Identifier: hahnemannian34homo (find matches)
Title: The Hahnemannian monthly
Year: 1865 (1860s)
Authors: Homœopathic Medical Society of the State of Pennsylvania
Subjects: Homeopathy
Publisher: West Pittston, Pa. (etc.) : LaBarre Printing Co.
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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e War of the Rebellion. Shows bony changes incident to osteomyelitis of the lower end of humerus. Note the well-formed cloaca. contemplation might appear like rheumatism. In adults it isvery rare as a spontaneous affection, and yet it must be bornein mind that it occasionally occurs. The persistent, intolerable,torturing pain located in a long bone should awaken the gravestsuspicion of an osteomyelitis. Pain of this kind does not ame-liorate ; it continues day and night for a week or ten days. 492 The Hahnemannian Monthly. (August, The patient is obdurate in his demands for relief. (In theadult the location of the pain is quite as likely to be along theshaft of the bone as at, or near, one extremity—the conditionsno longer exist which render the osseous structure more preg-nable at the epiphyseal line. The developmental years ofchildhood have passed, ossification is complete, one part of themedullary canal is as liable to be the focus of infection as an- No. 1. Fig. 5. No. 2. No. 3.
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No. 1. A fine example of osteomyelitis of the tibia with large involucrum andwell-marked cloaca. No. 2. A sequestrum, consisting of nearly the whole of theshaft of the tibia. No. 3. Ulna and radius fused together in an extensive involu-crum. A piece of dead shaft of ulna is seen through cloaca. other.) At the expiration of ten days or two weeks an abate-ment of pain, simultaneously accompanied by a rather suddenswelling of the adjacent soft parts, is a convincing point indiagnosis. I am in doubt whether the temperature and pulseconstitute a guide of any reliability. It has been my observa-tion that in some cases, especially the rapidly fulminating ones,a marked elevation of temperature and pulse accompanies thedisease, while in other cases the change from normal conditions 1899.) Osteomyelitis. 493 is but slight. It is considered that the temperature of osteo-myelitis is subject to less marked evening exacerbations than intvphoid fever or acute rheumatism. Differential Diagnosis. OSTE

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