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                                                                <title level="m" type="main">Berks, James</title>
                                                  <title level="m" type="sub">a machine readable
                                                  transcription</title>
                                                  <principal>Susan C. Lawrence</principal>
                                                  <principal>Kenneth M. Price</principal>
                                                  <principal>Kenneth J. Winkle</principal>
                                                </titleStmt>
                                                <editionStmt>
                                                  <edition><date>2011</date></edition>
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                                                <publicationStmt>
                                                  <idno>med.d1e17810</idno>
                                                  <authority>Civil War Washington</authority>
                                                  <publisher>University of
                                                  Nebraska–Lincoln</publisher>
                                                  <distributor><name>Center for Digital Research in
                                                  the
                                                  Humanities</name><address><addrLine>319 Love Library</addrLine><addrLine>University of Nebraska–Lincoln</addrLine><addrLine>Lincoln, NE 68588-4100</addrLine><addrLine>cdrh@unlnotes.unl.edu</addrLine></address></distributor>
                                                  <date>2011</date>
                                                  <availability>
                                                  <p>Copyright © 2011 by University of
                                                  Nebraska–Lincoln, all rights reserved.
                                                  Redistribution or republication in any medium,
                                                  except as allowed under the Fair Use provisions of
                                                  U.S. copyright law, requires express written
                                                  consent from the editors and advance notification
                                                  of the publisher, the University of
                                                  Nebraska–Lincoln.</p>
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                                                  <note type="project">The following are responsible
                                                  for particular readings or for changes to this
                                                  file, as noted: 
                                                                  <persName xml:id="mb">Matthew Bosley</persName>
                                                                  <persName xml:id="el">Elizabeth Lorang</persName>
                                                  <persName xml:id="sb">Stacey Berry</persName>
                                                  <persName xml:id="et">Elisabeth Tracey</persName>
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                                                <sourceDesc>
                                                  <bibl><title>The Medical and Surgical History of
                                                  the War of the Rebellion.
                                                  (1861&#8211;65.)</title><editor role="compiler"
                                                  >Surgeon General Joseph K. Barnes, United States
                                                  Army</editor><pubPlace>Washington,
                                                  D.C.</pubPlace><publisher>Government Printing
                                                  Office</publisher><biblScope type="part">Part
                                                  1</biblScope>
                                                  <biblScope type="volume">Volume 2</biblScope><date
                                                  when="1870">1870</date><biblScope type="page"
                                                  >345-346</biblScope></bibl>
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                                                  <bibl>Medical and Surgical History of the War of
                                                  the Rebellion</bibl>
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                                                  <keywords scheme="#medsurg">
                                                                  <term>wounds and injuries of the face</term>
                                                                  <term>gunshot wounds of the face</term>
                                                                  <term>gunshot fractures of the facial bones</term>
                                                                  <term>fractures involving upper and lower maxill&#230;</term>
                                                                  <term>fracture of lower maxilla</term>
                                                                  <term>secondary h&#230;morrhage</term> 
                                                                  <term>disability total and permanent</term>
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                                                <p> <hi rend="initialcap">C</hi>ASE.&#8212;<name type="person">Private James Berks</name>, <name type="organization">Co. K, 138th
                                                                Pennsylvania Volunteers</name>, aged 60 years, received,
                                                                at the battle of <name type="battle">Locust Grove</name>, <date type="injury" when="1863-11-27">November 27th,
                                                                                1863</date>, a gunshot wound of the face, right side. The
                                                  missile entered over the right angle of the jaw,
                                                  and emerged beneath the symphysis, comminuting the
                                                  jaw between both wounds. Several <date type="operation">spicul&#230; of bone
                                                                  were removed on the field</date>. He was, on
                                                                <date type="admit" when="1863-12-04">December 4th</date>, admitted to <name type="hospital" key="187">2d division hospital</name>, <name type="place">Alexandria</name>. On admission, the right side of the
                                                  jaw had fallen in considerably, and the patient
                                                  was weak and an&#230;mic. Opiates, stimulants, and
                                                  tonics were administered, and chicken broth, beef
                                                  tea, and farina ordered. Secondary h&#230;morrhage
                                                  from one of the external carotid arteries occurred
                                                                <date type="injury" when="1863-12-10">December 10th</date>, amounting to ten ounces of blood,
                                                  which was controlled by the application of
                                                  persulphate of iron. The patient stated that he
                                                  had recurrent h&#230;morrhages. The horizontal ramus
                                                  of the lower jaw is gone, and he can eat fluid
                                                  food only. He was discharged the service <date type="servicedischarge" when="1864-03-07">March
                                                  7th, 1864</date>, and pensioned on <date type="pension" when="1864-03-15"></date>March 15th. <name type="person">Examining
                                                                  Surgeon H. L. Hodge</name> reports that he has great
                                                  difficulty in swallowing and very imperfect
                                                  speech. His mind is weakened; disability total,
                                                  probably permanent. The case is reported by <name type="person">Acting
                                                                  Assistant Surgeon J. G. McKee</name>. </p>
                                                
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