. Atlas and epitome of traumatic . will teach us that an operationshould be performed the moment the symptoms of meningitis base of the skull should be exposed through an opening in thefrontal bone and drainage instituted. I have observed one case inwhich this procedure at least should have been attempted.—Ed.] the dorsal position, or if the posterior portion of the nosehas been injured, the blood may flow doAvn into the pharynxand be swallowed, and later give rise to hematemesis. Infractures involving the middle fossa of the skull and ofthe petrous portion of the temporal bone hemor
. Atlas and epitome of traumatic . will teach us that an operationshould be performed the moment the symptoms of meningitis base of the skull should be exposed through an opening in thefrontal bone and drainage instituted. I have observed one case inwhich this procedure at least should have been attempted.—Ed.] the dorsal position, or if the posterior portion of the nosehas been injured, the blood may flow doAvn into the pharynxand be swallowed, and later give rise to hematemesis. Infractures involving the middle fossa of the skull and ofthe petrous portion of the temporal bone hemorrhages fromthe ear (external meatus) are frequently observed. In thedifferential diagnosis it is necessary to exclude the entranceof blood into the auditory canal from without• simple rup-ture of the drumhead ; fracture of the anterior wall throughthe articular prominence of the lower jaw in a fall on thechin ; and fracture of the posterior wall and of the mastoidprocess. For the production of hemorrhage from the ear Tab. \ ^
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