Volume 1

The science and art of surgery : a treatise on surgical injuries, diseases, and operations / by John Eric Erichsen.

  • Erichsen, John.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: The science and art of surgery : a treatise on surgical injuries, diseases, and operations / by John Eric Erichsen. Source: Wellcome Collection.

    1172/1244 (page 1144)
    shattered, a tonic plan of treatment is required in the first instance ; after wliich the perchloride of mercury Avith tincture and decoction of cincliona, or sarsaparilla should be steadily administered. In these cases also much benefit will be derived from mercurial fumigation. In most cases no local treatment is required for the squamous or papular eruptions, but should they occur on the face the patient is often anxious to hasten their disappearance. For this purpose dilute white precipitate oint- ment, or calomel made into a cream with olive-oil and lard, may be applied. Marshall recommends the application of a 10 per cent, solution of oleate of mercury with some morphia added. In all ulce^-atiwi sypMlides iodoform, either applied pure or made into an ointment with vaseline, will be found most usefal. In deep ulcerations iodide of starch ointment often produces a good effect. If these fail, yellow wash or perchloride of mercury in the strength of two grains to the ounce, diluted with water if it cause too much pain, will often arrest the spread of the ulceration and hasten its healing. It nothing else succeeds it may be necessary to cauterize the surface with fuming nitric acid or the acid nitrate of mercury. In syphilitic alopecia the internal admini- stration of mercury has most influence in arresting the loss of hair; at the same time a stimulating lotion may be applied. B. Hill recommends the folloAving:— 9>. Tincture of Gantharids, Solution of Ammonia, ; Spirit of Rosemary, ^i; Glycerine, ^ss. ; Eose water to Bviij. In $ll]]hiMk onychia the nail should be re- moved and iodoform applied. Black wash or yellow wash is sometimes useful. In ukerafio7is between the toes dilute white precipitate ointment, with a small quantity of extract of belladonna added, is the best application. 2. Mucous TuTjercles and Condylo- mata.—Mucous tiihercles are flat patches, seldom more than half an inch in diameter, slightly elevated, soft, and papillary on the surface. They are situated in moist parts of the body, very commonly on muco- cutaneous surfaces, as the anus, labia, and angles of the mouth ; they are also fre- quently met with on mucous surfaces, as on the tongue, tonsils, palate, and larynx, and exactly similar gi-owths are found in any part of the skin that is kept moist by the natural secretions, and not properly cleaned, as between the scrotum and the thigh, in the fold of the groin in fat people, and between the toes. They are moistened by a good deal of mucous secretion when seated on mucous membranes, or by perspira- tion when on the skin. In the mouth and throat they are usually small and not so distinctly elevated, but rather like a thickened and opaque condition of the mucous membrane in these situations. At the anus they sometimes attain a considerable size, so as to project a quarter to half an inch above the surface, Fig. 413.—Syjihilitic Conclyloma, showing en- larged paiiillre covered with a thick layer of (jpitlielium.