Kirby, E. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d2e12100 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: Kenneth M. Price Matthew Bosley Elizabeth Lorang Stacey Berry Elisabeth Tracey Sarah Synovec Kourtney Klein The Medical and Surgical History of the War of the Rebellion. (1861-65.)Washington, DCGovernment Printing OfficePart 3Volume 21883280 Medical and Surgical History of the War of the Rebellion wounds and injuries of the lower extremities injuries of the shaft of the femur amputations in the shaft of the femur intermediary amputations in the shaft of the femur for shot injury intermediary amputations in the middle third of the thigh fatal cases of intermediary amputation in the middle third of the thigh wound in lower third of thigh by two bullets from spherical case shot balls entered thigh above condyles, producing comminuted fracture of lower third of femur general anesthesia, chloroform ball embedded in medullary canal of femur, other ball in vastus externus muscle fever, typhoid type pyæmia blessed added figure encoding additional proofing of transcription and encoding, identified keyword terms case text extracted and transformed from larger file Enrich Encoding, Edit and validate Validated File initial checking of OCR text; encoded P5 Encoding

CASE 463.—Brigadier-GeneralBrigadier General E. Kirby, U. S. V., First Lieutenant, U. S. Artillery, was wounded at Chancellorsville, May 3, 1863. He was admitted to the Artillery Brigade Hospital, Second Corps, whence Surgeon J. H. Merrill, 1st Rhode Island Artillery, reported: "Wound in lower third of left thigh by two bullets from a spherical case shot. Patient sent immediately to Washington." Surgeon B. Norris, U. S. A., under whose care the patient came to Washington, reported the following description and result of the injury: "Two round balls entered the thigh about two inches above the condyles, producing a comminuted fracture of the lower third of the femur. The case came under my treatment on May 5th, and amputation at the middle third by the circular method was performed on May 10th. The tourniquet was used, and chloroform employed as the anæsthetic. One ball was found embedded in the medullary canal of the femur, and the other in the vastus externus muscle. The operation was followed by increase of fever, which rapidly assumed the typhoid type. This brave young officer survived the operation eighteen days, and died of pyæmia May 28, 1863." The amputated portion of the femur was contributed to the Museum by the operator (Cat. Surg. Sect., 1866, p. 290, Spec. 1076), and is represented in PLATE XLII, opposite.

ROUND MUSKET BALL IN THE MEDULLARY CAVITY OF THE FEMUR