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Updated: June 20, 2025
At the orifice of the prepuce the primary lesion assumes the form of multiple linear ulcers or fissures, and as each of these is attended with infiltration, the prepuce cannot be pulled back a condition known as syphilitic phimosis.
Venereal ulcers are sprinkled with alkaline wood ashes, the astringent liquid of the nettle bark, or a macerated preparation from a particular kind of broad-leaved grass. Superficial wounds are left to themselves, and usually heal without much trouble.
There appeared to be almost absolute indifference and neglect on the part of the patients of personal cleanliness; their persons and clothing inmost instances, and especially of those suffering with gangrene and scorbutic ulcers, were filthy in the extreme and covered with vermin. It was too often the case that patients were received from the Stockade in a most deplorable condition.
In the course of a week, small, firm nodules appear, and are rapidly transformed into pustules. These may occur on the face and in the vicinity of joints, and may be mistaken for the eruption of small-pox. After breaking down, these pustules give rise to irregular ulcers, which by their confluence lead to extensive destruction of skin.
They are slow to heal, and tend to pass into the condition known as weak. Ulcers due to Interference with Nerve-Supply. Any interference with the nerve-supply of the superficial tissues predisposes to ulceration.
The parts around are usually pigmented and slightly œdematous, and as a rule there is little pain. This variety of ulcer is particularly prone to pass into the condition known as callous. In anæmic patients, especially young girls, ulcers are occasionally met with which have many of the clinical characters of those associated with imperfect venous return.
#Treatment in relation to the Condition of the Ulcer.# Ulcers in a weak condition. If the weak condition of the ulcer is due to anæmia or kidney disease, these affections must first be treated. Locally, the imperfect granulations should be scraped away, and some stimulating agent applied to the raw surface to promote the growth of healthy granulations. For this purpose the sore may be covered with gauze smeared with a 6 to 8
From the front, Howland & Gould's grocery was smug enough, but attached to the rear was a lean-to of storm streaked pine lumber with a sanded tar roof a staggering doubtful shed behind which was a heap of ashes, splintered packing-boxes, shreds of excelsior, crumpled straw-board, broken olive-bottles, rotten fruit, and utterly disintegrated vegetables: orange carrots turning black, and potatoes with ulcers.
By great good luck I was absent from the building with the squad drawing rations, when our room was inoculated, so I escaped what was an infliction to all, and fatal to many. The direst consequences followed the operation. Foul ulcers appeared on various parts of the bodies of the vaccinated. In many instances the arms literally rotted off; and death followed from a corruption of the blood.
Thus some ulcers are named according to the causes at work in producing or maintaining them for example, the traumatic, the septic, and the varicose ulcer; some from the constitutional element present, as the gouty and the diabetic ulcer; and others according to the condition in which they happen to be when seen by the surgeon, such as the weak, the inflamed, and the callous ulcer.
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