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SURGICAL CLINIC AT BERLIN.
318
right side ; the temporal bones were placed ing profusely from the mouth, nostrils, ears, almost horizontally, and exhibited the rudi- and eyes. A large piece of timber had fallen, ments of a glenoidal cavity ; that of the from a considerable height, on his head, right side presented a sort of zygomatic arch, and caused an extensive fracture of the united to a small os malare, which termi- skull. On examining the wound, the skin
nated in a rough articular surface ; the upper above the right ear was found lacerated, and lower jaw-bones were entirely wanting ; and a probe introduced into this aperture, the orbits were well formed ; the occipital could be easily passed to the tempoial reo bone was a little elongated towards its upper gion of the other side. The parietal bcnes part; its lower portion consisted of several were considerably depressed, and a crucial separate pieces. The skull was united to incision having been made, a large fracture the trunk by fibro-cartilaginous ligaments, was found extending over them, from the at least an articular surface could not be right temporal bone to the left side of the found, on external examination. The trunk head. The anterior part of the skull was being somewhat curved anteriorly, showed also considerably depressed, and in it a the rudiments of a vertebral column ; the second fracture was discovered, extending place of the sternum was occupied by a from the transverse fissure anteriorly over very thick fibro-cartilaginous mass ; the the frontal bone towards the right eye; ribs, as well as the bones of the shoulder the margins of this longitudinal fracture and the clavicles, were completely ossified ; were distant from each other about the the vertebral column terminated below in tenth part of an inch, and the pulsations of the sacral bone, and the rudiments of the the brail could be distinctly seen between pelvis. The extremities were wanting, them. At each pulsation, the bloQd rushed with the exception of some traces of the with great violence from the fracture. upper-arm. On internal inspection of this: Bleeding, cold fomentations over the head, skeleton, the cavity of the skull was found and some injections of diluted vinegar, hav. of a regular form, its parietes being one- ing been employed, the little patient retwenty-fot.rth of an inch in thickness; they covered his senses, and, the depressed pofwere lined with the dura mater, the folds oftion of the skull having spontaneously risen, which were wen developed, and containedthe use of the trephine was very properly The wounds were simply a gelatinous fluid, of a yellow colour, with-dispensed with. out any distinct organisation. The cervicali dressad with lint dipped in tepid water. vertebra consisted of several pieces, of anAfter some time several portions of the irregular form, so that the single vertebra;, fractured bones were discharged, and the could not be distinguished ; the dorsal ver- dura mater began to be coveredwith granu. taril were more developed, and distinctlylations, which were gradually formed into a annular ; the lumbar vertebrae, as well assolid membranous substance. At the end the sacral bone, consisted of irregular pieces.of three montiis the child was perfectly The abdomen and thorax formed one cavity,cured.—Graefe’s Bericht des Chirurg. Auat the upper portion of which the pleurat genaerzl. Itist. its was distinctly seen lining the ribs ; lower half contained a greyish-yellow aJi-
pocirous mass, with apparent traces of folds, representing, no doubt, the intestines. In the centre of this mass a brown nucleus INTUS SUSCEPTION SUCCESSFULLY TREATED was discovered, with a small cavity, which WITH QUICKSILVER. was continued, in a thin filament of the STsme colour, along the vertebral column,A LADY, 80 years of age, was suddenly an.t which were very probably the remainsseized with excruciating’ pain in the intesof the heart and aorta. Cn the externaltines, acco:-l1panied with vomiting’of stptcosurface of the sku’d, particularly on the rightt raceous matter. M. Bellucci, who saw the side, several vessels were seen running to-. patient on the fourth day of her illness, conwards the median line ;some intercostal sidering it a case of intus-susceptien, orvessels could also be distinguished.—Archiv. dered general and local bleeding, the warm Génér. de Médecine. fomentations, and oleaginous aperients, but without any effect whatever. Ou the seventli day, a dose cf threeources of quicksilver was giver, which, after 24 hours, produce copious st3ols ; in conseSURGICAL CLINIC AT BERLIN. quence of wlicli, a remission of all the symptoms took place, so that, within a short EXTENSIVE FRACTURE OF 1 HE SKULL. time, the patient completely recevered.— A LITT L E boy, about Dille years of age, was state of itatitutten in a state the institution illto tlic, brought into
bath,
a
complete insensibility,
with the blood
oflEscuclapio.
flow-
right side ; the temporal bones were placed ing profusely from the mouth, nostrils, ears, almost horizontally, and exhibited the rudi- and eyes. A large piece of timber had fallen, ments of a glenoidal cavity ; that of the from a considerable height, on his head, right side presented a sort of zygomatic arch, and caused an extensive fracture of the united to a small os malare, which termi- skull. On examining the wound, the skin
nated in a rough articular surface ; the upper above the right ear was found lacerated, and lower jaw-bones were entirely wanting ; and a probe introduced into this aperture, the orbits were well formed ; the occipital could be easily passed to the tempoial reo bone was a little elongated towards its upper gion of the other side. The parietal bcnes part; its lower portion consisted of several were considerably depressed, and a crucial separate pieces. The skull was united to incision having been made, a large fracture the trunk by fibro-cartilaginous ligaments, was found extending over them, from the at least an articular surface could not be right temporal bone to the left side of the found, on external examination. The trunk head. The anterior part of the skull was being somewhat curved anteriorly, showed also considerably depressed, and in it a the rudiments of a vertebral column ; the second fracture was discovered, extending place of the sternum was occupied by a from the transverse fissure anteriorly over very thick fibro-cartilaginous mass ; the the frontal bone towards the right eye; ribs, as well as the bones of the shoulder the margins of this longitudinal fracture and the clavicles, were completely ossified ; were distant from each other about the the vertebral column terminated below in tenth part of an inch, and the pulsations of the sacral bone, and the rudiments of the the brail could be distinctly seen between pelvis. The extremities were wanting, them. At each pulsation, the bloQd rushed with the exception of some traces of the with great violence from the fracture. upper-arm. On internal inspection of this: Bleeding, cold fomentations over the head, skeleton, the cavity of the skull was found and some injections of diluted vinegar, hav. of a regular form, its parietes being one- ing been employed, the little patient retwenty-fot.rth of an inch in thickness; they covered his senses, and, the depressed pofwere lined with the dura mater, the folds oftion of the skull having spontaneously risen, which were wen developed, and containedthe use of the trephine was very properly The wounds were simply a gelatinous fluid, of a yellow colour, with-dispensed with. out any distinct organisation. The cervicali dressad with lint dipped in tepid water. vertebra consisted of several pieces, of anAfter some time several portions of the irregular form, so that the single vertebra;, fractured bones were discharged, and the could not be distinguished ; the dorsal ver- dura mater began to be coveredwith granu. taril were more developed, and distinctlylations, which were gradually formed into a annular ; the lumbar vertebrae, as well assolid membranous substance. At the end the sacral bone, consisted of irregular pieces.of three montiis the child was perfectly The abdomen and thorax formed one cavity,cured.—Graefe’s Bericht des Chirurg. Auat the upper portion of which the pleurat genaerzl. Itist. its was distinctly seen lining the ribs ; lower half contained a greyish-yellow aJi-
pocirous mass, with apparent traces of folds, representing, no doubt, the intestines. In the centre of this mass a brown nucleus INTUS SUSCEPTION SUCCESSFULLY TREATED was discovered, with a small cavity, which WITH QUICKSILVER. was continued, in a thin filament of the STsme colour, along the vertebral column,A LADY, 80 years of age, was suddenly an.t which were very probably the remainsseized with excruciating’ pain in the intesof the heart and aorta. Cn the externaltines, acco:-l1panied with vomiting’of stptcosurface of the sku’d, particularly on the rightt raceous matter. M. Bellucci, who saw the side, several vessels were seen running to-. patient on the fourth day of her illness, conwards the median line ;some intercostal sidering it a case of intus-susceptien, orvessels could also be distinguished.—Archiv. dered general and local bleeding, the warm Génér. de Médecine. fomentations, and oleaginous aperients, but without any effect whatever. Ou the seventli day, a dose cf threeources of quicksilver was giver, which, after 24 hours, produce copious st3ols ; in conseSURGICAL CLINIC AT BERLIN. quence of wlicli, a remission of all the symptoms took place, so that, within a short EXTENSIVE FRACTURE OF 1 HE SKULL. time, the patient completely recevered.— A LITT L E boy, about Dille years of age, was state of itatitutten in a state the institution illto tlic, brought into
bath,
a
complete insensibility,
with the blood
oflEscuclapio.
flow-