Hacket, S.a machine readable transcriptionSusan C. LawrenceKenneth M. PriceKenneth J. Winkle2011med.d2e24423Civil 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 M. PriceAJ HowellMatthew BosleyElizabeth LorangStacey BerryElisabeth TraceySarah SynovecThe Medical and Surgical History of the War of the Rebellion.
(1861-65.)Washington, DCGovernment Printing
OfficePart 3Volume
21883633Medical and Surgical History of the War of the Rebellionwounds and injuries of the lower extremitieswounds and operations in the footshot wounds of the bones of the footshot fractures of the bones of the footamputations in the footintermediary amputations in the footwounded in football entered sole near third metatarsal bone, passed through tarsus, extracted anterior
to internal malleolusChopart's amputation performedcavity above lung, lined with puspartial pneumonia in posterior lobe, collection of pus in lower lobedeep abscess below popliteal spaceabscess over malleolusautopsy performedblessedadded figure encodingadditional proofing of transcription and encoding, identified
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CASE 933.—Private S.
Hacket, Co. F, 11th Pennsylvania Reserves,
aged 25 years, was wounded in the right foot, at Fredericksburg, December 13, 1862, by a
round ball, which entered the sole near the third metatarsal bone, passed through the tarsus,
and was extracted just anterior to the internal malleolus. He was admitted to Lincoln Hospital, Washington, ten days after receiving the injury, and Chopart's amputation was
performed the following day. The patient's
complexion was yellowish, his pulse rapid, and the color of his tongue light red and smooth. On
December 29th he had a chill and complained of pain in his hips. There had been a few discharges
of laudable pus and the stump looked well. On January
3d an abscess, which had been forming for three days, was lanced and bled profusely.
During this time the patient had been costive and continued icteroid, the conjunctiva being of a
pearly whiteness and his pulse moderately rapid, full, and regular. The granulations of the sore
were more eminent and were bathed in a not unhealthy pus. His tongue on this day was furrowed,
and during the morning he had a slight chill. On January 6th he had three chills, and the stump
was inactive, the pus being white and cheesy. The abscess over the malleolus was now better, but
the patient's skin was very yellow, with a brown tinge; tongue pale; countenance anxious. During
the next three days he had one or two chills each day, and by this time he had become very
feeble and his mind was wandering somewhat; pulse very rapid. The stump did not look very badly,
but some hardness was noticed along the track of the vessels. By January 11th he was wholly
delirious, which continued for two days, when he recovered his consciousness. The left pupil was
now more dilated than the right; the stump was looking well, but was more swollen than at first.
After this he became extremely exhausted and died January
15, 1863. The autopsy showed much emaciation. On opening the chest a large cavity was
found just above the right lung, the top of it being lined with a greyish pus. Pleurisy with
firm attachments existed on the right side, and there was partial pneumonia in the posterior
lobe. A mass of separating dead tissue partially occupied the excavated space in the upper and
anterior portion. The walls were lined with a thick and cheesy pus. Partial pneumonia with small
circumscribed collections of pus existed in the lower lobe of the left lung posteriorly, while
in the upper lobe anteriorly and at the middle there was a sharp-edged and deep excavation
having separated dead tissue in it. The spleen was attached by fibrinous adhesions to the
surface of the diaphragm and contained small circumscribed collections of pus. The liver was
large, heavy, and mottled, with a distinct rough feel; kidneys natural and a little pale;
inguinal glands greatly swollen. There was also a deep abscess below the popliteal space and
unconnected with the stump. The amputated portion of the foot (Cat. Surg.
Sect., 1866, p. 421, Spec. 4493) was
contributed to the Museum by Assistant Surgeon G. M. McGill, U. S.
A., who also recorded the history of the case.