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Related post: Aug. 23d. The upper part of the thigh is swelled and pain-
ful, and the discharge from the wound has increased in quan- Bisoprolol Fumarate
tity. Yesterday he attempted for the first time to sit up
in bed, but, owing to the rigidity of the parts and the agglutina-
tion of the muscles, the pain caused by the sitting posture was
so severe that he was soon compelled to lie down again. R. Cold
evaporating lotions to the thigh.
Aug. 27th. The swelling of the thigh has Purchase Bisoprolol increased; the dis-
charge from the wound is very Purchase Bisoprolol Online free, thin, and flaky; the sur-
rounding skin is glazed and doughy to the touch. The wound
of entrance has reopened, and discharges some thin pus. An
abscess has formed on the inner side of the thigh; incised it and
evacuated about §iv. of thin and flaky pus. He 7*s rather rest-
less, but says he feels well. E. Tinct. ferri chloridi gtts. xx.
every six hours, alcoholic stimulants, and a nutritious diet.
Sept. 1st. The swelling and inflammation of the thigh con-
tinue. He complains of nausea and want of appetite. An
abscess is forming on the outer side of the thigh. R. Flaxseed Order Bisoprolol Online
poultice to Buy Bisoprolol Online abscess.
Sept. 5th. Incised the abscess and evacuated a large quantity
of thin flaky pus, which smells very offensive; has some irrita-
bility of stomach, which is controlled by Hoffman's anodyne.
Sept. 6th. The edges of Bisoprolol 10 Mg the incision in the abscess are slough-
ing. R. Acid, nitric, to be applied freely.
Sept. 9th. Has diarrhoea. R. Bismuth, sub. nit. gr. x., Opii
pulv. gr. j., every 6 hours.
Sept. 11th. The slough has cleaned off, the edges of the
wound are covered with florid granulations; the discharge
from the abscess continues free; diarrhoea continues. R. Acid,
tannic, gr. v.; Opii pulvis, gr. j., three times a day.
1865.] THE HEAD OF THE FEMUR. 427
Sept. 13. The diarrhoea has nearly ceased; his general con-
dition has improved; the wounds look well; the discharge
from them continues free, and has improved in quality.
Sept. 25th. Removed from the wound of operation a large
ring-shaped exfoliation, from the upper end of the femur.
Sept. 26th. Removed another exfoliation from the wound.
Oct. 7. Since the exfoliation of the necrosed bone the swell-
ing of Generic Bisoprolol the thigh has subsided; the discharge from the wounds
has diminished much in quantity, is improved in quality, and
presents the appearance of laudable pus; the diarrhoea has
ceased; his general condition has much improved, and he is
able to sit up in bed.
Oct. 30th. A sinus from the wound of operation, and one
from Bisoprolol 2.5 Mg where the abscess was, on the outer side of the thigh;
leads to the bone, a portion of which is necrosed.
On the 1st of November I left the hospital. I am indebted
to Dr. Garland for the following history of the case from that
time until Wright was discharged from the hospital.
Nov. 24th. He continued to do well until this date, when the
limb became Bisoprolol Online inflamed and swollen. Cold applications were
applied to it, and tonics and stimulants given internally.
During the later part of December another abscess formed on
the outer side of the thigh, which was incised, and a quantity
of unhealthy pus evacuated. The swelling and inflammation
again subsided, and he continued to do well until February
6th, 1865, when another abscess formed in the lower third of
the thigh, on the outer side; this was incised and the pus
evacuated. Several small pieces of dead bone have come away
with the discharges from the wound of operation. About the
middle of March, 1865, he began to get out of bed, and walk
about the ward on crutches. On May 3d, after getting out of
bed, •* he let his leg fall, and Buy Cheap Bisoprolol hurt it;" this was followed by
inflammation and swelling of Bisoprolol Mg the Order Bisoprolol thigh, and an abscess formed
in the lower third of it, on the inner side; this was incised and
a small quantity of pus evacuated. He was now attacked with
erysipelas, which extended from knee to the hip. This was
combatted with tonics and stimulants, (iron, quinine, &c.,) and
it rapidly disappeared. From this time he did well, taking
428 CASE Bisoprolol 2.5 OF iNJUEiES OF [Sept.,
daily exercise about the hospital, on crutches. On the 17tb
of April he left the hospital for his home in New Jersey.
July 18th, 1865. I saw him at his home in New Jersey, Bisoprolol Hctz and
found his general condition to be as follows: General health
excellent; the wounds and sinuses have been entirely healed
since the beginning of May. The upper end of the femur is
firmly attached to the pelvis by ligament, about one and a half
inches long; the agglutination of the muscles and the atrophy
of the limb have nearly disappeared; he exercises considerable
control over the motions of it, and can flex and extend it
slightly; the voluntary motions of rotation and abduction are
lost; adduction is performed to a limited extent. Motion of
the knee-joint is also limited, in consequence of Buy Bisoprolol the thickening
and consolidation of the surrounding tissues, resulting from the
inflammation. He states that, for the last two months, his
improvement in the use of the limb has been very decided.
"When he first commenced to walk about " the limb felt like a
weight attached to his body." This sense of weight has now
entirely disappeared. He generally walks with crutches, but
can walk with the aid of a cane alone. With a high shoe and

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