ulcerated and excoriated surface. It gave much
pain.
On the following day I was concerned to find that part of the eschar
had been separated by the patient's dress. I repeated the application
of the caustic and again directed the part to be exposed and carefully
protected from being disturbed. The breast required to be supported
being full of milk.
On the succeeding day an adherent eschar existed over all the
ulcerated parts, and the pain, redness, and irritation had nearly
subsided.
On the fourth day there was still less pain and inflammation. On the
eight the eschars had separated and the breast was quite well.
CASE XXVIII.
Mrs. U. aged 60, has been subject to ulcerated legs for several years.
She has one ulcer on the outer ankle of the size of a shilling, and
another behind it of the size of a horse-bean; they have been
extremely troublesome and under surgical treatment for the last year,
but during the last few weeks she has tried cerate, poultice, and the
cold lotion. The leg is much swollen and inflamed, the redness
extending several inches round the wound and over the instep; the
oedema increases towards night. She has been in the habit of taking
saline purgatives frequently.
I directed my patient to continue the cold poultice and lotion, and to
rest completely for several days. At this period, the inflammation
having somewhat abated, I applied the lunar caustic to form eschars
and protected the parts with gold-beater's skin.
On the following day there was a slight increase of redness round the
eschars. Upon making an incision into their centre some fluid was
evacuated. The same report was made on each of the two following
days.
On the seventh day, the eschars having been neglected, fluid had
escaped from beneath the eschars at their edges, and my patient
complained of more pain. A little more fluid escaped in the same
manner on the following day on making a little pressure upon the
eschars. I applied the caustic to make up the breach.
Subsequently to this day there was an increase of inflammation. From
this circumstance, and from the neglect of the eschars for two or
three days already mentioned, I suspected the formation of a scab
under them. It was impossible to pierce the eschars by the penknife
without breaking them, as they had become too hard and thick by delay
and the addition of the scab.
I again directed the cold poultice for four or five days. On examining
the wounds on the s
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