The lymph glands behind the angle of the jaw enlarge and become tender, and may suppuratefrom superadded infection.
If the injury is continuously repeated, the horn becomes altered in character and the soft tissues may suppurate or a horny tumor develop.
The skin may suppurate or slough more or less over the areas of greatest tension or where it is irritated by blows or pressure.
These sores, especially when deep, suppurate freely, and if there are no complications they tend to heal rapidly as soon as the degenerated tissue has softened and is entirely removed.
The lymph glands in the neck are usually enlarged and tender, and sometimes theysuppurate and give rise to a diffuse cellulitis.
There is usually some degree of fever, and the glands behind the angle of the jaw are enlarged and tender and may suppurate and set up cellulitis.
The enlarged cervical glands later undergo softening, or suppurate and burst on the skin surface, forming fungating ulcers.
These bursæ are liable to become inflamed, and are then a source of great suffering, and if they suppurate may cause persistent sinuses.
If the exudation begins to suppurate and an abscess forms, then the surrounding tissue becomes soft again, so that the fluctuation of an elastic tumor becomes recognizable.
There is a great tendency in inflammation of the ovaries to suppurate and change the entire tissue of the ovary into an abscess.
As soon, however, as these show a tendency to suppurate poultices should be applied, and the resulting ulcer treated as if occurring under other circumstances.
Such glands rarely suppurate or undergo a necrotic degeneration; sometimes they become permanently indurated.
In general, when the buboes suppurate well, and there is a separation of the eschars from the carbuncles, accompanied with an abatement of the other symptoms, a favourable prognostic may be given.
They are poorly supplied with blood vessels and undergo coagulation necrosis, but do not tend to suppurate until infected.
The disease is commonest after punctured wounds or lacerated ones of the hands or feet, and before it appears, a wound is apt to suppurate or slough, but in some instances the wound is found soundly healed.
The testis in men is also liable to suppurate with great pain, long confinement, and much danger; and lastly the affection of the brain is fatal to many.
These indolent tumours may be brought to suppurate sometimes by passing electric shocks through them every day for two or three weeks, as I have witnessed.
It must be noted, that these kinds of inflammation can exist together; and some parts of the cellular membrane may suppurate at the same time that the external skin is affected with erythema, or erysipelas.
Scrophulous tumours are sometimes absorbed, and sometimes brought to suppurate by passing electric shocks through them daily for two or three weeks.
The serous membranes are peculiarly liable to be attacked by secondary inflammation; and, when affected, suppurate with the greatest readiness.
The pleura, on the other hand, will seldom suppurate at first; but lymph will be deposited upon its surface, and its cavity will contain turbid serum, occasionally mixed with blood.
A few scattered pimples I have sometimes, though very rarely, seen, the greater part of which have generally disappeared quickly, but some have remained long enough to suppurate at their apex.
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