Identifier: atlasofclinicals00bock (find matches)
Title: Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students
Year: 1908 (1900s)
Authors: Bockenheimer, Ph. (Philipp), b. 1875
Subjects: Surgery, Operative
Publisher: New York : Rebman
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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reast. Theskin is tense, oedematous, reddened and often glisten-ing. The redness qviickly extends over the wholemamma and beyond it. The patients suffer from afeeling of tension in the breast, and radiating painin the arm of the affected side. There is also generalmalaise. The affection is often ushered in by rigorsand high temperature. The axillary glands may be enlarged and painful.In severe cases there is diftuse infiltration of thewhole mammary gland, which may extend into thelymphatic vessels round the breast. Abscesses formin one or more places; the superficial ones beingrecognized by fluctuation, the deeper ones by theextensive nature of the lesion. Purulent inflamma-tion of the mamma may occur in general infection;on the other hand, it may also give rise to generalinfection by thrombo-phlebitis. Differential Diagnosis. A non-bacterial in-flammation of the breast occurs in sucklings soonafter birth (mastitis neonatorum). This is a physio- 192 Bockenlieimer, Atlas. Tab. I..Will.
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Fig. 80. MasUlis puer;ieralis iiurulciita. Rcbman Coiiinnnv. Nc»-\ork. logical swelling of the gland with excretion of asecretion resembling milk. In some cases there iscircumscribed abscess formation, which soon healsafter incision. The inflammation, however, usuallysubsides under ointments and moist fomentations.Similar mastitis may occur at the age of puberty,both in boys and girls, which yields to the sametreatment and seldom leads to abscess. Pigmenta-tion of the areola remains after these cases ofmastitis. During the period of lactation, accumulation ofmilk due to stopping its outflow may cause hard in-flammatory infiltration of the breast (milk abscess)which disappears after removal of the milk by abreast pump, etc. In these cases both breastsshould be supported by a suspensory bandage. Mastitis may be caused by trauma, by suppurationin a blood eftusion caused by injury. In cases offurunculosis and diabetes mastitis may occur, withthe formation of hard, deeply situated abscess

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