Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Notes On Nursing Tracheotomized Patients

Bedside tray should contain: Duplicate cannula Scalpel ...

Small-pox

_Small-pox_, by far the most dangerous of them, has found a b...

Constant Complaints

Alice was a middle-aged woman who couldn't understand why she...

Treatment Of The Violent Or Sthenic Form Of Scarlatina Anginosa

The _violent_, or _sthenic form_ of scarlatina anginosa becom...

Head Soaping

Have a piece of M'Clinton's soap, a good shaving brush, and a ...

Throat Hoarseness

This is best treated by a good large BRAN POULTICE (see) on th...

Prognosis

A foreign body lodged in the esophagus may prove quickly fat...

Contrariness

I KNOW a woman who says that if she wants to get her ...

Bronchoscopy In Diseases Of The Trachea And Bronchi

The indications for bronchoscopy in disease are becoming inc...

Scarlatina Miliaris

Sometimes the red patches of the rash are covered with small ...

The Ammonium Carbonicum

recommended by Peart, has been considered by many as a specif...

Endogastric Version

A very useful and comparatively safe method is illustrated i...

Fever Gastric

In this fever, now known as a form of Typhoid, the disease spr...

Difficulties In The Introduction Of The Bronchoscope

The beginner may enter the esophagus instead of the trachea:...

Physical Signs In Esophageal Foreign Body

There are no constant physical signs associated with uncompli...

Illness The Root Of

In treating any trouble it is well to get to the root of it. O...

Weight Loss By Fasting

Loss of weight indicates, almost guarantees, that detoxificat...

Bruises Case Xvi

J. Jennings, bricklayer, aged 26, fell through the roof of a ...

Exercise And Growth

Fatigue as a Danger Signal. The chief use of exercise in ch...

Where There Is A Will There Is A Way!

I have been frequently compelled to resort to these milder ap...



On Ulcers





Category: ON THE APPLICATION OF THESE MODES OF TREATMENT TO PARTICULAR CASES.
Source: Application Of The Lunar Caustic In The Cure Of Certain Wounds And Ulcers

From the preceding observations it would naturally be concluded that
the lunar caustic would afford a remedy for the treatment of ulcers.
This conclusion is perfectly just. Yet there are many circumstances
which render the mode of treating ulcers by the caustic, efficacious
or the contrary.

In order that the treatment by eschar may be successful, there must be
the following conditions in regard to the ulcer: first, the surface
occupied by the ulcer must not be too extensive; secondly, it must
not be exposed to much motion or friction; and thirdly, it must not be
attended by a profuse discharge; for all these circumstances have a
direct effect in, preventing the formation of an adherent eschar or of
removing it if formed.

I observe, therefore, that I have not found the mode of treatment by
eschar to succeed in large ulcers of the legs. But in small ulcers,
and especially in those irritable and painful little ulcers which are
so apt to form about the ankle and occasionally occur near, the tendo
achillis, and in which Mr. Baynton's plan is inadmissible, the caustic
is invaluable; in these cases the cold poultice and lotion should
precede the application of the caustic, for a few days, that the
irritability and inflammation of the sore and surrounding skin may be
first subdued; and after the eschar is formed, the part must be kept
exposed to the air and defended from external injury, by enjoining the
patient to wear trowsers and to be careful not to disturb the eschar.

The plan of curing ulcers is exactly what has been described in the
treatment by the unadherent eschar. For in these cases the eschar is
generally unadherent at first. It is necessary therefore in all cases,
except those of very small ulcers, to examine the eschar, making a
small puncture or rather smooth incision in its centre, so as to
evacuate the subjacent fluid if there be any, taking great care not to
break down or bruise the eschar so as to leave its inferior surface at
all ragged. This operation should be repeated daily until the eschar
proves to be quite adherent. And if the ulcer be rather large, rest
should be enjoined until the adherent eschar be fully and safely
formed, and a dose of saline purgative may be interposed. It must also
be particularly borne in mind, that the eschar must be constantly
defended by the gold-beater's skin, which must be removed and
reapplied at each examination.

I have here spoken of ulcers upon the legs. But the same observations
apply to ulcers on other parts of the body, and these are, in general,
far more manageable than the former, and do not require the same rest
during the unadherent state of the eschar.





Next: Ulcers Case Xxi

Previous: Bruises Case Xx



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 939