Identifier: practicalpodiatr00jose (find matches)
Title: Practical podiatry :
Year: 1918 (1910s)
Authors: Joseph, Alfred
Subjects: Podiatry Podiatry Podiatry X-rays
Publisher: New York : First Institute of Podiatry
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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desirable to reduceinflammation. A wet dressing with an impervious coveringis contraindicated in the presence of pus, the warmth andmoisture of such a dressing, being congenial to the growthand to the multiplication of bacteria. For the relief of painand for the reduction of inflammation, wet dressings arethe most effective form of treatment because (1) they areaseptic; (2) they permit free drainage; (3) no new granu-lations are disturbed in changing the dressing. A great many different solutions are used and amongthese are: (1) sterile water; (2) ordinary saline solution(a teaspoonful of salt to a pint of water); (3) saturated 318 PODIATRY solution of boric acid (prepared by dissolving a teaspoon-ful of boric acid in a pint of water); (4) Thierschs solution(prepared by dissolving 15 grains of salicylic acid and 90grains of boric acid in a pint of water); (5) Burows solu-tion (prepared by dissolving 675 grains of alum and 270grains of lead acetate in a pint of water); (6) solution of
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chronic ulcer of the foot(before operation) bichloride of mercury (varying in strength from 1 to 3,000to 1 to 10,000); (7) lead and opium wash (U.S.P.); (8)Dakins solution (hypochlorite of soda). After the reduction of the inflammation, the next stepis the cleansing and sterilization of the ulcer. Beforehealthy granulations can form, the removal of sloughs andthe cleansing of the base must be accomplished as thor-oughly as possible. Many means toward this end may beeffective, A one-half to two per cent, creolin or lysol emul- ULCERS 319 sion is very useful for those dirty ulcers from which a pro-fuse, foul discharge escapes. A one per cent, solution offormalin is of great value for smaller ulcers, especiallythose due to tuberculous disease. The destruction and re-moval of sloughs may be hastened by cauterization with thesolid stick of nitrate of silver. The use of certain ferments,

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