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Punctures Case IvCategory: 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 The present case is somewhat more severe than those which have been already given, and what is of great importance, the caustic was not applied immediately after the accident. William Chantry, aged 50, received a stab in the wrist with a hay-fork yesterday and applied a poultice; to-day there are great pain and swelling, and the wounded orifice is very small. I applied the lunar caustic within the puncture, and directly a cold poultice to be worn over it; the arm was kept in a sling. The next day the swelling and pain were diminished, and a little lymph flowed from the wound. I again applied the caustic and continued the poultice. Two days afterwards, the swelling and pain were nearly gone. The poultice was merely continued, the caustic not being requisite from the subsidence of the inflammation. The patient came to me again in four days more quite free from pain and swelling. The poultice was discontinued, and the caustic was then applied in order to form an adherent eschar, in which I was successful. This case illustrates many important points; 1. it shows the efficacy of the caustic with the poultice as a remedy against inflammation; 2. it presents an instance of a labouring man returning to work on the sixth or seventh day after a severe accident, even when the application of the caustic had been unfortunately delayed; 3. it points out the proper treatment, when all hope of the treatment from the first by adherent eschar is lost from such delay,--for had this been attempted in this case, suppuration would doubtless have taken place from the closed state of the puncture by the swelling;--our objects must therefore be, to open the puncture and to subdue the inflammation, and these objects are admirably attained by means of the caustic. The following case is not less instructive. Next: Punctures Case V Previous: Punctures Case Iii
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