1863 American Journal of the Medical Sciences  
Surgery. 505 depressed; he had a feeble, quick pulse, and some dyspnoea; no cough. The dressings were not disturbed. Depression gradually subsided, and the reaction was moderate, no inflammatory or other unpleasant symptoms following. The patient was kept in a large ward, with the windows open night and day; and cold applications of a strong infusion of matico, in which a little chlorate of potash was dissolved, were employed. He did not micturate for the first twenty-four hours, and the
more » ... urs, and the bladder appeared quite empty. The bowels did not act until the fourth day, although castor oil and injections were administered freely. On the fourth day the bowels were evacuated freely once, and the kidneys acted regularly. On the fifth day, in the presence of Mr. J. Murphy, surgeon of Her Majesty's ship Gannet, Mr. Hoyland removed the dressings, found the wounds discharging freely and granulating kindly. The same treatment was continued-viz., pledgets saturated as above. The iron had entered posteriorly between the ninth and tenth rib, on the left side, a little before the angle, traversing the thorax in an upward and slightly outward direction, and coming out anteriorly between the fifth and sixth ribs about an inch below, and slightly outwards of the nipple. There was only slight constitutional disturbance for the first few days, with slight cough, but no dyspncea. This yielded to the antiphlogistic regimen and saline draughts, the bowels throughout being gently relaxed. He was discharged quite well on the 8th of September.-British Med. Journal, Dec. 13, 1862.
doi:10.1097/00000441-186304000-00065 fatcat:4zo74jparrgivpnyng4jxzbq4q