. American practice of surgery ; a complete system of the science and art of surgery . ere also areas of dry gan-grene involving the tips of the fingers and thumb. The entire distal phalanx of themiddle finger was gangrenous. Motion of the fingers was almost entirely restricted. Left hand.—Index, ring, and little fingers, and the last phalanx of both themiddle finger and the thumb were in a state of dry gangrene. The hand was swollenand of doubtful color. Right foot.—All the toes and the entire foot, as far up as to the level of the tipsof the malleolar processes, were black, cold, and insensi
. American practice of surgery ; a complete system of the science and art of surgery . ere also areas of dry gan-grene involving the tips of the fingers and thumb. The entire distal phalanx of themiddle finger was gangrenous. Motion of the fingers was almost entirely restricted. Left hand.—Index, ring, and little fingers, and the last phalanx of both themiddle finger and the thumb were in a state of dry gangrene. The hand was swollenand of doubtful color. Right foot.—All the toes and the entire foot, as far up as to the level of the tipsof the malleolar processes, were black, cold, and insensible. 598 AMERICAN PRACTICE OF SURGERY. Left foot.—In a similar contlition; a more definite line of demarcation encircledthe ankle joint. The general condition of the patient was fair. Temperature 101° F.; pulse112; respirations 28; condition of lungs, negative; slight systolic murmur overthe pulmonic area. Urine: acid; specific gravity 1015; faint trace of albumin;and a few hyaline and granular casts. Three da^s after admission both feet were amputated, the bones being sawed. Fig. 186.—Ultimate Result in a Case of Frost-Bite. Photograph of case referred to in text, showingstumps of legs, loss of left hand, and condition of right hand. It demonstrates clearly the unevendestruction of issue; also the value of waiting for spontaneous separation where possible. through at the middle point of the leg. Long anterior flaps. Little drainage provided for. Two days after the operation the anterior flaps of both stumps showed areas ofsuperficial gangrene. The stump of the right leg finally healed, but it was foundnecessary to do an amputation of the left leg at the knee-joint before healingtook place. On the thirty-fourth day after the exposure an amputation of the left handwas done at the carpo-metacarpal articulation. The thumb was amputated at themetacarpo-phalangeal joint. The last phalanx of the middle finger of the right CONGELATION, OR FROST-BITE. 599 hand
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
