Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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rted in a suspensory bandage. Wet dressings, lead water and laudanum or leadwater and alcohol are useful. Epsom or Rochelle salts are given until free catharsis isobtained. Only a Hquid or soft diet is permitted. 176 THE BREAST Schiller, among others, never resorts to weaning as a means of preventing suppurationin incipient mastitis cases. Instead, he applies a Biers cup for three-quarters of anhour once or twice daily and advises that the child shall continue to nurse after theapplication of the cup, so that the breasts are thoroughly emptied at least three timesdaily. In the intervals between cuppings, a salve is applied and the breasts are poulticedwith a 50 per cent, alcohol or 2 per cent, aluminum acetate solution and raised undermoderate compression so that the nipple occupies the center of the breast. Schillerregards the nursing act as a healing process in itself through the production of activehyperemia. He advises that nursing be continued even if suppuration occur, provided,
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Fig. 99.—The teterelle in use. (De Lee.) that the abscess be small and the incision to reheve it be made sufficiently remote fromthe nipple. Nursing at the healthy breast is seldom discontinued by his patients.Most European surgeons follow a similar line of treatment, but it is the custom amongAmerican surgeons to advise weaning the child when suppuration takes place in themothers breast. Gastro-intestinal disorders are common enough in infants suckled at infected breasts,but it is surprising to find that Damourette observed five fatal cases among a series of27 infants who were suckled at breasts the milk ducts of which alone were affected. Great stress is laid upon this source of danger to the child by Baumgarten and 1 THE INFECTIOUS DISEASES OF THE BREAST 177 Boissard, while numerous obstetricians hold that infantile marasmus is often due to theingestion of bacteria-laden milk from a mother whose milk ducts alone are infected. Dervaux and Salmon report the case of an infant in who

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