Part 34

SKIN-GRAFT SET.

1 scalpel. 2 curets. 1 pair scissors. 3 hemostats, 8-inch. 1 tissue forceps, plain. 6 “ 6- “ 1 “ “ rat-tooth. 2 razors. 1 Fenger director.

SKULL FRACTURE SET.

1 pair scissors, straight. 18 hemostats, 6-inch. 1 “ “ curved. 6 “ 4- “ 2 scalpels. 4 “ 8- “ 1 bone-holding forceps. 3 bone curets. 1 bone-cutting “ 2 gouges. 1 probe, long. 2 periosteotomes. 1 “ short. 1 rongeur. 1 Fenger grooved director. 1 lion jaw. 1 Kocher grooved director. 2 trephines. 2 retractors, superficial, sharp. 1 deVilbiss. 2 retractors, superficial, dull. 1 hammer. 2 chisels. 2 aneurism needles. 1 aspirating syringe. 1 bone elevator. 1 “ needle. 2 pair tissue forceps. Needle-holder and needles. 1 ether mask.

HEMORRHOID SET.

2 pair scissors. 1 grooved director. 2 knives. 6 hemostats, 6-inch. 1 clamp. 2 “ 8- “ 2 retractors. 2 “ “T.“ 2 tooth tissue forceps. 1 bone curet. 1 plain “ “ 1 rectal dilator. 1 probe. Cautery.

PROSTATECTOMY SET.

1 laparotomy set, suprapubic. 1 hernia set, perineal.

Add to either set:

6 sounds, graduated sizes. 6 filiform bougies. 2 metal catheters. 1 rubber catheter, size 16. 2 grooved staves. 1 “ “ “ 18.

SURGICAL SETS FOR STRANGULATED HERNIA, GASTRO-ENTEROSTOMY, GUNSHOTS, ETC.

1 laparotomy set. 4 intestinal clamps. 2 Murphy buttons.

TUBERCULOUS GLAND AND GOITER SETS.

1 hernia set 2 aneurism needles.. 6 hemostats, 6-inch. 1 ether mask.

WIRING OF BONE.

1 amputation set. 4 drills. 2 drill-holders. Wire or plates and screws.

SURGICAL SETS FOR VARICOSE VEINS, VARICOCELE, HYDROCELE.

1 hernia set.

SURGICAL POSTURES.

OPHTHALMIA.

PURULENT OPHTHALMIA (SUPPURATIVE INFLAMMATION OF THE CONJUNCTIVA).

BY CASSIUS D. WESCOTT, M. D.,

Assistant Professor of Ophthalmology at Rush Medical College, Chicago, Ill.

Purulent ophthalmia is caused by a specific germ, and is very contagious.

Local Treatment.—Irrigate with warm boric-acid solution or normal salt solution every hour. Anoint the edges of the lids with sterile vaselin to permit free drainage. Castor oil and glycerin, of each, equal parts; or borated vaselin may be used for the same purpose. Astringents and caustics, silver nitrate, etc., are usually applied by the doctor.

For an anodyne, atropin is principally employed, also cold or hot compresses; in the use of the latter care must be taken to prevent irritation of the skin that will show itself in a permanent livid hue.

In case of excessive swelling a leech may be applied, or the doctor may resort to scarification.

Medicines consist of cathartics, diuretics, diaphoretics, opiates, tonics.