Transactions of the College of Physicians of Philadelphia . heaccident. The thumb, forefiuger, middle finger, and ringfinger to some extent, presented an cedematous appearance,were of a livid hue, and perceptibh* cooler to the touch thanother parts of the hand. The epidermis appeared to bethickened and lustreless, especially on these fingers, bothback and front, and on the part of the palm correspondingto them. It was now quite evident that there was some accident tothe median nerve. I made an examination, and found a (IK 131 complete loss of sensation to hsirsh pricking wi
Transactions of the College of Physicians of Philadelphia . heaccident. The thumb, forefiuger, middle finger, and ringfinger to some extent, presented an cedematous appearance,were of a livid hue, and perceptibh* cooler to the touch thanother parts of the hand. The epidermis appeared to bethickened and lustreless, especially on these fingers, bothback and front, and on the part of the palm correspondingto them. It was now quite evident that there was some accident tothe median nerve. I made an examination, and found a (IK 131 complete loss of sensation to hsirsh pricking with a sharppocket probe, over the region described above, and, moreminutely, in the accompanying diagrams (Figs. 7 and 8).This testing was repeated at intervals, with care, and the re-sult noted: it was found that the region at first totally in-sensible, gradually diminished, or, in other words, that therewas a partial return of sensation on the bonier, to wit, ahuge part of the palm, palmar surface of the thumb, andradial half of the rino- linger. Fio. represents the region of lost sensation, March 30, 1870. No other nutritive disturbances have been observed, exceptthe formation of a small abscess at a point, accidentallypricked with a pin, on the forearm, and the discharge ofconsiderable pus from one of the smaller wounds before itshealing ; but as these were situated above the nerve lesion,they probably did not depend upon it as a cause. The patient, though somewhat annoyed by the condition 132 MITCHELL, of liis hand, and the slight abscess developed, has enjoyedfair health. lie has been taking a tonic of iron, qninia, andstrychnia, with liberal diet. A tendency for some days toslight febrile disturbance, seemed to be dispelled by attention Fig. 6.
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Keywords: ., bookcentury180, bookdecade1870, booksubjectmedicine, bookyear1876
