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Updated: June 3, 2025
Heart-clots were very common, if not universally present, in the cases of ulceration of the intestinal mucous membrane; while in the uncomplicated cases of diarrhea and scurvy, the blood was fluid and did not coagulate readily, and the heart-clots and fibrinous concretions were almost universally absent.
It is fed by the river Jordan, and drained by the evaporation of a fierce and terrible sun. Its water is clear and inodorous, but nauseous like a solution of alum; it causes painful itching and even ulceration on the lips and if brought near a wound, or any diseased part, produces a most excruciating sensation. It contains muriatic and sulphuric acid, and one-fourth of its weight is salt.
The hospital mates unbandaged Spicer's leg, and took off the poultices, and I was horrified when I saw the state which his leg was in: one mass of ulceration from the middle of the thigh down to half-way below his knee, and his ankle and foot swelled twice their size, a similar inflammation extending up to his hip. The doctor compressed his lips, and looked very grave.
Hence therefore may proceed inflammation of quicker or of slower progress, disease of the vertebræ, derangement of structure in the medulla, or in its membranes, thickening or even ulceration of the theca, effusion of fluids, &c.
The acute bed-sore is a rapidly progressing form of ulceration, often amounting to gangrene, of portions of skin exposed to pressure when their trophic nerve-supply has been interfered with. [Illustration: FIG.
Ptisis is a substantial consumption of the humidity of the body, due to ulceration of the lungs. For when a solution of continuity occurs in the lungs, the inspiratory and expiratory forces fail. Hence the lungs do not inspire sufficient air to mitigate the innate heat of the heart, and the heart fails to purify itself of the fumosity or fumous vapors generated in itself.
Sometimes the poison attacks the throat, causing most destructive ulcerations therein; sometimes it seizes upon the nasal bones, resulting in their entire destruction and an awful disfiguration of the face; sometimes it ultimates itself in the ulceration and destruction of other osseous tissues in different portions of the body.
Imperfect circulation is an important causative factor in ulceration, especially when it is the venous return that is defective. This is best illustrated in the so-called leg ulcer, which occurs most frequently on the front and medial aspect of the lower third of the leg.
The reason for this is that each person has a cultivated immunity to a given toxic state of the intestinal contents, and when from pressure or the irritation caused by a calculus. there is a denudation of the mucosa the infection that takes place has not the power to arouse a systemic resistance' but can cause only a local inflammation; this inflammation may end in ulceration, or it may cause a thickening of the parts and interfere with drainage from mucous or glandular pockets; then the locked up secretions become intensely toxic, and this sets up a new infection much greater then l the first and powerful enough to cause the system to call out its militia to put down the rebellion.
Physicians were applied to for aid: drugs were administered; travelling, with consequent change of air and scene, was undertaken; and all with little apparent avail. After this experience, she was brought to Boston for advice, when the writer first saw her, and learned all these details. She presented no evidence of local uterine congestion, inflammation, ulceration, or displacement.
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