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Ulcers Case XxiCategory: 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 Mrs. Butcher, aged 52, has two ulcers a little above the outer ankle, one the size of half-a-crown, the other, of a shilling, of four months duration, which are now in a healing state by the application of cerate and poultice; the healing process is going on very slowly. These ulcers were caused by a fall which bruised the part but made no wound at the time; two small spots, which she compared to the pustules of small-pox, formed, broke, and gave rise to the ulcers. I applied the lunar caustic to form eschars. At this time I had not begun to defend the eschar by the gold-beater's skin, and in consequence both these eschars were torn by the patient's stocking having adhered to them, and there was an oozing of fluid from the centre of each eschar on examination on the following day. I again applied the lunar caustic. On the succeeding day, I found that the large eschar had again been disturbed, the patient having applied a little linen, instead of leaving it exposed. I reapplied the lunar caustic. On the next day both eschars were complete, but there was a little fluid under the centre of each, which required to be evacuated by an incision. There was little inflammation or pain. On the following day, my patient expressed herself as astonished at the rapid amendment. A little fluid was again evacuated from beneath the centre of the eschar. On the next day the smaller eschar was quite adherent; under the large one, there was still a very little fluid. About the ninth day, both the eschars were perfectly adherent. In two days afterwards the eschars began to separate round the edges, and in a few days more, it was necessary to remove the separating portion by the scissors.--In the course of time the eschar separated completely, leaving the ulcers healed. Mrs. Butcher had no pain after the first four days from the application of the caustic, and in a week was able to attend to her household affairs. Next: Ulcers Case Xxii Previous: On Ulcers
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