File:American practice of surgery; a complete system of the science and art of surgery (1906) (14770571222).jpg

Identifier: americanpractic02brya (find matches)
Title: American practice of surgery ; a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914, ed Buck, Albert H. (Albert Henry), 1842-1922
Subjects: Surgery
Publisher: New York, W. Wood and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ses, and thereforethe diagnosis of ulcer applies ratherto the disease producing it thanto the ulcer per se. Whereas the location, depth,shape, and condition of the base,walls, and edges of an ulcer—as well as the fact whether the lesion is solitary or isassociated with other similar ulcers—are of important diagnostic significance,these characters, nevertheless, have their chief bearing upon the malady ofwhich the ulcer is simply an expression. Such diseases which are representedpractically by the group of infectious granulomata—tuberculosis, syphilis, lepro-sy, glanders, actinomycosis, mycetoma (Madura foot), mycosis fungoides, andchancroid—are fully considered in the respective chapters which treat of thesesubjects, and the reader is therefore referred to them for a more elaborate con-sideration of their distinctive features. Prognosis.—Inasmuch as ulceration is largely, if not wholly, the resultof a pre-existing condition or disease, it naturally follows that the prognosis
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Fig. 32.—Cancroid of the I^eg, Developing froman Old Simple Ulcer. (Meyer, in Neissers Stereo-scopisclier Med. Atlas.) ULCER AND ULCERATION. 187 of ulcer depends in great measure upon the cause producing it, and also, tosome extent, upon a number of contributory factors, such as the state of healthand age of the individual affected, etc. A simple acute ulcer in a healthy, or rather healing, condition may generallybe expected, under appropriate treatment, to terminate in prompt cicatrizationwith a minimum of scar tissue resulting. On the other hand, the prognosis ofulcers of a specific character will be governed not only by the nature of theunderlying toxannia, but also by the locality which they occupy. For instance,tuberculous ulcerations of the skin (Fig.27), which, in former years, were regardedas incurable, now yield in the majority of instances to modern surgical methodsof treatment; but, when they involve the alimentary tract, it is more commonlyfound that they resist the best

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