Knowles, Percival a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d1e19580 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 ArmyWashington, D.C.Government Printing OfficePart 1 Volume 21870501-502 Medical and Surgical History of the War of the Rebellion wounds and injuries of the chest gunshot wounds of the chest penetrating gunshot wounds of the chest treatment by hermetically sealing ball entered above nipple, passed backward and downward, lodged in the muscles of the back at lower scapula tubercles formed ball passed through lung 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.—Lieutenant Percival Knowles, Co. K, 6th Maine Volunteers, aged 23 years, was wounded at Rappahannock Station, Virginia, November 7th, 1863, by a conoidal ball, which entered three inches above the right nipple, passed backward and downward through the right lung, and lodged in the muscles of the back, at the lower border of the scapula. On the 9th, he was admitted to Stanton Hospital, Washington. There was slight dyspnœa, with a full and irregular pulse; an absence of the respiratory murmur below the lower end of the scapula, and complete dulnessdullness on percussion; he suffered no pain, and but slight constitutional disturbance. The track of the wound was excised down to the ribs; the edges united by sutures deeply inserted, and the whole covered by isinglass plaster and collodion. On the 12th, there was some pain. The dyspnœa and effusion had increased, and a slight friction sound was heard at the upper and lateral part of the chest. The dressings were removed on the 14th; there was no evidence of union by first intention; the wound was suppurating. The bowels being confined, a light cathartic was given. On December 4th, the ball was extracted, and water dressings were applied. By December 22d, both wounds had healed, and effusion in the chest was nearly all absorbed. The patient was discharged from service on August 15th, 1864. Pension Examiner W. L. Nicholson reports, April 20th, 1870, that "solidification of the lung has taken place. Hæmorrhage, which was not present at the date of his discharge to any marked extent, now occurs on an average every two or three weeks, and, in my opinion, tubercles have formed. His strength has so diminished as to render labor impossible. Habits regular and moral. The case is reported by Assistant Surgeon G. A. Mursick, U. S. V.