e of all injuries and wounds that might result in lockjaw.
This is a disease where an ounce of prevention is worth a thousand pounds
of cure, because by the time the disease is recognized as lockjaw and has
really made an appearance, it may be too late for medical skill. While you
are waiting for the doctor you may apply cold cloths or even an ice bag to
the spine. If the spasms are severe let the patient inhale chloroform to
kill the pain and quiet him. In the meantime secure the best physician
within your reach, and follow his directions carefully, be calm and self-
possessed when in the presence of the patient, for you must remember that
he has full possession of his mental faculties and will notice every
evidence of fear or worry in the faces of those who are nursing him. This
will only add to his sufferings, affect his nervous system and undermine
his general vitality. Read carefully the nursing department in this book
and you will gain some valuable hints and knowledge regarding the sick
room.
GLANDERS.--This is an acute disease of the horse and occasionally of man.
It is called "glanders" when the affection appears in the nostrils, and is
called "farcy" when in the skin.
Causes.--The bacilli is usually introduced from infected horses through
the nose, mouth and cheek, mucous membranes or skin abrasions (rubbing off
of the skin). There are large or small lumps in the skin, mucous membrane
of the nose and mouth.
Symptoms. Acute Glanders.--1. Incubation lasts from three to four days.
There are signs of inflammation at the site of infection and general
symptoms. In two or three days, small lumps appear on the mucous membrane
of the nose, and ulcerate, with a discharge of mucus and pus. Sometimes
these nodules die locally, and their discharge is then foul. The glands
around the neck are enlarged. An eruption appears over the face and
joints. Inflammation of the lungs may occur. Death may take place in eight
to ten days.
2. Chronic Glanders.--This may last for months. It acts like chronic cold
with ulcer in the nose. Some recover.
3. Acute Farcy.--The local and general signs are those of an infection,
with necrosis (local death) at the site (in the skin) of inoculation;
nodules, (lumps) known as "farcy buds" form along the lymphatics (glands)
and form pus. There may be pus collections in the joints and muscles.
Death often occurs in one to five days.
Chronic Farcy.--Tumors in the skin of the extremities
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