm. Insert a thin bit of
rubber to keep the wound edges from agglutinating
and dress the fingers wide apart. Immobilize the
whole hand and forearm and immerse all in 80 mg nexium a hot
bath as before. Do not practise changing the drains
daily and never pack a wound in which there is
virulent or viscid pus. The web abscess in any of
the three inner spaces is there a generic for nexium spreads by direct continuity
into the fat of the palmar pad and thus an infection
of any one web may lead to infection of all the
others. I have often seen this happen.
Now how does the web abscess become a palmar
abscess ? The kunbrical muscles are found deep in
the palm. Springing from the tendons of the deep
finger flexors, they run downward and pass to the
radial side of the base of the corresponding finger ;
going through the base of the web, they insert into
the tendon found lying on the back of the first
phalanx — the common extensor of the fingers. The
tendons of the interossei do almost the same. Thus
the fat of the web comes into actual contact with
these tendons. Each tendon is surrounded with
loose areolar tissue — a lymph space — and so it is
easy for pus, having once come into direct contact
with a tendon to dissect its way along it.
Infection (metastatic) of the web of the first
space is in a class by itself, inasmuch as it is nearly generic for nexium 40 mg
always intermuscular from the beginning. It fol-
lows infection of either thumb or index finger and
can occur by direct extension of pus along peri-
fascial lymph spaces, or buy generic nexium by the ordinary lymphatic
route to the base of thumb or index, and then along
muscle tendons into the intermuscular space between when does nexium go generic
the first dorsal interosseus muscle and the adductors
of the thumb. generic name for nexium As before, tenderness on deep pres-
sure is the sign to watch for, and the space should
be opened as soon as that sign appears. Fig. 4 shows
the incision directly across the web. It continues
through the superficial and deep fasciae until the
edges of the muscles are seen. The lines of their
fibres cross each other x wise. The space between
the two is found and opened by blunt dissection.
The pus is there. A drain is inserted to the bottom
of the abscess cavity and fastened there. generic equivalent of nexium The whole
hand and forearm are immobilized with thumb and
index slightly separated.
An order nexium samples abscess in this web can readily become a
palmar abscess by does nexium have a generic dissecting its way around the
edge of the adductors of the thumb, or along the
palmar arch, or it can spread easily to the wrist
along the synovial sheath of the flexor longus pol-
licis. In dealing with abscess in this web, generic form of nexium no muscle
of what is generic for nexium palm
is cut. Through and through drainage is never
used.
We shall briefly consider abscess in the palm.
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