On the employment of Iodide of Potassium in the treatment of Syphilis

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1847 American Journal of the Medical Sciences  
lapse of thirty-two years, an induration could be traced. The shot, which had entered between the fourth and fifth ribs, fracturing the former, was found im¬ bedded in the substance of the lung, and firmly attached by a pedicle half an inch long, condensed lung, and cellular membrane, to the inner surlaee of the third rib, just at the junction of the osseous and cartilaginous portions; although the fingers could be passed under it, it could only be separated by the knife. A doubt was expressed
more » ... oubt was expressed by a gentleman present, whether the ball had not been situate exterior to the lungs; but on removing the lung itself out of the body, before exposing the ball, it was satisfactorily shown, by dissection, to my medical friends, Dr. Soltan, Mr. Square, and Mr. Eccles, that it was completely surrounded by the substance of the lung, being contained in a sac so closely in contact with it, that it wTas diffi¬ cult to remove the ball when half exposed by incision. There was no serous effusion in this cavity of the chest, the lower two-thirds of which were occupied by the diaphragm, which rose as high as the fifth rib, (in the inclined position of the body,) pressed upwards to such an extent, that on making an incision from above into the convex part of the diaphragm, the knife, instead of exposing the posterior edge of the liver, disclosed the large intestines: thus we were enabled to account for the inclination of the head towards the left side of the body, instead of the right, as in ordinary cases. Reflecting on the sensation produced during life, of the ball being situated low down in the chest, search was now made for any other foreign body* that might, by possibility, have lodged there; but every part of this locality was found of a healthy character,-consequently an operation on this part, with a view to extract the ball, would have been utterly fruitless, and probably attended with a fatal result. The fact may, perhaps, be accounted for, on the supposition of some reflex nervous action, or from irritation of the phrenic nerve in its course over the lung, which, at the upper part of the chest, was firmly adherent to the medias¬ tinum.
doi:10.1097/00000441-184704000-00061 fatcat:a62esubghfgtbfoxx4evaibn54