Report of clinical cases treated during the session 1859-60 on surgical wards of the Royal Infirmary / under the care of James Spence.

  • Spence, James, 1812-1882.
Date:
1861
Catalogue details

Licence: Public Domain Mark

Credit: Report of clinical cases treated during the session 1859-60 on surgical wards of the Royal Infirmary / under the care of James Spence. Source: Wellcome Collection.

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    Section Second.^—Fractures. Subjoined is a tabular view of the cases of fracture (in all 47) treated in the house, stating the seat of fracture and the result. The more important cases are shortly detailed:—■ Cured. Died. Of Yertebrse, 3 ... ... 2 ... ... 1 5 ... ... 4 ... ••• 1 ^ ... ... ... ... ... 2 10.—Three through shaft, cured. In one case, refracture im¬ mediately above the former fracture, on third day after dismissal. One through trochanter, cured. Three through neck, relieved; and one through condyles into knee, cured. Of Ribs, Of Pelvis, Of Femur, Of Leg, 21 Simple fracture of tibia and fibula. Compound do. do., Comminuted do. do., . Tibia, alone, .... Fibula, ..... 7 5 1 4 4 Under Cured. Treatment. Died. 7 ... ... 2 12 1 4 ... ... 4 ... ... Of Humerus, 4 Simple, but complicated with general bruising,—1 cured. Comminuted,—1 cured. Ununited,—1 under treatment and 1 cured. Of Radius and Ulna,—1 compound and comminuted; cuj-ed. Of Upper Jaw,—1 comminuted ; cured. Of Lower Jaw,—1 simple; cured. 1. Patrick B--—s, set. 40, was doubled up and crushed by the w^eight of a horse falling on him, by which several dorsal vertebrse were fractured. Along with complete paraplegia, a low form of peritonitis set in, and he died on the fourth day. 2. John S——s, ^t. 2B, a strong, muscular man, fell back¬ wards over a rail seven feet high. Complete insensibility im¬ mediately followed the accident; but on admission, an hour after¬ wards, consciousness was partially restored, with, however, all the symptoms of paraplegia, and involuntary emission of semen, urine, and fseces. A fracture was discovered at the sixth cervical vertebra. The head and neck were bandaged to a pillow, and the patient placed in bed. He gradually recovered the power of voluntary movement, and sensation was complete. On the twenty-fifth day he went out, and, two weeks after, resumed his employment as a brewer, o. Peter K--r, act, 38, during the delirium accompanying erysi¬ pelas of the head, jumped from the third storey of a house, whereby he sustained a fracture about the middle of the dorsal vertebrm. For the first ten days he had all the symptoms of paraplegia, requiring the constant use of the catheter. Urine phosphatic. Ordered Nitric Acid. As the bowels continued constipated, Ext. Nuc. Vomic., gr. 1, with Ext. Coloc., was administered thrice a-day. On the sixteenth day he passed his water without the use of an instrument. After this, his appetite and strength gradually improved, and he only