A system of surgery : pathological, diagnostic, therapeutic, and operative . face beneath, perfectly cold and insensible. Thisspot gradually spreads in different directions until it involves the whole foot, asin fig. 22, as high up, in many instances, as the ankle, or even the middle of theleg, although, in general, the patient dies long before it reaches that , the mortification begins at several toes simultaneously, or in prettyrapid succession ; and I have met with several examples in which it first showeditself upon the heel and in-step. Dr. Charles Marr, Fig. S
A system of surgery : pathological, diagnostic, therapeutic, and operative . face beneath, perfectly cold and insensible. Thisspot gradually spreads in different directions until it involves the whole foot, asin fig. 22, as high up, in many instances, as the ankle, or even the middle of theleg, although, in general, the patient dies long before it reaches that , the mortification begins at several toes simultaneously, or in prettyrapid succession ; and I have met with several examples in which it first showeditself upon the heel and in-step. Dr. Charles Marr, Fig. Scranton, has commu-nicated to me the par-ticulars of a case in whichthe disease was confinedto the lower and backpart of the leg ; and inan elderly female undermy charge at the Phila-delphia Hospital, in 1862,the gangrene never ex-tended beyond the bigtoe. However this maybe, the part always ex-hibits a characteristic ap- r»oQrQnoo . U Ici ,,i+lTr Chronic gangrene of the feet, the disease being arrested, and the partsptdiance, ll is peiiecuy undergoing 166 TERMINATIONS OF INFLAMMATION. chap. iv. dry and withered, cold, insensible, odorless, or nearly so, and as black as char-coal, the limb looking as if it were unnaturally small, as, in fact, it generally the progress of the mortification, especially if this is somewhat rapid,the skin has occasionally a mottled, purplish aspect, owing to the coagulation ofthe blood in the superficial veins. The disease is usually preceded and accompanied by pains in the toes and foot,darting about in different directions, and liable to nocturnal exacerbations, pre-venting sleep, and rapidly undermining the general health. These pains, whichare of a burning, scalding, or stinging character, are often referred by the patientto the effects of gout or rheumatism, particularly if he was formerly subject toattacks of that nature ; they steadily increase with the spread of the disease, andcan be relieved only by the free
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
