S——, Charles A. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d1e16385 Civil War Washington University of Nebraska–Lincoln Center for Digital Research in the Humanities
319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu
 2011

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 The following are responsible for particular readings or for changes to this file, as noted: Matthew Bosley Elizabeth Lorang Stacey Berry Elisabeth Tracey The Medical and Surgical History of the War of the Rebellion. (1861–65.) Surgeon General Joseph K. Barnes, United States Army Washington, D.C. Government Printing Office Part 1 Volume 2 1870 252 Medical and Surgical History of the War of the Rebellion on special wounds and injuries of the head wounds and injuries of the head gunshot wounds gunshot fractures of the cranial bones removal of fragments after gunshot fractures of the skull fatal cases of gunshot fractures of the skull treated by the removal or elevation fragments treated by operation, not by formal trephining extent of injury ascertained with precision, organic alterations accurately observed conoidal musket ball entered above left superciliary ridge, fractured roof of orbit and inner table of skull, opened frontal sinus, and lodged eye bulged out, sclerotic coat had appearance of blister fracture extended above supra-orbital arch brain substance protruded like cauliflower excresenceexcrescence subarachnoid effusion deposits resembling pus on external surface of cerebellum, medulla, and upper spinal cord orbital plate absent, frontal sinus opened, fissure extends inward to cribriform plate of ethmoid post-mortem examination performed additional proofing of transcription and encoding, edited and added keyword terms additional proofing of transcription and encoding case text extracted and transformed from larger file enriched encoding validated file encoded initial checking of OCR text against PDF; encoded

CASE.—Private Charles A. S——, Co. D, 46th New York Volunteers, aged 25 years, was wounded in an engagement near Petersburg, Virginia, June 26th, 1864, by a conoidal musket ball, which entered above the left superciliary ridge, fractured the roof of orbit and the inner table of skull, opened the frontal sinus, and lodged. The eye was bulged out, and the sclerotic coat had the appearance of being blistered; fracture extended ten lines above the supra-orbital arch. He was conveyed to the field hospital of the 3d division, Ninth Corps, where the ball and spiculæ of bone were removed by Surgeon W. C. Shurlock, 51st Pennsylvania Volunteers. He was thence sent to City Point, Virginia, and on July 1st transferred to Washington, D. C., entering Lincoln Hospital on the same day. The wound was looking well for several days, when it became inflamed and swollen, and in order to permit free evacuation of pus it was enlarged. The case progressed favorably until the 14th, when he became very wild and restless, with some fever. Saline cathartics and small doses of calomel were administered, also ipecac and opium. Collodion was applied to brain substance, which protruded like a cauliflower excresenceexcrescence. Coma supervened, and death ensued on July 27th, 1864. The post-mortem examination revealed a large amount of subarachnoid effusion; the brain substance in the region of the wound was very soft and pulpy; the left lobe of the cerebellum was softened, and on its external surface was a deposit resembling pus. A similar deposit was also observed in the medulla and upper portion of the spinal cord. The pathological specimen is No. 2891, Sect. I, A. M. M. One inch of the supra-orbital arch is carried away, and the opening involves one square inch of the external table. The opening internally is a little larger, part of the orbital plate is absent, the frontal sinus is opened, and a fissure extends inward to the cribriform plate of the ethmoid. The bone immediately around the opening is cribriform, and is covered with a thin chalky layer of new formation. The specimen was contributed by Acting Assistant Surgeon H. M. Dean.