CASE 405.—Sergeant Sewell T. Douglas, Co. G, 1st Maine Heavy Artillery, aged 28 years, was wounded at the battle of Spottsylvania​, May 19, 1864, and was admitted to Emory Hospital, at Washington, May 22, 1864. A musket ball entering posteriorly, had fractured the lower third of the left femur and lodged in the medullary cavity. The injured limb was placed on a double-inclined plane and moderate extension was used. Internally, stimulants and tonics were employed. In August, 1864, the patient suffered from severe diarrhœa. There was a copious ill-conditioned discharge from the wound. The patient died September 26, 1864, from exhaustion, and, at the autopsy, a deposition of callus was found at the seat of in jury, enclosing several necrosed splinters and a battered musket-ball. The specimen (FIG. 159) was contributed to the Army Medical Museum by Acting Assistant Surgeon J. M. Downs.