Essentials of Diseases of the Skin: Including the Syphilodermata Arranged in the Form of Questions and Answers Prepared Especially for Students of MedicineStelwagon, Henry Weightman
Science
Essentials of Diseases of the Skin: Including the Syphilodermata Arranged in the Form of Questions and Answers Prepared Especially for Students of Medicine
Stelwagon, Henry Weightman
Skin -- Diseases
#State the prognosis.#
When occurring in crops (furunculosis) the affection is often
rebellious; recovery, however, finally resulting.
#What is the method of treatment of furunculus?#
If there be but one lesion, with no tendency to the appearance of
others, local treatment alone is usually employed. If, however, several
or more are present, or if there is a tendency to successive
development, both constitutional and local measures are demanded.
#Name the internal remedies employed.#
Such nutrients and tonics as cod-liver oil, malt, quinine, strychnia,
iron and arsenic; in some instances calx sulphurata, one-tenth- to
one-fourth-grain doses every three or four hours has been thought to be
of service. Brewers' yeast has been recently again brought forward as a
remedy of value.
#What is the external treatment?#
Local treatment consists in the beginning, with the hope of aborting the
lesion, of the application of carbolic acid to the central portion, or
the use of a twenty-five-per-cent. ointment of ichthyol applied as a
plaster:--
[Rx] Ichthyol, ............................ [dram]j
Emp. plumbi, ........................... [dram]ij
Emp. resinae, ........................... [dram]j. M.
Or the injection of a five-per-cent. solution of carbolic acid into the
apex of the boil may be tried if the formation is more advanced. If
suppuration is fully established, evacuation of the contents, followed
by antiseptic applications, constitutes the best method.
A saturated solution of boric acid or a lotion of corrosive sublimate
(one to three grains to the ounce) applied to the immediate neighborhood
of the boil or boils tends to prevent the formation of new lesions.
Frequent washing of the parts with soap and water or tincture of green
soap and water is also a preventive measure of value. In repeatedly
infected areas, mild exposures to _x_-rays, at intervals of a few days,
will often prove of curative value.
#Carbunculus.#
(_Synonyms:_ Anthrax; Carbuncle.)
#What is carbuncle?#
A carbuncle is an acute, usually egg to palm-sized, circumscribed,
phlegmonous inflammation of the skin and subcutaneous structures,
terminating in a slough.
#At what age and upon what parts is carbuncle usually observed?#
In middle and advanced life, and more commonly in men.
It is seen most frequently at the nape of the neck and upon the upper
part of the back.
#What are the symptoms and course of carbuncle?#
Public-domain text, read in full here on John Shaqi.
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