The principles of surgery . s of a blueor livid tint, soft, and somewhat swollen, though still below the level ofthe granulation. Often its free margin is overlaid by a bending overof the tall granulating mass ; and the surface of the latter not unfre-quently parts with the granulated character, becoming smooth and vil-lous in its appearance. When the sore has been the seat of frequent change; ulcerating, be-cause inflamed, one day; granulating well the second, and weakly onthe third ; the granulations coming and going, as it were—it is notuncommon for these variations to be succeeded by a per
The principles of surgery . s of a blueor livid tint, soft, and somewhat swollen, though still below the level ofthe granulation. Often its free margin is overlaid by a bending overof the tall granulating mass ; and the surface of the latter not unfre-quently parts with the granulated character, becoming smooth and vil-lous in its appearance. When the sore has been the seat of frequent change; ulcerating, be-cause inflamed, one day; granulating well the second, and weakly onthe third ; the granulations coming and going, as it were—it is notuncommon for these variations to be succeeded by a permanently weakcharacter of the ulcerated surface; and its integumental margins,having lost their support by the previous accessions of ulceration, aremore or less inverted, as well as unusually dark from livid discolora-tion. This undermining and consequent inversion of the margin, israther to be regarded as an accidental than as one of the ordinary cha-racteristics of the weak sore. Sometimes, the undermining is extensive. The weak sore, of ele-vated surface. High gra-nulations overlapping. TREATMENT OF THE WEAK SORE. 213 at one or more points; matter accumulates there, unless when removedby pressure ; and a probe passes readily into the cavity, which is markedexternally by swelling and blueness of the integument. All, in short, evinces a want of sthenic function; and this may eitherdepend upon local circumstances, as already shown, or be but one indi-cation among others of a feeble system. No ulcer of large extent canescape degeneration into this form; it is the inevitable result of pro-tracted cicatrization. A sore situated on the lower extremities—farfrom the centre of circulation, its venous return often if not habituallyopposed, and all circumstances very favorable to passive congestion—isextremely prone to become weak. And, not unfrequently, such degene-ration would seem to be connected with atmospheric influence. Oneday, the majority of ulcers in an hospital, or wa
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