FREE BOOKS

Author's List




PREV.   NEXT  
|<   84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102   103   104   105   106   107   108  
109   110   111   112   113   114   115   116   117   118   119   120   121   122   123   124   125   126   127   128   129   130   131   132   133   >>   >|  
e smeared with a 6 to 8 per cent. ointment of scarlet-red, the surrounding parts being protected from the irritant action of the scarlet-red by a layer of vaseline. A dressing of gauze moistened with eusol or of boracic lint wrung out of red lotion (2 grains of sulphate of zinc, and 10 minims of compound tincture of lavender, to an ounce of water), and covered with a layer of gutta-percha tissue, is also useful. When the condition has resulted from the prolonged use of moist dressings, these must be stopped, the redundant granulations clipped away with scissors, the surface rubbed with silver nitrate or sulphate of copper (blue-stone), and dry dressings applied. When the ulcer has assumed the characters of a healing sore, skin-grafts may be applied to hasten cicatrisation. _Ulcers in a callous condition_ call for treatment in three directions--(1) The infective element must be eliminated. When the ulcer is foul, relays of charcoal poultices (three parts of linseed meal to one of charcoal), maintained for thirty-six to forty-eight hours, are useful as a preliminary step. The base of the ulcer and the thickened edges should then be freely scraped with a sharp spoon, and the resulting raw surface sponged over with undiluted carbolic acid or iodine, after which an antiseptic dressing is applied, and changed daily till healthy granulations appear. (2) The venous return must be facilitated by elevation of the limb and massage. (3) The induration of the surrounding parts must be got rid of before contraction of the sore is possible. For this purpose the free application of blisters, as first recommended by Syme, leaves little to be desired. Liquor epispasticus painted over the parts, or a large fly-blister (emplastrum cantharidis) applied all round the ulcer, speedily disperses the inflammatory products which cause the induration. The use of elastic pressure or of strapping, of hot-air baths, or the making of multiple incisions in the skin around the ulcer, fulfils the same object. As soon as the ulcer assumes the characters of a healing sore, it should be covered with skin-grafts, which furnish a much better cicatrix than that which forms when the ulcer is allowed to heal without such aid. A more radical method of treatment consists in excising the whole ulcer, including its edges and about a quarter of an inch of the surrounding tissue, as well as the underlying fibrous tissue, and grafting the raw surface. _Amb
PREV.   NEXT  
|<   84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102   103   104   105   106   107   108  
109   110   111   112   113   114   115   116   117   118   119   120   121   122   123   124   125   126   127   128   129   130   131   132   133   >>   >|  



Top keywords:
applied
 

tissue

 

surrounding

 

surface

 

granulations

 
sulphate
 
dressings
 

condition

 
covered
 

induration


healing

 

grafts

 
charcoal
 

treatment

 
characters
 

scarlet

 
dressing
 
desired
 

epispasticus

 

blister


painted

 

emplastrum

 

Liquor

 

cantharidis

 

purpose

 

elevation

 

massage

 

facilitated

 

return

 

healthy


venous

 
blisters
 

recommended

 

leaves

 

application

 
contraction
 

multiple

 
radical
 

method

 
allowed

consists
 

excising

 
underlying
 
fibrous
 

grafting

 

quarter

 
including
 

cicatrix

 
strapping
 

making