. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. ssue in-dicating the line of demarcation. Severe pain in thefinger was due to thrombosis of the terminal arteriescaused by the action of carbolic acid. Later onthere was loss of sensation in the finger from paralysisof the sensory nerves. Moist dressings were applied, and in a few weeksa groove of demarcation extended down to the the peripheral part gangrene extended to the fas-cia, muscles, tendons and bone. Healing took placeafter disarticulation at the interphalangeal joint
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. ssue in-dicating the line of demarcation. Severe pain in thefinger was due to thrombosis of the terminal arteriescaused by the action of carbolic acid. Later onthere was loss of sensation in the finger from paralysisof the sensory nerves. Moist dressings were applied, and in a few weeksa groove of demarcation extended down to the the peripheral part gangrene extended to the fas-cia, muscles, tendons and bone. Healing took placeafter disarticulation at the interphalangeal joint. It must be borne in mind that even one per cent,carbolic lotion, after a few hours application only,may cause gangrene of the skin and deep necrosis bythrombosis of the vessels. Certain individuals ap-pear to be predisposed to gangrene after fomenta-tions with carbolic acid, and sometimes lysol oralcohol; especially when gutta percha tissue is placedover them, preventing evaporation. After a shortapplication the skin may recover. Acetic acid dress-ings hasten recovery. 354 Bockenheiiner, Alias. lab. (AI. Fig. 135. Oangraena carbolica. Bockenheimer, Atlas. Tab. CVm.
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