The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14733908136)
Zusammenfassung
Identifier: americanjournroen06ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto
Text Appearing Before Image:
of the infection is quiteevident. The thigh is involved up to theupper third, and the accumulation of gasin the soft tissue obscures the structure ofthe femur. Series 3 was made twenty-four hoursafter amputation at 3.30 p.m., April 10.The organism continued to proliferateafter separation of the part and theresulting gas so distended the .soft tissue asto make their structure vitv (Hmlv visible. Pathologist- s Report.—Left leg and lowerpart of thigh: the leg from the knee down-ward shows greenish discoloration and isvery malodorous, in spite of the fact thatit has been kept in a four per cent solutionof formaldehyd for the past five days. The resume of the finding is as follows: 1. The tissues of the thigh showed nogangrene nor inflammatory changes, ap-pearing healthy in every way. 2. The tissues of the leg showed markedinflammatory changes, having a parboiledappearance. 3. The knee joint was distended with adark, somewhat frothy, bloody fluid.Smears from this fluid show fairlv well-
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FiG. 3. Skkiks II. Made 1.30 p.m., .\prii, 9, 1918. Gas Gangrene of the Leg 147 preserved red blood cells, and a largenumber of Welch bacilli. 4. The cartilages of the knee joint andthe bony articulations were normal in everyway. 5. The immediate neighborhood of thegunshot wound was converted into agreenish-black gangrenous mass. 6. The sciatic nerve in this region was of may have been caused by the post mortemoperator. 9. In the sheath of the large vessels, forabout 10 cm. upward, and for about twicethis distance downward, a slightly frothy,dark red, bloody fluid existed. From theappearance it might be judged that, duringlife, this material caused compression ofthe vessels.