Part 2

Diagnostic symptoms 38 Appearances from various kinds of projectile 38 Apertures of entrance and exit 41

Pain of gunshot wounds 44

Shock of gunshot wounds 45 Primary hemorrhage 47

Prognosis of gunshot wounds 50

Treatment of gunshot wounds in general 51 Provisional dressing recommended 51 Surgeon’s first duty 52 Position of patient for examination 53 Instruments for conducting examination 54 Views respecting enlargement of the external orifice 54 Instruments for extracting balls 56 Means to be employed for readjusting lacerated wounds 59 Constitutional treatment 61

Progress of cure 62

GUNSHOT WOUNDS IN SPECIAL REGIONS OF THE BODY.

GUNSHOT WOUNDS OF THE HEAD.

Observations on 63

Wounds of the scalp and pericranium 65

Wounds complicated with fracture, but without depression on the cerebrum 67 Fissured fracture 68

Wounds complicated with fracture and depression on the cerebrum 69

Wounds with penetration of the cerebrum 70

Treatment 71 Use of the trephine 71 Opinions concerning 72

GUNSHOT WOUNDS OF THE SPINE.

Statistics of 75

Vertebral column and spinal cord 76

GUNSHOT WOUNDS OF THE FACE.

General observations on 77

Treatment 78

GUNSHOT WOUNDS OF THE CHEST.

Comparison with other wounds 80

Non–penetrating 81

Penetrating 82 Signs indicating 83 Hemorrhage from 83 Indications of the lung being penetrated 84 Treatment 85

Wounds of the heart 89

GUNSHOT WOUNDS OF THE NECK.

Abstract of 90

GUNSHOT WOUNDS OF THE ABDOMEN.