Surgical cases / by John Campbell.

  • Campbell, John, 1784-1867.
Date:
[1832]
Catalogue details

Licence: Public Domain Mark

Credit: Surgical cases / by John Campbell. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ■' ^ u^rh * * Cry^ C' l h SURGICAL CASES. Br JOHN CAMPBELL, M. D. F. R.S. E. SURGEON TO THE ROYAL INFIRMARY EDINBURGH- ( With Engravings.) (From the Edin. Med. and Surg. Journal, No. III.) ^Case I.—Case of Spreading Gangrene of the Lower Ex- tremity, in which amputation of the Thigh was successfully performed.—John Burns, set. 28, admitted into the Royal In- firmary, December 31st 1830. The right leg and foot are ■ nuch swelled; the leg is of a natural colour, but the foot is of i bluish tinge, and pits somewhat on pressure. A little above he ankle there is a pretty deep impression or indentation, ex- ending round the limb, as if a cord had encircled it very tight- y. Over the inner aspect of the limb, in this situation, the si :uticle has been torn off, and the cutis feels hard and dry, and I s of a brown colour. No crepitus can be felt on examining the i imb carefully. He states that the injury was caused at two i fclock a. m., by the limb having become entangled in a rope 5 >assing between the shore and a ship under weigh in Leith larbour. He is uncertain how long the rope was tightly ap- I died round the limb, but thinks it must have been for the space )f at least six or seven minutes. Skin hot and dry ; pulse 90, i md full. Applicentur hirudines viginti, et postea Joveantur partes loesae Decocto Papaveris. R Tartrat. Antimonii gr. ii.; Sulphat. Magues. %iss.; Ay. Fontan. lb. i. Solve. Su- ra at uncias tres omni hora donee alvus respondeat. Jan. 1 st 1831.—Bowels freely moved by the medicine; ■ome nausea and occasional vomiting; foot cold, and sensibi- ity much diminished below the part where the rope was ap- plied ; above this, it is of a natural temperature. Contr. fotus, ct upplicetur Spt. vin Camphorat. dilut. Jan. 2d.—Foot rather more swelled, and still cold; sen- ability continues much diminished ; cutis on the anterior surface °f the constricted part is hard and dry ; glands of groin en- larged, and tender to the touch. Says that he has occasionally SCVere pain in the foot. Applxcetur cutaplasma emolliens.