Southern medicine and surgery [serial] . 5, respiration 23, pulse108. Wassermann negative. Present illness began February 1921,with an ingrowing toe nail. The ingrow-ing nail did not improve after threemonths, and his physician removed aportion of the nail the latter part of April, 1921. Three weeks later therebeing no improvement the whole nailwas removed. July 15, 1921, the toenot showing any tendency to heal, thefirst phalanx was removed, and on Sep-tember 17, 1921, the patient presentedhimself at the Mary Elizabeth Hospitalwith a reddened and swollen foot as faras the ankle, and stated tha
Southern medicine and surgery [serial] . 5, respiration 23, pulse108. Wassermann negative. Present illness began February 1921,with an ingrowing toe nail. The ingrow-ing nail did not improve after threemonths, and his physician removed aportion of the nail the latter part of April, 1921. Three weeks later therebeing no improvement the whole nailwas removed. July 15, 1921, the toenot showing any tendency to heal, thefirst phalanx was removed, and on Sep-tember 17, 1921, the patient presentedhimself at the Mary Elizabeth Hospitalwith a reddened and swollen foot as faras the ankle, and stated that the footwas very painful and that at times hecould not walk, and upon elevation ofthe foot, the pain was much more se-vere than when hanging down. Hecomplained of cold feet and that anyadditional cover or warmth made thepain much worse. The bone of the toecould be seen extending beyond the fleshand there was marked gangrene of thetoe half way to the metacarpophalan-geal joint. Slight emaciation. Physicalexamination otherwise On September 19th, 1921, the big toewas amputated at the metacarpopha-langeal joint. After operation the gan-grene kept gradully extending upward,and on October 14, 1921, the foot wasagain operated, and the metacarpalbone of the big toe was amputated onehalf inch back of the metacarpophalan-geal joint, and the tissues removed tohealthy tissue. The patient improvedvery slowly, but was discharged fromthe hospital October 30, 1921, but was February. 1924. ORIGINAL COMMUNICATIONS 57 not discharged from care until Decem-ber 15, 1921, and at this time the woundhad not completely healed. The casewas not seen any more until January23, 1923, practically one year later, whenhe again entered the hospital. At thistime he was suffering intensely withpain and had been unable for aboutfour months to walk, or work. On ele-vating the foot he would cry out withpain. Complained of the foot beingcold, and would not let it stay undercover, but insisted upon letting
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
