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Ulcers Case Xxx





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

C. Cocking, aged 17, has an ulcer of the size of half-a-crown on the
inner part of the knee, occasioned by an accident. He had been a month
under surgical care in the country when he applied to me, but the
ulcer continued without disposition to heal, and fungous; it had
apparently been treated by a solution of sulphate of copper. I applied
the lunar caustic over the surface of the sore and upon the
surrounding skin.

On the following day, the eschar was unadherent and puffy, and on
piercing it a little fluid escaped. The incision into the eschar was
repeated three or four successive days, but the eschar still retained
its puffy character; I therefore directed a poultice to be applied to
remove it.

In two days the eschar was separated leaving the ulcer with its
fungous appearance. I removed the fungous part by scissors, and
directed the poultice to be applied and to be continued for two days.
I then formed another eschar. This required a daily puncture for the
evacuation of subjacent fluid, for six days; it then remained
adherent, and in about a fortnight it separated leaving the ulcerated
surface healed. This patient was not at all confined.





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