The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . ount of damage; indeed,it is sometimes impossible for the ablest to do this utmost care should always be used to attain a diagnosis thatwill be a sufficient and safe basis of practice. Where the wound is situated about the extremities, there isgenerally not much difficulty in making out the exact state of thecase; but when the chest, abdomen, head, and neck are the seatsof the wound, it is difficult. Fracture of the bones can always berecognised by deformity and crepitation
The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . ount of damage; indeed,it is sometimes impossible for the ablest to do this utmost care should always be used to attain a diagnosis thatwill be a sufficient and safe basis of practice. Where the wound is situated about the extremities, there isgenerally not much difficulty in making out the exact state of thecase; but when the chest, abdomen, head, and neck are the seatsof the wound, it is difficult. Fracture of the bones can always berecognised by deformity and crepitation; wounds of the lungs bydyspnoea and expectoration of blood; wounds of the stomach byhcematemesis, and of the bladder by bloody urine. The nervoussystem of the bravest and most robust is greatly shocked, even byslight injuries of this kind; pallor of countenance, trembling, anxiety,and fainting, are not uncommon accompaniments of the slightest,as well as of the most severe gun-shot wounds. 80 GUN-SHOT WOUND. Prognosis is either favourable or unfavourable, according to the extent of the injury or 0. V the importance of the in-jured part. A positiveopinion should always begiven with caution, unlessthe case be so clear thatthere is no room fordoubt. Treatment This must depend upon the seat andextent of the wound. Itis impossible to give morethan general rules for themanagement of this classof injuries. Gun - shotwound unites by granu-lation; it is a laceratedand contused wound ; thelife of the divided surfaceis destroyed, and inflam-mation and sloughingmust be the the examination, thepart must be placed inthe position in which itwas when the wound wasreceived. The examina-tion should be made assoon after the receipt ofthe wound as possible,since it is less painful tothe patient at this time,and decidedly more satis-factory to the one examination(Tjl should be thorough andcomplete; by it the sur- GUN-SHOT WOUND. 81 gcon should learn all that is possible
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