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Medical ArticlesDeclineSee Consumption. ... Emergency Tracheotomy Stabbing of the cricothyroid membrane, or an attempted stabb... Fever Delirium In See Delirium. ... Night Coughs These frequently remain as the so-called dregs of some illness... Measles _Measles_, which may be easily distinguished from scarlatina,... Auricular Fibrillation Pathology Schoenberg [Footnote: Schoenberg: Frankfurt. Ztschr. f. Patho... Contraindications To Direct Laryngoscopy There are no absolute contraindications to direct laryngosco... From The Hygienic Dictionary 2 Toxemia. [1] "Toxemia is the basic cause of all so-called dise... Punctures Case Xii A servant maid was bitten by a dog in four places--severely o... Eruptive Cutaneous Diseases Take A D current, pretty vigorous force in acute cases; mild ... The Relative Position Of The Deeper Organs Of The Thorax And Those Of The Abdomen The size or capacity of the thorax in relation to that of the... Itch See Rash. ... From The Hygienic Dictionary Diagnosis. [1] In the United States, making a diagnosis impli... Oranges Some things regarding this useful fruit require to be noted by... Strychnin The question of the advisability of strychnin is a constant s... Remedial Virtues Ascribed To Relics A relic has been defined as an object held in reverence or ... The Unrelenting Boredom Of Fasting Then there's the unrelenting boredom of fasting. Most people ... The Care Of An Invalid TO take really good care of one who is ill requires n... Balance Loss Of Cases where loss of balance in walking and standing are due to... Pathology If the foreign body completely obstructs a main bronchus, pr... |
Punctures Case XiiiCategory: 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 Am old man applied leeches to the instep for inflammation occasioned by a bruise. Several very irritable sores were produced with some swelling. I applied the lunar caustic to form an eschar. On the following day, the eschars were adherent, the swelling had subsided, and he had slept well for the first time of several nights. I do not, however, think the lunar caustic would succeed in such cases if attended by great inflammation, without the previous application of a cold poultice with rest for a day or two. TTTILE ON BRUISES. It has been already observed, p. 9, that the caustic is an invaluable remedy in cases of bruised wounds of the shin. In these, as in all other cases, the value of this remedy is greatly enhanced by an early application. In bruises on the shin I have not had a single instance in which I was not enabled to effect a cure by the adherent eschar, if application was made to me early. The difficulty of forming an adherent eschar is always increased by delay; but in these bruises along the shin there is an additional reason for this increased difficulty, arising out of the tendency observed in them, to the formation of a slough. In this place I have, indeed, to make an observation of particular interest, both in a pathological and curative point of view; it is, that the formation of this slough has always been prevented by an early application of the caustic, in the cases which have hitherto fallen under my care. This fact may probably admit of explanation in the following manner; the bruise partially destroys the organization of the part, and the subsequent inflammation completing what the injury had partially effected, a loss of vitality takes place, and the slough is formed. The early application of the caustic has already been shown to have the remarkable effect of preventing the inflammation consequent upon certain wounds, and thus the part is suffered to recover from the injury done to its organization, and its vitality is preserved. Whether this mode of explaining the fact be correct or no, the fact itself is extremely important, for the formation of a slough, which the early application of the caustic can alone prevent, renders it quite impossible to effect the formation of an adherent eschar. When the patient applies too late after the accident to prevent the formation of a slough we must still treat the case by the caustic. It is to be applied over the bruised and inflamed part. The eschar remains adherent round the part occupied by the slough and prevents or moderates the inflammation, and when the slough separates an eschar is to be formed over the exposed sore. In the neglected and severer cases of bruise attended by much inflammation, it will be found best to treat the part for a day or two by a cold poultice to give time for the inflammation to subside; otherwise the caustic might induce vesication of the skin, as I have mentioned already, p. 5, and the eschar could not be adherent. Next: Bruises Case Xiv Previous: Punctures Case Xii
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