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Ulcers Case Xxix





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

The peculiarity of the present case arose from neglect in evacuating
the fluid effused under the eschar the day succeeding its formation,
the consequence of which was that the edges of the eschar became
raised all round, without however being entirely detached.

Mr. Draper, aged 50, had a small irritable ulcer of the size of a
horse-bean, upon the shin, of a month's duration, with surrounding
inflammation to the extent of several inches. I applied the lunar
caustic to form an eschar and protected it with gold-beater's skin.

On the following day, it appeared from the flatness of the surface,
that the eschar was adherent; the inflammation remained as before.

On the next day the eschar was raised all round its borders,
presenting the appearance of an elevated ring. I made an opening in
one point of this ring by a penknife and evacuated the fluid, and I
again applied the caustic all round in order to give firmness to the
edges of the eschar.

On the succeeding day an opening was made in the centre of the eschar
and a little more fluid was evacuated.

This mode of treatment was continued daily for about a week, the
inflammation gradually subsiding and the eschar becoming adherent and
corrugated. In about three weeks, the patient thinking the sore quite
well detached the eschar; there was still, however, a minute ulcer
left, which was touched with the caustic.





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