DISSECTION WOUNDS (from hat. iliS ,cr(rir',•, to putt up, from ills-, apart -f .clear,', to cut ). The dam gi'm from troirads acu'i den Grlly eon• trnclvd uhumingdissrt•tjolt is r,'halivey small, it being nn psI:ihlisLetl rule (lint every puncture should be carefully sucked as soon as it is ob served, and the part then touched with a solid stick of nitrate of silver or with nitric acid. Abrasions and small wound: on the hands should be protected with collodion or with rubber glove: before beginning to dissect. If. however. the poison has been absorbed and infection has occurred. the patient begins to have a feeling of general illness in less than twenty four hours. lie is low-spirited. faint, and chilly, and often complains of nausea. Then conic rigor:, intense headache. rapid and sharp (but weak) pulse. a coated tongue, great restlessness, and sometimes vomiting. The first local symp tom is in ten sr pain. with swelling anti heat at the point of infection. Later the arm may swell,
and there may follow pain in the shoulder of the wounded side, followed by fullness of the neck or armpit. extending in the form of a doughy swelling down the side I if the trunk and assuming a pinkish tint. If incision at the point of infection and evacuation of pus does not give relief, general septica•mia may follow. The gen eral symptoms increase in severity: breathing becomes difficult: the pulse becomes very rapid and weak; the tongue become: dry, brown, and often tremulous when protruded: and the skin assumes a more or less pronounced yellow tinge. The case may terminate fatally at or before this stage; or abscesses may continue to form, from which the patient may more slowly sink; or. if he survive, the arm may remain stiff and useless, or amputation may he necessary. See PY_Emi..k; SEPTICEMIA.