American practice of surgery : a complete system of the science and art of surgery . on K-. ? ^•^ ?; .^ of an ulcer. p;. ? ?,^. According to their course ulcers are classed itc:. ?;,/::>;] acute, sitba cute, and chronic. According to their 47^r-;-W v;:, condition they are described as healing, spread- ^^•?-?•?:^ ? \ >i ^<7j inflamed, phagedenic, sloughing, serpiginous, j;;: : -:^e indolent, fungating, scirrhous, hemorrhagic, etc. j^!^^^¥ V ;t Ulcers occur more often in adult life and in K:;:^^^;^ ? . .-? old age. They are much more frequent in men fe^; - ...•;?•.?- than in women,


American practice of surgery : a complete system of the science and art of surgery . on K-. ? ^•^ ?; .^ of an ulcer. p;. ? ?,^. According to their course ulcers are classed itc:. ?;,/::>;] acute, sitba cute, and chronic. According to their 47^r-;-W v;:, condition they are described as healing, spread- ^^•?-?•?:^ ? \ >i ^<7j inflamed, phagedenic, sloughing, serpiginous, j;;: : -:^e indolent, fungating, scirrhous, hemorrhagic, etc. j^!^^^¥ V ;t Ulcers occur more often in adult life and in K:;:^^^;^ ? . .-? old age. They are much more frequent in men fe^; - ...•;?•.?- than in women, and are generally seen in Indi- ra-: ;. ::;,^ viduals of the lower classes. These facts are easily explained by the importance of trauma,syphilis, and the occurrence of infection as theetiological factors. Many constitutional dis-eases, such as diabetes, scurvy, syphilis, tuber-culosis, ansemia, etc., predispose to the oc-currence of ulcers. The acute infections,^^11^-fPrvllPliii^^^^^^ ^ particularly typhoid fever, variola, and scarla-. Bj^1r^*^rVT^/r--r-1--r--l^yTfil^ tina, favor the development of ulcers from ex-T- ,,. „,, <• ^, c. u citing causes that otherwise usuallv are without 1- ic. 4b.—PhlcgmoQ of the Sub- ° cutaneousTissue, with Formation of effcct. Clirouic disCaSCS, SUch aS chrouic Val-a Vesicle through CEdema (Muellers i i • r -1 i , c .. ^ . ^ • fluid, lurmatoxyiin, eosin). a, Co- ^^^l^r Icsious of the heart, fatty heart, arterio- rium; 6, epidermis; c, infiltrated fat sclcrOsis, obesity, CtC, similarly predispOSC tOtissue; d, focus of pus; e, cellular i^ ,• c ^ ti t fociincorium;/, subepithelial ves- the formation of ulccrs. Local predisposingicie due to cedema. X 30. {After causcs may be fouud in any thing interfering Ziegler.) with the arterial circulation, the venous or theIjTTiphatic circulation. Vasomotor disturbances often play an important partin the development of ulcers. Certain forms of skin diseases (herpes, ecthyma,pemphigus


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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906