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Punctures Case ICategory: 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 A.B. received a severe punctured wound by a hook of the size of a crow-quill, which pierced into the flesh between the thumb and fore-finger on the outside of the hand; scarcely a drop of blood followed, but there was immediately severe pain and tumefaction. The lunar caustic was applied without loss of time, deep within the orifice and around the edge of the wound; and the eschar was left to dry. The smarting pain induced by the caustic was severe for a time but gradually subsided. On the ensuing day, the eschar was adherent and there was little pain; but there was more swelling than usual after the prompt application of the caustic, owing to the mobility of the part. On the third day the swelling remained as before, and there was a little sense of heat. On the fourth day the swelling and heat had subsided, and the eschar remained adherent. On the succeeding day the eschar had been removed by washing the hand, and the puncture was unhealed but free from pain and irritation. The caustic was reapplied. From this time the eschar remained adherent, and at length gradually separated leaving the part perfectly well. It is quite certain that under any other mode of treatment this severe puncture would have greatly inflamed and have proved very painful and troublesome; and it is not improbable but that suppuration and much suffering might have ensued. All this is effectually and almost certainly prevented if the caustic be applied promptly, as in this case. When time has been lost, the case is very different as will appear hereafter; but even in these cases, the caustic proves an invaluable application. Next: Punctures Case Ii Previous: Of Punctures Etc
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