The medical age : a semi-monthly journal of medicine and surgery . he floor. Examination revealed quite a prominence ofthe eighth dorsal vertebra. With the assist-ance of Drs. Wean and Biddle, of the Housestaff, I succeeded in relieving the prominencepartially, but on removing extension the de-formity was as prominent as before. I didnot deem it advisable to keep up the exten-sion for the reason that it was excessivelypainful to the patient and did not, while keptup, prove of any benefit. The urine had tobe drawn with a catheter and cystitis follow-ed in a few days together with bed sores over
The medical age : a semi-monthly journal of medicine and surgery . he floor. Examination revealed quite a prominence ofthe eighth dorsal vertebra. With the assist-ance of Drs. Wean and Biddle, of the Housestaff, I succeeded in relieving the prominencepartially, but on removing extension the de-formity was as prominent as before. I didnot deem it advisable to keep up the exten-sion for the reason that it was excessivelypainful to the patient and did not, while keptup, prove of any benefit. The urine had tobe drawn with a catheter and cystitis follow-ed in a few days together with bed sores overthe sacrum and each external maleoli. I fol-lowed treatment as in previous cases with padon each side of vertebrae. Temperature rangedfrom normal to 104° until his death, which oc-curred May 24th, 1886. The following day I made a post mortem ex-amination. The body was very much emaciat-ed, with entire sloughing of the soft parts overlumbar vertebrae and sacrum. I removedseveral of the vertebrae, including the eighthdorsal, the seat of fracture and Fig. 1. It will be observed in the engraving takenfrom a photograph by Dr. Wm. R. Murdie,that the anterior upper fourth of the body isbroken off The cord was considerably softenedabove and below, and entirely obliterated atthe point of injury. The union between thefragments is fibrous. Case 7.—D. L., aged 37, a janitor of one ofthe public schools, while cleaning windows, fellfrom the second story. I saw him two hoursafterwards, April 19, 1886, at St. Marys Hos-pital. His injuries consisted of Colles fractureof left radius, together with a marked promi-nence of the eleventh and twelfth dorsal verte-brae. I succeeded in partially reducing thedeformity. Paralysis was complete below theseat of injury. His urine had to be drawn, anda severe cystitis set in on the third day afterthe accident. Bowels only moved by means ofcopious injections. Temperature ranged from101° to 103° up to the time of his death, whichoccurred Ap
Size: 1561px × 1601px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectmedicine
