Inhaltsangabe
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1816 Excerpt: ... INTRODUCTION, CONTAININO SOME HINTS TO THE STUDENT OF SURGERY, TOUCHING THE CHANGES CONSEQUENT ON WOUNDS, Jlnd intended to keep his attention alive to the more common occurrences of practice in the Hospital. DISTINCTIONS arise in the nature of wounds, 1st, From the instrument, and the degree of force with which the injury is inflicted; and, 2dly, From the part which is struck. When a great weight falls on a man, and bruises without cutting; or if he has been struck on a fleshy part with a mallet, or with a brick-bat; or if he has been thrown from his horse, and has hurt a fleshy part; the effects are these; a bruising of the soft parts, an injury and benumbing of the nerves, and a rupture of the lesser blood-vessels of the part, which produces an ecchymosis, or extravasation of blood into the cellular membrane. Even in this wound, there are circumstances which a careless observer may overlook. To the full effect of a blow it is necessary that the resistance should be equal to the velocity of the impelled instrument; but where the parts yield, the shock is diminished, and the injury is less considerable. Now, the integuments being soft and elastic, while the bone is firm and resisting, the injury sometimes falls upon the soft parts immediately attached to the bone. The consequence of this is, that concealed suppuration arises from bruises of fleshy parts, in which there appears little outward mark of injury. A boy, while lying asleep on the ground, was trod upon by the foot of a fellow with coarse wooden shoes. I saw. the boy some days afterwards. With excruciating pain, followed by shivering and fever, the thigh had become enormously swelled, but not in the slightest degree discoloured. The swelling was tense and elastic; very like the mere tumefaction of t...
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