File:Virginia medical semi-monthly (1909) (14589570047).jpg

Identifier: virginiamedicals1419unse (find matches)
Title: Virginia medical semi-monthly
Year: 1910 (1910s)
Authors:
Subjects: Medicine
Publisher: Richmond, Va. : (L. B. Edwards)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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or some days, asit seemed to act very well. In the afternoonof the same day of admission, the patient be-came delirious and his temperature went to1014-10 degrees, and pulse 112. This condi-tion persisted for a period of three weeks withmore or less delirium and a temperature rang-ing from 100 to 103 degrees, and pulse 96to 130. After about a months treatment with theboric acid ointment, it was noticed that granu-lations began to spring up, but in places theircolor was not good, and their vitality ques-tionable. Then it was decided that a con-tinuous moist dressing would be better, so acontinuous wet application, first of boric acid solution and then later of normal saline, wasused. This latter seemed to help the granu-lating surface considerably. After the granu-lating surface and denuded areas got in ahealthier condition it was thought advisableto not dress the places so often, so unguentinewas used for a considerable period of time withapparently good results. However, after a time
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the granulations seemed to become sluggishand a more stimulating treatment was indi-cated. Red wash (lotia rubra) was used as aconstant wet dressing for a considerable periodof time. The surfaces showed marked im-provement under the application of red wash,and it was not long before the majority of thelarge areas were healed, or nearly so, and theonly places remaining unhealed were thosescattered over the trunk, neck and left limb,which were treated by strapping, and whichfinally healed. This gives the successive stepsin the external treatment from day of admis-sion to day of discharge. The general treatment consisted in relievingpain, stimulation and nourishment. On March 25, 1909, the patient developed:i peri-urethra) abscess which was opened. 360 THE VIRGINIA MEDICAL SEMI-MONTHLY. (November 26, • trained and dressed, and finally healed with-out further trouble. His blood examinationat this time showed as follow-: Hemoglobin bo c/o Leucocytes 23,266 Polymorphonuclear cells /< (

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