FREE BOOKS

Author's List




PREV.   NEXT  
|<   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31   32   33   34   35   36   37   38  
39   40   41   42   >>  
d bleeding from the fungous flesh. On the 14th the swelling had nearly subsided; the cuticle was separating all over the finger. The lunar caustic was applied extensively over the wound and abraded parts and induced little bleeding or pain. On the 15th the fungous was nearly removed; the wound presented an appearance of slough over its surface.--The caustic was applied to the remaining fungous. On the 17th the wound was much smaller and the slough separating. The caustic and cataplasm were applied as before.--A similar report was made on the succeeding day. On the 20th the slough was separating. The caustic and cataplasm were applied.--A similar report was made on the 22d. On the 24th the slough having separated the integuments over it were flabby and loose; the caustic was applied to them. By a continuation of this plan the wound gradually contracted, and, at length, when there was no further use for the cataplasm, the eschar became adherent and the sore healed underneath. It appeared highly probable to me that, under ordinary treatment, the finger, in this case, would have been lost. * * * * * I shall in this place, introduce a few observations on wounds received during dissection. It is not in my power to give any cases in illustration of the treatment of the severer accidents resulting from these wounds; for since I began the free use of the lunar caustic all the terrible effects of such wounds have been invariably prevented. I may here mention that in the years 1813 and 1819, respectively, I was myself exposed to great danger from inoculation during the examination of dead bodies. Since the latter period I have repeatedly been exposed to the same danger from inoculation, but in every instance, the danger has been completely averted by the prompt and free application of the lunar caustic. The following is the exact mode of treatment which I would adopt in such cases. In recent punctures the caustic should be applied in the manner already described in cases of simple punctured wounds. When the case has been neglected, a small tumour is usually formed underneath the skin with smart stinging pain; this tumour should be removed entirely by the lancet, and the caustic should be applied, both to the surface of the wound and over the surrounding skin, to form an adherent eschar. When the case has been still longer neglected, and inflammation of the absorbents
PREV.   NEXT  
|<   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31   32   33   34   35   36   37   38  
39   40   41   42   >>  



Top keywords:

caustic

 

applied

 
slough
 

wounds

 

cataplasm

 

treatment

 

danger

 
separating
 

fungous

 

underneath


neglected

 

tumour

 

exposed

 
bleeding
 
finger
 

inoculation

 

removed

 
similar
 

report

 

surface


eschar
 

adherent

 
bodies
 

period

 

repeatedly

 

prevented

 

invariably

 

terrible

 

effects

 
mention

examination

 

averted

 

formed

 
simple
 

punctured

 
stinging
 
longer
 

inflammation

 

absorbents

 
lancet

surrounding

 
manner
 
prompt
 

application

 

completely

 

instance

 

punctures

 
swelling
 
recent
 

cuticle