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When considerable cicatricial tissue is present, due to the action of depilating vesicants or other chemicals, sloughing of tissue is very apt to follow deep cauterization, if one is not careful to keep the punctures at least one-half inch apart when three are made.
Monstrous growths of leprosy that had bubbled up and stiffened; fields of ashen slime the sloughing of a world of corruption; hills of demon, fungus swollen with the fatness of putrefaction; and, in the midst of all, dim, convulsed shapes wallowing, protruding, or stumbling aimlessly onwards, till they sank and disappeared. Madame Barbière threw up her hands when she let me in at the door.
One might say of him, that, having found himself outside the highway at his start, he gathered accretions from hedge and ditch as he struggled toward the true road, and went through an after process of sloughing them one by one. Perhaps that process ended in making him over-timid. It was otherwise with Isaac Hecker.
Nothing should be concealed from the doctor, of course, and yet it has happened at the hospital at Milford that a patient on being questioned in advance of the operation has emphatically stated that he had never contracted syphilis, and three days later, after the transplantation, when the sloughing of the new glands had shown something definitely wrong with the blood, this patient admitted that he had not spoken the truth in the matter, but had contracted the disease many years previously.
Impaired movement of tendons and joints is, therefore, a common sequel to this variety of whitlow. The treatment consists in inducing passive hyperæmia by Bier's method, and, if this is done early, suppuration may be avoided. If pus forms, small incisions are made, under local anæsthesia, to relieve the tension in the sheath and to diminish the risk of the tendons sloughing.
It is also met with in the groin following on inflammation and suppuration of the inguinal glands, and cases are recorded in which the sloughing process has implicated the femoral vessels and led to secondary hæmorrhage. Cellulitis of the scalp, orbit, neck, pelvis, and perineum will be considered with the diseases of these regions.
On the threshold he paused a little, attentive to the familiar rumour of the ship by night: the prolonged sloughing of riven waters down the side, gnashing of swells hurled back by the bows, sibilance of draughts in alleyways, groaning of frames, a thin metallic rattle of indeterminate origin, the crunching grind of the steering gear, the everlasting deep-throated diapason of the engines, somewhere aft in that tier of staterooms a persistent human snore ... nothing unusual, no alarming discordance....
"The old skin is cracking, the new skin has been silently forming underneath, the moment of sloughing has arrived." The storm gathered. The green snow drove against them, as they stood talking, and it grew intensely cold. None noticed it. "What is your name?" asked Maskull, with a beating heart. "My name, Maskull, is Spadevil.
So much had her sympathetic spirit absorbed the feelings of these dying ones, that she resented this as an intrusion, an unwelcome distraction from the business of sloughing off the flesh. A little sag of Bertram's body, which alarmed her for a moment until she saw that the movement came from relaxation of her own arms, called her back to responsibility.
The next step was lo raise up the integuments included in the ligature, and, by means of a pair of sharp scissors, cut off the super-abundant skin as near to the ligatures as possible; having care however to leave sufficient substance included in the ligatures, to prevent their sloughing out before adhesion has taken place.
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