Medical/Surgical History--Part I, Volume II
Chapter I.--Wounds And Injuries Of The Head.
Section II.--Miscellaneous Injuries.

1st Sergeant A. B. Francisco, F, 124th New York Volunteers, Chester, Pennsylvania, May 30th, 1864.

Medical/Surgical History--Part I, Volume II
Chapter I.--Wounds And Injuries Of The Head.
Section III--Gunshot Contusions Of The Cranial Bones.

FOLEY, JOHN W., Sergeant, Co. C, 124th New York Volunteers. Gunshot contusion of the cranium. Chancellorsville, May 3d, 1863. Furloughed July 10th, 1863.

Medical/Surgical History--Part I, Volume II
Chapter I.--Wounds And Injuries Of The Head.
Section III -- Gunshot Fractures Of The External Table Of The Cranium Alone

CASE.--Private Martin Everett, Co. B. 124th New York Volunteers, aged 37 years. Spottsylvania Court-house, May 10th, 1864. Conoidal musket ball. Treated at corps, Alexandria, Mower, and DeCamp hospitals. Discharged from service October 3d. 1864. Not on Pension List. <ms_p1v2_136>

Medical/Surgical History--Part I, Volume II
Chapter II. -- Wounds And Injuries Of The Face.
Section II. -- Gunshot Wounds.

DELAMATER, JOSEPH W., Private, Co. H, 124th New York Volunteers. Gunshot wound of face; left eye lost; also wound of right hand. Chancellorsville, Virginia, May 3d, 1863. Died May 25th, 1863.

Medical/Surgical History--Part I, Volume II
Chapter IV. -- Wounds And Injuries Of The Spine.
Section II.--Gunshot Wounds.

CASE.--Private Nathan P----, Co. G, 124th New York Volunteers, aged 18 years, was wounded at Spottsylvania, Virginia, May 10th, 1864, by a conoidal ball, which caused a penetrating wound of the chest. He also received a shell wound over the renal region, he was taken to the hospital of the 3d division, Second Corps; and, on May 16th, transferred to Lincoln Hospital, Washington, where he died on May 17th, 1864. At the autopsy, the ball was found to have entered two and one-fourth inches posterior to the right acromion process, and one inch below the spine of the Scapula, causing extensive comminution of the spinous and transverse processes of the third, fourth, and fifth dorsal vertebrae of the right side, and corresponding ribs posterior to their angles, penetrated both lungs, and destroyed that portion of the spinal cord lying between the third and fourth vertebrae. The cord was also diffluent for one-half an inch above the third dorsal vertebra. Above and below these points it was entirely healthy. The fourth rib of the opposite side was fractured at its vertebral attachment. The ball was found in the posterior fold of the axilla. The pathological specimen is No. 2330, Section I, A. M. M., and was contributed by Acting Assistant Surgeon A. Ansell.

Medical/Surgical History--Part I, Volume II
Chapter V.--Wounds And Injuries Of The Chest.
Section II.--Gunshot Wounds Of The Chest.

CASE.--Color Sergeant Samuel McQuaid, Co. I, 124th New York Volunteers, aged 28 years, was wounded at Gettysburg, Pennsylvania, July 2d, 1963, by a conoidal ball, which entered about an inch above the left nipple, passed entirely through the chest, fracturing two ribs in its passage, and lodged in the back near the lower edge of the scapula, from whence it was extracted. He was treated at the field hospital of the 1st division, Third Corps, and, on July 10th, transferred to Satterlee Hospital, Philadelphia. When admitted, the wound was of small dimensions; not painful. The discharge was very profuse and seemed to crone from the thoracic cavity, great quantities being discharged when the body was bent forward so as to favor its free expulsion. On the morning of July 24th, symptoms of internal disturbance became manifest; faintness and depression, followed by coldness of the extremities, with dyspnœa, indicated a collection of pus in the pleural cavity. His strength soon began to give way, and he was only kept alive by the free administration of stimulants and such nutritious diet as he could swallow. The first attack lasted during the greater part of the day, growing gradually less severe until evening, when he had almost entirely recovered from its effects. Several slight attacks of the same kind were experienced during the next three days. The wound began to assume an unhealthy appearance and was soon covered with sloughs of a gangrenous character, which continued to extend until it became more than thrice its original size. A wash, composed of equal parts of creasote, alcohol, and water, was applied to the wound, which was afterward dressed with yeast poultice. Under this treatment the sloughs began to separate and come away, leaving a healthy granulating wound. The patient soon began to improve, and, on August 8th, was able to go home on furlough, the wound at that time being almost entirely closed. His respiration was perfect, He was transferred to the Veteran Reserve Corps, January 30th, 1864. He is not a pensioner. Surgeon I. I. Hayes, U. S. V., reports the case.

Medical/Surgical History--Part II, Volume I
Class I.--Zymotic Diseases.--Chapter I.--Diarrhoea And Dysentery.
Section III.--Fatal Cases Of Diarrhoea And Dysentery, With Accounts
Of The Morbid Appearances Observed.

CASE 114.--Private Cyrenus Giles, company G, 124th New York volunteers; admitted May 29, 1865. Chronic diarrhoea. [The register of the regimental hospital of the 124th New York volunteers shows that this man was treated for diarrhoea during September, 1864. The register of the 3d Division hospital, 2d Army Corps, shows that he was admitted to that hospital September 17th for diarrhoea, and sent to City Point, Virginia, October 22d. The register of the depot hospital, 2d Army Corps, city Point, records him admitted October 22d--diarrhoea--sent to another hospital November 1st. He was carried on the hospital transport Ben Deford to Alexandria, Virginia, where the register of the Fairfax Seminary hospital records him admitted November 2, 1864--chronic diarrhpea--transferred to another hospital April 25, 1865. There is no later record prior to his entry into this hospital.] Died, July 10th. Autopsy five hours after death: Emaciation extreme; considerable rigor morris. The abdomen only was examined. The mucous membrane of the ileum was congested and presented patches of ulceration, but there was no enlargement of Peyer's glands. The meseuteric glands were enlarged. The liver and spleen were congested. The kidneys were fatty. One of the kidneys was surmounted by a body which seemed to be the suprarenal capsule, but was the size of an English walnut, and filled with a reddish-brown gritty substance. [The condition of the large intestine was not recorded, l---Acting Assistant Surgeon E. Holden.

Medical/Surgical History--Part II, Volume II
Chapter VII.--Injuries Of The Pelvis.
Section II.--Wounds Of The Blood-Vessels And Nerves

CASE 940.--Sergeant J. H. Warlord, Co. A, 124th New York, aged 23 years, was wounded at Sailor's Creek, April 6, 1865. He was treated in Second Corps hospitals until the 22d, and then sent to Jarvis Hospital. Assistant Surgeon D. C. Peters, U. S. A., reported: "Gunshot wound of the right thigh, the ball entering about two inches below Poupart's ligament and three inches from the spine of the pubis. On June 12th, haemorrhage to the extent of two ounces occurred from the external pudic artery, being caused by sloughing from gangrene. The vessel was ligated in the wound. There was no return of the haemorrhage." He was transferred, on July 24th, to Hicks Hospital, and thence discharged, August 26, 1865. Pension Examiner W. P. Townsend, of Goshen, reported, October 17, 1865, that "a ball penetrated the right thigh in the inguinal space, and passed through the limb one inch behind and below the trochanter major; he had gangrene in the wound. There is now a fistula discharging. From injury to the muscles the limb is contracted on the pelvis. He walks on crutches. Disability total." Examiner J. Gordon reported, September 17, 1873, that "the cicatrix at point of entrance is very large, and sensitive from the effects of hospital gangrene. There is also much adhesion of muscles, fascia, and skin, with some contraction. Disability three-fourths."

Medical/Surgical History--Part II, Volume II
Chapter IX.--Wounds And Injuries Of The Upper Extremities.
Wounds And Operations In The Forearm.

FIG. 672.--Lower portions of radius and ulna, the former partly
repaired after shot fracture. Spec. 4.

CASE 1883.--Corporal A. Lamareaux, Co. E, 124th New York, aged 20 years, was wounded near Hatcher's Run April 1, 1865, and admitted to the field hospital of the 3d division, Second Corps, where Surgeon O. Everts, 20th Indiana, recorded: "Gunshot wound of left arm." On April 5th, the man entered Douglas Hospital, Washington, whence Assistant Surgeon W. F. Norris, U. S. A., contributed the specimen (FIG. 673), together with the following description of the injury and operations which he performed: "Gunshot fracture of left radius. The hall was found to have entered the forearm from behind, fracturing the radius near its head, and lodging above the elbow joint in the arm. When admitted, the general condition of the patient was unfavorable, being feverish and without appetite; pulse 110. He stated that there was profuse haeorrhage at the time of the injury. The parts were not healthy looking, the arm somewhat swollen and hot, and the hand oedematous. On April 6th the bullet was extracted, two counter-openings being made. On April 9th, secondary haemorrhage occurred to the amount of six ounces, which ceased spontaneously. Another haemorrhage occurred on the 13th, and two attacks took place on the 14th, the last two being very slight. The parts were still much swollen and painful discharge profuse, tongue dry, and countenance pale.

Patient has considerable pain in chest, and dyspoea, but no cough, and is rapidly losing strength. On April 15th there was haemorrhage, amounting to three ounces, at 8 A. M.. which ceased upon slight compression of the brachial, but recurred at 12 M. to the amount of eight minces, when the brachial artery was ligated in its continuity. The areolar tissue was found filled with clots of blood. The patient was almost moribund, and the operation was only a temporary measure, and was performed to render the patient comfortable, without expectation of saving life. He died of exhaustion. at 2 A. M. the following day, April 16, 1865. The autopsy, twelve hours after death, showed that the radius had been fractured just below the bead, also that the radial artery had been severed by the bullet, and that the elbow joint had become secondarily involved. Incipient pneumonia existed in the posterior lobes of both lungs. The other organs were health.v. The specimen consists of the upper halves of the bones of the forearm."    [bitmap]

Medical/Surgical History--Part II, Volume II
Chapter IX.--Wounds And Injuries Of The Upper Extremities.
Section VII.--Wounds And Operations At The Wrist.

19, Pt. W. McGarrah, Co. D, 124th New York, aged 24 years. Chancellorsville, May 3, 1863. Sent to Columbian Hospital, Washington, where excision of the lower fourth of the left radius was performed some time in May, 1863, and discharged February 11, 1864, with great contraction and deformity of the wrist. Examiner W. P. Townsend, of Goshen, reported, September 4, 1873: "The hand is almost at right angles to the forearm, with complete anchylosis of the wrist, etc." This pensioner was paid June, 4, 1875.

Medical/Surgical History--Part III, Volume II
Chapter X.--Wounds And Injuries Of The Lower Extremities.
Section IV.--Wounds And Injuries Of The Knee Joint
Recoveries after Shot Contusions of the Knee Joint treated by Conservation

CASE 536.--Corporal L. P. Miller, Co. G, 124th New York, aged 27 years, was wounded at Chancellorsville, May 3, 1863, by a minié ball, which entered the left knee one-half inch external to the inner condyle of the femur and emerged two inches anteriorly, bruising the bone. Surgeon D. W. Bliss, U. S. V., reported his admission to Armory Square Hospital, Washington, May 8th, with the knee joint in a swollen condition. Irrigation was made by water dressings, and subsequently tincture of iodine was applied to the knee. By June 6th the wound had nearly healed, but there was considerable effusion in the joint and contraction of the flexor tendons. The patient subsequently passed through several hospitals, was assigned to the Veteran Reserve Corps March 2, 1864, and ultimately discharged August 13, 1865, and pensioned. Examining surgeons report swelling of the knee, owing partly to enlargement of bone and partly to (edematous condition of the tissues; also anchylosis from injury of the bony structures and from contraction of the tendons and ligaments.

Medical/Surgical History--Part III, Volume II
Chapter X.--Wounds And Injuries Of The Lower Extremities.
Section V.--Wounds And Operations In The Leg.
Examples of Recovery after Sleet Fractures involving both Bones of the Leg treated by Conservation.

CASE 688.--Private M. Lynn, Co. I, 26th Pennsylvania, aged 26 years, was wounded at Chancellorsville, May 3, 1863. He was admitted to the field hospital of the 2d division, Third Corps, where Assistant Surgeon E. Marshall, 124th New York, recorded "shot fracture of left leg." Surgeon J. A. Lidell, U. S. V., reported as follows: "The patient entered Stanton Hospital, Washington, June 15th, with compound fracture of tibia and fibula at the middle third, caused by a minié ball entering at the posterior and inner side of the calf of the leg and escaping in front. At the time of his admission the leg was in a fracture box; the wound suppurated freely; patient's general condition good. Previous to his entrance to this hospital several detached fragments of bone had been removed, and a portion of the bullet had also been extracted; subsequently about half a dozen more fragments of bone were removed at different times. Splints and water dressings were used. About July 1st, the fracture had united, and one month later there was firm union of the bones and the wound was healing rapidly. On September 22d, the patient received a furlough and was allowed to go to his home for two months. The orifice of entrance healed about the 1st of October, and before the patient was transferred to Philadelphia, in April, 1864, the orifice of exit had also closed. The atrophy of the wounded limb had disappeared entirely and the muscles of the leg acted freely, the patient being able to walk well without the aid of a cane and without limping. There was no shortening, and no deformity aside from some loss of osseous tissue at the seat of the fracture. The patient stated that the wounded limb had not caused him to feel sick at any time. He made the best recovery of any case of shot-fracture of the leg that has come under my observation." After his transfer the patient was admitted to McClellan Hospital, whence he was retrained to duty May 31st, to be discharged. He was mustered out of service June 18, 1864, and pensioned. The Philadelphia Examining Board at different dates certified to the injury, and reported that an adherent cicatrix resulted, causing impaired use of the limb; also that the fractured space had filled with cartilaginous tissue. The pensioner has been exempted from further examinations since 1873. He was paid December 4, 1879.

Medical/Surgical History--Part III, Volume II
Chapter X.--Wounds And Injuries Of The Lower Extremities.
Section I.--Flesh Wounds Of The Lower Extremities.

CASE 31.--Private J. C. Haggerty, Co. I, 124th New York, aged 21 years, was wounded at Chancellorsville, May 3, 1863. Surgeon J. S. Jamison, 86th New York, noted a "shot wound of the right thigh." The patient passed from a Third Corps

(1) Dr. C. HEINE (Die Schussverletzungen der unteren Extremitaten, Berlin, 1866, p. 65) thinks that large shot lacerations of the fleshy parts of the lower extremities are peculiarly liable to be followed by tetanus; but I find in the records under discussion little to corroborate this view. I will revert to the subject in treating of Tetanus.

(2) SOCIN (A.) (Kriegschir. Erf., Leipzig, 1872, p. 16) gives a drawing of a flattened Langblei (the missile of the needle-gun), together with three bent French copper sous pieces and two vest buttons, all of which were extracted from the thigh of a French soldier at the Swiss ambulance at Lure. The ball and the large copper coins were detected and removed soon after the reception of the injury, but the buttons were not extracted until three months afterwards.

 <ms_p3v2_20>hospital to Fairfax Seminary, and thence to Satterlee Hospital, when Acting Assistant Surgeon I. Roberts reported the case as interesting, inasmuch as the ball struck a silver coin in the right pocket of the man's trousers and was thus deflected from the track of the femoral vessels; but passed through the soft parts, driving fragments of the pocket-book into the tissues, and escaping at the gluteal fold. The wound progressed favorably for a time, but, about July 20th, deep abscesses formed, and there was some sloughing at the aperture of entrance and exit. The abscesses were incised, 'rod several fragments of the pocket-book came away with the pus. There was so much constitutional irritation that quinia and stimulants were freely exhibited. The wound healed about the middle of December, and the man was transferred to the Veteran Reserves. He was quite lame, and the right foot was much everted. He was discharged October 7, 1864, and pensioned. Examiner J. Nichols, of Washington, certified: "Ball entered anterior aspect of upper third of right thigh, passing directly through, and inflicting a frightful flesh-wound. Bone uninjured; cicatrix very deep and adherent to all the soft parts below, nearly to the bone, rendering free motion of the limb impossible, and, if much used, very painful." Examiner J. Gordon, of Newburgh, New York, reported, February 28, 1876: * * "There remains a large umbilicated cavity, with adhesions of skin, fascia, and muscles.

He suffers more particularly from distress in the leg, extending in part to the foot, accompanied, before atmospheric changes, with shooting, darting pains, * * so severe at times as to unfit him for manual labor." This pensioner was paid June 4, 1876.