Ulcers Case Xxx


Categories: ON THE APPLICATION OF THESE MODES OF TREATMENT TO PARTICULAR CASES.
Sources: 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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