Interstate medical journal . procedure does not accomplish the desired re-sults, it will be necessary to institute suprapubic drainage, and thenwait until the reaction subsides before attempting it has seemed that the reaction subsided a little morequickly with suprapubic drainage than with urethral catheteriza-tion. Suprapubic drainage has, however, the added danger of in-fection and very severe reaction. The two-stage treatment de-scribed will considerably reduce the mortality. 76 INTERSTATE MEDICAL JOURNAL STEREOSCOPIC LOCALIZATION OF BULLET IN SPINALCANAL. By PHILIP
Interstate medical journal . procedure does not accomplish the desired re-sults, it will be necessary to institute suprapubic drainage, and thenwait until the reaction subsides before attempting it has seemed that the reaction subsided a little morequickly with suprapubic drainage than with urethral catheteriza-tion. Suprapubic drainage has, however, the added danger of in-fection and very severe reaction. The two-stage treatment de-scribed will considerably reduce the mortality. 76 INTERSTATE MEDICAL JOURNAL STEREOSCOPIC LOCALIZATION OF BULLET IN SPINALCANAL. By PHILIP H. COOK, M. D., Worcester, , Worcester City and Memorial Hospitals; Physician to Out-patients, City Hospital. This case is reported to demonstrate the advantage of the roent-gen-stereoscopic method in locating foreign bodies in the deeperparts. Particularly about the spinal column is a minimum of opera-tive trauma and manipulation desirable. On July 4, 1916, a crowd of boys set out to hunt mud turtles on. Stereoscopic localization of bullet In spinal canal. the shore of a pond in the outskirts of the city of Worcester. Oneof them had a 22-caliber revolver. In some unknown way the piecewas discharged, and the bullet struck the patient, a boy of 14,in the back. Complete paralysis below the injury at once super-vened. The boy was carried by his companions about a quarter ofa mile, to the nearest point where aid could be obtained, and thencewas taken to City Hospital. Physical examination on entrance showed a well-developed boy,conscious and rational. Head presented no abnormalities. Overfourth dorsal vertebra in median line of back was the small woundof entrance. Below the second rib was complete loss of sensation,tactile and temperature. Motor power was completely lost. Mus-cles flaccid. Reflexes absent. There was no expansion of chestsave that due to action of diaphragm. Heart, lungs, abdomen, andextremities negative. Urine was retained; bowels moved invol-u
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