ULADDKK. round slmt or piece of shell, which completely iirht forearm, and fractured the ilcum of the at the same time a laeerated wound,-iit iliae region about 5 inches long by 3 broad. Tinwall the extent mentioned, and a coil of laid bare. No protrusion took place, nor gut seemingly injured. Besides the fracture and destruction of the crest of the ileum, the anterior us process of that bone was quite detached, and troehanter was also fractured. The leg on the wounded side' was shortened very considerably, and the foot was everted. As from the extent of the injury ined ami the collapse present, it was supposed that this patient would die shortly after admission, nothing was done for him beyond simply dressing his wounds and Mini stimulants in small quantities.
Next day, however, he had so far rallied that some hopes entertained for him, but it was not till the second day that he had sufficiently improved to allow of his arm; amputated. This was of course done under otherwise it is questionable whether the operation could have been performed at all, the patient was so much depressed, lie had at this time no abdominal uneasiness, and his b ladder acted freely. By tin- attenirishinent and opiates, this ra-lually improved. No tenderness or other 1 symptom appeared in the abdomen. assumed a sloughy look for some days, and deep cellular inflammation in the upper part ot'tl. nade necessary. On the fifth day, his bowels were time moved by tinaid of cnematn.
At this time the wounds were granulating kindly, and the stump was healing well. The coil of intestine was still visible at that date. The ala of the ileuin, which had been laid bare, granulated over, but most of the crest became loose, and was removed at different times. The bowels came to act naturally, and without any stimulation, and by the end of July the wound on the abdomen had completely healed by granulation. The femur, if fractured (and of this there was every symptom, though the state of the pelvis prevented a careful examination being made), became consolidated, but remained two inches shorter than the other. The simplest dressings, and almost no internal treatment, were followed throughout the progress of the case.
This patient had never a bad symptom, but made a most excellent recovery; and when he went to England in September, all his wounds had healed with the exception of two small sinuses, leading to dead bone, on either side of the great trochanter. Below Poupart's ligament, and external to the femoral artery, a hard mass was traceable by the touch, which appeared to be some part of the pelvis driven down into that situation. It did not give him any annoyance. The limb, though shortened, was fully moveable at the hip-joint, without causing pain, and he could raise his knee, but not his heel, from the bed. The shape of the hip was destroyed, the projection of the crest of the ileum gone, but that of the great trochanter was unnaturally increased.
O'Neil, private in the 38th regiment, was admitted, under my charge, into the general hospital in June. A ball entered his left lumbar region, about three inches from the spine, as he was lying on the ground in one of TIT. > BLADDER. all, ul 1 by no means be made out. In i i is abdomen a little tender, his pulse hard, and his lace Hushed. Jlc was once bled, opium Administered freely, and a fomentation applied to tinbelly. N, and for eight da \ no return of ' m. His alvine evacuations were, in the- meantime, regulated by the use of mild clysters.