, 1859-01-08

40; pts"o. I'll to aqua j.; Left anodyne n yes
june 4-P.tient'a pulse about ouehundrsd in
: min1se. The knee il inaaming severely and
he suffers much pain, Notwithstanding he has
taken hberal1y Of anndyres; ordered taxstivc
to open the bowels, to be followed by eFeryes.
eng draughA once in three or four hours; or
oered the cool dressing to be confined and to
b Kept cool By adding Bits of ice to it, also to
apply bits Of ice folded in cloth to the part if
1t Any time when il IVES not
June o.-Areh the saue - Yesterday com
plains to~day Of sorenes1 in the region Of the
stomach said tho man that assanlled hin had
kicked him there; ordered the sane course of
treatment to be continued said biz limb felt
better when kept yerJ cool This course OF
treatment Wa continued up TO the 10th, the
eighth day Of tho injury, there being no mate.
rial alteration in symptoms up to this time. On
the morning Of the l0sh / found him worse, the
Knee Wa4 swollen moro than it had been, and
The thigh above tbs knee the puiso WAS 40
per minute AID rather weak; he had had bad
night; the wound below the knee was discharg-
Ing son1e thin, bad smelling pus; was going 10
the city and asked Dr.. Andrews 10 see the pa-
t'ent with me- in tho afternoon; curing my ab-
sceoce tho patient had q severe chill; We, on q
careful examination OF the limb, decided that
the spresding inf amuasion Of the limb was as-
sum1ng an crJsipelatous character; the cool
~ EeeAuk "ao Qo lH0REr KTatEtQl. anu GFuefeQ II
discontinued, bathed the limbs With 7sat* IoI;
ordered beef tea With vine and Quinine, also
Aur. 1sne. ftrr!. takeu internally; we dis
cossed the propriesy Of aupusating the limb snd
came to tho conclusion that the patient stood
more chances Of recovery With the limb than
With An amputation, in his condition
jane 11.-General appearance Of the patient
rather worse; On examination of tho thigh Just
7hove the knee l discovered large Aosoess,
.hleh laid cpen. And largs quantity Of very
KIN. bad smelling POS WAS discharged; tho
wound below tho knae waa also diseharging q
Large quantity of the same kind Of pus; tbs
whole carity Of the joint was evidently in
SUI parstin3 condition same treatment Al yes-
teseay continued.
June 12.-Dr. Andrews met NC again the
patient Is evidently getting worse; wound sad
aheeets dlscharging enormous quantities ofvery
bad pns; q black spot on the outside of the limb
looked like gangreae; stomach very irritable,
vomits food and' medicine; pulse 125 to $50,
weak ordered injections Of weak solution Of
SWph. Zinc into cavity Of abscess, to check if
possible the excessive discharge, also 10 bashs
The whole trout portion of the body with Sol.
Vur. 1iHe. Ftrri, and to use injections of beef
tes, to nourish the patient as much as possible:
Tho other remedies 10 be continued If the atom
kch would retain them From this time until |
;he morning Of his death, the l6;h, this course
If treatment WAS steadily followed up; be con-
lnued to get worse, the whole thigh being more I
,r less in 9 gapgruous condition as the time of |
lis decease. From tho l2.h to the 18th Dr.. An
lreTs met me daily.
Think the wounds may have been mads with |
hat instrument, (the corn-cussez shown-)