Vietnam or Thailand ? Vote for the TOP Country of the Week !
Updated: June 15, 2025
I simply evacuated the fluid of the vesication and left the part exposed to dry. On the third day there was no pain or inflammation, and the eschar remained adherent. From this time no remedy was required. The eschar separated leaving the surface healed, in about a month from the occurrence of the accident.
To the surface of the wound the eschar supplies a complete protection and defence, and allows the healing process to go on underneath uninterruptedly and undisturbed.
On the fourth, the swelling had nearly disappeared. The eschar separated in nine days from the infliction of the wound, leaving the parts healed and free from scar. Mrs. G. was bitten by a little dog on forefinger about a fortnight ago. There is now a very irritable, inflamed, fungous sore. I removed the fungous by a pair of scissors and applied the lunar caustic to form an eschar.
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.
In the formation of this eschar several things require particular attention.
In every case in which the eschar does not separate favourably, I begin to suspect the formation of a scab underneath, in which case the whole must be removed by the application of a cold poultice for two or three days; this has not only the effect of removing the eschar but of allaying any inflammation or irritation; afterwards the caustic must be reapplied as before.
Soluble salts of silver, such for instance as the nitrate, have the same stiffening antiseptic effect on decomposing animal substances as corrosive sublimate and the most deadly metallic poisons; and when applied to the external parts of the body, the nitrate is a powerful caustic, depriving those parts of all active vitality, and causing them to be thrown off by the neighboring living structures, in the form of an eschar.
On the next day the eschar was raised all round its borders, presenting the appearance of an elevated ring. I made an opening in one point of this ring by a penknife and evacuated the fluid, and I again applied the caustic all round in order to give firmness to the edges of the eschar. On the succeeding day an opening was made in the centre of the eschar and a little more fluid was evacuated.
When I first saw this ulcer it was about two inches in diameter and nearly circular, with high edges, a surface of a greenish colour, and without any healthy granulations. I applied the lunar caustic to form an eschar. The pain from the caustic was severe for several hours.
On examination two days afterwards I found the eschar complete and adherent. On the fourth following day, great part of the eschar had separated leaving the ulcer healed, and I had no occasion to see the patient again. Of Whitlow. The lunar caustic is very useful in the treatment of this painful affection. Patients seldom apply to the surgeon before suppuration has taken place.
Word Of The Day
Others Looking