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Medical ArticlesThe Blood-mesh Of The SkinThe Blood Vessels under the Skin. Not merely the nails and th... Nerve Shock After a fright, or some very trying experience, some part of t... Fatty Degeneration Fatty degeneration of the heart muscle may be caused by acute... Nursing Over Few vital processes are more remarkable than that by which foo... Symptoms In hypertension, as long as the heart, which is probably hyp... Cadaver Practice The fundamental principles of peroral endoscopy are best tau... Toothache This trouble appears in two opposite characters. In the one it... From The Hygienic Dictionary Diagnosis. [1] In the United States, making a diagnosis impli... Dysentery This is an affection of the bowels of the nature of diarrhoea,... Palsy See Paralysis. ... Cicatricial Stenosis Of The Esophagus Etiology.--The accidental swallowing of caustic alkali in sol... Yellow Fever [As I have never practiced farther South than Cincinnati, and... Affection Of The Brain When the _brain_ is affected, the patient suddenly complains ... Neuralgia And Rheumatism Of The Heart If neuralgia, use B D current; if rheumatism, use A D. In eit... Contraction Of Sinews This often occurs at the knee, bending the joint so that the p... Specular Esophagoscopy Inspection of the hypopharynx and upper esophagus is readily... Chloroform Or Ether (swallowed) Emetic; enema of hot coffee; keep awake. If necessary, artific... From The Hygienic Dictionary 2 Toxemia. [1] "Toxemia is the basic cause of all so-called dise... Fever In all fevers, to cool down the excessive heat of the patient ... Direction Of The Esophagus The esophagus enters the chest in a decidedly backward as we... |
Burns Case XxxvCategory: OF SOME CASES IN WHICH THE CAUSTIC IS INAPPLICABLE. Source: Application Of The Lunar Caustic In The Cure Of Certain Wounds And Ulcers The following case will present a specimen of my trials of the lunar caustic in larger ulcers. Anthony Knowles, aged 44, was kicked by a horse on the leg, above the inner ankle, two years ago. The part has never healed, but still remains in the state of an open ulcer, attended by some inflammation. When I first saw this ulcer it was about two inches in diameter and nearly circular, with high edges, a surface of a greenish colour, and without any healthy granulations. I applied the lunar caustic to form an eschar. The pain from the caustic was severe for several hours. An eschar had formed round the edges, but in the middle part it was quite wanting; the inflammation surrounding the ulcer had abated, and the green hue of its surface had disappeared. I reapplied the caustic in the central part. On the following day the eschar appeared tolerably complete in the centre but had separated at one part of the circumference. I again applied the caustic to the defective part. On the following day the eschar was defective in several parts, but the inflammation was quite removed, there was no pain, and there had been less smarting after each successive application of the caustic. I again applied the caustic. On the succeeding day, I learnt that my patient had been intoxicated, and I found the ulcer attended by inflammation. The eschar was by no means complete; some part of it was in a detached state. I removed the loose portions and repeated the application of the caustic. This sort of treatment was continued for a fortnight without my being able to effect the formation of a complete eschar. I therefore relinquished the idea of healing the ulcer by the adherent eschar; I eventually succeeded in doing so by applying the caustic every third day and the poultice continually, and I had hopes that the cure might be permanent, but he made application to me in two years afterwards with a similar ulcer on the same part. In another similar case, I removed the elevated hard edges of the ulcer by the lancet, and then tried the caustic, without better success. Next: Burns Case Xxxvi Previous: Burns Case Xxxiv
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