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Injuries of nerves and their consequences - Reflex Sympathetic ...

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TREATMENT. 311<br />

June 20th.— The extensors now respond to the currents<br />

the ; burning<br />

is lessened.<br />

August 7th. — A period <strong>of</strong> great heat has increased the<br />

burning. Conium in olive oil was used by friction, but<br />

gave no relief; nor was any impermeable dressing <strong>of</strong><br />

value, except a cover <strong>of</strong> oiled silk, with a well-applied<br />

b<strong>and</strong>ao^e.<br />

October 29th.— He has every motion <strong>of</strong> the limb; the<br />

burning is slight. lie left the hospital on furlough, <strong>and</strong><br />

returned November 20th, with the burning worse, <strong>and</strong> the<br />

sensibility still unaltered. Blisters by ammonia to the<br />

sole at length diminished the burning pain, <strong>and</strong> <strong>their</strong><br />

repetition gave still greater relief.<br />

December 1st.— Transferred to the West, greatly improved<br />

;<br />

said to have become much worse as to burning<br />

when the blistering was ab<strong>and</strong>oned.<br />

Case 55.— Gunshot wound <strong>of</strong> arm ; nerve lesions; loss <strong>of</strong><br />

motion <strong>and</strong> slight loss <strong>of</strong> sensation ;<br />

relapse from neuritis, icith<br />

contraction <strong>of</strong> flexors <strong>and</strong> " clow-h<strong>and</strong> ;'' recovery. T. B. W.,<br />

aged seventeen, Pennsylvania, bronzer, 29th Pennsylvania<br />

Volunteers. Sickly before enlistment, <strong>and</strong> has scars <strong>of</strong><br />

scr<strong>of</strong>ulous ulcers on the legs.<br />

Has had bronchitis severely,<br />

but wasbetter since enlisting. July 2d, at Gettysburg, while<br />

erect <strong>and</strong> aiming, was wounded by a ball, which entered<br />

the middle arm, behind the brachial artery, three-fourths<br />

<strong>of</strong> an inch below the uppermost part <strong>of</strong> the axillary hollow.<br />

The wound <strong>of</strong> exit was on a line drawn directly upward<br />

in the axis <strong>of</strong> the limb, half-way between the olecranon <strong>and</strong><br />

internal condyle, six <strong>and</strong> a quarter inches above the latter.<br />

The scars are small. After falling he received a chest<br />

wound over the third rib above the left nipple, the ball<br />

emerging<br />

in the axilla one inch behind the tendon <strong>of</strong> the<br />

<strong>of</strong> axilla.<br />

pectoralis major muscle, half an inch below apex<br />

When first hit, he felt a knifelike pang in the wound, <strong>and</strong>,<br />

laying his gun down, he stuffed the freely-bleeding axilla

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