Neill, I. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d2e31361 Civil War Washington University of Nebraska–Lincoln Center for Digital Research in the Humanities
319 Love Library University of Nebraska–Lincoln Lincoln, NE 68588-4100 cdrh@unlnotes.unl.edu
 2011

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 The following are responsible for particular readings or for changes to this file, as noted: Kenneth Winkle Matthew Bosley Minda Haas Kourtney Klein The Medical and Surgical History of the War of the Rebellion. (1861-65.) Washington, DC Government Printing Office Part 2 Volume 2 1876 978 Medical and Surgical History of the War of the Rebellion wounds and injuries of the upper extremities wounds and operations in the forearm shot wounds of the forearm amputations in the continuity of the forearm for shot injury primary amputations in the forearm for shot injury fatal primary amputations in the forearm gunshot fracture of forearm, lower third amputation of forearm at middle third re-amputated at lower third of humerus pyæmia abscess over knee joint, dark and fetid pus blessed added figure encoding additional proofing of transcription and encoding, identified keyword terms checked OCR; added minimal mark-up for personal names, place names, and dates

CASE 1926.—Private I. Neill, Co. D, 16th Mississippi, aged 38 years, was wounded at the Weldon Railroad, August 21, 1864. From a field hospital he was admitted to the Depot Hospital, Fifth Corps, City Point, where Surgeon W. L. Faxon, 32d Massachusetts, recorded: "Gunshot wound of arm; amputation." Assistant Surgeon J. C. McKee, U. S. A., reported the man's admission to Lincoln Hospital, Washington, August 24th, and the following history: "Gunshot fracture of left forearm, lower third, followed by amputation at the middle third. The operation was performed by Assistant Surgeon J.T. Duffield, 7th Indiana, on the day after the injury, by the circular method. The stump continued in a very unhealthy condition until April 12, 1865, when it was re-amputated by Acting Assistant Surgeon N.A. Robbins, by a circular operation at the lower third of the humerus. (Compare CASE 26, TABLE LXXXVII, p. 788.) On the evening of the following day the patient received a severe shock on the stump by one of the attendants in the ward falling with his whole weight upon the injured member. On the next morning he commenced to fail rapidly, and the same day he was taken with a severe chill with diagnostic signs of pyæmia. Quinine exhibited in large doses failed to produce the desired effect, and the chills continued. A large abscess formed over the external aspect of the knee joint, containing dark and fetid pus. The general treatment consisted of water dressings and tonics, with a solution of bisulphate of soda, half an ounce to six ounces of water, given in doses of two teaspoonfuls every three hours, after the development of pyæmia. The patient died April 17, 1865." The specimen, represented in the annexed cut (FIG. 712), consists of the upper thirds of the bones of the forearm, and was contributed by Acting Assistant Surgeon J. P. Arthur. "Each bone is enlarged, but carious, and superficial diseased action occupies nearly the whole of the shaft of the ulna."

FIG. 712.—Re-amputated stump of the left forearm. Spec. 64.