OBSTETRIC GYNECOLOGICAL SOCIETY IN Cologne. Meeting on January 7, 1892

Following Eberhart's demonstration of a patient with a vagus liver, Pelzer reported one non-operative case of cervical cancer that had spread to the pelvic tissue and vagina. In view of the previous observations, a small cotton swab soaked in a paste of Acidi arsenicosi cum Saccharo albo 1.0: 10.0 was placed on the ulcerative surface in the vagina. Bleeding and discharge decreased significantly, superficial ulceration disappeared.

Assessing and managing patients with leg ulceration and oedema

Leg ulcers are some of the most common wounds treated by the NHS. Ulceration is usually classified as being of venous or arterial origin. Arterial ulcers develop because of reduced arterial flow to the leg caused by peripheral arterial disease. Venous leg ulcers, the most common form, develop because of vein incompetence, with valve failure leading to pressure in the veins. Nurses working with patients with oedema find that chronic oedema can cause the affected limb to swell, causing skin to stretch and break and lead to ulceration. This is known as superficial ulceration. This article discusses the causes, assessment and prescribing practices of these different types of leg ulcer.

Assessing and managing patients with leg ulceration and oedema

Leg ulcers are some of the most common wounds treated by the NHS. Ulceration is usually classified as being of venous or arterial origin. Arterial ulcers develop because of reduced arterial flow to the leg caused by peripheral arterial disease. Venous leg ulcers, the most common form, develop because of vein incompetence, with valve failure leading to pressure in the veins. Nurses working with patients with oedema find that chronic oedema can cause the limb affected to swell, causing skin to stretch and break and lead to ulceration. This is known as superficial ulceration. This article discusses the causes, assessment and management of these different types of leg ulcer.

An atypical case of pyoderma gangrenosum in a dog

Neutrophilic and ulcerative dermatitis is reported in a mixed breed dog. The condition was considered to be an atypical case of pyoderma gangrenosum. Clinically, it had a more superficial ulceration, a more pronounced pustular component and lacked the characteristic cutaneous pain and tenderness of the lesions. The diagnosis of pyoderma gangrenosum was made as a diagnosis of exclusion. The dog showed an excellent response to treatment with ciclosporin (Cyclavance, Virbac, Leuven, Belgium).

Detection of superficial gastric ulcers by double-contrast X-ray examination

The advantages of the technique of double-contrast X-ray examination in the detection of superficial ulceration of the stomach are shown. 2 typical radiographs are shown.

Clinical Trial of Debrisan in Superficial Ulceration

A total of thirty cases of sacral and leg ulceration, burns, and infected sinuses were treated with Debrisan in glycerine (4/1 v/v), after removal of adherent necrotic tissue surgically. The preparation was effective in cleansing the wound, in most cases reducing the bacterial colonization, and lessening the local inflammation and oedema. Production of healthy granulation tissue resulted and the lesions healed faster than expected. One-third of the lesions failed to respond to treatment, and the reasons for this are discussed. With some patient selection, this preparation proved to be valuable in the treatment of superficial ulcers and surgical wounds, in those lesions with sufficient exudate to enable Debrisan to act.