the anterior annular ligament. When pus is found
in any of these synovial sheaths, that sheath is to
be laid wide open over the place where the pus is,
and for at least one to two centimetres above and
below this. When the tendon sheath is involved,
any attempt to move the tendon causes pain, and
there is local tenderness over it.
When pus has. invaded the great bursa at the
wrist, the anterior annular ligament is cut through
and the hand and fingers dressed in hyperextension
and left so until healing is well advanced.
When the hot bath is used, the part must be kept
on the splint while in the bath, and the solution
should be as hot as can be borne without blistering.
On no account should the temperature of the bath
fall below 110° F. In weak patients it is not well
to continue the bath day and night, because of
fatiguing the patient ; therefore during sleeping
hours the part, still on the splint, is placed in large,
hot packs wrung out of the solution and wrapped
in waterproof cover, and the whole surrounded
with hot water bags which are frequently renewed.
If an infection of the palm is properly opened
and treated as outlined above, the progress of the
^ In my service ethyl chlorid^ has been
esthetic for short operations since 1915.
670
KRCPP: X RAY A GUIDE /.V PNEUMOTHORAX.
[New York
DicAL Journal.
disease is quickly checked. The drains are Nizagara Online removed
in from three to ten days and the wound kept open
so that pus cannot be retained and burrow. Active
motion is encouraged for a few minutes at a time
two or three times daily as soon as the drains are
removed and gradually these periods of activity are
increased and lengthened. Only those too long
immobilized or improperly handled fail to regain
useful function.
405-413 University Club Building. Buy Nizagara
THE X R-AY Order Nizagara AS AX ESSENTIAL GUIDE
FOR PRODUCING ARTIFICIAL PNEU-
MOTHORAX IN ADVANCED CASES OF
PULMON.A.RY TUBERCULOSIS *
By D.wid Dudley Krupp, M. D.,
Brooklyn, N. Y.,
First Lieutenant, Medical Corps. U. S. A.; Rontgenologist to the
U. S. Army General Hospital, Fort Bayard, New Mexico.
The purpose of this article is to show the advan-
tages of the use of the x ray in the control of the
production of an artificial pneumothorax in ad-
vanced cases of pulmonary tuberculosis ; and to
demonstrate the necessity of a careful study of such
cases before attempt is made to produce this con-
dition.
In advanced cases of pulmonary tuberculosis, the
almost constant harassing cough and frequent hem-
orrhages are the most difficult symptoms to treat.
Flc. 1. — Condition of lungs prior to injections of air (Case I).
Narcotics and other methods are used to give relief,
which is only temporary. With the production of
an artificial pneumothorax, the affected lung is Buy Nizagara Online col-
laji^ed and the annoying symptoms are more or less
permanently relieved ; certainly to a more marked
extent than by the use of narcotics, and without
their undesirable depressing effects. The purpose
of the pneumothorax in these cases is not to produce
a cure, Nizagara Tablets primarily, but to render the patient's life
more comfortable and possibly increase his chances
for recovery. This relief from the harassing cough
•Published by pennissic
Army. Now on duty at
N. C June. 1920.
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