M——, M.a machine readable transcriptionSusan C. LawrenceKenneth M. PriceKenneth J. Winkle2011med.d1e16691Civil War WashingtonUniversity of Nebraska–LincolnCenter for Digital Research in the Humanities319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu2011
The following are responsible for particular readings or for changes to
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Kenneth WinkleAJ HowellMatthew BosleyElizabeth LorangStacey BerryElisabeth TraceyThe Medical and Surgical History of the War of the Rebellion.
(1861–65.)Surgeon General Joseph K. Barnes, United States ArmyWashington, D.C.Government Printing OfficePart 1Volume 21870265Medical and Surgical History of the War of the Rebellionon special wounds and injuries of the headwounds and injuries of the headgunshot woundsgunshot fractures of the cranial bonestrephining after gunshot fractures of the skulltrephining practiced, fatal terminationconoidal ball comminuted and depressed left parietal bone near upper border to left
of longitudinal sinusoozing of medullary brain substance and blood on admissiondepressed portion of cranium firmly imbeddedembedded in the brainmembranes and medullary substance of brain lacerated by depressed bone
fragmentsmeningeal inflammation and infiltration of purulent matter in region of
injuryleft lateral ventricle distended with blood, piece of bone projected into its
cavitygeneral anesthesia, etherautopsyblessedadded figure encodingadditional proofing of transcription and encoding, edited
and added keyword termsadditional proofing of transcription and encodingcase text extracted and transformed from larger
fileenriched encodingvalidated fileencodedinitial checking of OCR text against PDF; encoded
CASE.—Private M.
M——, Co. C, 48th Pennsylvania
Volunteers, aged 45 years, was wounded at the battle of SpottsylvaniaSpotsylvania Court-house, Virginia, May 12th,
1864, by a conoidal ball, which comminuted and depressed the left parietal bone
near the upper border to the left of the longitudinal sinus. He was admitted to the hospital
of the Ninth Corps and thence sent to the Carver
Hospital, Washington, on the 14th,
somewhat morose and taciturn, and at times manifesting slight symptoms of compressions, but
expressing himself quite intelligibly. On the evening of the 15th, he became decidedly
comatose. On the following morning the
patient was placed under the influence of ether. Acting
Assistant Surgeon J. O. French trephined the skull over the affected region and
removed several large splinters of the external table. The depressed portion was of an
irregular quadrangular shape, measuring an inch or more in its longest diameter, and was
firmly imbeddedembedded in the brain. The membranes and medullary substance of the brain were lacerated by
the depressed fragments, accounting for the slight oozing of medullary substance and blood
that had existed ever since his admission. Considerable hæmorrhage occurred during the
operation, which was controlled by dry lint. The operation relieved the patient from his
comatose condition, and he became quite animated, remaining so until the 18th, when coma
again set in. Death supervened on the 20th. The
autopsy revealed traces of meningeal inflammation and infiltration of purulent matter in the
region of the injury. The left lateral ventricle was distended with blood, and a small piece
of bone was found projecting into its cavity. The pathological specimen is a disk and three
fragments of bone, removed from the cranium. The largest fragment is from the inner table
and measures one inch in diameter. The specimen and history were contributed by Surgeon O. A. Judson, U. S. V.