Gunshot injuries : how they are inflicted : their complications and treatment . Fig. 84.—Radiogram in case of J. M. showing ununited fracture of humerus and lodged June 25, 1860, by accidental discharge of shot-gun, distance 2 ft. Exposure made X-ray Laboratory U. S. Soldiers Home. Dr. A. B. Herrick, X-rayist. penetrate the tissues and fatal wounds from air-guns figure in theliterature. The bullet causes a more or less contused and laceratedwound. The knee, eye, and abdominal cavity have been penetratedby the projectile with disabling and fatal results. CHARACTERISTIC LE


Gunshot injuries : how they are inflicted : their complications and treatment . Fig. 84.—Radiogram in case of J. M. showing ununited fracture of humerus and lodged June 25, 1860, by accidental discharge of shot-gun, distance 2 ft. Exposure made X-ray Laboratory U. S. Soldiers Home. Dr. A. B. Herrick, X-rayist. penetrate the tissues and fatal wounds from air-guns figure in theliterature. The bullet causes a more or less contused and laceratedwound. The knee, eye, and abdominal cavity have been penetratedby the projectile with disabling and fatal results. CHARACTERISTIC LESIONS CAUSED BY PROJECTILES 115. Fig. 85.—Photographs of Flobert rifle bullets magnified three and one-half times. CHAPTER III Symptoms of Gunshot Wounds The symptoms of gunshot wounds are (a) pain, (b) shock, (c)hemorrhage, and (d) thirst. The first and last of these symptoms,viz., pain and thirst, are always present. Lodgment of a projectile,powder-burn and multiple wounds when present are usually referredto as complications of a primary nature, and not as symptoms. (a) Pain.—The amount of pain after the receipt of a gunshotwound depends upon the situation of the wound, its gravity, and theamount of tissue involved in the traumatism. We have stated al-ready that the amount of tissue involved is proportional to the veloc-ity of the projectile, its sectional area, and the resistance which thetissue traversed offers on impact. Writers on military surgery haveobserved interesting cases of what is called referred sensation amongthe injured. Makins mentions the case of a man who was struck inthe head who first felt p


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