77 yv 77yy^f 7-''::-' 7y77x^-'^7^:£y: 77t o :'''•' ■■■».;;■'■•'■'J. • Av.V,.;•----&-.;< ■Oh-'-. /.'.-.•. '.-,•■•;,.. ^'.y~:;'". '■?■■• ■<.■!,';'■; I*..'/.' !,!?/.. ■.' '.■■•'.■.;'.': ";»'" 1. V-'/.' V'^riT' . '"/• ', "' ,f^>-.'-. 'iW ■■■<■■; :■ ,'. '-vy^yy. ^7y7yy#y ^;y:-: 7777':7yyY?':-. ,.- ■.;• 'y yy-": - iyy y^y. ■ '7 yy' : y y7 -T^y ■ Z-titZA;; ■..•...._7^*7^7 y^:!y ■ ' ; .'•■•■■-. ': ...*7yyy~y, y y.y - , . . ■- y-yyiy^yy ■''$!&H*P:Z ■■''-M "<■■ $3i 777 Z A -'4 ,y:, 3p?:-':-v. V;S|SS5^:C: :' yy, y.7^ y.H}*$/i'$'p'j ;:7;::-'y'':'77%;?i|i^§ ::'7:yyHi# J ,-..-;■. * if.xA\-yyy?!uryyiA;tyyy^yyy-y^ ;■;&:- vya?^ ,**•*-*« ¥■', ■ Z- • ■yZ-A:- ^MHyZyyAy. 77^V77:7i;-w7;y^ ! >* < ' ' ill '7 'y7yy„7'(^yi * : yf|| •:* z% *:.*' ^ CATALOGUE OF THE UfflED STATES ARMY MEDICAL MUSEUM. PREPARED UNDER THE DIRECTION OF THE SURGEON GENERAL, U. S. ARMY. CATALOGUE OF THE SURGICAL SECTION OF THE fflrateb plates %xm% $$toical Museum. PREPARED UNDER THE DIRECTION OF THE SURGEON GENERAL, U. S. ARMY, By Alfred A. Woodhull, Assistant Surgeon and Brevet Major, U. S. Army, WASHINGTON: GOVERNMENT PRINTING OFFICE. 1866. n,l»\?t>Pl COKRIGENDA. Page 7, spec 1568, for Coule read Coale. Page 8, spec. 2744, for J. K. Baldwin read L. K. Baldwin. Page 11, spec. 3863, for Pullen read Paullin. Page 13, spec. 95, for J. B. Brinton read J. B. Brinton. Page 15, spec. 4075, for B. A. c. read B. B. d. Page 15, spec. 1723, for A. W. Fryer read Walter Tryon. Page 16, spec. 2998, for Connor read Conner. Page 18, specs. 1292, 1297, 1301, for Connor read Conner. Page 19, spec. 2679, for George D. Mursiok read George A. Mursick. Page 19, spec. 1739, for E. P. Bigelow read C. P. Bigelow. Page 23, spec. 3362, for 21st May read 21s< June. Page 24, spec. 4256, for J. D. Lewis read J. B. Lewis. Page 24, spec. 3040. The bullet had receded at the second operation and was not found until after death. Page 26, spec. 1293, for Connor read Conner. Page 26-27, spec. 1734, for F. H. Stillwell read T. B. Stillwell. Page 34, spec. 3684, for N. S. Stickney read A. L. Stickney. Page 35, spec 2970, for Homminston read Bomiston. Page 41, twenty-first line from above, for 28 read 27. Page 45, spec. 3902, for XVIII. I. read XVIII. II. Page 45, spec. 2989, Connor read Conner. Page 46, thirtieth line from above, before 3257, omit J. Page 47, spec. 85 for T. P. Arthur read J. P. Arthur. Page 49, spec. 3467, for Washington read Baltimore, and for J. W. Fay read G. W. Fay. Page 50, spec. 564, for Bugler J. S. read Private J. W. S., and for 2d Penn- sylvan a Cavalry read 82d Pennsylvania. Page 51, spec. 40i90, for Minor read Miner. Page 52, ninth line from below for e. DISLOCATIONS read d. Results OF Operations. Page 52, spec. 4246, for c 1. read d. 1. Page 61, spec. 3349, add Contributed by Surgeon Edwin Bentley, U. S. Vols. Page 61, spec. 1630, for Roberts read Robarts. Page 62, thirteenth line from above, after 4092, for V read IV. Page 62, spec. 3985, for XXIX read XIX. Page 67, spec. 150, for W. Dusenbury read B. Dusenbury. Page 68, spec 2255, add Contributed by Surgeon Edwin Bentley, U. S. Vols. Page 71, spec. 2411, omit 20. Page 72, spec. 3823, for Paulin read Paullin. Page" 75, spec. 3376, for M. Leon Hammond read W. Leon Bammond. Page 75, spec. 3843, for Skinner read J. C. Shimer. Page 76, spec. 2183, for Matlock read Matlack. Page 92, spec. 2323, for W. A. Meagher read W. O''Meagher. Page 92, spec. Ill, for C. A. Chamberlain read C. N. Chamberlain. Page 95, spec. 3869, for W. L. Adams read W. S. Adams. Page 96, spec. 1188, for F. S. Dibble read F. L. Dibble. Page 99, spec. 1925, for Hackenburg read Bachenburg. Page 103, spec. 4282, for 20th read 209th. Page 113, spec. 78, for 9th read 7th. Page 116, in classification of V. B. B. read c. Dislocations, d. Excisions, e. Amputations. Page 116, eighth line from below, for c. read d. Page 116, spec. 152, for c. 1 read d. 1. Page 122, spec 66, for McDonald read McDonnell. Page 122, spec. 3820, for £. E. Mitchell read T. E. Mitchell. Page 128, spec. 690, omiUXcting. Page 131, spec. 3402, before attempt insert no. Page 131, spec 2190, for Hackenburg read Bachenburg. Page 143, spec 478, for 59th read 51st. Page 149, spec. 3506, for W. R. Pounds read R. W. Pounds. Page 153, spec 15, add Contributed by Acting Assistant Surgeon D. W. Cheever. Page 159, spec. 4249, for N. D. Benedict read M. D. Benedict, Page 160, running title, for VI read VII. Page 160, spec. 1929, for Matlock read Matlack. Page 161, spec. 786, James read Janes. Page 162, spec. 775, for James read Janes. Page 167, spec. 2950, for Minis read Morris. Page 167, spec. 2975, for A. T. Sheldon read A. F. Sheldon. Page 170, spec. 29, for D. H. I^mkin read D. N. Rankin. Page 184, spec. 3666, for ShJ. pl.y read Shapley. Page 191, spec. 2794, for William I'. Keating read William V. Keating. Page 193, spec 3621, for Lopsley read Lapsley. Page 204, spec. 554, for Alfred G. Gibbs read Alfred S. Gibbs. Page 204, spec 3617, for S. C. Cummins read L. C. Cummins. Pare 207, spec. 1797, for W. L. Bradley read W. B. Bradley. l'.ige 208, spec. 1928, for Matlock read Matlack. I'age 211, spec. 1228, for McCay read McCoy. I'af.- 219, spec. 2089, for J. C. H. Happersett read J. C. G. Bappcrsett. Page 227, spec. 2901, for U. Sweet read O. P. Sweet. Page 236, spec 86, for T. P. Arthur read J. P. Arthur. Page 239, spec 2309, for T. Walsh read Joseph Walsh. Page 248, spec. 81. The operator on 12th September, was Acting Assist- ant Surgeon J. C. Morton; the operator (at the hip joint) of 19th January, was Acting Assistant Surgeon John H. Packard; the ex- ternal iliac was tied by Dr. Morton; the specimen was contributed by Assistant Surgeon Clinton Wagner, U. S. Army. Page 255, spec 2043, for discharged the service read died, Alexandria. Page 256, spec. 475, for 59th read 51st. Page 257, spec. 4110, for J. J. Jamison read J. S. Jamison Page 257, spec. 1893, for left read right. Page 257, spec. 2442, for 3d read 10th. Page 257, spec. 2966, for Thompson read Thomas. Page 257, spec 1685, for W. S. Osborn read W. F. Osborn. Page 260, spec. 134, for H. C. Mulford read W. C. Mulford. Page 266, spec. 2717, for W. S. Herriman read W. L. Berriman. Page 268, spec 1970, for Koepner read Kcerpcr. Page 272, spec. 3671, for A. F. B. Maury read F. F. Maury. Page 272, spec. 3828, for W. R. McCausland read W. B. McCausland. Page 275, spec. 1964, for Koepner read Kcerper. Page 281, spec. 1042, for S. L. W. read L. L. M. Page 285, spec. 2490, for W. H. Dean read B. M. Dean. Page 287, spec, 83, foi Alexandria read Washington. Page 291, spec. 4275, for J. D. Lewis read J. B. Lewis. Page 292, spec. 1279, for J. E. Freeman read J. A. Freeman. Page 293, spec 1277, 1278, for J. E. Freeman read J. A. Freeman. Page 298, spec. 3165, after surgeon insert Benry. Page 299, spec. 1963, for Koepner read Kcerper. Page 302, spec. 644, for T. I. C. read T. G. C. Page 302, spec. 660, for J. L. Dorr read J. C. Dorr. Page 303, spec. 669, in J. A. Neill omit A. Page 306, spec 1971, for Ko?pner read Kcerper. Page 311, spec. 2122, for 101st read 106th. Page 311, spec. 2376, for F. W. Nichols read C. B. Nichols. Page 321, spec. 2280, after Wishart, for 148th read 140th. Page 322, spec. 2315, for C. H. Chamberlain read C. N. Chamberlain. Page 327, spec. 1069, omit reference to 1067, XXV. A. B. b. 149. Page 332, spec 4707, omit G before Glennan. Page 333, spec. 1974, for Rocper read Kcerper. Page 339, spec. 2831, for Reicker read Riecker. Page 344, spec. 51, for McKenzie read Mackenzie. Page 347, spec 3817, for T. G. Mitchell read T. E. Mitchell. Page 347, spec. 453, for J. P. Peabody read J. B. Peabody. Page 348, spec. 569, before Assistant insert Acting. Page 355, spec. 3372, for R. S. Stanford read R. L. Stanford. Page 359, spec. 3213, for W. R. Schofield read W. K. Schofield. Page 372, spec. 692, for J. C. Semple read J. E. Semple. Page 377, spec. 1914, for D. M. Dill read D. McDill. Page 377, spec. 1071, omit reference to 1067, XXV. A. I), b. 149. Page 379, spec 1545, for 26th read 29th. Page 389, spec. 2874, for Skinner read Shimer. Page 394, spec. 79, for S. H. Storrow read S. A. Storrow. Page 401, spec. 1975, for Koepner read Kcerper. Page 402, spec. 461, for Philadelphia read Baltimore. Page 415, spec 470, for J. H. Hodgen read J. T. Bodgen. Page 421, spec. 540, for J. E. Prince read J. P. Prince. Page 428, spec. 3816, for J. E. Mitchell read T. E. Mitchell. Page 432, spec 687, for J. C. Semple read J. E. Semple. Page 432, spec. 2715, for H. C. Dodge read L. C. Dodge. Page 433, spec 62, for Currier read Carrier. Page 455, spec. 1742, for J. P. Wyer read J. C. Wyer. Page 477, spec. 2117, for 101st read 106th. Page 478, spec. 2119, for 101st read 106th. Page 480, spec. 2014, for H. G. Elliott read W. G. Elliott. Page 507, spec. 1070,1068, omit reference to 1067, XXV. A. B. b. 149. Page 543, spec. 3479, for arm read forearm. Page 543, spec. 2959, for forearm read arm. Page 568, spec. 4191, for E T. Schaf hirt read E. F. Schafhirt. Page 569, fourth line from above, for L. read S. Page 576, seventh line from above, and second and third lines from below, for Rouse read Ruoss. Page 576, eighth line from above, for S. T. read E. F. Page 576, twenty-first line from below, for Houston read Bousten. Page 576, thirty-third line from below, for C. read E. Page 588, spec. 4503, for 2d March, 1863, read 2d March, 1864. Page 593, spec. 4514, for Guy G. Hutton read George Button. Page 596, third line from above, for H. A. Ducachet read B. W. Ducachet. Page 597, spec. 2723, for 1863 read 1862. Page 602, spec 4486, for G. E. Fuller read S. E. Fuller, Page 613, spec. B. B. d. 177, 72S read -i7-iS. Wherever Mosely occurs read Moseley. CONTENTS. PAGES. I. CRANIUM................................................................................ 3— 41 II. FACE.................................................................................... 43— 53 III. VERTEBRA AND CORD................................................................ 55— 68 IV. THORACIC PARIETES.................................................................. 69— 81 V. SHOULDER JOINT...................................................................... 83—116 VI. SHAFT OF HUMERUS................................................................... 117—139 VII. ELBOW JOINT.......................................................................... 141—175 VIII. SHAFTS OF RADIUS AND ULNA........................................................ 177—194 IX. CARPUS................................................................................. 195—211 X. HAND.................................................................................... 213—219 XI. PELVIS.................................................................................. 221—229 XII. HIP JOINT.............................................................................. 231—249 XIII. SHAFT OF FEMUR...................................................................... 251—312 XIV. KNEE JOINT............................................................................ 313—365 XV. SHAFTS OF TIBIA AND FIBULA....................................................... 367—409 XVI. TARSUS................................................................................. 411—444 XVII. FOOT.................................................................................... 445—449 XVIII. ORGANS OF CIRCULATION.-............................................................ 451—473 XIX. ORGANS OF RESPIRATION.............................................................. 475—483 XX. ABDOMINAL VISCERA, ETC............................................................ 485—495 XXI. RESULTS OF OPERATIONS ON SOFT TISSUES........................................ 497—504 XXII. INJURIES TO SOFT TISSUES NOT VISCERA.......................................... 505—513 XXIII. ERYSIPELAS, ETC...................................................................... 515—524 XXIV. TUMORS................................................................................. 525—530 XXV. CASTS..........................................................;........................ 531—570 XXVI. PHOTOGRAPHS AND DRAWINGS....................................................... 571—579 XXVII. WEAPONS AND PROJECTILES......................................................... 581—621 XXVIII. MATERIA CHIRURGICA................................................................. 623—629 XXIX. MISCELLANEOUS ARTICLES........................................................... 631—633 XXX. LOWER ANIMALS....................................................................... 635—637 INDEX OF CONTRIBUTORS............................................................. 639—656 INDEX OF SPECIMENS................................................................. 657—664 I. INJURIES AND DISEASES OF THE CRANIUM. Contusions and Partial Fractures. Gunshot Injuries of < lb. Operated upon by the remova the Cranial Bones. JJ. Penetrating Fractures. < c. Operated upon by trephining. fa. Primarily-fatal. | b. Operated upon by trephining. ' c. Secondarily fatal without an operation. d. Sequestra removed. e. Other cases. fa. Primarily fatal. b. Operated upon by the removal of fragments. C Perforations of the Cra- d. Secondarily fatal without an operation. te. Other cases. i. Primarily fatal. b. Operated upon. Secondary results without an operation. { A'. A List of Specimens Illustrating: Contre-coup After Ounsliot. A Incised and -"-' Wounds. Punctured Injuries of Cranial Bones not caused ' by Gunshot. T3 Contusions and " Fractures. Partial Q Fractures with Depression. fa. Primarily fatal. ! b. Operated upon by the removal of fragments. I c. Operated upon by trephining. |_d. Secondary results without an operation. a. Primarily fatal. b. Operated upon. Secondarily fatal without an operation. Sequestra removed. Ld fa. - Primarily fatal. Operated upon by the removal of fragments. Operated upon by trephining. Secondarily fatal without an operation. D. Fractures by Contre-coup. j *; Prima^fataL Injuries of the Soft Parts of the Cra- ' f A. Of the Scalp. mum. IB. Of the Brain and Mem- branes. a. Gunshot. b. Incised and punctured. o. Lacerated. a. Primarily fatal. b. Secondary results. Diseases of the Cra- nium. A. Of the Scalp. B. Of the Bones. p Of the Brain and Mem- * branes. T\ Of the Auditory Appa- • ratus. I. CRANIUM. A Gunshot Injuries of the Bones. f a. Primarily fatal. A. | b. Trephined. , Contusions and Partial Fractures. { c. Secondarily fatal with no operation. d. Sequestra removed. Other cases. a. Primarily Fatal. 1223. The anterior four-fifths of the cranium, showing a depressed partial fracture in the centre of the frontal bone, a. 1. caused by a fragment of shell. The fracture in the external table measures three-fourths of an inch by one inch, with a depression one-fourth of an inch in the centre. The depressed portion of the inner table is slightly larger than that of the outer, and is composed of three pieces. All the fragments are in situ, and are attached by their outer edges. Unknown (Rebel): killed at South Mountain, Md. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 2139. A section of the anterior portion of the cranium, showing a partial fracture and depression of the centre a. 2. of the frontal bone, caused by a conoidal ball. The depressed portion measures one by one and one-fourth inches, the depth of the depression in the centre being half an inch. The external table presents a deep groove one and one-fourth inches long, made by the ball after it had produced the depression. The inner table shows a stellate fracture with depression, of slightly greater extent than the external. Died upon the table after amputation in the middle third of the left thigh, under chloroform, the knee having been shattered. Private P. M., "B," lllth Pennsylvania, 22: Brown's Ferry, Tenn., 28th October; admitted hospital, Chattanooga, 29th: died, 30th October, 1863. Contributed by Assistant Surgeon John C. Norton, U. S. Vols. b. Trephined. 4348. A section of the occipital bone, perforated by a trephine for the relief of intra-cranial abscess resulting from b. 1. gunshot contusion. The perforation has been made by a small instrument, and is situated just below the superior curved line of the occipital, one inch to the left of the median line. The disc removed is in situ, and the surrounding portion of the external table is slightly discolored and cribriform. Sergeant B. F. C, "H," 8th New York Cavalry, 27: Petersburg, 1st April; admitted hospital, Washington, 5th; haemorrhage from the occipital artery, 14th; trephined for abscess, with temporary relief, by Surgeon R. B. Bontecou, U. S. Vols., 19th; died, 21st April, 1865. Contributed by the operator. 422. A disc of bone, one-half an inch in diameter, removed by the trephine from the cranial wall, and including b. 2. a fracture with depression of both tables, probably caused by a buckshot. The opening in the external table is one-fourth of an inch in diameter, the fragment being evenly driven inward two lines. The fractured fragments of the inner table covered the surface of the disc, and are depressed two lines. The specimen is very inter- esting, but unfortunately no history can be obtained. Contributed by Surgeon D. W. Bliss, U. S; Vols. 2024. A section of the frontal bone trephined near its left eminence for suppuration, the result of contusion by a b. 3. musket ball. The external table surrounding the opening is cribriform, and there is slight Assuring of the inner table. Private W. A., "A," 49th Pennsylvania, 25: Rappahannock Station, 7th November; admitted hospital, Washington, 9th ; trephined by Surgeon R. B. Bontecou, U. S. Vols., 18th; died, 25th November, 1863. Contributed by the operator. 334. A segment of the right parietal, trephined near the coronal suture. The surrounding bone is porous and b. 4. cribriform, and there has been contusion of the part operated upon. There are no pathological appearances on the inner table. Private D. M., "F," 9th New York. Contributed by Surgeon D. W. Bliss, U. S. Vols. 6 CATALOGUE OF THE SURGICAL SECTION I. 1199. The vault ot the cranium, trephined for disease of the frontal bone following contusion by a musket ball. An b. 5. abscess in the anterior lobe of the left cerebral hemisphere was evacuated through the perforation. The removed disc is in situ. The internal table is cribriform and carious for six square inches surrounding the opening, for which space the compact layer is almost ntirely removed. The outer table is porous and discolored to a slight degree. Private S. A., "A," 50th Georgia (Rebel): Antietam, 17th September; trephined, Philadelphia, 11th October, 1862; died the same day. Contributed by Acting Assistant Surgeon Morehouse. 625. A section of the frontal bone, trephined for a partial fracture with depression of the inner table. The b. 6. opening is to the right of the upper part of the frontal suture, which is well marked. A fragment of the inner table, measuring three-fourths by one inch and depressed one-half a line, remains in situ. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1871. The vault of the cranium, trephined above and within the right frontal eminence for fracture with depression b. 7. of the inner table. The disc cut by the trephine is removed, and with it all trace of fracture of the outer table; two small fragments of the inner table remain attached, slightly depressed at their free edges. Externally there is slight caries, with exfoliation of the superficial lamella of bone, over a surface extending from the supra-orbital ridges to the centre of the sagittal suture, involving nearly the whole of the frontal and the upper borders of both parietal bones. Internally the entire surface of the frontal and the anterior half of the right parietal show traces of diseased action, with slight ossific deposit around the edge of the opening made by the trephine. Contributed by Acting Assistant Surgeon Joseph Leidy. 1310. The vault of the cranium, partially trephined for fracture with depression of the frontal and left parietal b. 8. bones at their junction and one inch from the median line, caused by a musket ball. The outer table and the diploe have been penetrated by the trephine, and the disc of bone, with a fragment of the outer table, has been removed. There is a stellate fracture and Assuring of the internal table, with depression of the shar^ edges of the fragments to the depth of one line. The frontal suture is open. Corporal G. H. S., "C," 18th Massachusetts: Chancellorsville, 3d May; admitted hospital, Washington, 9th; operation of trephining commenced but suspended, as no depression of the inner table was discovered; died, 17th May, 1863. Contributed by Acting Assistant Surgeon Alfred Edelin. 4344. A segment of the cranium, with two partial discs and one fragment of b. 9. bone removed by trephining, for the relief of fracture with depression of the inner table, the outer table being contused. The sections made by the trephine intersect each other. The surrounding bone is cribriform and slightly carious. When the trephine passed the outer table pus escaped from the diploe. An abscess had formed in the brain before the operation. See figure 1. Private D. S., "E," 2d Virginia Cavalry, (Rebel,) 21: Appomattox Court-house, 9th April; admitted hospital, Washington, 19th; trephined by Surgeon R. B. Bontecou, U. S. Vols., 26th; died, 27th April, 1865. Contributed by the operator. FlG- *■ Section of cranium trephined for ' r fracture of inner table with contusion of outer table. Spec. 4344. 1359. The vault of the cranium, trephined just in front of the coronal suture and one inch to the left of the median b. 10. line. Two discs intersecting each other have been removed, the opening measuring one and one-fourth inches by three-fourths of an inch. There is a slight stellate Assuring of the inner table. Without a history, from Gettysburg. 2O0O. A section of cranium, with five discs and one fragment re- b. 11. moved by the trephine from the anterior inferior angle of the right parietal and the corresponding portion of the frontal bones, for a contused wound. The opening left by the operation is trowel-shaped, crosses the coronal suture, and measures three inches from behind forward, and one and one-half inches from right to left. See figure 2. Private J R., "E," 151st New York: Mine Run, Va., 27th November; trephined, on account of convulsions, by Surgeon D. P. Smith, U. S. Vols., Alexandria, J3th December, 1863. Death followed in twelve hours. The removed bone was infiltrated with pus, and the dura mater was uninjured. Contributed by the operator. See 4627, XXVI. A. 1, 22. Fig. 2. Section of cranium trephined five times for the evacuation of pus after a contusion. Spec. 2000. For other illustrations, see 3452, I. A. A. d. 6. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 7 c. Secondarily Fatal without an Operation. 1393. A segment of the cranium, slightly contused by a musket ball near the centre of the upper border of the C. 1. frontal bone. Death occurred on the nineteenth day. The outer table is slightly discolored and cribriform, and the diploe is a little more spongy than is natural. When recent the diploe was of a dark yellowish gray color, as in cases of osteo-myelitis. Musician E. A. C, "K," 44th New York: Cold Harbor, 3d June; admitted hospital, Washington; died, 22d June, 1864. Contributed by Assistant Surgeon H. Allen, U. S. Army. 393. The vault of the cranium, contused by a musket ball one inch externally to the right of the frontal emi- C. 2. nence, with a fissure one inch in length running downward. There is stellate fissuring of the inner table with slight depression, the longest fissure being two inches in length. Two small wart-like exostoses exist near the centre of the frontal bone, one on either side of the groove for the longitudinal sinus. Private H. L. L., "A," 35th Massachusetts: South Mountain, 14th September; admitted hospital, Baltimore, 20th September; died of meningitis, 9th October, 1862. Contributed by Acting Assistant Surgeon J. H. Currey. See class I. D. B. 613. The vertex of the cranium, showing incipient caries and necrosis of the outer table of the right parietal C. 3. bone above and behind the protuberance, twenty-two days after contusion by a musket ball. The scale of bone around which the line of demarcation has formed is elliptical in shape, measuring one inch by one and a half. The inner table presents no pathological appearance. Private C. K., "K," 130th Pennsylvania: Fredericksburg, 13th December; admitted hospital, Baltimore, 20th Decem- ber, 1862; died from tetanus, 4th January, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See 614, I. C. B. b. 3. 1660. The body of the frontal bone, showing a contusion from a conoidal ball just above and external to the right c. 4. frontal eminence, which resulted in death after twenty-seven days. The injured portion of the external table is porous and spongy, and a small scale of bone is in process of exfoliation. The internal table gives no trace of injury beyond the most trivial discoloration. Private H. A. C, "K," 13th Massachusetts: Gettysburg, 3d July; died from meningitis, Fort Schuyler, N. Y. Harbor, 30th July, 1863. Contributed by Acting Assistant Surgeon A. E. M. Purdy. 3406. A portion of the right parietal bone, exhibiting a delicate right-angled fissure of the inner table, with no c. 5. appreciable injury of the external surface. One branch of the fissure is one and a half inches in length and nearly parallel with the sagittal suture, below the anterior third of which it lies about one inch. The other branch is one inch long. Near the angle of the fissure the inner plate is very slightly depressed. Contributed by Assistant Surgeon C. C. Byrne, U. S 1568. A section of the cranium, showing a de- cs. 6. pressed fracture of the internal table of the left parietal near the middle of the sagittal suture, with no more appreciable injury to the external surface than a slight discoloration. The fractured portion measures one and one-fourth inches by three- fourths of an inch, is composed of three triangular pieces, and is depressed two lines. The missile is believed to have been a musket ball. See figures 3 and 4. Private D. P., "C," 35th Wisconsin: Tupelo, Miss., 18th July; admitted hospital, Memphis, 23d; died from meningitis, 27th July, 1864. Contributed by Acting Assistant Surgeon R. W. Coule. See 4628, XXVI. A. 2, 94. 2747. The vault of the cranium, contused by a conoidal ball just over the left frontal protuberance. Externally C. 7. the bone is discolored and spongy, and internally it is discolored over a square inch of surface. A simple fissure one inch in length appears on the inner table. Private J. M. B., "D," 17th Virginia, (Rebel,) 17: Spottsylvania Court-house, 12th May; admitted hospital, Phila- delphia, 20th May; died of meningitis, 8th June, 1864. Contributed by Acting Assistant Surgeon C. P. Tutt. . Army. FIG. 3. External view of section of era- Fig. 4. Interior view of section of cra- nium contused with depressed fracture nium contused externally. Spec. of inner table. Spec. 1568. 1568. CATALOGUE OF THE SURGICAL SECTION I. 2744. The vault of the cranium, showing the effect of a contusion of the centre of the frontal bone, between the C. 8. prominences, by a conoidal ball. In the external table a portion of bone measuring one-fourth by one inch, a small fragment of which is depressed one-half a line, is surrounded by a slight groove. The inner table is traversed by a fissure one inch in length, one edge of which is slightly depressed. Private W. A., "F," 11th Pennsylvania: Wilderness, 7th May; admitted hospital, Philadelphia, 18th; died from abscess of the brain, 25th May, 1864. Contributed by Acting Assistant Surgeon J. K. Baldwin. 1951. The vault of the cranium, showing necrosis and fracture of the frontal bone external to the left frontal c. 9. protuberance. The inner table presents a T shaped Assure without depression, and is spongy. A thin plate of bone one inch in diameter is necrosed on the external table, and the osseous tissue adjacent is porous and cribriform. Sergeant D. R., "B," 19th Massachusetts: Brandy Station, Va., Uth October; admitted hospital, Washington, 19th October; haemorrhage from temporal artery, 6th November; gangrene followed; died, 29th November, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. See class XXIII. A. B. 3639. The vault of the cranium, contused by a musket ball one inch behind the coronal suture, with a Assure C. 10. of the inner table at the sagittal suture. Externally a line of demarcation is forming, surrounding an oval plate of bone one and one-fourth inches long and one-fourth of an inch wide, the long diameter crossing the suture nearly at right angles. A fissure of the inner table one and a half inches in length crosses the suture, and on the left side one edge is slightly depressed. There is superficial necrosis, exfoliation and absorption of the surrounding bone, and the diseased action extends backward, along the groove for the longitudinal sinus, to the occipital. A fissure which occurs in the external table for one inch at the left parietal protuberance, does not appear to have existed before death. Sergeant W. H. B., "K," 47th Pennsylvania, 24: Cedar Creek, Va, 19th October; admitted hospital, Philadelphia, 26th October; died, 5th November, 1864. Contributed by Acting Assistant Surgeon Henry Mullen. 2313. A segment of the frontal bone, showing the outer c. 11. table contused and the inner table fractured by the impingement of a conoidal ball to the left of the median line, near the coronal suture. The external table is not fractured, but is porous and softened. A fragment of the inner table, one and one-fourth inches long and three-fourths of an inch broad, is completely detached. An excellent illustration of a rare form of injury. See figures 5 and 6. Private A. L., " C," 78th New York: Wilderness, 6th May; admitted hospital, comatose, Washington, 12th; died, 24th May, 1864. Contributed by Surgeon D. W. Bliss, U. S. Vols. See 4627, XXVI. A. 1, 10. Fig. 5. Exterior view of frontal bone contused on outer table and fractured within. Spec. 2313. Fig. 6. Fracture of internal table of frontal bone, with contusion of external table. Spec. 2313. 662. The vault of the cranium, showing a contusion of the right parietal bone at the middle of its superior border. C. 12. The outer table is spongy, and a thin plate, one inch in length, is necrosed and partially separated. The internal table is fractured and slightly depressed, and shows traces of an attempt at repair. Death resulted from an abscess of the brain. Contributed by Assistant Surgeon J. W. Brewer, U. S. Army. 2523. The body of the frontal bone, with a fragment of lead impacted near the centre and to the left of the median c. 13. line. An ovoid plate of the external table, measuring one by two inches, is slightly discolored and surrounded by a groove of demarcation, externally to which the bone is cribriform. A plate of the inner table, measuring one square inch, is detached by three of its sides, and driven inward to the depth of two lines at its free edges. Two fissures, each one and one-fourth inches in length, run backward and outward, and there is a slight deposit of new osseous material on the inner surface. Corporal W. E. S., "F," 84th Pennsylvania, 25: Wilderness, 5th May; admitted hospital from Washington, Chester. Penn., 27th; died from meningitis, 31st May, 1864. Contributed by Surgeon T. H. Bachp, U. S. Vols. See class XXVII. B. B. d. The vault of the cranium, fractured by a fragment of shell in front of and a little above the left parietal protuberance. An ovoid necrosed plate of the external table, measuring one-half by one inch, remains in situ surrounded by a groove of demarcation, the surrounding bone being porous and cribriform'. The internal table is fractured without depression, and is carious for two square inches. 1922. c. 14. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 9 Private W. McP., "A," 101st Ohio: Chickamauga, 20th September; admitted hospital, Nashville, 24th September; died from meningitis, 14th October, 1863. Contributed by Assistant Surgeon C. J. Kipp, U. S. Vols. See 1923, I. CT B. b. 4. 2964. A wet preparation of a segment of cranium, showing necrosis of both tables following contusion by a musket c. 15. ball near the centre of the frontal bone. The dead bone remains in situ and measures one and a half inches in length and breadth. The inner table is partially absorbed, and the corresponding portion of the dura mater is thickened by deposit of lymph. The dura mater is not penetrated, and there is neither fracture, depression, nor fissure of the bone. Private J. W. H., "D," 61st Pennsylvania, 29: Spottsylvania, Va., 12th May; admitted hospital, Washington, 12th July; died, 7th August, 1864. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. 2920. The vault of the cranium, severely contused near the middle of the posterior edge of the right parietal bone. C. 16. Three square inches of the external table at the seat of the injury are spongy and carious, with a well-marked line of separation. The missile, a pistol ball, was found against the skull, flattened, two inches forward of the seat of fracture, and is attached to the specimen. There is a small spot of necrosis on the inner table, which is perforated by several foramina, but otherwise little changed. Private T. K., "M," 1st Massachusetts Heavy Artillery, 30: wounded, IGth June; readmitted hospital from furlough, Washington, 29th July; died from abscess of brain, 31st July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See class XX VII. B. B. d. 646. A segment of cranium, showing a contusion and fracture of the parietal bones at the sagittal suture, one inch c. 17. behind the coronal. The outer table is necrosed, and a space of one inch by one-fourth has exfoliated, the surrounding bone being cribriform and spongy. The inner table is fissured and porous, with a depression of one- half a line. Contributed by Surgeon I. Moses, U. S. Vols. 2758. The vault of the cranium, showing a depressed fracture between the frontal eminences by a musket ball. The c. 18. fragment is ovoid, measuring one by one-half inch, with a central depression of two lines. In the inner table a fissure opens the left frontal sinus. Private H. S., "E," 118th Pennsylvania, 38: wounded, 9th May; admitted hospital, Philadelphia, 28th May; died, 4th June, 1864. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 628. A section of the left parietal, with both tables slightly depressed as if from a canister shot. The depressed c. 19. portion of the external table is circular and one-half an inch in diameter, the surrounding bone being cribriform. The inner table is irregularly fissured, and depressed one-half a line. Private G. W. B., "A," 10th Pennsylvania Reserves: Fredericksburg, 13th December; admitted hospital, Washington, 14th December, 1862; died from meningitis, 4th January, 1863. Contributed by Surgeon John A. Lidell, U. S. Vols. 392. The vault of the cranium, with depressed fracture of the left parietal bone behind and above the tuberosity. c. 20. The fractured portion of the external table measures one by one-half inch, and is necrosed. A fragment of the inner table, one-half inch in diameter, is depressed one line. Three small fissures radiate from it. Private J. S., "D," 48th Pennsylvania; Antietam, 17th September; admitted hospital, Baltimore, 23d September; exhibited no grave symptoms until 6th October; died from meningitis, 8th October, 1862. Contributed by Acting Assistant Surgeon J. H. Currey. 1257. A section of the cranium, with both c. 21. tables of the right parietal bone fractured, with depression below and behind the tuberosity, by a musket ball. The fracture in the external table is one half inch in diameter, and depressed two lines. The inner table is fractured to the diameter of one inch, and is depressed in the centre one line. The surrounding bone is porous and cribriform. Sec figures 7 and 8. Private G. V., "C," 86th New York: probably Chancellorsville, 3d May; admitted hospital, Wash- ington, 7th; died from meningitis, after exposure to sun, 22d May, 1863 Contributed by Surgeon O. A. Judson, U. S. Vols. See 2223, I. C. B. b. 2; 4627, XXVI. A. 1, 3-1. 2 Fig. 7. Depressed fracture external table Fig. 8. Depressed fracture inner table of the right parietal. Spec. 1257. right parietal. Spec. 1257. 10 CATALOGUE OF THE SURGICAL SECTION I. 224. A section of the left parietal bone, showing c. 22. a fracture with depression of both tables near the tuberosity, caused by a musket ball. The external fracture is circular and one-half inch in diam- eter, a small fragment being driven in upon the diploe. The internal table is more extensively fractured, and a plate of bone three-fourths of an inch in diameter is driven inward to the depth of two lines. See figures 9 and 10. Private L. L., "F,"74th New York: Williamsburg, 5th May; admitted hospital, Philadelphia, 13th; died, 23d May, 1862. Contributed by Acting Assistant Surgeon John Neill. See 4627, XXVI. A. 1, 26. Fig. 9. Depressed fracture outer table left parietal. Spec. 224. 0. Depressed frac left parietal. ture inner table 224. 3415. The vault of the cranium, fractured, with depression of one-fourth of an inch in the lower part of the right c. 23. parietal bone, by a musket ball. The opening in the outer table is three-fourths of an inch in diameter. The fragments of the inner table measure one by one and a half inches, and consist of two pieces touching at their inner edges. Sergeant O. B. L., "A," 22d Iowa, 25: Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 27th; died from abscess of the brain, 31st October, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 546. A section of the frontal bone, with a fragment of ball embedded and projecting upon the inner surface. The c. 24. fracture with depression passes through the right frontal sinus. The external opening measures three-fourths of an inch from right to left, and one-third of an inch from above downward, with edges rounded by the commencing repair. One and a half square inches of the inner table are depressed half an inch. The fragment of ball, having passed obliquely from right to left, projects from the left edge of this fragment and has also opened the left frontal sinus. Unknown: wounded, Newbern, N. C.; died, 25th October, 1862. Contributor and further history unknown. See class XXVII. B. B. d. 4255. A section of the cranium, showing a complete fissure two and a half inches in length in the left parietal, and c. 25. a depressed fracture of the frontal and parietal bones at their junction, caused by a musket ball. A portion of tho temporal bone, nearly three-fourths of an inch in diameter, is depressed one line at the point of impact in front of the anterior angle of the parietal, the fissure extending from it backward and downward to the border of the temporal. The inner table is depressed and separated over a somewhat greater distance, and two slight fissures radiate from it. Private E. L. C, " I," 34th Massachusetts, 26: Now Market, Va., 15th May; admitted hospital, insensible, Cumberland, Md., 18th; died, 21st May, 1864. Contributed by Surgeon J. B. Lewis, U. S. Vols. 24. A segment of the frontal bone, c. 26. contused by a musket ball between the eminences a distance of two inches by one, with a fissure extending down- ward and outward through both tables into the right frontal sinus. The external table is very slightly depressed, and presents two small fractures. Two fragments of the inner table are driven i nward to the depth of half an inch, touching each other by their inner edges, like the leaves of a folding door just ajar. A small cerebral abscess was found under the fracture. See figures 11 and 12. Private M. L. H., "E," 21st Virginia, (Rebel,) 20: Petersburg, 25th March; ad- mitted hospital, Washington, 28th March; no bad symptoms until 1st April; died, 5th April, 1865 Contributed by Acting Assistant Surgeon J. P. Arthur. Fig. 11. Fissure and slightly depressed frac- tures in external table frontal bone. Spec. FIG. 12. Depressed fracture inner table fron- tal bone with slight external injury. Spec. 2619. A segment of cranium deeply indented above and external to the right frontal eminence, the result of consoli- c. 27. dation and repair of fracture with depression of both tables. The rim of the depression is three-fourths of an A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 11 inch in diameter, and the depth in the centre one-fourth of an inch. A portion of the outer table has been removed. The inner table has been fractured in three triangular plates, all of which are firmly consolidated and all the fissures filled up by a deposit of new bone, the depression of that table being two lines. The substance of the brain immediately under the injured bone was found softened and disorganized. Private T. P., "D," 30th Maine, 41: admitted hospital, with typhoid fever, Baltimore, 5th April; partially recovered from the fever, and died 2d July, 1865. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See class I. C. B. 183. A segment of cranium, fractured at the mastoid portion of the C. 28. right temporal bone. The mastoid process has been broken off, opening the mastoid cells. The bone is neither fissured nor com- minuted. See figure 13. Received from Columbian General Hospital, Washington. For other illustrations see 937, I. C. B. b. J ; 2989, II. A. A. b. 3; 1016, II. A. A. b. 4; 745, V. A. B. b. 24. d. Sequestra Removed. 1666. A necrosed fragment of the right parietal bone, removed five weeks after partial fracture. It measures one-half d. 1. by one-fourth of an inch, and is composed of diploe and outer table. Corporal E. S., " G," 15th New Jersey, 34: Second Fredericksburg, 3d May; admitted hospital, Washington, 8th May; specimen removed, 7th June; furloughed, cured, 17th August, 1863. Contributed by Surgeon John A. Lidell, U. S. Vols. 4178. Two small fragments of necrosed bone removed from the left parietal. Tho largest fragment is one-half an d. 2. inch square. Private J. Y., "A," 11th New Jersey, 21: Petersburg, 10th November; admitted hospital, Washington, 26th November; specimen removed, 21st December, 1864; discharged the service, in excellent health, 13th June, 1865. Contributed by Surgeon B. B. Wilson, U. S. Vols. 4194. A necrosed fragment from the right parietal bone, including a fracture with depression of the inner table. d. 3. The specimen measures externally one by one and a half inches, the fragment of the inner table, which is depressed one line, measuring one-fourth by three-fourths of an inch. The outer table is intact. The specimen is exceedingly remarkable. Private J. D-, "I," 97th Pennsylvania, 16: Petersburg, 15th June; admitted hospital, Philadelphia 31st August; specimen removed by Acting Assistant Surgeon H. M. Bellows, 22d November, 1864; transferred to Veteran Reserve Corps, 2d March, 1865. Contributed by the operator. 3863. A fragment of bone from the left parietal, necrosed in consequence of a shell wound, and removed by an d. 4. operation with successful result. The fragment measures one by three inches, and is composed chiefly of the external table, only one-half of a square inch of the inner table being present. Private C. M., "D," 69th Pennsylvania, 20: Antietam, 17th September, 1862; admitted hospital, Frederick, 27th January specimen removed, 20th March; reported cured, 25th May, 1863. Contributed by Acting Assistant Surgeon G. M. Pullen. 2623. A sequestrum from one of the cranial bones involving both tables, as d. 5. though following a contusion. It is irregularly quadrilateral, measuring one and one-fourth by two inches on the external surface, the plate from the inner table being much smaller. History and contributor unknown. 3452. The body of the right parietal bone necrosed, and removed by operation d. 6. with successful result. There has been fracture by a musket ball, with depression of the inner table, and a disc of bone, including nearly all the depressed portion, has been removed by a trephine. The entire portion of the necrosed bone is irregularly quadrilateral, and measures three by four inches. See figure 14. Fig. 13. Fracture of mastoid portion of right temporal. Spec. 183. Fig. 14. Right temporal removed for necrosis after erysipelas following trephining for a depressed fracture. Spec. 3452. 12 CATALOGUE OF THE SURGICAL SECTION I. Private J. McK., "H," 105th Pennsylvania, 20: Petersburg, 14th June; admitted hospital and trephined, Washington, 24th; erysipelas, followed by exteusive sloughing and disease of the bone, occurred 28th June; necrosed bone removed, the meninges being destroyed and the brain exposed, 3d September; wound healed and reported cured, 2d December, 1864. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. See 4627, XXVI. A. 1, 27. See classes I. A. A. b.; XXIII. A. A. e. Other Cases. For illustrations see 4473, XXVII. B. B. d, 6; 2771, XXVII. B. B. d. 188. fa. Primarily fatal. Bj b. Operated upon by the removal of fragments. , Penetrating Fractures. v. i\ i -n j i a j t> n r> ture of tlle cranium by a musket ball. Unknown, Longstreet's Corps (Rebel): killed at Second Bull Run. Spec. 1318. Contributed by Surgeon Fred. Wolf, 39th New York. See 4627, XXVI. A. 1, 21. See A'. See class II. A. A. e. 1167. A cranium perforated and extensively fractured, probably by grape shot, which entered at the posterior inferior a. 10. angle of the left parietal bone and passed out at the right orbit, carrying away the petrous portion of the left temporal, the body of the sphenoid, the ethmoid, the right malar, all the bones composing the nasal fossre and the upper, inner and lower walls of the orbits, and the body of the right superior maxilla. The occipital bono is traversed by a fissure which crosses the foramen magnum. The frontal, left parietal and left temporal bones are comminuted. Unknown (Rebel): killed at Antietam. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 3251. A cranium perforated and extensively fractured, apparently by a musket ball, which entered at the antero- a. 11. inferior angle of the right parietal and passed out at the posterior fontauelle. The cranial wall around the point of entrance is comminuted and removed for eight square inches of its surface, including the squamous portion of the temporal and the extremity of the great ala of the sphenoid. The opening of exit is one inch in diameter the edge being beveled at the expense of the outer table. A fissure of both tables crosses the frontal bone below the' A. C. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 31 eminence and extends into the mastoid process of the left temporal. A second fissure branches downward through the left supra-orbital ridge. Both superior maxillaries are fissured by indirect violence. Other fissures involve the occipital, the petrous portion of the left temporal and both parietal bones. Unknown: killed at the Second Bull Run. Contributed by Acting Assistant Surgeon F. Schafhirt. See A'. 860. A cranium perforated and extensively fractured, apparently by a fragment of shell which entered at the a. 12. centre of the superior border of the frontal and passed out at the right side of the base of the skull, carrying , away the right temporal, the malar and the ethmoid bones, also the processes of the sphenoid on the right side, the walls of the right orbit and the inferior border of the right parietal bone. The opening of entrance measures two and one-half inches antero-posteriorly by three-fourths of an inch in width. The vault of the cranium is entirely separated by a fissure which traverses the frontal just below the eminences, the squamous portion of the left temporal and the occipital, including the foramen magnum. From the battle-field of Bull Run. Contributed by Surgeon Jerome B. Green. 1166. A skull extensively fractured by a missile which has traversed the base of the cranium from the left temporal a. 13. fossa to the right meatus auditorius externus, carrying away the sphenoid and ethmoid bones, the vomer, lachrymal, and turbinated bones, the right orbital plate of the frontal, and the squamous portion of the right temporal. The petrous portions of both temporals are fractured. The vault of the cranium is fractured into four large fragments. Unknown (Rebel): killed at Antietam, Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. See class II. A. A. a. 1319. A portion of cranium, the remainder of which is supposed to have been carried away by shell. It includes a. 14. the occipital, the mastoid and petrous portions of the left temporal, the body of the sphenoid, and the posterior half of the left parietal bones. From the battle-field of the Second Bull Run. Contributed by Surgeon F. Wolf, 39th New York. b. Operated Upon. 3516. A disc of bone one inch in diameter removed by the trephine from the right parietal, after perforation by a b. 1. bullet which entered near its superior border and escaped at its union with the occipital. Private F. E., "M," 4th Pennsylvania: Petersburg, 25th November; admitted hospital, Washington, 16th De- cember; trephined, by Surgeon D. W. Bliss, U. S. Vols., 18th; died, 20th December, 1864. Contributed by the operator. c. Secondary Results without an Operation. 2928. A cranium perforated and extensively comminuted, apparently by a musket ball which entered at the posterior c. 1. superior angle of the left parietal and passed out just above the middle of the left squamous suture. Four lines of fracture radiate in a fan-like manner from the opening of entrance, the upper line passing to the coronal suture half an inch to the left of the sagittal; the next passing to the anterior inferior angle of the parietal and curving around to the left frontal eminence; the third to the middle of the squamous suture; and the fourth nearly to the posterior inferior angle. Other lines of fracture pass at right angles to these, dividing the left parietal bone into twelve fragments. There are some marks of diseased action, which show that the injury was not immediately fatal. Contributor and history unknown. 4257. A skull perforated by a musket ball, which entered at the middle of the inferior border of the right parietal c. 2. and passed out just behind its posterior inferior angle, leaving a bridge of bone one and three-fourths inches wide. Fragments have been removed from the wound of entrance for two inches by three-fourths of an inch. Posteriorly the fractured surface measures two by three inches, the greater portion of the fragments being in situ. There are two short fissures of the parietal, and one of the occipital involving both tables and extending nearly to the foramen magnum. Second Lieutenant H. W. T., "E," 23d North Carolina, (Rebel,) 28: Winchester, 20th July; admitted hospital, Cumberland, Md., 23d; died, 30th July, 1864. Contributed by Surgeon J. B. Lewis, U. S. Vols. 2905. A cranium traversed by a musket ball, which entered just in front of the centre of the right branch of c. 3. the coronal suture and passed out through the posterior angle of the right parietal, leaving a bridge of fractured bone two and a half inches wide. The entire surface fractured measures six inches antero-posteriorly, 32 CATALOGUE OF THE SURGICAL SECTION I. and from three-fourths of an inch to two inches in width. Two large fragments remain in situ. The edges of the fracture are necrosed, and the surrounding bone is porous and shows traces of the formation of a line of demarcation. Private H. H., "E," 53d North Carolina, (Rebel,) 29: before Washington, 12th July; admitted hospital, Washington, 14th; died, 28th July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 2487. A section of cranium fractured by a buckshot, which entered on the right side of the nose and passed o. 4. out below the left ear. (The specimen shows but a portion of the track of the missile.) The petrous portion of the left temporal is fractured and removed, the left great ala of the sphenoid is fractured at its root, and there is caries and necrosis of the left ramus of the inferior maxilla with removal of the articular cartilage of the condyle and the coronoid process. The entire external surface of the left parietal, the left side of the frontal and occipital, and the left malar show traces of disease. Sergeant L. A. G., "B," South Carolina Rifles, (Rebel,) 18: Spottsylvania, 12th May: admitted hospital, Washington, 27th May; died, 8th June, 1864. Contributed by Surgeon J. C. McKee, U. S. Army. See class II. A. A. b. For other illustrations see 4435, XXVII. B. B. d. 33. A'. A List of Specimens Illustrating: Fracture of the Cranial Bones by Contre-coup After Gunshot. 2871. Shell wound of cranium at the intersection of the coronal and sagittal sutures. The orbital plate and lesser I. A. b. a. 3. wing of the sphenoid fractured by contre-coup. 3254. Left temporal bone fractured at the meatus auditorius externus by a conoidal ball. The occipital is frac- I. A. B. d. 16. tured by contre-coup. 830. Cranium perforated transversely by a musket ball. The right orbital plate of the frontal, the squamous I. A. c. a. 4. portion of the right temporal, and the body of the right superior maxilla are fractured as if by contre-coup. 1318. Cranium traversed by a musket ball from the posterior border of the left parietal to the squamous portion of I. A. C. a. 9. the left temporal. The right orbital plate of the frontal and the superior maxilla are fractured by contre-coup. 3251. Cranium perforated by a musket ball from the anterior inferior angle of the right parietal to the posterior I. A. C. a. 11. fontanelle. Both superior maxillaries are fissured by contre-coup. B. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 33 B. Injuries of Cranial Bones not caused by Gunshot. A. Incised and Punctured Wounds. fa. Primarily fatal. J b. Operated upon by the removal of fragments. j c. Operated upon by trephining. i.d. Secondary results without an operation. a. Primarily Fatal. 1612. The body of the sphenoid bone transfixed by a sword point from a. 1. below upward and backward, inclining to the right, with the extremity impinging against the right of the posterior clinoid processes, both of which are broken off. There is a complete transverse fracture of the body of the sphenoid passing through the sella turcica and sphenoidal cells. A pas- sage one line to the right would have avoided the clinoid processes. See figure 27. Private J. H., Hospital Guards, Lovell General Hospital, Portsmouth Grove, Rhode Island, 25: while intoxicated rushed at the sergeant of the guard and fell upon the point of a sword which rested firmly against the sergeant's hip ; the point entered the nostril aDd penetrated five inches. Died in thirty-one hours. Contributed by Surgeon L. A. Edwards, U. S. Army. See 4628, XXVI. A. 2, 60. Fig. 27. Sphenoid bone transfixed through its body by a sword poiut from below. Spec. 1612. 971. A skull fractured by sabre cuts in the occipital and parietal bones. The most extensive cut extends from the a. 2. anterior portion of the middle third of the sagittal suture downward through the left parietal bone, crossing the lambdoidal suture, and extending to a point one inch above and to the right of the occipital protuberance, where a fissure extends forward nearly to the mastoid process. The second cut passes through the left parietal protuberance and extends from the frontal suture downward and backward four inches. The left parietal is much broken by these two cuts, and there is considerable loss of substance. A third cut is about two inches in length in the posterior internal angle of the right parietal, involving only the outer table. A fourth cut has carried away the left malar bone, with a small portion of the great wing of the sphenoid and the point of the zygoma. An Araucanian Indian, possibly not full-blood, killed in action by Chilian troops. Contributed by the Smithsonian Institution, through Professor S. F. Baird. 970. A skull exhibiting nine sabre cuts of the bones of the head and face. The a. 3. first and deepest cut is four inches in length, and passes nearly at a right angle across the coronal suture at the middle of the anterior border of the left parietal bone. Fissures from the extremities of the cut extend anteriorly to the superciliary ridge, and posteriorly to the root of the zygoma. The second cut, involving mainly only the external table, extends from one-half an inch external to the right temporal ridge horizontally inward to near the middle of the frontal bone. From the outer end a fissure extends backward to the right parietal protuberance, and from the inner end to the coronal suture. The third cut is three inches in length, and extends across the sagittal suture in its middle third. The fourth and fifth cuts, each about one and a half inches in length, are in the posterior part of the right parietal. The sixth cut, of the same length, is in the left parietal just above the junction of the sagittal and lambdoidal sutures. Neither of the last three passes through both tables. The seventh cut sliced off about one and a fourth square inches from the outer table of the inferior posterior angle of the left parietal. The eighth is a comparatively slight cut at the junction of the mastoid and squamous portions of the right temporal. The ninth cut passes transversely through the root of the nose and the orbital process of the right malar, severing the nasal and lachry- mal bones, the frontal and orbital processes of the right superior maxillary, the orbital processes of the malar, the right zygoma and a portion of the inferior turbinated bones. The cranial wounds are remarkable for the cleanness with which they are cut. See figure 28. An Araucanian Indian, killed in action by Chilian troops. Contributed by the Smithsonian Institution, through Professor S. F. Baird. See class II. B. A. a. FIG. 28. A cranium exhibiting nine sabre cuts. Spec. 970. 34 CATALOGUE OF THE SURGICAL SECTION I. b. Operated upon by the Removal of Fragments. 2179. The vault of the cranium perforated by a bayonet just behind the left b. 1. parietal protuberance, from which death followed in twenty-six days An ovoid portion of bone one by one-half inch has been removed; the edges of the wound are somewhat rounded, and the bony substance is porous, especially upon the inner table. A slight fissure exists in the outer table. See figure 29. Private T. G., " B," 90th Ohio: wounded by a sentinel, and admitted hospital, Nashville, Tenn., 27th November; fragments of dead bone removed, 8th Decem- ber; died, 23d December, 1863. Contributed by Assistant Surgeon C. J. Kipp, U. S. Vols. See 4627, XXVI. A. 1, 15. 712. A segment of the left parietal bone, showing a fracture, with the removal b. 2. of bone, from the blow of a spade. The fracture extends downward from the sagittal suture three inches, and is one inch in width at the lower part. Nearly all the fractured bone has been removed, but a few depressed fragments of the inner table are adherent. The borders of the wound are necrosed. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 235. A section of the vault of the cranium, showing a fracture by sabre cut of the right parietal bone at the b. 3. tuberosity. A triangular piece of bone, amounting to a square inch, has been removed. The skull is very thin, and is fissured in three directions. The bone immediately around the injury is spongy, and gives evidence that death was not primary. Contributed by Assistant Surgeon Warren Webster, U. S. Army. FIG. 29. The vault of the cranium after per- foration by a bayonet. Spec. 2179. d. Secondary Results without an Operation. 974. Two small sequestra from one of the cranial bones, as if after a sabre wound. The smaller, which is one inch in d. 1. length, consists mainly of diploe. The other, which measures three-fourths of an inch by one and a half inches, is blackened and perforated in the centre. Contributor and history unknown. 3684. A portion of the frontal bone, showing a sabre cut one inch in length just d. 2." internal to the left frontal protuberance, the external table only being injured. Two discolored spots appear upon the bone, possibly due to incip- ient syphilitic caries. See figure 30. Private J. H., 27th Company, Second Battalion, Veteran Reserve Corps, 22: wounded by a sabre while a patient in Ricord General Hospital, Washington, 23d January ; died from abscess of the brain, 17th February, 1865. Contributed by Acting Assistant Surgeon N. S. Stickney. See 3685, I. C. B. b. 11; 3571, I. C. B. b. 12. 4206. A wet preparation of a segment of the right parietal bone, fractured by a d. 3. sabre cut near the parietal eminence Death occurred on the thirty-seventh day. The cut in the outer table measures two and a half inches from above pIG. 30. a sabre cut just internal to the left downward, and is a simple incision, the edges of which are necrosed and suppurating frontal protuberance. Spec. 3684. in the centre. A fragment of the inner table, one and a half inches long and one- fourth inch wide, is depressed two lines. It is completely covered and the angles of the depression are filled up by a lenticular deposit of lymph two inches in diameter and one-fourth inch in thickness, firmly adherent to the dura mater which is perforated by two small openings one line in diameter. Around these openings, which are due to ulceration, the dura mater is thickened and soft, with slight discoloration of the inner surface over a space one inch in diameter. Private J. M. D., "M," 1st New Jersey Cavalry: near Burksville, Va., 6th April; admitted hospital, Baltimore 11th May; died, 12th May, 1865. Contributed by Acting Assistant Surgeon J. H. Butler. B. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 35 1672. A section of the posterior portion of the cranium, with both parietal d. 4. bones fractured by a sabre cut, six inches in length, just in front o/ the lambdoidal suture. The external table is raised, forming an osseous flap. The internal table is much splintered, portions having been removed. Other portions are depressed and adherent by the deposit of new bone to the edges of the fracture. See figure. 31. Private J. T. B., "F,"7th Michigan Cavalry: captured at Gettysburg, and cut down by a rebel Lieutenant, because, wearied, he fell behind on the march, 3d July; admitted Cavalry Corps Hospital, 4th July; died forty-two days after injury, 15th August, 1863. Contributed by Surgeon W. H. Rulison, 9th New York Cavalry. See 4627, XXVI. A. 1, 8. 3307. The vault of the cranium, exhibiting four sabre cuts of the left, and a d. 5. depressed fracture of each parietal bone. None of the sabre cuts have directly penetrated the inner table, but it is extensively fissured and partly driven inward. The depressed fractures are directly opposite each other, as though the head had been violently compressed laterally. Traces of inflammatory action, with slight osseous exudation, appear upon the inner table. The superior portions of the parietals are discolored as if ecchymosed. See figure 32. Private R. H., "C,"7thU. S. Colored Artillery: Fort Pillow, Tenn., 12th April; died, Mound City, 111., 21st April, 1864. Contributed by Surgeon H. Wardrler, U. S. Vols. Fig. 32. Four sabre cuts on the vault of the cranium and a depressed fracture of each parietal. Spec. 3307. B. Contusions and Partial Fractures. a. Primarily fatal. b. Operated upon. c. Secondarily fatal without an operation. Ld. Sequestra removed. a. Primarily Fatal. 2970. A fragment of the frontal bone showing a tribranched fracture, caused by a fall from a horse. Externally one a. 1. line of fracture passes from the centre of the superior border of the bone downward and outward through the right frontal eminence. From the upper third of this fissure a second fissure passes nearly at right angles downward through the left frontal eminence. This last fissure involves the external table only. The inner table is fissured to correspond with the first line of fracture, and there is also a short fissure branching upward. The inner table opposite each frontal eminence is reticulated, and in the centre of the perforated plate of the left side there is a small nodule of bone as large as a grain of wheat. Sergeant A. N., "B," 13th New York Cavalry: injured in Washington, 10th August; treated in the regimental hospital; died, 14th August, 1865. Contributed by Surgeon J. M. Homminston, 3d New York Provisional Cavalry. b. Operated Upon. 22lO. Four fragments of bone, removed by operation from the right side of the frontal bone fractured by a blow b. 1. from a bottle. The fragments comprise about one-half square inch of the inner table. Private------, 149th New York: injured, Stevenson, Ala., 24th January, 1864 ; operated upon by Surgeon G. A. Kimball, 149th New York. Contributed by the operator. 2876. The vertex of the cranium fractured in the left parietal region; probably the result of a blow from some blunt b. 2. weapon. There is a semi-circular fissure of the external table just in front of the protuberance, and stellate fissuring with slight depression of the inner table, including a surface one inch in diameter. From this point a fissure involving both tables extends to the centre of the left branch of the lambdoidal suture. There are no traces of attempt at repair. The result of the so-called Pacchionian bodies in producing absorption of bone, with elevation of the outer table, is well marked in this specimen. Private D. H., U. S. Marine Corps: admitted hospital, with frostbite of feet, Vicksburg, Miss., 24th February: the injury of the head was not diagnosed; died, 1st March, 1866. Contributed by Acting Assistant Surgeon G. F. Rockwell. See class XXIII. B. D. 36 CATALOGUE OF THE SURGICAL SECTION I. c. Secondarily Fatal without an Operation. 2230. The vault of the cranium from an epileptic subject, showing necrosis in the right frontal eminence, the evident c. 1. result of an old injury. The necrosed fragment of the size of a small bean is not detached, but the line of demarcation is well marked on both tables. Traces of osteitis, really incipient caries, are apparent for one inch around the central portion. Private W. McD., "K," 3d New Jersey, 24: admitted hospital, with epilepsy, Washington, 2d February; died, 15th April, 1861. Contributed by Medical Cadet C. M. Hunt, U. S. Army. 2492. A section of the frontal bone, showing a fracture with slight depression between the frontal eminences, and c. 2. necrosis of a plate of the internal table measuring one and a fourth inches transversely, and three-fourths of an inch in the opposite direction, including a part of the posterior wall of both frontal sinuses. The specimen shows but a part of the injury of the outer table. Cause unknown. Private F. B., "F," 8th Vermont, 41: admitted hospital, with the usual signs of typhoid fever, Washington, 26th May; died, 7th June, 1864. The brain was softened and pus found in the frontal sinuses. There was no disease of Peyer's glands. Contributed by Assistant Surgeon J. C. McKee, U. S. Army. 2321. A segment of the vertex of the cranium with necrosis, following fracture, of the anterior superior angle of the c. 3. right parietal bone. A necrosed fragment of the outer table measuring one-fourth by three-fourths of an inch remains in situ, the surrounding bone being cribriform and partially absorbed for a space of one inch in diameter. No fracture is apparent externally. There is stellate fracture of the inner table with extended necrosis and osteoporosis of the surrounding bone, extending to the frontal bone along the groove for the longitudinal sinus and involving nearly four square inches of surface. E. B., colored: shot in the face with a pistol ball and struck on the head with an axe; remained three weeks in jail; admitted hospital, Washington, 18th February; died, 19th February, 1866. Contributed by Dr. S. S. Bond. See 2369, I. C. b. b. 18; 2328, I. C. B. b. 19; 2319, II. A. a. b. 6. fa. Primarily fatal. C. Fractures with Depression. { b> Operated uPon by the removal of fragments. 1 c. Operated upon by trephining. Secondarily fatal without an operation. S a. Primarily Fatal. 972. A skull fractured with depression in the right parietal bone, just external to the sagittal suture, by a cast of the a. 1. bolas, a South American weapon, consisting of a cord with a heavy ball of metal attached to each end, which is hurled. The fractured segment is an ovoid of an inch by one and a half, with a depression of one-sixteenth of an inch ; about half of the broken bone is wanting. The inner table is not splintered more than the outer one. A Pampa Indian, from the northeast region of Patagonia. Contributed by the Smithsonian Institution, through Professor S. F. Baird. 2862. The anterior half of a skull, showing a fracture of the right temporal region by a blow from a board which a. 2. produced instant death. The line of fracture crosses the tip of the great wing of the sphenoid and continues as a fissure, bifurcating an inch from its termination, directly upward and inward nearly to the median line of the frontal bone. The right orbital plate of the frontal is traversed in its long diameter by a fissure, from the edges of which small fragments have been removed. There is no depression. Private E. C. M., " D," 28th Alabama, (Rebel): killed by a fellow-prisoner, Rock Island, 111., 14th August, 1864 Contributed by Surgeon W. Watson, U. S. Vols. 130. The upper half of the cranium, in which a fracture six and a half inches in length extends from the inferior edee a. 3. of the right parietal through the protuberance, crosses the sagittal suture at right angles, and curves forward into the left parietal bone. The anterior portion of the left parietal is slightly depressed. Unknown: violently thrown from a railroad car in motion, and died in five days. Contributed by Acting Assistant Surgeon Wm. Draine. 1351. A section of the base of the cranium fractured, with slight depression of the internal table, at the base of th a. 4. occipital, through the posterior condyloid foramen, to the mastoid process on each side. A plate of bone includin both tables between the curved lines on the left side is depressed one line at the free edge. Death in this c caused by the separation of the medulla oblongata from the pons varolii. Private J. C, "K," 2d U. S. Infantry, 30: killed with an unknown weapon, at Fort Columbus, New York Harbor 21 January, 1865. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. B. C. OF TnE UNITED STATES ARMY MEDICAL MUSEUM. 37 3019. A cranium extensively fractured on the right side and base by falling from a railroad car in motion. The a. 5. anterior inferior angle of the right parietal and part of the squamous portion of the temporal are fractured and driven in. One line of fracture passes through the meatus auditorius to the foramen lacerum medium, and another through the body of the sphenoid. All the sutures of the right side and base of the skull are more or less opened. Unknown: dead when picked up, Baltimore, 7th July, 1865. Contributed by Brevet Major D. C. Peters, Assistant Surgeon, U. S. Army. b. Operated upon by the Removal of Fragments. 1457. A section of cranium fractured by a blow from the trigger of a musket at the middle of the lower border of the b. 1. left parietal and adjoining portion of the temporal bones. Fragments have been removed from a space measuring two inches backward and downward, and one and one-fourth in width. Two fragments of the outer and one of the inner table remain attached ; the latter and one of the former have their free edges depressed one-fourth of an inch. The edges of the fracture are somewhat beveled at the expense of the inner table. The fractured fragments were found in the substance of the brain at the autopsy, and there was hernia cerebri. Private M. B., 9th Massachusetts: admitted hospital, comatose, Baltimore, 5th July, 1863; died the same day. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. c. Operated upon by Trephining. 1452. A disc of bone, one inch in diameter and including the entire thickness of the cranium, removed by the trephine c. 1. from the parietal eminence. A small sharp-edged fragment of the inner table, depressed one line by the injury, is attached to the disc. Private J. R., "H," 2d Michigan, 41: received four wounds of the head from stones, 17th July; admitted hospital, and trephined by Brevet Colonel D. W. Bliss, Surgeon, U. S. Vols., Washington, 18th July; transferred to Detroit, Mich., 24th August, 1865. Contributed by the operator. See 4628, XXVI. A. 2, 87. 3453. A section of cranium trephined at the anterior inferior angle of the right parietal bone for fracture with depression c. 2. caused by a kick from a horse. One square inch of bone has been removed. Unknown, Signal Corps: injured, February, 1862; trephined, six hours afterward, by Assistant Surgeon J. S. Billings, U. S. Army; died, from meningitis, on the sixth day. Contributed by the operator. 2081. A disc and fragment of bone, removed by trephining from the right parietal eminence for the relief of fracture c. 3. with depression caused by a blow from an axe. The fragment includes the entire thickness of the bone, and measures one and one-fourth inches by one inch. From a Negro operated upon by Assistant Surgeon J. W. S. Gouley, U. S. Army. 2673. A section of cranium trephined for fracture with depression of the right parietal and temporal bones caused by a c. 4. blow. Fragments of bone have been removed from a space four inches in length by two in width, the edges of the opening being rounded and in process of repair. A fissure of both tables extends to the centre of the right half of the coronal suture. The inner surface of the parietal is eroded, the vitreous table presenting a worm-eaten appearance. Private C. H., " G," 61st Ohio, 37: found in the street, and admitted hospital and trephined, Alexandria, 27th September; died, 28th November, 1863. Contributed by Surgeon E. Bentley, U. S. Vols. d. Secondarily Fatal without an Operation. 419. A section of the skull showing fracture of the right side of the frontal bone and walls of the right orbit, with d. 1. well-marked reparative action externally. The injury was caused by a blow just over the inner angle of the right eye, comminuting the anterior wall of the frontal sinus and completely separating the right orbital plate of the frontal from the body of the same bone. A fissure passes from just above the right external angular process of the frontal upward and inward to the median line. Other fissures traverse the orbital plate and malar process of the right superior maxilla, All these fractures are solidified by osseous deposit. A fracture of the free extremities of both nasal bones is also united with very little displacement. Internally the walls of the anterior and middle fossse of the base of the cranium on the right side are thinly crusted with a white chalky deposit, and at some points they are cribriform and carious. S. R., Negro, 35: admitted hospital, with wound over right eye, which soon healed, Washington, 30th October, 1865; died, of meningitis and abscess of right lung, 25th February, 1866. Contributed by Dr. S. S. Bond. See 498, I. C. B. b. 17. 38 CATALOGUE OF THE SURGICAL SECTION I. D_. in S a. Primarily fatal. . Fractures by Contre-coup. J b Seconday resuUs. a. Primarily Fatal. 3440. A segment of cranium showing a fracture of the base through the bodies of the sphenoid and ethnoid, probably a. 1. by a fall. The bodies of the sphenoid and ethnoid are comminuted. There is a short fissure passing into the left orbital plate of the frontal, and another which extends to the left frontal eminence. The sphenoid bone is entirely separated. Private R. S. C, Bryson's Pennsylvania Artillery, 22: admitted hospital, Baltimore, 30th September; died, 5th October, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. c. Injuries of the Soft Parts of the Cranium. . (a. Guushot. A. Of the Scalp. < b. Incised and punctured. ( c. Lacerated. a. Gunshot. 1302. A wet preparation of a segment of the scalp from the right parietal region, perforated by a musket ball which a. 1. fractured the cranium and caused death on the eleventh day. The opening made by the ball has been enlarged by two incisions and by the sloughing of the contused edges. Sergeant J. F., " K," 14th Maine, 34: Port Hudson, La., 27th May; admitted hospital, New Orleans, 29th May ; died, 7th June, 1863. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. See 1301, I. A. B. b. 42. b. Incised and Punctured. For a probable illustration, see 4385, I. D. B. 1. B. Of the Brain and Membranes. { £ ^darV-ults. b. Secondary Results. 967. A wet preparation of a portion of the dura mater with a fragment of cranium firmly adherent. The fragment f b. 1. bone includes both tables and is triangular, each side measuring three-fourths of an inch. It has probablv b contused by gunshot. The adjoining portion of the membrane is thickened by interstitial deposit and is of^a yellowish color. Contributor and history unknown. See class I. A. A. c. 2223. A wet preparation of a portion of the dura mater from beneath the right parietal, thickened and softened bv b. 2. interstitial deposit, with effusion of lymph and pus on its inner surface, after a depressed fracture by a musket ball Externally a few flakes of false membrane appear, the diseased surface being one inch in diameter Intern 11' suppuration has occurred on a surface three inches in diameter. ' nany Private G. V., "C," 86th New York: probably Chancellorsville, 3d May; admitted hospital, Washington 7th- had head symptoms until after exposure to hot sun, 16th; died, 22d May, 186?. ' ' n0 Contributed by Acting Assistant Surgeon Bates. See 1257, I. A. A. c. 21. C. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 39 614. A wet preparation of the dura mater from the vertex of the cranium, thickened, softened, and having a deposit of b. 3. pus and lymph upon its inner surface, one inch to the right of the longitudinal sinus and extending over a space two inches in diameter. In this case there was contusion of the cranium by a musket ball, resulting in death from tetanus on the twenty-second day. The external surface of the membrane is unchanged, and the deposit of lymph internally is thin and not firmly adherent. Private C. K., "K," 130th Pennsylvania: Fredericksburg, 13th December; admitted hospital, Baltimore, 20th December, 1862; died, 4th January, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See 613, I. A. a. c. 3. 1923. A segment of the dura mater from the vertex of the cranium, extensively diseased, the result of a gunshot injury b. 4. of the left parietal bone. The internal surface of the membrane is of a dark greenish color for five inches antero- posteriorly and three inches in breadth, including the walls of the longitudinal sinus. This is due to a deposit of false membrane, thin, fragile and easily separable at the edges, but becoming thicker, firmer and more closely adherent in the centre. On either side of the sinus appear fringe-like tufts, or nipple-like processes of the dura mater, in several of which bone has been produced. The body of the membrane is thick and soft, and externally there is a distinct dark line of demarcation around the diseased portion, corresponding with the edge of the necrosed bone which lay above it. Suppuration has occurred on both surfaces, the lining membrane of the longitudinal sinus has lost its polish, and a few small yellowish coagula remain firmly adherent to its surface. Private W. McP., "A," 101st Ohio: Chickamauga, 20th September; admitted hospital, Nashville, 24th September; died, 14th October, 1863. Contributed by Assistant Surgeon C. J. Kipp, U. S. Vols. See 1922, I. A. a. c. 14. 966. A wet preparation of a section of the dura mater from the left parietal bone, perforated as the result of gunshot b. 5. injury. The opening is oval, measuring three-fourths by one-half an inch. The edges are thickened and softened, with deposit of lymph on the internal surface. On the external surface, one inch from the opening, there is a partial ring of dark spots caused by coagulated blood. Private P. R., "I," 10th New York: Fredericksburg, 13th December; admitted hospital, Washington, 19th; trephined the same day; died, 22d December, 1862. Contributed by Surgeon J. C. Dorr U. S. Vols. See 528, I. A. B. c. 22; 965, I. C. B. b. 21. 1014. Dura mater from the vertex of the cranium, perforated at the side of the longitudinal sinus, apparently as a b. 6. result of gunshot injury. The opening measures one by one and one-half inches; its edges are thickened with a deposit of lymph and brain substance on the inner surface. In this case there was probably hernia cerebri. Private J. McC, "B," 24th Texas Cavalry, (Rebel,) 23: Arkansas Post, 10th January; admitted hospital, St. Louis, 22d January; died, 8th February, 1863. Contributed by Surgeon John T. Hodgen, U. S. Vols. See 1013, I. A. B. b. 46. 514. A wet preparation of the encephalon, showing perforation of the dura mater and abscess in the upper part of the b. 7. anterior lobe of the left half of the cerebrum, extending to the median line, caused by a fragment of shell. The corpus callosum and fornix are destroyed, and both lateral ventricles are freely opened. The opening in the dura mater measures one-half by one inch. Contributed by Assistant Surgeon J. W. Williams, U. S. Army. 957. A wet preparation of the encephalon with engorgement of the blood vessels, and coagula of blood at the base b. 8. of the cerebrum. At the posterior notch of the cerebellum a thin layer of coagula is seen in the left fissure of Sylvius, the result of a gunshot injury. Contributed by Assistant Surgeon W. Moss, U. S. Vols. See 952, I. A. B. a. 9; '953, XXII. A. B. a. 1. 1059. A wet preparation of a portion of the cerebrum, with a small abscess in the upper part of the anterior lobe of the b. 9. right hemisphere communicating with the lateral ventricle, probably the result of contusion of the cranium by a musket ball. On the external surface of the brain, one-half inch to the right of the longitudinal fissure, there is a dark spot with disorganization of the brain substance, and the surrounding part of the surface of the brain for three inches in diameter is discolored and shows traces of suppurative action. The cavity of the abscess will contain about half a fluid ounce. Contributor and history unknown. 2219. A wet preparation of a part of the cerebrum, with a cavity in the posterior and external portion of the right b. 10. lobe caused by gunshot injury. The cavity communicates with the lateral ventricle, and is the size of an English walnut. A small flattened hernia cerebri protrudes through an opening of the dura mater one-half inch in diameter. Contributed by Acting Assistant Surgeon Joseph Leidy. 40 CATALOGUE OF THE SURGICAL SECTION I. 3685. A wet preparation of the lower part of the brain, the upper portion of which has been removed by a section b. 11. downward and backward, and is shown in specimen 3571, I. C. B. b. 12. There is a large abscess in the left lobe of the cerebrum, resulting from a sabre wound of the head, which has opened into the left lateral ventricle, whence the pus has found its way into the other ventricles; the septum lucidum, velum interpositum, fornix and commissures of the thalamus having been broken down and partially removed. The cavity of the abscess contains two fluid ounces. The thalami optici and corpora striata appear normal. The cerebral substance of the walls of the abscess is softened and disintegrating. Private J. H., 27th Company, Second Battalion, Veteran Reserve Corps, 22: wounded by the guard, Washington, 23d January; died, 17th February, 1865. Contributed by Acting Assistant Surgeon A. L. Stickney. See 3684, I. B. A. d. 2; 3571, I. C. B. b. 12. 3571. The upper and posterior portion of an abscess of the left lobe of the cerebrum, extending downward nearly to the b. 12. tentorium, which is slightly thickened and discolored. The result of a sabre wound. Private J. H., 27th Company, 2d Battalion, Veteran Reserve Corps, 22: wounded by the guard, Washington, 23d January; died, 17th February, 1865. Contributed by Acting Assistant Surgeon A. L. Stickney. See 3684, I. B. A. d. 2; 3685, I. C. B. b. 11. 505. A wet preparation of a portion of the cerebrum with a partially organized coagulum in the substance of the b. 13. posterior lobe of the left hemisphere and in the cavity of the left ventricle. The clot is not recent, and the brain substance in the vicinity is firmly contracted around it. It is of a dark brownish-yellow color and spongy in texture, and .measures one inch in diameter by one-fourth of an inch in thickness. On the surface of the brain there is a more recent clot, black in color and partially disorganized, measuring nearly the same as the first. ------K., company and regiment unknown: followed a fall on the ocaipital bone below the protuberance. Contributed by Acting Assistant Surgeon C. G. Page. 1725. A wet preparation of a portion of the cerebrum, showing an abscess in the centre of the right hemisphere b. 14. communicating with the lateral ventricle, and externally with an opening in the dura mater, through which a hernia cerebri has taken place. The result of fracture with depression of the right parietal bone from gunshot. Patient lived five months. Three small fragments of the ball are impacted in the edge of the opening of the dura mater. The cavity of the abscess contains about two fluid ounces, and is lined by a pyogenic membrane having a filamentous surface. Corporal C. C, "G," 123d New York, 24: Chancellorsville, 3d May; admitted hospital, Alexandria, 13th June; died, 2d October, 1863. Contributed by Acting Assistant Surgeon T. H. Stillwell. See 1724, I. A. B. b. 28. 2166. The left half of the brain, perforated apparently by a musket ball, which has traversed the anterior lobe of the b. 15. cerebrum from side to side opening the lateral ventricle. Contributor and history unknown. 3221. A wet preparation of the brain and part of the dura mater five days after perforation by gunshot. A pistol ball b. 16. entered the left parietal near the posterior inferior angle, and passing transversely downward and forward perforated both hemispheres and lodged under the pia mater of the right side. The specimen shows extravasation of blood within the arachnoid. Pus was discharged from the wound of entrance and was found on the right side within the dura mater J. A., (quadroon,) 21: Alexandria, 25th December; died, 30th December, 1865. Contributed by Surgeon E. Bentley, U. S. Vols. See 3220, I. A. B. d. 1. A wet preparation of a portion of the cerebrum, exhibiting a softened condition of the anterior external portion of the right hemisphere, following a clot induced by a fracture of the frontal bone four months before death. 498. b. 17. S. R., Negro, 35: admitted hospital, Washington, 30th October, 1865; died, from meningitis and abscess of right lung, 25th February, 1866. 8 Contributed by Dr. S. S. Bond. See 419, I. B. C. d. 1. 2369. A wet preparation of a portion of the right cerebral hemisphere, exhibiting an abscess the size of a pigeon's b. 18. egg, situated under an incised wound of the right parietal bone inflicted three weeks previously. The abscess wa filled with pus and broken-down brain tissue, and the covering membranes were thickened and adherent, rupturing on removal. The same patient received a gunshot wound of the orbit. E. B., freedman, 30: believed to have been wounded with an axe three weeks previously; died, Washington 17th February, 1866. Contributed by Dr. S S. Bond. See 2321, I. B. B. c. 3; 2328, I. C. B. b. 19; 2319, II. A. A. b. 6. B. D.- OF THE UNITED STATES ARMY MEDICAL MUSEUM. 41 2328. A wet preparation of a portion of thickened dura mater, showing an attached coagulum of blood covering one b. 19. and a half inches square, after an incised wound of the right parietal bone made three weeks previously. An abscess the size of a pigeon's egg was situated in the brain beneath the specimen. A gunshot wound of the orbit was suffered at the same time. E. B., freedman, 30: believed to have been wounded with an axe three weeks previously; died, Washington, 17th Feb- ruary, 1866. Contributed by Dr. S. S. Bond. See 2321, I. B. B. c. 3; 2369, I. C. B. b. 18; 2319, II. A. A. b. 6. 3725. A wet preparation of the cerebrum, in the left hemisphere of which a conoidal ball that entered through the b. 20. occipital bone remained lodged more than a month before death. Particles of bone were found in the abscess along with the missile. Sergeant J. L., "I," 153d New York: admitted hospital, Baltimore, 26th October; died, 24th November, 1864. Contributed by Acting Assistant Surgeon IB. B. Miles. See 3729, I. A. B. b. 51 ; 3718, VII, A. B. b. 29. 965. A wet preparation of the left cerebral hemisphere, showing an irregular abscess the size of a walnut following b. 21. gunshot fracture of the parietal. Private P. R., "I," 10th New York: Fredericksburg, 13th December; admitted hospital, Washington, 19th; trephined the same day; died, 22d December, 1862. Contributed by Surgeon J. C. Dorr, U. S. Vols. See 528, I. A. B. c. 22; 966, I. C. B. b. 5. For other illustrations, see 26J9, I. A. A. c. 28; 4568, XXVII. B. B. d. 8. D. Diseases of the Cranium. A. Of the Scalp. B. Of the Bones. O. Of the Brain and Membranes. U, Of the Auditory Apparatus. B. Of the Bones. 4385. A cranium, probably of mixed Mexican and Indian blood, exhibiting on its vault a discolored area, light bluish- B. 1. gray, dotted with black points, six inches in length and varying from two to four in breadth. This surface is somewhat cribriform, and what appears to have been slight periosteal disturbance may be traced. The internal surface is perfectly normal. This condition is probably the result of scalping without immediate death following. The skull was picked up near the Lower Cimarron Springs, in the Comanche country, and contributed by Assistant Surgeon H. E. Brown, U. S. Army. See class I. C. A. b. For other illustrations, see 393, I. A. A. c. 2; 3091 I. A. B. b. 16. C. Op the Brain and Membranes. 1088. The right cerebral hemisphere much softened and partially broken down, as if by an abscess after death from C. 1. pyaemia following gunshot. Private W. K., "I," 1st U. S. Cavalry: fractured right metatarsus, Dinwiddie C. H., Va , 31st March; admitted hospital, Washington, 4th April; leg amputated in the lowest third, 12th; died of pysemia, 30th April, 1865. Contributed by Acting Assistant Surgeon M. F. Price. (J II. INJURIES AND DISEASES OF THE FACE, Including the Organs of Vision, Smell and Taste, A i Gu nshot Injuries. A Of the Bones of the Face, * not including the Lower Jaw. Jj# Of the Lower Jaw. C. Of the Eye. D. Of the Tongue. 'a. Fractures, primarily fatal. b. Fractures without operations, secondarily fatal. c. Results of operations. d. Results of exfoliations. e. Fractures and dislocations indirectly produced, which are not in themselves fatal. 'a. Fractures, primarily fatal. b. Fractures without operations, secondarily fatal. c. Results of operations. d. Results of exfoliations. e. Dislocations. ^ f. Secondary results of injuries. a. Results of operations. b. Secondary results of injury. f a. Fractures from sabre cuts. Ab. Fractures from other causes. , Of the Bones of the Face. { c. Dislocations. d. Results of operations. I e. Exfoliations. B Injuries not caused -q _. . T T , by Gunshot. . Of the Cord and Membranes. III. VERTEBRAL COLUMN AND SPINAL CORD. A, Gunshot Injuries. f a. Involving the bones only. Ar>„»„„4. n__j'i-:~ „ i b. Involving the cord. . Recent Conditions. age. Corporal M. D., "D," 11th U. S. Infantry: on picket near the Weldon Railroad, 31st August; died, 1st September, l-*64- Contributed by Assistant Surgeon Edward Brooks, U. S. Army. f)S CATALOGUE OF THE SURGICAL SECTION III. IO»*6. The third, fourth and fifth cervical vertebrae. A conoidal carbine ball entered the right side, comminuting the base b. 3. of the right lamina of the fourth vertebra, fracturing it longitudinally and separating it from the spinous process, at the same time fracturing the fifth through its pedicle and involving that transverse process. The missile passed directly through the canal with a slight inclination downward and to the rear, emerging through the left bases of the fourth and fifth laminrr, which are comminuted, and from which fragments were embedded in the muscles of the neck. The bullet in its course avoided the large cervical vessels. From a case where death occurred a few hours after injury, 26th April, 1865. Sec 4087, III. A. A. b. 4. I ON 7. A portion of the spinal cord from the cervical region, transversely perforated from right to left by a carbine bullet b. 4. which fractured the laminae of the fourth and fifth vertebrae. The cord is much torn and is discolored by blood. From a case where death occurred a few hours after injury, 26th April, 1865. Sec 4086, III. A. a. b. 3. 1331. The first three lumbar vertebrae. The body of the second is perforated by a conoidal pistol ball, fired at ten b. 5. feet, which passed obliquely backward from left to right through the cord and escaped through the right lamina, lodging in the deep lumbar muscles. Private J. McD., "K," 7th Michigan Cavalry: shot, 1st July, 1863, and died the same day, Contiibuted by Acting Assistant Surgeon A. H. Crosby. See 1332, XX. A. A. a. 6. See class XXVII. B. B. d. 2813. The first six dorsal vertebrae and a portion of the left first rib. The rib is partially fractured at its greatest b. 6. curvature by a conoidal ball, which afterward impinged against the third vertebra at the origin of the fourth rib and fractured its left transverse and spinous processes and laminae. Private W. L. B., "I," 21st Georgia, (Rebel,) 22: wounded and admitted hospital, Washington, 14th July, 1864 ; died the next day. Contributed by Acting Assistant Surgeon H. M. Dean. See 2844, XIX. A. B. a 19. Sec classes IV. A. A. a.; XXVII. B. B. d. 3862. The last three dorsal and the first lumbar vertebrae. Portions of the right transverse process of the twelfth and b. 7. of the spinous process of the eleventh have been carried away by a conoidal ball which injured the cord. Private A. S , "B," 122d Ohio: Monocacy, 9th July; died, Frederick, 15th July, 1864. Contributed by Acting Assistant Surgeon J. C. Shimer. 2330. The second, third, fourth, fifth, sixth and part of the seventh dorsal vertebrae with the posterior portions b. 8. artificially removed. A bullet, which passed through the scapula and fractured the fifth and sixth ribs, has carried away the right transverse and the spinous processes of the fifth and sixth vertebrae and vertically fissured their bodies. The cord was destroyed at the point of injury. Private N. P., "G," 124th New York, 18: died, Washington, 17th May, 1864. Contributed by Acting Assistant Surgeon A. Ansell. See 2391, IV. A. B. b. 41. 2238. The last six dorsal vertebrae. A conoidal pistol ball which perforated the liver entered on the right side of the b. 9. body of the eleventh vertebra, passed upward and backward through the body of the tenth, completely shattering it posteriorly and breaking off the right pedicle, passed upward and to the left, emerging through the left lamina of the ninth vertebra, and rested against the corresponding rib. The eighth spinous process also was fractured. Private J. S., "B," 1st District of Columbia Cavalry: wounded, admitted hospital, and died from haemorrhage from the liver, Washington, 19th October, 1863. Contributed by Acting Assistant Surgeon Carlos Carvallo. S,e class XXVII. B. B. d. 3583. The two superior lumbar vertebrae, with the first completely and the second b. 10. partially fractured vertically by a conoidal ball. The missile appears to have eutered from the rear, shattered the spinous process of the first, fractured the arch of the second, passed through the column, and escaped into the abdomen. S>e figure 35. Corporal J. E., " M," 14th N. Y. Heavy Artillery. Contributed by Assistant Surgeon W. Thomson. U. S Army. Sec class XXVII. B. B. d. 3810. The posterior portion of the left ilium perforated between the posterior superior Pl^da7 ban* thronph™'" fire* b. 11. and iuferior spinous processes, a part of the sacrum chipped at its posterior lumbar vertebra. Spec. :ir*3. superior angle and the fourth lumbar vertebra, with a battered conoidal ball, which has shattered the left transverse process and broken the posterior face of the body, lodged in the canal. The right lamina is fractured adjacent to the iuferior articular processes. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. fj'.l Corporal L. P. 14th Xew Jersey, 26: Monocacy, 9th July; admitted hospital, Frederick, 10th; died, U.li July, l-til. Contributed by Acting Assistant Surgeon J. C. Shimer. See classes XI. A. a. b; XXVII. B. B. d. 37 18. The last four lumbar vertebrae. The bodies of the third and fourth are fractured at their left posterior junction. b. 12. The left transverse processes and the spinous process of the fourth vertebrae are shattered by a conoidal ball which perforated the abdomen. Private J. B., "I," 9th Minnesota, 28: Nashville, 16th December, 1864; admitted hospital the same day, and died the next. Contributed by Acting Assistant Surgeon H. C. May. See 3749, XX. A. A. a. 5. 3739. The first, second, third, and a section of the fourth lumbar vertebrae. An iron grapeshot, about one inch in b. 13. diameter, is lodged in the canal near the juuction of the second and third. The spinous process of the first is destroyed and the laminae vertically fractured at their junction. The spinous process and entire arch of the second are destroyed, except the left inferior articular process, which remains in position. This vertebra has a vertical fracture directly through its body, and the left pedicle and subjacent portiou of the body have been broken off. The missile has entered by pressing open the fractured bones, which afterward enclosed it by their elasticity. Sergeant W. L., "G," 18th New York Cavalry, 25: Pleasant Hill, La., 8th April; admitted hospital, New Orleans, 10th; died, 12th April, 1864. Contributed by Surgeon Samuel Kneeland, U S. Vols. See class XXVII. B. A. c. 4557. The last three cervical and part of the first dorsal vertebrae. A conoidal ball passed obliquely backward from b. 14. the right front through the body of the sixth cervical, lacerating the cord and shattering the left lamina. A perpen- dicular fracture runs through the body of the seventh, and another through the left lamina of the sixth vertebra near the arch. Unknown woman (colored): accidentally shot, Washington, 12th October, 1865 ; died in fifteen minutes. Contributed by Assistant Surgeon P. Glennan, U S. Vols. 4061. The second lumbar vertebra with a section of the right anterior side of the body split off and the adjacent b. 15. superior articular process fractured. The mode of preparation causes this specimen to present the appearance of the secondary stage. Contributor and history unknown. See 4065, XVIII. II. A. A. a. 1, from the same case. f a. Involving the bones only. B. Secondary Conditions. \ *• Involving the cord. • J 1 C. Kesults of ooeratioi u Results of operations. Dislocations. a. Involving the Bones Only. 1867. The last four cervical and first dorsal vertebrae. A severe contusion, encircled by aline of demarcation, occupies a. 1. the anterior face of the sixth and seveuth cervical, in both of which the caries extends to the canal. The missile was a bullet that fractured the right side of the lower jaw, and which the subject declared he had spit out. There were no indications of spinal injury during life. Private G. A. A., "C," 20th Xew York, 35: probably Gettysburg, 3d July; died of pyaemia, Philadelphia, 21st July, 1863. Contributed by Acting Assistant Surgeon Joseph Leidy. See 1881, II. A. B. b. 4. 1710. The first four cervical vertebras thirty-six days after partial fracture of the left posterior arch of the atlas by a a. 2. conoidal ball, which also fissured the occipitial bone, against which it lodged. The missile, which caused constant suppuration and could not be extracted during life, is attached to the specimen. It entered one inch below and behind the left mastoid process and passed upward. Private W. P., jr., "F," 114th Pennsylvania: Chancellorsville, 3d May; admitted hospital, Annapolis, 17th May; died, 8th June, 1863 Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. See class XXVII. B. B. d. 2737. The last four dorsal vertebrae, with the spinous process of the eleventh carried away and the right transverse a. 3. process partially fractured. Received, without history, from Annapolis. 60 CATALOGUE OF THE SURGICAL SECTION III. N 13. Portions of the second, third and fourth dorsal vertebrae, with the spine of the second and right transverse process a. 4. of the third fractured by a conoidal ball which passed through both scapulae. The fragments are partly agglutinated by new deposit, and spiculae are necrosed. Private J. S. L., "G," 18th Massachusetts, 18: date of wound not reported; died, Philadelphia, 17th September, 1862. Contributed by Surgeon P. B. Goddard, U. S. Vols. See 699, IV. A. B. b. l^. 352 I. The sixth, seventh, eighth, ninth and tenth dorsal vertebrae. The right transverse processes of the seventh and a. 5. eighth are carried away, and a fragment of the ninth is chipped off. The seventh, eighth, ninth and tenth ribs were fractured, fragments of the first two of which are with the specimen. Private S. B., "E," 4th Vermont, 23: Wilderness, 5th May; admitted hospital, Washington, 13th; died, exhausted, 21st May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class IV. A. B. b. 3171. Two dorsal vertebrae, the lower of which is deeply grooved on its anterior face by a conoidal ball which passed a. 6. from left to right. Death occurred from internal secondary haemorrhage from the spleen, through which the missile passed. Corporal J. L. W. "A," 2d Connecticut Heavy Artillery, 38: Cedar Creek, 19th October; admitted hospital, Baltimore, 25th; died, 28th October, 18(i4. Contributed by Acting Assistant Surgeon A. Walsh Emory. 2762. The third lumbar vertebra, retaining, half buried in the left side of its body, a nearly spent conoidal ball which a. 7. entered from the rear. The bullet still presses between itself and the bone fragments of clothing, and rests half exposed in its long diameter. Immediately around the bullet are traces of commencing necrosis. The other portions of the bone escaped injury, but the crural nerve was wounded. The first and fourth vertebrae are mounted with the specimen. Private T. D., "F," 1st Michigan Sharpshooters, 19: Petersburg, 26th June; admitted hospital, Washington, 1st July; tetanus appeared, 4th; died, 5th July, 1864. Contributed by Assistant Surgeon George A. Mursick, U. S. Vols. See 4627, XXVI. A. 1, 20. See class XXVII. B. B. d. 679. The first nine dorsal vertebrae, with the right transverse processes of all except the first and ninth fractured by a. 8. gunshot, which has also involved the corresponding ribs near their articulations. At several points there are marks of commencing caries. Contributed by Surgeon P. B. Goddard, U. S. Vols. See class IV. A. B. b. 1951. The sixth, seveuth, eighth and ninth vertebrae, with portions of the corresponding ribs. The adjoining posterior a. 9. portions of the bodies of the seventh and eighth vertebrae are fractured by a conoidal carbine or pistol ball, which has lodged between them and the head of the corresponding rib, partially splitting the latter. The canal is not involved, and no symptoms until nearly the close of life indicated where the missile had lodged. Private T. C, "G," 8th Illinois Cavalry, 30: admitted hospital, Washington, June; died, with chronic diarrhoea, 9th December, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. See classes IV. A. B. a; XXVII. B. B. d. 3515. Portions of the dorsal vertebrae with a pistol ball firmly embedded in the body of the fifth, nearly the whole of a. 10. which is shattered. The specimen is interesting from the fact of the injury not having been suspected during life. Lieutenant-----, Mosby's command (Rebel): admitted hospital with a gunshot fracture of the upper third of the right arm, Sandy Hook, Md., 6th September; there was no wouud of exit, and the ball was not discovered ; died, from pneumonia and secondary haemorrhage, 20th September, 1864. At the autopsy the track of the ball was shown to have been in the long axis of the arm and down the chest. Contributed by Acting Assistant Surgeon J. Younglove. See classes VI. A. B. b.; XXVII. B. B. d*. 77N. The first three cervical vertebrae, with the inferior portions of the occipital and left temporal bones, eight weeks a. 11. after injury. The specimen shows a partial fracture of the left transverse process of the atlas, and destruction, by ulceration, of the articular surface on the same side. Private L. E., 22: a bullet entered the open mouth and escaped two inches to the left of the spinous process of the second cervical vertebra', Antietam, 17th September; haemorrhage to syncope on the field; slight arterial bleeding, Frederick, 31st October and 2d November; left side of the face paralysed, 13th; died, 14th November, l.-:62. The internal carotid had'been severed and its proximal end closed by an organized clot. Contributed by Acting Assistant Surgeon Redfern Davies. See 881. XVIII. II. A. B. a. 3. A. 13. OF THE UNITED STATES ARMY MEDICAL MUSEUM. lil 3334. Four dorsal vertebrae, with a carbine ball, which fractured the fifth rib on the right side, embedded in the body a. 12. of the corresponding vertebra, through which it has nearly passed. Looal caries exists around the places of fracture on the opposite sides of the bone. Private O. A. N., "B," 13th New York Cavalry: Aldie, Va., 6th July; admitted hospital, Alexandria, 13th; died, exhausted, 23d July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. 742. A wet preparation of the second, third and fourth lumbar vertebrae, with the body of the third transversely a. 13. perforated from right to left by a musket ball. The cord not having been affected, no paralysis existed. A large abscess, in the midst of which was the bullet, occurred on the left side of the column. Corporal T. J. R., "K," 7th South Carolina, (Rebel): Antietam, 17th September, 1862; died from colliquative diarrhoea, Frederick, date not reported. Contributed by Assistant Surgeon James Phillips, U. S. Army. 3349. The first three lumbar vertebrae. In the left side of the body of the second a round ball, which entered between a. 14. the ninth and tenth ribs and perforated the lower lobe of the left lung, is embedded. The canal appears to have been slightly encroached upon by a bony fragment, but no symptoms of paralysis are recorded. Tho bone adjoining the bullet is necrosed. Private T. B. H., "F," 7th Maryland: Petersburg, 18th July; admitted hospital, Alexandria, 5th July; died, 9th July, IsOl. See class XXVII. B. B. d. 3171. A wet preparation of portions of the third, fourth and fifth dorsal vertebrae, with parts of tho corrcspondinf ribs a. 15. on the left side. A bullet has lodged between the lamiino of the fourth and fifth vertebrae, its apex opening the canal but not interfering with the theca. Private L. N, "G," 5th Wisconsin: died, in Baltimore, 30th September, 1865. Contributed by Surgeon T. Sim, U. S. Vols. See class XX VI I. B. B. d. 1600. The third, fourth, and fifth dorsal vertebrae, with portions of the corresponding ribs. A conoidal carbine ball is a. 16. lodged between the ribs against the pedicle and spinous process ou the left side, which are fractured. The cord was found disorganized at that point. Private A. L, Richardson's Cavalry, (Rebel,) 18: Warrenton Junction, Va.; admitted hospital, paraplegic, Alexandria, 3d May; died, 27th May, 1863. Contributed by Surgeon Robert Reyburn, U. S. Vols. See classes IV. A. B. a ; XXVII. B. is. d. 3976. A wet preparation of the bodies and transverse processes of the last cervical and first two dorsal vertebra, witli a. 17. the corresponding portion of the cord. A conoidal ball entered the anterior part of the neck and e,e iped between the seventh cervical and first dorsal spinous processes, causing effusion of blood within the canal but no direct injury to the cord. Second Lieutenant G. C, "K," 20th North Carolina, (Rebel,) 24: Monocacy Junction, 9th July; died, Frederick, 12th August, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1630. The second, third and fourth dorsal vertebrae. A onoidal ball which first passed through two inches of white a. 18. oak, parallel with the fibre of the wood, entered the body below the left scapula and passed upward through the transverse process of the fourth, lodging in the canal opposite the third vertebra. Private F. N. H., "G," 101st Illinois, 24: wounded on Steam Ram "Switzerland," off Simmsport, La., 3d Juno; died, ou hospital-steamer "Woodford," 7th June, 1863. Contributed by Surgeon James Roberts, Mississippi Marine Brigade. See class XXII. B. B. d. 901. The third, fourth aud fifth cervical vertebrae, with the left transverse processes fractured by a conoidal ball which a. 19. is mounted with the specimen. The bullet entered near the inferior angle of the scapula, passed upward, fracturing its neck, shattered the clavicle, inflicted the injury shown in the specimen, and finally lodged behind the symphysis of the inferior maxilla. Sergeant J. H. R., "H,"' 11th Pennsylvania Reserves: Fredericksburg, 13th December, 1862; died, Washington, January, I si;:;. Contributed by Surgeon 0. A. Judson, U. S. Vols. Sec 640, IV. A. n. b. 3; 641, V. A. b. b. 6. See class XXVII. B. B. d. i;2 CATALOGUE OF THE SURGICAL SECTION III. 3*51. A wet preparation of the third, fourth and fifth cervical vertebrae, of which the anterior portion of the body of the a. 20. fourth ou the left side is fractured by a bullet, which is attached. The vertebra has been sawn open, which must not be mistaken for the original injury. The man was wounded by two pistol balls ; "one entered half an inch inferior to the clavicle near the middle of the insertion of the pectoralis major, passing in a posterior, lateral direction through the apex of the right lung, and lodged near the middle of the posterior border of the left scapula," and was removed in hospital; the other fractured the skull. "The clavicle and first rib were fractured at the wound of entrance, and the fourth and fifth ribs fractured near the spine. The second ball had lodged near the third cervical vertebra." "A small amount of pus was pent up in the body of the sphenoid." Private G. E., "A," 2d Texas Cavalry: Brownsville. Texas, 4th June; complained of pain iu upper part of neck, 25th September.; died, 2<>th October, 1865. The right lung was disorganized. Contributed by Acting Assistant Surgeon A. H. Norris. Sec classes I. A. B. d.; IV. A. B. b.; XXVI. B. B. d. For other illustrations, see 2411, IV. A. a. b. 3; 2448, IV. A. B. a. 8; 4092, V. A. B. b. 36; 3790, V. A. B. b. 14! 1656, XI. A. B. b. 2; 4486, XXVII. B. b. d. 58; 4623, XXVII. B. B. d. 178. b. Involving the Cord. 683. The fourth and part of the third lumbar vertebrae, after fracture by a pistol ball which is attached. The bullet b. 1. entered near the posterior superior angle of the right ilium, slightly fractured its superior border, glanced upward over the transverse process of the fifth lumbar vertebra, deflected against the lower border of the spinous process of h e third, penetrated the spinal foramen through the posterior arch of the fourth, separating its upper portion, again turning downward rested within the fourth, having fractured the right inferior articular process. A considerable part of the bullet was detached. The bullet rested within the leash of nerves forming the cauda equina. Private T. K., alias J. B., "A," 6th U. S. Cavalry, 28: accidentally, Pelton, Texas, 26th March; admitted post hospital, (sixty miles distant,) Austin, 18th April; loss of sensation in the lower extremity; motor power partial and irregular ; excessive pain toward the close of life; died, 28th May, 1866. Contributed by Assistant Surgeon Cyrus Bacon, U. S. Army. 2999. The right halves of the fourth, fifth, sixth, seventh, eighth and ninth dorsal vertebrae. A pistol ball lodged b. 2. against the right transverse process of the seventh, which it shattered. The pedicle of the seventh and inferior articular facet of the sixth are fractured. Partial paralysis of the left extremity at once occurred, and for the last three weeks it was complete below the wound. Pus was found in the theca at the autopsy. Captain J. H., "A," 67th Indiana: Carrion Crow, La., 3d November; admitted hospital, New Orleans, 9th November; died, 19th December, 1863. Contributed by Assistant Surgeon S. H. Orton, U. S. Army. 1694. Several cervical vertebrae, showing fractures from gunshot of the anterior portions of the bodies of the second, b. 3. third, and fourth, which are necrosed at the points of impact. The canal has been opened by ulceration between the bodies of the third and fourth. Contributor and history unknown. 806. The first four lumbar vertebrae, with a conoidal ball, which fractured the left pedicle and transverse process of the b. 4. third, embedded. The bullet is embraced by the fractured bone, which has been consolidated by the deposition of callus. The ball entered half-way from the twelfth rib to the crest of the ilium, penetrating neither the abdominal nor peritoneal cavity. Paralysis of the sphincter existed for three days before death, indicating the involvment of the cord. Private S. R., 14th Indiana: Antietam, 17th September; died, Frederick, 23d October, 1862. Contributed by Acting Assistant Surgeon W. W Keen, jr. See class XXVII. B. B. d. 3985. The first six cervical vertebrae three months after injury. A battered conoidal ball, which fractured the inferior b. 5. maxilla and passed through the pharynx, is lodged in the third, the body of which is transversely fractured and much necrosed. The entire left half of the bone is shattered, and necrosis has involved the adjoining vertebrae. The canal was ultimately opened by necrosis and the cord became softened. Private J. S., "D,''6th Alabama, (Rebel,) 18: Gettysburg, 1st July; slight pain in the neck noticed, Frederick, 1st September; abscess in the neck opened, 12th; partial paralysis occurred, 19th; complete paralysis, 21st; died 28th September, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. S,e 3979, II. A. n. f. 1 ; 3978, XXIX. A. B. a. 37 Sec class XXVII. B. B. d. 3 149. The twelfth dorsal vertebra fractured on the lower portion of the right side by a pistol ball. The track of the b. 6. missile is carious. Private J. McS.. 2d New York Cavalry, 35: admitted hospital, Alexandria, 28th October; died, after excessive haematemesis. 18th November, 1864. Contributed by Surgeon Edwin Bentley, U. S. Vols. Sie 3500, III. A. B. b. 7. A. ]$. OF THE UNITED STATES ARMY MEDICAL MUsEUM 03 3500. A wet preparation of the lower half of the spinal cord after fracture of the twelfth dorsal vertebra. In it* b. 7. recent state the dura mater was congested and firmly adherent to the vertebra, and the substance of the cord was very red. Private J. McS., 2d New York Cavalry, 35 ; admitted hospital, Alexandria, 28th October; died, 18th November, 1-64. Contributed by Surgeon Edwin Bentley, U. S. Vols. See 3449, III. A. B. b. 6. 3185. Two lumbar vertebrae, with a battered conoidal ball embedded between the spinous and transverse processes of b. 8. the second, which encroached upon the canal and induced fatal spinal meningitis. Corporal G. B., " D," 22d Pennsylvania: probably Petersburg; admitted hospital, Baltimore, 3d; died, 5th July, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See class XXVII. B. B. d. 1080. A wet preparation of a portion of the spinal cord and membranes opposite the fifth dorsal vertebra. A conoidal b. 9. ball passing from right to left fractured the spinous process of the fifth dorsal vertebra. The specimen has been longitudinally split at two places on its posterior surface, but exhibits in its present condition no abnormal condition except a possible thickening. In the recent state the membranes were somewhat injected and the substance of the cord appeared a little darkened. A large sac filled with clotted blood extended from the fifth cervical to the first lumbar vertebra averaging three inches in breadth. An abscess one inch in width, bound down by the deep t'a-cia, extended from the last cervical to the first dcrsal vertebra. Private J N , "F," 1st Maryland, 26: Hatchers Run, Va., 6th February; admitted hospital, Baltimore, 11th February; died, from secondary haemorrhage, 1st March, 1865. Contributed by.Acting Assistant Surgeon W. G. Smull. 4346. The last two cervical and first three dorsal vertebrae. A bullet fractured completely the left transverse process b. 10. of the seventh and partially those adjoining it. A partial fracture extends down the spinous process of the first dorsal. All the fractured extremities are carious, and a small deposit of callus has occurred on the first spinous process. Private D. A. C, "D," 4th New York Heavy Artillery, 17: Petersburg, 31st March ; admitted hospital, Washington, 4th April; died, 27th April, 1865. Coutributed by Surgeon R. B. Bontecou, U. S. Vols. 3850. The fourth, fifth, sixth and seventh dorsal vertebrae. All the processes of the sixth, except a portion of the left b. 11. transverse, have been carried away by a conoidal ball which passed from left to right and injured the posterior portion of the body of that bone. The inferior portion of the fifth and superior portion of the sixth spinous processes are also fractured. Private H. F. W., "H," 6th Michigan Cavalry, 48: wounded near Winchester, November; admitted hospital, paraplegic, Frederick, 25th December, 1864 ;" died, 3d January, 1865. Contributed by Acting Assistant Surgeon J. C Shimer.' 2204. The eighth and ninth dorsal vertebrae. A small conoidal pistol ball is lodged in the body of the ninth vertebra, b. 12. which is much necrosed and through which ulceration has extended to the canal. A. W., (a political prisoner,) 33: wounded, 10th February; admitted hospital, Nashville, 3d March; died, from pneumonia, 15th March, 1S64. Contributed by Acting Assistant Surgeon G. P. Hachenburg. See class XXVII. B. B. d. 2579. Several lumbar vertebrae, with the right transverse processes fractured by a bullet which crushed the cord. b. 13. Private L. W. C, "G," 2d United States Sharpshooters (Volunteers): wounded, 23d May; admitted hospital, Washington, 29th May; died, 16th June, 1864. Contributed by Surgeon G. L. Pancoast, U. S. Vols. 3530. The fifth, sixth, and seventh dorsal vertebrae, with a conoidal bullet, which impinged against the right transverse b. 14. process, destroying it and partially fracturing the spinous process and the body, against which it lodged. The marks of incipient caries are observable around the seats of fracture. Private W. H. 0 , "H," 14th New York H^avy Artillery, 20: wounded in Virginia; admitted hospital, Washington, 26th May, 1864 ; died the next day. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XXVII. B. B. d. 118. The third aud fourth lumbar vertebrae, with the fourth fractured in the upper portion of the right side of its body. b. 15. Private A. H., 105th Pennsylvania: wounded. 2d July; admitted hospital, Washington; died, 3d August, 1-62. Contributed by Acting Assistant Surgeon W. W. Keen, jr. (14 CATALOGUE OF THE SURGICAL SECTION III. 3190. A wet preparation of a portion of the cord and membranes after fatal spinal meningitis. The membranes are b. 16. ulcerated at a point opposite the fracture of the dorsal vertebra. Private T. B., " F," 122d Ohio, 27: admitted hospital, Baltimore, 15th May; died, 20th July, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 3030. The sixth, seventh and eighth dorsal vertebrae. A conoidal ball which entered the left scapula near the inferior b. 17. angle has lodged in the seventh vertebra and is embedded at the junction of the processes with the body on the left side, encroaching upon the canal. Corporal G. W. M., "B,"53d Pennsylvania, 19: Cold Harbor, 3d June; admitted hospital, paraplegic, Washington, 7th; died, 19th June, 1801. Contributed by Surgeon R. B. Bontecou, U. S. Vols. See 3(1811, IV. A. B. b. 14. See class XX VII. B. B. d. 1111. The second, third, and fourth dorsal vertebrae. The spinous and left transverse processes of the second are b. 18. shattered by a conoidal ball, which lodged, closing the spinal canal. A portion of the right rib, which is attached, is shattered in its head. Slight osseous deposits have occurred on each of the bones in this specimen. This man lost his left eye by a shell, and received a scalp wound of the left side at the same time. Corporal W.J. F., " B," 1st Michigan : Chancellorsville, 3d May; died, 13th May, 1863. Contributed by Assistant Surgeon C. C. Byrne, U. S. Army. See class XXVII. A B. d. 2939. The eighth, ninth, and tenth dorsal vertebrae. A conoidal ball is embedded b. 19. in the vertebral canal of the ninth, having carried away parts of the right transverse and spinous processes of the eighth and ninth. Sec figure 36. Private F. L., "H," 8th New York, 26: Cold Harbor, 3d June; admitted hospital, paraplegic, Washington, 11th June; died, 2d July, 1861. Contributed by Surgeon O. A. Judson, U. S. Vols. See 4627, XXVI. A. 1,24. See class XXVII. B. B. d. 4093. The last dorsal and first two lumbar vertebrae. A conoidal ball, which destroyed by a conoidal ball which lodgedln b. 20. the spinous process of the twelfth dorsal and a part of the right pedicle of the the canal. Spec. 2939. first lumbar, remains in the spinal canal. Private J. B., "G," 1st Maine Cavalry: Petersburg, 1st April; admitted hospital,Washington, 4th; died, 12th April, 1865. Contributed by Acting Assistant Surgeon C. H. Bowen. See class XXVII. B. B. d. 3523. The third and fourth lumbar vertebrae. A conoidal ball from the rear has entered the spinal canal, having b. 21. fractured the spinous processes and arches of the second and third vertebrae, which, in this specimen, are attached. Private E. H , "E," 149th Pennsylvania, 40: wounded, 8th May; admitted hospital, paraplegic, and died in a few hours, Washington, 18th May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XXVII. B. B. d. 1525. A dorsal vertebra traversed on the under side of the body by a bullet which has fractured the transverse and b. 22. spinous processes. Contributed by Surgeon John A. Lidell, U. S. Vols. 3230. The fourth, fifth and sixth dorsal vertebrae. A conoidal ball fractured the posterior portion of the richt scapula b. 23. for two inches, passed upward and fractured the sixth rib externally to its tubercle, passed through the arches of the fifth and sixth vertebrae, and lodged in the cervical portion of the left trapezius. The lower border of the ri"-ht transverse process of the sixth, the spinous processes of both, and a portion of the left transverse process of the fifth have beent carried away, and incipient caries exists in the body of the sixth. Corporal T. S., "C," 205th Pennsylvania: probably wounded before Petersburg, about 1st April; received at hospital dead, Alexandria, 8th April, 1865. Contributed by Surgeon Edwin Bentley, U. S. Vols. See. class XXV11. B. B. d. 3796. The third and fourth lumbar vertebrae with a conoidal ball, which entered from the right rear, deeply embedded b. 24. at the junction of the bodies. The missile shattered the right superior articular process. The left ankle and lower third of left femur were shattered at the same time. A.B. OF THE UNITED STATES ARMY MEDICAL MTTSEI'M. 65 Sergeant W. W. C "H," 26th Massachusetts: Opequan, 19th September; thigh amputated in the upper third by Assistant Surgeon J. N. Braut, 9th New York Heavy Artillery, 20th September; died exhausted, with partial paralysis of the right leg, 3d November, 1864. Contributed by Acting Assistant Surgeon W. Leon Hammond. See classes XVI. A. a. e.; XIII. A. A. d.; XXVII. B. B. d. 2447. The eleventh and twelfth dorsal vertebrae. The spinous process of the twelfth is vertically fractured near its b. 25. extremity, and the body of the vertebra is transversely fractured with comminution in its superior fourth. The fractured edges are necrosed, and the bony walls of the canal show traces of suppuration. W. P., Sailmaker's Mate, U. S. S "Sciota": blown up by a torpedo, and received on U. S. S. "Tallahatchie," Mobile Bay, Ala., 14th April; died in hospital, Fensacola, Fla., 5th May, 1865. Contributed by Surgeon P. J. Horwitz, Chief of the Bureau of Medicine and Surgery, U. S. Navy. 1198. The sacrum and last three lumbar vertebrae. A round ball opened the sacrum from the rear, entered the spinal b. 26. canal, and remained between the theca and the body of the fifth lumbar vertebra. There was no paralysis of sensation or motion. Private M. H., "D," 13th New York: Gaines' Mill, 27th June; died, exhausted, Philadelphia, 27th December, 1862. Contributed by Acting Assistant Surgeon G. W. Morehouse. See class XXVII. B. B. d. 1791. Portions of several cervical vertebrae four weeks after injury, showing the bodies of the third and fourth nearly b. 27. entirely carried away by gunshot and subsequent suppuration. The borders of the cavity are necrosed, and the membranes have ulcerated sufficiently to expose a large extent of the cord. The specimen illustrates how life may be preserved for a long time after extensive injury to the spinal canal. Private E. W. V., "K," 1st Virginia Cavalry (Rebel): wounded, 13th April; died, 11th May, 1863. Contributed by Surgeon B. Beust, U. S. Vols. 3984. The fourth, fifth, sixth, seventh and eighth dorsal vertebrae. A conoidal ball which entered the left intervertebral b. 28. notch between the fourth and fifth vertebrae, slightly fracturing the pedicle, and then lodged point downward in the canal, is sawn through in a section made at that point. Private C. S., "E," 87th Pennsylvania: admitted hospital, paraplegic, Frederick, 10th July; died, 13th October, 1864. Contributed by Acting Assistant Surgeon W. S. Adams. See class XXVII. B. B. d. 4082. The fifth and sixth dorsal vertebra; and a portion of the fourth. A conoidal ball entered near the left clavicle, b. 29. passed downward through the third, fourth and fifth vertebrae, and was found lying against the sixth rib on the right side. The body of the fourth is carried away and the transverse process of the fifth is shattered, together with the terminations of the fifth and sixth ribs. Slight deposits of new osseous matter are seen. Private G. H. C, "H," 64th Now York, 17: probably Petersburg, 25th March; admitted hospital, Washington, 30th March; died, 5th April, 1865. Contributed by Acting Assistant Surgeon J. P. Arthur. 757. The second, third and fourth dorsal vertebrae. A conoidal ball entered above the right transverse process ol b. 30. the third and emerged from the corresponding intervertebral notch on the left side of the spinal column. Private J. J., 14th Connecticut: Antietam, 17th September; admitted hospital, Frederick, 20th September; died, 11th October, 1862. Contributed by Assistant Surgeon G. L. Porter, U. S. Army. See class XXVII. B. B. d. 2532. The lumbar vertebrae, with the third fractured by a conoidal ball which is attached. The missile appears to b. 31. have passed from the left directly through the intervertebral notch between the third and fourth vertebrae, chipping the superior articular process of the fifth and the adjacent portion of the spinous process of the fourth, fracturing the left transverse process of the fourth, and emerging through the body of that vertebra on the right side. Life continued long enough for incipient caries to present itself. Contributed by Surgeon John A. Lidell, U. S. Vols. See class XXVII. B. B. d. 4083. The seventh cervical and first seven dorsal vertebrae. A conoidal ball entered near the eighth vertebra on the b. 32. right side and passed upward and inward through the bodies of each, shattering them, until it lodged in the third against the bottom of the second. The left transverse processes of the sixth and seventh are carried away, and the right ones are fractured. A nearly transverse section has been made through the body of the fifth, which is fractured, and its right lamina shattered. The bodies of the third and fourth are much shattered. Very slight new osseous deposits occur at various points on the specimen. Sergeant J. T. IT., " B," 60th Georgia, (Rebel,) 24: probably Petersburg, 25th March; admitted hospital, Washington, 30th March; died, 4th April, 1865. Contributed by Acting Assistant Surgeon J. P. Arthur. See class XXVII. B. B. d. 9 ci; CATALOGUE OF THE SURGICAL SECTION III. 2766. The first three and a sectton of the fourth lumbar vertebra;. The third and fourth are obliquely perforated by b. 33. a conoidal bullet, which carried away the right transverse process of the fourth, entered that vertebra just anterior to its root, and passing transversely upward lodged .about the middle of the left side of the body of the third vertebra. The body of the third-vertebra on the right side appears to have been injured by another missile of small size, but it is not mentioned in the history. Caries marks the track of each bullet. A section made after death passes through both wounds in the third vertebra. The cord was impinged upon by a displaced fragment of the fourth vertebra. The conoidal bullet, sawn obliquely, is mounted with the specimen. Private G. D., "I," 26th Pennsylvania: Gettysburg, 1st July; admitted hospital, Philadelphia, 13th; the bullet could not be found, although a vertebral fracture was detected ; there was no paralysis of sensation or motion, but great pain in the wound was complained of; became much worse, 20th: died, 24th July, 1863. Contributed by Acting Assistant Surgeon Wm. V. Keating. See class XXVII. B. B. d. 347M. Several of the dorsal vertebrae, showing an old transverse fracture with lateral displacement of the body oi b. 34. the seventh. There is no history to the case, but death does not appear to have been prompt. Received from hospital Second Division, Twentieth Corps. 717. A wet preparation from the lower portiou of the spinal cord severed by a conoidal ball between the twelfth b. 35. dorsal and first lumbar vertebrae, which were transversely fractured. The eleventh and twelfth ribs on the right side were fractured also. The cord is ragged at the point of section, and the lower portion, which has lost its sheath, is congested. Private W. S. L., "C," 32d Iowa, 32: before Nashville, 10th December, 1864; died, exhausted, 4th January, 1865. Contributed by Assistant Surgeon S. C. Ayres, U. S. Vols. See 4710, XXVII. B, B. d, 214. 796. Portions of the sixth, seventh, eighth and ninth dorsal vertebrae. The transverse processes of the seventh and b. 36. eighth and the spinous process of the eighth are fractured and the canal opened. There are trivial osseous deposits. Private A. C, "C," 32d New York: admitted hospital, with paraplegia and hyperesthesia of the crural nerves, Washington, 14th May, 1862: died from pyaemia. Contributed by Assistant Surgeon C. C. Byrne, U. S. Army. B. Injuries not caused by Gunshot. fa. Involving the bones only. A. Recent Conditions. I*- Involving the cord. • I c. Results of operations. l,d. Dislocations. a. Involving the Bones Only. 300. A ligamentous preparation of the axis and atlas, showing an absence of dislocation after execution by hanging a. 1. The transverse ligament was slightly nicked in the autopsy, but not sufiiciently to permit any displacement. This specimen, with others from the same case, is good evidence of the mode of death in some cases of hanging. Captain H. W. (Rebel): hung by sentence of military commission, Washington, 10th November, 1865. Contributed by Brevet Major W. Thomson, Assistant Surgeon, U. S. Army. See 26. Contributed by Assistant Surgeon W. Thomson, I'. S. Army. See class XXVII. B. B. d. 31. The sternum transversely fractured at the articulation of the third and b. 26. fourth ribs by a round bullet, which did not penetrate the chest. Much depression exists with the injury, and the fractured edges are necrosed. I'rivate J. E. A., " I," 32J New York: before Richmond, 25th June; died, in Wash- ington, 1st August, 1862. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. 2911. The upper portion of the sternum fractured by a shell wound and necrosed. The bone is fractured longitudinally b. 27. and obliquely with some displacement. It is carious within to a considerable extent, and on the internal surface is partially covered with a plate of new deposit. Private H. B., " B," 27th Michigan, 21 : admitted hospital, Washington, 16th May; died, from pleurisy, 15th July, 1864. Contributed by Assistant Surgeon H. Allen, U. S. Army. 178. The left scapula, showing gunshot fracture of its head and b. 28. dorsum, with two fragments of conoidal ball in the body of the bone just below the spine. A complete fracture with much loss of substance extends across the dorsum parallel to the spine and just below it. A layer of thin, friable, yellowish exudation covers the posterior part of the internal surface of the bone. See figure 39. Private W. F., " F," 18th Massachusetts, 30: Second Bull Run, 30th August; admitted hospital, Georgetown, 31st August; died from pyaemia, 25th September, 1862. Contributed by Acting Assistant Surgeon W. H. Butler. See. 4628, XXVI. A. 2, 86. Sec class XXVII. B. B. d. 636. Portions of the left scapula and clavicle. A conoidal ball b. 29. perforated the spine just below its crest and three inches from the tip of the acromion, chipped the clavicle at the insertion of the conoid ligament, and rested at the bifurcation of the trachea. Private W. H. C, "H,"31st Georgia (Rebel): Fredericksburg, 13th December, 1862; died exhausted, Washington, 8th January, 1863. Contributed by Surgeon O. A. Judson, U. S. Vols. Sec class XXVII. B. B. d. 3381. The right clavicle, with its acromial end chipped off and the acromion fractured at its junction with the spine. b. 30. Corporal C. F., "D," 13th Iowa, 29: admitted Field Hospital, Koine, Ga., 12th July, 1864; died with phlebitis. Contributed by Surgeon George F. French, U. S. Vols. 3650. The left clavicle and scapula. The clavicle is fractured near its sternal extremity, and the scapula is perforated b. 31. about the centre of its lower plate. The fractured extremities of the collar bone are necrosed and wi hout union. The greater portiou of each side of the lower plate of the scapula is covered with a thin deposit of new bone, while the immediate edges of the perforation are necrosed. Private L. R., "' D," 16th Pennsylvania Cavalry. Contributed by Acting Assistant Surgeon A. A. Smith. S.e 3634, XVIII. II. A. B. b. 3. 2183. The left fourth and fifth ribs comminuted for two inches in their middle thirds, with no attempt at repair. b. 32. Si-rgi-ant J. K., "A," 35th Illinois, 46: admitted hospital, Nashville, lid December; died exhausted, 16th Deeeinber, I -■>'■'> Contributed by Acting Assistant Surgeon W. H. Matlock. Fig. 38. Sternum fractured by a ball, which is attached. Spec. 1073. Fig. 39. Badly fractured scapula. Spec. 178. A. 15. OF THE UNITED STATES ARMY MEDICAL MUSKUM ( I 617. Portions of the last three ribs of the right side with the eleventh completely fractured by a tompion. The b. 33. fragments are partially united by new bone, which entangles some necrosed portions. I'rivate G. M., "C," 13th New Jersey: shot by a comrade in the rear rank who neglected to remove his tompion, Antietam, 17th September; admitted hospital, Philadelphia, 26th September; died, 18th October, 1862. Contributed by Acting Assistant Surgeon H. Hart. See 616, XIX. A. B. a. 39. See class XXVII. B' B'. 2367. The seventh, eighth, ninth and tenth ribs of the left side. The ninth rib near its middle is obliquely fractured b. 34. with comminution an inch and a half externally and two inches internally. The eighth rib is obliquely fractured directly above it, with little comminution externally, and with a section embracing its entire width and one and a half inches in length detached internally. The bullet penetrated the lung. Traces of periosteal disturbance are discernable on the internal surfaces of the four ribs, and externally on the two that are fractured. Private J. H., "H,"49th Pennsylvania, 28; probably Wilderness, 5th May; admitted hospital, Baltimore, 15th: died, after secondary haemorrhage, 23d May, 1864. Contributed by Acting Assistant Surgeon B. B. Miles. 845. Portions of the eleventh and twelfth ribs of the right side, completely fractured b. 35. and surrounded at the points of solution with large irregular formations of callus. See figure 40. Private S B., "A," 9th New York State Militia (83d Volunteers): Fredericksburg, 13th December; admitted hospital, Washington, 22d December, 1862; died with empyema, 21st January, 1863. Contributed by Surgeon H. Bryant, U. S. Vols. ribs! Spec'. 845. See 4627, XXVI. A. 1, 30. Fig. 40. Attempted repair of fracture 4092. The second, third, fourth, fifth and sixth dorsal vertebrae with portions of the corresponding ribs on the left side b. 36. A bullet passed through the spine of the right scapula, fractured the spinous and left trausverse processes of the third and fourth vertebrae, and shattered the fourth and fifth ribs posteriorly to their angles, destroying the lung substance and escaping through tbe trapezius. Private C. B., "B," 11th Pennsylvania, 50: Hatcher's Run. Va., 2d April; admitted hospital, Washington, 10th; died, 28th April, 1865. Contributed by Acting Assistant Surgeon C. H. Bowen. See clas cs III. A. B. a.; XIX. A. B. a. 3640. The sternum and the anterior terminations of several ribs of the right side. The costal extremity of the third is b. 37. fractured by a conoidal ball which entered at that point and escaped from the axilla. Corporal W. A. B., "D," 59th Massachusetts, 27: Petersburg, 15th July; admitted hospital, Philadelphia, 26th July ; died, from secondary haemorrhage, 14th August, 1864. Contributed by Acting Assistant Surgeon A. A. Smith. 2809. The costal cartilages and anterior portions of the fifth, sixth, seventh, eighth and ninth ribs. The seventh and b. 38. eighth ribs are fractured at their extremities and are necrosed. Private C. H. S., "E," 2d Michigan Cavalry, 17. Contributed by Surgeon N. R. Mosely, U. S. Vols. 2925. The seventh cervical and first three dorsal vertebrae, with the corresponding ribs and part of the sternum. The b. 39. second left rib was stiuck at its costal extremity by a bullet, which, passing transversely, tore away the cartilage, comminuted the sternum, and separated the cartilaginous attachment of the second right lib. The sternum is extensively necrosed, especially on its internal surface, the second portion of which shows traces of periosteal disturbance. The wound was interesting in exposing to view the pulsations of the heart and aorta. Private A. C, "A," 2d New Y'ork Heavy Artillery, 21: Petersburg, 29th June; admitted hospital, Washington, 5th July ; secondary haemorrhage from the internal mammary, which was ligated by Surgeon O. A. Judsou, U. S Vols., 13th; died, 19th July, 1864. Contributed by the operator. 3633. The upper third of the sternum and parts of the clavicle and first rib on the left side, and of the clavicle and first b. 40. two ribs on the right side. A conoidal ball, at short range, after fracturing the head of the left humerus, passed transversely through the sternum from left to right, badly tearing it up, fracturing tbe first rib on the right side and lodging in the lung. Private J. V., "D," 14th New Jersey, 39: accidentally wounded, Winchester, 20th October; died from pya>mia, 31st October, 1864. Contributed by Acting Assistant Surgeon A. A. Smith. 78 CATALOGUE OF THE SURGICAL SECTION IV. 2391. The scapula and parts of the first six ribs of the right side. A bullet has perforated the scapula just below the b. 41. epine and near its posterior border, carrying away about one square inch of its surface and depressing twice as great an area, and destroying the spinal extremities of the fifth and sixth ribs. It then badly fractured the third, fourth and fifth dorsal vertebrae aud the fourth rib of the right side. The coracoid and acromial extremities and the glenoid cavity have been the seat of necrosed action, which appears to have been arrested before death. Private N. P., "G," 124th Now York, 18: died, 17th May, 1864. Contributed by Acting Assistant Surgeon A. Ansell. See 2330, III. A. a. b. 8. 2121. The lower third of the right scapula and the adjoining portions of the seventh, eighth, ninth and tenth ribs. b. 42. The ball struck four inches below the axilla, and passing backward escaped at the inferior angle of the scapula. The specimen shows the extremity of the scapula carried away, the tenth rib comminuted, aud the ninth contused. The fractured extremities are uecrosed. The thoracic surfaces show free deposits of osseous matter which agglutinate them. The specimen is also interesting as a memorial of the ligation of the intercostal artery. Private F. W., "A," 33d Ohio: Chickamauga, 20th September; remained on the field ten days ; then admitted hospital, Murfreesboro'; intercostal ligated for secondary haemorrhage, by Surgeon I. Moses, U. S. Vols., 5th October: "died of emphysema of the same side," late in October, 1863. Contributed by the operator. See class XVIII. II. A. B. b. 1215. The right scapula, upper third of the humerus, and sections of the fifth, seventh and eighth ribs. Two inches b. 43. of the inferior angle of the scapula are separated. The inner part of the humerus is carried away, and fissures run two inches down the shaft, making the fracture complete. The ioint surfaces are normal. Oblique fractures of the three ribs exist near their centres. There is no attempt at repair. Private T. L., "K," 1st Massachusetts, 42: Second Fredericksburg, 3d May; admitted hospital, Washington, 9th; died, 11th May, 1863. Contributed by Surgeon O. A. Judson, U. S. Vols. See class VI. A. B. b. 720. The right scapula and sternal half of the clavicle. A bullet has carried away the distal extremity of the clavicle, b. 44. aud passing backward and downward fractured the scapula at the junction of the spine and dorsum, shattering both. The points of immediate perforation are necrosed, and the adjacent bone has slight deposit of new matter. The head of the humerus, which is attached, is eroded, which was not suspected in life. Private W. A. F., ,-G," 16th Maine: Fredericksburg, ]3th December; admitted hospital, Washington, 18th December, 1862; died, 13th January, 1863. Contributed by Assistant Surgeon Alex. Ingram, U. S. Army. 1304. The clavicle, scapula and first and second ribs of the right side. A bullet entered near its sternal extremity, b. 45. comminuted the clavicle, fractured the first and second ribs, and escaped through the scapula just below the spine, which is greatly shattered. The subclavian artery was not opened, although the inner coats were much lacerated and the vein was torn. Sergeant J. M. W., "I," 53d Massachusetts, 45 : Port Hudson, La., 27th May; admitted hospital, New Orleans, 29th May ; died, 7th June, 1863. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. Sec 1305, XXII. A. B. a. 2. 2-15. The clavicle, third, fourth, fifth and sixth ribs, and scapula of the left side, all fractured by a conoidal ball. b. 46. The clavicle is fractured nearly transversely, with little comminution, at the junction of the outer thirds. Callus has been moderately deposited without union. The third, fourth and fifth ribs have been fractured near their angles, and are bound together by new bone, which has irregularly repaired the injury and attached them to the sixth. The scapula is perforated near the posterior border and below the spine, with the loss of about one square inch of substance. A fissure two inches in length extends interiorly from the point of perforation, another of three inches occupies the spine in its length, and two smaller ones cross the upper plate of the bone. A small amount of callus is deposited about the perforation. Private E. L., 87th New Y'ork: Second Bull Run, 29th August; admitted hospital, Washington, 1st September; died from pneumonia, after exposure against orders, 3d November, 1862. Contributed by Surgeon A. Wynkoop, U. S. Vols. For other illustrations, see 3524, III. A. B. a. 5; 679, III. A. B. a. 8; 3851, III. A. B. a. 20; 3790, V. A. B. b. 14; 2117. XIX. A. B. a. 5; 2636, XIX. A. is. a. 6; 1722, XIX. A. n. a. 8; tilii, XIX. A. B. a. 11 ; 2707, XIX. A. B. a. 16; 1315, XIX. A. B. a. 31; 1789, XX. A. B. a. 22. A. B. OF THE FNITED STATES ARMY MEDICAL MUSEUM. 7D c. After operations. \ c^ Excisions. r I cz. Kemoval of fragments. cy. Excisions. 3844. Three inches of the outer portion of the left clavicle in two fragments, removed by the chain saw after a shell cy. 1. wound. The specimen is considerably necrosed. Attached is a tubular sequestrum two inches in length. Sergeant J. H., "I," 9th New York State Militia: Antietam, 17th September; admitted hospital, Frederick, 23d September; specimen removed, 12th October; sequestrum came away, 12th December, 1862. Discharged the service. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 372. Three inches of the acromial end of the left clavicle excised for a comminuted fracture. The fragments of the cy. 2. lower surface are chiefly wanting. Operation performed by Acting Assistant Surgeon A. S. Green. Contributed by Surgeon W. Varian, U. S. Vols. 3760. The superior portion of the sternum fractured, and a part of the left clavicle. The clavicle appears to have cy. 3. suffered excision of its middle third. Necrosis has begun to invade the iuferior portion of the fragment of the sternum, which had been crushed into the anterior mediastium. Private J. B., "D," 57th Illinois, 20: admitted hospital, Nashville, 19th June; died, from secondary lucmorrhage from the internal mammary, 11th July, 1864. Contributed by Acting Assistant Surgeon R. T. Higgins. 2294. The acromion and upper third of the spine of the left scapula and a conoidal ball. cy. 4. Private G. R. M., " E," 124th Pennsylvania: Wilderness, 6th May; admitted hospital, Washington, 14th ; bullet extracted and specimen excised, by Acting Assistant Surgeon Clark, 17th May; transferred to Philadelphia, doing well, 9th September, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. See class XXVII. B. b. d. 794. An excised portion of the acromion and the spine of the right scapula four inches in length. The spine had cy. 5. been comminuted by a bullet, a part of which is attached. The acromial end of the specimen is honeycombed with necrosis. Private J. P., "H," 14th Indiana, 24: Antietam, 17th September; admitted hospital, Frederick, 27th September; excised by Acting Assistant Surgeon W. W. Keen, jr., J4th October; the shoulder-joint opened by ulceration, 6th November: died from pleurisy, 15th November, 1862. Contributed by the operator. See 827, IV. A. b. cy. 6. See class XXVII. B. B. d. 827. The right scapula, from which the entire spine has been excised after fracture by a conoidal ball. A fracture cy. 6. with loss of substance extends from the supra-scapular notch downward parallel to the anterior border. New bony cribriform plates have been deposited on both surfaces. The upper third of the humerus is attached, to show the secondary disease to the articular surface. Private J. P., " H," 14th Indiana, 24: Antietam, 17th September; spine and acro- mion excised, by Acting Assistant Surgeon W. W. Keen, jr., 14th October; died from pleurisy, 15th November, 1862. Contributed by the operator. See 794, IV. A. B. cy. 5. 1090. Nearly the whole of the infra-spinous portion of the left scapula and a cy. 7. small portion of the glenoid fossa, removed by operation after fracture by a conoidal ball. The bullet struck midway between the inferior angle and the spine, shattering the bone and lodging in the glenoid cavity without injury to the humerus. The spine and superior fossa were left intact. See figure 41. Private F. E. B.,—— Connecticut, 51: Chancellorsville, 3d May; admitted hospital, Washington, 7th May, 1863; operation performed by Surgeon H. Bryant, U. S. Vols.; discharged, with useful forearm, March, 1864. Contributed by the operator. See class V. A. B. c. Fig. 41. Infra-spinona portion oi scapula ixcised. Spec 1090. so CATALOGUE OF THE SURGICAL SKCTION IV. cz. Removal ok Fracmi.xts. 137. The right clavicle longitudinally fractured through the middle and outer thirds. A number of fragments have cz. 1. been removed from the bone at the sternal convexity. No union whatever has occurred, but the sternal extremity of the fracture is slightly necrosed The bone is rather above the average length. Unknowi: Antietam, 17th Siptamber; subclavian artery torn; die 1 from secondary haemorrhage Koedysville, 19th September, 1862. Contributed by Assistant Surgeon S. A. Storrow, U. S. Army. 56. A fragment of rib completely fractured. A few minute spiculae appear to have been removed. The fractured cz. 2. extremities are necrosed and there is no attempt at repair. Contributed by Acting Assistant Surgeon D. W. Cheever. B. Injuries not caused l>y Gunshot. f a. Contusions and partial fractures. A | b. Complete fractures . Recent Conditions. i ke. .. ( cy. Excisions. ] C. After operations, j £ Eemoval of fragmen's. I. d. Dislocations. b. Complete Fractures. 1631. The left scapula transversely fractured parallel with the spine and about two inches below it. The right b. 1. humerus and ulna and both radii were comminuted; the clavicle and all the ribs of the left side except the twelfth, and all of the right side except the first, second and twelfth were fractured; and the left lung was lacerated. J. G., employe' of Subsistence Department, 36: run over by city passenger railroad car, and died in oue hour, Washington, 10th April, 1863. Contributed by Acting Assistant Surgeon John E. Smith. See 1786, VI. B. a. b. 1; 1784, VIII. B a. b. 1. 3201. The left scapula and clavicle after fracture by a rail car. The scapula presents a fracture commencing at the b. 2. supra-scapular notch, and passing downward and backward for three inches following the line of the lower ridge on the venter of the bone parallel to the anterior border and terminating about one-half inch from it. The clavicle is fractured at the junction of the middle and outer thirds, the line of fracture being oblique from above downwards, and enclosing a small triangular piece of bone on the lower surface. V. K, employe of Subsistence Department: admitted hospital, Washington, 20th July; died, 23d July, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 1639, VI. B. a. b. 2; 1640, XVIII. II. B. B. a. 1. For other illustrations, see 2977, XI. B. a. b. 1; 2991, XIII. B. A. c. 2. c„ OF THE UNITED STATES ARMY MEDICAL MUSEUM. 81 f a. Contusions and partial fractures. -q b. Complete fractures. tf. Secondary Conditions. ^ c. After operation, j cy- Exdsions^ ^^ d. Dislocations. b. Complete Fractures. 4332. A sequestrum, partially tubular and conoidal, three inches in length and separated from the sternal end of the b. 1. right clavicle two years after injury. The complete circumference of the bone is preserved only, and there irregularly, around the sternal extremity, and occupies about one-third of the length of the specimen. The remaining portion is spindled out into a ragged extremity. Private J. Q., "E," 9th New York cavalry: the clavicle was fractured by his horse, shot in a charge, falling on him, Winchester, 8th June, 1862 ; treated for and recovered from general emphysema in a Washington hospital, and several loose spicula: removed while there; admitted hospital, New York, 21st October, 1863; specimen removed by Acting Assistant Surgeon Merritt, 21st June; invaded by hospital gangrene, 9th July; recovered under the influence of bromine, 26th July; discharged the service with a useful arm, new bone having been largely deposited, 1st October, 1864. Contributed by Acting Assistant Surgeon G. F. Shrady. See 308, XXV. A. A. b. 7. c, Dis 415. Two necrosed fragments one and one and a half inches in length, respectively, from the acromion and spine of the C. 1. scapula, removed by excision for ulceration following an abscess not induced by injury. Four very minute fragments are attached. Private M. O., "D," 8th U. S. Infantry, 20: operation performed in Baltimore. Contributed by Surgeon L. Quick, U. S. Vols. 11 V. INJURIES AND DISEASES OF THE SHOULDER JOINT. Ai Gunshot Iniuri unes. { A.. Primary. 13. Secondary. f a. Contusions and partial fractures. b. Complete fractures. { c. Excisions. I d. Amputations. t e. Other operations. f a. Contusions and partial fractures. b. Complete fractures. I c. Excisions. d. Amputations. e. Other operations. f. Sequestra and exfoliations. B Injuries not caused by i Gunshot. A. Primary. j). Secondary. a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. d. Excisions. e. Amputations. f. Other operations. a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. d. Excisions. e. Amputations. f. Other operations. k g. Sequestra and exfoliations. c. Diseases V. SHOULDER JOINT. iVt Gunshot Injuries. f a. Contusions and partial fractures. | b. Complete fractures. i c. Excisions. [ d. Amputations. L e. Other operations. b. Complete Fractures. 2689. The upper two and a half inches of the left humerus, with a vertical fracture through the head and three b. 1. longitudinal fractures of the shaft. The epiphysis is detached. A conoidal ball, which appears to have struck the anatomical neck posteriorly, is mounted with the specimen. Contributor and history unknown. See class XXVII. B B. d. 2986. The upper portion of the left humerus, with a conoidal ball lodged in the head at the extremity of the bicipital b. 2. groove. Three slight fissures radiate from the seat of injury, at which the comminution is very trivial. Contributor and history unknown. See class XXVII. B. B. d. 4176. The upper portion of the left humerus perforated directly through the head and surgical neck. A fair example b. 3. of the shattering consequent upon such wounds. Received from the Ninth Corps Field Hospital. 3705. The upper half of the right humerus. A canister shot, which lodged beneath the scapula, struck the surgical b. 4. neck and carried away its outer half. The line of fracture extends four inches down the inner side of the shaft. A vertical fracture extends through the head between the tuberosities. Private A. C, "A," 55th Massachusetts (colored): Grahamsville, S. C, 30th November; died, Beaufort, S. C, 6th December, 1864. Contributed by Surgeon John Trenor, jr., U. S. Vols. c. Excisions. 1377. A section one-third of an inch in thickness, excised from the outer portion of the head of the left humerus for C. 1. fracture. A portion of the conoidal ball is attached. A section of the acromion which was made at the same time has not been preserved. Private H., "K," 4th U. S. Infantry: Gettysburg, 2d July, 1863; excised by Assistant Surgeon B. Howard, U. S. Army. Contributed by the operator. See class XXVII. B. B. d. 4278. The head of the humerus, in a number of small fragments, excised at the surgical neck. A card photograph, c 2. showing the appearance of the arm after recovery, stands with the specimen. Private C. R., "H," 90th Pennsylvania, 19: Spottsylvania, Va., 10th May; admitted hospital, and excised by Assistant Surgeon W. Thomson, U. S. Army, Washington, 14th May, 1864. Recovered with "a very useful arm." Contributed by Assistant Surgeon W. F. Norris, U. S. Army. See 4628, XXVI. A. 2, 66. 2838. Portions of right scapula and humerus, from a subject on whom excision of the head of the humerus had been per- c. 3. formed in the field. The wound was gangrenous at the time of death, and the specimen shows no reparative effort. Corporal H. D., "K," 106th Pennsylvania, 40: wounded and excised before Petersburg, 18th June; admitted hospital, Washington, 30th June; died, 14th July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See class V. A. B. c. A. Pr imary. 86 CATALOGUE OF THE SURGICAL SECTION V. 3386. The head of the left'humerus excised through the surgical neck. A conoidal ball is impacted in the cancellated c. 4. structure of the epiphysis, parallel with the long diameter of the bone. No fissure passes beyond the line of excision. Private P. B.,"D," 34th Massachusetts: excised by Surgeon J. Boone, 1st Maryland Potomac Home Brigade, 23d July ; died from diarrhoea, 4th August, 1864. Contributed by the operator. See class XXVII. B. n. d. 3798. The head and one inch of the shaft of the left humerus, excised for destruction of the anterior third of the head. c. 5. Sergeant W. L., "G,"25th New York Cavalry, 35: Cedar Creek, Va., 12th November; excised, Winchester, 14th November, 1864; discharged the service, 20th June, 1865. Contributed by Assistant Surgeon E. B. Nims, 1st Vermont Cavalry. 259. The head of the left humerus with a splinter of the shaft two inches in length, supposed to have been excised. c. 6. The bone is shattered at the surgical neck, and the head split into two lateral halves by a fracture extending directly through from the bicipital groove. Contributed by Surgeon J. H. Brinton, U. S. Vols. 3802. The head of the right humerus, excised at the surgical neck for a fracture of the external portion of the head c. 7. and greater tuberosity. Lieutenant Colonel W. N. L., 89th New York, 23: Second Fair Oaks, 27th October; admitted hospital and excision performed, by Surgeon D. G. Rush, 101st Pennsylvania, Fort Monroe, 29th October, 1864. Recovered. Contributed by the operator. 3954. The head and one and a half inches of the shaft of the left humerus, excised. The surgical neck is shattered. c. 8. The eroded appearance the specimen presents is due to the mode of its preparation. Private S, C, "(J," 106th New York, 19: probably Monocacy, and admitted hospital, Frederick, 9th July; excised by Assistant Surgeon R. F. Weir, U. S. Army, 11th July, 1864. Recovered well. Contributed by the operator. See 4629, XXVI. A. 3, 123. 3505. The head and one and a half inches of the right humerus, presumed to have been excised. The region adjoining c. 9. the greater tuberosity is fractured. Contributed by Surgeon Robert William Pounds. 2647. A longitudinal half of the head and two inches of the shaft of the left humerus, utterly shattered and probably c. 10. excised. Received, without history, from Fredericksburg. 1748. The head and two inches of the shaft of the right humerus, removed by excision. The epiphysis is entirely c. 11. uninjured, but the shaft is splintered into many fragments by a conoidal ball. Sergeant J..F., "K," 17th Indiana: Liberty Gap, Ga., 25th June; admitted hospital, Murfreesboro', 26th; excised by Surgeon I. Moses, U. S. Vols., 27th; died, 28th June, 1863 Contributed by the operator. 1131. Excised head and two inches of the shaft of the left humerus. The whole specimen is much shattered. c. 12. Contributed by Surgeons Cantwell and Kibbee, Eleventh Army Corps, after Gettysburg. 2041. The head and two inches of the shaft of the right humerus, excised for a complete oblique fracture through the c. 13. surgical neck by a conoidal ball. The articular surface is slightly involved. Corporal J. H. G., "F," 108th New York, 22: Morton's Ford, Va., 6th February; excised by Surgeon J. Dwinelle, 106th Pennsylvania, 9th February; discharged, 26th September, 1864. Contributed by the operator. 2516. Excised head and two inches of the shaft of the left humerus. A conoidal ball has lodged just within the lesser C. 14. tuberosity, breaking the head into several fragments, and splitting the shaft longitudinally by four lines of fracture, between two of which the laminated bone is wanting. Received, without history, after Chancellorsville. Set 4629, XXVI. A. 3, 122. See class XXVII. B B. d. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. *7 2933. The excised head and two inches of the shaft of the left humerus. A conoidal ball, probably from a pistol or c. 15. carbine, entered the bicipital groove at its superior extremity, passed out behind the greater tuberosity and lodged in the head of the scapula. There is comparatively little comminution. Private------, 6th New York Cavalry: Trevillian Station, Va., llth July, 1864; excision performed the same day, by Assistant Surgeon J. W. Williams, U. S. Army. Fell into the hands of the enemy. Contributed by the operator. 1721. The head and nearly two inches of the shaft of the left humerus, excised. A conoidal ball struck the bone C. 16. between the tuberosities, shattering the surgical neck and lower part of the head and splitting off one-third of the articular surface. Captain J. J. Y., 1st Maryland Potomac Home Brigade: accidentally wounded, Harper's Ferry, Va., 18th July; excised by Surgeon William Hayes, U. S. Vols., the same day; "sanguine of having a useful limb," 29th August, 1863. Contributed by the operator. 1992. The left scapula and a portion of the humerus, after excision of the head and two inches of the shaft. The C. 17. extremity of the acromion is broken off and the glenoid cavity is completely eroded. The superior extremity of the humerus presents a crown-shaped sequestrum, three-fourths of an inch in length, nearly detached from a moderate involucrum. Sergeant J. C. S., " I," 2d Michigan, 21: admitted hospital with excision performed, Washington, 24th June; died, 26th August, 1864. Contributed by Acting Assistant Surgeon S. Graham. 4161. Excised head and two inches of the shaft of the left humerus. The head has been fractured into three nearly c 18. equal portions, whereof the upper and anterior one is destroyed. An oblique fracture runs through the surgical neck. Lieutenant J. M. P., "C," 211th Pennsylvania, 26: Petersburg, 2d April; excised by Surgeon W. O. McDonald, U. S. Vols., City Point, 5th April, 1865. Died. Received from Ninth Corps Hospital. 3405. The head and two and a half inches of the shaft of tho left humerus, excised. The epiphysis is not implicated, c. 19. but the shaft is broken into many pieces. Private G. H., "F," 10th Michigan Cavalry, 19: Flat Creek Bridge, Tenn., 24th August; admitted hospital, Knoxville, 25th; excised by Surgeon H. L. W. Burritt, U. S. Vols., 2iith August, 1864; discharged the service, 2d May, 1865. Contributed by the operator. See 4629, XXVI. A. 3, 124. 315. The head and two and a half inches of the shaft of the right humerus, much shattered by the passage of a bullet C. 20. through the anatomical neck and excised. The portion of the head remaining is split into three pieces, and the rest of the specimen is much broken up. Contributed by Surgeon E. Bentley, U. S. Vols. 1376. The head and two and a half inches of the shaft of the left humerus, excised for perforation below the tuberosities C. 21. by a conoidal ball which has shattered the surgical neck and, by fissure, involved the articular surface. Private O'R., "B,"3dU. S. Infantry: Gettysburg, 2d July; excised by Assistant Surgeon B. Howard, U. S. Army, 3d July, 1863; discharged the service, 28th March, 1864. Contributed by the operator. 2996. The head and two and a half inches of the shaft of the left humerus, excised. The lower portion of the head C. 22. and the inner side of the surgical neck are carried away by gunshot. A fracture extends through the anatomical neck, completing the separation of the head. Private J. S., "H," 4th Wisconsin, 26: Port Hudson, La., 27th May; admitted hospital, New Orleans, 30th May, 1863; excised by Acting Assistant Surgeon F. Hassenburgh; discharged, 1st February, 1864. "Is reported to have very good use of his arm." Contributed by Assistant Surgeon P. S. Conner, U. S. Army. 1092. The head and two and a half inches of the shaft of the left humerus, excised for shattering of the surgical neck. C. 23. Private N. R., "C," 27th Indiana: excised by Assistant Surgeon B. Howard, U. S. Army. Contributed by the operator. 3277. The head and three and a half inches of the shaft of the right humerus, excised . The head is split into four c. 24. unequal parts, and the fractures extend down the shaft nearly to the line of excision. The missile, a fragment of shell, struck the surgical neck at the bicipital groove, shattering it with much loss of substance. 88 CATALOGUE OF THE SURGICAL SECTION V. Private G. O. C, "G,"37th Massachusetts, 20: Winchester, 19th September; excised by Assistant Surgeon Edward Curtis, U. S. Army, 22d September, 1864; discharged, 13th April, 1865. Contributed by the operator. 1130. The head and two and a half inches of the shaft of the right humerus, excised. The head is broken into several C. 25. unequal fragments, and an oblique fracture extends down the shaft. Private N. P., "H," 100th New York: Petersburg, 1st April; excised by Surgeon W. O. McDonald, U. S. Vols., 2d April, 1865. Contributed by the operator. 2090. Three inches of the right acromion and the head and two inches of the shaft of the humerus. The bullet entered c. 26. from behind, fractured the scapula and completely shattered the epiphysis. The cancellated portion of bone appears excavated as though the missile had entered point first in the direction of the long axis of the bone. Private R. I., 1st Tennessee, (Rebel,) 23: wounded and admitted hospital, Memphis, 8th August, 1863 ; excised by Acting Assistant Surgeon Allen Sterling, the same day. Contributed by Assistant Surgeon J. C. G. Happersett, U. S. Army. 1767. The, excised head and three inches of the shaft of the left humerus, thoroughly shattered by a conoidal ball at c. 27. close range. The missile passed directly through the head, badly comminuting it and the surgical neck and obliquely fracturing the shaft for three inches. Lieutenant H. G. J., "G,"6th Maine, 18: Rappahannock Station, Va., 7th November; admitted hospital, Washington, 9th; excised, 10th November, 1863. The limb is shortened several inches, but is quite useful. A card photograph, illus- trating the power of extension of the arm in July, 1865, stands with the specimen. Contributed by Surgeon D. W. Bliss, U. S. Vols. See 4629, XXVI. A. 3, 103. 2973. The head and three inches of the shaft of the right humerus, excised for comminution of the surgical neck by a c. 28. conoidal ball. The epiphysis is uninjured, but the comminution extends to nearly the line of excision. Private M. C, " G," 57th Massachusetts, 30: Petersburg, 30th July; admitted hospital, Washington, 3d August; excised by Surgeon A. F. Sheldon, U. S. Vols., 4th August; died, 6th August, 1864. Contributed by the operator. 1730. The excised head and three inches of the shaft of the left humerus. A conoidal ball has perforated and almost c. 29. entirely carried away the surgical neck. A number of fissures reach to but do not transcend the epiphyseal line. The fractures extend downward to the line of excision. Sergeant T. McC, "F," 2d New Yrork Cavalry, 38: Culpeper, 13th September; admitted hospital, Washington, 14th; excised by Surgeon D. W. Bliss, U. S. Vols., 17th ; died, 23d'September, 1863. Contributed by the operator. 4118. The head and three inches of the shaft of the left humerus, excised for comminution of the surgical neck. The c. 30. epiphysis is uninjured. Private R. M. G., "H," 1st Pennsylvania, 20: excised by Surgeon J. J. Comfort, 1st Pennsylvania; died from exhaustion, 11th July, 1864. Contributed by the operator. 1715. The head and three inches of the shaft of the left humerus, perforated through the surgical neck by a conoidal c. 31. ball and excised The articular surface has sustained no loss of substance, but two fissures run through it, and another follows the line of the anatomical neck The remainder of the specimen is much comminuted. Private M. F., " I," 8th Illinois Cavalry, 20: Jack's Shop, Va., 22d September; excised by Surgeon A. Hard, 8th Illinois Cavalry, Culpeper, Va., 23d September; furloughed, wound healed, 21st December, 1863; discharged the service, 6th April, 1864. Contributed by the operator. See 4629, XXVI. A. 3, 122. See class XXVII. B. B. d. 2105. The head and three inches of the shaft of the right humerus, excised for a fracture of the surgical neck without c. 32. involving the head, after Chancellorsville. Contributed by Surgeon J. H. Brinton, U. S. Vols. 2*19. The head and thTee and a half inches of the shaft of the left humerus, excised for extreme comminution below c. 33. the surgical neck. The capsule of the joint was opened. Private N. C, " C," 88th New York: Cold Harbor, 3d June, 1864; excised on the field by Surgeon Peter Emmet Hubon, 28th Massachusetts. Contributed by the operator. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 89 1555. The excised head of the right humerus, with three and a half inches of the outer side of the shaft obliquely c. 34. fractured to a narrow extremity. The epiphysis is uninjured. Contributed by Surgeons Cantwell and Kibbee, Eleventh Army Corps, after Gettysburg. 1086. The head aud three and a half inches of the shaft of the right humerus, excised for comminution of the surgical c. 35. neck. The articular surface is uninjured. Private A. M. H., "H," 12th New Hampshire, 24: Chancellorsville, 3d May; admitted hospital, Washington, 6th ; excised by Surgeon H. Bryant, U. S. Vols., 8th; died, from pleuro-pneumonia, 15th May, 1863. Contributed by the operator. 2788. The head and three and a half inches of the shaft of the right humerus, excised for complete comminution by a c. 36. musket ball. Private G. H. G., "G," 9th Maine, 20: Petersburg, 30th June; excised the same day by Surgeon T. H. Squire, 89th New York, at Eighteenth Corps Field Hospital; died, Point Lookout, Md., 9th August, 1864. Contributed by the operator. 2260. The head and nearly four inches of the shaft of the left humerus, excised for a severe fracture through the c. 37. surgical neck. A conoidal ball tore its way obliquely through the shaft, with extensive splitting but with little comminution, and lodged beneath the inner portion of the head. The articular surface of the bone was not iivjnrcd, but the joint was opened. Sergeant G. F. C, "L," 3d Indiana Cavalry, 27 : near Knoxville, Tenn,, 20th February; excised the same day by Surgeon A. M. Wilder, U. S. Vols.; died, 11th March, 1864. Contributed by the operator. See 4629, XXVI. A. 3, 126. 4208. The lower two thirds of the shaft of the left humerus, from which the head and upper third have been excised. c. 38. The extremity is necrosed, with a line of demarcation forming. Private T. M., " C," 25th New York: Petersburg, 1st April; excised shortly afterward; admitted hospital, Balti- more, 16th May; died, 17th May, 1864. Contributed by Acting Assistant Surgeon L. Jewett. 1726. The head and four inches of the left humerus excised, for a fracture of the surgical neck which extended with c. 39. comminution obliquely down the shaft, by Assistant Surgeon George M. McGill, U. S. Army. Contributed by the operator. 1931. The head and four and a half inches of the shaft of the left humerus, excised for comminution of the upper c. 40. third by a conoidal ball, which is attached, battered. The humerus was partially dislocated, but the epiphysis is uninjured. A card photograph, showing the appearance after recovery, stands with the specimen. Private J. L. E., "L," 8th Illinois Cavalry: Muddy Run, near Rixeyville, Va , 8th November; excised on the field, the same day, by Surgeon E. W. H. Beck, 45th Indiana; admitted hospital, Washington, 10th November, 1863; discharged the service, 26th September, 1864. This man visited the Museum, 21st June, 1865, when the wound was perfectly closed, and he possessed good use of the forearm. Contributed by the operator. See 4628, XXVI. A. 2, 56. See class XXVII. B. B. d. 3667. The lower half of the right humerus after a primary excision of the superior portion. The specimen presents c. 41. two fissures extending an inch and a half below the line of excision, and shows that extremity necrosed on the anterior surface for two inches. Two sequestra are separating and a trivial deposit of callus is seen on the posterior border. Private J. K., "H," 2d Pennsylvania Heavy Artillery, 18: conoidal ball, Petersburg, 5th July; excised in the field; admitted hospital, Philadelphia, 16th July ; amputated for secondary haemorrhage, 9th August; died, 11th August, 1864. Received from hospital, Broad and Cherry streets, Philadelphia. See class V. A. B. d. 3724. The lower half of the left humerus after excision of the remainder. Several longitudinal fissures exist in the c. 42. upper extremity, which is chiefly necrosed. There has been a very slight effusion of callus. Received, without history, from Beverly, N. J. 12 90 CATALOGUE OF THE SURGICAL SECTION V. Fig. 43. Appearance 01 patient fifteen months after excision of large portion of humerus. Spec. 1738. 1738. The head and five and c. 43. a half inches of the shaft of the right humerus, ex- cised for fracture by shell. At the time of the operation the head of the bone seemed involved, which the specimen shows was not the case. The shaft is comminuted for four inches above the line of sec- tion. A fragment of elongated shell weighing nine and a half ounces, which was extracted at the time of the operation, is attached. A card photograph of the case, taken fifteen months after the operation, stands with the specimen. See figures 42 and 43. Private J. F. R., '• C," 6th New York Cavalry, 22: Culpeper, Va., 11th October; admitted hospital and specimen removed by Surgeon D. W. Bliss, U. S. Vols., 12th October, 1863. This man, who is an orderly at the Army Medical Museum, feeds himself and can use Fig. 42. Upper portion of humerus sue- ,. ... . , , , - .... , cessfully excised. Fragment of shell his arm with tolerable facility, and taken ,/om the wound. *Spec. 1738. is able to lift and carry very heavy weights without the assistance of an apparatus, January, 1867. Contributed by the operator. See 4699, XXV. A. B. a. 31; 4627, XXVI. A. 1, 6. Sec class XXVII. B. a. c. 2227. The head and nearly six inches of the shaft of the right humerus, excised ior extensive longitudinal fracture c. 44. below the surgical neck. The epiphysis is uninjured. Private N. M, "K," 3d Indiana Cavalry: Sevierville Road, Tenn., 20th February; excised by Assistant Surgeon H. L. W. Burritt, U. S. Vols., the same day; died, 25th February, 1864. Contributed by the operator. 3805. The head and seven inches of the shaft of the right humerus, excised for fracture by grapeshot at the junction oi c. 45. the upper thirds, the periosteum being stripped to the capsular ligament. Lieutenant A. F. K., "A," 8th Maine: Second Fair Oaks, 27th October; admitted hospital, Fort Monroe, and excised by Surgeon D. G. Rush, 101st Pennsylvania, 29th October; died from pyaemia, 15th November, 1864. Contributed by the operator. For other illustrations, see 4629, XXVI. A. 3, 112, 143, 144, 147, 148. d. Amputations. 4126. The upper extremity of the left humerus, amputated at the shoulder joint. A conoidal ball, which has reversed d. 1. itself, is embedded in the head of the bone surrounded with shreds of clothing. The missile entered from the rear, shattered the greater tuberosity and fractured the articular surface into several fragments. The fracture does not extend below the surgical neck. Private S. B., "B,"88th Pennsylvania: amputated by Surgeon J. W. Rawlings, 88th Pennsylvania; discharged, 19th October, 1864. Contributed by the operator. See class XXVII. B. B. d. 4115. The upper portion of the left humerus amputated at the shoulder ioint. The inner portion of the epiphysis is d. 2. broken, an oblique fracture runs directly through the head and surgical neck, and several fissures extend over the articular surface. Private A. E. H., " F," 1st Maine Heavy Artillery: amputated by Surgeon D. S. Hays, 110th Pennsylvania, 2d October, 1864. Contributed by the operator. 1551. The upper portion of the left humerus comminuted in the posterior portion of the surgical neck, with a fracture d. 3. which extends vertically through the head continued longitudinally down the shaft. Amputated at the shoulder joint by Surgeon G. W. Ramsey, 95th New Y'ork. Contributed by the operator. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 91 3114. The upper half of the. right humerus shattered in the surgical neck, and amputated at the joint. A portion of d. 4. the fracture occupies the epiphyseal line, which is not crossed. Private C. S., "B,"7th New York Heavy Artillery: wounded, 28th August; amputated by Assistant Surgeon J. C. McKee, U. S. Army, Washington, 1st September, 1864; discharged, 3i!th March, 1865. Contributed by Acting Assistant Surgeon H. M. Dean. 1349. The left humerus amputated at the shoulder ioint. The surgical neck is fractured with much loss of substance, d. 5. and the external condyle is split off. Private A. H., "A," 3d Iowa Cavalry: wounded by two round balls and three buckshot, 1st May; amputated by Surgeon Isaac Casselberry, 3d May, 1863. Recovered. Contributed by Assistant Surgeon T. J. Maxwell, 3d Iowa Cavalry. 4124. The upper half of the right humerus. The bone has been shattered throughout the upper third of its shaft, and d. 6. was amputated at the joint. Private G. H., "D," 1st Massachusetts Heavy Artillery: amputated by Surgeon O. Evarts, 20th Indiana, 2d October, 1864. Recovered. Contributed by the operator. 4162. The right humerus with the upper third of the shaft thoroughly shattered, amputated at the shoulder joint. d. 7. Private S. R. S., "G," 207th Pennsylvania, 34: Petersburg, 2d April; amputated by Assistant Surgeon W. Carroll, U. S. Vols., City Point, Va., 5th ; died from haemorrhage, 7th April, 1865. Contributed by the operator. 4107. The right humerus, amputated at the shoulder ioint for a comminuted fracture of the upper third and a wound d. 8. of the axilla. Sergeant H. S., "E," 40th New York: amputated by Surgeon Henry F. Lyster, 5th Michigan, 11th September, 1864. Recovered. Contributed by the operator. 4114. The upper half of the right humerus, which was comminuted in the upper third and amputated d. 9. at the shoulder joint. Private P. R., "B," 120th New York: amputated by Surgeon J. S. Jamison, 86th New York, 19th September, 1865. Contributed by the operator. 4149. The right humerus, shattered in the upper third of the shaft without displacement of fragments d. 10. and amputated at the shoulder joint. Private C. J., "C," 12th Massachusetts: amputated by Surgeon J. W. Rawlings, 88th Penn- sylvania. Contributed by the operator. 1082. The left humerus, perforated and comminuted at the junction of the upper thirds and amputated d. 11. at the shoulder joint. Several medical officers who examined the case considered the joint involved, and the specimen illustrates how readily an error of diagnosis may occur. The fracture does not extend to within two inches of the lower line of the tuberosities. Amputated by Surgeon H. E Goodman, U. S. Vols., after Chancellorsville. Recovered. See figure 44. Contributed by the operator. 1234. The right humerus, amputated at the shoulder joint for a comminuted fracture by a large pistol d. 12. ball at the upper thirds. Private D. S. D., "F," White's Battalion (Rebel): Brandy Station, 9th June; admitted hospital, Washington, 10th; amputated by Surgeon G. S. Palmer, U. S. Vols., 11th June, 1863. Recovered. Contributed by Acting Assistant Surgeon B. P. Brown. 1540. The upper two-thirds of the right humerus, amputated at the shoulder ioint for extensive Fig. 44. Humerus d. 13. fracture with loss of substance of the upper third. prelumecTinvolve' Corporal C. R., 29th New York: Chancellorsville, 3d May; amputated by Surgeon R. Thomain, ™ent of joint in fractured upper 29th New York, 7th May, 1863. third. Spec. 1082. Contributed by the operator. 2012. The left humerus, comminuted by a conoidal ball in the upper third and amputated at the joint. The highest d. 14. line of fracture is one and a half inches below the smaller tuberosity. Private F. B., "G," 1st Pennsylvania Reserve Artillery: Morton's Ford, Va., 6th February; amputated Second Corps Hospital, 8th February, 1864. Recovered. Contributed by Surgeon J. Dwinelle, 106th Pennsylvania. 92 CATALOGUE OF THE SURGICAL SECTION V. 2323. The upper half of the left humerus, amputated at the shoulder joint after fracture in the middle third by a round d. 15. shot. A fissure three inches in length exists in the upper and outer portion of the bone, without communicating with the seat of fracture. Contributed by Surgeon W. A. Meagher, 69th New York. 256 1. The upper third of the right humerus, disarticulated for fracture of the head by a conoidal ball, which destroyed d. 16. tho greater tuberosity and lodged. Several partial fractures extend through the head and neck. Private J. B., " C," 7th New Y'ork, 27 : Cold Harbor, 3d June ; amputated at the joint, by Surgeon N. R. Mosely, U. S. Vols., Washington, 16th June, 1864. Contributed by the operator. See class XXVII. B. B. d. 2531. The upper third of the left humerus, which was disarticulated. The head and surgical neck were shattered by a d. 17. conoidal ball, the fractures extending four inches down the shaft. Two and a half inches of the acromion, mounted with the specimen, was probably removed at the time of amputation. Sergeant G. W. M., "A," 6th Pennsylvania, 20: Mine Run, Va., 27th November; amputated on the field, 30th November, 1863. Recovered. Received from the Army of the Potomac. 728. The head and a portion of the shaft of the left humerus, after amputation at the shoulder joint for shattering at d. 18. the surgical neck by a charge of shot at the closest range. Some of the shot are embedded in the specimen. The muscles from the anterior exterior and part of the posterior surfaces of the shoulder and arm were torn away. L. R., (civilian,) 28: accidentally, Redwoodville, Minn., 2d October; carried twenty-five miles to Fort Ridgely; disarticulated, with one flap from the inner and posterior part of the arm, by Acting Assistant Surgeon Alfred Muller, 4th October; left the Post for his home entirely well, 1st November, 1866. Contributed by the operator. Sec class XXVII. B. B. d. 93. The greater part of the left humerus fractured, with comminution at the junction of the upper thirds, by a conoidal d. 19. ball. The longitudinal fractures extend for five inches. Private L. H., "G," 143d Pennsylvania, 31: Wilderness, 5th May; disarticulated by Surgeon J. Ebersoll, 19th Indiana, 6th; admitted hospital, Washington, 26th May, 1864; discharged the service, Philadelphia, 23d January, 1865. Contributed by the operator. 111. The upper half of the right humerus, disarticulated for shattering of the upper third. d. 20. Private J. Van L., "G," 149th Pennsylvania: before Petersburg, July, 1864 ; amputated on the field, by Surgeon W. Humphreys, 149th Pennsylvania. Contributed by Surgeon C. A. Chamberlain, U. S. Vols. 119. The greater part of the right humerus, shattered at the junction of the upper thirds. d. 21. Private H. F. K., "E," 12th New Hampshire, 21: Chancellorsville, 3d May; admitted hospital, Washington, 6th; disarticulated by antero-posterior flap, by Surgeon G S. Palmer, U. S. Vols., 7th May; discharged the service, 26th June, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. 123. The upper portion of the right humerus, after disarticulation for fracture with comminution in the upper third. d. 22. The epiphysis has become completely separated in the preparation. Private C. W., "K," 16th Massachusetts, 19: Spottsylvania, 9th May; amputated by antero-posterior flap, by Surgeon C. C. Jewett, 16th Massachusetts, the same day; admitted hospital, Alexandria, 14th May; transferred to Massa- chusetts, 26th June ; discharged the service, 19th November, 1864. Contributed by the operator. Bf a. Contusions and partial fractures. b. Complete fractures. . Secondary. { c. Excisions. I d. Amputations. I. e. Other operations. b. Complete Fractures. lO 10. The upper fourth of the left humerus, with a depressed fracture of the inmost articular surface from a buckshot, b. 1. which is attached. The parts immediately adjacent are necrosed. Contributed by Dr. Jas. R. Wood. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 93 3939. The upper fourth of the left humerus fractured by a conoidal ball, which impinged against the extremity of the b. 2. diaphysis anterior to the inner tuberosity, having passed through the upper part of the thorax. A deep oblique fissure extends down the shaft, and several smaller ones enter the articular surface, which is eroded. Private C. W., " H," 9th New York Heavy Artillery: wounded, Monocacy, and admitted hospital, Frederick, 9th July; died, 22d July, 1864. Contributed by Acting Assistant Surgeon J. H. Bartholr. 1952. The left scapula and upper half of the humerus, thirty-five days after injury. The greater tuberosity is fractured b. 3. by a conoidal ball, and a line of necrosis is established along its lower border. There is'a partial fracture of the anatomical neck, and the head is friable. The inferior surface of the acromion is eroded. There are two fissures in the lower wing of the scapula. Corporal G. S., Louisiana Guard Artillery, (Rebel,) 34: Rapidan Station, 7th November; admitted hospital, Washington, 14th; died from pyaemia, 30th November, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. See 1424J XXVII. B. B. d. 198. 1139. The left scapula, with several partial fractures in and below the base of the spine; and the upper third of the b. 4. humerus, with the outer and posterior portion of the head carried away. Private J. C. G., "D," 63d Pennsylvania: Second Fredericksburg, 3d May; admitted hospital, Washington, 9th; died from pyaemia, 21st May, 1863. Contributed by Surgeon Thomas Antisell, U. S. Vols. 3681. The upper portion of the right humerus and the scapula. A conoidal ball has grazed the head just above the b. 5. bicipital groove, aud, battered and reversed in position, lodged in the neck of the scapula, having broken off the upper border of the glenoid cavity. A fragment of clothing is held by the missile against the bone. Corporal J. P., "B," 9th New York Heavy Artillery: Cold Harbor, 1st June; admitted hospital, Philadelphia, 13th; died from pyaemia, 20th June, 1864. Contributed by Acting Assistant Surgeon L. Fassitt. See class XX VII. B. B. d. 641. The left scapula fractured through the neck and glenoid cavity, with the coracoid process broken off three weeks b. 6. after injury. Sergeant J. H. R., "H," 11th Pennsylvania Reserves: Fredericksburg, 13th December; admitted hospital, Washington, 16th December, 1862; died, January, 1863. Contributed by Surgeon O. A. Judson, U. S. Vols. See 901, III. A. n. a. 19; 640, IV. A. n. b. 3. 2840. The left scapula and upper portion of the humerus, twenty-three days after injury. The glenoid cavity is b. 7. destroyed, the coracoid process is broken off, and a fracture extends under the spine of the scapula. The head of tho humerus appears to have been grazed by the ball, which lodged in the lung. The articulation is disorganized, and there is no attempt at repair. Private C. N. L., "B," 1st Maine Heavy Artillery, 26: Petersburg, 19th June; died from secondary haemorrhage, Wash- ington, 12th July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 1615. Portions of the left scapula and humerus. A bullet grooved the inner tuberosity, fractured the lower part of the b. 8. glenoid cavity and escaped beneath the spine. There was no attempt at repair. Private A. T., "H,"26th Wisconsin, 42: Gettysburg, 2d July; admitted hospital, Baltimore, 14th; died, 22d July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 938. The upper third of the left humerus, six weeks after injury. The bone was shattered at the surgical neck, and b. 9. the head, eroded and spongy, gives no indication of repair. In the shaft several of the fragments are bound together by a feeble osseous deposit. Private A. C. R., "B," 126th Pennsylvania, 30: Fredericksburg, 13th December, 1862; died exhausted, Washington, 29th January, 1863. Contributed by Surgeon P. Pineo, U. S. Vols. 3669. The upper half of the right humerus, six weeks after injury. An explosive bullet entered near the acromion, b. 10. passed through the glenoid cavity, fractured the anterior portion of the head of the bone, and caused a double longitudinal partial fracture of five inches on the inner side of the shaft. The head is carious, and necrosed bone borders the lines of separation in the shaft. Private A. F., '' C," 183d Pennsylvania, 35: Cold Harbor, 3d June; admitted hospital, 11th; the bullet was extracted from an abscess over the biceps, 12th June; died from pneumonia, 22d July, 1864. Contributed by Acting Assistant Surgeon J. A. McArthur. 94 CATALOGUE OF THE SURGICAL SECTION V. 206S. The upper half of the right humerus, grooved in the greater tuberosity and posteiior part of tho head by gunshot, b. 11. three weeks after injury. The articular surface is thoroughly disorganized. A fissure on the posteiior portion of the shaft is curiously and delicately bordered by necrosis. Private G. T. B., " B," 12th South Carolina (Rebel): Gettysburg, 2d July, admitted hospital, Chester, Penna., 9th; died from exhaustion from secondary haemorrhage, 22d July, 1863. Contributed by Acting Assistant Surgeon Lewis Fisher. 1 160. The upper part of the left humerus, three weeks after injury. The superior and outer portion of the head has b. 12. been gouged by a bullet. There is no attempt at repair. Private J. P., "D," 140th New York. Gettysburg, 1st July; admitted hospital, Baltimore. 14th; died from secondary haemorrhage, 1st July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 3551. The upper half of the left humerus, four weeks after fracture of the great tuberosity. The articulation was b. 13. destroyed by ulceration, and there is no attempt at repair. Private T. T., " G," 62d Pennsylvania, 30: wounded, 8th May; admitted hospital, Washington, 12th May; able at no time to endure an operation; died from pyaemia, 5th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3790. The upper half of the left humerus and part of the scapula, seventeen days after injury. A conoidal ball b. 14. perforated the shaft transversely below the greater tuberosity, breaking the inner border of the glenoid cavity, aud fracturing the fourth rib and spinous process of fourth dorsal vertebra. An oblique fracture separates the head and greater tuberosity from the shaft, a fissure extends into the head, the shaft near the inner tuberosity is comminuted, and the parts adjoining the track of the ball are necrosed. There is no attempt at repair. The missile is mounted with the specimen. Private A. O., 1st Maine Battery, 23: Cedar Creek, 19th October; admitted hospital and ball removed from the inferior angle of the right scapula, Winchester, 23d October; died from pneumonia, 5th November, 1864. Contributed by Surgeon L. P. Wagner, 114th New York. See classes Ell. A. B a.; IV. A. u. b.; XXVII. B. B. d. 2696. The superior third of the left humerus, six weeks after injury. A conoidal ball, which entered three-fourths of an b. 15. inch below the sternal attachment and passed over the second rib, is embedded in the humerus near the bicipital groove. A piece of cloth driven before the bullet yet lodges with it. The articular surface is carious, the shaft is necrosed in the line of fracture below, and there is no attempt at repair. Private A. L., "A," 95th New Y'ork: Spottsylvania, 12th May; admitted hospital, Washington, 26th May; died from exhaustion, 23d June, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See classes XXVII. B. B. d.; XXVII. B'. B'. 612. The right scapula with a portion of the clavicle and the upper half of the humerus. The glenoid articular b. 16. surface is eroded and enlarged. There is an oblique fracture through the surgical neck of the humerus extending to the lower part of the articular surface, the whole of which is eroded and carious, and a part of the head is absorbed. The fracture is slightly united by a bridge of callus with some displacement, and four inches of the lower fragment are superficially diseased. Private N. F. W.,"H," 35th Massachusetts, 24: Antietam, 17th September; admitted hospit.al, Philadelphia, 26th September; died from pyaemia, 25th November, 1862. Contributed by Acting Assistant Surgeon H. Hart. 1978. The upper fourth of the right humerus, ten and a half weeks after shattering at the surgical neck. The epiphysis b. 17. is thoroughly carious and the joint disorganized by ulceration. The fragments of bone are all dead, and there is no attempt at repair. The battered bullet is attached. Private 8. P. F., "K," 28th North Carolina, (Rebel,) 21: Gettysburg, 2d July; died exhausted, 14th September, 1863. Contributed by Acting Assistant Surgeon Geo. H. Hadley. See class XXVII. B. B. d. 1047. The right scapula and the upper third of the humerus. The humerus is grooved on the anterior face of the b. 18. surgical neck, which is completely fractured and from which a spiral fissure extends three inches down the shaft. The bone is necrosed at the lines of solution. The tip of the acromion and the coracoid are broken off; the spine is fractured longitudinally and transversely. Nearly the whole of a belt one inch broad, parallel with and one inch below the spine is wanting, and the dorsum is covered with a thin periosteal deposit. A good illustration of the effect of a ball through a flat bone in the direction of its plane. Contributed by Dr. Jas. R. Wood. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. !•.") 2083. The head of the left scapula and the upper portion of the humerus. Around bullet parsed through the bend b. 19. of the humerus, which in the specimen is necrosed and much absorbed. The glenoid cavity is eroded and enlarge 1. The greater tuberosity is more spongy than is natural, and numerous small foramina perforate every portion above the epiphyseal line. Private H. C. S., " C," 116th Illinois: wounded, 22d May; admitted hospital, Memphis, 27th May; died from pyaemia, 3d July, 1863. Contributed by Assistant Surgeon W. Watson, U. S. Vols. 1342. The upper fourth of the right humerus, with the head transversely perforated by a ball three weeks after injury. b. 20. The head is shattered and necrosed, and a longitudinal fracture extends down the anterior and posterior surfaces of the shaft. Private T. R., " K," 4th New York Heavy Artillery, 20: Southside R. R., Va., 2d April; admitted hospital, Washington, 5th; gangrene appeared, ISth; died from secondary haemorrhage, 22d April, 1865. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 2887. The upper portions of the left scapula and humerus. A bullet entered beneath the spine of the scapula, fractured b. 21. the posterior portion of the glenoid cavity, and passed out through the head of the bone, which is destroyed. The tissues in the track of the ball are carious. There is no attempt at repair. Private L. P., "G," 6th Wisconsin: admitted hospital, Washington, 30th June; died, 21st July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 3869. The right scapula and upper portion of the humerus, three weeks after injury. A conoidal ball carried away b. 22. part of the head of the humerus and fractured the hcud of the scapula A little periosteal inflammation has occurred, and the head of the humerus is necrosed, but there is no attempt at repair. Private J. L. McN., "C," 21st Georgia (Rebel): Gettysburg, 1st July; admitted hospital, Frederick, 6th ; died from pytcinia, 25th July, 1863. Contributed by Acting Assistant Surgeon W L. Adams. 3919. The right scapula and upper portion of the humerus, six weeks after injury. A battered conoidal ball, which b. 23. traversed the body of the scapula about its middle, having entered the inner border and passed through the. glenoid cavity, is lodged withiu the humerus at the junction of the head and neck. The articular surfaces are destroyed by ulceration. The bullet was not found during life. Quartermaster Sergeant M. H. C, 72d New York: Monocaey, and admitted hospital, Frederick, 9th July; died, 21th August, 1864. Contributed by Acting Assistant Surgeon T. J. Dunotte. See class XXVI. B. B. d. 745. The left scapula, with the glenoid cavity and the extremity of the coracoid process removed. The anterior and b. 24. superior portions are honeycombed with necrosis, and delicate wafer-like layers of exfoliations exist on the dorsum and venter. Private A. P. H., "A," 50th Georgia, (Rebel,) 21: wounded on the frontal bone and also near the head of the humerus, South Mountain, 14th September; died exhausted, Frederick, 25th November, 1862. There were no cerebral symptoms. Contributed by Assistant Surgeon George L. Porter, U. S. Army. See class I. A. A. c. 3917. Tho left scapula and upper portion of the humerus. The inner and posterior portion of the head of the humerus b. 25. and the entire glenoid cavity, neck of the scapula and coracoid process have been carried away. There is no attempt at repair. Private G. McC, "K," 14th Virginia Cavalry, (Rebel,) 20: wounded, Monocaey, and admitted hospital, Frederick, 9th July; died, 10th August, 1864. Contributed by Acting Assistant Surgeon T. E. Mitchell. 2541. The upper third of the right humerus six weeks after injury. The anterior portion of the head is carried away b. 26. by a musket ball which was found in the right pleural cavity. The. head is thoroughly carious. Private W. A., "A," 1st Delaware, 30: Farmville, Va., 7th April; admitted hospital, Baltimore, 12th May; died with erysipelas, 25th May, 1865. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See class XXIII. A. a. 3940. The upper half of the right humerus, sixteen days after injury. The lower half of the head and the inner halt b. 27. of three inches of the shaft were carried away by a bullet which lodged in the right lung. The remainder of the head is carious. There is no attempt at repair. Private J. V. McG., " B," 14th New Jersey: Monocaey, 9th July; died, Frederick, 25th July, 1861. Contributed by Acting Assistant Surgeon A. R. Gray. See class XIX. A. n. a 96 CATALOGUE OF THE SURGICAL SECTION V. Nil. The upper half of the left humerus, one and a half months after injury. The head and surgical neck are b. 28. shattered, and au oblique fracture with little comminution extends two inches down the shaft. The head is carious and the line of fracture is bordered by necrosed bone, but there is no attempt at repair excepting by a minute deposit of callus at one point. Corporal C. F. C, "L,"9th New York State Militia, 31: Antietam, 17th September; admitted hospital, Frederick, 25th September; not sufiiciently strong to endure amputation; died from pneumonia, 2d November, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 1128. The left scapula and upper portion of the humerus. A conoidal ball has carried away the inner face of the b. 29. head of the humerus and a considerable portion of the glenoid fossa, and has fractured the scapula with much comminution transversely below the spine. There is no attempt at repair. Private J. M. F., "B," 12th New Hampshire: Chancellorsville, 3d May; died from pyaemia, 17th May, 1863. Contributed by Acting Assistant Surgeon W. A. Harvey. 1188. The right scapula, struck near its acromial end by a bullet which emerged through its spine, shattering a large b. 30. portion of the bone. The joint was opened and the glenoid cavity slightly fractured. This soldier also received a wound in the left ankle, for which primary amputation was performed. There was no attempt at repair. Corporal C. D. S., "H," 100th New York: Folly Island, S. C, 10th April; admitted hospital, Beaufort, S. C, 16th; died from pyaemia, 30th April, 1863. Contributed by Surgeon F. S. Dibble, 6th Connecticut. See class XVI. A. A. e. 2401. The left scapula and upper portion of the shaft of the humerus, four months after injury. A conoidal ball b. 31. pierced the head of the bone, shattering it, fractured the glenoid cavity, passed down the anterior border of the scapula, breaking it, and escaped at the inferior angle. The whole track of the bullet is perfectly necrosed. The scapula on both surfaces shows traces of feeble deposits of new bone. Private E. L., "E,"95th New York: Hatcher's Run, Va , 6th February; died from acute dysentery, Baltimore, 16th June, 1864. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 947. The upper half of the right humerus shattered in the surgical neck and head, both of which are completely b. 32. carious and spongy and partially absorbed. A trivial amount of callus was deposited at the upper extremity of the lower fragment, but none above the joint. Contributed by Assistant Surgeon E. J. Marsh, U. S. Army. 3581. The right scapula fractured in the supra-spinous fossa; and the upper portion of the humerus, the head of which b. 33. is entirely absorbed. The joint does not appear to have been implicated in the original injury, but became destroyed by the resulting inflammation. There is a border of necrosed bone at the seat of fracture and a slight osseous deposit near by, but no attempt at repair in the joint. Private G. F. W., " K," 7th Wisconsin: Wilderness, 5th May; admitted hospital, Washington, 12th May; died from sup- puration and chronic diarrhoea, 28th July, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3110. The right scapula and upper third of the humerus, six weeks after injury. The posterior two-thirds of the spine b. 34. of the scapula have been shattered, and the greater part of the remainder is necrosed. The acromion and coracoid processes, themselves uninjured, are fractured at their junction with the body. The glenoid cavity, at first destroyed by the bullet, is thoroughly carious. The shattered head of the humerus is eroded by ulceration. Private L. B., "I," 6lst Alabama, (Rebel,) 31: before Washington, 12th July; died, 23d August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 231. The left clavicle, scapula and upper half of the humerus. The clavicle is transversely fractured near the middle, b. 35. the sternal half of the bone being much necrosed and exhibiting a certain amount of ensheathing callus on the internal surface. The head of the humerus is eroded, carious and partly absorbed. The coracoid and acromial processes and upper part of the glenoid fossa are badly fractured, the place of the coracoid being occupied by a small irregular spike of new bone directed inward. The articular surface is carious and absorbed The humerus was accidentally fractured through the surgical neck after death. Sergeant T. B., 5th U. S. Cavalry: Gaines' Mill, Va., 27th June; admitted hospital, Philadelphia, 30th July; died, 29th September, 1862. Contributed by Surgeon A. Bournonville, U. S Vols. A.B. OF THE UNITED STATES ARMY MEDICAL MUSE1 M. 97 3181. The left scapula and upper portion of the humerus. A large part of the infra-spinous portion of the scapula b. 36. is wanting; the anterior portion of the glenoid fossa appears to have been shot away, the whole surface nf the glenoid cavity is destroyed by caries, and the head of the bone has broken down under the ulceration. There is no attempt at repair. Private W. Y., "E," 151st New York, 30: probably Gettysburg, 3d July; admitted hospital, Baltimore, 10th July; died from suppurative fever, 31st August, 1863. Contributed by Acting Assistant Surgeon B. B. Miles, Curator of Jarvis Hospital. 695. The left scapula and clavicle and upper part of the humerus, one month after injury. A bullet entered the b. 37. posterior border of the left axilla, emerged near the middle of the clavicle, wounded the thyroid cartilage, and escaped through the right cheek. The glenoid cavity is destroyed and the adjacent bone necrosed ; the head of the humerus is shattered and carious and a fissure extends down its shaft; the body of the scapula has a partial fracture nearly across it, and the clavicle is fractured and necrosed in the middle. One fracture extends from the glenoid cavity up the supra- spinous fossa, and that in the clavicle may have been caused by the blow on the shoulder. Private D. B., "I," 22d Massachusetts: Fredericksburg, 13th December; admitted hospital, Washington, 18th December, 1862; died from pleurisy, 14th January, 1863. Contributed by Medical Cadet Burt G. Wilder. See 697, XIX. A. B. a. 3; 696, XIX. A. B. a. 12. 1011. The left scapula and upper extremity of the humerus, eight and a half months after injury. A round ball has b. 38. entered at the lesser tuberosity, passed through the joint and lodged above the glenoid cavity. The head of the humerus is carious and partly absorbed. The glenoid fossa is destroyed by ulceration, and the cavity holding the ball is formed by au expansion of new bone containing three cloacae The body of the scapula is irregularly thickened. A good illustration of the effect of a smooth round ball remaining a long time in bone, the irritation of its presence having affected the growth of the entire scapula without having been sufficiently intense to produce death of the parts. A typical case for operative interference. Corporal H. L. P., "H," 1st Missouri Light Artillery, 32: Shiloh, Tenn., 6th April; admitted hospital, St. Louis, 22d April; died exhausted, 26th December, 1,862. Contributed by Surgeon John T. Hodgen, U. S. Vols. See class XXVII. B. B. d. 1062. A wet preparation of the upper fourth of the left humerus. The head has been broken into several fragments, b. 39. which have retained their vitality and become consolidated in new positions with new muscular attachments. One of these consolidated fragments has been again fractured, possibly in the removal of the specimen. A formation, as if of a cyst surrounding a lodged bullet, appears in the outer and anterior region. The axillary artery presents a large opening from ulceration, indicating death from secondary haemorrhage. Received, without history, from Acting Assistant Surgeon D. W. Cheever. 928. The upper third of the left humerus, and the acromion and coracoid processes and body of the scapula. The b. 40. glenoid cavity and the two processes are eroded by ulceration. The surgical neck and head of the humerus were shattered by a conoidall ball and are necrosed. Private A. B., 133d Pennsylvania, 23: Fredericksburg, 13th December; admitted hospital, unable to endure an operation, Point Lookout, Md., 16th December, 1862; died, January, 1863. Contributed by Acting Medical Cadet J. S. Lombard. 239. The right scapula and upper portion of the humerus. The glenoid fossa is fractured, and the border of the b. 41. scapula immediately below it is carried away, as if by a missile that crushed the lesser tuberosity fissuring the shaft. Corporal P. B., "C," 88th Pennsylvania, 43: Antietam, 17th September; admitted hospital, Philadelphia, 27th September; died, 7th October, 1862. Contributor unknown. For other illustrations, see 4628, XXVI. A. 2, 62. c. Excisions, 4343. A portion of the head of the right humerus excised for gunshot. The specimen, which is a section one-half inch c. 1. in its greatest thickness, is completely carious, and retains but a small part of the articular surface. Corporal H. H., "B," 14th New York Heavy Artillery, 23: Fort Steadman, Va., 25th March; admitted hospital, Washington, 2d April; excised by Surgeon R. B. Bontecou, U. S. Vols., 8th May; discharged the service, 25th July, 1865. Contributed by the operator. 13 98 CATALOGUE OF THE SURGICAL SECTION V. 1683. Ten necrosed fragments of the head of the right humerus, removed by excision twelve weeks after injury. c. 2. Together they embrace about one-sixth of the epiphysis. Corporal T. McC, "B," 02d Pennsylvania: a conoidal ball entered the left eye, passed through the antrum of Highmore, the hard palate, the right inferior maxilla, and comminuted the head of the humerus, Chancellorsville, 3d May; nourished by liquid food through a tube for three weeks, in the field; admitted hospital, Washington, 14th June; operation performed, 29th July, 1863. Recovered, with excellent use of limb. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 4629, XXVI. A. 3. 125. See classes II. A. B. f.; II. A. C. b. 1023. The extremity of the acromion and portions of the head of the left humerus, excised above the greater tuberosity, c. 3. three and a half months after injury. The parts were necrosed and nearly detached at the time of operation. Private II. H., "A," 8th Michigan, 39: Chantilly, Va., 1st September; admitted hospital, Alexandria, 2d Sep- tember; excised by Assistant Surgeon W. A. Conover, U. S. Vols., 14th December, 1862; discharged, with ability to raise the arm 45°, 6th April, 1863. Contributed by the operator. 588. Three-fourths of the head of the right humerus, necrosed and in fragments, excised five months after injury. c. 4. Corporal W. J., "K," 100th New York, 22: Fort Craig, (Petersburg,) Va., 2d April; excision performed, Albany, N. Y , 15th September, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 14. The head of the left humerus, excised at the surgical neck after fracture by a conoidal bullet at the greater c. 5. tuberosity, which, with the inner part of the anatomical neck, is carried way. Sergeant J. P., "C," 4th Michigan: Malvern Hill, 1st July; excised by Assistant Surgeon J. S. Billings, U. S. Army, Washington; died from pyaemia, 21st July, 1862. Contributed by the operator. 2029. The superior and greater portion of the head of the left humerus, excised for gunshot fracture of the inner portion. c. 6. The line of section is oblique, crossing the anatomical neck. Private R. W., "D," 6th Connecticut, 24: Pocotaligo, S. C, 22d October; admitted hospital, Beaufort, S. C, 24th October; excised by Surgeon R. B. Bontecou, U. S. Vols , 1st November, 1862; "had recovered nearly all the motions of the joint," July, 1863. Contributed by the operator. 3145. The head of the left humerus, excised through the surgical neck. The joint was opened and the posterior portion c. 7. of the head chipped. The specimen is spongy and thoroughly carious. Private C. T., "G," 21st Connecticut, 22: Cold Harbor, 4th June; admitted hospital, Washington, 8th; excised by Acting Assistant Surgeon F. G. H. Bradford, 29th June; died, from typhoid pneumonia, 23d July, 1864. Contributed by the operator. 3391. A portion of the head of the right humerus, of which the inner half has been carried away by gunshot, and c. 8. which appears to have been excised. Received from Field Hospital, Chattanooga. 60. The head of the left humerus, excised at the surgical neck. A battered conoidal ball is embedded above the lesser c. 9. tuberosity. Fissures extend across the articular surface, which is carious. History and contributor unknown. * See class XXVII. B. B. d. 1912. The head of the left humerus, excised at the surgical neck. The articular surface is carious and partially c. 10. absorbed, having been grooved by a bullet. The tuberosities and shaft are uninjured. An oblique section has been made across the anatomical neck. Corporal S. T., "G," 2d Michigan Cavalry: near Franklin, Tenn., 24th March; excised by Assistant Surgeon C. C. Gray, U. S. Army, 11th June, 1863. Recovered. Contributed by the operator. 388. The head of the right humerus, excised through the surgical neck. The specimen is spongy and carious, and c. 11. much shattered by a round ball and buckshot. Several fissures extend into the shaft, which has received some new bone. Private J. W., 37th New York, 1?: White Oak Swamp, Va., 30th June; a prisoner several weeks, and admitted hospital, Philadelphia, July; excised by Acting Assistant Surgeon S. D. Gross, 1st August; died, 20th August, 1862. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 99 325. The head of the right humerus, exhibiting a necrosed gunshot groove in the summit with a distinct line of c. 12. demarcation, excised at the surgical neck, where three planes of section appear. Contributed by Assistant Surgeon B. A. Clements, U S. Army. 1925. The head of the right humerus, excised through the surgical neck. About one inch of the shaft has been added c. 13. to the specimen, to show the extent of the fracture downward. The greater tuberosity has been shattered by a conoidal ball and is carious. Corporal B. F., "G," 73d Ohio, 23: Brown's Ferry, Tenn., 29th October; admitted hospital, Memphis, November; excised, 13th; died, 21st November, 1863. Contributed by Acting Assistant Surgeon G. P. Hackenburg. 2295. Portion of the head of the right humerus, much shattered and obliquely excised at the surgical neck. C. 14. Private J. Y., "F," 50th Pennsylvania, 22: admitted hospital, Washington, 14th May; excised by Assistant Surgeon H. Allen, U. S. Army, 16th May; "recovered and returned to duty," (probably for discharge,) 12th October, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. 2590. The head of the right humerus, excised through the surgical neck. An excavation at c. 15. the base of the great tuberosity, the shape and a little greater than the size of a conoidal ball, extends into the head of the bone. The walls of the cavity are perfectly smooth, as if formed by design, and there is no fissuring nor comminution connected with the injury. A very delicate periosteal deposit exists above the line of excision. See figure 45. Private M. J., "C," 5th U. S. Artillery: Gettysburg, 1st July; admitted hospital, Philadelphia, 23d July; excised by Acting Assistant Surgeon C. R. McLean, 1st August; doing well, 23d 0 , , . Qc.j Flo. 45. Exrimd head of hu beptemDer, 1BOJ. merus, showing a syinmetri Contributed by the operator. caiiy formed bullet-cavity J r Spec. 2590. 342. The head of the left humerus, excised through the surgical neck. A conoidal pistol ball, which is embedded c. 16. between the tuberosities, has destroyed the adjacent fifth of the epiphysis. Contributed by Surgeon W. Varian, U. S. Vols. See class XXVII. B. B. d. 2466. The head of the left humerus, obliquely excised through the surgical neck. Tho extremity of the acromion is C. 17. mounted with the specimen. Pieces of the scapular spine were also removed, but are not preserved. The head is grooved transversely across its anterior face. Private B. M., "H," 99th Pennsylvania: Wilderness, 5th May; admitted hospital, Washington, 11th; excised by Surgeon G. L. Pancoast, U. S. Vols., 25th May, 1864. Contributed by the operator. 4023. The head of the left humerus, excised through the surgical neck. A bullet has grooved the external portion of the C. 18. head, and two fissures extend in the inner articular surface. The bone bruised by the ball is carious. Private J. F., "M," 21st North Carolina (Rebel). Died. Received from Ninth Corps Hospital. 994. The head of the left humerus, deeply grooved by gunshot on its posterior articular surface and carious, excised c 19. through the surgical neck. Private R. C, 4th New York, 28: Fredericksburg, 13th December, 1862; excised by Assistant Surgeon C. Wagner, U. S. Army, Point Lookout, Md., 17th January; "healed favorably;" discharged, 10th April, 1863. Contributed by the operator. See 4629, XXVI. A. 3, 121. 4259. The head of the left humerus, excised at the surgical neck. A bullet entering from behind tore off the posterior c. 20. edge of the glenoid cavity and deeply grooved the head of the humerus. A fracture extends down the bicipital groove into the shaft. Private W. H. C, "E," 34th Massachusetts, 24: New Market, Va., 15th May; admitted hospital, Cumberland, Md., 16th; excised by Surgeon J. B. Lewis, U. S. Vols., 22d May, 1864; discharged, " with a moderate usefulness of limb," 17th February, 1865. Contributed by the operator. • 4192. The head of the left humerus, excised at the surgical neck for a slight fracture of the inner face. c. 21. Sergeants. S. G., " B," 9th West Virginia, 26: Fisher's Hill, Va., 22d September; admitted hospital, Philadelphia, 10th October; excised by Assistant Surgeon Thomas C. Brainerd, U. S. Army, 17th; died, exhausted, 25th October, 1864. Contributed by the operator. #** 100 CATALOGUE OF THE SURGICAL SECTION V. IOO. The head of the right humerus, excised through the surgical neck. An elongated ball fractured the great c. 22. tuberosity crushing in the cancellated structure. A small portion of the anatomical neck is involved. The line of excision is very oblique. The missile is mounted with the specimen. Private J. M., "A," 109th Pennsylvania, 35: Cedar Mountain, Va., 9th August; admitted hospital, Washington, 15th; excised by Surgeon D. W. Bliss, U S. Vols., 19th August; bullet removed from beneath the spine of the scapula, 12th October; discharged the service, 12th December, 1862. Contributed by the operator. See 2432, XXVII. B B. d. 22. 890. The head of the left humerus, excised through the surgical neck, with several necrosed fragments of the shaft c. 23. attached by callus. The epiphysis is uninjured, but the head at the line of section is spongy. Private W. F. W., "F," 4th New Jersey, 19: Gaines' Mill. 27th June; admitted hospital, Philadelphia, 30th July; excised by Acting Assistant Surgeon F. A. Keffer, 1st September, 1862; discharged the service, 24th January, 1863. " Loss of use of left arm " reported, 16th January, 1865. Contributed by the operator. 2435. The head of the right humerus, excised through the surgical neck, two months after injury. The head, split c. 24. longitudinally, is thoroughly necrosed. Private J. P., "B," Pnrnell Legion, Maryland Volunteers: Six-Mile House, (near Petersburg,) Va., 21st August; admitted hospital, Philadelphia, 29th August; excised by Acting Assistant Surgeon J. M. McGrath, 15th October, 1864 discharged the service, healed, 24th January, 1865. Contributed by Acting Assistant Surgeon L. C. Cummins. 1206. The head of the right humerus, excised at the surgical neck, A conoidal ball, embedded in c. 25. the upper part of the anatomical neck, has split the specimen, vertically, into two parts, with some loss of substance. See figure 46. Private G. H., "A," 75th Ohio, 32: Chancellorsville, 2d May; admitted hospital, Alexandria, 25th; excised by Surgeon Charles Page, U. S. Army, 27th May; died, 7th June, 1863. Contributed by the operator. c <<-.)- vi-iri A i 11 FIG. 46. Excised head bee 40^/, XXVI. A I, 11. of humerus, with Sec class XXVII. B. B. d. ombe,<1£<;d baI1 Spec. 1206. 1703. The head of right humerus, excised at the surgical neck. The external portions of the head and anatomical neck c. 26. on both sides of the epiphyseal line, are occupied by a cavity the size of a walnut, with spongy and carious walls. There are no fissures in the head or shaft. Private J. M., 37th Ohio, 18: conoidal ball, Vicksburg, 4th June; admitted hospital, and excision performed by Surgeon J. G. Keenon, U. S. Vols., Memphis, 12th July; died from pyaemia, 23d July, 1863. Contributed by the operator. 3303. The head of the left humerus, excised through the surgical neck, which was shattered by gunshot. The radiating c. 27. fissures do not cross the anatomical neck. Private A. G., "A," 188th Pennsylvania: Cold Harbor, Va., 1st June ; excised near Alexandria, 13th June; died, 11th July, 1864. Contributed by Surgeon D. P. Smith, U. S. Vols. 1999. The head of the right humerus, excised through the surgical neck for a partial fracture at the posterior portion of c. 28. the anatomical neck by a conoidal ball which lodged. Corporal R. McL., "C," 1st United States Sharpshooters (Volunteers): Mine Run, Va., 27th November; excised by Surgeon D. P. Smith, U. S. Vols., near Alexandria, 20th December, 1863; discharged, 22d February, 1864. Contributed by the operator. See 4628, XXVI. A. 2, 100. See class XXVII. B. B. d. 3017. The head of the left humerus, excised through the surgical neck. The inner portion of the head and the extremity c. 29. of the clavicle were carried away by gunshot. A line of demarcation, crossing the epiphyseal line, encircles a necrosed portion of the specimen. A card photograph stands with the specimen, representing the appearance on Private J. H., "F," 29th Massachusetts, 19: Petersburg, 15th June; admitted hospital, Washington, 21st June; excised by Surgeon R. B. Bontecou, U. S. Vols., 17th July, 1864. Recovered. Contributed by the operator. A.B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 101 3018. The head of the right humerus, excised through the surgical neck. The epiphysis is fractured at the summit oi C. 30. the bicipital groove and is carious. Private D. H. B., "C," 7th Wisconsin, 35: Wilderness, 8th May; admitted hospital, Washington, 14th May; excised by Surgeon R. B. Bontecou, U. S. Vols., 30th June; died from exhaustion following secondary haemorrhage, 4th July, 1864. Contributed by the operator. 2595. The head of the left humerus, excised through the surgical neck. The posterior portion of the specimen has been c 31. destroyed by gunshot, a slight osseous deposit exists near the seat of injury, and the remainder of the epiphysis is carious. Private C. N., "I," 11th New Jersey: Wilderness, 3d May; excised by Acting Assistant Surgeon J. H. McClellan, Philadelphia, 16th August, 1864 ; transferred to Veteran Reserve Corps, 25th February, 1865. Contributed by the operator. See 4629, XXVI. A. 3, 123. 3801. The head of the left humerus, excised through the surgical neck for loss, after fracture, of the external fourth. c. 32. The specimen is not fissured. Captain J. F. F., "H," 22d U. S. Colored Troops: Chapin's Farm, Va., 30th September; admitted hospital, Fort Monroe, 2d October; excised by Surgeon D. G. Rush, 101st Pennsylvania, 8th October, 1864. "Left the hospital three months after the operation with a very useful limb, and will continue his duties in the service " Contributed by the operator. 2592. The head of the left humerus, excised through the surgical neck for necrosis following gunshot. A missile has c. 33. passed obliquely through the bone from above downward near the base of the great tuberosity, and the adjoining tissues are carious and greatly absorbed. A small amount of spongy callus has been deposited externally. Private E. McC, "B," 69th New York: Fredericksburg, 13th December, 1S62; excised by Assistant Surgeon C. R. Greenleaf, U. S. Army, Philadelphia, September, 1863; transferred to Veteran Reserve Corps, 25th February, 1865. Contributed by the operator. See 4628, XXVI. A. 2, 100. 1 lO. The head and one inch of the shaft of the left humerus, excised for shattering by a conoidal ball which, much c. 34. battered, has lodged at the extremity of the bicipital groove. The articular surface is divided into three unequal portions, and is superficially eroded. Two-fifths of the anterior portion of the specimen are wanting, as if from extreme comminution. Contributed by Surgeon H. S. Hewit, U. S. Vols. Sec class XXVII. B. B. d. 2599. The head of the left humerus, excised just below the surgical neck. The greater portion of the head has been c. 35. destroyed or absorbed, and the remainder is thoroughly carious. The conoidal ball which perpetrated the mischief remains embedded at the extremity of the diaphysis. Private J. F., "C," 72d Pennsylvania: Gettysburg, 3d July; excised by Acting Assistant Surgeon J. H. McClellan, Philadelphia, 22d July; died from pyaemia, 27th September, 1863. Contributed by the operator. See 4628, XXVI. A. 2, 100. See class XXVI I. B. B. d. 3162. The head and one-half inch of the shaft of the right humerus, excised. The anterior and inner portion is carried c. 36. away by gunshot. A slight fissure extends down the shaft. Private A. L., "E," 4th Maryland, 45: Weldon Railroad, Va., 20th August; admitted hospital, Washington, 24th; excised, 31st August; died exhausted, 5th September, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 10. The head and one-half inch of the left humerus, excised. The inner portion of the head is carried away, and the c. 37. articular surface is eroded. The coracoid process and extremity of the clavicle also were fractured. Private W. V., "E," 9th Massachusetts, 22: Malvern Hill, 1st July; admitted hospital, Washington, 4th; excised by Surgeon R. H. Coolidge, U. S. Army, 18th July; discharged the service, 15th December, 1862. Arm very useful in ordinary outdoor employment, and local and general health excellent, December, 1865. Contributed by Acting Assistant Surgeon D. N. Rankin. See 4629, XXVI. A. 3, 121. 2462. The head and three-fourths of an inch of the shaft of the left humerus, excised. A conoidal ball striking c. 38. between the tuberosities has gouged out a portion and split the head and shaft vertically without fissures. Captain S. R. R., Acting Assistant Adjutant General, 2d Brigade, 2d Division, 18th Corps: Cold Harbor, 3d June; admitted hospital and excision performed, Washington, 8th June; died at home, August, 1864. Contributed by Surgeon D. W. Bliss, U. S. Vols. li)2 CATALOGUE OF THE SURGICAL SECTION V. 6 I '2. The necrosed head of the right humerus, excised three-fourths of an inch below the bases of the tuberosities. c. 39. The specimen shows a gunshot fracture of the superior portion, with a small fissure crossing the epiphyseal line. Contributed by Acting Assistant Surgeon E. Hartshorne. 330. The head and half an inch of the shaft of the right humerus, excised. The anterior portion of the surgical neck, c. 40. including the lower parts of both tuberosities, is carried away by gunshot, and the articular surface is eroded and carious. Sergeant G. H., "E," 35th Massachusetts: Antietam, 17th September; admitted hospital, Washington, 22d September; excised, 21st October; died from pyemia, 3d November, 1862. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. 1260. The excised head and one inch of the shaft of the left humerus. A bullet entered the outer border of the c. 41. deltoid, one and a half inches below the acromion, and carried away the posterior half of the surgical neck, chipping the head. The articular surface is eroded, as if by ulceration. Private R. A. C, "E," 14th West Virginia: Winchester, 20th July, 1864; excised by Surgeon J. B. Lewis, U. S. Vols. Recovered. Contributed by the operator. 1 207. The upper half of the left scapula fractured, and the shattered head and one inch of the shaft of the humerus c. 42. excised. A conoidal ball broke the head of the humerus into four parts, with a longitudinal fissure running down the shaft, for which it was excised. The upper portion of the glenoid cavity and the base of the coracoid process are fractured. The articular surface of the scapula is eroded. Private H. A., "H," 14th Indiana, 22: Second Fredericksburg, 3d May; admitted hospital, Washington, 9th; excised, 27th May ; died from pyaemia, 1st June, 1863. Contributed by Acting Assistant Surgeon W. F. Munroe. 3618. The head and one inch of the shaft of the left humerus, excised. A conoidal ball passed through the head, c. 43. deeply grooving it. Much of its substance is now lost by absorption. Private J. W., "C," 61st New York, 22: Wilderness, 5th May; admitted hospital, Philadelphia, 22d July; excised by Acting Assistant Surgeon W. P. Moon, 27th August, 1864; died of pneumonia, 4th March, 1865. Contributed by Acting Assistant Surgeon J. Sheppard. 1042. The head and one inch of the shaft of the right humerus, shattered on the anterior surface. c. 44. Private R. G. C, "D,"133d Pennsylvania: Petersburg, 25th March; admitted hospital, Washington, 28th March; excised by Surgeon D. W. Bliss, U. S. Vols., April; discharged service, 13th June, 1865. Contributed by the operator. 1211. The head and one inch of the shaft of the right humerus, excised for a fracture of the lesser tuberosity pene- c. 45. trating the cancellated structure. Private B. W., "A," 12th Mississippi (Rebel): Petersburg, 2d April; admitted hospital, Fort Monroe, 3d; excised by Surgeon D. G. Rush, 101st Pennsylvania, 18th April, 1865. Recovered. Contributed by the operator. 976. The excised head and one inch of the shaft of the left humerus. The surgical neck is completely necrosed, but c. 46. the disease has not crossed the epiphyseal line. Contributor and history unknown. 2002. The head and one inch of the left" humerus, excised for fracture of the head near the greater tuberosity and c. 47. ulceration of the articular surface. Sergeant J. G., "F," 69th Pennsylvania: in action, Virginia, 27th November; excised by Surgeon D P Smith U. S. Vols., 25th December, 1863. Recovered. Contributed by the operator. See 4629, XXVI. A. 3, 125. 21 SO. A portion of the head and one inch of the shaft of the right humerus, excised seven weeks after comminution. c. 48. A segment one and a half inches in diameter alone remains of the head. The inner half of the shaft opposite the tuberosities has been absorbed. Sergeant J. S., "K,"2d Missouri, 35: Chickamauga, Ga., 19th September; admitted hospital, Nashville, 25th September; excised, 9th November, 1863. Recovered. Contributed by Assistant Surgeon C. J. Kipp, U. S. Vols. See 4629, XXVI. A. 3, 125. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 103 451. The head and one inch nf the shaft of the right humerus, excised. The inner half of the head was carried c. 49. away by gunshot, and the specimen shows eight small fragments that were removed. The neck was suwn through in two places. Private J. L. H., "I," 27th Indiana: Antietam, 17th September; admitted hospital, Frederick, 28th September; excised, 4th October; discharged, with "tolerable use of arm and forearm," December, 1862. Contributed by Acting Assistant Surgeon J. H. Peabody. See 4629, XXVI. A. 3, 121. 94. Excised head and one inch of the shaft of the left humerus. The inner portion of the head is carried away by c. 50. gunshot, the whole is necrosed, and a circular section of bone crossing the epiphyseal line, as though the place of impact, is in process of separation. Contributor and history unknown. 3265. The excised head and one inch of the shaft of the left humerus, with the extremity of the coracoid process and c. 51. the head of the scapula. The head of the humerus was vertically fractured and the coracoid process broken off by a musket ball, which entered in front of the acromion and escaped through the body of the scapula. Private J. J., "A," 11th Connecticut: near Gaines' Mill, Va., 11th June; admitted hospital, Washington, 15th ; excised by Acting Assistant Surgeon Ottman, 23d ; died, 26th June, 1864. Contributed by the operator. 4282. The head and one inch of the shaft of the right humerus, excised. The inner fifth of the head is broken off by c. 52. a conoidal ball which entered from above. There is no fissuring. Private S. B., "K," 20th Pennsylvania: Petersburg, 25th March; excised by Surgeon G. L. Pancoast, U. S. Vols., Washington, 1st April; died from pyaemia, 10th April, 1865. Contributed by the operator. 2596. The head and one inch of the shaft of the left humerus, excised. The head is split nearly vertically, and the c. 53. posterior fourth is carried away by a round ball. A fracture extends obliquely down the shaft. Private E. Van T., "A," 120th New York: Chancellorsville, 3d May; excised by Assistant Surgeon C- R. Greenleaf, U. S. Army, Philadelphia, 24th June, 1863. "Has a good, strong arm." Contributed by the operator. 335. The head of the right humerus much shattered, excised with one inch of the shaft. c. 54. Private W. B., "G," 20th New York State Militia: Second Bull Run, 30th August; admitted hospital, Alexandria, 1st September; excised by Dr. Joseph Pancoast, 14th September, 1862; discharged the service, with partial use of arm, 10th November, 1863. Contributed by Surgeon J. E. Summers, U. S. Army. 3302. The head and one inch of the shaft of the right humerus, excised for a fracture of the greater tuberosity and C. 55. adjoining portion of the head. Private M. T., "K," 40th New York, 24: Wilderness, 5th May; admitted hospital, near Alexandria, 10th; excised by Surgeon D. P. Smith, U. S. Vols., 26th May; died, 3d June, 1864. Contributed by the operator. 2830. Excised head and one inch of the shaft of the right humerus. A bullet has passed through the head, completely c. 56. destroying its integrity and fracturing the surgical neck. Private W. W., " B," 60th Ohio. Contributor and history unknown. See 4628, XXVI. A. 2, 100. 3559. Excised head and one inch of the shaft of the right humerus. The joint has been opened by a fracture of the c. 57. greater tuberosity, and the articular surface is spongy and eroded. A fissure extends down the shaft. Private J. M., "E," 155th Pennsylvania, 26: Wilderness, 5th May; admitted hospital with acute bronchitis, Washington, 13th May; excised by Assistant Surgeon W. Thomson, U. S. Army, 15th June; died with double pleuritis, 14th July, 1864. Contributed by the operator. 3691. The excised head and one inch of the shaft of the right humerus. A gunshot fracture exists immediately behind c. 58. the greater tuberosity, and the whole specimen is carious. The humerus was dislocated. Private W. B. W., "A," 2d Wisconsin, 21: excised by Surgeon H. Culbertson, U. S. Vols., Madison, Wis., 20th June, 1864. Recovered. Contributed by the operator. See 4629, XXVI. A. 3, 125. 104 CATALOGUE OF THE SURGICAL SECTION V. I !>N. The excised head and one inch of the neck of the humerus, with a fragment of the shaft two and a half inches C 59. in length. This fragment, at the surgical neck, has become reattached by callus not in the original plane, and the osseous deposits show the operation to have been a secondary one. A fissure of the bicipital groove does not extend into the epiphysis, which is uninjured. Contributed by Surgeon R. H. Alexander, U. S. Army. 3052. The head and one-half inch of the shaft of the right humerus, excised. A bullet has struck the anatomical neck c. 60. at the posterior border of the greater tuberosity, and an excavation three-fourths of an inch in depth by one and one fourth inches in diameter at the surface, without fissuring, has resulted. The entire articular surface has been destroyed by ulceration. Private J. M. L., "C," 1st Maine Heavy Artillery, 18: Petersburg, 18th June; admitted hospital, Washington, 21st June; excised by Surgeon R. B. Bontecou, U. S. Vols., 18th July, 1864. Convalescent. Contributed by the operator. 17. The head and one and a half inches of the shaft of the left humerus, excised The head of the bone was c. 61. completely shattered by a pistol ball perforating it. The line of section is at an angle of forty-five, and was made with a whip-saw, a chain-saw not being in possession. Lieutenant F. J. O'B , General Lander's Staff: near Bloomery Furnace, Va., 20th February; excised by Brigade Surgeon George Suckley, Cumberland, Md., 20th March ; died from tetanus, 1st April, 1862. Contributed by Surgeon A. McMahon, U. S. Vols. 3033. The head and one and a half inches of the shaft of the right humerus, excised. A battered conoidal ball is c. 62. lodged in the anatomical neck just within the bicipital groove. A vertical fracture divides the anterior third of the head. Private J. H., "H," 1st Michigan, 17: Petersburg, 17th June; admitted hospital, Washington, 21st; excised by Surgeon R. B. Bontecou, U. S. Vols., 20th June; died from exhaustion following secondary haemorrhage, 24th July, 1864. Contributed by the operator. See class XXVII. B. B. d. 2363. The head and one and a half inches of the shaft of the right humerus, excised. A conoidal ball lodged behind c. 63. the greater tuberosity and split off the laminated structure over a triangular surface of which each side is one and a half inches. Private D. B. W., "F," 1st Maine Heavy Artillery, 33: North Anna, Va., 19th May; admitted hospital, Washington, 22d; excised by Surgeon D. W. Bliss, U. S. Vols., 23d May; died, 8th June, 1864. Contributed by the operator. See 4628, XXVI. A. 2, 100. See class XXVII. B. B. d. 2479. The excised head and one and a half inches of the shaft of the left humerus. The outer portion of the head was c. 64. carried away by a musket ball and the coracoid process shattered, its extremity being removed with the specimen. A card photograph stands with the specimen, representing the condition of the limb six months after the operation. Private R. J., "D," 67th New York, 22: Spottsylvania, 12th May; admitted hospital, Washington, 16th; excised by Surgeon O. A. Judson, U. S. Vols., 17th May; discharged, 12th December, 1864. Limb quite serviceable at date of discbarge. Contributed by the operator. See 4627, XXVI. A. 1, 17. 3161. The head and one and a half inches of the shaft of the left humerus, excised, A conoidal ball entered the c. 65. anatomical neck from the rear,"fissured the articular surface and shattered the surgical neck, and remains embedded in the specimen. Corporal C. M. W., "C," 5th New Hampshire: Ream's Station, Va., 25th August; admitted hospital, Washington, 28th; excised, 30th August; recovered, 16th December, 1864. Contributed by Acting Assistant Surgeon L. C. Dodge. See class XXVII. B. B. d. 2712. The head and one and a half inches of the shaft of the right humerus, fractured in the greater tuberosity and c. 66. excised. The bullet found in the axilla is attached. The specimen is necrosed and absorbed. Private F. S , "F," 5th New Hampshire, 21: Cold Harbor, 3d June; admitted hospital, Alexandria, 6th ; excised by Surgeon E. Bentley, U. S. Vols., 29th June, 1864. Probably recovered. Contributed by the operator. See class XXVII. B. B. d. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. lt»5 3 IS7. The excised head aud one and a half inches of the shaft of the left hunerus. The inner portions of the neck c. 67. and head have been carried away by gunshot, and erosion is commencing to invade the articular surface. An oblique fracture extends down the shaft. Lieutenant L. C. C , "A," 15th Michigan, 32: Atlanta, 19th Angust; admitted Fifteenth Corps Hospital, Marietta, Ga., 24th August; excised on account of secondary haemorrhage, 4th September; discharged the hospital, recovered, 14th October, 1864. Contributed by Surgeon J. R. Gove, 127th Illinois. 999. The excised head and one and a half inches of the shaft of the left humerus, shattered by a conoidal ball which C. 68. entered from above and lodged in the head of the bone. The specimen is completely carious, and shows a partial section somewhat higher than the line of actual excision. First Sergeant M. D., "E,"2d U. S Infantry, 25: Fredericksburg, 13th December; admitted hospital. Point Lookout, I6th December, 1862; excised by Assistant Surgeon C. Wagner, U. S. Army, March, 1863. Recovered and was commis- sioned in the U. S. Army. Contributed by the operator. fee class XXVII. B. B. d. 1998. Excised head and one and a half inches of the shaft of the left humerus. The external portion of the surgical c. 69. neck is partially fractured, but the continuity of the bone is not destroyed. Private J. F. L., "A," 5th Michigan: Mine Run, Va., 27th November; excised by Surgeon D. P. Smith, U. S. Vols., near Alexandria, 14th December, 1863; died from pneumonia, 3d January, 1864. Contributed by the operator. 2274. The head and one and a half inches of the shaft of the left humerus, excised for perforation obliquely down C. 70. ward by a conoidal ball at the epiphyseal line. The articular surface is badly broken and the shaft fissured. Lieutenant A. C. B., "I," 64th New York, 21: Spottsylvania, I2th May; admitted hospital, Washington, 16th; excised by Surgeon D. W. Bliss, U. S. Vols., 18th May; leave of absence, doing well, 8th July, 1-61. Contributed by the operator. 2622. Portions of the head and upper extremity of the shaft of the left humerus, excised five months after injury. The c. 71. specimen is nearly two inches in length aud is thoroughly necrosed. The greater portion of the head is not present, apparently having been absorbed. Part of a well-defined sequestrum, itself surrounded by an impoverished involucrum, is embedded in the preparation Private R. K., "D," 7th Wisconsin: Second Bull Run, 29th August, 1862; excised, Philadelphia, 29th January, 1863. Recovered. Contributed by Acting Assistant Surgeon L. K. Hall. 2770. The head and two inches of the shaft of the left humerus, excised three and a half mouths after injury. The c. 72. bone was shattered at the place of excision by a piece of shell, and many fragments were removed at various times before the operation. The specimen shows the diaphysis much necrosed and the lesser tuberosity fractured. A modentte degree of callus has been thrown out on the lower extremity. Private J. K, "B," 1st California (probably 72d Pennsylvania): Gettysburg, 3d July; admitted hospital, Philadelphia, 5th September; excised by Acting Assistant Surgeon T. G. Morton, 21st October, 1863. Recovered with good use of arm. Contributed by the operator. 839. The head and two parallel fragments of the shaft of the left humerus, excised two inches below the surgical c. 73. neck. The specimen is much necrosed. Private ---- Q., 69th New York, 62: Antietam, 17th September; excised by Assistant Surgeon J. H. Bill, U. S. Army, Frederick, 26th October, 1862. Recovered. Contributed by the operator. 1091. The head and two inches of the outer half of the shaft of the left humerus, supposed to have been excised. The c. 74. fracture involves one-fifth of the articular surface and the inner third of the shaft. Contributed by Surgeon H. Bryant, U. S. Vols. 189. The head and two inches of the shaft of the left humerus, excised by Surgeon D. W. Bliss, U. S. Vols. A bullet c. 75. entered behind the great tuberosity and escaped through the lesser, producing in a marked degree the splintering attributed to conoidal balls, and illustrating the difference between wounds of entrance and escape. Contributed by the operator. 2181. The excised held aud two inches of the shaft of the left humerus, two mouths after injury. The head has c. 76. nearly disappeared under the ulcerative process, and the extremity of the shaft is carious. Private A. C, "I," 4th U. S. Artillery, 21: Chickamauga, 19th September; admitted hospital, Nashville, 12th October; excised by Assistant Surgeon C. J. Kipp, U. S. Vols., 15th November, 1863. Recovered. Contributed by the operator. U 10G CATALOGUE OF THE SURGICAL SECTION V. 120N. The excised head and one and three-fourths inches of the shaft of the left humerus, longitudinally fractured and c. 77. carious. The outer fourth of the head has been destroyed. Private H. T., " K," 18th Massachusetts, 24: Second Fredericksburg, 3d May; admitted hospital, Washington, 9th; excised, 25th May; died from pyaemia, 10th June, 1863. Contributed by Surgeon O. A. Judson, U. S. Vols. See 4293, XXVII. B. B. d. 147. 3038. The excised head and two inches of the shaft of the right humerus. A bullet passing through the surgical neck c. 78. has carried away its inner two-thirds and the lower half of the head, the remainder of which is split into several fragments. Private S. G. D , "E," 31st Maine, 19: Bottom's Bridge, Va., 11th June; admitted hospital, Washington, 15th; excised by Surgeon R. B. Bontecou, U. S. Vols., 19th June; died from exhaustion following secondary haemorrhage, 7th July, 1864. Contributed by the operator. 4350. Six necrosed fragments, representing the head and two inches of the shaft of the left humerus, excised for C. 79. gunshot of the shoulder. Private J. M., "A," 205th Pennsylvania, 31: Petersburg, 2d April; admitted hospital, Washington, 5th April; excised by Surgeon R. B. Bontecou, U. S. Vols., 9th May; discharged, 23d September, 1865. Contributed by the operator. 3465. The excised head and two inches of the shaft of the right humerus. A bullet passed through the greater C. 80.. tuberosity grooving the head, which, in the specimon, is completely carious. A longitudinal fissure extends down the shaft. Private S. J. C, "C," 111th New York: Wilderness, 5th May; admitted hospital, Baltimore, 16th May; excised, 21st June, 1864. Recovered. Contributed by Acting Assistant Surgeon G. W. Fay. 68. Excised head and two inches of the shaft of the right humerus, extremely shattered by perforation. A section c. 81. of the shaft, not including all the fragments, has been made three-fourths of an inch above the final one. Private W. J. P., "E," 85th New York, 34: Boydton Plank Road, Va., 29th March; admitted hospital, Wash- ington, 2d April; excised by Assistant Surgeon H. Allen, U. S. Army, 5th April; discharged the service, 1st June, 1865. Contributed by the operator. 3628. The head and two inches of the shaft of the right humerus, excised for partial fracture at c. 82. the surgical neck with the articulation opened. An oblique fracture extends down the shaft, and an independent longitudinal fissure, nearly two inches in length, occupies the posterior bicipital ridge. See figure 47. Corporal J. H., "F," 1st Pennsylvania Cavalry: Weldon R. R., Va., 23d August; admitted hospital, Philadelphia, 29th August; excised by Acting Assistant Surgeon W. P. Moon, 5th September; died exhausted, 27th September, 1864. Contributed by Acting Assistant Surgeon J. A. C. Hanly. 1. The excised head and two inches of the shaft of the right humerus. A conoidal ball C 83. entering the base of the great tuberosity has shattered the surgical neck and extensively fissured the articular surface. Private R. B. M., "I," 7th Michigan: White Oak Swamp, Va., 30th June; excised by Acting Assistant Surgeon D. N. Rankin, Washington, 19th July ; returned home nearly healed, October, 1862. Contributed by the operator. 185. The excised head aud two inches of the shaft of the left humerus. The upper two-thirds of the epiphysis have c. 84. been carried away and the remainder is broken into many fragments, but the diaphysis is uninjured. Private L. G. S., "I," 17th New York, 26: while carrying the regimental colors off the field was wounded by a buckshot in the left forearm, by a pistol ball in the left shoulder, and in the left thigh and leg by conoidal balls, Second Bull Run, 30th August; admitted hospital, Washington, 1st September; excised by Surgeon D. W. Bliss, U. S. Vols., 14th September; discharged from service with a useful arm, 31st October, 1862. Contributed by the operator. 4003. The head and two inches of the shaft of the left humerus, excised for perforation of the surgical neck between c. 85. the tuberosities. An oblique fracture, bordered by necrosed bone, extends through the surgical neck. Private L. R., "E," 4th U. S. Colored Troops, 29: Deep Bottom, Va., 29th September; admitted hospital, Portsmouth, Va., 5th November; excised, 10th; died exhausted, 14th November, 1864. Contributed by Assistant Surgeon J. H. Frantz, U. S. Army. Fig. 47. Excised head and a portion of shaft of ripht humerus. Spec. 3628. A. 13. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 107 2282. The head aud two inches of the shaft of the left humerus, excised for fracture of the surgical neck by a conoidal c. 86. ball. Private J. S., "G,"115th Pennsylvania, 30: Spottsylvania, 12th May; admitted hospital, Washington, 18th; excised by Surgeon D. W. Bliss, U. S. Vols., 19th May ; died, 30th June, 1864. Contributed by the operator. 1006. The head and two inches of the shaft of the left humerus, excised. The inner fifth of the head and half of the c. 87. surgical neck have been carried away. A complete fracture extends through the head, leaving only the outer inferior fourth attached to the shaft, down which three longitudinal fractures run. Contributed by Acting Assistant Surgeon George F. Shrady. 633. The head and a portion of two inches of the shaft of the right humerus, excised. The inner part has been c. 88. carried away nearly longitudinally. The specimen shows a necrosed internal portion of the head nearly separated, the external surface of the shaft covered with some callus, and the articular surface eroded and fissured. A few shreds of clothing yet remain in tbe surgical neck. Private J. K. C, "E," 10th Pennsylvania Reserves: Fredericksburg, 13th December, 1862; excised by Surgeon John Wilson, U. S. Vols., Washington, 7th January, 1863. Recovered. Contributed by the operator. 2724. The right scapula and humerus. The head and two inches of the shaft of the humerus, tho coracoid process c. 89. and the head and neck of the scapula, have been excised The epiphysis of the humerus is thoroughly carious, a small ring of necrosed articular surface remaining at the superior portion. The glenoid cavity is eroded and carious, and the extremity of the acromion has been broken, as if by violence aftei death. The specimen gives no evidence of any considerable violence directly inflicted, and the original injury was probably a gunshot wound that opened the joint, chipping the head of the humerus. The excision was evidently performed at a date remote from that of the wound. Received, without history, from Beaufort, S. C* 1180. The head and two inches of the shaft of the right humerus, excised for comminution by gunshot through the c. 90. surgical neck. Private G. R., "E," 12th New Jersey, 40: Chancellorsville, 3d May; admitted hospital, Washington, 6th; excised by Assistant Surgeon C. A. McCall, U. S. Army, 25th May, 1863. Recovered. Contributed by Acting Assistant Surgeon J. Winslow. See 4629, XXVI. A. 3. 123. 3094. The head and two and a half inches of the shaft of the right humerus, excised for gunshot perforation through c. 91. the epiphyseal junction. A vertical fracture extends through the head, and an oblique one down the shaft. Private W. P., "B," 92d New York, 24: Second Fair Oaks, 27th October; admitted hospital, Portsmouth, Va., 29th October; excised, 3d November; died from secondary haemorrhage and exhaustion, 22d November, 1864. Contributed by Assistant Surgeon J. H. Frantz, U. S. Army. 2937. The head and two and a half inches of the shaft of the left humerus, excised for gunshot. A bullet has passed c. 92. through the surgical neck, comminuting the shaft as far as excised, and fracturing both the tuberosities and the inferior portion of the head. Private B. McC, "D," 63d New York, 30t Petersburg, 16th June; admitted hospital, Washington, 22d; excised by Surgeon O. A. Judson, U. S. Vols., 23d June; died from exhaustion following haemorrhage, 8th July, 1 Contributed by the operator. 3621. The head and two and a half inches of the shaft of the left humerus, excised for an oblique c. 93. fracture with comminution through the surgical neck. The margins of the fractures are necrosed, and a very thin deposit of callus on the shaft has occurred. See figure 48. Private L. T., "A," 5th Pennsylvania Cavalry, 30: Petersburg, 15th June; admitted hospital, Phila- delphia, 21st June; excised by Acting Assistant Surgeon W. P. Moon, 1st July; died exhausted, 14th July, 1864. Contributed by the operator. 2420. The head and two and a half inches of the shaft of the left humerus, excised for destruction c. 94. of the head and oblique fracture of the surgical neck. Captain D. L., "1," 4th Vermont, 26: Wilderness, 5th May; admitted hospital, Washing- ton, 25th; excised by Surgeon D. W. Bliss, U. S. Vols., 1st June; died, 6th June, 1864. Contributed by the operator. * Note to 272i.^By the following, obtained v>hite this page ras t'a type, it appears no excision teas performed: Private L. J., " H," 34th U. S. Colored Troops: contusion by piece of plank struck by shell. Fort Wagner, S. C.; "necrodis set in Insidiously renting all treatment, tbe patient dying of debility, 25th April, 1864. Specimen mutilated by Dr.-----, who performed the post mortem." Contributed by Assistant Surgeon E. D. Buckman, U. S. Vols. 864. FIG. 48. Excised head and portion of shaft of left humerus. Spec. 3624. IDS CATALOGUE OF THE SURGICAL SECTION V. 5S2. The head and two and a half inches of the shaft of the right humerus, excised. Tho shaft is thoroughly c. 95. shattered, and a fissure extends into the articular surfaces. This specimen is uirque in exhibiting an islaud of sound bone at ihe superior articular surface, completely surrounded by commencing caries. Private A. B., "A," 37th North Carolina (Rebel): Fredericksburg, 13th December; excised by Surgeon H. Bryant, U. S. Vols., Washington, 29th December, 1862. Contributed by tho operator. I 6*8. The head and two and a half inches of the shaft of the left humerus, excised nine months after injury. The c. 96. specimen is greatly necrosed, and large portions of it have been destroyed by ulceration. A moderate involucrum of the shaft contains two large cloacae. Sergeant J. K, "E," 6th U. S. Infantry, 41: Fredericksburg, 14th December, 1862; excised by Surgeon D. W. Bliss, U. S. Vols., Washington, 10th September, 1863. Contributed by the operator. 2391. The head and three inches of the shaft of the right humerus, excised. A conoidal ball entered the base of the C. 97. greater tuberosity and passed directly through, shattering the surgical neck with several longitudinal fractures. The greater part of .the shaft is necrosed. The articular surface is not materially injured. Captain F. W., "E," 49th Pennsylvania: Spottsylvania, Va., 12th May; admitted hospital, Washington, 25th; excised by Surgeon D. W. Bliss, U. S. Vols., 31st May; granted leave of absence, 30th August, 1864. Contributed by tbe operator. 2112. The head and nearly three inches of the shaft of the left humerus, excised for comminution of the upper third c. 98. by a conoidal b ill which previously parsed through the left maxilla. The epiphysis is uninjured. Private L. H. S., "G," 9th Massachusetts, 21: accidentally wounded, 10th January; admitted hospital, Wash- ington, 2d February; excised, 16th; died from pyaemia, 27th February, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. See class II. A. B. f. 3304. The head and three inches of the shaft of the left humerus, excised for an oblique fracture with comminution of c. 99. the surgical neck. Only one small fissure crosses the epiphyseal line. The shaft is covered with a very thin osseous layer. Contributed by Surgeon D. P. Smith, U. S. Vols. 2 138. The head and three inches of the shaft of the right humerus, excised one month after injury. The epiphysis is c. 100. uninjured, but the surgical neck is comminuted and completely necrosed. Private G. J., "I," 9th U. S. Colored Troops, 17: Deep Bottom, Va., 29th September; admitted hospital, Ports- mouth, Va., 5th October: excised for secondary haemorrhage, 27th October, 1864. Recovered. Contributed by Assistant Surgeon J. H. Frautz, U. S. Army. 1674. The head and three inches of the shaft of the right humerus, badly shattered by perforation through the c. 101. epiphyseal junction, and excised. Commencing erosion has invaded the articular surface and a moderate periosteal deposit exists on the shaft. Private W. J. W., "E," 13th New Hampshire, 19: Deep Bottom, Va., 16th August; excised, Portsmouth, Va , 30th August; died from exhaustion following secondary haemorrhage, 14th September, 1864. Contributed by Assistant Surgeon J. H. Frantz, U. S. Army. 620. The head and nearly three inches of the shaft of the left humerus, excised for fracture by a conoidal ball which C 102. has lodged at the line of excision. The epiphysis is uninjured. Contributed by Assistant Surgeon G. M. McGill, U. S. Army. See 4629, XXVI. A. 3, 126. See class XXVII. B. B. d. 4236. A small portion of the head and three inches of the shaft of the right humerus, excised. A part of the head has c. 103. been carried away by gunshot, the fracture extending through the surgical neck. The upper extremity of the Rpecimen is much necrosed. Sergeant W. McC., "L," 24th New York Cavalry. Dinwiddie C. H., Va., 3d March; excised by Surgeon E. Griswold, U. S Vols., 8th June; discharged 9th November, 1865. Contributed by the operator. 3262. The excised head and three inches of the shaft of the left humerus, shattered by a conoidal ball passing through C 104. the epiphyseal junction. The extremities of the remaining fragments are necrosed and a minute deposit has occurred of the shaft. Private W. M , 1st Maine Heavy Artillery: Petersburg, 21st June; admitted hospital, Washington, 4th July; excised bv Acting Assistant Surgeon F. G. H. Bradford, 17th; died, 24th July, 1864. ' Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. Km 2914. The head and three inches of the shaft -of the right humerus, excised for fracture of the surgical neck by a c. 105. conoidal ball, which is placed in the specimen as it lodged. The epiphysis is uninjured, but the shaft where struck by the bullet is shattered. Private J. S. B., "G," 45th Pennsylvania: Cold Harbor, 3d June; excised by Surgeon O. A. Judson, U. S. Vols., Washington, 20th June; died of chronic diarrhoea, 16th August, 1864. Contributed by the operator. Sec 4628, XXVI. A. 2, 100. See class XX VII. B. B. d. 4091. The head and three inches of the shaft of the left humerus, excised. A ball has carried away tbe inner portion C. 106. of the surgical neck of the humerus. The articular surface is destroyed by ulceration, and the shaft is fractured longitudinally. The scapula, attached, shows the lower portion of the glenoid cavity carried away and the iufra-spiuous portion shattered. Traces of periosteal inflammation exist on both surfaces of the scapula. Private L. K, "G," 211th Pennsylvania: Petersburg, 3d April; admitted hospital, Washington, 8th; excised by Surgeon D. W. Bliss, U. S. Vols., 14th ; died, 16th April, 1865. Contributed by Acting Assistant Surgeon C. H. Bowen. 1118. The head and three and a half inches of the shaft of the right humerus, excised. The anterior face of the C. 107. shaft and posterior portion of the head are carried away, and the articular surface is split in two vertically. Private E. H. W., "G," 6th Maine, 24: Second Fredericksburg, 3d May; admitted hospital, Washington, 8th; excised by Assistant Surgeon C. A. McCall, U. S. Army; discharged, recovered, Kith November, lst)3. Contributed by the operator. 1177. The head and three and a half inches of the shaft of the left humerus, excised for extreme shattering of the c. 108. diaphysis by a musket ball. The articular surface is uninjured. Private D. R., "I," 8th New Jersey, 18: Second Fredericksburg, 3d May; admitted hospital, Washington, 9th ; excised by Assistant Surgeon C. A. McCall, U. S. Army, 16th May, 1863. Recovered without use of the arm. Contributed by Acting Assistant Surgeon E. Coues. 2355. The head and three and a half inches of the shaft of the right humerus, excised for complete comminution of the c. 109. surgical neck by a conoidal ball. Private W. H., "D," 64th New York: Spottsylvania, 12th May; admitted hospital, Washington, 24th; excised by Acting Assistaut Surgeon H. M. Dean, 27th May; died from pyaemia, 7th June, 1861. Contributed by Acting Assistant Surgeon E. L. Bliss. 2625. The head and three and a half inches of the shaft of the left humerus, excised for a comminuted fracture of the c. 110. surgical neck. A battered ball is lodged in the specimen. The epiphysis is not implicated. There are faint traces of periosteal disturbance on the shaft. Received, without history, after Chancellorsville. See 4629, XXVI. A. 3, 122. See class XXVII. B. B. d. 3309. The head and three and a half inches of the shaft of the left humerus, excised for shattering of the surgical c. 111. neck and splintering of the shaft. Private D. W. H., "D," 13th Tennessee Cavalry: Fort Pillow, Tenn., 12th April; excised by Surgeon H. Wardner, U. S. Vols., Mound City, 111., 22d April; died, suffering under two other very severe wounds, exhausted, 4th May, 1864. Contributed by the operator. 2719. The head and three and a half inches of the shaft of the right humerus, excised for fracture just below the C. 112. surgical neck. At the place of fracture the bone is necrosed, with no attempt at repair. Private F. K., 14th U. S Infantry: probably Spottsylvania, 12th May; admitted hospital, Washington, 26th May; excised by Assistant Surgeon J. C. McKee, U. S. Army, 24th June; died from pyaemia, 30th June, 1864. Contributed by Acting Assistant Surgeon H. M. Dean 1875. The head and three and a half inches of the shaft of the left humerus, excised ten and a half months after c. 113. injury for perforation by gunshot of the surgical neck, followed by necrosis of the internal structures and a decided deposit of new bone externally. The specimen shows a portion of the shaft to have been removed by a trephine, of which there is no account in the history. Private T. P., "A," 3d Michigan, 20: Fair Oaks, 31st May, 1862; excised by Acting Assistant Surgeon J. II. Packard, Philadelphia, 9th April; died from pneumonia, 22d April, 1863. Contributed by the operator. See 4628, XXVI. A. 2, 100. 110 CATALOGUE OF THE SURGICAL SECTION V. 65*. The excised head and three and a half inches of the shaft of the right humerus. A fragment of shell c. 114. comminuted the bone above and below the surgical neck. The greater part of the articular half of the head, divided into three fragments, remaius. Longitudinal fractures extend down the shaft the length of the specimen. Superficial osseous deposits occur on the diaphysis, and at one point a line of demarcation is forming. Private G. B., "C," I lth New Hampshire: Fredericksburg, 13th December; admitted hospital, Washington, 26th excised by Surgeon D. W. Bliss, U. S. Vols., 30th December, 1862. Contributed by the operator. 3N7. The head and outer portion of the shaft of the right humerus three and a half inches in c. 115. length, excised. The articular surface was not injured, but the surgical neck was comminuted by a round ball. The specimen shows only the head and the large fragments attached. See figure 49. Private F. S., 37th New York, 21: White Oak Swamp, Va., 30th June; a prisoner until admitted hospital, Philadelphia, 27th July; excised by Acting Assistant Surgeon S. D. Gross, 1st August, 1862. Discharged with good use of the limb. Contributed by the operator. See 4629, XXVI. A. 3, 124. 804. A wet preparation of the shoulder joint, one month after the excision of the head and three c. 116. and a half inches of the shaft of the humerus. The position of the removed bone was entirely filled up by coaptation and granulations, except for an inch and a half above the sawn extremity. A fragment of bone of two inches, which had been left attached by periosteum, was not necrosed, but had much ossific matter poured out about it. Superficial necrosis had occurred over the glenoid cavity. Private E. B., 69th New York, 32: Antietam, 17th September; admitted hospital, Frederick, 23d; excised by Acting Assistant Surgeon J. H. Bartholf, 28th September; died from pleuro-pneumonia, 27th October, 1862. Contributed by the operator. Sec 787, V. A. b. c. 117. 787. The head and three and a half inches of the shaft of the right humerus, excised for comminution below the c. 117. surgical neck. The articular surface was not injured. An elliptical fragment of two inches in length remained in the wound, attached to the muscle by periosteum. Private E. B., 69th New York, 32: Antietam, 17th September; admitted hospital, Frederick, 23d; excised by Acting Assistant Surgeon J. H. Bartholf, 28th September; died from pleuro-pneumonia, 28th October, 1862. Contributed by the operator. See 804, V. A. b. c. 116. Fig. 49. Head and portion of shaft of right humerus, excised. Spec. 387. 3369. The head and four inches of the shaft of the left humerus. A conoidal ball shattered the bone just below the c. 118. surgical neck, without opening the joint, and perforated the left thorax. Several of the fragments are partially united by callus, but there has been no serious attempt at repair. Private S. S., "H," 49th Ohio, 29: Dallas, Ga., 27th May ; admitted hospital, Nashville, 8th July; excised, 19th ; died, 26th July, 1864. Contributed by Surgeon R. L. Stanford, U. S. Vols. 3611. The head and four inches of the shaft of the left humerus, excised for comminution below the c. 119. surgical neck. See figure 50. Private J. L., " C," 6th Connecticut, 22: Bermuda Hundred Lines, Va., 17th June; admitted hospital, Philadelphia, 21st June ; excised for secondary haemorrhage, by Acting Assistant Surgeon J. H. Jamar, 4th July, 1864. Contributed by Surgeon Joseph Hopkinson, U. S. Vols. 2468. The excised head and four inches of the shaft of the right humerus, shattered at the surgical c. 120. neck and the inferior portion of the epiphysis. Sergeant H. W. C, " H," 116th Pennsylvania: Spottsylvania, 12th May ; admitted hospital, Washington, ^8th; excised by Surgeon G. L. Pancoast, U. S. Vols., 29th May; died, 12th August, 1864. Contributed by the operator. 382. The head and four inches of the shaft of the right humerus, excised for a comminuted fracture C. 121. of the upper third of the shaft by a conoidal ball which lodged within the thorax. The epiphyseal portion is not involved. Private M. F., —tli Pennsylvania: Antietam, 17th September; excised by Assistant Surgeon A. H. Smith, U. S. Army, Frederick, 28th September; died from pneumonia following the wound of the lunsr 9th October, L-62. 6' «„ „ „ . , rlG.50. Headandpor- Contributed by the operator. tions of shaft of left humerus, excised. Spec. 3611. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. Ill 336. The excised head and four inches of the shaft of the left humerus. The shaft is broken into large fragments, but c. 122. the epiphysis is intact. Private F. B., "B," 86th New York: probably Second Bull Run, 30th August; excised by Surgeon J. If. Brinton, U. S. Vols., 5th September; admitted hospital, Alexandria, 24th October; discharged the service, 7th November, 1862. Contributed by Surgeon John E. Summers, U. S. Army. 1262. The head and four and a half inches of the shaft of the left humerus, excised two weeks after injury. The head, c. 123. uninjured by the direct impact of the ball, is thoroughly carious; the remainder of the specimen is shattered and necrosed with very trivial osseous deposits. Private H. E., "H," 28th Pennsylvania: Chancellorsville, 2d May; admitted hospital, Washington, 7th; excised by Surgeon D. W. Bliss, U. S. Vols., 17th May, 1863; transferred to Pittsburgh, 22d February ; discharged, 1st June, 1864. Contributed by the operator. 2360. The head and four and a half inches of the shaft of the right humerus, excised for comminution of the upper third. c. 124. A fracture occupies the anatomical neck in its outer half. Private L. B., "E," 7th Maine: excised by Acting Assistant Surgeon H. H. Ensign, Washington, 26th May ; died, 8th June, 1864. Contributed by Surgeon N. R. Mosely, U. S. Vols. 1941. The upper portion of the left humerus, of which five inches were removed sixteen weeks after the head of tho c. 125. bone was shattered by a conoidal ball. The head and neck were carious and.broken down and could not be pre. served. The specimen shows a large fragment attached to the shaft by an indifferent deposit of callus. Private P. B., "K,"28th Massachusetts, 21 : Gettysburg, 2d July; excised, 20th October, 1863. Recovered. Contributed by Acting Assistant Surgeon E. P. Townsend. 3804. Tho head and five inches of the shattered shaft of the right humerus, excised. The epiphyseal portion is uninjured, c. 126. but the remainder of the specimen is much broken. Captain D. G. R., "E," 9th U. S. Colored Troops, 28: Deep Bottom, Va., 29th September; admitted hospital, Fort Monroe, 3d October, 1864; excised by Surgeon D. G Rush, 101st Pennsylvania, the same day. Made a good recovery. Contributed by the operator. 3289. Nearly the upper half of the left humerus, excised for gunshot. A conoidal ball is firmly c. 127. impacted just below the head, posteriorly the articular surface is eroded, a longitudinal fracture occupies the bicipital groove, and the posterior portion of the shaft is shattered. See figure 51. Private G. D. S., "F," 17th Vermont: Petersburg, 30th September; admitted hospital, Alexandria, 13th October; excised by Surgeon Edwin Bentley, U. S. Vols., 14th; died from secondary haemorrhage, 19th October, 1864. Contributed by the operator, See 4627, XXVI. A. 1, 37. See class XXVII. B. B. d. 155. The excised head and six inches of tbe shaft of the left humerus. The epiphysis is uninjured, c. 128. but the diaphysis is thoroughly comminuted as though by shell. The shaft is markedly necrosed with commencing exfoliations Private N. N., 54th New York : Second Bull Run, 28th August; admitted hospital, Washington, 5th September; excised, 25th September, 1862. Recovered. Received from Douglas General Hospital. Fig. 51. Head and large portion of shaft of left humerus with 3605. The head and two and a half inches of the shaft of the right humerus, excised for perforation cjsed. Spec. 3*9. c. 129. by gunshot through the greater tuberosity. Both the epiphysis and the shaft are well shattered. Captain G. H. B., "D," 29th Wisconsin: Pleasant Hill, La., 7th April; admitted hospital, New Orleans, Nth, excised by Surgeon Francis Bacon, U. S. Vols., 17th April, 1864. The arm is one inch shortened; has no control over shoulder joint; can use elbow and wrist joints and hand ; can write, but has comparatively little strength, 19th April, 1866 Contributed by the operator. For other illustrations, see 1090, IV. A. B. cy. 7; 2838, V. A. A. c. 3 ; 3462, XXI. A. B. A. 5; 2162, XXI. A. B. .v 6; 4628, XXVI. A. 2, 51; 4629, XXVI. A. 3, 145, 146. 112 CATALOGUE OF THE SURGICAL SECTION V. d. Amputations. 2175. Six inches of the shaft of the left humerus, showing a consolidated gunshot fracture, from an amputation at the d. 1. shoulder joint tor secondary hemorrhage and gangrene. The union is excellent, although some necrosed fragments, sources of irritation, are yet imprisoned. The head of the humerus was improperly removed in mounting the specimen. Private F. LaF., " G," 100th Illinois, 26 : Chickamauga, 19th September; amputated, Nashville, December, 1863. Recovered. Contributed by Surgeon John W. Foye, U. S. Vols. 3299. The upper two-thirds of the left humerus, amputated at the shoulder joint for secondary haemorrhage. The bone d. 2. was obliquely fractured with longitudinal splintering at the junction of the upper thirds, and at the time of the operation the articulation was destroyed by suppuration. The shaft is covered with a thin friable deposit. Private M. M. C, "C," 56th Massachusetts, 18: wounded, 18th May; amputated, near Alexandria, 8th June; died, 4th July, 1864. Contributed by Surgeon D. P. Smith, U. S. Vols. 267. The upper third of the right humerus, disarticulated for a sloughing stump after amputation at the upper third. d. 3. The stump shows no attempt at repair to have occurred, beyond a very slight periosteal thickening nearthe extremity. Corporal F. A. A., "G," 20th Massachusetts: Antietam, 17th September; admitted hospital, with amputated arm, Chester, Penna., 2d October; disarticulated, 12th ; died from pyaemia, 25th October, 1862. Contributed by Acting Assistant Surgeon Lewis Fisher. See class VI. A. B. f. 1014. The upper third of the right humerus, comminuted by a conoidal ball which perforated the surgical neck, and d. 4. disarticulated for secondary haemorrhage four weeks after the injury. A slight amount of callus is thrown out from the lower extremity without union. Two fissures extend into the bead. Privates. W., "A," 77th Pennsylvania, 19: shot in the act of desertion, 2d March; admitted hospital, Smoketown, Md., 24th; amputated for secondary haemorrhage, by Surgeon B A. Vanderkeift, U S. Vols., 30th March, 1863. Recovered. Contributed by the operator. 2637. The lower two-thirds of the left humerus, amputated at the shoulder joint on account of extensive laceration and d. 5. much sloughing following a fracture at the junction of the lower thirds. The fracture of the bone is remarkable in the absence of comminution, and is an example of the transverse oblique. A fissure extends in the outer border of the upper fragment. The specimen was accidentally sawn through in the middle third at the time of mounting, and the upper portion is lost. Private A. C, "G,"' 15th New Jersey: admitted hospital, Washington, 7th June; amputated at the shoulder joint, 20th June, 1864. Recovered. Contributed by Acting Assistant Surgeon J. Butterbaugh. 3608. The right humerus, amputated at the shoulder joint for necrosis of the shaft after excision of two and one-half d. 6. inches of the upper third. The upper extremity is somewhat rounded, but spongy. A large sequestrum, around which there is an exceedingly imperfect and scanty involucrum, occupies nearly the entire shaft. Private C. G , "C," 169th New York, 32: Cold Harbor, 1st June; excised, White House, Va., 6th June; removed to Alexandria a few days afterward, and admitted hospital, Albany, 27th September, 1864; amputated by Acting Assistant Surgeon Pearce, 12th January; died, 3d March, 1865. Contributed by Acting Assistant Surgeon Oscar H. Young. See class VI. A B. c. 3331. The right humerus, from which three inches of the shaft has been excised, the arm subsequently amputated, and d. 7. disarticulation at the shoulder joint finally performed. The lower portion of the specimen, representing the condition nearly four aud a half months after the injury and excision, exhibits a copious deposit of spongy new bone surrounding a nearly detached sequestrum of several inches. The shaft in the upper fragment is necrosed at the extremity and the articular surface is eroded. Corporal J. M.. "E,"22d Massachusetts, 38: Wilderness, 5th May; excised, 6th; admitted hospital, Washington, 28th May; amputated for secondary hemorrhage, 17th September; disarticulated for secondary haemorrhage, 19th September, lc64 ; died from exhaustion following gangreDe, the same month. Contributed by Surgeon R. B. Bontecou, U. S. Vols, See classes VI. A. B. c; VI. A. B. d A. P>. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 11.", 3056. The upper half of the left humerus, amputated at the shoulder joint. A segment one by one and a half inches, d. 8. immediately below the greater tuberosity, is carried away and several longitudinal fissures, marked by lilies of necrosis, exist with a necrosed condition of the anatomical neck. Private J. ()., " F," 63d Pennsylvania, 33: admitted hospital, Washington, 28th June; amputated by Surgeon R. B. Bontecou, U. S. Vols., 17th July; died, 20th July, 1864. Contributed by the operator. 3078. The upper third of the right humerus, which has been amputated at the shoulder joint. The posterior half of the d. 9. head was carried away by a conoidal ball, and an oblique partial fracture extends into the surgical neck. Private J. M., "I," 1st Maine Heavy Artillery: Petersburg, 12th June; amputated by Assistant Surgeon J. S. Smith, U. S. Army, City Point, 20th; admitted hospital, Washington, 28th June; died, 1st July, 1864. Contributed by the operator. 2822. The right humerus shattered in the upper two-thirds of the shaft, with the outer condyle split off, by a ball that d. 10. entered near the clavicle and escaped three inches below the elbow, opening that joint. Private N. A. S., "B," 100th Pennsylvania, 25: Cold Harbor, 2d June; admitted hospital, Washington, 8th; amputated, Uth; furloughed for thirty days, 27th June, 1864. Contributed by Assistant Surgeon Alex. Ingram, U. S. Army. 2573. The upper two-thirds of the right humerus, amputated at the shoulder joint for extensive fractures of the shaft d. 11. seven inches in length. A conoidal ball entered below the left ear, fractured the ramus of the inferior maxilla, escaped on a line with and two inches to the right of the pomum Adami, and entered and passed for five inches through the medullary canal of the humerus. Sergeant C. F., "K," 122d New York, 39: Cold Harbor, 3d June; admitted hospital, Washington, 7th; amputated by Acting Assistant Surgeon H. M. Dean, 18th; died, 23d June, 18ii4. Contributed by the operator. See class II. A. B. f. 347. The upper third of the left humerus, disarticulated. A small d. 12. conoidal ball entered between the tuberosities and perforated the head, exposing its point in the anatomical neck opposite. Fissures extend into the head and down the neck from the wound of entrance. See figures 52 and 53. Corporal E. K., DeKalb Regiment, New York Volunteers: amputated some days after the injury, by Assistant Surgeon J. W. S. Gouley, U. S. Army, Washington, 26th July ; died, 28th July, 1861. Contributed by the operator. See class XXVII. B. B. d. 4081. The upper two-thirds of the left humerus, amputated at the d. 13. shoulder joint. The middle third of the bone is very badly com- minuted and necrosed. Private J. A. S., "K," 1st Maine: admitted hospital, Washington, 30th March ; amputated for secondary haemorrhage, by Surgeon D. W. Bliss, U. S. Vols., 15th April; died, 23d April, 1865. Contributed by Acting Assistant Surgeon II. E. Woodbury. 2395. The left humerus, comminuted in the upper third by a ball passing transversely, and amputated at the shoulder d. 14. joint. The ulna from the left forearm, splintered in the middle third by another bullet, is attached. Corporal J. G. R., "A," 15th New Jersey, 19: Spottsylvania C. H., 12th May; entered hospital, Washington, 26th; amputated by Surgeon D. W. Bliss. U. S. Vols., 31st May; died, 7th June, 18 34. Contributed by the operator. See class VIII. A. B. d. 78. The right humerus, shattered at the surgical neck, with fractures through the outer portion of the anatomical d. 15. neck and the upper third of the shaft, amputated at the shoulder joint, after Fredericksburg. Contributed by Assistant Surgeon J. T. Duffield, 9th Indiana. 2917. The lower two-thirds of the left humerus, amputated at the shoulder joint after shattering of the upper third. d. 16. The upper extremity of the bone has not been preserved, The specimen is necrosed at the point of fracture with no attempt at repair. Private M. C, "C,"56th Massachusetts, 17: wounded, 18th May; admitted hospital, Washington, 25th May; amputated at the shoulder joint for secondary haemorrhage, 8th June; died from pyaemia, 4th July, 1864. Contributed by Acting Assistant Surgeon D. W. Prentiss. 15 riG. 52. Portion of disar- FIG. 53. Portion of disar- ticulated humerus show- liculated humerus show- ing wound of entrance. ing apex of embedded Spec. 347. ball. Spec. 347. 114 CATALOGUE OF THE SURGICAL SECTION V. 3595. The left humerus, amputated at the shoulder joint for secondary haemorrhage after excision of two inches in the d. 17. upper third. No conservative effort followed the excision. One inch of the extremity of the lower fragment is banded by necrosis. Private M. H., "D," 49th Now Y'ork: Wilderness, 5th May; excised in the field; admitted hospital, 25th; amputated at the shoulder joint for secondary haemorrhage and died, 26th May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class VI. A. A. c. 3385. The upper two-thirds of the right humerus, amputated at the shoulder joint. There is an extensive oblique d. 18. fracture of the upper half with comminution from a carbine ball. Private J. B. T., "K," 21st New York Cavalry: wounded, 22d May; admitted hospital, Sandy Hook, Md., 28th; amputated by Surgeon Jerningham Boone, 1st Maryland Potomac Home Brigade, 30th May ; discharged, 25th October, 1864. Contributed by the operator. 3706. The upper half of the left humerus, amputated at the shoulder joint. A fissure exists on the anterior face of the d. 19. shaft, and the head of the bone is completely destroyed by caries. Private I. D., " E," 13th Ohio Cavalry : a conoidal ball passed through the upper part of the arm, Poplar Springs, Va., 8th October; amputated and died, Beverly, N. J., 29th October, 1864. Contributed by Assistant Surgeon C. Wagner, U. S. Army. 3450. The upper half of the left humerus, amputated at the shoulder joint, about four weeks after injury. The upper d. 20. extremity of the shaft is comminuted and necrosed, and the head is partially absorbed. A trivial deposit of new bone has occurred upon one fragment. Private J. R. H., "B," 44th New York, 21: Malvern Hill, 1st July, 1862; amputated by Assistant Surgeon J. S. Billings, U. S. Army, Washington. Recovered. Contributed by the operator. 1700. The upper third of the left humerus, grooved by a conoidal ball in the posterior portiou of the anatomical neck d. 21. and amputated at the shoulder joint. The articular surface has been destroyed by ulceration. Private J. S., "H,"6th Illinois Cavalry: wounded, 12th May; admitted hospital, Memphis, Tenn., 1st July; amputated by Surgeon J. G. Keenon, U. S. Vols., 10th July, 1863. Recovered. Contributed by the operator. 1213. The upper two-thirds of the right humerus, amputated at the shoulder joint for an oblique fracture four and a d. 22. half inches in length, with slight comminution, from a bullet which entered near the middle of the spine of the right scapula and impinged on the inner surface two inches below the surgical neck. The fracture did not reach the epiphyseal line by one inch. Private W. L., "I," 26th Wisconsin, 19: Chancellorsville, 3d May; admitted hospital, Washington, 9th; amputated by Surgeon O. A. Judson, U. S. Vols., 15th May, 1863. Recovered. Contributed by the operator. See 1516, XXVII. B. B. d. 118. 1701. The upper third of the right humerus, amputated at the shoulder joint. The outer portion of the head of the d. 23. bone is shattered and the articular surface eroded. The glenoid cavity was found ulcerated and the diseased bone was removed. A section of the head has been made after removal. Private L. F., " F," 48th Ohio, 18: Champion's Hills, Miss., 4th June; amputated by Surgeon J. G. Keenon, U. S. Vols., 14th June, 1863. Recovered. Contributed by the operator. 2082. The upper third of the left humerus, amputated at the shoulder joint The specimen shows a nearly transverse d. 24. fracture at the surgical neck and a longitudinal fracture of the shaft for three inches inflicted by a conoidal ball. Incipient caries is seen along the lines of fracture. Private B. P., "E," 17th Wisconsin, 43: Vicksburg, 19th May; admitted hospital, Memphis, 1st June; amputated, 3d; died, 7th June, 1863. Contributed by Assistant Surgeon W. Watson, U. S. Vols. 58. The upper two-thirds of the right humerus, shattered below the surgical neck and amputated at the shoulder joint d. 25. The wrist was shattered by another ball. One of the Pennsylvania Bucktails. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. A. 13 OF THE UNITED STATES ARMY MEDICAL MUSEUM. 115 411. The right humerus, amputated at the shoulder joint for a comminuted fracture in the upper third from a conoidal d. 26. ball. The highest point of fracture is one inch below the great tuberosity. Private L. R., "E," 12th Pennsylvania Reserves: South Mountain, 14th September; admitted hospital, Fred- erick, 28th September; amputated by Surgeon H. S. Hewit, U. S. Vols., 2d October; discharged the service, 15th December, 1862. Contributed by the operator. 1226. The left humerus, amputated at the shoulder joint for a fracture in the middle third, the bullet having passed d. 27. upward and carried a spicula of bone into the axilla. The battered ball is mounted with the specimen. Private B. M., " D," 28th Massachusetts : Cross Farms, (Second Bull Run ?) 30th August; remained on the field eight days and admitted hospital, Washington, 8th September; arm disarticulated by Acting Assistant Surgeon Geo. McCoy, 9th September; completely healed and patient died, 31st October, 1862. Contributed by the operator. See class XXVII. B. B. d. 544. The right humerus, amputated at the shoulder joint for an extensive comminuted fracture in the middle third. d. 28. Private T. C, "E,"' 136th Pennsylvania: probably Fredericksburg, 13th December; admitted hospital, Wash- ington, 23d; amputated, 25th December, 1862. Recovered. Contributed by Surgeon J. D. Robison, U. S. Vols. 2823. The lower two-thirds of the left humerus, shattered in the middle third and amputated above the insertion of the d. 29. deltoid. The head was afterward disarticulated for purulent infiltration. The upper portion of the humerus has not been preserved. The specimen shows necrosis at the seat of fracture with feeble attempt at repair. Private T. McT., 86th Pennsylvania, 25: Spottsylvania, 14th May; admitted hospital, Washington, 28th M;iy; disartic- ulated, 5th June ; died from pysemia, 7th June, 1864. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. See class VI. A A. d. 2606. The upper extremity of the right humerus, reamputated at the shoulder joint. The specimen, embracing the head d. 30. and two inches of the shaft, exhibits a profound degree of necrosis as existing six months after the first operation and requiring the second. Private W. C, " A," 72d Pennsylvania: fractured by a conoidal ball and amputated in the upper third, Gettysburg, 2d July, 1863; reamputated at the joint by Acting Assistant Surgeon Thomas G. Morton, Philadelphia, 8th January, 1864. Recovered. Contributed by the operator. See class VI. A. A. d. 1263. Tho right humerus, amputated at the shoulder joint. A musket ball gouged out a segment of the shaft on the d. 31. outer border two inches below the head, producing an oblique fracture with long fissures and little comminution. Private D. I., "K," 36th Ohio: Winchester, 24th July; admitted hospital, Cumberland, Md., 25th July; amputated on account of secondary haemorrhage, by Surgeon J. B. Lewis, U. S. Vols., 10th August, 1864. Died from tetanus. Contributed by the operator. 2511. The right humerus, amputated at the shoulder joint after contusion by a conoidal ball, which is attached. The d. 32. entire shaft is necrosed and surrounded by a partial involucrum. The specimen is interesting from the character of the injury, the extent of the disease, the duration of the case, and the result. Private J. P., "H," 12th Illinois Cavalry, 45: the ball entered the middle of the arm, Kane's (Cane?) River, La., 27th April; admitted hospital, New Orleans, 1st May; ball extracted near the elbow, 9th May, 1864 ; admitted hospital, David's Island, New York Harbor, February; amputated at the shoulder joint, by Assistant Surgeon Warren Webster, U. S. Army, 10th November, 1865. Contributed by the operator. See class XXVII. B. B. d. 2952. The upper half of the left humerus, completely shattered, especially about the epiphysis, by a conoidal ball and d. 33. disarticulated. Private S. I., Hampton's Pennsylvania (?) Artillery, 40: Second Bull Run, 30th August; admitted hospital and amputated, by Surgeon I. Moses, U. S. Vols., Washington, 11th September, 1862. Contributed by the operator. 580. The head and a portion of the shaft of the left humerus. The shaft was shattered by a conoidal ball in the d. 34. upper third and a segment of the posterior portion of the head broken off. The history of this case is obscure, but it is supposed to be an illustration of disarticulation. Contributor and history unknown. lit; CATALOGUE OF THE SURGICAL SECTION, ETC. V. 571. The left humerus, disarticulated after shattering at the junction of the upper thirds. The borders of the fracture d 35. are necrosed and the comminution extends nearly to the tuberosities. ------------: probably before Richmond, June; amputated by Surgeon J. H. Brinton, U. S. Vols., Washington , 11th July, 18fi2. Contributed by the operator. H29. The left humerus, badly shattered at the junction of the upper thirds. The parts adjacent to the fracture show d. 36. commencing necrosis. Private W. N., "A," 2d Battalion, 14th U. S. Infantry: Second Bull Run, 30th August; amputated at the shoulder joint, by Surgeon T. E. Mitchell, 1st Maryland, Alexandria, 15th September; died, 17th September, 1862. Contributed by Surgeon J. H. Biiii'nn, U. S. Vols For other illustrations, tee b067, V. A. A. c. 41 ; 306, VI. A. B. f. 7 ; 271, VII. A. A. d. 1 ; 773, VII. A. B. f. Ill ; 1705, IX. A. B. f. 90 e. Other Operations lOl. The upper portiou of the left humerus, the surgical neck and two inches of the shaft being wanting. A partial e. 1. fracture extends through the head. Spiculae of bone were removed while under treatment. Private S. M., "D," 6th New York Cavalry: wounded, 2d September; admitted hospital, Georgetown, 6th: died with py.-eiiiia, 28th September, 18ii-2. Contributed by Assistant Surgeon A. M. Clark, U. S. Vols. B. Injuries not caused by Gunshot. f a. Contusions and partial fractures, -p. | b. Complete fractures jj. Secondary. { c. Excisions. I d. Amputations. I. e. Other operations. b. Complete Frac i t ri>. 3311. The upper portion of the left humerus, with the head and surgical neck shattered by a blow from a club. b. 1. Private W. J., "D," 7th U. S. Colored Artillery: also wounded in the ankle, Fort Pillow, Tenn., J2th April; died Mound City, 111., 23d April, 1J64. Contributed by Surgeon H. Wardner, U. S. Vols. S.r 3312, XVI. A. a. e. 15. C. EXCISIONS. 152. The excised head and four and a half inches of the shaft of the right humerus, with u part of the humerus that C. 1. remained after the operation. Tbe excised portion was much shattered throughout by a log that was hulled against it by a cannon ball. The stump is necrosed for a short distance. The history states "new bone was formed nearly up the glenoid cavity." Private H. S.. "F,"51st Pennsylvania, 36: Petersburg, 25th March; admitted hospital, Washington, 21 April; excised by Assistant Surgeon H. Allen, U. S. Army, April; died from pyaemia, 4th May, 1865. Contributed by the operator. VI. INJURIES AND DISEASES OF THE SHAFT OF THE HUMERUS INVOLVING NEITHER JOINT. A Gunshot Injuries. ]\_. Primary Conditions. Jj. Secondary Conditions. f a. Contusions ami partial fractures I b. Complete fractures. { c. Excisions. d. Amputations. [ e. Other operations. f a. Contusions and partial fractures 1 b. Complete fractures. | c. Excisions. [ d. Amputated fiactures. Ie. Other operations. f. Stumps I, g. Sequestra. B, Injuries not caused hy Gunshot. A.i nmaty iditions J3 Secondary Conditions. f a. Contusions and partial fractures. I b. Complete fractures. ^ c. Excisions. I d. Amputations. [ e. Other operations. f a. Contusions and partial fractures. b. Complete fractures. | c. Excisions { d. Amputated fracture*. e. Other operations. | f. Stumps. I &■ Sequest'a. c Diseases. VI. SHAFT OF HUMERUS. A, Gunshot Injuries. Contusions and partial fractures. i v. Complete fractures. J\m Primary Conditions. s c- Excisions. Amputations. Other operations. b. Complete Fractures. 2446. The lower half of the right humerus, transversely fractured in the lowest third, as it is said, by gunshot. A b. 1. fissure, but no comminution, extends for two inches on the posterior surface of the upper extremity. Received after Chancellorsville. 250. The lower half of the right humerus, transversely fractured near the junction of tho lower thirds by a conoidal b. 2. ball, which is attached. Contributed by Surgeon J. H. Brinton, U. S. Vols. See class XXVII. B. n. d. 6§2. The right humerus, transversely fractured by gunshot in the middle third, and slightly chipped at the point b. 3. of impact on the anterior face, with several extensive and carious longitudinal fissures for several inches up and down the shaft. Contributed by Dr. S. Perry. 2412. The lower two-thirds of the right humerus, exhibiting two distinct and non-communicating fractures. The lower b. 4. one, just above the condyles, is nearly transverse, with slight comminution. The upper is at the junction of the lower thirds, oblique, without comminution, and crossed on the posterior surface of the shaft by a longitudinal fissure four and a half inches in length. There is no history for this case, but the injuries appear to have been caused by the simultaneous impingment of two missiles, possibly fragments of shell, on the posterior surface. Received after Chancellorsville. 1500. The lower half of the right humerus, fractured in the lowest third. The point of interest in this specimen is b. 5. the manner in which the trabeculse are displayed by the fracture. Contributed by Surgeon J. H. Brinton, U. S. Vols. 2525. The lower half of the left humerus, fractured in the lowest third. This specimen beautifully exhibits the b. 6. trabeculae at that portion of the shaft where it takes upon itself the form of a flat bone. Received after Chancellorsville. 1221. The lowest fourth of the left humerus, the shaft shattered by shell. b. 7. Received, without history, from the fight at Beverly Ford, 9th June, 1863. 538. The upper half of the left humerus, badly fractured, with little displacement, as if by a conoidal ball. b. 8. Contributed by Surgeon McDonald, 79th New York. 3136. The lower half of the left humerus, transversely fractured one inch above the condyles, with an irregular b. 9. triangular fragment four inches in length broken off from the upper portion. A fragment of shell is attached. Received, without history, from City Point. See class XXVII. B. a. c. 120 CATALOGUE OF THE SURGICAL SECTION VI. 2*<» 1. A portion of tho shaft of the humerus, longitudinally fractured for six inches, with comminution from a fragment b. 10. of shell, which is attached. Receive 1. without history, from Petersburg. i>Yr class XXVI I. B. a. c. 1007. The lower half of the left humerus, comminuted at the junction of the lower thirds by a conoidal ball, with a b. 11. fragment of the missile attached. Received, without history, from Ninth Corps Hospital. Sir. class XXVII. B. B. d. 2618. , The lower half of the left humerus, shattered from behind just above the condyles, aud showing the trabeculae b. 12. in the lower portion of the shaft. The fractures are nearly six inches in length. Received, without history, after Chancellorsville. 688. The lower half of the left humerus, greatly comminuted by grapeshot in the lowest third. b. 13. Contributed by Assistant Surgeon J. E. Semple, U. S. Army. 3933. The upper two-thirds of the right humerus, comminuted at their junction. b. 14. Private G. S. R., "K," 31st Geotgia (Rebel). Received, without history, from Frederick, Md. 1559. The lower two-thirds of the right humerus, affording a typical illustration of injury from a conoidal ball at short b. 15. range striking a long bone fairly in the centre of the shaft. The bullet, impinging against the external surface in the lower part of the middle third, destroyed the bone to an extent corresponding to its own calibre and created a stellate fracture with eight rays. Having passed through the shaft a much larger irregular portion has been torn away at its exit, and the fractures have diverged so as to embrace a length of five inches on the posterior surface. History and contributor unknown. 1561. Tin' lower half of the left humerus that has been shattered in the middle. The jagged ends of this specimen will b. 16. illustrate how gunshot fracture often converts sound bone into a body of irritation. Contributor and history unknown. c. Excisions. 3331. The right humerus, exhibiting an excision of one inch in the lowest third. Both of the extremities arc necrosed, c. 1. and superficial death has involved the greater part of the shift. The fracture that is observed in the upper third occurred to the specimen after it reached the museum. Corporal H. F. K., "A," 184th Pennsylvania: wounded and excised on the field, Petersburg, 18th June; admitted hospital, Alexandria, 29th June: died after secondary haemorrhage, 23d July, 1861. Contributed by Surgeon E. Bentley, U. S. Vols. 2317. The lower portion of the left humerus, from which more than an inch appears to have been shattered and excised. c. 2. Contributed by Assistant Surgeon B. Stone, U. S. Vols. 2521. Two fragments of the shaft of the humerus, representing one and a half inches in length and nearly three-fourths C. 3. of the circumference, excised. Received, without history, after Chancellorsville. 723. The right humerus, from which two inches in the middle third of the shaft have been excised. The divided c. 4. extremities are necrosed and exfoliating. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 623. Two and one-fourth inches of the shaft of the humerus, showing an oblique fracture without comminution, and c. 5. supposed to have been excised. Contributed by Dr. Donelly. 2409. An irregular excised portion of the shaft of the humerus, three inches in its greatest length. c. 6. Contributed by Surgeon J. H. Brinton, U. S. Vols. I 430. Three inches of the shaft of the humerus in fragments, excised after Gettysburg. c. 7. Contributed by Surgeons Cantwell and Kibbee, Eleventh Corps. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 121 2705. The right humerus, from which portions of the head and the upper extremity of the shaft have been excised. c. 8. The missile entered the top of the right shoulder and passed downward arid outward, escaping at the junction ol the upper thirds. Private J. P., "E," 14th New Jersey, 30: Jacob's Ford, Va., 27th November; excision performed on the field ; admitted hospital, Alexandria, 4th December; died, 7th December, 1863. Contributed by Surgeon E. Bentley, U. S. Vols. 2113. Three inches of the shaft of the right humerus, shattered and excised. The bone has been directly perforated. c. 9. Private McC, "I," 149th New York: Mission Ridge, 24th November, 1863; excised by Surgeon I. Moses, U. S Vols. Recovered. Contributed by the operator. 2642. Nearly four inches of the upper portion of the shaft of ihe right humerus, much shattered and apparently excised c. 10. Received, without history, alter Chancellorsville. 3937. Four inches of the shaft of the left humerus, shattered by a conoidal ball and excised. The arm was shortened C. 11. one inch. Sergeant J. S. P., "G," 14th Virginia Cavalry, 2.">: Monocaey, 9th July; admitted hospital, Frederick, 9th; excised by Acting Assistant Surgeon T. J. Dunott, 12th July; transferred to Baltimore, 10th December, 1861. Contributed by the operator. See 1480, XXV. A. b a. 16 1959. The left humerus, after an excision of four inches from tbe upper and middle thirds. Both of the sawn c. 12. extremities are necrosed, and there is no evidence of any attempt at repair. Contributed by Assistant Surgeon H. Allen, U. S. Army. 3701. A portion of the right humerus, showing an excision of four inches of the upper part of the shaft for a lacerated c. 13. shell wound. Corporal J. A. D., "C," 32d U. S. Colored Troops: wounded aud excised on the field, Honey Hill, S. C, 3'ith November; admitted hospital, Beaufort, S. C, 3d December; died, 14th December, 1864. Contributed by Surgeon John Trenor, jr., U. S. Vols. 3156. Four inches of the shaft of the humerus, shattered and excised. c. 14. Received from City Point. 340. An extremely comminuted portiou of the shaft of the humerus, four aud a half inches in length, evidently excised. c. 15. Contributed by Surgeon W. Variau, U. S. Vols 2416. Five inches of the shaft of the left humerus, shattered and excised. c. 16. Private J. C, "A," 5th U. S. Colored Troops, 32: New Market Road, Va., 29th September; admitted hospital, Portsmouth, Va., 30th September; excised, 3d October, 18dl. Recovered. Contributed by Assistant Surgeon J. H. Frantz, U. S. Army. 3012. Six inches of the shaft of the left humerus, much shattered and excised. c. 17. Private A. W., "A," 36th U. S. Colored Troops, 40: New Market Road, Va., 29th September; admitted hospital, Portsmouth, Va., 30th September; excised, 3d October, 1864. Recovered. Contributed by Assistant Surgeon J. H. Frantz, U. S. Army. 3148. Six inches of the shaft of the humerus, much shattered and excised. A portion of the battered bullet is attached. c. 18. Received from City Point. See class XXVII. B. B. d. 3589. Portions of the right humerus, representing an excision of six inches of the upper part of the shaft done in the c. 19. field. The extremity of the upper fragment is carious. The lower fragment is somewhat rounded, but its entire anterior surface is occupied by a sequestrum. This man was shot in the foot at the same time. Private J. H. R., "I," 17th Maine, 46: wounded, 14th May; excised, 16th; admitted hospital, Washington, 18th May; died exhausted, 15th August, 1864. Contributed by Assistant Surgeon W. Thomson, IT. S. Army. 2961. Six and one-fourth inches of the upper portion of the shaft of the humerus, shattered and apparently excised. c. 20. Received, without history, from City Point. Mi 122 CATALOGUE OF THE SURGICAL SECTION VI. 3550. The upper third of the left humerus, four weeks after excision of the remainder of the shaft. A small sequestrum o. 21. at the extremity exhibits a line of separation. The specimen was sawn longitudinally to examine the recent medulla. Private J. B., •' II," 6th Pennsylvania Cavalry, 20: a conoidal ball fractured the middle third, and "entire shaft" excised, Spottsylvania, 8th May; admitted hospital, Washington, 12th May; amputated, as shown, for secondary haemorrhage, 4th June; died, 5th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See. class VI. A. B. f. For other illustrations, see 3595, V. A. B. d. 17; 3675, VI. A. B. d. 14; 2817, VI. A. B. d. 25; 1066, XXI. A. B. a. 3; 684, XXI. A. n. a. 4; 4629, XXVI. A. 3, 149. d. Amputations. 3927. The lower half of the left humerus, amputated for extensive comminution at the junction of the lower thirds by d. 1. a conoidal ball. Private J. O'R., " B," 23d Illinois, 43: Bunker Hill, Va., 23d July; admitted hospital, Frederick, 27th; amputated, 28th July, 1864. The stump healed by the first intention, and the man walked about five days after the operation. Recovered. Contributed by Acting Assistant Surgeon T. E Mitchell. 66. The lower two-thirds of the left humerus, shattered for four inches by a conoidal ball. d. 2. From a guerilla: primarily amputated high up on account of laceration of the soft parts, by Surgeon E. McDonald, U. S. Vols., Culpeper, Va., 4th August, 1802. Contributed by the operator. 4118. The lower half of the left humerus, shattered in the lowest third. d. 3. Private G. W. Elliott, " G," 5th Michigan: amputated by Surgeon Henry F. Lyster, 5th Michigan, 27th October, 1864. Discharged, 17th March, 1865. Contributed by the operator. 1591. The right humerus, amputated in the middle third for a comminuted fracture of the lowest third with extensive d. 4. laceration of the soft parts. Private M. B. S., "E," 4th Alabama (Rebel): Gettysburg, 2d July; amputated in the field by Assistant Surgeon E. de W. Breneman, U. S. Army; transferred, doing well, to David's Island, New York Harbor, 28th July, 1863. Contributed by the operator. 3820. The right humerus, amputated in the upper third on account of great comminution at the junction of the lower d. 5. thirds. The amputation is two and a half inches above the fracture. The line of section is rough, as if from a dull saw. Private W. H. C, "D," 12th Georgia, (Rebel,) 19: Monocaey, 9th July; admitted hospital and amputated by Acting Assistant Surgeon G. E. Mitchell, Frederick, Md., 10th; died from pyaemia, 22d July, 1864. Contributed by the operator. 1124. The right humerus, amputated in the upper third for a comminuted fracture from a conoidal ball at the junction of d. 6. the lower thirds. Private R. L., " E," 6th Wisconsin: Fredericksburg. Contributed by Surgeon E. Shippen, U. S. Vols. 491. The left humerus, amputated in the upper third for a comminuted fracture as if by a conoidal hall. d. 7. Contributed by Assistant Surgeon G. M. McGill, U. S. Army. 1147. The right humerus, amputated in the upper third for complete comminution in the middle third by a conoidal ball. d. 8. Sergeant G. H. J., " B," 56th Pennsylvania: amputated by Dr. New, 1st May, 1863. Contributed by the operator. 3952. The left humerus, amputated just below the surgical neck for an oblique comminuted fracture five inches inlength d. 9. from a conoidal ball. The chipping of the external condyle is probably an accident to the specimen. The coracoid and olecranon depressions communicate by a foramen one-third of an inch in diameter. Private J. P., "A," 12th Georgia, (Rebel,) 19: Monocaey, 9th July; admitted hospital, Frederick, 10th; amputated by Acting Assistant Surgeon T. E. Mitchell, 12th; died from pyaemia, 21st July, 1864. Contributed by the operator. A. J)f OF THE UNITED STATES ARMY MEDICAL MUSEUM. 123 151. A portion of the shaft of the right humerus, showing an irregular fracture by a conoidal ball in the middle third. d. 10. Private D. H., "I," 185th New Y'ork, 22: South Side R. R., Va., 29th March; admitted hospital, Washington, 2d April; amputated at the surgical neck, by Assistant Surgeon H. Allen, U. S. Army, 4th April; discharged the service, 2d July, 1865. Contributed by the operator. 4142. A portion of the shaft of the right humerus, which was amputated at the surgical neck, showing an ordinary d. 11. minie fracture. The comminution extends for six inches. The battered bullet is attached. Private J. H. G., "K," 90th Pennsylvania. Contributed by Surgeon J. H. Hayes, 90th Pennsylvania. ■See class XXVII. B. B. d. 2518. A portion of the shaft of the humerus, nearly transversely fractured near the lowest third. From the posterior d. 12. and inferior surface an irregular fragment, one by two inches, with the base at the line of fracture, has broken, but remains in position. Primary amputation has been performed at the junction of the upper thirds three inches above the line of fracture, from which it appears the laceration of the soft parts must have been excessive. Captain M. E. R., "F," 56th Pennsylvania, 37: Wilderness, 6th May; amputated in the field, by Surgeon A. S. Coe, 147th New York, 7th May ; admitted hospital, Annapolis, 7th August; discharged the service, 14th August, 1864. Contributed by the operator. For other illustrations, see 2823, V. A. B. d. 29; 2606, V. A. B. d. 30. e. Other Operations. 2146. Six fragments of bone representing two inches in length, and a battered conoidal ball removed from the middle e. 1. third of the shaft of the left humerus. Brigadier General A. (Rebel): Chickamauga, 19th September; removed by Surgeon I. Moses, U. S. Vols., Murfreesboro', 23d September; paroled, doing well, October, le63. Contributed by the operator. See class XXVII. B. b. d. 3847. Seven fragments removed from the upper portion of the shaft of the humerus. A battered pistol ball taken from e. 2. beneath the scapula is attached. Private S. C, "M," 5th U. S. Cavalry: accidentally wounded, admitted hospital, and specimen removed, Frederick, 14th July, 1863. Recovered. Contributed by Acting Assistant Surgeon W. S. Adams. See class XXVII. B. B. d 1154. Fragments, representing three inches of the upper third of the shaft of the humerus, removed by operation. e. 3. Private J. F. H., "A," 5th Ohio: Chancellorsville, 3d May. Contributed by Surgeon J. E. Herbst, U. S. Vols. f a. Contusions" and partial fractures. | b. Complete fractures. -•-j | c. Excisions. _D. Secondary Conditions. i d. Amputated fractures. I e. Other operations. | f. Stumps. 1^ g. Sequestra. a. Contusions and Partial Fractures. 2387. The upper third of the left humerus. From the inner portion of the shaft a triangle two and a half inches long a. 1. by one inch broad at the base, which rests on the epiphyseal line, has been fractured. A fissure of two and a half inches exists in the outer bicipital ridge independent of the fracture. Received, without history, after Chancellorsville. 124 CATALOGUE OF THE SURGICAL SECTION VI. :{*07. The upper ha'f of the right humerus. A conoidal ball partially fractured the bone on the anterior surface at the a. 2. surgical neck the lower borders of the wound being necrosed. A longitudinal fissure of six inches, unconnected with the wound, exists ou the posterior surface of the upper third Private A. C , " K," 6th U S. Cavalry, 28: Petersburg, 1st April; admitted hospital, Washington, 8th; died from pyaemia, 29th April. U-05. Contributed by Surgeon Benjamin B. Wilson, U. S. Vols. b. Complete Fractures. 2 I 85. The upper two-thirds of the right humerus, one month after injury. A conoidal ball struck just below the lesser b. 1. tuberosity, crushing in the laminated structure at the po:nt of impact. There is no further comminution nor any fracture upward, but an oblique fracture with a sharply defined line of cleavage extends for six inches down the diaphysis. Superficial necrosis is observable in many parts of the specimen. Private J. L. B., "A," 6th Indiana, 25: Mission Ridge, 23th November; admitted hospital, Nashville, 3d December; died from exhaustion following secondary haemorrhage, 20th December, 1863. Contributed by Surgeon C. W. Horner, U. S. Vols. 3483. The upper third of the right humerus, partially fractured by a missile striking the anterior portion of the surgical b. 2. neck, two weeks after injury. Longitudinal fissures extend down the shaft from the point of impact, and one of four inches, not directly communicating with the wound, exists on the posterior surface. Except a slight one in the lesser tuberosity, none reach the epiphysis. There is no attempt at repair. Private \V. L., "C," 97th Indiana: Atlanta, 16th August; declined an operation and died, Fifteenth Corps Hospital, Marietta, Ga., 31st August, 1864. Contributed by Surgeon A. Goslin, 48th Illinois. 1507. The lower two-thirds of the left humerus, exhibiting a nearly transverse fracture at the junction of the lower b. 3. thirds, with three well-marked longitudinal fissures of the lower and one small one of the upper portion. There is no comminution. Contributor and history unknown. 1087. The lower half of the left humerus, fractured with moderate obliquity and without comminution by a missile b. 4. which has chipped a small portion from the internal border at the place of fracture. Private T. E. M., " I," 33d North Carolina (Rebel): Second Fredericksburg, 3d May; admitted hospital, Wash- ington, 7th May ; amputated middle third; transferred to Old Capitol Prison, 25th June, 1863. Contributed by Surgeon H. Bryant, U. S. Vols 114. The lower half of the right humerus, transversely fractured in tbe lowest third. The extremities at the place of b. 5. fracture are necrosed for about one inch, with lines of separation forming. The wound was received in action at Fayetteville, Ark., 1862, but no further history is known. Contributed by Assistant Surgeon B. E. Fryer, U. S. Army. 1872. The lower half of the left humerus, transversely fractured near the centre of the shaft. Necrosis of the extremity b. 6. exists for one-fourth of an inch. The history of this case has not been communicated, but it is presumed to be the result of gunshot. Contributed by Acting Assistant Surgeon Joseph Leidy. 3879. A portiou of the left humerus, obliquely fractured in the upper third without comminution. A longitudinal fissure b. 7. of two inches occupies each border of the fracture. Private L. G., " K," 42d North Carolina (Rebel): Gettysburg, 3d July; admitted hospital, Frederick, 6th; died from pyaemia, 21st July, 1863. Contributed by Acting Assistant Surgeon G M. Paullin. 1291. A portion of the left humerus, exhibiting an oblique fracture with slight comminution from a conoidal ball in the b. 8. lowest third. Both extremities bordering on the fracture are necrosed, and superficial necrosis occupies the posterior surface of the shaft to its middle. Private E. H. F.. " E," 7th Wisconsin: Southside R. R., Va., 31st March; died from pyaemia, Washington, 23d April, 1865. Contributed by Surgeon G. L Pancoast, U. S. Vols. 1175. The lowest third of the left humerus, perforated from behind, directly above the condyles, with slight shattering. b. 9. A longitudinal fracture extending upward for two inches closes abruptly at that point in a transverse fracture, which embraces one-half the calibre of the shaft. Received, without history, from Ninth Corps Hospital. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 125 1238. Tho right humerus, shattered through the surgical neck, three weeks after injury. The fissures do not pass the b. 10. epiphyseal line. There is no attempt at repair, nor any decided marks of death to the bone. This subject received, at the same time, a second wound through the face and neck, fracturing the superior maxillary and severing the left facial nerve. Private R. W , "F," 95th Pennsylvania: Chancellorsville, 3d May; admitted hospital, Washington, 8th; died suddenly, without an appreciable cause, 24th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. 8. Army. See 1239, II. A. a. b. 1. 451. The right humerus, obliquely fractured in the upper third of the shaft by gunshot in the surgical neck. This b. 11. specimen well illustrates the indisposition of fractures to cross the epiphyseal line. The specimen at the seat of injury is carious. Contributed by Assistant Surgeon W. Notson, U. S. Army. 647. The upper third of the right humerus, very badly shattered in the diaphysis. Very slight periosteal disturbance b. 12. may be traced. Contributed by Surgeon De Benneville, lfth Pennsylvania Reserves. 492. The upper two-thirds of the left humerus. A bullet has struck the outer border, and oblique fissures radiate to b. 13. embrace six inches of the shaft. There are slight traces of periosteal disturbance. Contributed by Surgeon McDonald, 79th New York. 1919. The left humerus, one month after fracture in the lowest third by a musket ball. The specimen is not greatly b. 14. comminuted. The upper fragment is necrosed for several inches. The lower fragment is partly necrosed, and exhibits also a slight deposit of callus. Private M. E. T., "D," 99th Ohio, 23: Chickamauga, 19th September; admitted hospital, Nashville, 4th October; died from pyaemia, 19th October, 1863. Contributed by Assistant Surgeon D. McDill, 84th Illinois. 8. The right humerus, five weeks after comminution by a conoidal ball at the junction of upper thirds, from which b. 15. the shattered fragments have been removed. There is no attempt at repair. The extremities of the bone are carious, and the lower fragment is denuded of periosteum for several inches. Private W. G., "A," 24th Virginia, (Rebel,) 45: Williamsburg, 5th May: admitted hospital, Washington, 14th; erysipelas, 24th—28th May; died, 8th June, 1862. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. See class XXIII. A. A. 3569. The right humerus, six weeks after fracture in the upper third The extremities of the fragments are irregular b. 16. and necrosed, and no callus whatever has been deposited. The elbow has been fractured on the inner side without repair. Private W. M., "D," 2d Pennsylvania, 28: Wilderness, 8th May; admitted hospital, Washington, 12th June; died of pyaemia, 21st June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army, See class VII. A. B. B. 12. The left humerus, fractured with loss of substance at the junction of the lower thirds. The extremities are slightly b. 17. rounded, but each is necrosed with a trivial amount of callus above the seat of fracture. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. 1512. The upper third of the left humerus, shattered, with much loss of substance, below the epiphyseal line. The upper b. 18. regions of the fracture show traces of periosteal action. Contributed by Surgeon J. H. Brinton, U. IS. Vols. 1015. The right humerus, showing a severe fracture with loss of substance from a bullet wound at the junction of the b. 19. lower thirds, fourteen days after injury. There is no attempt at repair, nor any evidence of necrosis. The subject received also a severe flesh wound from a shell in the lumbar region, and a flesh wound in the left thigh: he also suffered from chronic diarrhoea. Private J. T. McG., "B," 24th Texas, (Rebel,) 23: Arkansas Post. 10th January; admitted hospital, St. Louis. 22.1: died, 24th January, 1863. Contributed by Surgeon J. T. Hodgen, I*. S. Vols. 12(j CATALOGUE OF THE SURGICAL SECTION VI. 2511. The lower two-thirds of the right humerus, eleven days after fracture by a conoidal ball at their junction. The b. 20. fragments show some periosteal inflammation and commencing necrosis along the lines of fracture. I'rivate G. W. T., "D," 24th Massachusetts, 20: Deep Bottom, Va., 16th August; admitted hospital, Ports- mouth. 18th; amputated, 27th August, 1864. Recovered. Contributed by Assistant Surgeon J. H. Frantz, U. S. Army. 3353. The right humerus, showing an ununited fracture of the lowest third. The bone is considerably comminuted, but b. 21. the specimen presents no remarkable feature. Several spiculae were said to have been driven in tbe cancellous structure, but they are not visible in the preparation. Private C. C, "H," 118th Pennsylvania, 21: admitted hospital, Washington, 8th October; died from pyaemia, 21st October, 1.-64. Contributed by Acting Assistant Surgeon A. Ansell. 2066. The left humerus, nearly two months after gunshot fracture of the middle third. There was little comminution, b. 22. but superficial caries has embraced the entire middle third. Two small sequestra are about separating. Private G. B. N., "D," 37th North Carolina (Rebel): Gettysburg, 3d July; died from pyaemia, Chester, 27th August, 1863. Contributed by Acting Assistant Surgeon G. Martin. 1911. The lower half of the right humerus, shattered and necrosed at the junction of the lower thirds. b. 23. Private H. B., "I," 9th Ohio, 39: Chickamauga, 19th September; died, Nashville, 23d October, 1863. Contributed by Acting Assistant Surgeon Preston Peter. 1861. The upper two-thirds of the left humerus, shewing a comminuted fracture at their junction, with necrosed b. 24. extremities and irregular trivial formations of callus without union. Received after Gettysburg. 1866. The upper two-thirds of the right humerus, comminuted at the surgical neck, with an oblique fissure extending b. 25. nearly through the upper third of the shaft. The superior portion is thoroughly necrosed and partly absorbed, while a line of necrosis borders the fissure on the inferior fragment. There is no attempt at repair. Z. B. : company, regiment, and history not reported. Contributed by Acting Assistant Surgeon Joseph Leidy. 1316. The upper two-thirds of the right humerus, obliquely fractured with comminution in the upper third. The specimen b. 26. is greatly carious about the seat of injury. A suitable case for amputation at the joint. Private D. H. P., "A," 11th New Jersey, 52: Chancellorsville, 3d May ; admitted hospital, Washington, 14th June ; died from pneumonia, 23d June, 1863. Contributed by Surgeon G. S. Palmer, U. S. Vols. 3925. The lower two-thirds of the right humerus, nine weeks after comminution in the lowest third. Several small b. 27. sequestra are in process of separation, and irregular and slight deposits of callus have been made without any useful repair occurring. A line of necrosis extends to its middle. This man also suffered a wound of the face. Private A. B., "E," 47th Pennsylvania: Cedar Creek, Va., 19th October; admitted hospital, Frederick, 12th November; died exhausted, with his lungs filled with softening tubercles, 23d December, 1864. Contributed by Acting Assistant Surgeon Ould. 1896. The lower two-thirds of the shaft of the right humerus. The bone was obliquely fractured with some b. 28. comminution just above the junction of the lower thirds. Moderate sequestra, not detached, exist at the point of fracture. A small amount of callus has been deposited, of which a portion seems to have been absorbed. A large fragment has been attached to the upper portion by a bridge of callus, but no union of the shaft "has occurred. Received after Gettysburg. 3652. The left humerus, six months after fracture in the lower thirds. The entire shaft of the bone is occupied by a b. 29. sequestrum. That in the lower fragment is heavy and nearly detached. The involucrum is wanting on the anterior surface, where it appears to have been absorbed after deposit. The new deposit on the upper fragment is irregular and sparse. Private H. T. P., "D," 1st Delaware, 26: admitted hospital, Washington, 28th August, 1864; died, 31st January, 1805. Contributed by Acting Assistant Surgeon H. M. Dean. 631. The upper two-thirds of the right humerus, partially consolidated, three months after gunshot fracture in the upper b. 30. third. The lower fragment is necrosed for some distance. On the upper portion a considerable amount of callus attaches the fragments to the shaft. Private D. R., "K," 15th Massachusetts: Antietam, 17th September; admitted hospital, Washington, 27th September; died, 26th December, 1862. Contributed by Surgeon J. A. Lidell, U. S. Vols. A J> OF THE UNITED STATES ARMY MEDICAL MUSEUM. 127 3890. A portion of the left humerus, six months after fracture by gunshot in the upper third. The bone is firmly united b. 31. by effusion of callus on its anterior surface, but the internal portions are carious. The articular surface of the head of the humerus is completely destroyed by ulceration. Private N. Mel I., "B," 2d Wisconsin: Antietam, 17th September, 1862; a sequestrum and several fragments removed, Frederick, 21st February; died, 30th March, 1863. Contributed by Acting Assistant Surgeon W. S. Adams. 4388. The upper half of the right humerus, five months after injury. The bone was perforatil. causing an oblique b. 32. fracture in the upper third. Large quantities of callus have been thrown out, producing partial union. The internal surface of this involucrum has been absorbed in a degree. Private P. L., " K," 8th Virginia (Rebel): Gettysburg, 3d July; died exhausted, Point Lookout, Md.,[ 111 h December, 1803, Contributed by Assistant Surgeon W. H. Gardner, U. S. Army. 3722. Four inches of the shaft of the humerus, fractured in the upper portion by a conoidal ball, which also shattered b. 33. the coracoid process and lodged beneath the spine of the scapula. Private G. W., "E," 96th New York, 24: Cedar Creek, 19th October; admitted hospital, Philadelphia, 26th; died, 30th October, 1864. Contributed by Acting Assistant Surgeon A. A. Smith. See 3638, IV. A. B. b. 9. For other illustrations, see 3515, III. A. B. a. 10; 1215, IV. A. B. b. 43; 4628, XXVI. A. 2, 58 c. Excisions. 146. Two portions, each three-fourths of an inch in length, from the necrosed ends of the shaft of the right humerus o. 1. transversely fractured at the junction of tho upper thirds. Private H. G., "A," 68th New York: Second Bull Run, 29th August; excised by Surgeon <). A. Judson, U. S. Vols., 18th September; died from chronic diarrhoea, 18th October, 1862. Contributed by the operator. 2322. One and a half inches of the shaft of the right humerus, excised from the middle third for fracture by a conoidal C. 2. ball. This subject also underwent on the field an amputation at the ankle joint. Private H. E. B., "K," 1st Massachusetts Artillery: Spottsylvania, 19th; admitted hospital and excised by Surgeon N. R. Mosely, U. S. Vols., 22d May; died, 22d June, 1864. Contributed by the operator. See 828, XVI. A. A. d 3. 129. The head and a portion of the shaft of the right humerus, showing an excision of two inches for a comminuted c. 3. fracture in the upper third. Private J. S. B., "H," 1st Maryland: Weldon R. R., Va., 1 ~111 August; admitted hospital, Washington, 24th; excised by Acting Assistant Surgeon W. C. Mulford. 27th ; died from secondary haemorrhage, 30th August, 1864. Contributed by the operator. 145. Two and a half inches of the shaft of the humerus, exeised for comminuted fracture. The specimen is necrosed C. 4. on the borders of the fracture, and sustains a moderate a-nount of ca'lus. Private W. C , "F," 1st Michigan. Recovered. Contributed by Surgeon O. A Judson, U. S. Vols. 3495. Two necrosed fragments of the shaft of the humerus that have been excised after fracture, and represent three c. 5. inches of the continuity. An attempt has been made to save the limb without an operation, and the specimen shows fragments of dead bone imprisoned in small quantities of callus Contributed, without history, by Surgeon Robert William Pounds. ] 749. Twelve excised fragments, representing three inches of the middle third of the shaft of the left humerus. C. 6. Private P. D., "G," 2d Indiana Cavalry: excised by Surgeon I. Moses, U. S. Vols., 4th June; furloughed, 6th September, 1863. Contributed by the operator. 1327. Three and a half inches of the shaft of the humerus, shattered and excised. c. 7. Private M. A. S., "I," 103d Pennsylvania: Fredericksburg, 14th December; excised, 27th December, 1862; died after secondary haemorrhage, 8th January, 1863. Contributed by Surgeon C. A. Cowgill. U. S. Vols 128 CATALOGUE OF THE SURGICAL SECTION VI. 2112. An excision of three and three-fourths inches from the upper third of the shaft of the humerus, in large fragments. C. 8. First Sergeant N. P., "E," 149th New York: Mission Ridge, 24th November; excised by Surgeon I. Moses, U. S Vols., Murfreesboro', Tenn , 7th December, 1863. Recovered with "good use of arm and hand " Contributed by the operator. I 863. The left humerus, after excision of four inches from its middle third. The upper sawn extremity is slightly c. 9. necrosed, and the lower shows a moderate deposit of callus on its inner border. Contributed by Acting Assistant Surgeon Joseph Leidy. 355 1. Four inches of the shaft of the right humerus, shattered and excised. c. 10. Corporal E. D , "E," 14th U. S. Infantry, 29: Weldon R. R., Va., 18th August; admitted hospital, Wash- ington, 25th; excised by Acting Assistant Surgeon W. C. Mulford, 28th August, 1864. Recovered. Contributed by the operator. 1814. Five inches of the shaft of the humerus shattered, and excised after a slight deposit of callus has appeared. The c. 11. specimen illustrates the destructive effect of a conoidal ball death of the bone following, the moderate attempt at repair by nature, and the character of the operation for relief. Received, without history, from Nashville. 339. A comminuted portion of the shaft of the humerus, excised. The specimen is more than four inches in its greatest c. 12. length, but the lines of section are very oblique, and approach each other at one point more nearly by two inches than at another. There is a trace of periosteal disturbance at one point. The bullet entered above the inner condyle and passed out three inches below the acromion, shattering and denuding the bone of periosteum the entire distance. Private J. McK., "G," 10th Ohio: wounded, 8th October; admitted hospital, New Albany, Ind., 18th; excised by Acting Assistant Surgeon M. N. Eldrod, 21st October; discharged, with no perceptible shortening and with the usual movements retained, December, 1862. Contributed by Surgeon W. Varian, U. S. Vols. For other illustrations, see 3608, V. A. B. d. 6; 3331, V. A. B. d. 7; 273, VI. A. B d. 15; 486, VI. A. B. d. 18; 1311, XV. A. B. d. 101; 4629, XXVI. A. 3, 112, 148. d. Amputated Fractures. 1017. The lower half of the left humerus, with a nearly transverse fracture in the lowest third complicated by several d. 1. deep but short fissures and a severe flesh wound from a fragment of shell. D. O'H., seaman, Gunboat " Ponchartrain," (Rebel,) 2(5: Arkansas Post, 10th January; admitted hospital and arm amputated, St. Louis, 22d January, 1863. Contributed by Surgeon John T. Hodgen, U. S. Vols. 2426. The lower half of the right humerus, amputated four weeks after injury. The shaft is fractured nearly d. 2. transversely in the lowest third, with a deep fissure extending upward for an inch on the posterior surface. The upper extremity is necrosed one inch abo1* e the line of fracture, excepting along the external border, where a trivial osseous deposit has occurred. There is no attempt at union. Private J. S., "H," 62d New York, 60: Wilderness, 5th May; admitted hospital, Washington, 25th May; amputated by Acting Assistant Surgeon H. M Dean, 3d June; died from exhaustion, 10th June, 1864. Contributed by the operator. 2936. The lower half of the left humerus, amputated one month after fracture in the lowest third. The bone is nearly d. 3. transversely fractured with very little comminution. There are several longitudinal fissures in each fragment. There has been no attempt at repair, and the parts adjacent to the injury are carious Private J. S., "C," 23d Pennsylvania: probably Spottsylvania, 12th May; admitted hospital, Washington, 19th May; amputated for secondary haemorrhage, 9th June; died, 10th June, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. 690. The lower half of the left humerus, amputated for a grape-shot fracture at the junction of the lower thirds with d. 4. little comminution on the posterior surface. One fragment, one by two inches, is separated. Contributed by Acting Assistant Surgeon J. E. Semple, U. S. Army. 1106. The lower two-thirds of the right humerus, amputated for secondary haemorrhage after an oblique fracture at the d. 5. junction of the lower thirds. The fracture is three inches in length and without comminution. Moderate periosteal disturbance is observable. Private W. H. F., "H," 7th Ohio: Chancellorsville, 3d May; admitted hospital, Washington, 6th; amputated by Sur- geon H. Bryant, U. S. Vols., 14th May, 1863. Contributed by the operator. Sic ll"7. XXII. A. B. a 3. A. 15. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 129 802. The lower portion of the right humerus, amputated in the middle third for a comminuted fracture at the junction d. 6. of the lower thirds. There are slight traces of periosteal inflammation bordering the fractures. Private J. W. H., 36th Ohio, 21: South Mountain, 14th September; amputated, Frederick, 27th September; died from pyaemia and imperfectly developed tetanus, 6th October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 160. The right humerus, amputated at the surgical neck three weeks after injury. In the middle third a transverse d. 7. oblique fracture connects with a longitudinal fissure of three and a half inches on the external surface of the upper portion of the shaft. There is no attempt at repair, and but a minute trace of necrosis at what appears to be the point of impingement on the posterior surface of the bone. The peculiarity of tbe fracture may be due to the obliquity of the line of flight. Private L. S., "H," 100th Pennsylvania: Chantilly, Va., 1st September; admitted hospital, Washington, 8th ; amputated for secondary haemorrhage from the brachial artery, by Assistant Surgeon Warren Webster, U. S. Army, 20th September, 1862. Died. Contributed by the operator. 2163. The lower two-thirds of the right humerus with a nearly transverse fracture in the lowest third. There was no d. 8. comminution, but both extremities of the fragments are necrosed without attempt at repair. Sergeant H. H., "H," 119th Pennsylvania, 25: Wilderness, 5th May; admitted hospital, Washington, 9th May; amputated in the upper third, by Acting Assistant Surgeon J. C. Nelson, 7th June; died, 15th June, 1864. Contributed by Surgeon G. L. Pancoast, U. S. Vols. 3484. The lower extremity of the right humerus, amputated after fracture in the lowest fourth. The specimen shows d. 9. the fractured extremities slightly rounded in an attempt to save the limb. Lieutenant E. H, 6th Iowa: Atlanta, 22d August; admitted Fifteenth Corps Hospital, Marietta, Ga., 24th August; amputated for secondary haemorrhage, 2d September, 1864. Recovered. Contributed by Surgeon J. R. Gove, 127th Illinois. 3363. The lower half of the left humerus, amputated for an ordinary gunshot fracture of the lowest third. d. 10. Private N. W., "A," 125th Ohio, 38: Resaea, Ga., 14th May; admitted hospital, Nashville, Tenn., 19th; amputated, 21st May, 1864. Contributed by Surgeon R. L. Stanford, U. S. Vols. 927. The lower half of the right humerus, showing an irregular fracture in the middle third, the extremities of which d. 11. are necrosed and partially separated. The arm probably underwent a secondary amputation in the upper third. Contributed by Assistant Surgeon C. Wagner, U. S. Army. 381. The lower half of the left humerus, transversely fractured with comminution of the anterior surface. There is no d. 12. indication of repair. Private W. G., "B," 59th New York, 38: Antietam, 17th September; amputated for incipient tetanus, 30th September; died from tetanus, 5th October, 1862. Contributed by Surgeon A. Dougherty, U. S. Vols. 73. The lower half of the right humerus, perforated with much comminution at the junction of the lower thirds. d. 13. Private J. V., "C," 13th New York: Second Bull Run, 30th August; amputated by Acting Assistant Surgeon W. W. Keen, jr, Centreville, Va., 7th September; transferred to hospital near Alexandria, 9th; died, 17th September, 1862. Contributed by the operator. 3675. The lower two-thirds of the left humerus, amputated after excision. The extremity is necrosed and a line of d. 14. separation is forming. A very moderate amount of callus is deposited below. Sergeant B A. W., "H," ----Cavalry, 21 : Weldon R. R., Va., 25th August; admitted hospital, Philadelphia, 29th August; amputated for secondary haemorrhage, by Acting Assistant Surgeon J. G Morton, 15th September; died, 11th October, 1864. Contributed by Surgeon L. Taylor, U. S. Army. See class VI. A. A. c. 273. The lower half of the right humerus, amputated after an excision of two inches in the middle third. Several d. 15. fragments, representing the excised portion, were partly necrosed, and, covered to a degree with callus, are mounted with the specimen. Corporal W. H. W., "H," 20th Massachusetts: Antietam, 17th September; excised, 11th October; amputated for secondary haemorrhage, 19th October, 1862. Recovered and discharged the service. Contributed by Surgeon J. L. Le Conte, U. S. Vols. See class VI. A. B. c. 17 130 CATALOGUE OF THE SURGICAL SECTION VI. 163. The lower half of the right humerus, completely shattered for four and a half inches. The upper portions of the d. 16. bones of the forearm are attached. Private G. H, "D," 24th New York: Second Bull Run, 30th August; admitted hospital, Washington, 1st September; amputated in the middle third by Assistant Surgeon C. A. McCall, U. S. Army, 6th September, 1862. Completely recovered in three weeks. Contributed by Medical Cadet E. Coues. 2974. The lower thirds of the left humerus, amputated for a fracture in the middle third. The broken extremities d. 17. appear rounded, as though an attempt had been made to save the limb. Private E. T., "G," 31st Maine: Petersburg, 30th July; admitted hospital, Washington, 3d August; amputated by Surgeon A. F. Sheldon, U. S. Vols., 7th; died from exhaustion, 13th August, 1864. Contributed by the operator. 486. The two lower thirds of the right humerus, shattered for six inches by a conoidal ball. A portion of the battered d. 18. missile is attached. The specimen shows, in a section of its upper extremity, an attempt at excision. Private W. J., "K," 7th Rhode Island: Fredericksburg, 13th December; admitted hospital, Washington, 17th ; amputated, 18th December, 1862. Discharged the service. Contributed by Acting Assistant Surgeon H. Stone. See classes VI. A. B. c; XXVII. B. B. d. 981. The left humerus, amputated in the middle third for a comminuted fracture in the lowest third. Nearly an inch d. 19. of the shaft has been removed by gunshot. Private J. H., "H," 131st Pennsylvania: Fredericksburg, 13th December; admitted hospital, Washington, 18th; amputated, 19th December, 1862. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 1165. The left humerus, amputated at the junction of the lower thirds for a comminuted fracture just below the seat d. 20. of section Portions of the radius and ulna are attached, showing a fracture of the ulna at the junction of the upper thirds. Private G. L. C , ----Artillery, (Rebel,) 25: Burksville, 6th April; amputated by Assistant Surgeon W. Carroll, U. S. Vols., City Point, Va , 18th April, 1865. Contributed by the operator. See class VIII. A. B. b. 1917. The lower half of the left humerus, amputated two months after fracture in the lowest third. The fracture was d. 21. nearly transverse, with a splinter of two and a half inches broken off the inner border of the upper fragment. A considerable effusion of callus has partially united the fragments, with some displacement, to the upper portion, but no union of the broken shaft has occurred. Private J. S., ''E," 38th Illinois, 20: Chickamauga, 19th September; amputated by Acting Assistant Surgeon P. Peter, Nashville, 20th November, 1863; discharged the service, 31st August, 1864. Contributed by the operator. 219. The right humerus, amputated in the upper third twenty-five days after fracture by a conoidal ball. The middle d. 22. third of the bone is comminuted, with necrosis of the borders of the fracture. Private C. W. : Second Bull Run, 30th August; amputated, Washington, 24th September, 1862. Contributed by Surgeon O. A. Judson, U S. Vols. 15. The lower half of the right humerus, amputated for secondary haemorrhage following a comminuted fracture from d. 23. a conoidal ball at the junction of the lower thirds. There is no reparative action. Private W. H. C, "A," 28th New York: Cedar Mountain, Va.. 9th August: admitted hospital, Alexandria, 12th; amputated by Surgeon John E. Summers, U. S. Army, 21st August; died, 24th September, 1662. Contributed by the operator. 26. A portion of the shaft of the humerus, much comminuted at the junction of the upper thirds, amputated nineteen d. 24. days after injury. Slight osseous deposit has occurred on a few of the fragments, but there is no attempt at union. A fragment of bullet is attached. Private W. A. E., " H ," 16th Massachusetts, 25. White Oak Swamp, Va., 30th June; admitted hospital, Washington, 4th July; amputated by Surgeon R. H. Coolidge, U. S. Army, 19th July, 1862. Recovered. Contributed by Acting Assistant Surgeon W W. Keen, jr. See class XXVII. B. B. d. A. 13. OF THE UNITED STATES ARMY MEDICAL MUSEIM. 131 2817. The two lower thirds of the right humerus, amputated after an excision of about one inch for gunshot. Sequestra d. 25. nearly detached have formed on the extremities of the fragments, beyond which much superficial necrosis has occurred. Private F. J. H., "M," 13th Pennsylvania Cavalry, 20: wounded and excised, Salem Church, Va., 30th May; admitted hospital, Washington, 4th June; amputated in the upper third by Surgeon N. R. Mosely, U. S. Vols., 0th July; discharged the service, 24th September, 1864. Contributed by the operator. See class VI. A. A. c. 1079. The right humerus, amputated at the surgical neck for a comminuted fracture of the upper third by a conoidal d. 26. ball, which is attached. Private J. W. S., "D," 6th Maine: Chancellorsville, 2d May; admitted hospital, Washington, 7th; amputated, 11th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XXVII. B. B. d. 1634. The shaft of the right humerus, amputated in the upper third four .weeks after injury. The specimen shows a d. 27. badly comminuted fracture in the middle third. A trivial amount of callus has been deposited upon the fragments, the borders of which are necrosed. Private A. D., "A," 11th Indiana, 23: Champion's Hill, Miss., 16th May; amputated by Acting Assistant Surgeon L. Darling, Hospital-steamer "City of Memphis," 12th June, 1863. Contributed by Assistant Surgeon H. M. Sprague, U. S. Army. 3402. The lower half of the right humerus, amputated three weeks after fracture in the lowest thir . attempt d. 28. at union has occurred, beyond the attachment of two fragments to the superior portion. The fractured extremities are necrosed. Private F. C, "K," 36th U. S. Colored Troops, 22: Deep Bottom, Va., 29th September; admitted hospital, Portsmouth, Va., 5th October; amputated, 19th October, 1864. Recovered. Contributed by Assistant Surgeon J. H. Frantz, U. S. Army. 3113. The greater portion of the shaft of the right humerus, with a very oblique fracture in the upper half, amputated d. 29. two weeks after injury. There is no effort at repair. Private M. V. M., "E," 18th Indiana, 24: Winchester, 19th September; admitted hospital, Philadelphia, 27th September; amputated at the surgical neck by Acting Assistant Surgeon Moon, 3d October; died from exhaustion, 14th October, 1864. Contributed by Acting Assistant Surgeon Joseph Sheppard. 2190. An ununited fracture of the lowest third of the right humerus, amputated three months after injury. Tho d. 30. specimen shows small fragments of bone thinly coated with callus and attached to the extremities. The middle third of the shaft is necrosed. Private A. B., "B," 28th Alabama, (Rebel,) 22: Mission Ridge, 25th November, 1863; amputated by Acting Assistant Surgeon T. G. Hickman, Nashville, 25th February; died, 2d March, 1864. Contributed by Acting Assistant Surgeon G. P. Hackenburg. 3913. The lower half of the left humerus, amputated eleven weeks after gunshot fracture in the lowest third. The d. 31. specimen shows nearly separated two fine tubular sequestra with fair involucra, which, however, do not afford union. The internal condyle also exhibits an old simple fracture with ligamentous union, not connected with the gunshot injury. Private W. H. H., "K," 128th New York, 24: Winchester, 19th September; admitted hospital, Frederick, 12th November; amputated by Acting Assistant Surgeon W. B. McCausland, 6th December, 1864. Contributed by the operator. See 1575, XXV. A. B. b. 78. See classes VI. A. B. g.; VII. B. B. b. 2069. The lower thirds of left humerus, amputated forty-one weeks after fracture at their junction. The shaft is d. 32. fairly consolidated with slight deformity, but the interior, in which is lodged a battered bullet, is carious. Private J. C, "D," 72d New Yrork, 22: Williamsburg, 5th May, 1862; amputated, Chester, Penua., 16th Feb- ruary; died from pyaemia, 23d February, 1863. Contributed by Acting Assistant Surgeon Joseph A. Draper. See class XX VII. B. B. d. ir.2 CATALOGUE OF THE SURGICAL SECTION VI. 2 173. The lowest third of the right humerus and greater portion of the bones of the forearm. The radius is shattered in d. 33. the upper third of the shaft, and the humerus is fractured just above tho inner condyle, as though the wound had been received while in the act of firing. Private L. F. B., "F," 14th Connecticut: wounded, 6th May: admitted hospital, Washington, 11th; amputated in the middle third by Acting Assistant Surgeon Nelson, 27th May; died, 18th June, 1804. Contributed by Surgeon G. L. Pancoast, U. S. Vols. See class VIII. A. B. d. 1520. The greater portion of the left humerus, amputated near the surgical neck for a compound fracture at the juuctiou d. 34. of the upper thirds. At the point of fracture the shaft is much shattered, but new bone has formed so as to afford, particularly on the posterior surface, tolerably firm union. Fragments of dead bone are, however, entangled in the callus. Contributor and history unknown. 1312. A wet preparation of the humerus, exhibiting a false joint after fracture in the middle third by a musket ball. A d. 35. large amount of callus has been thrown out on each fractured extremity without osseous union. The muscular attachments appear to have taken on a semi-ligamentous character. Private A. M. D., "C," 1st New Jersey: Second Fredericksburg, 3d May; admitted hospital, Washington, 13th June; amputated by Acting Assistant Surgeon D. P. Wolhaupter, 26th June ; discharged, 10th August, 1863. The ball was found in the elbow joint. Contributed by the operator. 121. The lower half of the left humerus, amputated for fracture with comminution by a conoidal ball in the lowest third. d. 36. Private J. T. P., " C," 6th Maine, 28: Wilderness, 6th May; amputated by Assistant Surgeon J. C McKee, U. S. Army, Washington, 12th May; died of pyaemia, 8th June, 1864. Contributed by Acting Assistant Surgeon A. Ansell. 501. A portion of the left humerus, amputated at the junction of the upper thirds after shattering in the lower half. d. 37. The bullet entered from the left and behind, fracturing the shaft for four inches longitudinally. There is a little periosteal thickening on the main portion of the bone, but the fragments have lost their vitality. Private W. R. McN., "D," 40th Pennsylvania: probably Second Bull Run, 30th August; admitted hospital, Washington, 10th September; amputated, September; died, 26th October, 1862. Contributed by Surgeon J. C. Dorr, U. S. Vols. 604. The amputated portion of the right humerus, after section below the surgical neck. The bone was comminuted d. 38. above the middle, and commencing necrosis may be traced along the main portion of the shaft. Private T. H., " H," 80th New York. Contributed by Surgeon J. C. Dorr, U. S. Vols. For other illustrations, see 3331, V. A. B. d. 7. e. Other Operations. 414. Two small fragments of necrosed bone, removed from the upper third of the right humerus after fracture by a e. 1. conoidal ball. Private A. McC, "E," 2d Maryland: Antietam, 17th September; admitted hospital, Baltimore, 20th September; specimen removed, 12th October; "arm united; died from pneumonia," 14th October, 1862. Contributed by Surgeon L. Quick, U. S. Vols. 152. Ten small necrosed fragments, removed from the humerus after gunshot. e. 2. Private W. J. D., Thompson's Independent Pennsylvania Battery: Antietam, 17th September; removed by Surgeon H. S. Hewit, U. S.Vols., Frederick, 1st October; discharged, 24th November, 1862. Contributed by the operator. 1112. A shaving of lead and ten small necrosed fragments of bone, removed at various times from the shaft of the e. 3. humerus. Private T. McC, " A," 4th New York: Antietam, 17th September; admitted hospital, Baltimore, 20th September, 1862. Recovered. Contributed by Surgeon C. W. Jones, U. S. Vols. See class XXVII. B. B. d. J^t ft OF THE UNITED STATES ARMY MEDICAL MUSEUM. 133 434. Eleven small necrosed fragments, removed by operation from the humerus five and a half months after excisiou of e. 4. two inches of the shaft for gunshot in the middle third. Private H. H. W., *'A," 11th Pennsylvania Reserves: before Richmond, June; admitted hospital, Baltimore, 25th July; excised by Surgeon A. B. Hasson, U. S. Army, 2d August, 1862; specimen removed, 22d January; firm union, March, 1863. He was admitted from Libby Prison, where he had received no treatment. Contributed by the operator. 2505. Eight small fragments of the shaft of the humerus, representing one inch of the length and three-fourths of e. 5. the circumference. Private J. H., "F," 14th New Jersey: Hanover C. H., Va., 30th May; admitted hospital, Washington, 4th June; removed by Surgeon N. R. Mosely, U. S. Vols., 6th June; deserted while on furlough, 24th August, 1861. Contributed by the operator. 18. The left humerus, after comminution and the removal of several large fragments at the junction of the upper e. 6. thirds. The extremities are denuded of periosteum and are carious. A very minute deposit of callus exists on the lower fragment. Private J. C, " H," 38th Virginia, (Rebel,) 24: Williamsburg, 5th May, admitted hospital, Washington, 12th; fragments removed, 16th; attacked with erysipelas, 18th May; died, 2d June, 1862. Contributed by Assistant Surgeon J. S. Billings, U. S Army, See class XXIII. A. A. 3906. The lower thirds of the left humerus fractured, from which fragments and ends of bone to the extent of two and e. 7. a half inches have been removed. The specimen shows the extremities necrosed and a little ill-developed callus upon the shaft. Private H. O., "F,"36th Ohio, 18: Winchester, 24th July; admitted hospital, Frederick, 27th; fragments of bones and pieces of bullet removed by Acting Assistant Surgeon J. H. Bartholf, 31st July; died from pyaemia, 18th August, 1861. Contributed by the operator. 4292. Eleven fragments, representing three inches of the upper part of the shaft of the right humerus, removed after e. 8. fracture by a conoidal ball. All the pieces are more or less necrosed. Private M. L., "F," 100th Pennsylvania: Petersburg, 25th March; removed by Surgeon G. L Paucoast, U. S. Vols., Washington, 24th April, 1865. Recovered. Contributed by the operator. 1150. Fragments representing three inches of the middle third of the shaft of the humerus, removed by operation. A e. 9. part of a conoidal ball, curiously flattened, is attached. Private M. F., "B," 149th New York: Chancellorsville, 3d May: a prisoner without attention some days ; excised by Assistant Surgeon Lord, 102d New York, Twelfth Corps Hospital, loth May; died from pyaemia, 4th June, 1863. Contributed by the operator. See class XXVII. B. B. d. 1 754. Eleven fragments, representing three inches, removed from the middle third of the shaft of the left humerus. e. 10. Private G. D., "C,"77th Pennsylvania: wounded, 25th June; removed by Surgeon I. Moses, U. S. Vols., Chattanooga, 29th June, 1863. Recovered. Contributed by the operator. 821. Several fragments, representing three and a half inches of the length and one-third of the circumference of the e. 11. shaft of the humerus, removed by operation. ' Private T. K., "C," 107th Pennsylvania: Antietam, 17th September; removed, 26th September, 1862. Recovered. Contributed by Dr. Sweet. f. Stumps. 2667. The upper half of the right humerus, two days after amputation and six weeks after injury. The entire shaft f. 1. was denuded of periosteum and roughened, with some caries in the bicipital groove. Pus was found in the bone on amputation, but the subject's condition would not permit a second operation. Private J. L. C, " L," 1st Maine Heavy Artillery, 17: Spottsylvania, 12th May; admitted hospital, Washington, 22d May ; amputated by Acting Assistant Surgeon H. M. Dean, 22d June; died exhausted, 24th June, 1864. Contributed by the operator. Sec 2638, VII. A. B. f. 25. 3868. Two inches from the stump of the left humerus, eleven days after amputation. The bone is entirely denuded of f. 2. periosteum. . Private N. R. P., "F," 5th Virginia, 23: Berryville, Va., 2d September; amputated, 5th; admitted hospital, Frederick, 14th; died from pleurisy, 16th September, 1>61. Contributed by Acting Assistant Surgeon J. H. Bartholf. 134 CATALOGUE OF THE SURGICAL SECTION VI. 3756. The stump of the right humerus, nineteen days after amputation at the junction of the lower thirds for secondary £ 3. haemorrhage following a flesh wound of the elbow. A necrosed ring is in process of separation, but there is no indication of repair. Corporal J. B., "F," 14th Ohio, 27: Atlanta, 5th August; admitted hospital, Nashville, 20th August; amputated, 2Jd September; died from pyaemia, 12th October, 1864. Contributed by Acting Assistant Surgeon H. C. May. 1 25 1. The head and one and a half inches of the right humerus, eight days after amputation. The specimen presents f. 4. no unusual condition. Corporal W. S. S., "D," 6th Maine, 26: Second Fredericksburg, 3d May; admitted hospital, Washington, 8th ; amputated, 11th; died from secondary haemorrhage, 19th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3552. The upper half of the left humerus, one month after injury and two weeks after amputation. There has been f. 5. no attempt at repair, and superficial caries appears along the bicipital lines. The periosteum generally has been detached. Private P. B., "G," 96th Pennsylvania, 18: Spottsylvania, 10th May; amputated, 24th; admitted hospital, Washington, 25th May; died from pyaemia, 8th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 312. The upper third of the left humerus, after death by tetanus two weeks after amputation. A fragment, one by f. 6. two and a half inches, and embracing the point of impact, was found in the posterior flap pressing upon the median nerve. No saw appears to have been used in the amputation. Corporal J. J., "F," 21st New York: wounded and amputated on the field, Second Bull Run, 30th August; admitted hospital, Alexandria, 2d September; tetanus supervened, 8th; died, 12th September, 1862. Contributed by Acting Assistant Surgeon S. E. Fuller. 306. The stump of the left humerus, amputated at the junction of the upper thirds. A ring of necrosis embraces the f. 7. extremity, which shows no indication of being rounded. Superficial caries has occupied portions of the shaft and the articulation. The specimen may possibly be a disarticulation. Contributed by Surgeon John T. Hodgen, U. S. Vols. See class V. A. B. d. 3821. The stump of the left humerus, twenty-four days after amputation at the upper third.' On admission to hospital f. 8. the bone protruded from two short flaps. The specimen exhibits a little caries at the extremity, with no attempt at repair. Captain J. G. L., "G," 4th Georgia, (Rebel,) 30: amputated on the field, Gettysburg, 1st July; admitted hospital, Frederick, 6th; died exhausted from chronic diarrhoea and suppuration, 25th July, 1863. Contributed by Acting Assistant Surgeon J. H. Bartholf. 2892. The upper two-thirds of the left humerus, twenty-four days after amputation. The extremity is necrosed and f. 9. the periosteum denuded for several inches. Corporal D. Z., "B," 15th New York Artillery, 23: admitted hospital, Washington, 1st July; amputated by Acting Assistant Surgeon A. Ansell, 2d; died with incipient pyaemia, 26th July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 2915. The stump of the right humerus, after death from pyaemia four weeks after amputation in the middle third. f. 10. No attempt at rounding the stump, which exhibits a slight ring of necrosis, has occurred. The specimen has been sawn longitudinally to show recent changes, which are not noticeable in the dried preparation. Private F. G., "K," 27th Massachusetts: Cold Harbor. 3d June; admitted hospital near Alexandria, 8th; amputated for secondary haemorrhage, 10th June; died from pyaemia, 6th July, 1864. Contributed by Assistant Surgeon H. Allen, U. S. Army. 2877. The upper half of the right humerus, after death from pyaemia seventeen days after amputation. The extremity f. 11. is necrosed and the bone superficially carious to the joint. Private H. M., "E," 1st Michigan Cavalry, 20: amputated for secondary haemorrhage by Acting Assistant Surgeon Ensign, Washington, 24th June; died from pyaemia, 11th July, 1804. Contributed by Acting Assistant Surgeon D. B. Hays. 1987. The stump of the left humerus, one month after amputation in the middle third. There is no attempt at repair. f. 12. The medullary substance was softened for two inches at the lower extremity, the periosteum detached, and the bone roughened for the same distance. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 135 Corporal J. L., "A," 14th New Jersey, 44: wounded and amputated, Locust Grove, Va., 27th November; admitted hospital, Alexandria, 5th December; secondary haemorrhage, with pyaemic symptoms, 25th December, 1863. Contributed by Acting Assistant Surgeon W. G. Elliott. 1711. The stump of the left humerus, after death from pyaemia four weeks after amputation at the junction of the f. 13. lower thirds. The extremity is necrosed and superficial caries extends over the lower half of the shaft. There is no deposit of callus. Private J. H., "A," 140th New York: Gettysburg, 2d July; admitted hospital, Baltimore, 14th; amputated, 28th July; died from pyaemia, 24th August, 1863 Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 1103. The stump of the right humerus, amputated two inches below the tuberosities. The extremity is necrosed ; f. 14. periosteal thickening occupies the most of the shaft, but without positive reparation. Contributed by Surgeon H. S. Hewit, U. S. Vols. 1842. The lower half of the right humerus, from a case of pyaemia after amputation. The extremity is necrosed, with f. 15. no attempt at repair. Contributed by Acting Assistant Surgeon T. H. Stillwell. 3286. The stump of the left humerus, after amputation in the upper part of the middle third. The entire shaft is f. 16. carious. Contributor and history unknown. 2875. Three and a half inches of the shaft of the humerus, after amputation. There is a slight effort at rounding the f. 17. extremity, which, however, is carious, with a trivial peripheal deposit of callus. Private E. T. S., "E," 8th New York Heavy Artillery, 24: Cold Harbor, 3d June ; amputated in the middle third on the field; reamputated in the upper third, Washington, 10th July, 1864; discharged the service, 31st May, 1865. Contributed by Acting Assistant Surgeon Samuel Graham. 1937. The upper half of the right humerus, two months after amputation. Two small nearly detached sequestra f. 18. occupy the extremity. The entire shaft is superficially carious, and the articulation is eroded by ulceration. Private S. H. W., "E," 5th Texas, (Rebel,) 21: Gettysburg, 2d July; amputated, 15th July; died exhausted, 13th September, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. 2886. The stump of the left humerus, five weeks after amputation in the middle third. The extremity is necrosed and f. 19. has a moderate fringe of callus. Private C. W. A., "C," 1st Maine Heavy Artillery, 23: wounded and amputated on the field, Petersburg, 18th June; admitted hospital, Washington, 28th June; died from pyaemia, 21st July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 1898. One and a half inches from the stump of the humerus, amputated on account of necrosis. The specimen exhibits f. 20. insignificant new bony formation Contributed by Surgeon A. Hard, 8th Illinois Cavalry. 4195. Three inches from the stump of the right humerus, nearly seven months after amputation at the lowest third. The f. 21. specimen consists of a large but spongy involucrum, enclosing a delicate seqnestrum, removed by the chain-saw. An additional inch and a half was removed by the bone forceps in small fragments. Private W. W. B., "I," 138th Pennsylvania, 31: Wilderness, 6th May; amputated, 10th May; specimen removed by Acting Assistant Surgeon James Tyson, Philadelphia, 3d December, 1864; discharged the service, healed, 4th January, 1865. Contributed by the operator. 2522. One and a half inches of the stump of the left humerus, enclosing as an involucrum a sequestrum three inches f. 22. in length. Tbe new structure is spongy in texture and incomplete. Sergeant J. H. M., "H," I02d New York: wounded and amputated, Peach Tree Creek, Ga., 20th July, 1864; admitted hospital, Albany, New York, 7th July, 1865; reamputated and healed. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1201. Four and a half inches from the stump of the humerus, reamputated for necrosis, with no return of the disease. f. 23. A semi-tubular detached sequestrum, two and a half inches in length, partially occupies the spongy and imperfect involucrum, which comprises the extreme three inches of the specimen. B. F. P., "D," 5th New Y'ork. Contributed by Surgeon O. A. Judson, U. S. Vols. 13G CATALOGUE OF THE SURGICAL SECTION VI. 2215. Five inches from the stump of the humerus, showing a slight, nearly detached sequestrum three inches in length, f. 24. with a fair effusion of callus assuming the condition of a partial involucrum. Private T. W. S., " H;" 10th Alabama (Rebel). Contributed by Dr. Daniel Weine. 1869. Four inches of the stump of the humerus, being an enlarged and imperfect involucrum enclosing a tubular £ 25. sequestrum of nearly its own length. Contributed by Acting Assistant Surgeon J. H. Packard. 2712. The bony stump of the left humerus, from an amputation in the middle third. The specimen is a remarkable £ 26. instance of hypernutrition, its diameter at the point of section being nearly two inches. Viewed on the proximal surface the outline of the original bone may be observed. A redundant and irregular effusion of callus at the extremity has imprisoned a detached sequestrum. Private J. F., "H," 73d Pennsylvania, 33: Chancellorsville, 2d May; amputated in the middle third, 17th May, 1863; reamputated by Acting Assistant Surgeon R. J. Levis, Philadelphia, 28th April, 1864. Recovered. Contributed by the operator. 895. The right humerus, after amputation in the lowest third. The extremity is necrosed, " showing a small partially f. 27. separated sequestrum with a trivial fringe of sallus bordering the sound hone." Contributor and history unknown. 1827. Two inches of the stump of the left humerus, after primary amputation. The extremity is very slightly rounded f. 28. and is carious. The shoulder was wounded by a buckshot at the same time. Private G. R. P., 3d Maine, 21: wounded and arm amputated in the field, Virginia, May; admitted hospital, New York Harbor, 8th June, 1862 ; died after recurrent secondary haemorrhage from the wound of the shoulder. Contributed by Acting Assistant Surgeon S. Teats. See 4338, VI. C 1; 4339, XVIII. II. A. B. b. 8. 1741. Two inches of the stump of the left humerus. The extremity is slightly rounded, but the bone is not in a good f. 29. condition. First Lieutenant C. P. McT., "H," 3d Michigan: elbow shattered and excised, Fair Oaks, 31st May; arm amputated in the lowest third by Surgeon D. W. Bliss, U. S. Vols., 1st June; the flaps sloughed and the arm was reamputated by the same operator, Washington, 7th September, 1862. Returned to duty. Contributed by the operator. See class VII. A. A. c. 4226. Three and a half inches of the shaft of the left humerus, amputated the second time after shell fracture in the f. 30. lowest third. There is a moderate sequestrum in the extremity,which is not rounded, although a fringe of callus has appeared around the border. Private H. D. F., "F," 28th Iowa, 16: Cedar Creek, 19th October; admitted hospital, with arm amputated in the lowest third, Baltimore, 26th December, 1864; reamputated by Assistant Surgeon G. M. McGill,U. S. Army, 30th March; discharged, 21st June, 1865. Contributed by the operator. 2894. The stump of the left humerus, seven days after amputation in the middle third. There are no pathological f. 31. changes in the bone, except an apparent loss of periosteum at the extremity. Corporal J. B. R., "K," 57th Massachusetts: Petersburg, 17th June; admitted hospital, Washington, 24th June; amputated after fracture of the wrist, 19th July; died, 26th July, 1864. Contributed by Acting Assistant Surgeon V. B. Hand. Sec 2852, IX. A. B. f, 57. 656. Three inches of the stump of the humerus reamputated, an unknown period after amputation. An imperfect f. 32. sequestrum of three inches is enclosed. The extremity is rounded, but imperfect A large cloaca exists on one side. The particular feature is the hyperostosis which has given the bone a variable diameter of from one and a half to one and three-fourths inches. Contributor and history unknown. See 2774, XXI. A. B. b. 29. 443. The stump of the right humerus, four weeks after amputation in the middle third. The extremity is necrosed, f. 33. showing a line of separation. Private J. Van D., "K," 107th New Y'ork, 24: ulna fractured in upper third, Gettysburg, 3d July; arm amputated, 18th August; died exhausted, 12th September, 18(54. Contributor unknown. For other illustrations, see 267, V. A. b. d. 3; 3550, VI. A. a. c. 21. A. 15. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 137 g. Sequestra. 3 1 82. Two small irregular sequestra, representing three-fourths of the circumference of the shaft of the humerus, with g. 1. an extreme length of two inches, removed two months after an excision. Private J. W. P., "C," 148th Pennsylvania, 31: elbow fractured, Spottsylvania, 10th May; admitted hospital, Washington, 31st May; lower portion of humerus excised, 25th June ; specimen removed, 31st August; deserted while on furlough, 30th November, 1864. Contributed by Assistant Surgeon Philip C. Davis, U. S. Army. 1806. A delicate tubular sequestrum, nearly two inches in length, removed from the stump of the left humerus ten g. 2. weeks after amputation. Private W. L., "C," 148th Pennsylvania: Chancellorsville, 3d May; amputated, 11th May; admitted hospital, Point Lookout, Md., 14th June; stump attacked with hospital gangrene, 10th—12th July; specimen removed, 21st July, 1863. Recovered. Contributed by Surgeon A. Heger, U. S. Army. See class XXIII. A. B. 975. A semi-tubular sequestrum, two and a half inches in length, from the stump of the humerus. g. 3. Contributor and history unknown. 1266. A tubular sequestrum, two inches in length, removed from the stump of the left humerus three months after g. 4. amputation in the upper third. Private P. H., "C," 2d U. S. Infantry: Fredericksburg, 13th December; amputated, Point Lookout, Md., 21st December, 1862; specimen removed, Washington, 23d February, 1863. Discharged the service with a good stump. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 142. A sequestrum, tubular for ouo and a half inches, with an extreme length of three and a half inches, from the g. 5. stump of the left humerus, amputated for a shell contusion of the forearm. Private A. F. M., "A," 17th Michigan: Petersburg, 25th March; admitted hospital, Washington, 2d April; discharged the service, 26th July, 1865. Contributed by Assistant Surgeon H. Allen, U. S. Army. 3223. Two delicate sequestra, respectively three and four inches in length, removed from the stump of the right g. 6. humerus three months after amputation. Corporal C. H. G., "C," 43d New York, 19: wounded and amputated before Petersburg, 27th March; admitted hospital, Albany, 2d July; specimen removed, 5th July; discharged the service, 4th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4016. Four fragments of a sequestrum, four inches in length, from the left humerus three months after gunshot fracture. g. 7. About one-third of the circumference is involved. Sergeant J. W. R., "C," 93d New York, 25: Petersburg, 22d June; admitted hospital, Albany, 20th July; specimen removed, 26th September, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4352. A delicate semi-tubular sequestrum, four inches in length, from the middle of the right humerus ten months after g. 8. amputation. Private R. W., " B," 10th U. S. Infantry, 40: wounded and amputated, North Anna, Va., 24th May, 1864: specimen removed by Assistant Surgeon P. S. Conner, U. S. Army, Fort Columbus, N. Y., 26th March; discharged the service, 12th July, 1865. Contributed by the operator. 4333. A heavy tubular sequestrum, three and a half inches in length, removed from the stump of the lowest third of the g. 9. left humerus. Private E. McK., " C," 2d Massachusetts Cavalry: Winchester, 13th September, 1864; specimen removed, New York, 28th March, 18(55. Contributed by Acting Assistant Surgeon Bradford. 3727. A heavy tubular sequestrum, four and a half inches in length, from the stump of the left humerus. g. 10. Sergeant N. S., "C,"9th Veteran Reserve Corps, 28: forearm fractured by a conoidal ball, Defences of Washington, 11th July, 1864; transferred to Philadelphia, 18th May, 1866. Contributed by Assistant Surgeon H. Allen, U. S. Army. See 3686, VIII. A. B. d. 41. 138 CATALOGUE OF THE SURGICAL SECTION VI. 2209. A sequestrum, fire inches in length, from the stump of the left humerus three and a half months after amputation. g. 11. First Lieutenant B. A., " D," 38th Alabama (Rebel): Mission Ridge, 25th November; amputated at the junction of the lower thirds for secondary haemorrhage, Chattanooga, 13th December, 1863; specimen removed, Nashville, 27th March, 1864. Doing well. Contributed by Acting Assistant Surgeon G. P. Hackenburg. 2431. A heavy tubular sequestrum, three and a half inches in length, removed from the upper third of the left arm one g. 12. month after injury. Private A. M. A., 16th Michigan: a conoidal ball passed through the arm, grazing the bone, 30th September; hospital gangrene attacked the wound and exposed four inches of bone, Washington, October, 1864; Surgeon D. Stanton, U. S. Vols., cut down, enlarged a cloaca in the involucrum, broke off an inch of the sequestrum and removed the specimen, Detroit, October, 1865; almost healed, 5th February, 1866. Contributed by the operator. For other illustrations, see 3913, VI. A. B. d. 31. _Dt Injuries not caused by Gunshot. {a. Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Amputations. e. Other operations. b. Complete Fractures. 1786. The left humerus, nearly transversely fractured in the middle third by a city passenger car. A fragment, threo- b. 1. fourths of an inch square, from the inner border, is wanting at the seat of fracture. On the right side the radius and ulna and on the left the radius, scapula and clavicle, anteriorly all the ribs except the twelfth, and posteriorly all but the first, eleventh, and twelfth, were fractured. J. G., employ^ Subsistence Department, 36: run over by a city passenger car and died in one hour, Washington, 10th August, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 1631, IV. B. a. b. 1; 1784, VIII. B. a. b. 1. 1639. The left humerus. A nearly transverse fracture exists just below the surgical neck. Above the line of fracture b. 2. the laminated structure on the posterior surface is crushed in, and a deep vertical fissure extends to the anatomical neck. Interiorly two lines of fracture embrace a portion of shaft five inches long by one and a half broad, which is again divided longitudinally. A fissure, three inches in length, extends down the inner border. V. K., employ6 Subsistence Department: crushed by the cars, Washington, 20th July; died 23d July, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 3201, IV. B. A. b. 2; 1640, XVIII. II. B. B. a. 1. 2997. The upper third of the left humerus, with the surgical neck broken into many fragments by being run over by a b. 3. horse car. The stomach, duodenum, spleen, liver and left kidney were lacerated. Private H. B., " A," 77th Illinois, 21: New Orleans, 25th December, 1863. Did not rally from the shock. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. See class XX. B. a. a. ' 15. C OF THE UNITED STATES ARMY MEDICAL MUSEUM 139 2993. A part of tho left humerus, transversely fractured at the junction of the lower thirds. There is no trace of any b. 4. reparative process, and it is probable the specimen is from some case that was primarily fatal by additional and independent injury. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. For other illustrations, see 2977, XI. B. a b. 1; 2991, XIII. B. A. c. 2. f a. Contusions and partial fractures. Ib. Complete fractures. c. Excisions. d. Amputated fractures. e. Other operations. f. Stumps. Lg. Sequestra. b. Complete Fractures. 1849. A portion of the shaft of the right humerus, transversely fractured by a fall of one hundred and ten feet from a b. 1. bridge, three days after injury. The specimen shows a thin periosteal coating. A compound fracture of the radius and ulna occurred at the same time. The fall was somewhat broken by strikiug timbers in tho descent. J. N., civilian: admitted hospital, Washington, 23d July; amputated at the surgical nock for sphacelus by Assistant Surgeon W. Thomson, U. S. Army, 26th July; arm nearly healed at the end of four weeks; retained in hospital for contusion of hip until discharged, perfectly well, 13th November, 1863. Contributed by the operator. 530. The right humerus, exhibiting a consolidated fracture in the lowest fourth of the shaft. Very firm union, with b. 2. displacement inward of one and a half inches, has occurred. Tho specimen, which appears to have been from a female, was picked up on an ancient battle-field on Oahu, Sandwich Islands, known by tradition to be at least two hundred years old. Contributed by Assistant Surgeon William R. De Witt, jr., U. S. Vols. c, Diseases. 4338. The upper portion of the left humerus, after death from secondary hemorrhage following a wound of the axillary C. 1. artery. The point of interest is the condition of the head, which was thus described at the autopsy: "No pus was found in the shoulder joint. The head of the humerus was very soft, and on cutting through the softened articular cartilage a pasty substance was found beneath it taking the place of much of the spongy extremity of the bone. This pasty substance was the broken-down spongy substance Other organs normal. In the specimen it will be seen that about one-third of the border of the cartilage of incrustation is detached from the bone: this is due to manipulation and maceration." The shaft is irregular and superficially necrosed. A section appears to have been made about the original point of amputation. Private G. R. P., 3d Maine, 21: shoulder penetrated by buckshot and humerus fractured by a round ball, Virginia, May ; arm primarily amputated in the middle third; ligated for secondary haemorrhage, New York Harbor, 28th July; died after secondary haemorrhage, 5th August, 1862. Contributed by Acting Assistant Surgeon S. Teats. See 1827, VI. A. «. f. 28; 4339, XVIII. II. A. B. b. 8. VII. INJURIES AND DISEASES OF THE ELBOW JOINT. A. Gunshot Injuries. J\_, Primary Conditions. Jj# Secondary Conditions. f a. Contusions and partial fractures. b. Complete fractures. ! c. Excisions. } d. Disarticulations. I e. Amputations in the humerus. [ f. Other operations. f a. Contusions and partial fractures. b. Complete fractures. c. Caries consecutivo upon other injury than fracture of the bones of the joint. J d. Excisions. ^ e. Disarticulations. f. Amputations in the humerus. g. Other operations. h. Stumps ( i. Sequestra. B. Injuries not caused by Gunshot. A. Pri mary Conditions Jj. Secondary Conditions. a. Contusions and partial fractuies and dis- locations. b. Complete fractures. C. Excisions. d. Disarticulations. e. Amputations in the humerus. f. Other operations. a. Contusions and partial fractures. b. Complete fractures c. Dislocations d. Caries consecutive upon other injury. e. Excisions f. Disarticulations. g. Amputations in the humerus. h. Other operations. i. Stumps. k. Sequestra. c • Diseases. VII. ELBOW JOINT. A, Gunshot Injuries. ix. Primary Conditions. ' a. 'Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Disarticulations. e. Ampntations in the humerus. f. Other operations. a. Contusions and Partial Fractures. 1538. The lower half of the left humerus, fractured above the condyles by a conoidal ball passing transversely. A a. 1. partial fracture extends into the joint. The upper portions of the radius and ulna are attached. Contributed by Surgeon J. H. Brinton, U. S. Vols. 526. The lower half of the left humerus, transversely perforated one inch above the condyles. The shaft is shattered, a. 2. and fissures extend to the margin of the olecranon fossa. Tho upper portions of the bones of the forearm are attached to the specimen. Contributed by Assistant Surgeon W. Moss, U. S. Vols. b. Complete Fractures. 478. The bones of the forearm, from which the lower portions have been removed after comminution. The point b. 1. of interest in the specimen'is a fracture of the coronoid process unconnected with the severe injury in the lower part of the limb. Contributed by Surgeon----Leonard, 59th New York. See class VIII. A. A. b. 1884. The bones of the right forearm. The upper fourths of the shafts are entirely wanting ; the head of the radius is b. 2. fractured antero-posteriorly; the termination of the fracture in the shaft of the ulna is jagged and nearly transverse. Contributed by Surgeon J. Dwinelle, 106th Pennsylvania. 474. The bones of the left forearm. Excepting two inches of the upper and one and a half inches of the lower b. 3. extremities, the ulna has been carried away. The coronoid process is split off, but not displaced. The lowest third of the radius is comminuted, and an independent, nearly transverse fracture exists in the upper third. Contributed by Assistant Surgeon W. Moss, U S. Vols. See class VIII. A. A. b. 3135. The lower extremity of the right humerus. A bullet has impinged on the anterior face at the junction of the b. 4. inner condyle and trochlea, crushing the laminated structure. An oblique fracture extends upward and outward one and a half inches, and downward through the ulnar face of the trochlea. Received from the Army of the Potomac, 3077. The bones of the left elbow. The humerus is transversely fractured one and a half inches above the condyle by b. 5. a missile striking and comminuting the outer border ; an oblique fracture extends two and a half inches above this point, and is intersected by a perpendicular fracture running up the inner side; two oblique fractures below the transverse line converge and as one divide the trochlea at its middle. Received from the Army of the Potomac. 144 CATALOGUE OF THE SURGICAL SECTION VII. 2668. The bones of the left elbow. The humerus is fractured nearly transversely about two inches above the condyles; b. 6. thence a perpendicular fracture extends downward into the articulation, and an oblique fissure on the anterior surface to the outer condyle ; an oblique fracture on the anterior surface extends about one inch above the transverse fracture ; the posterior portion of the shaft above the articulation is comminuted and wanting. The missile appears to have impinged against the inner border of the bone one inch above the condyle. Received after Chancellorsville. 2634. The bones of the left elbow. An oblique fracture extends across the shaft two inches above the condyles; from b. 7. this a perpendicular fracture passes down directly through the trochlea; midway, a transverse fracture divides the outer half; and, posteriorly, comminuted portions are wanting. Received after Chancellorsville. 3511. The extremityj[of the right humerus, perforated through the olecranon depression. The trochlea is fractured b. 8. through the middle, and both condyles are split off, although retained in position. Contributed by Surgeon J. H. Brinton, U. S. Vols. 3196. The bones of the left elbow. The humerus is comminuted above the condyles and wanting on the posterior b. 9. surface ; a complete fracture extends through the trochlea. Received from the Army of the Potomac. 100. The bones of the right elbow. A conoidal ball, which is attached, battered, has struck the ulna from the left and b. 10. rear, has destroyed the olecranon, split the coronoid process by a fracture running through it, and created a nearly complete oblique fracture for two inches of the shaft. The inner condyle is destroyed and the humerus comminuted for nearly three inches. Contributed by Surgeon J. H. Brinton, U. S. Vols. See class XXVII. B. B. d. 4017. The bones of the right elbow. The outer condyle and radial articulation of the humerus, the olecranon, and b. 11. the posterior portion of the upper extremity of the ulna have been carried away. The ulna is obliquely fractured about two inches from its extremity. Received from Ninth Corps Hospital. HO. The bones of the left elbow. A conoidal ball, which is attached, partially flattened, entered from without, b. 12. destroyed the outer condyle and the radial portion of the trochlea, and fractured the shaft so as to split off the remainder of the epiphysis. Another fracture extends obliquely up the humerus, crossing it three and a half inches from the extremity. The bones of the forearm are uninjured. A fragment of cartridge-paper is still held in the cup of the ball. Contributed by Surgeon J. H. Brinton, U. S. Vols. See class XXVII. B. B. d. 2688. The bones of the right elbow. A bullet, which appears to have passed antero-posteriorly through the joint, has b. 13. shattered the ulnar processes and split the humerus for two inches. Contributor and history unknown. 2653. The lower half of the left humerus and upper portions of the bones of the forearm. A ball which has passed b. 14. through the coronoid depression, shattering the articulation, has obliquely fractured the shaft for four inches. Received after Chancellorsville. 3519. The lower extremity of the right humerus, shattered by a round ball. The epiphyses are broken from the shaft. b. 15. two complete fractures extend through the trochlea, an oblique fracture extends up the diaphysis, which is irreg- ularly fractured three inches above the articulation, and one square inch of bone is wanting from the olecranon fossa. The specimen illustrates how great injury may be inflicted by a round ball. This bullet passed out at the middle of the arm anteriorly and wounded the thumb. A buckshot from the same charge entered the thorax near the ninth dorsal vertebra and was found under the integument in front. Private C. B., "L," II-2th Pennsylvania: wounded in attempting to escape from the Provost Guard, and admitted hospital, ■Washington. Died in four hours. Contributed by Assistant Surgeon W. Thomson, U. S. Army. c. Excisions. 1378. The olecranon and a spicula of shaft of one inch. A vertical fissure extends nearly through the process. c. 1. Private J. M., "G," 91st Pennsylvania: excised two days afterward by Assistant Surgeon B. Howard, U. S. Army. Contributed by the operator. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 145 1729. Six fragments,representing the outer condyle and adjoining portiou of the left humerus after fracture by a jiist.il ball. C. 2. Private J. A., "G," 9th New York Cavalry: wounded, 14th September; admitted hospital, and specimen removed by Surgeon D. W. Bliss, U. S. Vols., Washington, loth September; died from pyaemia, 1st October, I*ti3. Contributed by the operator. 52 1. Three inches of the upper extremity of the left ulna, greatly shattered and excised. c. 3. Contributed by Surgeon De Benneville, 11th Pennsylvania Reserves. 2144. Two inches from the lower extremity of the humerus and a portion of the olecranon, excised from the right o. 4. elbow for perforation by a conoidal ball and destruction of the joint. Private J. H. C, "B," 96th Illinois: Chickamauga, 19th September; excised by Surgeon I. Moses, U. S. Vols., the same day. Furloughed from Murfreesboro' "with a very useful hand." Contributed by the operator. 3234. Two inches of the lower extremity of the left humerus, excised for shell fracture of the outer condyle. The C. 5. appearance simulating periosteal disturbance is due to the mode of preparation Private U. H., " C," 1st Massachusetts: wounded, 18th May, 1864; excised by Surgeon C. K. Irwin, New York Volunteers, the same day. Contributed by the operator. 2224. Two and a half inches of the lower extremity of the right humerus, shattered by the transverse oblique passage c. 6. of a bullet, and excised. Private J. M., "D," 69th New York, 33: Fredericksburg, 13th December; admitted hospital, Washington, 14th; excised, 15th December, 1862. Recovered with passive motion of the joint. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1421. Three inches of the lower extremity of the left humerus, comminuted by perforation from behind forward above C. 7. the outer condyle, and excised. Second Lieutenant E. I). II., "C," 8th Connecticut: near Drury's Bluff, 14th May, 1861; excised on tho field by Surgeon M. Storrs, 8th Connecticut. Recovered with a useful arm. Contributed by the operator. 1282. Three inches excised from the lower extremity of the right humerus. The olecranon was also removed, but has c. 8. not been preserved. The humerus was nearly transversely fractured, with some comminution, two inches above the articulation, and the joint was opened by the downward course of the ball. Major B. C. S., 6th Ohio Cavalry, 26: Aldie, 17th June; excised six hours afterward by Assistant Surgeon G. M. McGill, U. S. Army; died of tetanus, 25th June, 1863. Contributed by the operator. 1155. Four and a half inches of the lower extremity of the right humerus, excised for perforation of the bone two c. 9. inches above the articulation. Two complete fractures pass through the articulation, above which the bone is thoroughly shattered. Captain W. G. T., Staff of General Slocum: Chancellorsville, 2d May, 1863; excised by Surgeon H. E. Goodman, 28th Pennsylvania. Recovery, except as to pronation and supination, occurred in four months. Contributed by the operator. 2040. Two inches from the lower extremity of the left humerus, and two inches of the shaft and the processes of c. 10. the ulna, excised for perforation and shattering of the articulation by a conoidal ball. Private C. E. H., "A," 14th Connecticut: Morton's Ford, Va., 6th February; excised at Second Corps Hospital, 8th; died from pysemia, 8th February, 1864. Contributed by Surgeon J. Dwindle, 106th Pennsylvania. For other illustrations, see 1711, VI. A. B. f. 29; 3651, VII. A. B. f. 13; 772, VII. A. B. f. 23; 2010, VII. A. B. f. 40; 3649, VII. A. B. f. 50; 1590, VII. A. B. f. 51; 1664. VII. A. B. f. 76; 2325, VII. A. B. f. 70; 3248, VII. A. B. f. 72; 225, VII. A. b. f. 84; 3209, VU. A. b. f. 94; 3397, VII. A. B. f. 115. d. Disarticulations. 271. The lower half of the right humerus, after disarticulation at the elbow. The extremity is somewhat eroded, d. 1. while on the posterior surface of the outer condyle is a thin deposit of callus. Private C. A., "B," 2d Maryland Artillery: forearm shattered and removed at the elbow, Malvern Hill, 1st July; captured and taken to Richmond; admitted hospital, Chester, Penna., 29th July; amputated at the shoulder joint for bulbous condition of the nerves of the stump by Acting Assistant Surgeon J. A. Draper, 9th October, M>2. Recovered. Contributed by the operator. See class V, A. B. d. 14(i CATALOGUE OF THE SURGICAL SECTION VII. e. Amputations in the Humerus. 3008. The bones of the left elbow, showing the coronoid process and adjoining portion of the shaft of the ulna shattered e. 1. and the olecranon broken off without injury to either of the other bones. Primary amputation was probably performed. Received from the Army of the Potomac. 2863. The lowest fourth of the right humerus, apparently amputated. The inner condyle has been shattered and is e. 2. missing, and an oblique fracture extends up the shaft to the point of section. Received from the Army of the Potomac. 2727. The bones of the left elbow, with the upper third of the ulna completely comminuted. The specimen appears to e. 3. have been a primary amputation in the lowest third of the humerus. Received after the Wilderness. 3122. The bones of the left elbow, apparently after primary amputation in the lowest third. The outer condyle and e. 4. adjoining articular surface are carried away and the head and neck of the radius shattered. Contributor and history unknown. 3088. The bones of the right elbow, after amputation. A ball appears to have passed obliquely from rear to front, e. 5. breaking the posterior surface of the olecranon and chipping the outer condyle. A partial fracture extends above the articulation in the humerus, and for the length of the specimen in the ulna. Private S. W. W., "F," 2d U. S Sharpshooters, (Volunteers,) 35: Petersburg, 16th June; amputated in the field by Dr. A. Garcelon; admitted hospital, Washington, 28th June; died, 4th August, 1864. Contributed by the operator. 497. The bones of the left forearm and a portion of the humerus, probably after primary amputation in the lowest e. 6. third. The radius is comminuted in its upper half, excepting the head, and the ulna in the upper third, the fracture extending into the joint. An oblique fracture of the humerus extends into the joint. Contributed by Surgeon De Benneville, 11th Pennsylvania Reserves. 1578. The bones of the left elbow, apparently after primary amputation in the lowest third of the humerus. The e. 7. olecranon and upper part of the shaft are split off through the coronoid process by a conoidal ball which fractured the inner border of the ulna while flexed, and which shattered the inner condyle where it lodged and is preserved in the specimen. Contributor and history unknown. See class XXVII. B. B. d. 3219. The bones of the right elbow, amputated in the lowest third after fracture of the joint. A conoidal ball at fifty e. 8. yards struck the outer condyle and passed transversely inward and downward, grazing the head of the radius and shattering the upper two and a half inches of the ulna. Captain B. B. B., "I," 1st New Jersey: Spottsylvania, 12th May, 1864; amputated in the field by Surgeon L. W. Oakley, 2d New Jersey, the same day. Recovered and served in the Veteran Reserve Corps. Contributed by the operator. 2242. The bones of the left elbow, after amputation in the lowest third of the humerus for fracture by a conoidal bullet e. 9. which lodged against tbe sigmoid notch. The upper fourth of the ulna and the inner condyle are shattered, and a fissure extends the length of the specimen on the posterior surface of the humerus. Private C. W., " K," 5th New Jersey: McLean's Ford, Va., 15th October, 1863. Amputated in the field by Surgeon H. F. Van Derveer, 5th New Jersey, the same day. Recovered. Contributed by the operator. 2037. The bones of the right elbow, amputated in the lowest third of the humerus. A conoidal ball passing laterally e. 10. shattered the radius just below its head, through which a transverse fracture passed, and, impinging against the ulna, caused a nearly transverse fracture. The case appears to be one in which an excision of the extremity of the radius would have been advisable. Corporal T. L., "H," 126th New York: Morton's Ford, Va., 6th February; amputated, 8th February; transferred to Veteran Reserve Corps, 31st August, 1664. Contributed by Surgeon W. W. Potter. A. A. OF THE UNITED STATES ARMY MEDICAL MI'SKCM. 147 4024. Tho lowest third of the right humerus, which appears to have been amputated after fracture of the joint. A e. 11. bullet striking the coronoid depression perforated the bone, splitting off the inner condyle, fracturing the ulnur portion of the trochlea, shattering the extremity of the shaft and finally producing a nearly transverse fracture midway between the articulation and the line of section. Received from Ninth Corps Hospital. 4109. The lowest third of the right humerus, amputated for fracture of the joint. A bullet has perforated the bone e. 12. from the front just above the condyles, producing two complete fractures downward through the trochlea, besides several in other directions, and much loss of substance from the posterior part of the bone. Private J. W. McL., 3d Maine Light Artillery, 23: amputated by Surgeon J. S. Jamison, 8:5th New York, 12th September, 1864. Contributed by the operator. 2847. The lower portion of the left humerus. A double oblique fracture has occurred just above the condyles, and the e. 13. inner articular surface has been carried away by a conoidal ball. Private W. A., "B," 148th Pennsylvania: Cold Harbor, 3d June, 1864; amputated on the field by Surgeon D. E. Kelsey. Contributed by the operator. 4025. The bones of the right elbow, with the head of the radius and lowest third of the shaft of tho humerus, shattered. e. 14. A complete fracture extends through the trochlea, but the condyles are not directly injured. The wound appears to have been received when the arm was completely flexed. Contributor and history unknown. 2248. The lowest third of the right humerus and the two upper thirds of the bones of the forearm. When the limb e. 15. was in a flexed position a bullet appears to have struck the ulna on the anterior surface near the junction of the upper thirds, and then to have passed obliquely upward, destroying the upper extremity of the radius, except the head, whence it perforated the humerus above the condyles, causing a complete fracture through the trochlea. Primary amputation was probably performed. Contributor and history unknown. 3134. The lower half of the left humerus and upper portions of the bones of the forearm, after fracture from spherical e. 16. case. The head of the radius is partially fractured, the outer condyle shattered, aud an oblique fracture extends four inches up the shaft. Private C. W. A., "C," 1st Maine Heavy Artillery, 23: Petersburg, 18th June; amputated by Surgeon J. S. Jamison, 86th New York, in the field, the same day; admitted hospital, Washington, 28th June; died of pyaemia, 21st July, 1864. Contributed by the operator. 2732. The lower half of the left humerus, amputated after fracture of the lowest fourth with comminution of the inner e. 17. condyle. The flattened conoidal ball is attached to the specimen as it lodged. The section has been made three inches above the highest point of fracture. Private F. H. H., "B," 7th Pennsylvania Reserves, 46: Spottsylvania, 10th May, 1664 ; amputated on tho field the same day. Recovered. Received from the Army of the Potomac. See class XXVII. B. B. d. 3227. The lower half of the right humerus and the upper portions of the bones of the forearm. The inferior portion of e. 18. the outer condyle and the anterior face of the head of the radius are fractured, and the humerus is comminuted at the junction of the lower thirds. The injuries appear to have been inflicted by separate missiles, probably fragments of shell. Private P. M., " A," 5th New Jersey, 28: Wilderness, 10th May; amputated in the field, 11th May, 1864; transferred to New York City, 20th March, 1665. Artificial limb furnished. Contributed by Surgeon C. C. Jewett. 3023. The bones of the left elbow, after primary amputation in the lowest third of the arm. The olecranon is badly e. 19. fractured, the outer condyle carried away and the head of the radius .chipped. Private C. C, "L," 1st Massachusetts Artillery, 21: Petersburg, 16th June; amputated on the field; admitted hospital, Alexandria, 29th June; discharged the service, 29th November, 1864. Received from the Army of the Potomac. 2951. The lower portion of the left humerus aud upper portions of the bones of the forearm, greatly shattered by a e. 20. conoidal ball. Private J. B., " G," 7th New York (?) Heavy Artillery: wounded before Petersburg, and amputated in the upper third of the humerus in the field. Received from the Army of the Potomac. 148 CATALOGUE OF THE SURGICAL SECTION VII. Jt>. .Secondary Conditions. a. Contusions and partial fractures. b. Complete fractures. c. Caries consecutive upon other injury, d. Excisions. e. Disarticulations. f. Amputations in the humerus. g. Other operations. h. Stumps. i. Sequestra. a Contusions and Partial Fractures. 399. Tho lower half of the right humerus and the upper pertions of the bones of the forearm. The humerus is frac- a. 1. tured one and a half inches above the condyle, from which a fissure on each surface extends into the joint. The fractured extremities are necrosed, but the joint does not appear to have suffered. Private E. S. E., company and regiment unknown : probably before Richmond, June ; amputated Baltimore, 30th July, 1862. Contributed by Surgeon L. Quick, U. S. Vols. 3901. The lowest third of the right humerus. A conoidal ball from behind chipped the outer border just above the a. 2. condyle, opening the joint. Superficial necrosis of the adjacent bone and the development of numerous foramina are observable. Private A. B., " C," 38th Georgia (Rebel): Gettysburg, 1st July; admitted hospital, Frederick, 6th; respiration ceased while under chloroform for resection, which was suspended and laryngotomy performed, 18th ; died, 28th July, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 4080, XIX. B. B. b. I. 3761. The bones of the right elbow. The outer border of the head of the radius appears slightly chipped and the a. 3. articulation is carious at points from the resulting inflammation. Contributor and history unknown. b. Complete Fractures. 689. The two lower thirds of the left humerus, shattered at their junction by grapeshot. An oblique fracture extends b. 1. into the joint, breaking off the outer condyle, aud a fissure runs up the entire length of the specimen above the fracture on the posterior surface. Inflammation of the joint has deposited a moderate periosteal layer. Contributed by Assistant Surgeon J. E. Semple, U. S. Army. 25. The lowest fourth of the right humerus and upper thirds of the bones of the forearm. The inner condyle is b. 2. fractured by a round ball which entered posteriorly and escaped on the anterior surface of the forearm just above the wrist. The articular extremities are carious. Private S. M., "D," 10th Pennsylvania Reserves: Gaines' Mill, 27th June; admitted hospital, Washington, 4th July, 1862. Contributed by Acting Assistant Surgeon D. N. Rankin. 3700. The lowest third of the right humerus, with two oblique lines of fracture entering the articulation. The bullet b. 3. appears to have impinged just above and within the coronoid fossa. No reaction occurred after the reception of the wound. ------------, company and regiment unknown: Grahamville, S. C, 30th November; died from tetanus, 7th December, 1664. Contributed by Surgeon John Trenor, jr., U. S. Vols. 2265. The upper half of the left radius. The head is broken into several pieces, and oblique and longitudinal fractures b. 4. extend down the shaft four inches. The ball, flattened, is mounted as found against the head of the bone. Private D. H., "G," 2d Vermont: Wilderness, 5th May; died, Washington, 14th May, 1864. Contributed by Acting Assistant Surgeon Fred. G. H. Bradford. See class XXVII. B. B. d. 3198. The lowest third of the left humerus, from which the outer condyle has been broken. b. 5. periosteal disturbance. Received from the Army of the Potomac. There are traces of A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM 14H 605. The lowest fifth of the right humerus. A bullet appears to have entered on the anterior surface above the miter b. 6. condyle, completely fracturing the shaft and splitting off the upper portion of the laminated structure of the bone posteriorly. The posterior portion of the outer condyle was broken off. The first rib and parts of the spinous processes of two cervical vertebrae were fractured and the lung wounded at the same time by another missile. Private W. B T., "E," 4th Maine: Fredericksburg, 13th December; admitted hospital, Washington, 18th; died from secondary haemorrhage within the thorax, 28th December, 18(52. Contributed by Acting Assistant Surgeon F. P. Sprague. See 603, XIX. A. B. a. 27. 730. The lower half of the left humerus. A leaden canister shot, passing transversely, struck the shaft just above the b. 7. inner condyle, crushing its outer border and completely fracturing the trochlea in its ceutre. Particles of lead remain in the cancellated structure. Contributed by Assistant Surgeon J. E. Semple, U. S. Army. 2192. The bones of the left elbow, showing a severe fracture from a conoidal ball which, battered, is lodged in the outer b. 8. condyle. The outer condyle is destroyed, aud a perpeadicular fracture extends upward two inches. Private A. H., "I," 86th Indiana,2(5: Mission Ridge, 25th November: admitted hospital, Nashville, 3d December; died from pyaemia, 16th December, 1863. Contributed by Acting Assistant Surgeon M. L. Herr. See class XXVII. B. B. d. 3287. The lowest five inches of the right humerus, with a curious longitudinal fracture of the shaft. The lowest b. 9. internal two inches are wanting. A slight periosteal deposit is to be observed. Contributor and history unknown. 3506. The lowest third of the humerus and upper halves of the bones of the forearm. The outer condyle has been shot b. 10. away and the articular surfaces are necrosed. A cavity, one-half inch in depth, extends transversely from the base of the condyle into the trochlea. Contributed from Nashville by Surgeon W. R. Pounds. 876. The bones of the left elbow. A missile appears to have perforated the joint, breaking the trochlea and carrying b. 11. away the olecranon. An oblique fracture extends in both the ulna and humerus for two inches from the articulation. No operation appears to have been performed. Contributed by Acting Assistant Surgeon J. Leidy. 2189. The bones of the left elbow, with fractures of the face of the olecranon, the inner condyle and trochlea. The ulnar b. 12. articulating surfaces are carious, and a slight plate of necrosed bone exists in the upper part of the coronoid fossa. Private W. K., "E," 32d Indiana: Mission Ridge, 2.~>th November; admitted hospital, Nashville, 3d December; died exhausted, 24th December, 1863. Contributed by Acting Assistant Surgeon Preston Peter. 196. The bones of the left elbow, fractured. A bullet has struck the trochlea on its anterior face and shattered the b. 13. extremity of the humerus; three inches of the upper part of the ulna are comminuted, and the head of the radius is fractured. Contributed by Surgeon D. W. Bliss, U. S. Vols. 678. The bones of the left elbow. The external condyle has been split off and the olecranon destroyed, as if by the b. 14. oblique passage of a bullet. The articular surfaces aud the fractured extremities are necrosed. Private G. S. R., "G," 3d Maine: Fredericksburg, 13th December; admitted hospital, Washington, 23d December, 1862; died, 13th January, 1863. Contributed by Surgeon H. Bryant, U. S. Vols. 3775. The bones of the right elbow, exceedingly carious, with the articulation completely destroyed. The head of the b. 15. radius appears to have been fractured from the rear. Contributor and history unknown. 3781. The bones of the right elbow, with the outer condyle wanting. Ulceration has completely destroyed the articular b. 16. surfaces. Thin osseous deposits rest on the shafts near the joint. Received from Nashville, Tenn. 118. The upper portions of the left radius and ulna. The coronoid process has been shot away and the articular b. 17. surfaces are carious. Contributed by Surgeon L. Quick, U. S. Vols. 150 CATALOGUE OF THE SURGICAL SECTION VII. 3778. The bones of the right elbow, after fracture of the outer condyle. The articular surfaces are destroyed by b. 18. ulceration. A very slight layer of callus occurs on the shaft of the humerus and the posterior portions of the ulna and radius. Contributor and history unknown. 956. The bones of the left elbow, fractured just above the condyles, with the articular surfaces destroyed by b. 19. ulceration. Contributor and history unknown. 1830. The lower portion of the left humerus and upper part of the ulna. The bone just above the outer condyle has b. 20. been gouged out. The articulation has been destroyed by ulceration. A slight periosteal deposit exists on the shaft of the humerus. Received after Gettysburg. 3556. The bones of the right elbow, with the outer condyle and head of the radius carried away by a conoidal ball. b. 21. The articular surfaces are carious. Private B. McB., "H," 88th New York, 25: Wilderness, 5th May; admitted hospital, Washington, 11th May; died from pyaemia, 13th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1244. The bones of the right elbow, after death from pyaemia. A complete fracture extends across the humerus above b. 22. the condyles, below the line of which the outer half is carried away. The articular surfaces are carious, and the fragments of the humerus are necrosed. Private J. M., "D," 102d New York: Chancellorsville, 3d May; admitted hospital, Washington, 8th; died from pyaemia, 26th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army 2640. The bones of the right elbow, with the upper third of the radius and the outer condyle shattered. b. 23. Contributor and history unknown. 1829. The bones of the right elbow. The external condyle has been fractured but not displaced. A moderate effusion b. 24. of callus has occurred on the shaft above it. The articular surface of the humerus is necrosed. Received after Gettysburg. 1831. The two lower thirds of the left humerus and the upper halves of the bones of the forearm. The ulna was com- b. 25. minuted at the coronoid process. The olecranon proper is not injured. Suppuration has destroyed the articulation. Superficial necrosis occupies the entire anterior surface of the shaft, and a friable periosteal deposit covers the remainder of the humerus. Received after Gettysburg. 1558. The bones of the left elbow. The head of the radius is shattered; the olecranon and coronoid processes are b. 26. broken off; the inner condyle is fractured, and an oblique fracture extends two inches up the shaft. There are slight periosteal deposits about the fracture. Received after Gettysburg. 2191. The bones of the right elbow, three months after injury. The olecranon is fractured and nearly destroyed; the b. 27. extremities of both bones of the forearm and the articular surf ice of the humerus are necrosed. The periosteal disturbance has extended several inches up the shaft. Private W. A. G., "A," 95th Ohio: Chickamauga, 20th September; admitted hospital, Nashville, 14th December; died exhausted, 25th December, 1863. Contributed by Acting Assistant Surgeon G. P. Hackenburg. 698. The bones of the right elbow. The head and upper two inches of the shaft of the radius are comminuted, and b. 28. the external condyle is broken off. A slight deposit of callus covers the radial fragments and retains them in irregular apposition. The articular surfaces are eroded. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 3718. The bones of the left elbow for three and a half inches beyond the joint. The joint was opened by a conoidal b. 29. ball, and the extremities of the three bones are carious and absorbed in a notable degree, the humerus being fairly honeycombed. This man was also wounded in the skull by a fragment of shell, which lodged in the brain. Sergeant J. L , "I," 153d New York: Cedar Creek, 19th October; died, Baltimore, 20th November, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See 3729, I. A. B. b. 51 ; 3725, I. C. B. b. 20. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. I'll 2906. The bones of the right forearm and lowest fourth of the humerus. The upper two-thirds of the radios are wanting. b. 30. A bullet entered the outer side of the arm at the junction of the lower thirds, severely comminuted the radius and escaped at the olecranon, opening the joint. The extremity of the humerus is carious and partly absorbed. The anterior surface of the olecranon is carious and partly absorbed, and on the inner border there is a plate of necrosed bone. Private T. F., "C," 14th New York Heavy Artillery, 35: Petersburg, 30th June; admitted hospital, Washington, 1st July; died from no assignable cause, 28th July, 1664. Contributed by Acting Assistant Surgeon H. M. Dean. 2749. The right humerus and the upper thirds of the bones of the forearm, fifteen and a half months b. 31. after injury. Fracture of the humerus, immediately above and involving the joint, was followed by inflammation and resulted in anchylosis. New bone has formed to double the volume of the shaft at its lower extremity and extending to the surgical neck. Through a number of cloacae a very heavy sequestrum, occupying six inches of the shaft, is seen. The head of the bone is spongy and a large part of the articular surface has been destroyed by ulceration. See figure 54. Private B. W., "I," 37th New York, 22: Williamsburg, 5th May, le(>2; died with Bright's disease, Philadelphia, 20th August, 1863. Contributed by Acting Assistant Surgeon C. H. Boardman. See 4627, XXVI. A. 1, 42. 1471. The bones of the right elbow, after fracture of the olecranon and necrosis of the extremity, b. 32. and rupture of the posterior portion of the orbicular ligament. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 523. The upper portions of the bones of the right forearm. The olecranon has been completely b. 33. shattered, aud its fragments are more or less adherent in fantastic arches, with the usefulness of the articulation destroyed. The ulna is superficially necrosed on its posterior surface at the base of the olecranon. Contributor and history unknown. 395. The two lower thirds of the right humerus. The entire articular extremity, except a small b. 34. portion of the inner condyle, has been carried away, but au evideut attempt has been made to save the limb, as is to be seen by its carious condition. Contributed by Surgeon A. B. Hasson, U. S. Army. 229. The bones of the left elbow, after fracture of the outer condyle by a round bullet which entered two and a half b. 35. inches above the joint and passed downward, grazing the humerus and the head of the radius and denuding them of periosteum. Private M. R., "I," 11th Pennsylvania, 26: Second Bull Run, 29th August; admitted hospital, Philadelphia, 4th September; gangrene appeared, 20th; died, 21st September, 1662. Contributed by Acting Assistant Surgeon J. B. Bowen. For other illustrations, see 3569, VI. A. B. b. 16. c. Caries Consecutive upon other Injury than Fracture of the Bones of the Joint. 1032. A wet preparation, showing the condition of the right elbow seven weeks alter comminution of the humerus by c. 1. a musket ball one and a half inches above the joint. The inflammation extended to the shoulder and below the elbow, and the synovial membrane was destroyed by ulceration. Corporal W. H. L., "F," 12th Illinois: Corinth, Miss., 3d October; admitted hospital, Paducah, Ky., 17th October; amputated in the middle third, 17th November, 16(52; discharged the service, 2d January, 1863. Contributed by Surgeon H. P Stearns, U. S. Vols. 159. The bones of the left elbow, exhibiting a carious condition of the articular extremities. There appears to have C. 2. been no fracture, and the situation has probably followed a flesh wound. Contributor aud history unknown. 2017. The bones of the left forearm, showing a necrosed condition of the middle third of the radius and erosion of the C. 3. articular surfaces in the elbow alter pyaemia followiug a flesh wound land probably contusion of the ulna) of the forearm. Private C. McF., "B," 40th Ohio: Lookout Mountain, 24th November; died from pyaemia, 27th December, 1663. Contributed by Surgeon Benjamin Woodward, 22d Illinois. See class VIII. A. u. a. Flo. .11. Enlarge- ment of humerus und auchyloHia of elbow after frac- ture. Spec. 2~i9. 152 CATALOGUE OF THE SURGICAL SECTION VII. 2782. The lowest third of the right humerus, with the two upper thirds of the bones of the forearm. The ulna was c. 4. contused by a buckshot two inches below the articulation; inflammation and sloughing involved the elbow; the shaft of the ulna is necrosed nearly the whole extent of the specimen, and the entire articular surfaces are carious. Corporal J. H., "H," 66th Pennsylvania, 21: Gettysburg, 3d July; admitted hospital, Philadelphia, 21st; sloughing commenced, 23d July; haemorrhage, 13th and 14th August: pyaemia appeared, 7th September; died, 14th September,-1863. Contributed by Acting Assistant Surgeon W. C. Dixon. 3782. The lower two-thirds of the right humerus and upper portions of the bones of the forearm. There is no osseous C. 5. fracture, but the entire articular surface is carious, and a moderate periosteal disturbance may be traced over the greater portion of the specimen. On the anterior surface of the shaft, high up, a small region of necrosis is to be seen, the possible result of contusion, and it may be the disease to the joint was consequent therefrom. Contributor and history unknown. d. Excisions. 2385. Two excised fragments of the olecranon. d. 1. Received after the Wilderness. 1211. Fragments representing the greater portion of the right olecranon, excised for fracture by a buckshot, which is d. 2. attached, flattened. Corporal W B., "H," 66th Pennsylvania, 21: Chancellorsville, 3d May; admitted hospital, Washington, 9th ; excised and buckshot removed, 13th May, 1863. Recovered with partial anchylosis. Contributed by Surgeon O. A. Judson, U. S. Vols. See XXVII. B. B. d. 70. The internal condyle of the right humerus, excised after gunshot. d. 3. Unknown: Second Bull Run, 30th August; excised by Surgeon T. E. Mitchell, 1st Maryland, Washington, 16th September, 1862. Contributed by the operator. 1102. The extremity of the right ulna, excised just below the coronoid process. d. 4. Private J. W. M., " H," 17th Maine: Burksville, Va , 6th April; excised by Surgeon B. A. Vanderkieft, U. S. Vols., Annapolis, 20th April; died of pyaemia, 27th May, 1865. Contributed by the operator. 639. The head of the radius and outer condyle, fractured and excised from the right elbow. d. 5. Private C. H., " C," 123d Pennsylvania: Fredericksburg, 13th December; excised, Washington, 29th December, 18(52. Recovered. Contributed by Surgeon O. A. Judson, U. S. Vols. 884. The head and one inch of the shaft of the radius excised, and a portion of the fractured olecranon removed from d. 6. the right elbow. A partial fracture exists in the head of the radius. Private S. S., " B," 59th New York: Antietam, 17th September; admitted hospital, Philadelphia, 28th September ; excised by Assistant Surgeon E. de W. Breneman, U. S. Army, 6th October; discharged the service, 22d December, 1862. Contributed by tbe operator. 1005. The head of the radius and the articular extremity of the humerus, excised from the right elbow. d. 7. Contributed by Acting Assistant Surgeon G. F. Shrady. 3949. The head of the radius, the ulna sawn at the coronoid process, and two-thirds of an inch of the d. 8. lower extremity of the humerus, excised from the right elbow for a fracture of the olecranon and inner condyle. See figure 55. Private W. S. D., "G," 60th Georgia, (Rebel,) 18: Monocaey Junction, 9th July; excised by Surgeon of excised right Graves, Rebel Army; admitted hospital, Frederick, 10th July, 1864. Recovered with almost perfect use elbow" Spec-3949 of the limb. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 3238. XXV. A. B. a. 6. 2600. The head of the radius and the coronoid process and one inch of the shaft of the ulna from the right elbow, d. 9. excised after destruction of the olecranon Sergeant T. K., " F," 2d New York : Gettysburg, 3d July; excised by Acting Assistant Surgeon J. H. McClellan, Philadelphia, 29th July, 1-63. Recovered. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. i:>3 181. The head and one-half inch of the shaft of the radius and a portion of the external condyle, excised. d. 10. Private J. M., "A," 1st Battalion, 12th U. S. Infantry: Second Bull Run, 29th August; excised, Washington, 7th September, 1*62. Contributed by Acting Assistant Surgeon A. G. Reed. 1870. The bones of the right forearm, except the upper extremities, snpposed to be from the same case as |S7:{, VII. d. 11. A. B. d. 31. Received, without history, through Acting Assistant Surgeon Joseph Leidy. 72. The articular extremity of the right humerus, sawn just above the condyles and excised for fracture of the external d. 12. condyle. Private J. L. M., "C,"67th Pennsylvania, 40: Petersburg. 25th March; admitted hospital, Washington, 2d April; excised, 5th April, 1865. Recovered. Contributed by Assistant Surgeon H. Allen, U. S. Army. 2147. Four fragments of diseased bone, representing the olecranon and part of the coronoid process of the left ulna. d. 13. Corporal M. M. B., " F," 17th Illinois: Chickamauga, 20th September; excised by Surgeon I. Moses, U. S. Vols., October; died, 12th December, 1^(53. Contributed by the operator. 842. The condyles of the humerus and the olecranon and coronoid processes, excised from right elbow after fracture d. 14. of the inner condyle and olecranon. The excised parts are carious and the line of section in tho ulna is exceedingly oblique. Private E., Pennsylvania Reserve Corps: Antietam, 17th September; excised by Assistant Surgeon J. H. Bill, U. S.Army, Frederick, 29th October, 1802. Recovered with a serviceable limb. Contributed by the operator. 102. The upper portion of the ulna, excised through the coronoid process, and the articular portion of the humerus d. 15. fractured along the epiphyseal line and through its radial head, removed from the left elbow. Private R. S., "B," 105th Pennsylvania, 38: Amelia Springs, Va., 6th April; admitted hospital, Annapolis, 15th ; excised by Surgeon B. A. Vanderkieft, U. S. Vols., 2(ith April, 1665. Contributed by the operator. 3602. Seven fragments of carious bone, representing the condyles of the humerus, the olecranon and head of the radius, d. 16. excised from the right elbow. Private J. M. T., "E," 2d United States Sharpshooters, (Volunteers,) 21: Wilderness, 6th May; excised by Surgeon R. B. Bontecou, U. S. Vols., 18th June, 1664. Recovered with an inflexible arm two inches shortened. Contributed by the operator. 1050. The ulecranou and coronoid processes and the articular extremity of the excised d. 17. humerus just above the condyles, from the right elbow. The articulation is entirely destroyed by suppuration. See figure 56. Private M. R., "A," 38th U. S. Colored Troops, 22: Deep Bottom, Va., 29th September; admitted hospital, Portsmouth, 30th September; excised, 4th November, 16(54. Recovered. Contributed by Assistant Surgeon J. H. Frantz, U. S. Army. Fig _6 Antl~iew ,(f right elbow excised. Spec. 1050. 920. The olecranon and coronoid processes of the ulna, the head of the radius and fragments of the condyles of the d. 18. humerus, excised from the left elbow. Contributed by Assistant Surgeon C. Wagner, U. S. Army. 15. The bones of the right elbow, excised. The line of section in the humerus is just above the condyles, in the ulna d. 19. just below the coronoid process, and in the radius just below the head, only a portion of which is preserved. The outer condyle is shattered. Private J. C, "A," 62d Pennsylvania: Malvern Hill, 1st July; excised, Washington, 14th; amputated for secondary haemorrhage, 21st July ; discharged the service, 30th August, 1662. 3918. The trochlear portion of the humerus, a longitudinal half of an inch of the superior portion of the radius, and d. 20. the olecranon and coronoid processes and one inch of the shaft of the ulna, excised from the left elbow. The articular portion of the ulna, and, probably, the missing part of the radius, were shattered by the bullet. Private J. W. C, "B," 46th Virginia, (Rebel,) 16: Gettysburg, 1st July; admitted hospital, Frederick, 7th; excised by Assistant Surgeon R. F. Weir, U. S. Army, llth July; gangrene, 20 August—1th September; healed, with motion of the hand over an arc of fourteen inches, 20th December, 1663; escaped, 2d May, 1S64, Contributed by the operator. See class XXIII. A. B. 20 154 CATALOGUE OF THE SURGICAL SECTION VII. 12N7. A section of the head of the radius, the olecranon and one inch of the lower extremity of the humerus, excised d. 21. from the right elbow. The articular surfaces were destroyed by suppuration. A transverse section has been made in in the specimen just above the trochlea. Private F. O., "E," 93d Pennsylvania: Petersburg, 25th March; excised by Surgeon G. L. Pancoast, U. S. Vols., Washington, 6th May, 1-65. Recovered. Contributed by the operator. 1751. Fifteen fragments, representing the extremities of all the bones entering the elbow, excised. d. 22. Contributed by Surgeon I. Moses, U. S. Vols. 1209. The olecranon aud two inches of the posterior portion of the shaft of the left ulna, excised for fracture by a d. 23. conoidal ball. Private J. H., "E," 12th New Jersey, 22: Chancellorsville, 3d May; admitted hospital, Washington, 8th; excised, 25th May, 1863. Recovered with partial use of joint. Contributed by Acting Assistant Surgeon J. E. Winants. 3615. The lower extremity of the right humerus, one inch of the radius and one and a half inches of the ulna, excised d. 24. for fracture of the olecranon. The articular surfaces are all carious. The line of section in the humerus is very oblique. Corporal P. L., " D," 3d New Hampshire : Lines of Bermuda Hundred, Va., 16th June ; admitted hospital, Philadelphia, 21st June ; excised by Acting Assistant Surgeon Moon, 12th July; died exhausted, 3d August, 1864 Contributed by Acting Assistant Surgeon J. B. Lapsley. See 4629, XXVI. A. 3, 127. 2588. The head and one-half inch of the shaft of the radius and two and a half inches of the upper extremity of the ulna d. 25. from the left forearm, excised for a shattered olecranon. Private Z. W., "F," 63d New York: Cold Harbor, 2d June; admitted hospital, Washington, 8th; excised by Acting Assistant Surgeon R. Westerling, 13th June; discharged the service, 5th July, 1864. Contributed by the operator. 2501. Two and one-fourth inches of the extremity of the right humerus, excised for fracture of tho outer condyle and head d. 26. of the ulna by a conoidal ball. There are traces of periosteal disturbance on the shaft. Private T. S., "A," 149th Pennsylvania: Wilderness, 6th May; admitted hospital, Washington, llth; excised, 20th May, 1864; discharged service, 9th September, 1865. Contributed by Acting Assistant Surgeon Fred. G. H. Bradford. 327. The lower extremity of the humerus, excised just above the condyles, the head and halt d. 27. an inch of the radius, and the ulna excised just below the coronoid process, removed from the right elbow after fracture of the olecranon. The articular surfaces are carious. See figure 57. Private J. G., "D," 6th New Jersey, 24: Second Bull Run, 29th August, 1862; excised three weeks afterward by Assistant Surgeon B. A. Clements, U. S. Army. Recovered with a useful hand but anchylosed elbow. J Fig. 57. Posterior view of Contributed by the operator. excised right elbow. Spec. 327. 435. The head of the radius, extremity of the ulna and two inches of the extremity of the humerus, excised from the d. 28. right elbow for direct perforation by a conoidal ball. Private J. S. W., 5th Maryland: Antietam, 17th September; excised by Surgeon H. S. Hewit, U. S. Vols., Frederick, 2d October; died, 20th October, 1862. Contributed by the operator. 1864. The lowest two inches of the humerus and the upper extremities of the bones of the forearm, excised from the right d. 29. elbow. All the articular surfaces are carious, and much of the trochlea has been absorbed. The olecranon has disappeared from the combined effect of fracture and absorption. The radius and ulna are anchylosed. On the anterior surface of the ulna is a large irregular arch composed of fragments and of callus, which have assumed this shape and position apparently from muscular contraction. The addition became separated from the head of the bone in maceration but is wired to it in the specimen. A plate on the posterior surface of the ulna is necrosed. The line of section in the radius is just below the head, and in the ulna, very obliquely, below the coronoid process. Received through Acting Assistant Surgeon J. Leidy, without history. 2293. Two and a half inches of the lower extremity of the left humerus, excised for shattering of the outer half. d. 30. Private J. H. M., " H," 138th Pennsylvania, 25: Wilderness, 7th May admitted hospital, Washington, llth; excised by Assistant Surgeon H. Allen, U. S. Army, 13th; died of pyaemia, 30th May, 1864. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 15") 1873. The lower extremity of the right humerus, excised at an apparent line of fracture through the olecranon fossa and' d. 31. just above the condyles, the head of the radius excised at the neck, and the extremity of the ulna excised one-half inch below the coronoid process. The ulna aud humerus are anchylosed in a flexed position, and a complete fracture which has extended from the line of section through the radial head of the humerus, is consolidated. Supposed to be from the same case as 1870, VII. A. B. d. 11. Received through Acting Assistant Surgeon J. Leidy, without history. 838. One and a half inches of the lower extremity of the humerus, the upper extremity of d. 32. the ulna from half an inch below the coronoid process and a portion of the head of the radius, excised from the left elbow. A spherical ball had shattered the outer condyle and head of the radius. The articular surfaces are carious. See figure 58. Private F. A. W., 7th Ohio, 26: Winchester, March; admitted hospital, Frederick, 5th April; excised by Assistant Surgeon R. F. Weir, U. S. Army, 16th April; discharged the service with a useful arm, 2d July, 1862. Contributed by the operator. FlO. 58. Front view of excised left elbow. Spec. 838. 3948. The olecranon and one and a half inches of the lower extremity of the humerus, excised from the left elbow for d. 33. fracture of the inner condyle. Private F. D., "A," 1st Potomac Home Brigade, 18 : Winchester, 24th July ; admitted hospital, Frederick, 27th ; excisel by Assistant Surgeon R. F. Weir, U. S. Army, 2Jth July, 16.51; discharged the service. 17th June, H(>5. Contributed by the operator. 2912. Two and a half inches of the lower extremity of the humerus and the olecranon, excised from the left elbow. d. 34. A thin plate of lead from the missile is mounted with the specimen. Private J. M., "I," 90th Pennsylvania, 40: Wilderness, 6th May; admitted hospital, Washington, llth; excised by Assistant Surgeon George A. Mursick, U. S. Vols., 18th May; the wound healed, and the patient did well until 28th July, 1864, when he suddenly died of serous apoplexy. Contributed by the operator. See 2913, VII. A. B. d. 47. Sec class XXVII. B. B. d. 4261. Two inches excised from the lower extremity of the right humerus. The inner condyle and border of the shaft d. 35. immediately superior were shattered. Private H. M., "H," 9th West Virginia, 19: Winchester, 20th July; admitted hospital, Cumberland, 23d; excised by Surgeon J. B. Lewis, U. S. Vols., 28th July; died of pyaemia, 20th August, 1864. Contributed by the operator. 2304. Two and three-fourths inches of the upper extremity of the right ulna, excised. The posterior portion of the base d. 36. of the olecranon is fractured, and an a itero-posterior fracture extends through the coronoid and olecranon processes and down the shaft the length of the specimen. Private E. II., "A," 6th Vermont: Wilderness, 5th May; excised by Acting Assistant Surgeon Armstrong, Washington, 18th May; finally healed, December, 1864; discharged the service, 17th January, 1865. This man's condition, llth February, 1867, was as follows: Messenger in Paymaster General's Office; wound entirely healed; the head of the radius plays in the olecranon fossa; extension and flexion almost perfect; pronation impaired; can lift a hundred pounds with the right arm; general health good. His photograph, taken at that time, is in the Museum collection. Contributed by Surgeon O. A. Judson, U. S. Vols. 3039. The head of the radius and two inches of the extremity of the left humerus, excised for fracture of the outer d. 37. condyle. The articular portion of the specimen is carious. Private W. R., "B,"2d Pennsylvania, 19: Petersburg, 17th June; admitted hospital, Washington, 21st June; excised by Surgeon R. B. Bontecou, U. S. Vols., 3d July; amputated in the middle third for secondary haemorrhage, 13th ; died exhausted, 15th July, 1664. Contributed by the operator. See class VII. A. B. f. 3306. The olecranon and two inches of the lower extremity of the left humerus, excised. The articulating surface d. 38. of the radius was also removed, but has not been preserved. The outer condyle has been carried away. A thin friable deposit of callus exists near the fracture, and the articular surfaces are carious. Private W. M. J., "D," 1st Michigan Sharpshooters, 17: Wilderness, 6th May; admitted hospital near Alexandria, 16th; excised by Surgeon D. P. Smith, U. S. Vols., 26th May; died, 3d June, 1864. Contributed by the operator. 1 ;■>(■; CATALOGUE OF THE SURGICAL SECTION VII. 3606. The olecranon and two inches from the lower extremity of the left humerus, excised. A bullet has passed d. 39. directly through the'huinerus, irregularly breaking it at the extremity of the shaft and completely fracturing it through the trochlea. No pathological change has occurred in the specimen. Private J. W. S., "M,"7th Iudiaua Cavalry: near Memphis, 21& October; excised by Assistant Surgeon J. M. Study, U. S. Vols., 31st October, 1864; discharged the service, 14th May, 1865. Contributed by the operator. 2582. The head and one inch of the shaft of the radius, the tip of the olecranon aud two inches of the lower extremity d. 40. of the humerus, excised. The ball entered on the auterior aspect and passed directly through the superior portion of the ulna. The articular surfaces are completely destroyed by ulceration. Private 0. Z., " M,"' 7th New York Heavy Artillery: Cold Harbar, 3d June; admitted hospital, Washington, 8th; excised by Siirgeon G. L. Pancoast, U. S. Vols., 16th; died from haemorrhage, 25th June, 1»64. Contributed by the operator. 2502. The upper three inches of the shafts of the bones of the right forearm after shattering of the olecranon. d. 41. Private J. B., "G," 2d Vermont: Wilderness, 5th May; admitted hospital, Washington, llth; excised, 25th May, 1881. Discharged by expiration of term of service. Contributed by Acting Assistant Surgeon Fred. G. H. Bradford. 458. Two inches of the lower extremity of the right humerus and the olecranon, excised d. 42. after fracture from direct perforation of the elbow by a conoidal ball. See figure 59. Private P. D., " D," 69th New York: Antietam, 17th September; excised by Surgeon H. S. Hewit, U. S. Vols., Frederick, 2d October; amputated near the shoulder, 4th December, 18!>2. Recovered. Contributed by the operator. See 807, VII. A. B. f 96. 59 1. The lowest two and a half inches of the left humerus, perforated just above the d. 43. condyles, and the extremity of the olecranon, apparently excised. The diaphysis of the humerus is comminuted and a complete fracture extends through the trochlea. _,,,,.-, FIG. 59. Front view of excised left The olecranon also is fractured. elbow. Spec. 458. Contributed by Surgeon D. W. Bliss, U. 8. Vols. 337. The superior three inches of the left ulna, much shattered, partly necrosed and apparently excised. d. 44. Contributed by Surgeon W. Varian, U. S. Vols. 313. Two inches of the extremity of the left humerus, and the ulna excised just below the coronoid process. The d. 45. olecranon is fractured, and a vertical fracture in tbe humerus extends through the middle of the trochlea. The articular surface is partly eroded. Private A. McA., "F," 23d Ohio: Antietam, 17th September; admitted hospital, Washington, 20th September; excised by Assistant Surgeon C. A. McCall, U. S. Army, 2d October, 1862. Recovered. Contributed by the operator. 3466. Two and a half inches of the lower extremity of the left humerus, one inch of the radius and two inches of the d. 46. ulna, including the olecranon, excised. The outer condyle and head of the radius had been fractured and were removed. Tbe articular surfaces are destroyed by suppuration. The lines of section in the shafts of tho bones of the forearm are very oblique. In tbe specimen the olecranon has been divided. Private A. N. P., "K," 2d Connecticut Heavy Artillery. Cold Harbor, 1st June; admitted hospital and bullet removed from joint, Baltimore, 20th June; excised, 16th July; died from pleuro-pneumonia, 30th August, 1864. Contributed by Acting Assistant Surgeon G. W. Fay. See 4629, XXVI. A. 3, 127. 2913. A wet preparation of the left elbow, ten weeks after excision of two and a half inches from the extremity of the d. 47. humerus and the olecranon. Ligamentous union, with free motion, exists between the end of the humerus and the bones of the forearm The extremity of the humerus is rounded off and enlarged by new bone, and the medullary canal is decreased by osseous deposit for several inches. Private J. M., "I," 90th Pennsylvania, 40: Wilderness, 6th May; admitted hospital, Washington, llth; excised by Assistant Surgeon Geo. A. Mursick, U. S. Vols , 16th May; did very well until 26th July, 1864, when death from serous iooplexy occurred. Contributed by the operator. See 2912. VII. A. B. d. 34. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 157 912. A wet preparation, showing the condition of the left elbow two months after excision of the lower extremity of d. 48. the humerus. The olecranon, which appears to have been obliquely fractured from the shaft, has become firnilv united on a level with the head of the radius, and the extremities of both bones of the forearm are in good condition. Three inches of the humerus are necrosed with the formation of lines of demarcation. Amputation was performed at the junction of the lower thirds. Contributed by Surgeon D. P. Smith, U. S. Vols. See class VII. A. B. f. 3042. Two and a half inches of the extremity of the left humerus, the head of the radius and the coronoid and olecranon d. 49. processes of the ulna, excised for disorganization of the elbow following gunshot. The tips of the olecranon and outer condyle were fractured by a ball passing transversely, and subsequent ulceration destroyed the articular surfaces. Corporal J. J. J., "K," 48th New York, 26: Cold Harbor, 3d June; admitted hospital, Washington, 7th; excised by Surgeon R. B. Bontecou, U S Vols., 22d; amputated in the upper third for sloughing, 27th; died exhausted, 29th June, 1864. Contributed by tue operator. See class VII. A. B. f. 4289. The lower extremity and one inch of the shaft of the humerus in many fragments, excised for complete shattering d. 50. by a conoidal ball. The olecranon also was removed, but is not preserved. Private J. W., "I," I5th New York Heavy Artillery: Hatcher's Run, 31st March; excised by Surgeon G. L. Pancoast, U. S. Vols., Washington, 22d April, 18(55. Recovered. Contributed by tho operator. 925. One-fourth inch of the articilar extremity of the humerus, nearly two inches of the radius and the ulna divided d. 51. just below the coronoid process, excised from the left elbow. The head of the radius is shattered, and portions of the coronoid aud inner aspect of the olecranon processes and trochlea are broken off. The specimeu is disorganized by caries. Private J. D.,63d Pennsylvania: Fredericksburg, 13th December; admitted hospital, Point Lookout, Md., Kith Ui ember, 1862; excised by Assistant Surgeon W. H. Gardner, U. S. Army, 12th January, 18(53. Contributed by Assistant Surgeon C. Wagner, U. S. Army, 2165. Nearly two inches from the lower extremity of tho humerus, the head of the radius and the upper portion of d. 52. the ulna cut half an inch below the coronoid process, excised from the left elbow. The olecranon is fractured by the direct impingement of a missile from the rear, aud tho articular surfaces are eroded. Private G. T., "E,"15th New Jersey, 21: Wilderness, 5th May; admitted hospital, Washington, llth; excised by Surgeon G. L. Pancoast, U. S. Vols., 7th June, JStil; discharged the sen-ice, 22d February, 1865. Contributed by the operator. 194. The lower two inches of the humerus and the extremities of the bones of the forearm, excised from tho right d. 53. elbow on a level with and iucludiug the head of the radius. A portion of the trochlea is carried away and the articular surface is carious. Contributed by Surgeon D. W. Bliss, U. S. Vols. 2183. One and a half inches of the lower extremity of the humerus and half an inch of each of the bones of the forc- d. 54. arm, excised from the right elbow. The olecranon and a small fragment of the trochlea were torn off by a conoidal ball. The articular surfaces are carious. Corporal D. J. D., "E,"2d United States Sharpshooters (Volunteers): Wilderness, 6th May; admitted hospital, Wash- ington, 28th May; excised by Acting Assistant Surgeon R. Westerling, 3d June; died from secondary haemorrhage, 22d June, 1664. Coutributed by Surgeon G. L. Pancoast, U. S. Vols. 2141. Two and a half inches of the lower extremity of the right humerus, excised for complete fracture of the shaft d. 55. just above the condyles. The borders of the fracture are necrosed. Private H. B. R., "E," 14th Ohio: Chickamauga, 20th September; excised by Surgeon I. Moses, U. S. Vols . Chattanooga, 10th October, 16(53. Contributed by the operator. 1365. The olecranon and two and a half inches of the lower extremity of the humerus, excised from the right elbow. d. 56. The outer condyle and adjacent part of the humerus are wanting, and the articular surface is carious. Private W. D., " C," 36th U. 8. Colored Troops, 20: Deep Bottom, Va., 2'Jth September; admitted hospital, Portsmouth, 5th October; excised, 3d November, 1864. Recovered. Contributed by Assistant Surgeon J. H. Frantz, U. S. Army. 158 CATALOGUE OF THE SURGICAL SECTION VII. 351. Three inches from the lower extremity of the right humerus, excised. An oblique fracture extends from the d. 57. point of impact of a bullet, an inch above the outer condyle, to the inner condyle, which is split off. The lower portion of the shaft is superficially necrosed. Private E. ON., "D," 10th Ohio: Perryville, 8th October; admitted hospital, New Albany, Ind., 14th; excised by Acting Assistant Surgeon J. Sloan; the wound was doing well at the time of desertion, 30th October, 1862. Contributed by the operator. 885. Two and a half inches of the upper extremity of the left radius, excised. The bone is necrosed on the outer d. 58. surface on a level with the tuberosity, as though the result of a guushot contusion. Two deep fissures, uniting at their inferior extremities, form a partial fracture of the shaft. Case of a Wisconsin soldier, wounded at Antietam, and successfully excised by Assistant Surgeon E. de W. Breneman, U. S. Army, Philadelphia, October, 1862. Contributed by the operator. 3912. The upper half of the olecranon and three inches of the lower extremity of the d. 59. humerus, excised from the right elbow. The shaft has been struck just above the inner condyle, producing a complete fracture through the trochlea. A space at the point of impact about the calibre of the bullet is necrosed, beyond which some periosteal inflam- mation has occurred. See figure 60. Private J. H., 2d North Carolina, (Rebel,) 40: Gettysburg, 3d July; admitted hospital, Fred- erick, 6th; excised by Assistant Surgeon R. F. Weir, U. S. Army, 29th July, 1863; transferred to Baltimore, 5th May, 1864. Contributed by the operator. See 2570, XXV. A. B. a. 8. FIG. 60. Rear view of tip of olecranon and three inches of humerus, excised. Spec 3912 2478. Three inches of the lower extremity of the left humerus, excised. The specimen d. 60. shows a complete oblique fracture in the lowest portion of the shaft, complicated with a perpendicular one downward directly through the trochlea, of which the central por- tion is missing. On the posterior upper border of the transverse fracture is a moderate collection of callus. The olecranon was fractured, but is not preserved in the specimen. See figure.61. Private J. P., "C," 39th New York: Wilderness, 5th May; admitted hospital, Washington, 13th; excised by Surgeon G. L. Pancoast, U. S. Vols., 25th May, 1864; discharged the service, 7th November, 16(55. Contributed by the operator. 1178. Three inches of the lower extremity of the left humerus and the coronoid and olecra- d. 61. non processes, excised. A fracture in the trochlea runs two inches up the shaft. A section through the olecranon implies it was removed in the operation. Private J. T., "C," 10th Massachusetts, 22: Second Fredericksburg, 3d May; admitted hos- pital, Washington, 8th; excised by Assistant Surgeon C. A. McCall, U. S. Army, 18th May; died, 27th May, 1863 Contributed by Acting Medical Cadet J. Winston. FIG. 61. Rear view of three inches of left humerus, ex cised. Spec. 2478. 1309. Three inches of the lower extremity of the right humerus and the upper extremities of the radius and ulna, d. 62. excised. The humerus was perforated just above the outer condyle and shattered. Private J. S., "C," 165th New York, 40: Port Hudson, La., 27th May; admitted hospital, New Orleans, 29th May; excised, 9th June, 1863. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. 3026. Two and a half inches from the lower extremity of the right humerus, excised. One inch of the upper extremity d. 63. of the ulna and a small portion of the head of the radius were removed at the same time, but have not been preserved. Two incomplete longitudinal fractures, one on each surface of the shaft, arise from the lower border. The trochlea is destroyed, the outer condyle shattered and the inner condyle separated by an oblique fracture. Superficial necrosis exists over much of the specimen, the remainder showing reparative periosteal disturbance. Private W. D. R., "D," 81st New York, 21: accidentally wounded, Brandy Station, Va., 26th November; admitted hospital, Alexandria, the same day; excised by Surgeon Charles Page, U. S. Army, 19th December, 1864. Recovered. Reenlisted in Company "K," 5th Regiment, 1st Army Corps. Contributed by Acting Assistant Surgeon C. W. Kcechling. 2023. Three inches of the lower extremity of the right humerus and the bones of the forearm, excised through the d. 64. coronoid process and head of the radius for a fracture of the shaft of the humerus from a ball passing transversely above the condyles. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 150 Private J. T. II., "K,"47th Pennsylvania: Pocotaligo, S. C, 22d October; admitted hospital, Beaufort, S. C, 21th ; excised by Surgeon R. B. Bontecou, U. S. Vols., 26th October; transferred North, 2-tli December, 18(52; "had good motion of the elbow," July, 1863. Contributed by the operator. 4249. The tip of the olecranon and three inches of the lower extremity of the humerus, successfully excised from the d. 65. left elbow. The shaft was shattered above the condyles, and a complete fracture extends through the trochlea. Corporal R. B. N., "I," Scott's 900 (New York Cavalry). Contributed by Dr. N. D. Benedict. 2583. The head and one inch of the shaft of the radius, six fragments representing two inches of the extremity of tho d. 66. humerus, and the upper part of the ulna, excised. The specimen has slight periosteal deposits of callus upon it and is more or less carious. Private A. R. D., "F," 102d Pennsylvania: Wilderness, 5th May; admitted hospital, Washington, llth May; excised by Surgeon G. L. Pancoast, U. S. Vols., 17th June; died, 21st August, 1864. Contributed by the operator. 2578. Three inches of the lower extremity of the right humerus, excised. The bullet passed through the olecranon d. 67. and near the inner condyle. A nearly longitudinal fracture extends up the specimen, which is superficially necrosed. Private M. S., "C," 69th Pennsylvania: Gettysburg, 3d July; excised by Assistant Surgeon C. R. Greenleaf, U. S. Army, Philadelphia, 21st July, 1864. Recovered. Contributed by the operator. 749. ■ The olecranon and coronoid processes and two and a half inches of the shaft of the left ulna, and the head and d. 68. one inch of the shaft of the radius, excised. The shaft of the ulna is completely comminuted, and that of the radius has several partial fractures. Private J. H., "K," 19th Indiana, 21 : Antietam, 17th September; admitted hospital, Frederick, 16th ; excised by Acting Assistant Surgeon J. H. Bartholf, 28th Septembor, 1862. Recovered with two inches shortening. Contributed by the operator. {$41. The greater part of the head and the outer half of two inches of the shaft of the right radius, and the entire d. 69. articular surface and two and a half inches of the shaft of the ulna. The ulna, particularly in the articulation, is badly shattered, and the inner half of the radial specimen has been carried away by a conoidal ball which entered three inches below the olecranon and passed out near the inner condyle. Private B. R. B., "F," 80th Indiana: Perryville, Ky., 8th October; admitted hospital, New Albany, Ind., 24th October, 18(52; excised by Acting Assistant Surgeon J Sloan. Recovered. 'Contributed by Surgeon W. Varian, U. S. Vols. 2593. The head of the radius, the olecranon and coronoid processes, and one inch of the shaft of the ulna and two d. 70. inches of the extremity of the humerus, excised from the left elbow ten weeks after injury. The inner condyle and olecranon were shattered, and caries has changed all the structures, which are now partially absorbed. Private R. B., "A," 116th Pennsylvania: Chancellorsville, 3d May, 1863; excised by Acting Assistant Surgeon McLean, Philadelphia. Recovered. Contributed by the operator. 1995. Three and a half inches of the lower extremity of the right humerus, excised after the passage of a conoidal ball d. 71. between the condyles. The extremity is carious, but the outer condyle, which was split off, has imperfectly united to the shaft. The specimen is sawn through one and a half inches below tbe point of final excision. Sergeant M. S., "E," 16th Maine, 25: Gettysburg, 1st July; admitted hospital, Baltimore, 4th September; excised by Acting Assistant Surgeon F. Hinkle, 29th October, 1863. Recovered. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 202. Two and a half inches of the lower extremity of the humerus and the ulna divided one inch below the coronoid d. 72. process, apparently excised from the right elbow. The olecranon is badly fractured, a part of the trochlea is broken, and the articular surface is eroded. Contributed by Surgeon J. C. Dorr, U. S. Vols. 3 713. The coronoid and olecranon processes and two and a half inches of the shaft of the left ulna, excised after d. 73. gangrene attacked a flesh wound of the forearm. The specimen appears to have been slightly contused about midway on the posterior surface. There has been a slight osseous deposit on the posterior portion of the bone. The tip of the olecranon is carious. Corporal W. R. C, "H," 4th Rhode Island, 23: Poplar Springs, Va., 30th September ; specimen excised, Beverly, N. J., 13th December, 16(54; discharged the service, 7th June, 1665. Contributed by Assistant Surgeon C. Wagner, U. S. Army. 1G0 CATALOGUE OF THE SURGICAL SECTION. VI. 3298. The bones of the right elbow, from which the olecranon and part of the coronoid process, the upper three inches d. 74. of the radius aud the condyles of the humerus have been excised by an oblique section. Private J. H., " F," 112th New York, 21 : Cold Harbor, 1st June ; excised by Surgeon D. P. Smith, U. S. Vols., 9th June ; discharged the service, 16th November, 1864. Contributed by the operator. 3803. Four inches of the lower extremity of the right humerus, excised for intense inflammation of the joint following d. 75. fracture of the outer condyle. The periosteum was undisturbed in the operation, and the patient recovered with an exceedingly useful arm. Captain W. S., "G,"7thU. S. Colored Troops: Deep Bottom, Va., 27th September; admittel hospital, Fort Monroe, 1st October; excised by Surgeon D. G. Rush, 101st Penasylvauia, 23d October, 18(54. Contributed by the operator 1929. Four inches from the lower extremity of the humerus with the coronoid and olecranon proces-es of the right ulna, d. 76. excised. The humerus was split into two nearly equal parts and the articulation entirely destroyed. Slight coatings of callus exist on the shaft. > Corporal J. R. R., "F,"' 65th Ohio: Chickamauga, 19th September; admitted hospital, Nashville, llth; excised by Acting Assistant Surgeon W. H. Matlock, 12th November, 18t3; discharged the service, 7th June, 1864. Contributed by the operator. 1750. The olecranon and twenty-one fragments of necrosed bone, representing one-third of the shaft of the left ulna, d. 77. excised. Private D. L., "D," 72d Indiana: admitted hospital, Murfreesboro', Tenn., 27th June; excised by Surgeon I. Moses, U. S. Vols., 26th June; amputated in the lowest third of the humerus for gangrene, 30th October, 1863. Recovered. Contributed by the operator. See 2129, VII. A. B. f. 34. See class XXIII. A. B. 2811. The upper halves of the bones of the right forearm and a portion of the shaft of the humerus. The lowest fourth d. 78. of the humerus has been excised, aud probably secondary amputation performed in the middle third. The extremities of the radius and ulna are carious. The sawn extremity of the humerus is carious, with two small nearly separated exfoliations. Periosteal disturbance has implicated nearly the entire specimen. Contributor and history unknown. See class VII. A. B. f. 811. Five inches of the lower extremity of the right humerus, excised for shattering of the outer condyle and longitudinal d. 79. fracture of the shaft. Private W. F., 132d Penn«ylvania: Autietam, 17th September; excised by Surgeon Gabriel Grant, U. S. Vols., 27th September, 1862. Contributed by the operator. 1 308. The head aud five inches of the shaft of the radius,- excised for comminution of the bone for several inches below d. 80. the articulation. Corporal H. H. C, "D," 26th Maine, 31 : Irish Bend, La., 4th April; admitted hospital, New Orleans, 17th; excised, 20th April; died, 3d August, 1863. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. 663. All the articular surfaces of the right elbow, excised for a fracture of the olecranon and outer condyle by a missile d. 81. passing obliquely over the posterior surface of the joint. Contributor and history unknown. 3491. The left radius, lower half of the ulna aud lower extremity of the humerus, after excision of the upper half of the d. 82. ulna. The humeral articular surface, the upper portion of the radius and the extremity of the ulna, are carious. Contributed from Nashville by Surgeon Robert Wm. Pounds. 2278. Six inches of the right ulna and four inches of the radius, much comminuted in their upper halves aud excised. d. 83. Private C. W., "G," 4th New York Heavy Artillery: admitted hospital, Washington, 22d June; excised, 24th June; died of pyaemia, 19th July, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. 3271. The left humerus, after excision of the outer condyle. The entire volume of the lowest fourth has been absorbed d. 84. and the carious action has destroyed the anterior half of the shaft to the junction of the upper thirds. A sequestrum of six inches represents the extent of the destruction. Private T. G., " H," 51st New York, 41 : Wilderness, 6th May; admitted hospital, Washington, 24th; excised, 26th May ; died from pyaemia, 18th September, 1864. Contributed by Surgeon O. A. Judson, V. S. Vols. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 161 731. The left elbow joint excised. The inner condyle was fractured into several fragments and displaced, becoming d. 85. firmly anchylosed with the olecranon. Private B. T., "D," 20th New York: Second Bull Run, 30th August, 1862; admitted hospital, Washington, 5th January; excised by Surgeon I. Moses, U. S. Vols., 22d January; discharged, 4th June, 1663. Contributed by the operator. 998. The left elbow, excised. The olecranon was fractured on its inner posterior surface; the joint is carious ; a little d. 86. indifferent callus is near the inner condyle ; the humerus was sawn an inch and a half above the joint and the ulna at the base of the coronoid process. Private M. L., 133d Pennsylvania, 19: Fredericksburg, 13th December; admitted hospital, Point Lookout, Md.. 10th; bullet removed from over the head of the radius, 25th December, 1662 ; excised by Acting Assistant Surgeon T. H. Allison, 15th January, 18(53. Recovered with nearly perfect extension and half pronation and supination. Contributed by Assistant Surgeon C. Wagner, U. S. Army. For other illustrations, see 2889, VII. A. B. f. 91 ; 2208, VII. A. B. f. 108; 4628, XXVI. A. 2, 54 ; 608, XXII. A. B. a. 4. f. Amputations in the Humerus 1707. The lower extremity of the right humerus, amputated in the lowest third for gangrene following fracture of the f. 1. outer condyle by shell. Private W. H, "D," 130th Illinois, 24: Vicksburg, 25th June; admitted hospital, Memphis, llth July; amputated by Acting Assistant Surgeon James Thompson, 12th July, 1863. Contributed by Surgeon J. G. Keenon, U. S. Vols. 3992. The lowest fourth of the right humerus, apparently amputated after fracture over the outer condyle by a bullet f. 2. directly from the front. An oblique fissure extends to the inner condyle. The specimen is interesting in showing the cartilaginous junction of the inner condyle. Received from the Ninth Corps Hospital. 2646. The upper portions of the bones of the right forearm and the extremity of the humerus, as if amputated in the f. 3. lowest fourth. The radius and ulna are completely shattered for four inches from the elbow, as if by a bullet passing obliquely through their shafts. Contributor and history unknown. 786. The bones of the left elbow, after amputation in the lowest third of the humerus. A bullet passed through the f. 4. joint destroying the outer condyle and trochlear surface. The articular surfaces were destroyed by caries. Private W. W. H., "D," 16th New York, 23: South Mountain, 14th September; admitted hospital, Brockettsville, Md., 1st October; amputated, 15th November, 1862. Died two hours after the operation. Contributed by Surgeon Henry James, 3d Vermont. 3404. The upper halves of the bones of the left forearm and lowest fourth of the humerus, apparently amputated. The f. 5. humerus has been gouged out to the diameter of a bullet just above the outer condyle, and that epiphysis was carried away. The articular surfaces are carious. Contributed from Chattanooga by Assistant Surgeon C. C. Byrne, U. S Army. 909. The bones of the right elbow, as if after amputation. The outer portion of the head of the humerus is carried f. 6. away and a partial fracture extends down the shaft. The outer condyle is shattered and missing, and the articulation is eroded by ulceration. Contributed by Acting Assistant Surgeon J. Leidy. 3 181. The bones of the right elbow, after fracture of the inner condyle and splitting off of the olecranon. Apparently f. 7. a good case for primary excision. Corporal J. L. A., "H," 6th Iowa: Kenesaw Mountain, Ga., 27th June; admitted Fifteenth Corps Hospital, 1st July; amputated by Surgeon A. Goslin, 48th Illinois, for secondary haemorrhage, 2d; discharged the hospital, doing well, 27th July, 1864. Contributed by the operator. 651. The bones of the right forearm and lowest fourth of the humerus. A conoidal ball shattered the ulna at the f. 8. upper extremity of the shaft and destroyed the olecranon. A thin layer of callus has been deposited near the fracture. The articular surfaces are eroded. Private C. B., "E," 4th U. S. Artillery: Fredericksburg, 13th December; admitted hospital, Georgetown, 26th December, 1862; amputated, 12th January; discharged, 17th February, 1663. Contributed by Acting Assistant Surgeon R. Ottman. 21 162 CATALOGUE OF THE SURGICAL SECTION VII. 780. The lower portion of tho left humerus with the greater portions of the bones of the forearm The outer condyle f. 9. is fractured and the upper extremity of the ulna shattered. Private A. D. B., "A," 1st Rifles, Pennsylvania Reserves, 20: South Mountain, 14th September; admitted hospital, Frederick, 18th; attacked with erysipelas, 22d September; amputated by Acting Assistant Surgeon W. W. Keen, jr., 17th October; discharged the service, 27th November, 1862. Contributed by the operator. See class XXIII. A. A. 775. The bones of the left elbow, after amputation in the lowest third of the humerus. The head of the radius was f. 10. carried away by a bullet which entered from behind and passed out near the middle of the forearm, comminuting the ulna for two inches. The outer condyle is fractured and the articular surface of the humerus is carious. Several of the fragments of the ulna are united to each other, but not to the shaft. Private C. G., "D," 16th New York, 21 : South Mountain, 14th September; admitted hospital, Brockettsville, Md., 1st October; amputated, 14th November; transferred to Frederick, 18th November, 1862. Contributed by Surgeon Henry James, 3d Vermont. 3418. The bones of the left elbow, amputated in the lowest third of the humerus after fracture of the external condyle f. 11. and head of the radius. The head of the radius is nearly entirely destroyed. An oblique fracture extends through the tuberosity, above which the bone is almost entirely necrosed. The fracture, however, is partially united. Sergeant D. A. B , "C," 6th New York Cavalry, 24: Front Royal, Va., 9th August; admitted hospital, Baltimore, 21st August; amputated by Acting Assistant Surgeon John Neff, 9th October; discharged the service, 7th December, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 3082. The bones of the right elbow. The outer condyle has been chipped and the head of the radius partly carried f. 12. away, and a series of longitudinal fractures extend two and a half inches down the shaft. Amputation was probably performed. Received from the Army of the Potomac. 3651. The bones of the right elbow, after an excision of the upper three inches of the ulna. A partially detached f. 13. sequestrum exists in the upper extremity of the ulna, around which is a very slight involucrum. Some spongy bone has been thrown out at the radial tuberosity. The articular surface of the radius is eroded and the extremity of the humerus is carious. Private J. K., "K," 170th New York, 32: Flussell's Mills, Va., 16th August; excised on the field; admitted hospital, Philadelphia, 20th August; amputated in the lowest third for secondary haemorrhage by Acting Assistant Surgeon A. A. Smith, 9th September: died from pyaemia, 24th September, 1864, Contributed by the operator. See class VII. A. A. c. 2356. The bones of the right elbow, after amputation in the lowest third of the humerus. A conoidal ball shattered f. 14. the anterior face of the upper third of the ulna and fractured the tuberele of the radius. A fissure of two inches exists on the outer border of the radius. Private N. B. H., "D," 3d Vermont: Wilderness, 5th May; admitted hospital, Washington, 24th; amputated by Acting Assistant Surgeon Casey, 21st May, 1864. Contributed by Acting Assistant Surgeon E. L. Bliss. 2092. The bones of the right elbow, after amputation in the lowest third of the humerus. A bullet passed antero- f. 15. posteriorly between the bones of the forearm, opening the joint and gouging the ulna below the coronoid process and transversely fracturing the neck of the radius without comminution. Private F. J. T., "A," 95th Ohio, 27: admitted hospital, Memphis, 27 th May; amputated for secondary haemorrhage by Acting Assistant Surgeon E. M. Powers, 31st May; died, 27th June, 1864. Contributed by Acting Assistant Surgeon H. D. Garrison. 2722. The bones of the left elbow. The outer condyle on the posterior border appears to have been partially fractured, f. 16. and consecutive ulceration has destroyed the articulation. Amputation was performed in the lowest third. Private A. W., " K," 8th U. S. Colored Troops, 37: Olustee, Fla., 20th February; admitted hospital, Beaufort, S- C, 22d February; amputated by Acting Assistant Surgeon Charles T. Reber, 6th March; died from typhoid pneumonia. 16th March, 1864. Contributed by Assistant Surgeon E. D. Buckman, U. S. Vols. 4264. The bones of the left elbow, amputated in the lowest third of the humerus after fracture. A conoidal pistol ball f. 17. entered the forearm two and a half inches below the joint, passed upward, obliquely fractured the outer border, shattered the coronoid process and lodged between the head of the radius and fractured border of the ulna. The head of the radius is carious and partly absorbed, and the articular surface of the humerus is necrosed. The bullet is mounted in the specimen as found on amputation. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM 163 Private P. W. H., "A," 10th West Virginia, 22: Cedar Creek, 19th October; admitted hospital, Cumberland, 1st November; amputated by Surgeon J. B. Lewis, U. S. Vols., 8th November; died from pyaemia, 17th December, 1664. Contributed by the operator. See class XXVII. B. B. d. 4265. The bones of the right elbow, after amputation in the lowest third of the humerus. A bullet entered the front of f. 18. the forearm near the joint, carrying before it a large United States button, both of which were extracted the next day. A splinter the breadth of the bone and two and a half inches in length is wanting. The articular surface is necrosed. Captain S. C, "H," 91st Ohio, 40: Winchester, 20th July; admitted hospital, Cumberland, 23d July; amputated by Acting Assistant Surgeon C. H. Ohr, 15th August; received leave of absence, 29th August, 1664. Contributed by Surgeon J. B. Lewis, U. S. Vols. See class XXVII. B'. B'. 3383. The bones of the left arm, after amputation in the lowest third of the humerus. The outer condyle is broken off f. 19. and the head of the radius grazed. The joint surfaces are carious and partly absorbed. Private A. L. H., "H," 1st Maine Cavalry, 22: Ream's Station, Va, 1st October; admitted hospital, Washington, llth October; amputated by Acting Assistant Surgeon J. F. Thompson, 3d November, 16(54. Recovered. Contributed by Assistant Surgeon Philip C. Davis, U. S. Army. 615. Tho bones of the left elbow, after amputation in the lowest third of the humerus. The coronoid process was split f. 20. off by an oblique fracture, below the termination of which a fissure extends one inch down the shaft. The inner surface of the olecranon is also chipped. Corporal C. W. J., "B," 108th New York: Fredericksburg, 13th December; admitted hospital, Alexandria, 19th; amputated by SurgeonE. Bentley, U. S. Vols., 22d; died, after secondary haemorrhage, 28th December, 1862. Contributed by the operator. 4262. Three inches of the extremity of the left humerus. A bullet from behind passed obliquely through the joint, f. 21. splitting off the inner condyle and a segment of two and a half inches of the shaft. Private H. C, "E," 22d Illinois, 17: Winchester, 24th July; admitted hospital, Cumberland, 25th; amputated by Acting Assistant Surgeon Townsend, in the middle third, 30th July ; discharged, 27th October, 1864. Contributed by Surgeon J. B. Lewis, U. S. Vols. 182. The lower portion of the left humerus. The outer condyle was fractured by a conoidal ball. Superficial necrosis f. 22. occupies the outer border of the shaft for two inches. Private J. McC, "H," 207th Pennsylvania, 39: Dinwiddie C. H., Va., 31st March; admitted hospital, Washington, 4th; amputated by Acting Assistant Surgeon A. H. Haven, 19th April; died of pyaemia, 1st May, 1865. Contributed by Assistant Surgeon H. Allen, U. S. Army. 772. The bones of the left elbow, amputated in the lowest third of the humerus after excision of the head and one inch of f. 23. the shaft of the radius. The upper extremity of the radius is necrosed and the joint surfaces are carious. Private G. W. P., 9th New York: Antietam, 17th September; excised by Assistant Surgeon Howard Pinkney, 9th New York; amputated, Frederick, 10th October; discharged the service, 12th November, 1862. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See class VII. A. A. c. 2752. The bones of the left elbow, after amputation in the lowest third of the humerus. The posterior surface of the f. 24. olecranon was grooved and the ulna probably fractured in the upper third. Primary amputation was performed through the neck of the radius, and the stump, as shown, is carious with slight deposits of callus. Private J. H. E., " K," 106th Pennsylvania, Gettysburg, 3d July: amputated in the forearm, 5th July; amputated in the humerus, Philadelphia, 2d November, 1863. Contributed by Acting Assistant Surgeon Thomas G. Morton. See class VIII. A. A. d. 2638. The lower half of the right humerus chiefly carious, after amputation for comminution involving the elbow followed f. 25. by destructive inflammation. The specimen is in four fragments, the largest representing the shaft, of which the lower extremity displays a necrosed line of section, as though a primary excision had been attempted. The upper part of the specimen exhibits an indifferent periosteal deposit. Private J. L. C, "L," 1 st Maine Heavy Artillery, 17: Spottsylvania, 19th May ; admitted hospital, Washington, 22d May; amputated by Acting Assistant Surgeon H. M. Dean, 22d June; died of pyaemia, 24th June, 1664. Contributed by the operator. Sec 2667, VI. A. b. f. 1. 164 CATALOGUE OF THE SURGICAL SECTION VII. 2789. The bones of the right elbow, amputated in the lowest third of the humeius four weeks after fracture of the joint. f. 26. The outer condyle was carried away, the head of the radius broken and a complete oblique fracture made in the ulna opposite the radial tuberosity. The fractured portions are necrosed and partly absorbed, and the entire articular surfaces eroded. The shafts of the bones are coated with a thin deposit of callus. Corporal P. T. H., "A," 19th Massachusetts: Gettysburg, 2d July; amputated, Philadelphia, 29th; died from pyaemia, 3d August, 1863. Contributed by Acting Assistant Surgeon S. R. Skillern. 494. The bones of the left elbow. From the ulna two inches immediately below the olecranon have been removed f. 27. by gunshot. Private J. L., "K," 116th Pennsylvania: Fredericksburg, 13th December; admitted hospital, Washington, 17th; amputated by Acting Assistant Surgeon W. Eddy, 20th December, 1862; transferred to Veteran Reserve Corps, 24th March, 1864. Contributed by the operator. , 1549. The bones of the left elbow, after successful amputation in the lowest third of the humerus. Both bones of the f. 28. forearm are completely shattered, the radius below the head and the ulna in the coronoid and olecranon processes. Contributed by Surgeon Robert Thomain, U. S. Vols. 3208. Tho bones of the right elbow, after amputation in the lowest third of the humerus for fracture of the outer f. 29. condyle by an iron canister shot, which is attached. In the humerus there are two sections, the lower being an inch and a quarter below the final one. Second Lieutenant G. F. Q., "K," 165th New York, 33: Ream's Station, Va., 25th August; admitted hospital, Wash- ington, 28th August; amputated by Surgeon D. W. Bliss, U. S. Vols., 7th September, 1864. Recovered. Contributed by the operator. See class XXVII. B. a. c. 2790. The bones of tbe left elbow, after amputation in the lowest third. The outer half of the extremity of the humerus f. 30. was carried away. The entire articular surfaces are carious. Private C. A. L., "F," 5th Excelsior (New York Volunteers): Gettysburg, 2d July; amputated, Philadelphia, 2d August; died, 10th August, 1863. Contributed by Acting Assistant Surgeon S. R. Skillern. 4108. The bones of the right elbow, after amputation in the lowest third of the humerus for a perforating fracture f. 31. directly over the joint. The bullet entered from before, chipped the coronoid process of the ulna, carried away the central portion of the trochlea, shattered the olecranon and caused a vertical fracture of the humerus, which terminated in a transverse one two inches above the condyles. The forearm was probably partly flexed at the time of injury. Corporal F. R. L., "D," 1st Maine Heavy Artillery, 23: Petersburg, 9th September; amputated by Surgeon J. S. Jamison, 86th New York, 10th September, 1864; discharged the service, 5th May, 1865. Contributed by the operator. 862. The upper thirds of the bones of the right forearm. A bullet passing laterally has shattered the radius at its f. 32. neck, and the nlna at the same level. A considerable deposit of callus has resulted in partial consolidation of each bone, but the adjoining parts are necrosed and the union is very imperfect. Private J. McG., "H," 9th New York: Antietam, 17th September; admitted hospital, Chester, Penna., 2d October; amputated in the humerus by Acting Assistant Surgeon Lewis Fisher, 25th November, 1862. Recovered. Contributed by the operator. 2104. Tbe bones of the right elbow, after amputation in the lowest third of the humerus for fracture of the joint. The f. 33. outer condyle and greater portion of the trochlea were shot away while in the act of firing. The olecranon, the fractured extremity and the head of the radius are carious and partially absorbed. Private A. J. D., "F," 25th Illinois: Mission Ridge, 25th November; admitted hospital, Chattanooga, 1st December, 1863; amputated, 17th January; died of pyaemia, 26th January, 1864. Contributed by Assistant Surgeon Roberts Bartholow, U. S. Army. 21 29. The lowest third of the left humerus, the radius and the greater portion of the ulna. The upper third of the ulna f. 34. has been excised, the head of the radius is dislocated backward, and the elbow is partially anchylosed at right aDgles. The head of the radius is enlarged and carious. Private D. L., " D," 72d Indiana: admitted hospital, Murfreesboro', 27th June; portion of ulna excised, 28th June; did well until gangrene set in, 20th October; amputated at the junction of the lower thirds by Surgeon I. Moses, U. S. Vols., 30th October, 1863. Recovered. Contributed by the operator. Sec 1750, VII. A. B. d. 77. Sec class XXIII. A. B. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 165 29SO. The bones of the right elbow, apparently after amputation in the lowest third of the humerus. The external f. 35. condyle has been carried away and the head of the radius deeply gouged by the passage of a bullet from front to rear. Contributor and history unknown. 864. The bones of the right elbow. The lower extremity of the humerus, except the outer condyle, and the upper f. 36. portion of the radius have been carried away. The joint extremities are carious. Private J. A. L., 1st Pennsylvania Reserves: Antietam, 17th September; admitted hospital, Frederick, 29th September; amputated after erysipelas, 4th October, 1862. Recovered. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See class XXIII. A. A. 2815. The bones of the left elbow. The humerus was fractured without comminution just above the line of the f. 37. ligaments, an oblique fracture extending toward the inner condyle. The entire articular surfaces have been destroyed by ulceration from the secondary involvement of the joint. Private G. A. B, "I," 8th Ohio, 25: Cold Harbor, 21 June: admitted hospital, Washington, 24th; amputated by Surgeon N. R. Mosely, U. S. Vols.; died of pyaemia, llth July, 1864. Contributed by Acting Assistant Surgeon W. H. Ensign. 2962. The bones of the right elbow, apparently after amputation in the lowest third of the humerus. The trochlea is f. 38. shattered and the shaft for three inches above the articulation. The articular surfaces of the three bones are carious. Near the lines of fracture in the shaft there is some periosteal deposit. Contributor and history unknown. 4166. The lowest third of the right humerus and the greater portions of the bones of the forearm. The radius is f. 39. shattered in its middle and upper thirds, and the humerus is fractured above the outer condyle, involving the joint. There is no history of the position of the arm at the time of the wound, but an examination of the specimen shows it probably to have been as follows: The fofearm, flexed at nearly a right angle, was struck on the posterior surface of the radius in the middle third by a bullet coming from the front. Minute fragments of lead show the nature of the missile and its general direction, and the severe longitudinal splintering indicates its probable course. The missile, slightly deflected, has then struck the humerus just above the outer condyle and, passing backward, broken off a large portion of the posterior surface. The outer condyle is broken and two complete fractures enter the joint. The specimen is chiefly interesting as an illustration how one missile may cause two distinct wounds of the same extremity. First Lieutenant R. L. T., "G," 34th Virginia, (Rebel,) '.iS: wounded, 6th April; admitted hospital, City Point, llth; amputated by Assistant Surgeon Wm. Carroll, U. S. Vols., 19th April; released, 6th June, 1865. Contributed by the operator. See class VIII. A. B. d. 2010. The upper extremities of the bones of the left forearm and a portion of the lowest third of the humerus. Two f. 40. and a half inches of the extremity of the humerus have been excised for fracture. Second Lieutenant A. P. H., "E." 8th New York Heavy Artillery, 20: Ream's Station, Va., 25th August; excised, 26th; admitted hospital, Washington, 28th August; amputated for secondary haemorrhage by Surgeon N. B. Mosely, U. S. Vols., 1st September, 1864. Recovered. Contributed by Acting Assistant Surgeon J. M. Downs. See class VII. A. A. c. 4059. The lowest third of the left forearm. A ball entered the radial side of left forearm, passed upward and inward, f. 41. and struck the humerus half an inch above the inner condyle. The posterior surface of the extremity of the shaft is torn away, and an oblique fracture extends through the radial portion of the trochlea. Corporal J. F. W., "G," 4th New York Heavy Artillery: South Side R. R., Va., 2d April; admitted hospital, Washington, 5th; amputated, 7th; died, 17th April, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. 878. The lowest third of the right humerus and upper portions of the bones of the forearm. The articular surfaces are f. 42. carious, apparently after a partial fracture with fissuring of the coronoid process and the adjoining extremity of the humerus. There are slight layers of new osseous material on the shafts. The specimen is evidently from an amputation. Contributed by Acting Assistant Surgeon Joseph Leidy. 2873. The lowest third of the left humerus and the upper halves of the bones of the forearm. Sequestra involved f. 43. with slight osseous deposits occupy the shafts of both ulna and radius. The articular surfaces are eroded. Private P. B., "A," 31st Maine, 21: wrist wounded, Spottsylvania, 12th May; forearm amputated, 14th; admitted hospital, Washington, 25th May; arm amputated for erysipelas by Surgeon N. R. Mosely, U. S. Vols., 15th July, 1.-64. Recovered. Contributed by Acting Assistant Surgeon Samuel Graham. See classes IX. A. A. e.; XXIII. A. a. 166 CATALOGUE OF THE SURGICAL SECTION VII. 1553. The bones of the right elbow, as if amputated at the'junction of the lower thirds of the humerus after fracture. f. 44. The olecranon and outer condyle were carried away, as if by a missile passing obliquely on the posterior surface. Contributed by Surgeon J. H. Brinton, U. S. Vols. 3370. The bones of the right elbow, after amputation at the junction of the lower thirds. The inner condyle is 1 45. chipped and the articular surfaces are eroded by ulceration. Private C. H. N., "G," 21st Wisconsin, 23: Resaca, Ga., 24th May; admitted hospital, Nashville, 27th May; amputated, 3d June; died from pyaemia, 12th August, 1864. Contributed by Surgeon R. L. Stanford, U. S. Vols. 512. The lowest third of the left humerus and upper portion of the bones of the forearm, amputated after comminution £ 46. without displacement of fragments. A fissure extends on the posterior surface to near the outer condyle and the bones adjoining the joint are coated with a periosteal deposit. Contributed by Surgeon David Prince, U. S. Vols. 3567. The bones of the left elbow, after amputation at the junction of the lower thirds of the humerus. A bullet f. 47. passed directly through the joint, carrying away the radial portion of the ulna and causing an oblique partial fracture to extend two inches up the shaft. The articular surfaces generally are eroded. Sergeant J. C, " D," 6th Maine, 38: wounded, llth May; admitted hospital, Washington, 15th; amputated, 21st June, 1864. Recovered. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3435. The lowest third of the right humerus, struck just above the inner condyle and obliquely fractured so as to involve f. 48. the outer condyle. Private T. K., " B," 106th New York, 34: Fisher's Hill, Va., 21st Septemher; admitted hospital, Baltimore, 4th October; amputated by Acting Assistant Surgeon B. B. Miles, 5th ; died of pyaemia, 16th October, 1864. Contributed by the operator, 4127. The lowest third of the right humerus, amputated for fracture through the articulation from a piece of shell f. 49. striking just above the inner condyle. Private P. B., "D," 39th Massachusetts: amputated by Surgeon E. G. Chase, 104th New York. Contributed by the operator. 3619. The lowest third of the right humerus and upper portions of the bones of the forearm, after excision of the f. 50. olecranon and condyloid extremity. There was no reparative effort. Private J M., " D," 1st Maine Cavalry, 26 : White's Tavern, Va., 16th August; excision performed in the field ; admitted hospital, Philadelphia, 20th; amputated at the junction of the lower thirds of the humerus for secondary haemorrhage, 28th August, 1864. Recovered. Contributed by Acting Assistant Surgeon D. Kennedy. See class VII. A. A. c. 1590. The lowest third of the left humerus, the greater portion of the ulna and the lower half of the radius. The f. 51. upper half of the radius and the ulna above the base of the coronoid process have been removed by excision. Some periosteal roughness exists on the upper and posterior part of the shaft of the ulna, and the posterior part of the shaft of the humerus possesses spongy deposit. Excepting a little erosion of the outer condyle, the articular surface is not disturbed. The humerus has apparently been amputated at the junction of the lower thirds. Contributor and history unknown. See class VII. A. a. c. 132. The lowest third of the left humerus and upper halves of the bones of the forearm, probably amputated after f. 52. fracture of the elbow. A nearly longitudinal fracture has split off the lower and outer four inches of the humerus. The tip of the olecranon is fractured and the articular surfaces of the three bones are carious. A large fragment of the shaft has reunited with displacement. The specimen shows the epiphyseal lines very well. Private J. T. C, " K," 51st New York : Second Bull Run, 30th August; admitted hospital, Washington, 14th September; amputated by Acting Assistant Surgeon Francis Brown. Contributed by the operator. 3950. The lowest third of the left humerus, obliquely fractured in the outer condyle and inner border of the shaft. The f. 53. articular surface is carious. J. L., "K," 14th Virginia. Received from General Hospital, Frederick, Md. A. B. OF THE UNITED STATES ARMY MEDICAL MUSKUM. 167 2836. The lowest third of the left humerus and greater part of the bones of the forearm. The ulna was fractured at the f. 54. base of the olecranon, from which fragments were removed on the field. The radius and coronoid process are firmly anchylosed with the humerus. The shaft of the ulna is not joined to the head. New and spongy bone has been thrown out around the joint. Private C. A., "B," 1st Pennsylvania Rifles: Wilderness, 7th May; admitted hospital, Washington, 26th May; amputated by Acting Assistant Surgeon John Morris, llth July; died, 28th July, 1864. Contributed by Acting Assistant Surgeon E. S. Stebbins. 2950. The lowest third of the left humerus and upper portions of the bones of the forearm. The joint has been opened, f. 55. its articular surfaces are carious and partly absorbed, and the various prominences have received slight irregular deposits of spongy callus. Corporal J. M. L., "A," 8th Maryland, 29: Spottsylvania, 8th May; admitted hospital, Washington, 25th May; amputated, 6th August; died, 6th August, 1864. Contributed by Acting Assistant Surgeon J. Minis. 2063. The upper halves of the bones of the right forearm, and the humerus amputated at the junction of the lower thirds, f. 56. two months after fracture of the joint by a conoidal ball. A conoidal ball carried away the olecranon. A considerable splinter of the posterior portion of the ulna is attached by callus out of position. The upper portion of the ulna and head of the radius are necrosed, as well as the articular surface of the humerus, of which a portion has been absorbed. The shaft of each bone has a slight coating of new osseous matter. Private S. B. C, "C," 37th North Carolina (Rebel): Gettysburg, 3d July; amputated, Chester, Penna., 8th September, 1863. Recovered. Contributed by Acting Assistant Surgeon G. Martin. 2556. Tho lowest third of the right humerus, amputated after a longitudinal fracture of the inner border splitting off that f. 57. condyle. Private J. W., "D," 2d New York Cavalry, 33: Cedar Creek,Va., 19th October; admitted hospital, Philadelphia, 17th November; amputated for secondary haemorrhage by Acting Assistant Surgeon W. P. Moon, 21st November; died exhausted, 3d December, 1864. Contributed by Acting Assistant Surgeon L. C. Cummins 1175. The upper two-thirds of the bones of the left forearm and the lowest third of the humerus. A sequestrum, f. 58. surrounded by a fair involucrum, occupies the entire radius, and the ulna and humerus are anchylosed. Private W. J. N., "E," 1st Michigan: wrist fractured by a conoidal ball, Second Bull Run, 30th August; amputated, Washington, 3d September, 1862; amputated in the lowest third of the humerus, 3d April, 1863. Recovered. Contributed by Surgeon Thomas R. Crosby, IT. S. Vols. See 1176, XXI. A. B. b. 4. See class IX. A. A. e. 2327. The bones of the right elbow, after amputation in the middle third. The inner condyle was carried away, the f. 59. trochlea fractured, and a nearly perpendicular fracture extended two inches to the border of the shaft. Corporal J. J. D., "H," 26th Michigan: Wilderness, 12th May; admitted hospital, Washington, 16th; amputated, 17th May; deserted from a Philadelphia hospital, 23d November, 1864. Contributed by Acting Assistant Surgeon A. Ansell. 2975. The bones of the right elbow, after amputation in the middle third of the humerus. A vertical fracture extending f. 60. two inches upward has carried away the outer half of the articular portion of the humerus. Corporal T. A., "I," 32d Maine: Petersburg, 30th July; admitted hospital, Washington, 3d August; amputated by Surgeon A. T. Sheldon, U. S. Vols., 7th August, 1864; discharged the service, 6th March, 1865. Contributed by the operator. 223. The bones of the right elbow, after amputation in the middle of the humerus for a fracture of the joint, as if by f. 61. a bullet passing transversely obliquely along the anterior surface when partially flexed. The head of the radius and outer condyle are fractured, the olecranon is chipped and the inner border of the coronoid process broken off, the middle portion of the trochlea destroyed and the entire inner condyle and ulnar portion of the trochlea split off. The fractured surfaces are carious, but are bordered with periosteal effusions. On the inner condyle is appreciable new-bone formation. Contributed by Acting Assistant Surgeon E. Livezey. 361. The bones of the right elbow, after amputation in the middle third of the humerus for fracture just above the f. 62. condyles. Two oblique fissures extend down into the articulation. Private W. L., 1st Delaware: Antietam, 17th September; amputated, Frederick, 30th September; died of irritative fever, 16th October, 1862. Contributed by Surgeon H. S. Hewit, U. S. Vols. 168 CATALOGUE OF THE SURGICAL SECTION VII. 1NO. The lower half of the right humerus, with a partly split conoidal ball impacted against the shaft posteriorly, f. 63. apparently amputated. A complete fracture passes through the trochlea, and the compact bone of the olecranon depression has many fissures. An oblique fracture extends three and a half inches up the shaft. Contributed by Surgeon D. W. Bliss, U. S. Vols. See class XXVII. B. B. d. 4053. The bones of the left elbow, after amputation for oblique fracture of two inches of the radius with loss of f. 64. substance. The upper part of the amputated portion has been removed. Private E. B., "D," 7th New York, 31: Petersburg, 31st March; admitted hospital, Washington, 6th April; amputated by Assistant Surgeon Alfred Delaney, U. S. Volunteers, 11th April, 1865. Contributed by the operator. 996. The bones of the left elbow. While flexed a conoidal ball, entering over but not touching the olecranon, f. 65. comminuted the ulnar portion of the trochlea, nearly detached the inner condyle, chipped the coronoid process and escaped over the head of the radius. The condyle is partially reunited by slight deposits of callus, the bony track of the ball is carious and the articular surfaces are destroyed by ulceration. Private R. M., 81st Pennsylvania, 35: Fredericksburg, 13th December; admitted hospital, Point Lookout, Md., 16th December, 1862; amputated in the middle third by Acting Assistant Surgeon John Stearns, January, 1863. Contributed by Assistant Surgeon C. Wagner, U. S. Army. 350. The lower half of the left humerus, after amputation for fracture of the joint. The outer condyle has been carried f. 66. away and a large fragment of the shaft split off and afterward partially reunited. Private A. H. S., "D," 3d Maine: Bull Run, 21st July; admitted hospital, Washington, 22d; erysipelas occurred, 23d July; amputated, about 20th August; discharged healed, 21st September, 1861. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See class XXIII. A. a. 2566. The lower half of the left humerus, amputated for comminution of the lowest third with a fracture extending f. 67. through the trochlea. The borders of the fracture are necrosed, and on the posterior surface of the shaft there has been some periosteal deposit. Private A. D., "E," 8th New York Heavy Artillery: Cold Harbor, 3d June; amputated, Washington, 20th; died, 23d June, 1864. Contributed by Surgeon N. R. Mosely, U. S. Vols. 653. The lower half of the left humerus, amputated. The bone is comminuted through the coronoid and olecranon f. 68. fossae, the internal condyle and ulnar portion of the trochlea are detached, and an oblique fissure runs two inches up the anterior border of the shaft. The articular surface is carious. Private P. McC, 140th Pennsylvania, 26: Fredericksburg, 13th December; admitted hospital, Print Lookout, 16th December, 1862; amputated by Assistant Surgeon C. Wagner, U. S. Army, 1st January, 1863. Recovered. Contributed by the operator. See 931, VIII. A. B. d. 35. 2027. The olecranon and the lower extremity of the left humerus, amputated just above the epiphysis for extensive f. 69. disorganization of the soft parts following fracture of the inner condyle. Private W. H., Rappahannock Station, 7th November; admitted hospital, Washington, 9th; amputated by Surgeon R. B. Bontecou, U. S. Vols., 23d November, 1864. Recovered. Contributed by the operator. 2325. The lower extremity of the left humerus and parts of the bones of the forearm. Primary excision of the upper f. 70. fourths of the radius and ulna had been performed, and the extremity of the ulna is superficially necrosed. The extremity of the humerus is eroded. Captain J. G. C, "E," 86th New York: Wilderness, 6th May; excised, 7th; admitted hospital, Washington, 16th; amputated in the middle third by Assistant Surgeon J. C. McKee, U. S. Army, 22d May; discharged the service, 19th September, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See class VII. A. a. c. 907. The lower half of the right humerus, apparently amputated for fracture and involvement of the joint. The f. 71. missile has impinged against the anterior surface just above the condyles, causing an oblique fracture of the shaft, a transversely oblique fracture through the coronoid fossa and outer condyle, and a vertical fracture through the trochlea. The articular surface is carious, the borders of the fracture are necrosed and slight osseous deposits have occurred in the shaft. Contributed by Acting Assistant Surgeon A. E. Keyes. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. \C,[) 3248. The lower portion of the righthumerus with the upper portions of the bones of the forearm. There has been a fracture f. 72. of the tip of the olecranon, a fissure through the coronoid process, and, probably, a fracture of the condyles, for which the lower extremity of the humerus has been excised.- The specimen shows partial erosion of the heads o the radius and the ulna. The humerus was amputated in the middle third, having been superficially necrosed to that point. Private H. P., " A," 14th Connecticut, 36: admitted hospital, Washington, 17th August; amputated by Acting Assistant Surgeon W. H. Ensign; died exhausted, 24th October, 1864. Contributed by Acting Assistant Surgeon W. H. Cral. See class VII. A. A. c. 1663. The lower half of the right humerus, probably amputated. A bullet, apparently round, has lodged in the shaft f. 73. just above the coronoid fossa, producing an oblique fracture of the inner border for four inches. Partial fractures extend into the joint, necrosed fragments border the lines of fracture and scales of lead have been left by the embedded ball. A thin layer of osseous deposit coats the shaft. Contributed from Fort Schuyler, N. Y. H., by Assistant Surgeon Roberts Bartholow, U. S. Army. 192. The upper portion of the left ulna, from the olecranon process of which several fragments have been removed. f. 74. The articular surface is somewhat eroded, and amputation was subsequently performed in the middle third of the arm. Private D. U., "M," 4th Pennsylvania Cavalry, 35: Dinwiddie C. H., Va., 31st March ; admitted hospital, Washington, 4th April; fragments removed, 14th ; arm amputated by Acting Assistant Surgeon H. Craft, 24th April; transferred to another hospital, 18th July, 1865. Contributed by Assistant Surgeon H. Allen, U. S. Army. 1412. The lower half of the right humerus, apparently amputated for a nearly transverse fracture through both condyles. f. 75. Received from Second Corps from Surgeon Wood. 1664. The bones of the right elbow, from which the olecranon and the lowest two inches of the humerus have been f. 76. excised, subsequently amputated in the middle third of tho arm. The boues of the forearm are anchylosed, and tho extremity of the humerus presents an irregular deposit of callus. Private W. L., "C," 20th Massachusetts: Fredericksburg, 13th December, 1862. The joint was excised, and amputation of the arm was performed afterward. Recovered. Contributed by Assistant Surgeon Roberts Bartholow, U. S. Army. See class VII. A. A. c. 222. The bones of the right elbow, after amputation in the middle third of the humerus. The coronoid process of tho f. 77. ulna and the inner condyle are shattered, and an oblique fracture extends through the extremity of tho shaft. PrivateG.A. W., "I," 5th Michigan: Williamsburg, 5th May; admitted hospital, Philadelphia, 19th; amputated by Surgeon John Neill, U. S. Vols., 21st May; died from pyaemia, 24th June, 1862. Contributed by Acting Assistant Surgeon E. Livezey. 820. The lower half of the right humerus, comminuted just above the condyles and amputated two weeks after injury. f. 78. The fracture extends into the joint, passing directly through the trochlea, the articular surface of which is eroded. Private J. H. P., "A," 29th Massachusetts: Antietam, 17th September; admitted hospital, Frederick, 22d September; amputated by Acting Assistant Surgeon W. S. Adams, 3d October; attacked with hospital gangrene, 6th November, 1862. Recovered. Contributed by the operator. See class XXIII. A. B. 168. The left humerus, amputated in the middle third after shattering of the articular extremity. f. 79. Private W. F. A., Knapp's Pennsylvania Battery: Antietam, 17th September; admitted hospital, Washington, 22d ; amputated, 26th September, 1862. Recovered. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. 165. The bones of the right elbow, after amputation in the middle third for shattering of the upper two inches of the ulna f. 80. and the inner condyle. Private W. R. R., "H," 20th New York State Militia: Second Bull Run, 30th August; admitted hospital, Washington, 1st September; amputated, 10th; died from pyaemia, 28th September, 1862. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. •)■> 170 CATALOGUE OF THE SURGICAL SECTION VII. 1179. The lower half of the right humerus, comminuted above the condyles involving the joint. The shaft is destroyed f. 81. for three inches and the articular surface carious. Private P. F., " K," 23d New Jersey, 18: Second Fredericksburg, 3d May; admitted hospital, Washington, 8th; amputated by Assistant Surgeon C. A. McCall, U. S. Army, 16th May; transferred North, 9th June, 1863. Contributed by the operator. 269. The bones of the right elbow, as if amputated in the middle third. The inner half of the extremity of the shaft f. 82. has been torn off and all the articular surfaces are carious. Contributed by Acting Assistant Surgeon Edward Hartshorne. 29. The upper portions of the bones of the right forearm and the humerus, amputated at the middle for a fracture from f. 83. a conoidal ball which destroyed the trochlea and outer condyle, split off the inner condyle and shattered the head of the radius. The coronoid process of the ulna was also broken off. A few displaced fragments of the head of the radius are retained by the slightest osseous deposits. The ulna articular surface is much eroded. Corporal J. H., "K," 1st Michigan: Malvern Hill, 1st July; admitted hospital, Washington, 4th; amputated by Acting Assistant Surgeon D. II. Rankin, 20th July, 1862. Recovered from the operation. Contributed by the operator. 225. The bones of the right forearm and a portion of the humerus. The joint was shattered and primary excision, f. 84. removing the upper third of the ulna and the lowest fourth of the humerus, was performed. The ulna is necrosed nearly to its middle, with a small sequestrum yet attached ; the head of the radius is carious; the humerus is diseased nearly to its centre, where it was amputated. About midway of the specimen is a moderate deposit of callus. Private J. A. S., " A," 3d New Jersey: Gaines' Mill, 27th June ; excised by Dr. John Swinburne, Savage's Station, the same day; captured; admitted hospital, Philadelphia, 31st July; amputated, 22d September, 1862. Recovered. Contributed by Acting Assistant Surgeon E. Livezey. See class VII. A. A. c. 2893. The lower half of the right humerus and the upper portions of the bones of the forearm. The external condyle was f. 85. carried away and the humerus obliquely fractured in its lowest third by a conoidal ball. The head of the radius, which may have been touched by the bullet, is partly absorbed, and the articular surface of the olecranon is carious. The humeral extremity is spongy and partly absorbed. A slender sequestrum, nearly detached, occupies the shaft on the posterior surface, and fringes of fragile callus border the fracture. Private H. B., "K," 91st Pennsylvania, 18: Petersburg, 19th June; admitted hospital, Washington, 24th June; amputated by Surgeon N. R. Mosely, U. S. Vols., 21st July, 1864. Contributed by Acting Assistant Surgeon H. G. Bates. 331. The lower half of the left humerus and the bones of the forearm. A bullet has passed directly through the f. 86. olecranon, splitting it and the shaft for three inches below the coronoid process. A fragment of the olecranon has become attached to the inner condyle. The greater part of the humeral articular surface and the head of the radius are carious. Very trivial osseous deposits exist about the fracture. Private C. V, "H," 16th Michigan: Second Bull Run, 30th August; admitted hospital, Washington, 1st September; amputated, 21st October, 1862. Recovered. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. 1205. Tho lower half of the right„humerus and upper portions of the bones of the forearm, after amputation. A ball f. 87. entered the olecranon fossa, destroying the trochlea and tearing up the coronoid process and anterior portion of the olecranon. The remainder of the articular surface, not involved in the comminution, is carious. Private J. O., "B," 55th Ohio, 17: Chancellorsville, 2d May; admitted hospital, Alexandria, 25th May; amputated the same day ; discharged the service, 27th August, 1863. Contributed by Surgeon Charles Page, U. S. Army. 3354. The bones of the right elbow, after amputation in the middle third of the humerus. The upper three inches of f. 88. the radius, except the head, are carried away and the articulation is somewhat eroded. Private G. S., "E," 23d Kentucky: Dallas, Ga., 27th May ; admitted hospital, Nashville, 10th June; amputated by Surgeon S. E. Fuller, U. S. Vols., 15th June, 1864. Recovered. Contributed by the operator. 2264. The upper half of the radius, shattered below the head by a bullet which opened the joint. The missile, some- f. 89. what battered, is mounted with the specimen. Private F. H., "K,"5th New York Cavalry, 29: Wilderness, 9th May; admitted hospital, Washington, llth May; amputated at the junction of the upper thirds of the humerus by Surgeon D. W. Bli?s, U. S. Vols.; discharged the service, 7th November, 1864. Contributed by the operator. See clas* XXVII. B. B. d. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM 171 36lO. The bones of the right elbow, after fracture of the outer condyle by a bullet which entered the forearm three f. 90. inches below the joint. The extremity of the humerus is carious. The articular surfaces of the bones of tho forearm are carious and partly absorbed. A very slight osseous deposit exists on the posterior surface. Private J. N. P., "I," 27th Massachusetts, 22: Wilderness, 5th May; admitted hospital, Philadelphia, 18th May ; amputated at the junction of the upper thirds of the humerus, 12th July; died with pyaemic symptoms, 24th July, 1864. Contributed by Acting Assistant Surgeon J. H. Jamar. 2889. The bones of the right elbow, amputated at the junction of the upper thirds after excision for gunshot. The f. 91. articular extremities are carious for several inches Private S. W., "K," 45th Pennsylvania, 46: Wilderness, 6th May; admitted hospital, Washington, 16th; three inches of the ulna and the extremity of the humerus excised by Surgeon A. F. Sheldon, U. S. Vols., 24th May ; amputated for gangrene, 25th July, 1864; transferred to Philadelphia, 6th April, 1865. Contributed by the operator. See class VII. A. B. d. 2868. The lower thirds of the left humerus, amputated after complete shattering by a conoidal ball of the lowest f. 92. third with involvement of the joint on the articular surface. Private L. F., " B," 7th New Hampshire: Olustee, Fla., February; admitted hospital, Hilton Head, S. C, 25th February; amputated, 7th March; discharged the service, 27th June, 1864. Contributed by Assistant Surgeon J. E. Semple, U. S. Army. See class XXVII. B. B. d. 2784. The bones of the right elbow, after amputation at the junction of the upper thirds three weeks after injury. A f. 93. complete fracture separates the olecranon without displacement. A longitudinal fracture extends three inches down the inner border of the ulna; fragments to the extent of a square inch are wanting ou the outer portion, and the intervening bone on the posterior surface is necrosed. A large portion of the shaft has been removed from the specimen. Private M.A. R., " F," 2d Pennsylvania Reserves: Gettysburg, 2d July; admitted hospital, Philadelphia, llth; amputated high up, on account of sloughing of the soft parts, by Acting Assistant Surgeon J. A. Buchanan, 5th August; died from pyaemia, 19th August, 1863. Contributed by the operator. 3209. The upper extremity of the bones of the right forearm and the lower two-thirds of the humerus. The radius and f. 94. ulna do not appear to have been directly injured, but are carious and partly absorbed and have united at their adjoining borders. An excision of the lower extremity of the humerus has been made. A loose sequestrum of six inches lies within a partial involucrum of spongy bone, the osseous deposit extending nearly to the point of amputation. Private S. J. C.,"D,"32d Massachusetts, 35: Spottsylvania, 12th May; excised in the field, 13th; admitted hospital, Washington, 18th May; amputated, 8th September, 1864; discharged, 5th January, ls65. Contributed by Assistant Surgeon Philip C. Davis, U. S. Army. See class VII. A. a. c. 16. The lower two-thirds of the right humerus, amputated after comminution of the lowest fourth involving the f. 95. joint. An oblique fracture has broken off the ulnar portion of the trochlea. The borders of the fracture are necrosed and present lines of demarcation. Private G. A. C, 63d Pennsylvania: Fair Oaks, 31st May; amputated, Washington, 28th June; died from pyaemia, 4th July, 1862. Contributed by Acting Assistant Surgeon D. W. Cheever. 807. The upper portions of the bones of the right forearm and the greater portion of the shaft of the humerus, amputated f. 96. in the upper third after excision of the elbow for fracture by a conoidal ball. The extremities of the radius and ulna are carious, and no attempt at reparation has been made. The humerus is necrosed to the line of section. Private P. D., "D,"69th New York: Antietam, 17th September; excised, Frederick, 2d October; amputated by Surgeon H. S. Hewit, U. S. Vols., 4th December, 1862. Recovered. Contributed by the operator. See 458, VII. A. B. d. 42. 3612. The bones of the left elbow, after amputation in the upper third. The lowest third of the humerus was shattered f. 97. by a round bullet, the line of solution extending below the posterior and anterior ligaments. The articular surfaces are disorganized by ulceration. Private J. A., "M," 1st U. S. Artillery: near Drury's Bluff, Va., 16th May; admitted hospital, Philadelphia, 20th May ; amputated by Acting Assistant Surgeon W. P. Moon, 22d June, 1664. Recovered. Contributed by Acting Assistant Surgeon Alfred S. Gibbs. 172 CATALOGUE OF THE SURGICAL SECTION VII. 197. The greater portion of the right humerus, apparently amputated in the upper third. The shaft is shattered above f. 98. the condyles and tho outer condyle is fractured. Contributed by Surgeon D. W. Bliss, U. S. Vols. 2767. The bones of the right elbow. A bullet entered the forearm and passed out through the joint, carrying away f. 99. the trochlea and extremity of the shaft and leaving the condyles. The humerus is obliquely fractured two and a half inches above the articulation. The fractured extremities of the humerus and the articular surfaces of the radius and ulna are necrosed. The bicipital tuberosity of the radius has received a slight coating of callus. Private T. F. F., "I," 81st Pennsylvania, 23: Gettysburg, 2d July; admitted hospital, Philadelphia, 8th July; ampu- tated in the upper third by Acting Assistant Surgeon John McClellan, 2d August; died from typhoid fever, 13th August, IS63. Contributed by Acting Assistant Surgeon M. Keyser Know. 1171. The bones of the right arm and forearm, amputated in the upper third of the humerus. The external condyle f. 100. and the head of the radius are fractured, and the articular extremities are carious. Private H. S., "C," 105th Pennsylvania: Chancellorsville, 3d May; admitted hospital, 9th; amputated, 27th May, 1863. Contributed by Surgeon T. Antisell, U. S. Vols. 318. The bones of the right elbow. A conoidal ball, passing laterally, shattered the neck of the radius and trans- f. 101. versely fractured the head; it then lodged against the ulna below the coronoid process, shattering the upper third. Captain D. C, "G," 22d New York: Second Bull Run, 30th August; admitted hospital, Alexandria, 31st August; amputated in the upper third for secondary haemorrhage by Assistant Surgeon J. Bernard Brinton, U. S. Army, 13th September, 1862. Recovered. Contributed by the operator. 1592. The upper portions of the bones of the right forearm and the lower two-thirds of the humerus, after amputation f. 102. for comminution of the extremity of the shaft by shell. Two complete fractures pass through the trochlea. Captain J. E. L., "A," 5th Texas (Rebel): Gettysburg, 2d July; amputated by Assistant Surgeon E. de W. Breneman, U. S. Army, 6th July; died, Baltimore, 22d August, 1863. Contributed by the operator. 368. The bones of the left elbow, after amputation for involvement of the joint by erysipelas subsequent to amputation f. 103. in the upper third of the forearm. On the posterior surfaces of the radius and ulna moderate deposits of callus have occurred. The joint surfaces are carious and the olecranon is nearly destroyed by absorption. Private H. L, 2d Wisconsin: Second Bull Run, 28th August; forearm amputated in upper third, 30th August; admitted hospital, Washington, 1st September; amputated in the upper third of the humerus by Acting Assistant Surgeon H. A. Buck, 10th November, 1862. Healed by the first intention. Contributed by the operator. See clas>es VIII. A. a. d.; VIII. A. B. f. 1927. The bones of the rierht elbow, after amputation in the upper third. The head of the radius and outer condyle £ 104. were partially fractured. The periosteum was wanting for several inches on all the bones. Private J. D. H., "K," 33d Massachusetts, 27: Lookout Mountain, 30th October; admitted hospital, Nashville, 10th November; amputated, 13th; died from pyaemia, 26th November, 1863. Contributed by Assistant Surgeon D. McDill, 84th Illinois. 3323. The bones of the right elbow, amputated in the upper third of the humerus after fracture. The inner half of the f. 105. lower extremity of the humerus is carried away and the coronoid process fractured. Private J. H. R., "H," 1st Maine Cavalry, 34: Charles City C. H., Va., 24th June; amputated by Assistant Surgeon T. Artaud, U. S. Vols., Alexandria, 15th July; died from pyaemia, 29th July, 1864. Contributed by Acting Assistant Surgeon S. D. Twininov 4123. The lower half of the right humerus, with a fragment of conoidal ball lodged in the articulation. The bone is f. 106. comminuted for six inches above the joint. Private H. W., "H," 1st Massachusetts Heavy Artillery: probably Winchester, 19th September; amputated iu the upper third by Surgeon Orpheus Evarts, 20th Indiana, 2d October, 1864. Contributed by the operator. See class XXVII. B. B. d. 401. The bones of the right elbow, after amputation near the shoulder joint. The outer half of the head and neck £ 107. of the radius was carried away, the external condyle was chipped and the soft parts much lacerated by a fr: gment of shell. Contributed by Acting Assistant Surgeon A. A. Hines. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 173 2208. The bones of the right forearm and the lower half of the humerus, amputated after excision of the elbow. The f. 108. radius was obliquely fractured in the upper third of the shaft, and has partially united with some displacement. Another oblique fracture just below the head has also united. The line of excision cut off the head of the radius and the coronoid process of the ulna. The lower third of the humerus was excised, and the extremity of the shaft is necrosed. Private J. R. R., "F," 65th Ohio: Chickamauga, 19th September; admitted hospital, Nashville, llth November; excised, 13th; amputated three inches below the shoulder, 26th November, 1863. Recovered. Contributed by Acting Assistant Surgeon W. H. Matlack. See class VII. A. B. d. 2076. The upper halves of the bones of the left forearm and lower portion of the humerus, amputated at tho surgical £ 109. neck six weeks after injury. The ulna was shattered an inch below the coronoid process and an abscess involved the joint. All the articular surfaces are necrosed and partly absorbed. The upper part of the humerus was cut away for the convenience of shipment to the museum. Private S. R., "I," 58th Indiana: Chickamauga, 19th September; admitted hospital, suffering with chronic diarrhoea and with the arm erysipelatous, Tullahoma, Tenn., 25th September: amputated, 3d November, 1663. Recovered. Contributed by Surgeon Benjamin Woodward, 22d Illinois. See class XXIII. A. A. 969. The lower half of the right humerus and upper portions of the bones of the forearm. A conoidal ball struck f. 110. between the olecranon and outer condyle and was extracted midway between the elbow and shoulder three months afterward. The head of radius has nearly disappeared under absorption following fracture. The ulnar processes are not distinguishable, but several splinters are irregularly attached by callus to the extremity of that bono. The lower extremity of the humerus was comminuted, fragments covered with foliaceous callus are partially attached in irregular posi- tions, and the extremity of the main body of the shaft is carious. Private H. W., 27th Ohio: Corinth, Miss.,4th October; admitted hospital, Jackson, Tenn., 13th December, 1662; attacked with erysipelas, 29th January ; upon the subsidence of which, amputation at the surgical neck was performed, 6th February; died, I7th February, 1863. Contributed by Assistant Surgeon Joseph P. Wright, U. S. Army. See class XXIII. A. A. 773. The lowest third of tho right humerus and upper portions of the bones of the forearm. Tho outer condyle has f. 111. been shot away. Private M. S., "K," 26th New York: Antietam, 17th September ; admitted hospital, Frederick, 19th; amputated at the shoulder joint, for sphacelas following erysipelas, by Assistant Surgeon R. F. Weir, U. S. Army, 3d October; died, 12th October, 1862. Contributed by the operator. See classes V. A. B. d.; XXIII. A. A. 205. The right forearm and lower half of the humerus. The head of the radius has been carried away and an oblique f. 112. fracture extends for two inches down the shaft. The articular surface is destroyed by ulceration, and amputation of the humerus in its middle third has probably been made. The specimen also exhibits an old consolidated simple fracture of the radius. Contributed by Surgeon D. W. Bliss, U. S. Vols, See class VIII. B. B. b. 322. The lowest third of the right humerus, amputated for oblique fracture near the inner condyle with loss of the £ 113. posterior portion of the trochlea. Private C. W., "F," 20th New York, 30: Second Bull Run, 30th August; admitted hospital, Alexandria, 2d September; amputated by Assistant Surgeon Alfred Delaney, U. S. Vols., 5th September, 1862. Contributed by Surgeon John E. Summers, U S. Army. 3921. The upper third of the right radius, with an oblique fracture of the upper two inches extending through the f. 114. head. The articular surface is carious. Sergeant J. G. E., "D," 1st North Carolina (Rebel): Gettysburg, 1st July; admitted hospital, Frederick, 6th; amputated in the middle third, 20th July, 1663. Recovered. Contributed by Acting Assistant Surgeon G. M. Paullin. 3397. The bones of the right forearm and the lower extremity of the humerus. Two and a half inches from the upper £ 115. and middle thirds of the radius have been primarily excised. The humerus is obliquely fractured with the loss of the inner condyle, and secondary amputation has been performed in the lowest third. The two injuries are independent. Contributor aud history unknown. See class VII. A. a. c. 174 CATALOGUE OF THE SURGICAL SECTION VII. 946. The upper halves of the bones of the left forearm and the lower half of the humerus. The ulnar processes are £ 116. split off by an oblique fracture, and the articulation is eroded. The outer condyle has beeu carried away. A transverse partial fracture exists above the inner condyle, and an oblique fracture in the shaft of the humerus terminates transversely three inches above the articulation. Sergeant G. J., "K," 1st North Carolina: Olustee, Fla., 20th February ; amputated by Acting Assistant Surgeon H. K. Neff, Beaufort, S. C, 4th March, 1864. Contributed by the operator. For other illustrations, see 3039, VII. A. B. d. 37; 942, VII. A. B. d. 48; 3042, VII. A. B. d. 49; 2811, VII. A. B. d. 78; 433, VILA. B. g. 1. g. Other Operations. 433. Nine small fragments, removed from the inner condyle of the left humerus. g. 1. Private C. C, "A," 16th Michigan: admitted hospital, Baltimore, 21st July, 1862. The arm was subsequently amputated and the man recovered. Contributed by Surgeon A. B. Hasson, U. S. Army. See class VII. A. B. f. 1717. The lowest third of the right humerus and bones of the forearm. The external condyle has been fractured and g. 2. removed. The articular surfaces are carious and slight osseous deposits exist upon the shaft. Contributed by Assistant Surgeon H. Allen, U. S. Army. 2787. The bones of the right elbow, seven weeks after fracture of the olecranon and inner condyle. All the adjoining g. 3. osseous tissue is carious and much absorbed. Private A. H., "C," 140th New York: Gettysburg, 2d July; admitted hospital, Philadelphia, 12th; fragments of bone removed, 17th July and 17th August; haemorrhages, 26th July, 2d, 4th, 14th, 16th August; arteries ligated, 2d, 4th August; died, 16th August, 1863. Contributed by Acting Assistant Surgeon W. F. Atlee. See class XVIII. II. A. B. b. 2135. Three and a half inches of each of the bones entering the elbow, with nearly complete anchylosis after fracture g. 4. by gunshot and removal of the olecranon. Callus has been largely effused around the joint and periosteal disturbance involves the entire specimen. Private J. G., 26th Ohio: Chickamauga, 20th September; fragments of olecranon removed at the field hospital; died a few days after fatiguing transfer from Chattanooga to Murfreesboro'. Contributed by Acting Assistant Surgeon Samuel Hart. B. Injuries not caused by Gunshot. ' a. Contusions, partial fractures and dislocations. b. Complete fractures. A. Primary Conditions. J %■ Excisions. J ] d. Disarticulations. e. Amputations in the humerus. t f. Other operations. b. Complete Fractures. •I, \II. C. 1. V. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 175 a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. d. Caries consecutive upon other injury. B. Secondary Conditions. 1 * g™ations. g. Amputations in the humerus. h. Other operations. i. Stumps. k k. Sequestra. b. Complete Fractures. 385. The lower half of the left humerus and upper half of the ulna, completely anchylosed. There has been an impacted b. 1. fracture of the elbow, the inner condyle being displaced forward and inward and resting on the coronoid process, which is also partially fractured and displaced. The olecranon rests in the olecranon fossa and both bones are firmly united in osseous anchylosis with lateral deformity. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. For other illustrations, see 3913, VI. A. B. d. 31. g. Amputations in the Humerus. I 770. The lower half of the right humerus and the bones of the forearm, amputated two months after injury on a railroad. g. 1. The bones of the forearm are fractured near the middle and again at their upper extremities. The greater portions of the shafts are necrosed, having slight and imperfect involucra. The fragments of the lower extremity of the humerus are attached to it in irregular positions by callus. The bones appear to be from a subject about sixteen years old. --------: Railroad accident, Mound City, 111., 18th April; amputated in middle third of humerus by Surgeon H. Wardner, U. S. Vols., 18th June, 1863. Recovered. Contributed by the operator. See class VIII. B. B. d. c. Diseases. 2781. The lower half of the left humerus and the upper halves of the bones of the forearm. The trochlear surface is C. 1. malformed, as if by displacement forward, so as to destroy the coronoid fossa; theheadof the radius is much enlarged and flattened, with an articular surface double the ordinary size; the coronoid process is apparently displaced forward, and the olecranon is wanting, from a subsequent fracture. The only history is: Corporal W. Q., "A," 95th New Y'ork : slightly wounded in the head, Gettysburg, 2d July; admitted hospital, Philadelphia. 9th July; absent from hospital 5th—21st August; under delirium tremens, twice leaped from a window sixteen feet, fracturing his elbow, 21st; died, 23d August, 1663. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See class VII. B. A. b. 2632. Seventeen cartilaginous or osseous formations, spheroidal in shape, irregularly nodulated and varying from a C. 2. diameter of one-half to one and one-fourth inches, taken from the elbow after amputation in the left arm for supposed malignant disease. Private J. McC, " B," 159th New York: admitted hospital, with amputated arm, St Louis, llth June, 1663. Contributed by Surgeon Jacob Bockee, U. S. Vols. See class XXIV. C. B. d. VIII. INJURIES AND DISEASES OF THE BONES OF THE FOREARM, INVOLVING NEITHER JOINT. A, Gunshot Injuries. Ai Primary Conditions. Jj, Secondary Conditions. f a. Contusions and partial fractures. j b. Complete fractures >; 1176 XXI. A. is. b I. 198 CATALOGUE OF THE SURGICAL SECTION IX. XX Secondary Conditions. I! a. Contusions and partial fractures. b. Complete fractures. c. Caries. d. Excisions. e. Disarticulations. f. Amputations in forearm or arm. g. Other operations. h. Stumps. Sequestra. b. Complete Fractures. 1617. A ligamentous preparation of the bones of the right hand, wrist and lower extremity of the forearm. The b. 1. radius and ulna were slightly fractured at their articulation and the entire wrist joint became disorganized. This man also suffered from a severe wound of the leg, and at no time after entering hospital was able to endure an operation. Private J. C. M., "F," 2d New Hampshire, 15: probably Gettysburg, 3d July; admitted hospital, Baltimore, 16th; died, 27th July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 1337. A ligamentous preparation of the left hand and wrist and the lower portion of the radius. A bullet has passed b. 2. transversely through the carpus, fracturing nearly every bone and involving all of them with caries. This man also suffered a fracture of the femur, from which he died. Private J. McL., "B," 5th Wisconsin, 21: Second Fredericksburg, 3d May; admitted hospital, Washington, 8th May ; died 16th June, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XIII. A. B. b. 3846. The bones connected with the right carpus. The third metacarpal bone is fractured by a conoidal ball and partly b. 3. necrosed; all the carpal bones and the extremities of the metacarpals and bones of the forearm are carious. Private B. L., "H," 116th Ohio: Berryville, Va., 3d September; admitted hospital, Frederick, 6th September; died from pyaemia, 2d October, 1664. Contributed by Acting Assistant Surgeon E. R. Ould. 2916. The bones of the right forearm. The lower portion of the radius has been carried away for two inches, and the b. 4. extremity is irregular and carious, with one or two points where necrosed bones are beginning to separate. The extremity of the ulna, which appears to have been contused, is carious. The specimen has been sawn longitudinally, as though to examine for osteo-myelitis in the recent state. Private W. J., "K," 93d New York : admitted hospital, near Alexandria, with gunshot of foot and forearm, 28th May; died, 13th July, 1864. Contributed by Surgeon D. P. Smith, U. S. Vols. 3838. The bones of the right forearm and parts of the carpus and metacarpus. An oblique fracture, which had been b. 5. partly consolidated in life but became disunited in maceration, extends through the lowest thirds of the radius, to the extremity of which the scaphoid bone is anchylosed. The specimen is broken about the junction of the lower thirds, but that injury appears to have occurred post mortem. The original injury was inflicted by a missile passing directly through the wrist. Private H. B. W., "G," 27th Indiana: Antietam, 17th Sepember; admitted hospital, Frederick, 18th September; died from phthisis, 27th December, 1862 Contributed by Acting Assistant Surgeon W. S. Adams. 3770. The lower extremities of the bones of the right forearm, the carpus and the metacarpus. The second metacarpal b. 6. bone is missing; the third metacarpal is fractured at its base, with deposits of callus ; the trapezium, trapezoid, magnum and scaphoid are shattered, and the extremity of the radius is fractured, with a fragment adherent by callus. All the broken surfaces are carious. Received without history from Nashville 543. The lower portious of the bones of the left forearm, the carpus and metacarpus. The ulna is partially fractured in b. 7. the lowest third, and a round ball is embedded in the radius at the carpal articulation as was found after death. Private J. S. A: probably Fredericksburg, 13th December; admitted hospital, Washington, 18th; died from tetanus, 23d December, 1662. Contributed by Surgeon James D. Robison, U. S. Vols. See class XX VI I. B. B. d. A, B, OF THE UNITED STATES ARMY MEDICAL MUSEUM. 13. Recovered. Contributed by the operator. 905. Fragments removed from the left wrist for scrofulous caries. The extremities of the radius and ulna and a part C. 2. of the scaphoid were removed by the bone forceps through the opening of a long-existing abscess. J. W., colored, 44 : the disease is supposed to be the result of a sprain received about twenty months previously ; excised by Brevet Lieutenant Colonel Robert Reyburn, Surgeon, TJ. S. Vols., Washington, 30th January; every prospect of a successful termination, 2Jst February, 1667. Contributed by the operator. X. INJURIES AND DISEASES OF THE BONES OF THE HAND, NOT INVOLVING THE CARPAL ARTICULATIONS. A, Gunshot Injuries. A. Primary Conditions. Jt>. Secondary Conditions. f a. Contusions and partial fractures. b. Complete fractures. i c. Excisions. } d. Disarticulations and amputations in the hand. | e. Amputations in the forearm or arm. I. f. Other operations. a. Contusions and partial fractures. b. Complete fractures. C. Excisions. d. Disarticulations and amputations in the baud. e. Amputations in the forearm or arm. f. Other operations. g. Stumps h. Sequestra. B. Injur by es not caused Gunshot. A. Primary Conditions. JJ. Secondary Conditions. f a. Contusions and partial fractures I b. Complete fractures. [ c. Dislocations. d. Kxcisions. e. Disarticulations aud amputations in the hand. f. Amputations in the forearm or arm. g. Other operations. f a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. d. Excisions. e. Disarticulations and amputations in the hand. f. Amputations in the forearm or arm. g. Other operations. h. Stumps. i. Sequestra. c • Diseases. X. BONES OF THE HAND. A. Gunshot Injuries. A . Primary Conditions. f a. Contusions and partial fractures. j b. Complete fractures. I c. Excisions. | d. Disarticulations and amputations in tbe hand. j e. Amputations in the forearm or arm. I. f. Other operations. d. Disarticulations and Amputations in the Hand. 3744. A portion of the shaft and two small fragments of the metacarpal bone of the forefinger, amputated after shattering d. 1. by a conoidal ball accidentally discharged from the subject's own piece. Private C. S., "A," 118th U. S. Colored Troops: wounded and amputated, Twenty-fifth Corps Field Hospital, Va., 4th February, 1665. Contributed by Surgeon Norton Folsom, 45th U. S. Colored Troops. 3745. Six fragments, representing the last three fingers of the right hand, much shattered and amputated. d. 2. Private R. W. C, " F," 57th Indiana, 34: Franklin, Tenn., 30th November; admitted hospital, Nashville, 1st December; amputated, 2d December, 1804 Recovered. Contributed by Acting Assistant Surgeon H. C. May. 231. Portions of the metacarpal bone of the right middle finger and the .corresponding phalanx, amputated for fracture. d. 3. Corporal I. P. M., "A," 6th U. S. Colored Troops: amputated by Dr. W. B. Smith; died of pyaemia, Ports- mouth, Va., 16th July, 1864. Contributed by the operator. For other illustrations, sec 3617, IX. A. B. f. 38; 3656, IX. A. B. f. 39; 1709, IX. A. b. f. 47; 1115, X. A. B. d. 15; 1708, X. A. B. e. 6; 2450, X. A. B. f. 1. e. Amputations in the Forearm or Arm. 3210. The right carpus and metacarpus. The proximal halves of the second and third metacarpal bones were carried e. 1. away, and the testicles and right thigh wounded at the same time. The soft parts of the wrist and hand weie much lacerated. Recruit T. F., 16th Pennsylvania, 24: wounded and admitted hospital, Washington, 8th September; the arm was ampu- tated in the lowest third and both testicles were removed, 9th September; died exhausted, 16th October, 1864. Contributed by Assistant Surgeon Philip C. Davis, U. S. Army. Sec class XX. A. A. b. Jj. Secondary Conditions. a. Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Disarticulations and amputations in the hand. e. Amputations in the forearm or arm. f. Other operations. g. Stumps. k h. Sequestra. b. Complete Fractures. 220. The first phalanx of the right index finger, partially consolidated after shattering by pistol shot. The bone is b. 1. much shattered, the new tissue spongy, and the internal portion is carious. From a Rebel medical officer who was wounded at Manassas, probably 29th August, l.*62, and died in Richmond, 6th July, 1863. Contributed by Acting Assistant Surgeon F. Schafhirt. For other il titrations, see 2773, IX. A. B. c. 2 21G CATALOGUE OF THE SURGICAL SECTION X. c. Excisions. 438. Twelve small fragments, representing portions of the right metacarpus, excised after fracture by a conoidal ball. c. 1. Sergeant .1. M., "A," 1st Delaware: Antietam, 17th September; admitted hospital, Frederick, 21st September; excised by Surgeon H. S. Hewit, U. S. Vols., 2d October, 1862. Recovered with a useful hand. Contributed by the operator. For other illustrations, see 4072, IX. A. B. f. 34; 2477, IX. A. B. f. 48. d. Disarticulations and Amputations in the Hand. 231 8. A fragment of bone, representing the base of the right ring finger, disarticulated at the metacarpus. d. 1. Private E. C, " D," tilth New York: admitted hospital and amputated by Surgeon N. R. Mosely, U. S. Vols., Washington, 22d May; deserted, 13th July, 1864. Contributed by tbe operator. 2372. The second, and fragments apparently representing portions of the third, phalanges of the left little finger. d. 2. Sergeant W. R., "I," 121st New York, 21: Spottsylvania, 13th May; admitted hospital, Washington, 23d; amputated by Surgeon N.-R. Mosely, U. S. Vols., 24th May; returned to duty, 12th August, 1864. Contributed by the operator. 2389. Four small fragments, representing the last two phalanges of the right little finger, shattered by a conoidal ball. d. 3. Private H. B., "B," 37th Michigan, 19: Wilderness, 6th May; admitted hospital, Washington, 16; amputated by Surgeon N. R. Mosely, U. S. Vols., 19th May; transferred North, 10th June, 1864. Contributed by the operator. 2365. Three fragments of bone, representing a portion of the right index finger, shattered by a couoidal ball and d. 4. amputated. Private C. H. M., " H," 28th Massachusetts, 16: Spottsylvania, 14th May ; admitted hospital, Washington, 17th ; amputated by Surgeon N. R. Mosely, U. S. Vols., 24th May; deserted, on furlough, 13th July, 1864. Contributed by the operator. 2335. The first phalanx of the right ring finger, fractured near the base and amputated. d. 5. Private W. S., "L," 8th New York Heavy Artillery, 22: Spottsylvania, 19th May; admitted hospital, Wash- ington, 22d ; amputated by Surgeon N. R. Mosely, U. S. Vols., 23d May; furloughed, 1st June, 1864. Contributed by the operator. 2336. The first phalanx of the left middle finger and two fragments, as if portions of the metacarpus. d. 6. Private P. T. D., " F," 21st Massachusetts: Spottsylvania, 19th May; admitted hospital, Washington, 22d; amputated by Surgeon N. R. Mosely, U. S. Vols., 23d May; deserted, on furlough, 13th July, 1864. Contributed by the operator. 2352. The second phalanx of the right index finger, partially fractured near its head and amputated, probably by d. 7. disarticulation. Private T. B., "E,"60th Ohio, 21: Spottsylvania, 10th May; admitted hospital, Washington, 13th; amputated by Surgeon N. R. Mosely, U. S. Vols., 23d May; returned to duty, 12th August, 1864. Contributed by the operator. 2703. The first and a part of the second phalanges of a finger. A conoidal ball, compressed at its apex, is attached. d. 8. Received after the Wilderness. See class XXVII. B. B. d. 3167. One bone and three fragments, probably representing the first phalanges of the thumb and index finger of the d. 9. right hand. Private M. S., "H," 52d New York, 43: a conoidal ball fractured the first and second metacarpals, 6th June ; admitted hospital and fractured bone removed, Washington, 22d June, 1864; discharged the service, 6th February, 1865. Contributed by Surgeon N. R. Mosely, U. S. Vols. 2390. The first and part of the second phalanges of the right index finger, disarticulated at the metacarpus for fracture d. 10. by a conoidal ball near the second joint. Private J. H., ' D," 84th Pennsylvania, 18: North Anna, 25th May ; admitted hospital, Washington, 29th May; amputated by Surgeon N. R. Mosely, U. S. Vols., 1st June, 1864; discharged the service, 28th March, 1865. Contributed by the operator. A. JJ. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 217 2316. The ring and middle fingers of the left hand, in six fragments. d. 11. Private C. S., " D," 4th Vermont, 34: Wilderness, 5th May : fingers, with portions of metacarpal attachments, am- putated by Surgeon N. R. Mosely, U. S. Vols., Washington, 21st May ; discharged the service, 16th December, I -64. Contributed by the operator. 1437. A finger, apparently the left index, disarticulated at the metacarpo-phalangeal articulation for a perforating d. 12. fracture at the first phalangeal articulation. Contributor and history unknown. 2515. The second and third fingers of the right hand, amputated in the metacarpus for gunshot fracture in the first d. 13. phalanges. Both fractures are consolidated, but the presence of caries required the amputation. The metacarpo- phalangeal articulations appear anchylosed. Private J. C. F., "H," 8th New York Heavy Artillery, 20: Cold Harbor, 3d June, 1864; admitted hospital, Albany, 7th July, 1865; amputated, 26th September, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 135. A ligamentous preparation of the left carpus and hand. The third and fourth metacarpal bones are shattered near d. 14. the phalangeal articulation, and the shaft of the first phalanx of the ring finger is obliquely fractured. Disarticu- lation at the radio-carpal articulation was probably performed. Private J. H. H., " D," 14th Connecticut: probably Antietam, 17th September; admitted hospital, Washington, 23d; amputated for tetanic symptoms, 28th; died from tetanus, 30th September, 1862. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. Sec class IX. A. n. e. 1115. A wet preparation of the first phalanx and head of the metacarpal bono of the middle finger, amputated for d. 15. disease of the phalanx following disarticulation for gunshot. The specimen shows tho bone denuded of periosteum and roughened. Private G. M., 5th New York: third phalanx shattered and amputated on the field, Fredericksburg, 13th December; amputated by Surgeon S. D. Freeman, U. S. Vols , Baltimore, 27th February, 1.-63. Contributed by tho operator. See class X. A. A. d. 1113. A wet preparation of the index finger and head of the metacarpal bone of the left hand, amputated for anchylosis d. 16. at the second phalangeal articulation, with distortion and inability to withstand pressure. Private W. B. W., "F," 130th Pennsylvania, 22: Fredericksburg, Llth December; admitted hospital, Baltimore, 20th December, 1862; amputated by Surgeon Lavington Quick, U. S. Vols., 4th May; returned to duty, llth May, 1863. Contributed by the operator. 2310. A wet preparation of the middle finger, amputated in the metacarpal bone after shattering of the first phalanx. d. 17. the particles of which are necrosed. Contributed by Surgeon N. R. Mosely, U. S. Vols. 2605. A wet preparation of part of the second finger of the left hand, which was amputated for fracture in the second d. 18. joint and was carious at the time of operation. Private R. H., "C," 13th Pennsylvania Cavalry: wounded, June; amputated with successful result, Philadelphia, 15th July, 1863. Contributed by Acting Assistant Surgeon P. Middleton. For other illustrations, see 3194, VIII. A. B. g. 5; 2089, X. C. 1; 2267, XXII. A. B. c. 4 ; 2610, XXII. A. B. c. 5; 1793, XXII. A. b. c. 6; 503, XXII. A. b. c. 7. e. Amputations ix the Forearm or Arm. 3005. Tho right carpus and metacarpus, with portions of the phalanges. The middle metacarpal bone was accidentally e. 1. fractured by a conoidal ball, and its distal half is missing. Private W. P. "H," 65th Indiana, 28: near Knoxville, Tenu.. 7th March; amputated in the lowest third of tho humerus ou account of gangrene, by Surgeon G. Grant, U. S. Vols., 14th April, 1864. Recovered. Contributed by the operator. See class XXIII. A. b: •is 218 CATALOGUE OF THE SURGICAL SECTION X. 89. A ligamentous preparation of the right hand and wrist, amputated in the lowest third of the forearm for e. 2. comminuted fracture in the third and fourth metacarpals and laceration of the soft parts. Private J. J., 9th New Hampshire: Antietam, 17th September; amputated, Washington, 25th September; furloughed for sixty days, 10th November, 1862. Contributed by Acting Assistant Surgeon P. Middleton. 3620. The left carpus and metacarpus. The distal portions of the third and fourth metacarpals were carried away by e. 3. a conoidal ball, and the extremities, as presented in the specimen, are carious. Corporal B. R., "D," 59th Massachusetts, 35: Petersburg, 17th June; amputated in the lowest third of the forearm by Acting Assistant Surgeon W. P. Moon, Philadelphia, 12th August; discharged the service, 14th December, 1864. Contributed by Surgeon Joseph Hopkinson, U. S. Vols. 2491. The lower halves of the bones of the left forearm, the carpus and the metacarpal bones, except the third. e. 4. Corporal G. W. S., "G," 1st Maryland: third metacarpal fractured, Spottsylvania, 19th May; amputated in the middle third of the forearm by Aeting Assistant Surgeon H. M. Dean, 3d June; discharged the service, 24th September, 1864. Contributed by the operator. 3491. The lower halves of the bones of the right forearm, amputated for gangrene after fracture of the metacarpus. e. 5. The lower extremities are carious, and the ulna is slightly eroded the length of the specimen. Private R. H., "F," 77th Pennsylvania: fourth and fifth metacarpals fractured on picket, 14th July; third finger and metacarpal removed ; admitted hospital, Nashville, 15th July; fourth and fifth metacarpals removed, 5th August; forearm amputated, 10th ; died from pyaemia, 14th August, 1864. Contributed by Acting Assistant Surgeon John E. Link. 1708. The left hand and wrist. The riug and little fingers were carried off by a conoidal ball and amputated at the e. 6. metacarpo-phalangeal articulation on the field. Private J. B., "C," 22d Iowa: Vicksburg, 22d May; admitted hospital, Memphis, 4th June; amputated above the elbow for phlegmonous erysipelas, 29th June, 1863. Recovered. Contributed by Surgeon J. G. Keenon, U. S Vols. See classes X. A. a. d.; XXIII. A. a. 850. A ligamentous preparation of the left hand and wrist, with the shaft of the fifth metacarpal bone shattered, e. 7. apparently amputated in the lowest third of the forearm. Contributed by Surgeon John E. Summers, U. S. Army. 495. A ligamentous preparation of the right hand, wrist and the lower extremities of the bones of the forearm. The e. 8. fourth and fifth metacarpals and the first phalanges of the corresponding fingers are shattered. The middle metacarpal is transversely fractured. Amputation was probably performed in the lowest third of the forearm. Contributed by Assistant Surgeon W. Moss, U. S. Vols. f. Other Operations. 2450. A ligamentous preparation of the left hand, wrist and lowest thirds of the bones of the forearm. The fifth f. 1. metacarpal bone has been amputated in its middle and the fourth finger disarticulated at the metacarpal joint. The last three metacarpal bones are necrosed on their dorsal surfaces. Private P. McN., "A," 2d New York Artillery, 36: shell fracture, Petersburg, 16th June; first operation performed in the field, 19th; admitted hospital, Chester, Penna., 28th June; amputated in the lowest third of the forearm by Acting Assistant Surgeon W. C. Merillat, llth August, 1864. Contributed by Brevet Lieutenant Colonel Thos. H. Bache, Surgeon, U. S. Vols. See class X. A. A. d. r. OF THK UNITED STATES ARMY MEDICAL MUSEUM 219 B. Injuries not caused by Gunshot. JJ. Secondary Conditio a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. d. Excisions. e. Disarticulations and amputations in the hand. f. Amputations in the forearm or arm. g. Other operations. h. Stumps i. Sequestra. See 3616, IX. A. it. f. 41. b. Complete Fractures. e. Disarticulations and Amputations in the Hand 3266. The greater portion of the left index, middle and ring fingers crushed by a naval howitzer. e. 1. Gunner B. P. A., U. S. Ship "Shenandoah": disarticulated, Norfolk, Ya., 13th August, 1664. Contributed by Surgeon Wm. Johnson, jr., and Passed Assistant Surgeon W. K. Schofield, U. S. Navy. For other illustrations, sec 847, XXIII. I>. u. 7. c. Dis 2089. The third metacarpal bone of the left hand, with an osteo-sarcoma three fourths of an inch in diameter at its head. C. 1. Private J. G., Tobin's Tennessee Battery, (Rebel,) 31: first phalanx of left middle finger fractured by a conoidal ball, Yicksburg, 2d May; amputated, 5th July; admitted hospital, Memphis, 4th September, 1663; metacarpal bone and attached tumor removed by Assistant Surgeon J. C. H. Happersett, U. S. Army. Returned to duty, (7 confinement,) 10th January, 1864. Contributed by the operator. See class X. A. B. d. For other illustrations, see 1572, XXIV. A. a. b. 1; 2257. XXIV. A. a. b. 2. XI. INJURIES AND DISEASES OF THE BONES OF THE PELVIS, NOT INVOLVING THE HIP JOINT. A, Gunshot Injuries. A. Primary Conditions i Jj. Secondary Conditions. a. Contusions and partial fractures b. Complete fractures. c. ' iperated upon. a. Contusions and partial fractures. b. Complete fractures. C. ' 'perilled upon d. Secondarily fatal without operation. e. Sequestra. iV. Primary Conditions. B Injuries not caused • by Gunshot. { Jj. Secondary Conditions. <, a. Contusions and partial fractures. b. Complete fractures. c. Operated upon. f a. Contusions and partial fractures. b. Complete fractures. { c. Operated upon. | d. Secondarily fatal without operation. I e. Sequestra. c, Diseases. XI. BONES OF THE PELVIS. A, Gunshot Injuries. A. ( a. Contusions and partial fractures. Primary Conditions. < b. Complete fractures. t c. Operated upon. b. Complete Fractures. 2869. The bones of the pelvis showing a perforation of the right ilium just above the ischiatic notch. Tho missile was b. 1. probably fired at short range. The wound of the outer table is perfectly smooth and appears to have been made by a .54 bullet; the inner table is broken over the space of two inches square There is a fracture of the anterior superior spinous process of the left ilium, but whether occasioned by the escaping bullet or due to exposure after doath is undetermined. From the skeleton of a white person who was murdered in the Sioux Massacre, in Miunesota, in 1862, found ou the prairie four miles from Fort Ridgely, Minn., June, 1864. Contributed by Acting Assistant Surgeon Alfred Muller. For other illustrations, see 3810, III. A. A. b. 11. a. Contusions and partial fractures. Bl b. Complete fractures. . Secondary Conditions. <( c. Operated upon. | d. Secondarily fatal without operation. L e. Sequestra. a. Contusions and Partial Fractures. 3401. The right ischium, showing a partial fracture of the external surface of the body just above the tuberosity. a. 1. The greater trochanter of the right femur was also fractured by the bullet which passed through the gluttui of both sides. Private T. C, "I," 27th Pennsylvania: Mission Ridge, Tenn., 25th November, 1863; died near Chattanooga, 28tb February, 1664. Contributed by Assistant Surgeon John D. Johnson, U. S. Vols. 987. A portion of the left ischium, contused and carious on its inferior posterior surface from the passage of a a. 2. conoidal ball which entered at the sacro-iliac symphysis, passed through the glutfei muscles on the dorsum ilii and was removed from the perineum within an inch of the anus. Private J. B., "F," 131st Pennsylvania, 29: Fredericksburg, 13th December; admitted hospital, Washington, l-th December, 1862. Died from haemorrhage and profuse suppuration. Contributed by Acting Assistant Surgeon W. A. Harvey, 224 CATALOGUE OF THE SURGICAL SECTION XI. 1743. The iliac portion of the left acetabulum and adjacent bone, with a conoidal ball which has contused the internal a. 3. surface of the ilium just below and behind the anterior inferior spinous process. Sergeant W. L., "D," 10th New York Cavalry, 25: Bristoe Station, Va., 14th October; admitted hospital, Alexandria, 15th; died from pyaemia, 21st October, 1863. Contributed by Surgeon Edwin Bentley, U. S. Vols. See class XXVII. B. B. d. 819. A portiou of the right ischium, showing a round ball, which entered the groin near the femoral artery, firmly a. 4. embedded in the tuberosity. A small fragment of bone just above the missile, and against which it appears to have first impinged, is necrosed. The ischium is not completely fractured, but the region of lodgement is much splintered. Private W. L., "E," 23d North Carolina, (Rebel,) 24: South Mountain, 14th September; died while under the influence of chloroform, Frederick, 28th October, 1862. Contributed by Acting Assistant Surgeon Redfern Davies. See class XXVII. B. B. d. 3819. A portion of the right pubes, exhibiting a carious condition of the horizontal ramus after partial fracture by a. 5. gunshot. Private D. L., "F," 23d Ohio: admitted hospital, Frederick, 29th August; died from pyaemia, 20th September, 1864. Contributed by Acting Assistant Surgeon R. W. Mansfield. 1012. The right ischium and pubes. The inner face of the ischium above the tuberosity and below the acetabulum is a. 6. gouged by the passage of a conoidal ball which entered the right groin three inches from the spine of the pubes, passed through the obturator foramen and emerged from the right buttock one and a half inches from the fissure of the nates. The fractured surface is carious ; the outer border has a slight osseous deposit upon it. Private M. L., "K," 18th Wisconsin: Corinth, Miss., 3d October; admitted hospital, St. Louis, 30th November; died from pyaemia, 22d December, 1862. Contributed by Surgeon John T. Hodgen, U. S. Vols. 3751. A portion of the right pubes, showing a deeply grooved fracture of the horizontal ramus from a conoidal bullet a. 7. that entered two inches to the left of the coccyx and emerged two inches above the pubes and to the right of the median line. Faeces and urine escaped from the wound of exit. Sergeant II. B., "K," 5th Minnesota, 21: wounded and admitted hospital, Nashville, 16th December; died, 29th December, 1864. Contributed by Acting Assistant Surgeon H. C. May. See 3752, XX. A. B. a. 18. 1212. The left pubes and ischium. A bullet struck the pubes just externally to the symphysis, at the junction of the a. 8. rami, contusing and slightly grooving the bone, and then, passing across the obturator foramen, partially fractured the body of the ischium on its internal border just below the acetabulum and escaped in the gluteal space. A fissure extends across the lower segment of the acetabulum The fractured bone is somewhat necrosed. Private F. G., "K," 105th Pennsylvania, 28: Chancellorsville, 3d May; admitted hospital, Washington, 9th; died, 21st May, 1863. There was no peritonitis. Contributed by Surgeon O. A. Judson, TJ. S. Vols. See class XII. A. B. a. 882. The left ischium. On the outer surface of the tuberosity, and embracing half its thickness, is a circular portion a. 9. of necrosed bone with a clearly defined line of separation having a diameter of one and three-fourths inches, the evident result of contusion. Possibly the case of Private C. W. M., "B," 14th North Carolina, (Rebel,) 21: bullet entered the cleft of the nates one inch above the anus, grazed the tuber ischii and ploughed through the great trochanter, splitting off the the head and neck of the femur, Antietam, 17th September; admitted hospital, Frederick, 29th September; died, 17th October, 1862. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 934. The left os innominatum and upper portions of the femur. A conoidal ball entered between the anterior spinous a. 10. processes of the ilium and escaped just exteriorly to the lowest third of the sacrum. The exterior surface of the ilium, one inch above the acetabulum, is grooved by the bullet. The walls of its track are thickened by new bone, but interiorly a sinus has perforated the bone nearly three inches and has opened by ulceration the fundus of the acetabulum. Private J. D., "G," 51st New York: Antietam, 17th September; admitted hospital, Frederick, 2d October; convalesced sufiiciently to walk about until after receiving a severe fall, 14th December; died, 24th December, 1862. Contributed by Assistant Surgeon Wm. Notsou, U. S. Army. See class XII. A. B. c. A.B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 22.") b. Complete Fractures. 988. The superior two-thirds of the right ilium. A buckshot has perforated the dorsum about its centre, and another b. 1. lodged in the outer border of the crest near the superior extremity of the insertion of the latissimus dorsi. The borders of the perforating fracture are necrosed, and the bony tissue in which the ball lodged is carious. Private I. N., "A," 155th Pennsylvania, 23: admitted hospital, Washington, 13th December, 1662; died, January, 1663. Contributed by Acting Assistant Surgeon W. A. Harvey. 1656. The posterior portion of the right ilium, the superior three-fourths of the sacrum, the fifth lumbar vertebra and b. 2. a battered conoidal ball. The missile shattered the crest of the right ilium just above the posterior superior spinous process, fractured the spine of the fifth lumbar vertebra and lodged below the crest of the left ilium. Private J. C. M., "G," 116th Pennsylvania, 18: Ream's Station, 25th August; admitted hospital, Washington, 28th August; died, 7th September, 1864. Contributed by Acting Assistant Surgeon H. G. Bates. See classes III. A. B. a.; XXVII. B. B. d. 421. A fragment, about one inch square, carious on its spongy surface, from the ilium. b. 3. Private D. R., " H," 22d Massachusetts : admitted hospital, Baltimore, 21st July; specimen removed, 5th August; discharged the service, 21st October, 1862. Contributed by Surgeon L. Quick, U. S. Vols. 4076. The anterior halves of the ossa innominata. The left pubic bone is fractured just below tho symphysis by a b. 4. bullet which cut the membranous portion of the urethra and escaped from the right nates. The right ischium is fractured, but this injury was probably done in mounting the specimen. Private H. C, "H," 15th New York Heavy Artillery, 29: admitted hospital, Washington, 4th April; died from exhaustion, 14th April, 1865. Contributed by Acting Assistant Surgeon L. M. Osmun. 3408. The superior portion of the left ilium, with its crest fractured for four inches by a conoidal ball which entered at b. 5. its highest point and emerged two inches to the right of the spinal column. The abdominal cavity was not pene- trated by the missile, but suppuration extended to the outer coat of the intestine. Private D. G., "F,"56th Pennsylvania: Petersburg, 27th October; admitted hospital, Alexandria, 2d November; died, 13th November, 1864. Contributed by Surgeon Edwin Bentley, U. S. Vols. 1519. The sacrum and posterior portion of the left ilium. A portion of the ilium in the region of the posterior spines b. 6. has-been carried away by a fragment of shell, and the neighboring bone is necrosed. Contributed by Surgeon John A. Lidell, U. S. Vols. 431. A fragment, three-fourths of an inch square, from the ilium. The laminated surface appears partially fractured, b. 7. as if by a nearly spent ball. Private J. A. A., "G,'' 61st New York: admitted hospital, Baltimore, 3d July; specimen removed, 12th August; discharged the service, 16th September, 1862. Contributed by Surgeon L. Quick, U. S. Vols. 3532. The sacrum and right ilium. The spongy portion of the ilium near the sacral junction is fractured over a space b. 8. one and a half inches square, and the sacrum is fractured at the second intervertebral notch, as though by the impact of a ball. Sergeant W. S., "I," 109th New York, 24: Wilderness, 5th May; treated at Fredericksburg; admitted hospital, Wash- ington, 26th; died of pyaemia, 27th May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4258. A wedge-shaped portion of the sacrum, showing a fracture into the vertebral canal at the second sacral vertebra. b. 9. The first and second spinous processes have been broken away. Private W. M. R., "F,"5Sth Virginia, (Rebel,) 22: Winchester, 20th July; admitted hospital, Cumberland, 23d July; died from tetanus, 8th August, 1864. Contributed by Surgeon J. B. Lewis, U. S. Vols. 3001. A sacrum, perforated by a missile passing obliquely from the left which entered near the median line at the b. 10. junction of the second and third vertebrae and escaped into the pelvis through the right portion of the second vertebra. The sacrum was completely transversely fractured at that point. Private P. McC, " H," 1st Louisiana Cavalry: Carrion Crow Bayou, La., 3d November; admitted hospital, New Orleans, 6th ; died, 22d November, 1663. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. 29 226 CATALOGUE OF THE SURGICAL SECTION XI. 3900. The anterior half of the right innominatum, comminuted at the anterior superior process of the ilium, where a b. 11. wedge-shaped fracture, two inches in depth by the same base, with loss of substance, has been caused by a conoidal ball. The fractured edges are torn and carious. On both surfaces is a layer of periosteal deposit nearly separated. The bone immediately adjacent to the fracture is necrosed and partly detached. Private F. I. I., "E," 31st Georgia, (Rebel,) 16: Monocaey, 9th July; admitted hospital, Frederick, 10th July; died from peritonitis, 10th September, 1864. Contributed by Acting Assistant Surgeon T. E. Mitchell. 1060. The right ischium, badly fractured between the acetabulum and the tuberosity by a bullet which passed through b. 12. the penis and the right testicle and escaped on the right side near the sacrum. The shattered bone is carious, and is much diminished by the absorption and loss of fragments. Private J. L. V. O., "K," 14th Connecticut, 37: Fredericksburg, 13th December; admitted hospital, Washington, 26th December, 1662; died from pleurisy, 10th April, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 985. The posterior superior half of the left ilium, perforated by a conoidal ball just above the sacral articulation. b. 13. The external fracture embraces nearly two square inches of surface, and the internal fracture nearly four square inches. One square inch of bone is missing, and the fractured portion of the inner table is bent inward. The border of the fracture is necrosed. Private R. H. R., "H," 24th New Jersey: Fredericksburg, 13th December; admitted hospital, Washington, 17th; ball extracted, 20th; died, 28th December, 1862. Contributed by Acting Assistant Surgeon W. A. Harvey. 3531. The left ilium, obliquely perforated by a conoidal ball through the posterior superior spinous process. b. 14. Private B. M. P., "I," 121st Ohio, 21 : Wilderness, 6th May; admitted .hospital, Washington, 26th; died from pyaemia, 28th May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 2542. The sacrum, transversely perforated from left to right at the second intervertebral notch by a ball which, battered, b. 15. is mounted at the place of lodgement. The fracture to the sacrum is extensive. There was paralysis of the bladder and rectum, but none of the lower extremities. Private P. K., "G," 91st New York: Southside R. R., 1st April; died, Washington, 8th April, 1865. Contributed by Assistant Surgeon Wm. F. Norris, U. S. Army. See class XXVII. B. B. d. 3826. The sacrum and left os innominatum. A conoidal ball entered just above the anterior superior spinous process, b. 16. passed downward, backward and inward, struck the superior border of the great ischiatic notch aud fractured the ilium, and passed out through the left side of the fourth and fifth bones of the sacrum. Nearly two square inches of the inner surface of the ilium, just anterior to the sacral articulation, is wanting, a longitudinal fracture extends three inches toward the crest of the ilium, and a fissure two inches toward the anterior superior spine. Private A W. P., "F," 3d Vermont, 21: Boonsboro', Md., 10th July; admitted hospital, Frederick, 12th; died from pyaemia, 22d July, 1863. Contributed by Acting Assistant Surgeon W. S. Adams. 1171. A ligamentous preparation of the bones of the pelvis and a conoidal ball. The missile entered from the front, b. 17. striking the descending ramus of the right pubes just below the symphysis, contusing the corresponding bone on the left side, passing over the membranous portion of the urethra, striking against and knocking off a fragment of the spine of the ischium, impinging on the sacrum at the insertion of the coccygeus and finally lodged in the glutaeus maximus. Private D. D., "D," 14th Connecticut, 22: Hatcher's Run, 25th March; admitted hospital, Washington, 30th March; died from pyaemia, 25th April, 1665. Contributed by Surgeon Benjamin Wilson, U. S. Vols. See class XXVII. B. B. d. 1245. The sacrum and adjoining portion of the right ilium. A conoidal ball from the rear perforated the third sacral b. 18. vertebra at its junction with the ilium, making a circular opening rather more than an inch in diameter, whose edges internally attain a twofold circumference. The ball, which is attached, was found after dea^h embedded in clothing just within the pelvis, none of the viscera of which were injured. The case is remarkable for the absence of peritonitis and paralysis. Private P. C, "E,"73d Pennsylvania: Chancellorsville, 3d May; admitted hospital, Washington, 7th; died exhausted, 22J May. 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. Set classes XXVIS. B. B. d.; XXVII. B;. B. A. IJ. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 227 3568. The sacrum, perforated a little to the right of the median line at the junction of the fourth and fifth vertebnr. b. 19. The internal wound is the larger. The missile, a conoidal ball, was found in two pieces in the sacro-ischiatic notch. Private G. F., "A," Purnell Legion, Maryland Volunteers, 23: wounded, 2d June; admitted hospital, Wash- ington, and died from pyaemia, 12th June, 1664. Contributed by Assistant Surgeon W. Thomson, U. S Army. 1353. The sacrum and posterior portion of the left ilium. The ilium has been grooved on its posterior surface between b. 20. its two spines, by a bullet which appears to have entered the pelvis through the second intervertebral foramen of the sacrum. Contributor and history unknown. 172. The right os innominatum. A conoidal ball has struck the crest of the ilium just above the anterior superior b. 21. spinous process and passed down the bone in its own plane, tearing a channel three inches in length by one in width, and firmly impacting itself just above and internal to the acetabulum, into which a fissure extends. The borders of the fracture are necrosed, and, on the inner surface, fringed with callus. Contributor and^history unknown. See class XXVII. B. B. d. 3975. A wet preparation of the anterior portion of the pubes and the genito-urinary apparatus. A round bullet entered b. 22. at the tuberosity of the right ischium aud splintered its lower surface, the descending ramus of tho left pubes was shattered, the bladder was opened and the ball escaped just above the root of the penis. The bony track of the ball is necrosed, and fragments of bone are impacted in the urethra near the neck of the bladder. I'rivate F. P., "K," 6th Georgia, (Rebel,) 23: Antietam, 17th September; admitted hospital, Frederick, 4th October, 1662; died, 29th January, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See class XX. A. B. a. 3813. Tho left os innominatum and sacrum. The posterior superior third of the ilium was fractured by a fragment of b. 23. shell. One line of fracture extends from the posterior inferior spinous process to the crest two inches behind the anterior superior spinous process. The fragment thus broken off is bisected by a fracture! running at right angles, and of the posterior fragment the inferior half is missiug. The missile was shell. Corporal N. M., "C." 22d Pennsylvania Cavalry, 21 : Martinsburg, 3d July ; admitted hospital, Frederick, 5th; died aftor secondary haemorrhage, 23d July, 1>'64. Contributed by Acting Assistant Surgeon J. C. Shinier, 230. Nearly the right half of the sacrum, much shattered in the second and adjoining bones, as if by a bullet which b. 24. entered from the rear. Contributed by Surgeon Charles Page, U. S. Army. 1642. The sacrum, fractured, with loss of substance, at the junction of the fourth and fifth vertebrae, by the transverse b. 25. passage of abullet which entered just above and behind the left greater trochanter. The fractured bones are carious, and the inner face of the sacrum has a slight osseous deposit. Corporal A. E. C, "H," 110th Pennsylvania, 18: Chancellorsville, 3d May; in the hauds of the enemy and neglected nine days; admitted hospital, Washington, 14th June; died exhausted, without peritonitis, 9th July, 1863. Contributed by Acting Assistant Surgeon Carlos Carvallo. 2902. The sacrum and fifth lumbar vertebra. A conoidal ball, which entered at the second intervertebral foramen on b. 26. the left side of the sacrum, is lodged in that bone, which is much fractured on both faces. Private G. A. L., "I," 1st Pennsylvania Reserves, 23: Wilderness, 8th May; admitted hospital, Washington, 14th; died, 15th May, 1864. Contributed by Acting Assistant Surgeon U. Sweet. See class XXVII. B. B. d. 1246. A wet preparation of a portion of the right ilium, much shattered directly behind the acetabulum by a conoidal b. 27. ball which entered the pelvis at the sacro-iliac symphysis. Private S. W., "A," 23d New Jersey: Chancellorsville, 3d May; admitted hospital, Washington, 8th; died after secondary haemorrhage, 24th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XXVII. B. B. d. 3212. The superior half of the left ilium. A conoidal ball from the front has struck the anterior superior spinous process b. 28. and passed backward nearly three inches in the long diameter of the bone, breaking it up with much comminution. The fragments are irregularly attached by callus, but the track of the ball is carious. The inner face of tho ilium shows slight osseous deposits beyond the line of fracture. Private M. S., " H," 116th Pennsylvania, 30: Cold Harbor, 3d June; admitted hospital, Washington, 12th June; died from pyivmia, 6th September, 1864. Contributed by Acting Assistant Surgeon E. Neal. See class XXVII. B. B. d. 228 CATALOGUE OF THE SURGICAL SECTION XL 4130. The sacrum and left os innominatum. A fragment of shell nearly one and a half by two inches has perforated b. 29. the ilium near its centre and caused a complete fracture through the bone from the level of the base of the sacrum. Private J. L. E.. "A," Cobb's Legion, Georgia, (Rebel,) 35: Sailor's Creek.Va., 6th April; died from haemorrhage, Washington, 26th April, 1665. Contributed by Surgeon J. C. McKee, U. S. Army. See class XXVII. B. B. d. 1611. The left innominatum and longitudinal half of the sacrum. A conoidal ball, which is attached, much battered, b. 30. perforated the dorsum near its centre and lodged in the sacrum within half a line of the spinal canal. The ala of the ilium, for a space of nearly three inches square, is missing; externally this orifice is fringed with foliaceous callus ; internally and posteriorly a border nearly an inch wide is necrosed and nearly separated; inferiorly a longitudinal fissure extends parallel with the anterior wall of the ischiatic notch; and the sacrum near the iliac junction is carious and has lost much tissue by absorption. Private A. W., " F," 27th Indiana, 21: Chancellorsville, 3d May ; in the hands of the enemy eleven days ; treated in a field hospital until admitted Washington, 14th June; died exhausted, 8th July, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XXVII. B. B. d. 3586. The upper two-thirds of the sacrum. An oblique fracture extends laterally across the third vertebra, below which b. 31. the bone has not been preserved. The wound was inflicted by a conoidal ball. Private B. R., "K," 37 th Wisconsin : wounded, 30th July; admitted hospital, Washington, 3d August; died from pyaemia, 10th August, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 2015. The greater portion of the right ilium. The bone is perforated near its crest, two inches posteriorly to the anterior b. 32. superior spinous process, as if by a buckshot. The track of the ball is carious, but on the lower external surface is a large fringe of spongy callus. Surrounding the internal orifice is a small quantity of new bone. Just above the posterior superior spinous process is a contused wound, three-fourths by one and one-fourth inches, over which the outer surface is wanting and which retains a corresponding involucrum. Received from Assistant Surgeon H. Allen, U. S. Army. 2557. A wet specimen of the left hip joint. The femur was partly fractured on the posterior surface below the trochanter b. 33. minor, at which point several of the fragments were attached, and a loose fragment from which is mounted with the specimen. The ischium was perforated through the tuberosity on nearly the same plane as the obturator foramen. Private J. W. S., "H," 155th Pennsylvania, 19: wounded, 6th February, 1865; died from exhaustion, Washington, 20th May, 1806. Contributed by Brevet Major W. Thomson, Assistant Surgeon, U. S. Army. 2217. A wet preparation of a section of the superior portion of the left ilium, perforated below the crest, from within b. 34. outward, by a conoidal ball which cut the descending colon and lodged subcutaneously at the base of the pelvis. An artificial anus occurred at the wound of entrance. Private J. R. M., "E," llth Mississippi (Rebel): Gettysburg, 2d July, 1863; died in Baltimore, 12th March, 1864. Contributed by Surgeon T. H. Bache, U. S. Vols. See 2214, XI. A. B. e. 3; 2216, XX. A. B. a. 15. 1716. A wet preparation of the anterior portion of the pelvic bones, the external organs of generation and the soft b. 35. tissues of the perineum. A conoidal ball entered four inches below the anterior superior spinous process of the left ilium, passed inward and downward, traversing the perineum and fracturing the ischium of the opposite side. Many bony fragments may be detected in the wound of exit. From the right ischium a track, long and ragged, lined with a thick black slough, passed down the thigh. This was not detected in life. The ball was not found. Private H. M., "B," 8th New York, 35: wounded early in September; admitted hospital, Washington, 12th; died from secondary haemorrhage, 29th September, 1863. Contributed by Surgeon Henry Bryant, U. S. Vols. For other illustrations, see 3205, XII. A. B, b. 54; 3572, XII. A. B. c. 5; 1758, XX. A. B. a. 19; 4628, XXVI. A. 2,65; 4629, XXVI. A. 3, 120. c. Operated Upon. 1791. A conoidal ball, and thirteen fragments of dead bone removed from the left ilium near the sacro-vertebral junction. c. 1. The ball was taken from the muscle of the right hip. Private D., 62d New York: removed and contributed by Surgeon S. D. Freeman, U. S. Vols. See class XXVII. B. B. d. For other illustrations, see 4626. XXVI. A 2, 93. tt.A OF THE UNITED STATES ARMY MEDICAL MUSEUM. 2 1 0 e. Sequestra. 432. Six small fragments of dead bone, from the ilium. e. 1. Private B. C, "I," 63d Pennsylvania, 18: shell wound crest of right ilium, White Oak Swamp, Va., 30th June ; admitted hospital, Baltimore, 27th July; necrosed surface gouged and fragments escaped from time to time; wound entirely closed and discharged the service, 27th November, 1862. " There was some contraction of the muscles of the thigh, and the foot could not long be maintained on the ground without inconvenience." Contributed by Surgeon Lavington Quick, U. S. Vols. 3619. A large number of small bony fragments, some of which are necrosed and some represent new deposits, removed e. 2. from the left ilium perforated by a conoidal ball. Sergeant H. O., "M," 24th New York Cavalry, 23: Cold Harbor, 3d June; bullet removed over the trochanter major, 9th July; furloughed, 17th September, 1864. Contributed by Surgeon Joseph Hopkinson, U. S. Vols. 2214. Eight necrosed and carious fragments of bone, representing nearly one square inch of the ilium, and two metallic e. 3. rings from a bullet. The battered bullet is mounted with the specimen. A conoidal ball entered the left iliac region, wounded the descending colon, perforated the ilium in its posterior quarter and lodged subcutaneously at the back of the pelvis, whence it was cut out. The intestine adhered to the muscular parietes of the pelvis and communicated with an abscess under the iliaeus internus and psoas magnus, which communicated with both apertures and was probably caused, first by the ball and then by the burrowing of the pus. The cavity of the descending colon was very small; long faeces of small calibre were accustomed to pass out »f the wound of entrance. Private J. R. M., "E," llth Mississippi (Rebel): probably Gettysburg, 3d July, 1863; died, Baltimore, 12th March, 1861. Contributed by Surgeon Thos. H. Bache, U. S. Vols. See 2217, XI. A. B. b. 34; 2216, XX. A. B. a. 15. See class XXVII. B. B. d. 1795. A flattened bullet and twelve small pieces of necrosed bone, from the right ischium. The acetabulum was so e. 4. injured as to permit the head of the femur to slide up on the dorsum of the ilium. Tho man recovered with two inches shortening of the limb Private J. A. P., "B," 104th New York: Gettysburg, 1st July; specimen removed by Acting Assistant Surgeon G. W. Fay, Baltimore, 2d September, 1862. Recovered. Contributed by the operator. See classes XII. A. B. b.; XXVII. B. B. d. JD» Injuries not caused by Gunshot. At a. Contusions and partial fractures. • Primary Conditions. < b. Complete fractures. ( c. Operated upon. b. Complete Fractures. 2977. Both pubic bones, completely and irregularly fractured near the extremity of each ramus. b. 1. Corporal H. W., "H," 13th Connecticut, 42: during the delirium of typhoid fever leaped from a window, falling fifty feet, and fractured the pelvis, ribs, right femur, humerus, ulna and radius, and lacerated the liver and kidneys, New Orleans, 25th November, 1663. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. See 2991, XIII. B. A. c. 2. See classes IV. B. a. b.; VI. B. a. b.; VIII. B. \. b.; XX. B. a. a. XII. INJURIES AND DISEASES OF THE HIP JOINT. £\* Gun shot Injuries. < A( Primary Conditions. -| £>. Secondary Conditions. Contusions and partial fractures. b. Complete fractures. C. Excisions. d. Amputations. a. Contusions, partial fractures and dislocations. b. Complete fractures. c. Caries dependentupon injury to adjacent parts. <( d. Excisions. I e. Amputations. | f. Other operations. ( g. Sequestra and exfoliations. B Injuries not caused , by Gunshot. A. Primary Conditions. Jj. Secondary Conditions. fa. Contusions aud partial fractures. !b. < 'omplete fractures. c. Dislocations d. Excisions. e. Amputations. f. Other operations. fa. Contusions and partial fractures. b. Complete fractures. | c. Dislocations. <( d. Excisions. e. Amputations | f. Other operations. ( g. Sequestra and exfoliations. c. Diseases. XII. HIP JOINT. ill Gunshot Injuries. {a. Contusions and partial fractures. b. Complete fiactures. C. Excisions. d. Amputations. c. Excisions. 71. The upper portion of the left femur, sawn two inches below the smaller trochanter, c. 1. excised for fracture of the neck at the base of the greater trochanter by a musket bull which obliquely split the shaft. See figure 62. Private, unknown: wounded, Gainesville, Va., 28th August, 1862; excised the same day by Surgeon Peter Pineo, U. S. Vols. The patient fell into the hands of the enemy and probably died. Contributed by the operator. See 4627, XXVI. A. 1, 13. d. Amputations. 1148. The left femur, obliquely fractured in the upper third, with a minute fissure extending to d. 1. the lesser trochanter and a small triangular portion chipped from the anterior surface at the point of impact. See figure 63. Private J. E. K., "B,"56th Pennsylvania, 28: near Fredericksburg, 29th April; disarticulated seven hours after injury by Surgeon Edward Shippen, U. S. Vols.; captured and transferred to Libby Prison, Richmond, 15th June; exchanged, 14th July; discharged the service, healed, 23d Decem- ber, 1863. Kelly was heard from as in good health, near Black Lick P. O., Indiana county, Pennsylvania, 26th January, 1867. Contributed by the operator. See 4627, XXVI. A. 1, 3. 2273. The upper half of the left femur, comminuted in the highest third by a rifle ball which d. 2. grazed the right thigh, passed through both testicles and perforated the left thigh The fracture extends over four inches of the shaft. G C,Seaman, U.S. Ship "Minnesota,"21: Smithfield Va.. 1st February; admitted Naval Hospital, Norfolk, 2d February, 1864; amputated at. the hip joint by Surgeon Albert C. Gorgas, U. S. Navy, the day of admission, and died without reacting. Contributed by the operator. 1379. The upper extremity of the left femur, comminuted through the smaller trochanter by a d. 3. conoidal ball. Private J. M., "I," 146th New York, 20: near Williamsport, Md., 13th July, 1863; am- putated in the field by Assistant Surgeon B. Howard, U. S. Army; died while being moved to Sharpsburg, forty-eight hours afterward. Contributed by the operator. 30 234 CATALOGUE OF THE SURGICAL SECTION XII. 308©. The upper two-thirds of the right femur. The shaft for a long distance from the trochanters is completely com- d. 4. minuted, the extreme length of the fracture being eight and a half inches and one-half of the fragments being missing. The injury was by shell, which produced great laceration of the soft parts. The operation was performed two hours after injury, when the subject seemed in the most favorable condition. Private J. B., "B,"26th Pennsylvania, 22: Spottsylvania, 18th May, 1864; disarticulated by Surgeon C. C. Jewett, 16th Massachusetts Died two hours afterward. Contributed by the operator. I j. Secondary Conditions. ' a. Contusions, partial fractures and dislocations. b. Complete fractures. c Caries dependent upon injury to adjacent parts. • d. Excisions e. Amputations. f. Other operations. _ g. Sequestra and exfoliations. a. Contusions, Partial Fractures and Dislocations. 128.5. The bones of the left hip joint, with a conoidal ball. The missile appears to have contused the inferior border a. 1. of the head of the femur, although the history claims the superior margin of the acetabulum was chipped. The bony injury was very trivial and no serious consequences ensued until after imprudent exertion. In the specimen the entire articular surfaces are eroded. Private J. D., "E," 129th Pennsylvania, 20: Chancellorsville, 3d May; died from pyaemia, Fifth Corps Hospital, 3d June, 1863. Contributed by Assistant Surgeon Philip Adolphus, U. S. Army. See class XXVII. B. B. d. 1161. The upper fourth of the right femur. A bullet at low velocity has impinged against the neck on the anterior a. 2. surface, crushing in the compact substance and causing a slight fissure down the shaft, and another, almost imperceptible, on the posterior surface of the neck. The capsule was probably opened, and some periosteal inflam- mation has occurred. Contributor and history unknown, 165. The upper extremity of the right femur, contused on the under surface of the neck at its junction with the head. a. 3. No pathological change appears beyond moderate local necrosis. A spherical leaden ball is mounted with the specimen. Private J. S., "B," 43d Ohio: Corinth, Miss., 3d October; admitted hospital, St. Louis, 15th ; died, 24th October, 1862 Contributed by Surgeon J. T. Hodgen, U. S. Vols. See class XXVII. B. B. d. 3951. The upper fourth of the left femur, with a fragment of a round ball embedded in the neck within the capsule. a. 4. The specimen is a very fair illustration of injury to bone by such missiles at low velocities. There is no evidence of chronic articular disease. Contributor and history unknown. See classes XIII. A. B. a.; XXVII. B B. d. 515. The upper portion of the left femur, with the great trochanter fractured and a portion of a round ball embedded in a. 5. the neck. The missile passed behind the neck of the femur to the body of the pubes, and was discovered in the scrotum, near the spermatic cord, about an inch and a half below the external ring. Lieutenant A. G. R., Adjutant, 134th Pennsylvania, 24: Fredericksburg, 13th December; admitted hospital, Washington, 20th; died of tetanus, 28th December, 1862. Contributed by Surgeon Charles L. Allen, U. S. Vols. See classes XX. A. B. a.; XXVII. B. B. d. 2374. A portion of the left ischium and the upper extremity of the femur. There is a partial fracture of the head of the a. 6. femur at its articular border and of the ischium by a battered round ball, which is attached. Private S. I., "C," 10th Massachusetts, 25: The Po, Va., 12th May; admitted hospital, Alexandria, 24th ; died exhausted, 28th May, lc64. Contributed by Acting Assistant Surgeon Jona. Cass. See class XXVII. B. B. d. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. '2'.)') 758. The right os innominatum and head of the femur. The joint was opened and the ischium at the lower border of a. 7. the acetabulum contused by a musket ball which escaped through the glutaeus maximus. The articular surfaces are eroded, but the implication of the joint was not suspected during life. The external iliac was tied for secondary haemorrhage occurring in the track of the wound. Private----G., 5th Ohio: Antietam, 17th September; died from exhaustion and haemorrhage, Frederick, 28th October, 1862. Contributed by Assistant Surgeon J. H. Bill, U. S. Army. See class XVIII. II. A. B. b. 211. The upper fourth of the right femur. A bullet, striking the anterior aspect of the neck at its base, has slightly a. 8. contused the bone and grooved out its own path, which involves the capsule. There is very little change of the bone, and death probably resulted from some coincident. Contributor and history unknown. 1659. The bones of the left hip joint. A conoidal ball from the left contused the neck of the femur within the capsule, a. 9. chipped the lower border of the acetabulum and the ischium, passed though the obturator foramen and between the rectum and urethra, without injuring either, and escaped behind the ramus of the right ischium. The articular surfaces are entirely eroded. Private M. P., "K," 6th Maine: Second Fredericksburg, 3d May; admitted hospital, New York Harbor, 9th June ; died, llth June, 1863. Contributed by Assistant Surgeon Roberts Bartholow, U. S. Army. 1661. The upper third of the right femur, with a round ball, entering from behind, impacted in tho trochanter major, a. 10. partially fracturing the neck within the capsule. Private L. R., "F," 48th New York, 18: Fort Wagner, S. C, 18th July; died, New York Harbor, 3d August, 1863. Contributed by Assistant Surgeon Roberts Bartholow, U. S. Army. See classes XIII. A. B. a.; XXVII. B. B d. 3931. The upper portion of the right femur, with a conoidal ball, which has longitudinally fissured the shaft, lodged in a. 11. the neck from above. Sergeant D. Y., "H," 106th New York: Mouocacy Junction, Md., 9th July; died of pyaemia, Frederick, 20th July, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See class X XVII. B. B. d. 565. The upper portion of the left femur, grooved between the trochanters on the a. 12. posterior surface by the passage of a conoidal ball from below upward and inward. The track of the ball is carious, and the space between the trochanters is bridged over by a displaced fragment of bone attached in its new position by slight osseous deposits. The great trochanter has been split off and fissured, and is reattached by the process of nature. The articular surface is slightly eroded, but it is difficult to decide whether that condition occurred during life. The missile which is mounted, was found resting against the capsular ligament. See figure 64. Captain J. M. L., "I," 20th Indiana: wounded through the left lumbar muscles, and while lying on the field received the wound seen in the specimen, before Richmond, 27t,h June; admitted hospital, Washington, 29th June; there was no interference with the joint motion, and the missile could not be detected; died from exhaustion, 29th August, 1*62. Contributed by Assistant Surgeon W. M. Notson, U. S. Army. y r~ FIG. 64. Partial fracture neck of left See 4628, XX » I. A. 2, 5/. femur, with ball lodged within the See class XXVII. B. B. d. caP8ule- *"• 565- 3520. The upper fifth of the right femur, sawn in two longitudinally, showing a penetrating fracture of the neck by a a. 13. Colt's pistol ball, which has lodged, exposing its surface just within the capsule. The fracture was not detected until too late for interference. The joint was destroyed by suppuration, and the head partly absorbed. Sergeant E. S., "A," 1st New Jersey Cavulry, 26: near Warrenton, Va., 15th January; admitted hospital, Washington, 1st February; died from exhaustion, 18th March, 1S61. Contributed by Assistant Surgeon W. Thomson, II. S. Army. See class XXVII. B. B. d. 3806. The upper third of the right femur, fractured in the anterior surface of the great trochanter, with intracapsular a. 14. involvement. At the time of death the periosteum was dissected off the femur to its middle third, and the head was eroded and spongy. Private J. C, "I," 10th New Jersey, 19: Charlestown, Va., 20th August; admitted hospital, Frederick, 14th September, 1864 ; died from exhaustion, 12th January, 1865 Contributed by Acting Assistant Surgeon F. A. Gove. 23fj CATALOGUE OF THE SURGICAL SECTION XII. 2178. The upper half of the right femur. A partial fracture of the great trochanter opening the capsular ligament, a. 15. had induced inflammation and osseous anchylosis of the head with the acetabulum. The anterior third of the trochanter has disappeared through the fracture and caries. Mu-;cian J. B. H., "A," 41st Ohio: Chickamauga, 20th September, 1863; admitted hospital, Nashville, 27th January; died from general erysipelatous inflammation, 13th February, 1864. Contributed by Surgeon John W. Foye, U. S. Vols. Sec class XXIII. A. A. 21 88. A portion of the right innominatum. A conoidal ball appears to have struck the ilium just above the great a. 16. ischiatic notch, and to have perforated the bone, partially fracturing tbe base of the acetabulum, which, in the specimen, is carious, escaping near Poupart's ligament. The records represent the course of the ball to have been directly the reverse, and the case that of-4 Corporal G. W. S., "C," 20th North Carolina Rifles, (Rebel,) 20: Spottsylvania, 12th May; admitted hospital, Wash- ington, 22d May; died, 9th June, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. Sec class XXVII. B. B. d. 3113. The upper third of the left femur. The great trochanter has been carried away by a conoidal ball, the fracture a. 17. entering the capsule. There is some erosion of the inferior portion of the head as it joins the neck Neciosis of the shaft borders the fracture. Private P. W., "I,'' 185th New York, 19: Petersburg, 29th March; admitted hospital, Washington, 2d April; fragments removed, 9th; died from pyaemia, 20th April, 1865. Contributed by Assistant Surgeon H. Allen, U. S. Army. See class XIII. A. B. a. 169. The left os innominatum. The ilium is contused by a missile that has grazed the upper and outer margin of a. 18. the acetabulum, the adjacent surface of which is carious. A fringe of callus marks the superior border of the injury to the ilium. Contributed by Surgeon O. A. Judson, U. S. Vols. 2528. The upper third of the left femur, partially fractured by a conoidal ball which impinged below the base of the a. 19. great trochanter, crushing the laminated structure and producing a longitudinal fracture that has entered the capsule. The articular surface has not suffered from the original injury, nor from subsequent disease. Private W. O., " K," 2d U. S. Cavalry, 37: wounded, 1st June ; admitted hospital, Washington, 4th: died exhausted, 11th June, 1864. Contributed by Surgeon John A. Lidell, U. S. Vols. See class XXVII. B. B. d. 86. The upper third of the right femur. A a. 20. conoidal ball has entered from the front and perforated the bone at the base of the neck, lodging, exposed, in the great trochanter. A longitudi- nal fracture, which extends to the articulation, reaches six inches down the shaft. See figures 65 and 66. Private J. R., "C," 69th New York, 29: admitted hospital, Washington, 30th March; died, 6th April, 18(i5. Contributed by Acting Assistant Surgeon T. P. Arthur. See classes XIII. A. B. a. ; XXVII. B. B. d. 3>525. The left os innominatum and the upper a. 21. extremity of the femur. The ilium is deeply grooved at the upper and posterior margin of the acetabulum, which is chipped, by the passage of a conoidal ball. Private W. P. T., "D," 121st New York, 21: Wilderness, 5th May ; admitted hospital, Washington, 14th; died from pyaemia, 21st May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. Fig. 65. Front view of right femur per forated by a cono.dal ball bi (ween the trochanters. Spec. 86 Fig. 66. Hear view of ing a conoidal ball I trochanters. Spec. right femur, show- odgert between the 86. A. B. OF THE UXITKI) STATES ARMY MEDICAL MUSETM. 'I'M 17 17. The upper fourth of the left femur, perforated through the neck by a conoidal ball which entered aute.riorly near a. 22. tho base of the great trochanter and escaped in the cleft of the nates A complete oblique fracture between the tuberosities, with intracapsular fissures, is shown The articular surface is uuiujured. Captain M., 79th Illinois: Chicka.nauga, Ga., J9th September; admitted hospital, Murfreesboro', 22d; died, 29th Sep- tember, 1863. Contributed by Surgeon I. Moses, U. S. Vols. See class XIII. A. B. b. 166. The upper fourth of the left femur, perforated by a round ball directly through the neck and erreat trochanter, with a. 23. loss of substance but with little splintering. '1 he fracture extends within the capsule, and the head of the bone is eroded by ulceration. Private A. B., " C," 12th Illinois, 23: Corinth, Miss., 3d October; died in St Louis, 23d October, 1862. Contributed by Surgeon John T. Hodgen, U. S. Vols. See class XXVII. B. b. d. 1168. The upper fourth of the left femur, fractured through the trochanters, opening tho capsule. The trochanters at a. 24. the place of fracture are carious, and the joint was secondarily involved. Private T. R., 21 Oth Pennsylvania, 25: probably Petersburg, 25th March; admitted hospital, Washington, 6th April; died exhausted, 18th April, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 3232. The sacrum, right os innominatum and upper portion of the femur. The ilium is perforated near the sacroiliac a. 25. symphysis by a conoidal ball, the opening being one and a half inches in diameter. Fragments of tho inner table were driven in and are feebly attached by new bone ; tbe track of the ball is carious and the edges of the orifice have received new bony deposits. The femur is partially dislocated upward and backward, and is anchylosed against the iliac margin of the acetabulum The entire articular surfaces were softened and partly absorbed, and the inner surface of tho femur is eroded Private J. S., "C," 1st Illinois Cavalry, 29: Dandridge, 17th January, 18IS4 ; died, Madison, Wis., 13th August, 1865. Contributed by Surgeon 11. Culbertson, U. S Vols. For other illustrations, see 1212, XI. A. B. a. 8 ; 4719, XXVI. A. 4, 156. b. Complete Fractui.es. 1217. The upper portion of tho left femur, with the head slightly chipped by a rifle ball aud much eroded The edge b. 1. of the acetabulum was a little roughened. The bullet entered outside the anterior superior spinous process of the ilium and emerged through the buttock one inch outside the spine of the ischium. Could a correct diagnosis have been made, this would have been a typical case for excision. Private C. R., 49th New York: Second Fredericksburg, 3d May ; admitted hospital, Washington, 8th; died exhausted, 31st May, 1863 Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3021. The left os innominatum and part of the femur. The ilium is grooved immediately at the upper margin of the b. 2. acetabulum, into which a fissure extends. The cartilage was eroded and partially absorbed. Private W. B., "B," 5th New York, 19: South Side R. R., 1st April; admitted hospital, Washington, 6th; died of pyaemia, 14th April, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 1183. The lower portion of the right innominatum. The thyroid portion of the acetabulum is fractured by a round ball b. 3. which entered above the left tuber ischii, perforated the rectum, inflicted the injury seen in the specimen and lodged in the external muscles of the thigh. First Sergeant T. A., "C," 119th New York, 26: Second Fredericksburg, 2d May; admitted hospital, Alexandria, 25th; died, 30th May, 1863. Contributed by Surgeon Edwin Bentley, U. S. Vols. See classes XX. A. B. a ; XXVII. B. B. d. 1616. The upper extremity of the left femur, with a conoidal ball lodged against the upper and external portion of the b. 4. head, which is deeply fissured and irregularly eroded. Private D. F., " G," 111th New York: Gettysburg, 3d July; admitted hospital, Baltimore, 16th; died, 26th July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army, See class XXVII. B. B. d. 238 CATALOGUE OF THE SURGICAL SECTION XII. 1267. Tbe upper portion of the left femur. A musket ball entered the anterior surface and became impacted in the base b. 5. of the neck, causing a longitudinal fracture through the great trochanter that involved the head aud several inches of the shaft. The bullet has been removed, leaving a conical cavity of the depth of two inches. Private B. H., " C," 9th West Virginia, 19: Winchester, 20th July; admitted hospital, Cumberland, 23d; bullet extracted, 26th July; died, 3d August, 1861. Contributed by Surgeon J. B. Lewis, U. S. Vols. 3726. The upper extremity of the left femur and the greater portion of the acetabulum. The summit of the head of the b. 6. femur has been grooved and the superior margin of the acetabulum broken by a bullet which entered close to Poupart's ligament. The joint became disorganized, the limb gangrenous and the sigmoid flexure of the colon ulcerated, from which death followed. Private R. S N., *'A," 26th Massachusetts, 3,4: Winchester, 19th September; admitted hospital, Baltimore, IstNovember; died, 20th November, 1*64. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 518. The upper third of the right femur. A bullet has struck the base of the great trochanter and, passing upward, b. 7. grooved in the bone its own calibre, splitting it in three large fragments, the line of fracture entering the capsule. There has been no attempt at repair, but the inferior portiou of the shaft is much roughened and superficially necrosed by dissecting sinuses. Contributor and history unknown. 1300. The upper third of the left femur. A conoidal ball flattened itself against the anterior surface at the base of the b. 8. great trochanter, obliquely fracturing the shaft and lower part of the neck nearly to the head. Private F. G., "A," 1st Louisiana, 42: before Port Hudson, La., 27th May; admitted hospital, New Orleans, 29th May; died, 4th June, 1864. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. Sec class XXVII. B. B. d. 598. The upper third of the left femur, with a conoidal ball firmly embedded on the anterior face at the junction of the b. 9. head and neck. Several fissures extend into the head and back upon the great trochanter. Private C. C. B., "E," 16th Maine, 26: Fredericksburg, 13th December; admitted hospital, Alexandria, 19th; died from pyaemia, 25th Deeembei, 1*62. Contributed by Surgeon E. Bentley, U. S. Vols. See class XXVII. B. B. d. 1291. The upper extremity of the left femur, showing a complete fracture through the neck .without comminution, except b. 10. to a small extent at the point of impingement on the superior margin. The missile, which passed through the obturator foramen and lodged in the middle line of the perineum, is attached. Private W. C, "C," 159th New York, 37: Irish Bend, La., 14th April; admitted hospital, New Orleans, 17th ; died, 21st April, JS63. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. See class XXVII. B. B. d. 3901. The bones of the left hip joint. A conoidal ball from the front has fractured the horizontal ramus of the pubes, b. 11. the pubic portion of the acetabulum, and has chipped off a fragment from the inferior segment of the head of the femur. The articular surfaces are somewhat eroded. Private Z. S., " K," 2d Ohio Cavalry, 25: Richmond, (Valley,) Va., 22d August; admitted hospital, Frederick, 29th August; died, 7th September, 1864. Contributed by Acting Assistant Surgeon J. H. Coover. 3789. The upper extremity of the left femur. The head is completely fractured from the neck by a conoidal ball which b. 12. gouged out its own course on the superior border. A complete fracture through the depression for the ligamentum teres separates the posterior third of the head. Captain J. F. G., "G," 47th Pennsylvania: Cedar Creek, 19th October; died exhausted, Winchester, 5th November, 1*64. Contributed by Surgeon L. P. Wagner, 114th New York. 1908. The bones of the right hip joint, with a conoidal ball, which entered from the rear one inch above the greater b. 13. ischiatic notch and chipped the lower margin of the acetabulum, lodged in the summit of the head of the femur, which is perpendicularly fractured in that line. Private J. W., ' K," 6th Maryland, 45: accidentally wounded, 30th November; admitted hospital, Alexandria, 4th Decem- ber : died, Kith December, 1*63. Contributed by Acting Assistant Surgeon Jona. Cass. See class XXVII. B. B. d. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 2.°»H 3390. The upper extremity of the left femur. A rifle ball has passed through the head in the long diameter of the neck, b. 14. which it obliquely fractured. Private S. N. E., " D," 40th Indiana, 22: Marietta, Ga., June ; admitted hospital, Chattanooga, 25th ; died, 2*th June, 1864. Contributed by Assistant Surgeon C. C. Byrne, U. S. Army. 125. The upper extremity of the right femur with a conoidal ball, which appears to b. 15. have entered over the greater trochanter, lodged in the head. The acetabulum could not have been directly injured, although the anterior portion of the head shows erosion of the articular surface due to ulceration. The case appears to have been a fair one for excision of the head of the femur. Se^ figure 67. Contributed by Surgeon R. H. Alexander, U. S. Army. See class XXVII. B. B. d. 3582. The upper extremity of the left femur. About one-fifth of the head, at its junc- b. 16. tion with the superior border of the neck, has been carried away by a conoidal ball which also fractured the acetabulum. Private G. W. C, "F," 59th Massachusetts : Petersburg, 30th July ; admitted hospital, Washington, 3d August; died, 5th August, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3923. The upper third of the loft femur with a conoidal ball, which entered two inches below tbe groin and one inch b. 17. posteriorly to the femoral artery, lodged in the head. The head was badly shattered by the ball and is much absorbed, leaving, however, the shell of the articular surface nearly intact. The lesser trochanter is missing, as though lost by separation at the epiphyseal line. The acetabulum, which wus not preserved, is said to have been greatly necrosed. Private C. II. M., "G," 3d Maryland : admitted hospital, Frederick, Md., 7th July; died exhausted, 26th October, 1*64. Contributed by Assistant Surgeon R. F. Weir, U. S Army. See class XXVII. B. B. d. 1162. The upper extremity of the right femur, with the head of the bone completely disorganized bypysemic inflammation b. 18. following the lodgement of a conoidal ball in the neck, undiscovered during life The missile is attached. Private S. F., " E," 111th New York: Gettysburg, 3d July; admitted hospital, Baltimore, 15th; died from pyaemia, 18th July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See class XXVII. B. B. d, 3188. The head of the left femur and a large longitudinal fragment of the neck, including the trochanter minor, split off b. 19. by a conoidal ball The fracture extends completely through the neck at its upper extremity. Sergeant W. D. H., "A," 6th Iowa: KenesawMountain, Ga.,27th June; admitted Fifteenth Corps Field Hospital, Boston Iron Works, Ga., 1st July; died, 3d July, 1*64. Contributed by Surgeon A. Goslin, 4*th Illinois. 3797. The upper third of the left femur obliquely fractured, with comminution at the neck, by a conoidal ball which is b. 20. embedded in the anterior aspect. The bone adjacent to the fracture is necrosed, and periosteal disturbance has involved the upper portion of shaft. The joint ligament sloughed. Private A. D., 43d New York: Cedar Creek, 19th October; died from exhaustion, Winchester, 8th November, 1*61. Contributed by Assistant Surgeon J. G. Thompson, 77th New York. See class XXVII. B. B. d. 1603. The inferior portion of the left os innominatum and head of the femur. A conoidal carbine ball is embedded in b. 21. the horizontal ramus of the pubes at its junction with the ilium, penetrating the acetabulum. Corporal J. F., "D," 2d New York Cavalry: Aldie, Va., 17th June; admitted hospital, Alexandria, 18th ; died from strangulation of jejunum in Hasselbach's triangle, 25th June, 1*63. Contributed by Acting Assistant Surgeon W. Leon Hammond. Sec 1604, XX. A. B. a. 11. See class XXVII. B. B. d. 2309. The upper fourth of the left femur. A conoidal ball struck the neck at its base, splitting off the great trochanter b. 22. and completely fracturing the neck. The injury was partly intracapsular, but did not include the head. Private II. J., "F," 14th New York, 26: Spottsylvania, 10th May; admitted hospital, Washington, 13th; died from peritonitis, 21st May, 1*64. Contributed by Acting Assistant Surgeon T. Walsh. 240 CATALOGUE OF THE SURGICAL SE TION XII. 592. The upper half of the right femur, shattered at the trochanters, with a complete fracture through the neck and an b. 23. oblique one down the shaft. The specimen shows an incomplete resection. Private T. H., "F," 5th Pennsylvania Reserves, 28: Fredericksburg, 13th December, 1862; excision was attempted, but relinquished from the severity of the injury; died, Washington, 2d January, 1863. Contributed by Surgeon H. Bryant, U. S. Vols. See class XII. A. B. d. 3916. The bones of the left hip joint. A conoidal ball entered above the trochanter major, completely fractured the b. 24. neck and chipped the posterior portion of the head of the femur, fractured the lower portion of the acetabulum and, as it is said, lodged above the iliac border. The articular surface of the acetabulum is much disorganized. The fracture, which is entirely intracapsular, was not diagnosed until a few days before death. Private G. L., "D," 5th Louisiana, (Rebel,) 21: Monocaey, 9th July; admitted hospital, Frederick, the same day; died, 3d September, 1*64. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 691. The bones of the left hip joint, thoroughly carious and in a great measure absorbed on tbe articular surfaces. b. 25. On the body of the ischium, bordering the acetabulum, a deposit of callus has occurred. The point of impingement appears to have been the ischium at the lowest margin of the acetabulum, where a square inch of the bone is necrosed and nearly separated. The ball enteted the left hip, behind the femur, and emerged at the root of the penis. While supporting his head on both hands, another bullet wounded the thumb and forefinger of the left hand and the lower ends of the metacarpals of the right hand, passed through the right ear and upward under the scalp for three inches and then escaped. Corporal C. H. R., 'C," 1st New Jersey, 19: Gaines' Mill, 27th June; died, Philadelphia, 2()th September, 1862. Contributed by Surgeon P. B. Goddard, U. S. Vols. 3792. The bones of the right hip joint, with the neck of the femur broken off close to its trochanteric extremity. The b. 26. fracture extends to and involves the head, a portion of which is absorbed and the whole of whose surface is carious from the succeeding disease. For several weeks it was supposed the margin of the acetabulum had been fractured, producing luxation. Private W. A. M., "C," 24th Iowa, 21 : Winchester, 17th September, 1864; died exhausted, 13th February, 1865. Contributed by Surgeon L. P. Wagner, 114th New York. 1213. The upper extremity of the right femur. The neck has been perforated and shattered by a conoidal ball which b. 27. entered from behind and lodged near the trochanter minor, opening the joint, which is eroded and to a degree carious. Captain E. F. S., " K," 1st New York Cavalry, 23: Sailor's Run, Va., 6th April; admitted hospital, Washington, 7th May ; died of pyaemia, 2d June, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. 2106. The bones of the right hip joint. A conoidal ball entered just above Poupart's ligament, ranged downward and b. 28. backward through the posterior portion of the acetabulum, grazing the head of the femur and lodging above the tuber ischii. Much of the head of the femur is eroded, but on the anterior aspect a small circular portion of sound bone remains, surrounded by diseased tissue. That portion of the acetabulum directly fractured is necrosed, and the greater part of the remainder is carious. Private W. H., "C," 22d Indiana: Mission Ridge, 25th November, 1863; died, 10th January, 1864. Contributed by Acting Assistant Surgeon Stubbs. See class XXVII. B. B. d. 1391. A part of the right os innominatum, with the ischiatic portion of the acetabulum chipped by a bullet which b. 29. wounded the penis and scrotum. Private J. B. F., "D," 42d Virginia, (Rebel,) 25: probably Southside R. R., 1st April; admitted hospital, Washington, 6th; died from pyjemia, 21st April, 1865. Contributed by Assistant Surgeon W. F. Norris, U. S. Army. See class XX. A. B. a. 3419. The upper fourth of the left femur, shattered through the neck, with loss of substance in the upper portion. The b. 30. bullet entered from the front. The same case contributed an ununited fracture of the forearm. Private M. K., "D," 65th New York, 36: admitted hospital, Baltimore, 24th October; died, 1st November, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See 3420, VIII. A. B. b. 8. 33. The upper extremity of the left femur, with the neck shattered at its junction with the head. The greater portion b. 31. of the head is intact. The extremity of the neck is necrosed. A conoidal ball entered below Poupart's ligament, externally to the femoral vessels, and escaped directly opposite through the buttock. Private P. M., "B," 1st Virginia Rifles, t,Rebel,) 28: Williamsburg, 5th May; died exhausted, Washington, 26th May, 1862. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 2 41 1227. The bones of the right hip joint, with the head of the femur, shattered by a conoidal ball which entered over the b. 32. pubes and is embedded in the neck. There was no shortening of the limb and no important vessels had been wounded. There was a slight fracture of the pubic border of the acetabulum, aud the specimen shows that some inflammatory action has occurred in the region. Private P. M., "A," 28th Massachusetts: Petersburg, 25th March; admitted hospital, Washington, 28th March; died from exhaustion, 12th June, 1865. Contributed by Acting Assistant Surgeon H. Richings. See class XXVII. B. B. d.. 1253. The upper portion of the right femur, shattered by a conoidal ball at the junction of the head and neck. Numerous b. 33. spiculrv of bone were driven into the muscular tissue. Sergeant S. W. N., "E," 15th New Jersey, 22: Second Fredericksburg, 3d May; admitted hospital, Washington, 8th; died exhausted, 20th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 908. The upper third of the left femur. Tbe greater portion of the neck has been carried away and only the superior b. 34. third of the head remains. Attempted separation of necrosed bone and traces of callus show a prolonged struggle for life, notwithstanding the severity of the injury. Contributor and history unknown. 3632. The bones of the left hip joint, fractured by a conoidal ball which shattered the neck at the great trochanter, b. 35. slightly broke the margin of the acetabulum and glanced up aud lodged in the pelvis A portion of the head is absorbed, and a slight deposit of new bone exists on the shaft. The surface of the acetabulum is eroded. The gravity of the injury was not appreciated during life. Sergeant C. (i. P., "G," 13th Pennsylvania Cavalry, 34: near Malvern Hill, Va., 16th August; admitted hospital, Philadelphia, 20th August; died from pyaemia, 9th October, 1864. Contributed by Surgeon I. I. Hayes, U. S. Vols. 782. The upper two-thirds of the left femur, showing a complete fracture of the neck, with little comminution. The b. 36. ball, which was never discovered, appears to have impinged against the head ou its under surface at its junciion with the neck. The shaft bordering the fracture is superficially necrosed. The character of tho injury was not recognized until the day before death. Private T. M., "F," 63d New York, 19: Antietam, 17th September; admitted hospital, Frederick, 27th September; died from exhaustion, 5th November, 1862. .Contributed by Acting Assistant Surgeon Alfred North. 1967. The upper third of the right femur. The neck was completely comminuted, the fracture extending into the head, b. 37. which is generally eroded. Fragments, partly necrosed, are attached to the shaft near the tuberosities by slight osseous new formations. G. K. S.: Gettysburg. Contributor and history unknown. 2398. The bones of the left hip joint. A conoidal ball entered on a line with the coccyx, two inches above the anus, b. 38. notched the ischium to its own diameter at the base of the thyroid foramen, shattered the neck of the femur and escaped over the great trochanter. Excepting a slight fissure ou its articular surface, the bead of the femur is uninjured. Private W. J. L., "I," 57th Pennsylvania, 22: Wilderness, 5th May; admitted hospital, Washington, 2*th ; died exhausted, 30th May, 1864. Contributed by Surgeon D. W. Bliss, U. S. Vols. 3636. The bones of the left hip joint. A conoidal ball entered over the great trochanter. The head of the femur was b. 39. somewhat chipped, and in the specimen the ball is mounted thereon as though the place of lodgement (which is not clear from the history). Much of the head of the femur is absorbed. The acetabulum is carious, and ou the pelvic surface ulceration is perceptible, as though local disease had occurred from the force of the contusion. Private R. M. H., "D," 1st New Jersey Cavalry: Spottsylvania, 12th May ; died exhausted, Philadelphia, 21st June, 1864. Contributed by Acting Assistant Surgeon George Kerr. Sec class XXVII. B. B. d. 1602. The upper third of the left femur, with the head completely shattered (by a round ball which lodged) and partially b. 40. absorbed. A very trivial deposit of new bone occurs on the neck. The articular tissues were gangrenous at death. Would have been a fair case for primary excision could the diagnosis have been made. Private J. M., '• I," 61st New York: Chancellorsville, 3d May; admitted hospital, Washington, -th May; died exhausted, 3d August, 1863. Contributed by Assistant Surgeon C A. McCall, U. S. Army. 31 242 CATALOGUE OF THE SURGICAL SECTION XII I 16. The lower portion of the left os innominatum. The thyroid border of the acetabulum is broken in by a bullet b. 41. which entered behind the right greater trochanter, perforated the rectum and impinged against tbe left ischium, as seen in the specimen. The bone, where struck, is necrosed, and the articular surface is much eroded. Private L. M. B., " I," 1st Massachusetts : Second Bull Run, 30th August; admitted hospital, Georgetown, 6th September; died, 1st October, 1*62. Contributor unknown. 3793. The bones of the right hip joint, with the head of the femur shattered and split off from the neck by a conoidal b. 42. ball which has lodged against the border of the acetabulum. There has been some ulceration of the bottom of the cotyloid cavity. Corporal W. F., "C," 24th Iowa, 25: Cedar Creek, 19th October; died from pyaemia, Winchester, 3d November, 1864. Contributed by Surgeon L. P. Wagner, 114th New York. See class XXVII. B. B. d. 1218. The upper portion of the left femur. A bullet, which perforated the acetabulum and lodged in the pelvis, has b. 43. shattered the head of the femur. Erysipelatous inflammation and extensive abscesses followed, but there was no trace of pyaemia. Corporal G. G., "D," 13th Massachusetts, 21: Chancellorsville, 4th May; admitted hospital, Washington, 7th; died ex- hausted, 16th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XXIII. A. A. 1813. The upper portion of the right femur, with the head shot away by a bullet passing through the acetabulum into b. 44. the pelvic cavity. Of the neck that remained much has been absorbed, and the extremity is carious. There is a formation of new bone between the trochanters. Contributed by Acting Assistant Surgeon T. Hunt Stillwell. 2171. The bones of the left hip joint. A conoidal ball from the front shattered the head at its junction with the neck, b. 45. notched the ischium just below the acetabulum and lodged in the pelvis without injury to the viscera. The borders of the bony wound are necrosed. Private R. S., "K," 13th Illinois: Ringgold, Ga.; admitted hospital, Nashville, 15th December; died exhausted, 21st December, 1863. Contributed by Surgeon John W. Foye, U. S. Vols, 2493. The left os innominatum and upper extremity of the femur. A conoidal ball entered above the lesser ischiatic b. 46. notch, fractured the iliac portion of the acetabulum and the head of the femur aud, rebounding, was caught by a hookdike process in a mesenteric pouch. Private W. B., 19th New York Battery, 24; Spottsylvania, 12th May; admitted hospital, Washington, 24th May; died, 9th June, 1864. Contributed by Assistant Surgeon J. C. McKee, U. S. Army. 533. The bones of the right hip joint. A bullet has struck the outer aspect of the gTeat trochanter, passed through b. 47. the neck nearly in the axis of its long diameter, carried off the inner fourth of the head of the femur, destroyed tbe third of the acetabulum next the thyroid foramen and, having been slightly deflected, fractured the pubes near the symphysis. The acetabulum is eroded, but the articular surface of the femur, where not fractured, is not roughened. A slight longitudinal fissure exists below the great trochanter. Contributor and history unknown. 1912. The right os innominatum and the upper portion of the femur. A bullet appears to have impinged against the b. 48. acetabulum in its lowest region, chipping the inferior border of the head of the femur A fracture extends through the acetabulum at the point of impact, which is necrosed, nearly the entire remainder of the articular surface is carious, and a large portion of the head of the femur has been absorbed. Slight osseous deposits exist on the outer margin of the acetabulum. Private M. B. P., "E," 6th North Carolina, (Rebel,) 36: Gettysburg, 3d July; died from pyaemia, 17th September, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. 3865. The right os innominatum and upper extremity of the femur. A round bullet has entered obliquely from the b. 49. right front, fractured the superior portion of the head of the femur, perforated the acetabulum and lodged in the body of the ilium without derangement to its own form. One-half of the head of the femur has been absorbed, the anterior superior third of the acetabulum is carious and partially detached; near the fundus of the acetabulum ulceration has perforated tbe bone; and the bullet communicates with the head of the femur by a carious channel. The missile is encircled with a wall of new bone thrown out from the irritation of its presence; there is also a considerable deposit of callus on the ilio-pubie region, causing during life a prominence in the region of Poupart's ligament. The dorsum ilii and the posterior surface of the body of the ischium show evidence of periosteal inflammation. The fracture was not diagnosed for several months. A. JJ. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 24.3 Private H. W., "A," 3d North Carolina, 20: wounded, 16th October (?); admittel Locust Spring Hospital, from Sharps- burg, Md., 20th November, 1862; transferred to Frederick, llth May; died, 6th July, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See class XXVII. B. B. d. # 713. The right os innominatum aud upper portion of the femur. The lower two-thirds of the acetabulum are destroyed b. 50. and the greater portion of the head of the femur has been absorbed. That portion of the articulation which remains is carious. On the body of the ilium is a slight deposit of callus.' Contibuted by Acting Assistant Surgeon Kedfern Davies. 1968. The bones of the right hip joint. The head of the femur was slightly fractured by a musket ball. In the b. 51. specimen it has almost altogether been absorbed. The articular surface of the acetabulum is carious, and on the anterior and outer surface a.slight fringe of callus appears. The adjacent tissues were filled with pus. Private J. E. G., "I," 2d South Carolina, (Rebel,) 22: Gettysburg, 2d July; died exhausted, 18th October, 1*63. Contributed by Surgeon Henry Janes, U. S. Vols. 374. The bones of the right hip joint. The head and neck of the femur have been destroyed by gunshot and conse- b. 52. quent caries and absorption. The acetabulum is perfectly destroyed as an articulatiou aud is perforated at its fundus. Received, without history, from Nashville. 622. The bones of the left hip joint, with a portion of the ligaments. A conoidal ball, which entered the femur at the b. 53. level of the great tuberosity, completely fractured the neck and, as it appeals in the specimen, dislocated the head and firmly lodged in the body of the ischium. The track of the ball is necrosed, but a small quantity of callus has been thrown out on the anterior surface of the femur. There was very little displacement in life. Private J. W. C, "D," 81st Pennsylvania: Fredericksburg, 13th December; admitted hospital, Washington, 26th Decem- ber, 1r62; died from pyaemia, 2d January, 1863. Contributed by Surgeon John A. Lidell, U. S. Vols. See class XXVII. B. B. d. 3205. The upper extremity of the left femur, with portions of tbe ilium and ischium. The bullet entered one inch above b. 54. the symphysis and to the left of the median line, shattered the ramus of the pubes, left the obturator vessels untouched, passed through the acetabulum, grooving the head of the femur, and lodged in the loose tissue beyond. The ramus of the ischium appears to have been fractured by indirect violence. The bony fragments in the track of the ball are thoroughly necrosed. Private S. C, "K," 207th Pennsylvania: before Petersburg, probably 25th March; died, Alexandria, 7th April, 1865. Contributed by Surgeon E. Bentley, U. S. Vols. See classes XI. A. u. b.; XXVII. B. B d. 1 HO. The head, neck and great trochanter of the right femur. A conoidal ball has shattered the outer half of the head b. 55. and completely fractured the neck. An apparently suitable case for primary excision. Received from Ninth Corps Hospital, Army of the Potomac. See class XXVII. B. B. d. 2170. The upper two-thirds of the right femur. A conoidal ball passing from above downward struck the base of the b. 56. neck and split the bone obliquely between the tuberosities, at the same time breaking off the head and neck Much of the articular surface is eroded and the fractured extremities are carious. Corporal D. McD., "E," 12th New York Cavalry: Foster's Mills, N. C, 27th July; ball removed, 9th October; died from pyaemia, 1st November, 1863. Contributed by Surgeon A. P. Frick, 103d Pennsylvania. See class XXVII. B. B. d. 1728. The upper extremity of the left femur, shattered below the trochanters and involving the intracapsular portion. b. 57. A conoidal ball comminuted the shaft below the great trochanter, upon the posterior surface of which a curved line of fracture, with the loss of the laminated bone to the width of one-fifth of an inch, passes upward beneath the capsule. Private T. M., "C," 14th Maine, 31: Cedar Creek, 19th October; admitted hospital, Baltimore, 26th October; died from pyaemia, 5th December, 1864. Contributed by Acting Assistant Surgeon J. G. Keller. For other illustrations, see 1795, Xl» A. B. e. 4. c. Caries Dependent ui-on Injury to Adjacent Parts. 3819. The upper third of the right femur. The cartilage has been entirely removed from the head, which is carious, by C. 1. ulceration following a flesh wound. The acetabulum also was carious. Private T. J. D, "E," 18th Mississippi (Rebel): Antietam, 17th September, 1862; died from erysipelas, Frederick, 19th June, 1*63. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. Sec class VXII1. A. a. 244 CATALOGUE OF THE SURGICAL SECTION XII. 578. The upper fourth of the right femur. Nearly the whole of the articular surface is carious, without any perceptible c. 2. injury having beeu directly inflicted upon the bone. The condition is the probable result of inflammation following a flesh wound. Contributor and history unknown. 2198. The bones of the left hip joint. The head of the femur is carious and the articular surface has been roughened c. 3. by ulceration. A conoidal ball entered the thigh near the tuber ischii, but could be discovered neither during life nor after death. • Private C. S., "E," 22d Michigan, 21 : Chickanauga, 20th September; admitted hospital, Nashville,17th November, 1863; died from pyaemia, 18th February, 1864. Contributed by Acting Assistant Surgeon H. M. Lilly. 1313. The upper extremity of the right femur, with an oblique perforation of the. great trochanter and neck. The hip c. 4. joint was opened secondarily and the articular surface is roughened. Private L. P. L., "K," 91st Pennsylvania, 17 : Chancellorsville, 3d May ; admitted Field Hospital, Army of the Potomac, 13th May; admitted hospital, Washington, 14th June; died from exhaustion, 25th June, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3572. The left innominatum and upper extremity of the femur. The ilium is very badly fractured just above the c. 5. acetabulum. A plate rather more than two inches square, covered with callus, has nearly exfoliated from the centre of the ilium. Below that on the anterior border is a necrosed lamina, one inch square, yet attached ; externally a moderate new osseous layer exists; and the line of the fracture is necrosed. The hip joint has been opened, apparently by secondary involvement, and the articular surfaces of both bones are eroded, with a partial loss by absorption of the iliac portion of the acetabulum. Private J. G. A., "D," 26th Michigan: admitted hospital, Washington, 28th May; died exhausted after secondary haemorrhage, 30th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XI. A B. b. 3861. The upper third of the right femur, fractured in the trochanter major by a small conoidal ball which passed through C. 6. the ilium, penetrated the abdominal cavity and was extracted near the centre of the rectus abdominis. Avery extensive amount of callus is deposited around the trochanters, and the head of the bone is nearly destroyed by suppuration. Private W. Y., "D," 19th Massachusetts, 39: Antietam, 17th September; admitted hospital, Frederick, 28th December, 1862; slight attack of erysipelas, last of March; hip joint became involved and death occurred, 4th July, 1863. Contributed by Acting Assistant Surgeon G. M. Paullin. See classes XX. A. B. a.; XXVII. B. B. d. For other illustrations, see 934, XI. A. B. a. 10; A. B. b. 85; 3895, XIV. A. B. b. 7. 340, XIII. A. B. a. 20; 3872, XIII. A. u. b. 83; 3*-'4, XIII. d. Excisions. 329. The head of the right femur. The neck was comminuted, but the shaft was not injured. d. 1. See figure OS. Private F. M., llth Pennsylvania: Second Bull Run, 30th August; admitted hospital, Georgetown, 8th September; the head, fragments and an irregular broken portion of the neck at its junc- tion with the shaft, and the tip of the great trochanter were excised by Assistant Surgeon B. A.Clements, V. S. Army, 20th; died, 21st September, 1862. Contributed by the operator. lOO. d. 2. The head aud a few necrosed fiagments of the neck of the right femur, excised for com- plete fracture of the neck by musket shot. See figure 69. Private J. W. N., "K," 1st Massachusetts, 25: White Oak Swamp, 30th June; a prisoner three weeks; admitted hospital, Baltimore, 25th July ; excistd by Assistant Surgeon Roberts Bartholow, U. S. Army, 21*t August; died from venous haemorrhage following sloughing of the femoral vein, 25th August, 1*62. Contributed by the operator. 3716. The head of the right femur, fractured by a musket ball and excised afier tbe loss of much d. 3. substance by suppuration. Private J Z., " H,'' 7th Connecticut, 33: Deep Bottom, 16th August; admitted hospital, Beverly, N. J., 22d August; excised by Assistant Surgeon C. Wagner, U. S. Army, 27th September; died from exhaustion, 2*th September, l*J4. Contributed by the operator. Fig. i;h. Fi acturi-il and excised head of right femur. Spec. 329. Flo. C9. Head and fragments of neck of right femur ex- cised. Spec. 400. A. H OF THE UNITED STATES ARMY MEDICAL MUSEUM. 2 1.1 19. The left os innominatum and upper third of the femur. The femur is fractured at the junction of the head and d. 4. neck. The acetabulum is eroded and the extremity of the neck is carious. Private T. C C, "D," 18th South Carolina, (Rebel,) 21: Williamsburg, 5th May: admitted hospital, Washington, 17th; head of the femur excised and bullet extracted from the obturator externus by Assistant Surgeon J. S. Billings, U. S. Army, 20th; died, 24th May, 1862. Contributed by the operator. 9. d. 5 The bones of the right hip joint. Portions of the heal of the femur, whosi neck was shattered, were exci- and fragments of the neck removed. The chief articular surface of the acetabulum is carious. Private H T. E., "A," llth Virginia, (Rebel,) 21 : Williamsburg, 5th May; admitted hospital, Washington, 16th; excised by Assistant Surgeon J. S. Billings, U. S. Army, 17th; died from exhaustion, 2*th May, 1*62. Contributed by the operator. 3019. The upper extremity of the left femur, excised one-half inch below the lessei d. 6. trochanter, in consequence of ulceration of the joiut following a contusion at the point of section by a conoidal ball, which is attached. Much of the head of the femur has been absorbed, and the remaining portion is carious. The shaft is covered with the traces of periosteal inflammation. See figure 70. Private II. W., "A, ' 4th Vermont, 18: Spottsylvania, 12th May; admitted hospit Washington, 25th May; excised by Surgeon R. B. Bontecou, U. S. Vols., 1st July; died exhausted, 2d July, 1*61. Contributed by the operator. See class XXVII. B. B. d. 3593. The upper portion of the left femur. d. 7. The great trochanter and base of the neck were comminuted by a conoidal ball at their junction. See figure 71. Private P. B., "D," 59th Massachusetts, 60: Petersburg, 30th July; admitted hospital, Wash- ington, 3d August; head and neck excised, by a section just above the trochanter minor, by Assistant Surgeon W. Thomson, U. S. Army, 5th ; died, 9th August, 1*64. Contributed by the operator. FIG. 71. Head and neck of left feinll ciited. Spec. 3593. 328. The upper extremity of the right femur and a flattened ball. The d. 8. was completely shattered and the head broken into several fragments the specimen the whole inner aspect of the fractured bone is necrosed. figure 72. Private C. E. M., "F," 1st Massaclmsetts, 19: Second Bull Run, 30th August; admitted hospital, Georgetown, 6th September; forty fragments of the neck and the head were removed by Assistant Surgeon B. A. Clements, U. S Army, 27tli ; died, 30th September, 186.'. The ischium and the acetabulum were discovered fractured at the time of the operation Contributed by the operator. See class XXVII. B. B. d. 2618. The head and neck of the left femur, and seven fragments from the upper d. 9. extremity, excised. Captain J. P., "A," 73d New York. 22: Spotsylvania, 14th May; admitted hospital, Washington, 16th May; excised by Assistant Surgeon C. A. McCall, U. S Army, 3d June; died exhausted, 21st June, 1864. Contributed by the operator. 3907. The bones of the right hip joint. The femur was shattered through the d. 10. neck, and the head has been excised. The great trochanter was split off and the upper extremity of the femur is carious and somewhat rounded The acetabulum is carious. See figure 73 Private EH., "IV 71stPennsylvania. 24: Antietam, 17th September. 1862; excised by Assistant Surgeon H. A. Dubois, U. S. Army, Frederick, 23d February; died, 25th February. 1863. L'outiibuted by the operator. i2. Upper portion of right femur with a flattened lmll that shattered the neck. Head and remains of neck excised. Spec. 32H. i'.i. Rounded upperextremity of right femur \vln>i.e bead had been excised. 246 CATALOGUE OF THE SURGICAL SECTION XII. FIG. 74. Head and neck of left femur excised. Spec. 3235. 3235. The upper extremity of the left d. 11. femur, excised through the base of the great trochanter for fracture from a conoidal ball which crushed in the anterior face of the neck and completely frac- tured the head at its junction therewith. The missile is mounted with the specimen. See figure 74. Private H. P., "I," 146th New York, 34: Southside R. R., 1st April; ad- mitted hospital, Washington, 6th ; excised by Assistant Surgeon W. F. Norris, U. S. Armjr, 8th; died from exhaustion, 21st April, 1865. Contributed by the operator. See class XXVII. B. B. d. 1018. The bones of the left hip joint. The head aud neck of the femur and d. 12. the pubic portion of the acetabulum were comminuted by a conoidal ball which lodged near the obturator muscles. See figure 75. Lieutenant D. N. P., "E," 46th Virginia (Rebel): Boydtou Plank Road, Va., 29th March; admitted hospital, Washington, 2d April; excised two inches below the tro- chanter minor and the ball removed by Surgeon D. W. Bliss, U. S. Vols., 3d; died, 7th April, 1865. Contributed by the operator. Sec class XX'ill. B. B. d. 3375. The head, neck and two inches of the shaft of the right femur, excised d. 13. after commiuutiou at the trochanters by a conoidal ball which is attached. See figure 76. Private H. W., "G," 8th New Jersey: Wilderness, 5th May; admitted hospital, Washington, 25th ; excised by Assistant Surgeon Geo. A. Mursick, U. S. Vols., 27th May ; discharged tbe service by expiration of term, uuable to travel, 6th October, 1864 ; transferred to Newark, N. J., limb disposed to abscesses on any unusual exertion, 15th April; eloped, 6th May, 1865. Contributed by ttie operator. See 4628, XXVI. A. 2, 53. 1192. The upper extremity of the left femur after excision just below the d. 14. trochanters. The bone was shattered at the point of excision, and the specimen shows necrosis of the central portions and fragments attached by new bone at the extremity of the shaft. There are marks of disease around the neck. See figure 77. Private J. B., "I," 3d Michigan, 38: Second Bull Run, 30th August; remained upon the field three days; admitted hospital, Alexandria, llth September, 1862: under an attempt to save the limb the patient did well for some months; the femur was squarely divided five or six inches below the tip of the trochanter major by Surgeon D. P. Smith, U. S. Vols., 21st March, 1863; the whole superior portion was removed with difficulty, owing to necrosis and the extensive deposits of new bone; discharged the service, 23d August, 1863; able to cross the limb over, its fellow, and, when standing, can move it backward and forward a distance of two and a half feet, 26th September, 1865 Contributed by the operator. See 4629, XXVI. A. 3, 110. Sec class XXVII. B. B. d. 2819. The head and neck and four inches of the shaft of the right femur, excised for d. 15. complete fracture with shattering through the trochanters, seven days after injury. The parts were greatly lacerated, and ill-conditioned pus burrowed in every direction at the time of tbe operation. Private C. C. C, '"C," 2d U. S. Infantry. Wilderness, 12th May; admitted hospital, Washington, 18th; excised by Assistant Surgeon Alex. Ingram, U. S. Army, 19th; died of pyaemia, 23d May, 1*64. Contributed by the operator. FlQ. 75. Bones of left hip joint. of femur excised. Spec Upper extremity . 4048. FIG. 76. Head and two inches of the shaft of ripht femur successfully excised. Spec. 3375. FIG. 77. Upper extremity of left femur successfully excised below the tro- chanters. Spec. 1192. 153. d. 16. figure The upper portion of the left femur, showing the head shattered by a conoidal ball and excised at its junction with the neck. The section is through the anterior surface until it meets the line of fracture. " The acetabulum was chipped. See }. 78. Fractured head of left femur, which was excised Spec. 153. A. a. OF THE UNITED STATUS ARMY MEDICAL MI'S. I'M. 247 Private H. C S., "F," I22d New York, 27: Petersburg, 27th March; admitted hospital, Washington, 2d April; excised by Assistant Surgeon H. Allen, U. S. Army, 4th ; died from acute peritonitis, 8th April, 1*65. Contributed by the operator. Sec class XXVII. B. B. d. 8 10. The upper extremity of the left femur sawn through just below the lesser d. 17. trochanter. An irregular fracture from a shell passes through the trochanters, and the. anterior surface of the neck shows periosteal disturbance. See figure 79. Private C. C, 2d Delaware: Antietam, 17th September; admitted hospital, Fred- erick, 19th; excised by Assi.-tant Surgeon J. H. Bill, U. S. Army, 29th September; died from pyaemia, 4th October, 1862. Contributed by the operator. For other illustrations, see 592, XII. A. B. b. 23. Excised extremity of left femur. Spec. 840. e. Amputations. 1020. The upper two-thirds of the right femur, obliquely fractured by a conoidal ball in the upper third, with a lon- e. 1. gitudinal fracture extending ten^inches down the posterior aspect of the shaft. At the point of impact on the anterior surface a triangular fragment, with sides the length of one inch, is wanting. Sergeant L. C, "H," 1st Delaware, 22: Petersburg, 22d October; admitted hospital, Alexandria, 2d Xovember; disarticu- lated ty Surgeon E. Bentley, U. S. Vols., llth; died from pytemia, 19th November, 1*64. Contributed by the operator. 3098. The upper half of the right femur, shattered with much loss of substance below the trochanters by a e. 2. Fissures run up within the capsule, and both of the fractured extremities are carious and have absorption. Private M. O'N., "E," 58th Massachusetts, 19: Cold Harbor, 3d June; admitted hospital, Alex andria, 7th June; amputated at the hip joint by Surgeon E. Bentley, U. S. Vols , 10th August; exter- nal iliac ligated just above Poupart's ligament for secondary luemorrhage, 20th August; died exhausted, 1st September, 1864. The ligature, which came away nine days after the amputation, is attached to the specimen. Contributed by the operator. See classes XIII. A. B. b ; XVIII. II. A. B. b. conoidal ball. lost tissue by 2288. The upper half of the right femur, badly comminuted below the trochanters and amputated e. 3. at the hip joint. The bone at the seat of fracture is carious with the signs of exhaustive suppuration. Private D. H. B., "C," 110th Pennsylvania, 24: Deep Bottom, Va., 27th July; admitted hospital, Washington, 30th July; amputated by Assistant Surgeon J. C. McKee, U. S. Army, 14th September; died, 15th September, 1864. Contributed by the operator. 3738. The upper half of the left femur. The shaft is necrosed nearly to the trochanters. Con- e. 4. siderable and irregular osseous deposits, from the remains of the periosteum, exist. Private L. L, "A," 1st New Orleans Infantry, 23: thigh amputated for fracture of the knee, New Orleans, 17th July; femur disarticulated for necrosed action after erysipelas, 21stSeptember ; died, 30th September, 1864. Contributed by Surgeon Samuel Kneeland, U. S. Vols. See classes XIII. A. B. f.; XXIII. A. A. 8 1. The greater portion of the left femur, amputated at the hip joint. The specimen shows the e. 5. shaft necrosed its entire length and covered with a fragile honeycombed involucrum. See figure 80. Private J. W., "F," 13th Ohio, 44: partial fracture of middle third, Petersburg, 30th September; admitted hospital, Beverly, N. J., 7th October, 1864; a very large abscess in upper part of thigh opened, 1st February; femur found necrosed to the trochanters and amputated at the joint by Assistant Surgeon C. Wagner, U. S. Army. 17th February, 1*65. Reacted in sixteen hours, but died in twenty-nine hours after the operation. Contributed by the operator. v&! FIG. SO. Left femur dis- articulated four and a half months after par- tial fracture in middle third. Sptc. 8J. 24S CATALOGUE OF THE SUKGICAL SECTION XII. 1237. Tbe upper two-thirds of the right femur, obliquely fractured at the base of e. 6. the great trochanter, with a complete longitudinal fracture extending eight inches down the shaft. Private (1. M. S., " H," 2d New York Mounted Rifles: Dinwiddie ('. H, Va., 31st March : excision of the head attempted, but the injury was found so severe that ampu- tation at the hip joint was performed by Surgeon E. Griswold, U S. Vols., from which reaction did not occur, 12th April, 18ii5. Contributed by the operator. 81. The upper half of the right femur, amputated at the hip joint. The speci- e. 7. men shows an extensive and fragile deposit of new bone aud a sequestrum occupying nearly the entire shaft about to separate. The upper extremity of the femur was sawn otf by mistake in mounting the specimen, but has been replaced. Set figure 81. Private E. S., "A," llth Maine, 19: right knee fractured, Deep Bottom, Va., 16th August; secondary haemorrhage occurred and the thigh was amputated in the lowest third by Assistant Surgeon C. Wagner, U. S. Army, Beverly, N. J., 12th September; haemorrhage recurred and the femoral was ligated in Scarpa's space, 17th October; lig- ature came away, 1st Xovember; four protruding inches of the femur was removed by chain saw, 10th November, 1864 ; frequent abscesses formed, with swelling of the thigh, until the femur became necrosed as far as the trochanters, when it was amputated p,i the joint, the femoral having been tied near Poupart's ligament before the operation, 19th January: hsemoirhage occurred from the stump aud the external iliac was tied, 27th January; the ligature separated after twenty days, and on the twenty-third profuse haemorrhage recurred from the lower part of the divided artery, which was controlled by pressure maintained for fourteen days; discharged the service, "hale and strong," 27th May, 1S65. Contributed by the operator. See 3709, XIV. A. n. f. 57 ; 4627, XXVI. A. 1, 29. See classes XIII. A. B. f.; XVIII. II. A. B. b. 1386. The left femur fractured at the junction of the upper e. 8. thirds and imperfectly united with deformity, amputated at the joint seventeen months after injury. See figure H2. Private G. L., "C,"6th Maryland, 30: Wilderness, 5th May; remained on the field a prisoner until 13th May ; admitted hospital, Alexandria, 14th June, 1*64; amputated at the hip joint by Sur- geon E. Bentley, U. S. Vols., 12th October, 1865. Recovered. Contributed by the operator. Sec 4167, XXV. A. B. 2. Ser; class XIII. A. B. b. 710. The upper portion of the right femur, perforated e. 9. through the great trochanter, at its junction with the neck, by a conoidal ball which obliquely fractured the shaft and comminuted the bone at the trochanteric epiphysis. See figure S'.). Private P. J., "C,"2J Delaware: Fredericksburg, 14th Decem- ber; admitted hospital, Washington, 25th; the femoral artery was divided below Poupart's ligament, and the limb was gan- grenous; disarticulated by Surgeon Peter Pineo, U. S. Vols., 27th December, 1-62. The operation was designed only as a palliative measure. Death occurred in a few hours. Contributed by the operator. Sec 4627. XXVI. A. 1, 14. FIG. 81. Right femur successfully (lit articulated five months after amputu tion in lowest third. Spec. 81. For other illustrations, see 107, XIII. A. XXVI. A. 3, 113, 136, 137. B. g. 33; 4629, FIG. 82. Left femur success- fully disarticulated seven- teen months after fracture at, the junction of the upper thirds. Spec. 4386. FIG. 83. Right femur perforated through great trechanter and disarticulated. Spec. 710. B. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. B • Injuries not caused by Gunshot. B. Secondary Conditions. a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. i d. Excisions. I e. Amputations. | f. Other operations. I g. Sequestra and exfoliations. c. Dislocations. 301. The left os innominatum and upper portion of the femur, exhibiting a dislocation backward. Both c. 1. articular surfaces are eroded, and the head of the femur rests against necrosed bone at the ilio-ischiatic junefi There is no history to this case, which otherwise would be exceedingly interesting. Contributed by Surgeon John T. Hodgen, U. S. Vols. XIII. INJURIES AND DISEASES OF THE SHAFT OF THE FEMUR, INVOLVING NEITHER ARTICULATION. A. Gunshot Injuries. < i\_. Primary Conditions. JJ. Secondary Conditions f a. Contusions aud partial fractures. b. Complete fractures c. Excisions. d. Amputations. e. Other operations. a. Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Amputations, e. Other operations. f. Stumps. g. Sequestra. B. Injuries not caused by Gunshot. J\, Primary Conditions. < Jj. Secondary Conditic a. Contusions and partial fractures. b. Impacted fractures. c. Ordinary fractures. d. Excisions. e. Amputated fractures. f. Other operations. a. Contusions and partial fractures. b. Impacted fractures. c. Ordinary fractures. d. Excisions. e. Amputated fractures. f. Other operations. g. Stumps. h. Sequestra. c. Diseases. XIII. SHAFT OF THE FEMUR. IJl« Gunshot Injuries. {a. Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Amputations. e. Other operations. a. Contusions and Partial Fractures. See 3055, XIII. A. A. d. 2; 405, XIII. A. A. d. 3: 4133, XIII. A. A. d. 4; 1362, XIII. A. a. d. 5. b. Complete Fractures. 249. The lower half of the left femur, transversely fractured in the middle third without fissuring or comminution. b. 1. Contributed by Surgeon J. H. Brinton, U. S. Vols. 673. The middle third of the femur, nearly transversely fractured by gunshot. There are several slight fissures with no b. 2. comminution. In the inferior portion a fissure not communicating with the fracture exists. Tho fragments are in very accurate apposition. Contributed by Surgeon W. H. Leonard, 51st New York. 4030. The lowest third of the right femur, nearly transversely fractured, with a slight fissure extending upward on the b. 3. anterior surface and a large one downward on the posterior surface. Contributed by Assistant Surgeon S. Adams, U. S. Army. 1367. The middle third of the right femur, transversely fractured with moderate comminution and longitudinal fissuring. b. 4. Received after Gettysburg. 4009. The shaft of the left femur, longitudinally fractured, eight and a half inches, by an iron canister shot striking the b. 5. anterior surface. There is little comminution except at the point of impact. The missile is attached. Contributed by Assistant Surgeon S. Adams, U. S. Army. See class XXVII. B. A. c. 1470. The lower half of the left femur, very obliquely fractured upward by a conoidal ball which struck the outer edge b. 6. of the shaft three inches above the articulation. The specimen simply illustrates the tendency of long bones to fracture in the direction of the force. The missile, somewhat split, is attached. Contributed by Drs. Cantwell and Eabbee. See class XXVII. B. B. d. 1056. A portion of the shaft of the left femur transversely fractured, with extensive oblique comminution, by a grape b. 7. shot. Private Nathan F.,* "F," 89th New York: Suffolk, Va., 19th April; died, 22d April, 1863. Contributed by Surgeon T. H. Squire, 89th New York. * This man's true name was Charles F. ; his brother Nathan volunteered, but Charles assumed big name and place in the ranks, because, an a dingle man, he could be better spared than his brother, who had a family. 254 CATALOGUE OF THE SURGICAL SECTION XIII. 2176. The lower two-thirds of the right femur, very extensively comminuted by a conoidal ball accidentally discharged b. 8. at three paces. The soft parts were greatly lacerated, and death occurred in a few minutes. A fair illustration of the effects of a conoidal ball at short range. Private J. W., " F," S3d Indiana : Convalescent Camp, Nashville, 22d December, 1863. Contributed by Surgeon John W. Foye, U. S. Vols. 92. The upper third of tho right femur, completely fractured, with loss of substance on the anterior surface, at the level b. 9. of the trochanter minor by a conoidal ball. Contributed by Surgeon J. H. Brinton, U. S. Vols. 2 160. The upper portion of the right femur, much comminuted by a missile striking the anterior surface. The lines of b. 10. fracture radiate over a space of one and a half inches at the point of impact and more than six inches on the opposite surface. Contributed by Surgeon G. W. McMillin, 5th East Tennessee. 1509. The lowest third of the left femur, irregularly fractured in the shaft by a fragment of shell weighing thirteen b. 11. ounces, which is attached. Contributor aud history unknown. Sec class XXVII. B. A. c. c. Excisions. 2671. Five and a half inches of the shaft of the femur, split obliquely in two directions, with a flattened conoidal ball c. 1. at the point of fracture. Said to have been excised at Fredericksburg. Sec class XXVII. B. B. d. 2614. Eight and a half inches of the shaft of the left femur, exhibiting a longitudinal fracture with comminution. c. 2. Said to have been excised at Fredericksburg. 1552. Nine inches of the shaft of the left femur, said to have been excised for double oblique comminuted fracture in c. 3. the middle third. The fracture does not extend to within three inches of the lower line of section. Contributed by Surgeon J. H. Brinton, U. S. Vols. Fur other illustrations, sec 2816, XIII. A. B. c. 1; 2947, XIII. A. n. c. 3; 4719, XXVI. A. 4, 152. d. Amputations. 112. The lowest fourth of the left femur, shattered by a conoidal ball. d. 1. Major T. H., 68th Pennsylvania: Fredericksburg, 14th December, 1S62; amputated same day; died of tetanus, Washington, 6th January, 1863. Contributed by Surgeon J. B. Keasley, 2d District of Columbia. 3055. The lowest third of the left femur, chipped and bruised at the inner angle of the shaft by a ball which passed d. 2. transversely through the popliteal space and wounded the nerve and artery. A particle of lead is impacted in the bone. Private G. M., "C," 45th Pennsylvania, 21: Wilderness, 12th May; amputated by Surgeon R. B. Bontecou, U. S. Vols., Washington, 15th; died of pyaemia, 19th May, 1864. Contributed by the operator. See classes XIII. A. a. a.; XXVII. B. B. d. 105. The lowest third of the right femur, amputated for a partial fracture from a conoidal ball, which is embedded, d. 3. point downward, in the anterior surface just above the articulation. A fissure extends upward the length of the specimen. Private J. J. S., "B," 2d Tennessee (Rebel): Middle Creek, Ky., 10th January, 1862; amputated by Dr. Geo. H. Higgins, and died in a few hours from loss of blood. Contributed by Acting Assistant Surgeon F. Schafhirt. See classes XIII. A. a. a.; XXVII. B. B. d. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. J.").", 4133. The lowest third of the left femur, partially fractured by a conoidal ball embedding itself anteriorly and producing d. 4. a longitudinal fracture. •Corporal P. S., "A," 208th Pennsylvania, 23: Petersburg, 25th March; amputated by Surgeon W. O. McDonald, U. S. Vols., 26th March, 1865. Contributed by the operator. See classes XIII. A. A. a.; XXVII. B. B. d. 1362. The lowest third of the left femur, primarily amputated for shattering of the anterior surface by a conoidal ball d. 5. impinging above the joint and comminuting upward without completely fracturing the shaft. The battered ball is attached. Private J. F., "E," 52d New York. Contributed by Surgeon J. M. Homiston,----New York Cavalry. See classes XIII. A. a. a.; XXVII. B. B. d. 4179. The lowest third of tbe left femur, obliquely fractured by a fragment of shell, which Ins crushed in the laminated d. 6. structure on the anterior surface and is attached to the specimen. A probable primary amputation. Received from the Army of the Potomac. See class XXVII. B. A. c. 1886. The lowest third of the left femur, with a very extensively comminuted oblique fracture by a conoidal ball d. 7. (attached) which perforated the shaft from without inward. Z. T. C, "E," 60th Georgia (Rebol): Milton's Mills. Va., 27th November; amputated by Surgeon J. Dwinelle, 106th Pennsylvania, 28th November; sent to General Hospital, 4th December, 1863. Contributed by tho operator. See 1885, XIII. A. A. d. 23. See class XXVII. B. B. d. 2158. The lowest third of the left femur, perforated by a conoidal ball from behind, three inches above the condyles, d. 8. with the shaft thoroughly comminuted. Primary amputation was probably performed. History unknown. Contributed by Surgeon G. W. MeMillin, 5th East Tennessee. 1397. The lowest third of tho left femur, amputated for complete fracture, with shattering in the middle of tho specimen. d. 9. Lieutenant F. H. H., "F," 2d New York Heavy Artillery: Pamunky River, 1st June; amputated, Second Corps Hospital, tho same day; admitted hospital, Georgetown, 4th June; died, 17th August, 1864. Received from the Army of the Potomac. 1369. The lowest third of the right femur, after amputation in the upper part of the lowest third for extensive and d. 10. oblique shattering by a conoidal ball which entered four inches above tbe joint. Private J. L., "I," 89th Pennsylvania, 40: Monocaey, 9th July; amputated by Acting Assistant Surgeon J. H. Bartholf, Frederick, Md., llth July, 1864; died from softening of the brain, 14th February, 1865. Contributed by the operator. 1413. The lower half of the right femur, transversely fractured in the middle third by a conoidal ball, which is attached, d. 11. flattened. A very small portion of the laminated structure is wanting at the point of impact on the outer surface, and directly opposite a longitudinal fissure extends into both fragments. Primary amputation has probably been performed. This specimen illustrates how little injury to the bone sometimes accompanies great change of shape in the missile. This bullet struck, with its long diameter parallel to that of the bone, when it was heated. Contributed by Surgeon C. S. Wood, 66th New York. See class XXVII. B. B. d. 3225. The lower half of the left femur, with an oblique fracture extending upward for seven inches from the base of the d. 12. shaft at its outer posterior angle. The laminated structure is wanting for the diameter of an inch at the point of impact. From the character of the fracture the direction of the bullet appears to have been from below. Private D. L., "I," 1st Maine Heavy Artillery: probably Spottsylvania; amputated in the field by Surgeon J. W. Lyman, 57th Pennsylvania; died, May, 1864. Contributed by the operator. 2043. The left femur, amputated a little above the junction of the lower thirds for an extensive oblique fracture from d. 13. a conoidal ball impacted posteriorly at the base of the shaft. The line of flight of the ball seems to have been a little upward, and the fracturing is entirely in that direction. Private E. B., "H," 39th New York, 29: Morton's Ford, Va., 6th February ; amputated by Surgeon J. Dwinelle, H>6th Pennsylvania, Second Corps Hospital, 8th February; discharged the service, 1st June, 1864. Contributed by tho operator. See class XXVII. B. b. d. 256 CATALOGUE OF THE SURGICAL SECTION XIII. 1233. The right femur, comminuted in the lower part of the middle third by a pistol ball which entered the thigh on d. 14. its outer aspect, passed behind and partially around the femur and entered the inner aspect of that bone, lodging in the medullary canal. The severity of the injury is remarkable considering the deflection of the course of the ball, its diminished velocity, and its small weight, which was five scruples and six grains. Private G. C, "K," 1st North Carolina Cavalry (Rebel): Brandy Station, 9th June; amputated near the upper third by Assistant Surgeon B. Howard, TJ. S. Army, at Kelley's Ford, the same day; sent to Washington, 10th ; died, 24th [June, 1863. Contributed by the operator. 4001. The lower half of the right femur, amputated for a shell wound in the lowest third. A small exostosis is observ- d. 15. able on the posterior aspect just above the point of fracture. Captain C. H. H., "I," 14th New York Heavy Artillery: Petersburg; amputated in the field by Dr. Ingalls, 25th March. Contributed by Assistant Surgeon S. Adams, U. S. Army. See class XIII. C. 4120. The shaft of the right femur badly comminuted by a conoidal ball which has flattened, in a mushroom shape, against d. 16. the anterior surface of the lowest third. Private J. B., "H," 73d New York : near Petersburg; amputated in the middle third by Surgeon D. S. Hays, 110th Pennsylvania, in the field, llth September, 1864. Recovered. Contributed by the operator. See class XXVII. B. a. c. 3759. The lower half of the left femur, amputated for comminution in the lowest third. d 17. Private H. C, "I," 12th Tennessee Cavalry, 20: near Nashville, 16th December; admitted hospital and ampu- tated by Assistant Surgeon J. A. Freeman, U. S. Vols., 17th; died from exhaustion and pneumonia, 27th December, 1864. Contributed by the operator. 177. The lower half of the left femur, amputated after fracture from grapeshot in the lowest third. The bone is swept d. 18. off nearly transversely at the point of passage of the missile, with the chief splintering running upward. Contributed by Surgeon J. C. Dorr, U. S. Vols. 1515. The lower half of the right femur, probably primarily amputated for a severe fracture from a conoidal ball d. 19. entering from the rear. From a soldier wounded at Wapping Heights, Virginia. Contributed by Assistant Surgeon J. T. Calhoun, U. S. Army. 475. The lower half of the right femur, amputated for a severe stellate fracture from a round ball impinging against the d. 20. outer surface and which is attached, flattened. The comminution is much greater than usually results from such missiles. Contributed by Surgeon Leonard, 59th New York. See class XXVII. B. n. d. 2039. The lower half of the left femur, badly comminuted in the middle third by a conoidal ball, which is attached, d. 21. battered. Private P. M., " H," 39th New York, 44: Morton's Ford, Va., 6th February, amputated in the field, llth February; discharged the service, 5th December, 1864. Contributed by Surgeon John Aiken. See class XXVII. B. B, d. 1125. The middle of the shaft of the left femur, comminuted by a conoidal ball, which has lodged. d. 22. Sergeant J. B., "A," 105th Pennsylvania: amputated in the middle third by Surgeon D. S. Hays, 110th Penn- sylvania, 2d October, 1864. Recovered. Contributed by the operator. See class XXVII. B. B. d. 1885. The lower half of the left femur, amputated after a very oblique fracture, with comminution, from a conoidal ball d. 23. which pierced the bone from the front. Private T. B. H., "C," 60th Georgia (Rebel): Milton's Mills, Va., 27th November; amputated by Surgeon J. Dwinelle, 106th Pennsylvania, 28th November; died, after great exposure, 3d December, 1863. Contributed by the operator. Sic 1>36, XIII. A. a. d. 7. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 257 2308. The lower portion of the right femur, amputated in the upper part of the middle third for fracture, with extensive d. 24. comminution, at the junction of the lower thirds. Private J. O. II., "A," 1st Maine Heavy Artillery, 29: Spottsylvania, 19th May; admitted hospital and ampu- tated by Surgeon N. R. Mosely, U. S. Vols., Washington, 22d; died, 27th May, 1864. Contributed by the operator. 122 I. The two lower thirds of the left femur, amputated for fracture of six inches at their junction. d. 25. From the fight at Beverly Ford, 9th June, 1863. 1513. The lower portion of the right femur, probably primarily amputated iu the upper third for fracture by a conoidal d. 26. ball at the junction of the lower thirds. From a soldier wounded at Wapping Heights, Virginia. Contributed by Assistant Surgeon J. T. Calhoun, U. S. Army. 4HO. The middle third of the shaft of the left femur with a radiate comminuted fracture, apparently from a conoidal d. 27. ball. Private H. J., "C," 86th New York: near Petersburg; amputated iu the upper third, iu the field, by Surgeon J. J. Jamison, 86th New York, 12th September, 1864. Recovered. Contributed by the operator. 1381. The lower two-thirds of the left femur, comminuted by a conoidal ball in the middle of tho shaft. d. 28. Sergeant J. T., "F," 6th U. S. Infantry: amputated on the third day by Assistant Surgeon B. Howard, U. S. Army. Further history unknown. Contributed by the operator. 1893. A portion of the shaft of the left femur, amputated in the upper third for an oblique comminuted fracture from a d. 29. conoidal carbine ball. Private I. C, "G," 8th Illinois Cavalry: shot by guerillas near Ellis'Ford, Va , 1st December; carried eighteen miles to Culpeper; amputated, 2d December; admitted hospital, Alexandria, 5th December, 1863; died, 17th January, 1864. Contributed by Surgeon A. Hard, 8th Illinois Cavalry. 2733. The lower thirds pf the left femur, perforated at their junction by a conoidal ball from the outer aspect, with largo d. 30. longitudinal fragments broken off. Apparently amputated. Contributor and history unknown. 1380. The upper half of the shaft of the left femur, comminuted in the upper third, with great longitudinal splintering, d. 31. and amputated just below the trochanters. The ball, striking from the rear, distinctly marked its calibre on the bone. Private P. N., "I," 5th U. S. Artillery: Gettysburg, 2d July; amputated by Assistant Surgeon B. Howard, U. S. Army, 5th July, 1863. Contributed by the operator. 2112. The lowest third of the right femur, shattered by the transverse passage of a conoidal ball. d. 32. Private E. E., "H," 3d Pennsylvania Reserves, 28: Wilderness, 10th May; primary amputation above the junction of the lower thirds, performed in the field; admitted hospital, Washington, 16th; died, 19th May, 1864. Contributor unknown. 2966. The lowest third of each femur, primarily amputated. The right femur was transversely perforated, with com- d. 33. minution, two inches above the condyle, by a bullet which passed on, badly grooving the left femur on the anterior face at the same level and producing a severe oblique fracture. Private D. N., "H," 22d Massachusetts, 23: Wilderness, 10th May; amputated the same day by Surgeon J. Thompson, 118th Pennsylvania; admitted hospital, Washington, 25th; died exhausted, 28th May, 1864. Contributed by the operator. See class XXVII. B. B. d. 221. The lower portion of the shaft of the right femur, very badly shattered and amputated near the junction of the d. 34. lowest thirds. Corporal S. McM., "C," 1st Pennsylvania Rifles (190th (?) Vols.): Spottsylvania, llth May; amputated by Surgeon J. J. Comfort, 1st Pennsylvania Rifles, the same day; admitted hospital, Washington, 16th May, 1864; discharged the service, Philadelphia, 7th August, 1865. Contributed by the operator. 1685. The middle third of the left femur, comminuted for six inches by fracture by a conoidal ball from the rear. d. 35. Sergeant R. L., "H," 24th North Carolina, (Rebel,) 24: Petersburg, 16th June; amputated in the upper third the same day; admitted hospital, Portsmouth Grove, R. I., 26th June; died, 23d July, 1864. Contributed by Surgeon W. S. Osborn, llth Pennsylvania. Fur other illustrations, see 3796, III. A. B. b. 24. 33 258 CATALOGUE OF THE SURGICAL SECTION XIII. _D. Secondary Conditions. a. Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Amputations. e. Other operations. f. Stumps. g. Sequestra. a. Contusions and Partial Fractures. 3346. The lowest third of the right femur. A musket ball appears to have contused a point (marked a on the specimen) a. 1. near the inner angle, about four inches above the joint. Sergeant W. W. R , "K," 124th New York: Petersburg, 18th June; missile and piece of cloth extracted from the popliteal space, 20th June; died in Alexandria, 15th July, 1864. The adjacent tissues were gangrenous and the knee suppurating. Contributed by Surgeon Edwin Bentley, U. S. Vols. See classes XXIII. A; XXVII. D. 3106. A portion of the shaft of the left femur, contused by a bullet which entered the thigh posteriorly in tbe upper a. 2. third, struck the bone in the middle third, split and escaped in two pieces a little above the patella. The bone is necrosed where struck by the ball, and an abscess was found in the medullary canal corresponding to this spot. Private J. S., "F," 69th New York: admitted hospital, Washington, 30th July; femoral ligated below the profunda by Acting Assistant Surgeon H. M. Dean, 5th August; died from pyaemia, 21st August, 1864. Contributed by the operator. See 3105, XVIII. II. A. B. b. 33; 3118, XVIII. III. C. B. b. 1. 3873. A section of the upper third of the shaft of the left femur, contused by gunshot. There is a very slight degree of a. 3. caries, with more wide-spread periosteal disturbance. Private W. W. N., "C," 7th Ohio, 23: South Mountain, Md., 14th September, 1862; died from exhaustion, Frederick, 4th March, 1863. The history is very obscure. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 4201. The upper half of the left femur, contused at the junction of the upper thirds. a. 4. and nearly separated, and the posterior surface of the bone is eroded. Private J. K., "F," 198th Pennsylvania: died from pyaemia. Contributed by Assistant Surgeon W. F. Norris, U. S. Army. The seat of injury is necrosed 4341. The upper third of the left femur, contused between the trochanters on the outer and posterior border. a. 5. Private J. W., " A," 4th New York, 19 : Petersburg. 2d April, 1865 ; admitted hospital, Washington, 12th April; missile removed from vastus externus, 17th April; died from pyaemia, 27th April, 1865. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 1985. Five inches of the shaft of the left femur, one month after injury. A conoidal ball crushed upon two pocket knives, a. 6. splintering them and driving the fragments into the thigh. The specimen, which is sawn longitudinally, shows a decided thickening of the periosteum, as if at a point of impact. The shaft is denser than usual and apparently somewhat hypertrophied. Private W. H. K., "E," 17th Maine, 24: Mine Run, Va., 27th November; admitted hospital, Alexandria, 4th December; died, 22d December, 1863. Contributed by Acting Assistant Surgeon Jona. Cass. See 3236, XXVII. B. B. d. 213. 2197. The right femur, chipped and contused on the anterior and inner face by a conoidal ball which was discovered at a. 7. the autopsy in the thyroid foramen. Traces of extensive periosteal inflammation remain. Private G. S., "E," 88th Illinois, 27: Mission Ridge, 27th November, 1863; admitted hospital, Nashville, 30th January; died from exhaustion, 18th February, 1864. Contributed by Surgeon C. W. Horner, U. S. Vols. A.J). OF THE UNITED STATES ARMY MEDICAL MUSEUM. 259 2675. The greater portion of the shaft of the right femur. The bone is necrosed at a point of contusion on the inner a. 8. surface in the middle third, above and below which, nearly the exteut of the specimen, it is greatly roughened by suppuration. Private C. C. M., "K," 6th New York Heavy Artillery, 42: Wilderness, 9th May; admitted hospital near Alexandria, 25th May ; died of pyaemia, 2d July, 1864. Contributed by Surgeon D. P. Smith, U. S. Vols. HOI. The lower half of the left femur, severely contused, as if by a round bullet, on the outer surface of the lowest a. 9. third of the shaft. The point of impact is necrosed, and a certain deposit of callus as well as loss of bone is observable on the posterior surface. An oblique fissure entirely around the bone may be traced by the line of repair. The specimen is a beautiful illustration of the external effects of contusion. The injury to the inner condyle appears to be a post mortem accident. Contributor and history unknown. 740. The upper third of the left femur, exhibiting a necrosed spot on its inner aspect following a bruise and chipping a. 10. by a musket ball. Excessive inflammation and suppuration with periostitis and ostitis followed, with consecutive inflammation of the knee and hip joints. A. F., "H," olst New York: Antietam, 17th September; admitted hospital, Frederick, 24th September; femoral artery ligated, 3d November; died of suppurative exhaustion, 24th November, 1>62. Contributed by Surgeon H. S Hewit, U. S. Vols. 1671. A section of the right femur with a very slight partial fracture, more properly a severe contusion. The spocimen a. 11. shows an exfoliation about to separate and necrosed action extending some depth. Corporal J. W. J., "I," llth New Jersey, 19: Gettysburg, 3d July; admitted hospital, Baltimore, 16th July ; died from pyaemia, 16th August, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 2207. The upper third of the left femur, contused by a musket ball on its anterior surfaee just below the great trochanter. a. 12. The shaft is superficially carious for several inches Private A. H., " E," 5th Tennessee, (Rebel,) 29: Mission Ridge, 25th November, 1863; admitted hospital, Nash- ville, 16th February; died from suppurative exhaustion, 6th March, 1861. Contributed by Acting Assistant Surgeon G. P. Hachenburg. 3339. The upper two-thirds of the right femur, contused on its anterior surface by an explosive musket ball. Local a. 13. necrosis of the bone occurred, with trivial osseous deposit near by. Profuse suppuration followed the fragments of lead scattered in the thigh, the traces of which are seen in the roughening of the shaft. O. C. H., 24: Petersburg, 24th June; died from exhaustion, in Alexandria, 24th July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. 291. The upper third of the right femur. The shaft has been contused on the inner surface about one inch below the a. 14. trochanter minor, where it is necrosed locally. The adjacent bone is honeycombed by suppuration. Contributed by Surgeon John T. Hodgen, U. S. Vols. 3433. The upper third of the left femur, severely contused and partially fractured on the anterior surface of the base a. 15. of the great trochanter, with an oblique fissure extending several inches down the shaft. The contused bone is about being thrown off, and a beautiful line of necrosis belongs to the fissure in its length. There is also a slight deposit of callus along the border of the fracture. Private W. V., "F," 12th Pennsylvania Cavalry, 20: Winchester, 24th July; admitted hospital, Baltimore, 30th July; died of typhoid fever, 29th September, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 2132. The upper fourth of the right femur. The great trochanter is contused and partly fractured on the outer surface. a. 16. Local necrosis has occurred. A slight fringe of callus exists on the lower border of the fracture. Contributed by Surgeon I. Moses, U. S. Vols. 2704. The upper portion of the left femur, from which the tip of the great trochanter has been carried away by a a. 17. conoidal ball. The joint was not involved. Private J. F., "H," 1st Massachusetts Cavalry, 40: near Spottsylvania C. H., 27th November; admitted hos- pital, Alexandria, 4th December; died 13th December, 1863. Contributed by Surgeon E. Bentley, U. S. Vols. 260 CATALOGUE OF THE SURGICAL SECTION XIII. 126. The upper extremity of the left femur. The great trochanter has been carried away by a grape shot with no a. 18. splintering of the shaft. Contributed by Surgeon R. H. Alexander, IT. S. Army. 131. The upper half of the left femur, with a section of the shaft just below the great trochanter gouged out as if by a. 19. a fragment of shell; the bony edges of the wound are carious. Private A. B., "G," 152d New York, 34: admitted hospital, Washington, 3d July; extensive abscesses and erysipelas occupied the limb ; died, 1864. Contributed by Acting Assistant Surgeon H. C. Mulford. See class XXIII. A. A. 3540. The upper third of the left femur, longitudinally bisected, showing an impacted pistol ball a. 20. which penetrated the base of the neck from before and lodged in the cancellated portion. Private J. G.. "B,"----New York Heavy Artillery, 18: shot accidentally, 10th May; died of pyaemia, 1st June, 1864. Both the knee joint and hip joint were disorganized. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See classes XII. A. B. c; XIV. A. B. c.; XXVII. B. B. d. 916. The lower half of the left femur, penetrated in the lowest third by a musket ball, with a a. 21. slight osseous deposit on the neighboring portion of the shaft. Particles of lead are impacted in the bone. See figure 84. Sergeant L. B., "A," 7th Wisconsin: South Mountain, 14th September; refused to submit to amputation and died, Frederick, 29th December, 1862. Contributed by Acting Assistant Surgeon G. W. Corey. See class XXVII. B. B. d. 1788. The lower half of the right femur, illustrating the tendency of a. 22. bone to fracture in the direction of the impinging force. A conoidal ball, fired upward from a ravine, struck the femur on its anterior face just above the patella, became impacted and partially split and nearly detached a longitudinal fragment, four and a half inches in length, which is now necrosed. See figures 85 and SO. Private O. B. N, "K," 3d Michigan Cavalry: near Jackson, Tenn., 15th July; admitted hospital, unable, on account of erysipelas, to endure amputation, Le Grange, Tenn., 22d July; admitted hospital, with pyaemia, Memphis, 27th September; died, 2d October, 1863. Contributed by Assistant Surgeon J. P. Wright, U. S. Army. See 4627, XXVI. A. 1, 19. See class XXVII. B. B. d. 140. The lowest third of the left femur, contused and partially a. 23. fractured by a musket ball, which grooved its outer aspect, two inches above the condj'les. The contused laminated structure is necrosed, the adjacent bone is carious, and periosteal inflammation has involved the greater part of the shaft in the specimen. Color Sergeant H. D., "E," 2d New York State Militia: Second Bull Run, 30th August; admitted hospital, Washington, 28th September; died, 10th October, 1862. This man was also wounded in the arm. Contributed by Surgeon O. A. Judson, U. S. Vols. Fig. 84. Penetrating fracture of left fe- mur. Spec. 916. Fig. 85. Anterior view of right femur, fractured by ball fiom below. Spec. 1788. FIG. 96. Posterior view of right femur, par- tially fractured hy ball from below. Spec. 1788 2995. The upper third of the left femur, partially fractured by the impact of a bullet against the anterior surface at the a. 24. level of the trochanter minor. The laminated portion is crushed where struck and is necrosed, and a splinter of four and a half inches is loosened from the inner surface. There has been general periosteal disturbance. Private E. P., "A," :>sth Massachusetts, 19: Port Hudson, La, 14th June; admitted hospital, New Orleans, 17th June; died from exhaustion, 27th July, 186:5. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. 1924. The lowest third of the left femur, grooved on the outer aspect from before backward, with a small fragment a. 25. detached. Marked periosteal disturbance has occurred. The fracture remained without detection for six weeks. Private S. T. G., "E," 17th Kentucky, 32: Chickamauga, 19th September; died from pyaemia, Nashville, 5th November, 1863. Contributed by Acting Assistant Surgeon Preston Peter, A. .15 OF THE UNITED STATES ARMY MEDICAL MUSEUM. 2G1 1757. The lowest third of the right femur, partially fractured by a musket ball which obliquely perforated the outer a. 26. and posterior border of the shaft above the external condyle. The bony wound is carious. Private M. K., 4th Ohio Cavalry: wounded, 10th July; secondary haemorrhage controlled by ligation of popliteal, 3d August; secondary haemorrhage controlled by ligation of large anastomotic branch, 5th ; profuse secondary hemorrhage controlled by ligation of femoral in the middle third; died from exhaustion, 14th August, 1863. Contributor and further history unknown. See class XVIII. II. A B. b. 1932. The upper third of the left femur, perforated from before by a conoidal ball lodged in the great trochanter, which a. 27. is partially fractured. A fringe of osseous deposit surrounds the wound of entrance, and a thin layer covers the posterior face of the bone. Private A. J. K., "E," 8th Florida, (Rebel,) 20: Gettysburg, 2d July; died, 27th September, 1863. Contributor and further history unknown. 2171. A portion of the shaft of the left femur, with a partial fracture in the middle third by a conoidal ball cutting out a. 28. a segment. There was copious osseous deposit about the place of injury. The disease extended to the medullary canal. Sergeant C. E., "I," 4th U. S. Artillery, 24; Chickamauga, 19th September; admitted hospital, Nashville, 12th October; died, it is said from exhaustion, 1st November, 1863. Contributed by Surgeon J. W. Foye, U. S. Vols. 1594. The upper portion of the left femur, with the great trochanter badly grooved by a musket ball. The wound in a. 29. the bono is carious, but its borders are surrounded with foliaceous callus. The urethra was cut by the ball. Corporal J. M., "E,"39th Massachusetts, 19: Petersburg, 1st April; admitted hospital, Washington, 6th April; died exhausted, after pleuro-pneumonia, 17th August, 1865. Contributed by Assistant Surgeon W. F. Norris, U. S. Army. See class XIX. A. u. a. 1296. The lowest third of the right femur, partially fractured just above the condyles by a conoidal ball which entered a. 30. below and externally to the head of the fibula while the limb was strongly flexed, entirely avoiding the articulation. There are longitudinal fractures on the anterior surface with some periosteal thickening. The ball lodged in the medullary canal. Corporal J. H., "A," 159th New York, 19: Irish Bend, La., 14th April; admitted hospital, New Orleans, 17th; secondary haemorrhage, 24th April; died, lbth May, 1863. Contributed by Assistant Surgeon P. S Conner, U. S. Army. See class XXVII. B. B. d. 2370. Tbe lower half of the right femur. A bullet has chipped the outer side of the shaft of the femur, comminuting a. 31. it for some distance. The greater part of the injury has been repaired by a firm deposit of callus, and a sequestrum is seen imprisoned in the. newly formed bone. Private A. R., "A," 2d Pennsylvania Cavalry, 19: a paroled prisoner, place and date of injury unknown; admitted hos- pital, Baltimore, 18th April; died from pyaemia, 22d May, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 3956. The shaft of the left femur, sawn'longitudinally. The specimen shows an oblique partial fracture by a conoidal a. 32. ball which chipped the shaft in its outer border. An extensive and compact deposit of callus has occurred over six inches, but the parts immediately injured became necrosed. The position of the sequestrum removed is shown. Serceant J. OB., "F," 42d New York, 30: Antietam, 17th September, 1862: admitted hospital, with considerable deposit of callus, deep-seated abscess and necrosed bone in wound, Frederick, 15th January; sequestrum removed by Acting Assistant Surgeon W. S. Adams, 1st February; died from pyaemia, 17th February, 1863. Contributed by the operator. See 3898, XIII. A. B. g. 60. 1271. The lowest third of the left femur, showing a partial fracture of the laminated portion of the shaft just above the a. 33. condyles posteriorly, with a longitudinal fissure upward, received from a conoidal bullet evidently nearly spent. Corporal J E. D., "G," 34th Massachusetts, 21 : New Market, Va., 15th May; admitted hospital, Cumberland, Md., 19th May; "died, with typhoid symptoms," 15th June, 1865. Contributed by Surgeon J. B. Lewis, U. S. Vols. I'or other illustrations, see 3951, XII. A. B. a. 4; 1661, XII. A. B a. 10; 3143 XII. A. B. a. 17; 86, XII. A. B. a. 20; 844, XIII. A. is. d. 1; 32, XIII. A. is. d. 2; 1991, XIII. A. is. d. 3; 2437, XIII. A. B. d. 4; 406, XIII. A. is. d. 6; 186, XIII. A. is. d. 16; 30, XIII. A. B. d. 19; 2490, .VIII. A. B. d. 22: 365, XIII. A. B. d. 26; 863, XIII. A. is. d. 47 ; 1409, XIII. A. is. d.69; 669, XIII. A. B. g. 16; 3037, XIV. A. B. c. 12; 1957. XIV. A. B. c. 13; 3555. XIV. A. B. c. 15; 759, XIV. A. is. c. 16; 4230, XIV. A. B. c. 24; 448, XIV. A. B. f. 1; 535, XVIII. II. A. B. a. 22; 2529, X\. C. B. 6. 262 CATALOGUE OF THE SURGICAL SECTION XIII. b. Complete Fractures. 997. The lower portion of the left femur, fractured obliquely downward by the impact of a conoidal bullet in the b. 1. middle third, apparently from above. The specimen very well shows how several lines of fracture may proceed in the same general direction after injury by such missiles. Contributed by Surgeon J. T. Calhoun, 5th Excelsior (New York Volunteers). 2116. The lowest third of the right femur, partially fractured, as if by a fragment of shell, two inches above the condyles, b. 2. with a complete oblique fracture extending seven inches above the joint. There was neither mobility, crepitus, nor pain, and the fracture was not detected during life. Private W. B., "E," 14th Connecticut: Morton's Ford, 6th February; died of tetanus in hospital First Division, Second Corps, 12th February, 1864. Contributed by Surgeon W. W. Potter, 57th New York. 4084. The lowest third of the right femur, obliquely fractured, with slight comminution, by a pistol ball. The b. 3. popliteal artery was wounded by a spicula of bone, and death from mortification followed the ligation of the femoral below the profunda for secondary haemorrhage. First Lieutenant A. M. B., "A," 26th Virginia (Rebel): Burk's Station, Va., 5th April; secondary haemorrhage and ligation of the femoral, City Point, 17th; died, Washington, 20th April, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. See 4085, XVIII. II. A. B. b. 36; 554, Urino-Genital Organs.—MEDICAL SERIES. 1571. The lower half of the right femur. A conoidal ball entered the posterior aspect two inches above the joint, b. 4. cleanly cutting the laminated structure. From this point an oblique fracture extends five inches up the shaft, which thus far is shattered. On the anterior surface the bone is broken one and a half inches inferiorly. Contributor and history unknown. 1825. The lower third of the left femur, obliquely fractured, with much comminution, by a conoidal ball which b. 5. remained, greatly contorted, in the popliteal space. Private A. C, " K," 6th Maiue: Rappahannock Station, Va., 7th November; admitted hospital, Washington, 9th; died, 20th November, 1863. Contributed by Surgeon John A. Lidell, U. S. Vols. See class XXVII. B. B. d. 471. Tho lowest third of the right femur, perforated two inches above the patella by a conoidal ball which fractured b. 6. the bone obliquely, upward for two inches and downward to the epiphysis. Private J. E. G., "D," 15th Michigan, 18: Corinth, 3d .October; admitted hospital, St. Louis, 18th October; died, 13th November, 1862. Contributed by Surgeon John T. Hodgen, U. S. Vols. 3670. The lower half of the left femur, perforated above the condyles, by a round pistol ball that is yet embedded, and b. 7. obliquely fractured with comminution. The entire shaft in the specimen is superficially necrosed. F. M., unassigned recruit: shot in the act of desertion and admitted hospital, Philadelphia, 15th August; died from exhaustion, 30th September, 1864. Contributed by Acting Assistant Surgeon J. A. McArthur. See class XXVII. B. B. d. 2397. The lower half of the left femur. The shaft is transversely fractured, with comminution upward, in the lowest b. 8. third, aud the necrosed bone near the fracture is bordered by commencing lines of separation. Private R. N., "F," 13th Massachusetts, 27: Wilderness, 7th May; admitted hospital, Washington, 28th May; died, 2d June, lc64. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1060. The greater portion of the left femur, comminuted from perforation in the lowest third by a conoidal ball. Lines b. 9. of necrosis enclose five inches of the shaft, above which slight periosteal inflammation has occurred. Private J. S., "H," 69th New York, ^0: Petersburg, 25th March; admitted hospital, Washington, 1st April; fragments removed, 4th; died of pyaemia, 12th April, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. &« 4061, XVIII. III. C. b. b. 2. 2107. The lower half of the left femur, obliquely fractured in the lowest third by a conoidal ball. There is much b. 10. shortening and some lateral deformity, with a trivial deposit of callus near the line of necrosis. Extensive abscesses occupied the thigh. Corporal M., 149th New York, 20: Ringgold, Ga., 26th November, 1863; died from exhaustion, 7th January, 1864. Contributed by Acting Assistant Surgeon H. S. Kilbourne. A. J> OF THE UNITED STATES ARMY MEDICAL MUSEUM. 2G3 2126. The upper portions of the right tibia and fibula, and the lower half of the femur. The femur is shattered in b. 11. the lowest third, with marked necrosis and moderate callus. The knee was secondarily involved. Private W. H. B., "G,"2d Kentucky Cavalry: Chickamauga, 20th September; a prisoner eight days ; died, Murfreesboro', 9th November, 1863. Contributed by Surgeon I. Moses, U. S. Vols. See class XIV. A. B. c. 1182. The lower half of the left femur, comminuted in the lowest third with loss of substance, and showing a moderate b. 12. deposit of callus and some attempt to throw off necrosed bone. Contributor and history unknown. 747. The lowest third of the right femur, obliquely fractured, with comminution, four inches above the knee. A consider- b. 13. able effusion of callus has united the fragments with the upper portion, but no union of the extremities has occurred. Private A. R., "B," 3d North Carolina, (Rebel,) 24: Antietam, 17th September: died from exhaustion, Frederick, 6th November, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 702. A portion of the left femur, comminuted in the lowest third by a conoidal ball which entered the outer aspect and b. 14. produced a stellate fracture. The missile is attached. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. See class XXVII. B. B. d. 2467. The lower portion of the shaft of the left femur, with a stellate fracture from a conoidal ball which appears to b. 15. have struck it from the rear. The commencement of necrosis is observable below the fracture. Sergeant W. P. S., " G," 50th Virginia, (Rebel,) llth May; admitted hospital, Washington, 18th; died, 30th May, 1864. Contributed by Acting Assistant Surgeon Nelson. 2161. The greater portion of the right femur, comminuted by gunshot at the upper part of the lowest third. Tho specimen b. 16. is evidently from a young subject, and is remarkable for the slenderness of the bone. Contributed by Surgeon G. W. McMillin, 5th East Tennessee. 3002. A portion of the left femur, obliquely fractured in the lowest third with some comminution. There is a small b. 17. quantity of callus on the upper bonier, but no union nor displacement of the osseous tissue is present. The history states that the patient died from diarrhoea, "the parts around the fracture were apparently healthy," " the fragments were apparently united by ligamentous union," and the injured limb " was two inches shorter than the other." Private B. R., "A," 1st Maine Artillery, 44: Spottsylvania, 18th May; admitted hospital, Washington, 22d May; died, 9th August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 3800. The lower half of the right femur, badly comminuted above the condyles by a conoidal ball. The limb was b. 18. attempted to be saved, and the effort of nature to throw off the necrosed bone is distinctly marked. A trivial deposit of callus was made. A spicula of bone was found piercing the femoral, and an abscess occupied the limb without involving the knee. Private J. J. S., " K," 54th Pennsylvania, 28: Opequan Creek.Va., 19th September; admitted to Sheridan Field Hospital, Winchester, 3d October; died from suppuration and haemorrhage, 9th November, 1864. Contributed by Acting Assistant Surgeon W. L Hammond. 3109. The lower half of the left femur, fractured in the upper part of the lowest third by an explosive ball. Two inches b. 19. shortening occurred, with a considerable deposit of callus but no union. The extremities are necrosed. Private H. M., " D," 98th New York, 36: Cold Harbor, 3d June; admitted hospital, Washington, llth June; died from exhaustion, 23d August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 1287. The lower half of the left femur, obliquely fractured, with comminution, in the lowest third. Tbe extremities are b. 20. necrosed, and around the superior portion a ring of callus has formed. Private M. S., " G," 119th New York, 36: Chancellorsville, 2d May; admitted hospital, Washington, 16th June; died from pycemia, 22d June, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1522. A section of the right femur, fractured in the lowest third. A considerable amount of callus has been deposited, b. 21. imprisoning the necrosed fragments, but not uniting the extremities. An excision of fragments appears to have been made. . Contributed by Surgeon J. A. Lidell, U. S. Vols. See class VIII. A. is. e. 2(54 CATALOGUE OF THE SURGICAL SECTION XIII. 240. A portion of the right femur, obliquely fractured in the lowest third, with a considerable but irregular effusion b. 22. of callus without union. A sequestrum has formed in the upper fragment. Private E. A. D., " C," 5th New Hampshire: Fair Oaks, 1st June ; admitted hospital, Philadelphia, 12th June ; died, 5th September, 1362. Contributed by Acting Assistant Surgeon W. Hunt. 358. The lower half of the right femur, splintered in the lowest third and partially united, without adaptation, by arches b. 23. of callus which imprison the larger fragments, whose vitality is well retained. Private C. G., "E," 41st New York: probably Second Bull Run, 30th August; admitted hospital, Washington, 6th September; died, 19tli November, 1862. Contributed by Acting Assistant Surgeon J. N. Gaff. 63. Tbe lower half of the right femur, obliquely fractured, with comminution, in the lowest third. A considerable b. 24. deposit of callus, which imprisoned several fragments, produced very partial union with shortening and displace- ment. A large extent of the upper fragment is deprived of periosteum. Contributed by Assistant Surgeon J. C. McKee, U. S. Army. 311. The lower portion of the left femur, fractured obliquely with loss of substance. Above the condyles a line of b. 25. necrosis is established around the upper extremity, with the deposit of some callus above it. A small quantity is also effused on the lower border. Several of the larger fragments which remain are coated on their periosteal surfaces. Contributed by Surgeon B. A. Vanderkieft. 1323. The lower half of the left femur. The shaft was obliquely fractured, with some comminution, in the lowest fourth. b. 26. Partial union, with five inches shortening and displacement backward, has resulted from the broken fragments, covered with new bone, serving as links. Contributed by Surgeon D. W. Bliss, U. S. Vols. 768. The lower half of the left femur, extensively fractured in the lowest third. The specimen beautifully exhibits b. 27. the action of necrosis along the borders of the fragments and the deposits of osseous matter on the adjoining limits. Private H. G., "E," 8th New York Cavalry: wounded by a bullet entering the leg, longitudinally traversing the thigh and entering the body, probably Antietam, 17th September; branches of femoral ulcerated, tied in Scarpa's space, and died, Frederick, 19th November, 1862. Contributed by Surgeon H. S. Hewit, U. S. Vols. See 855, XVIII. II. A. B. b. 28. 1821. The lower half of the left femur, fractured in the lowest third, with a moderate line of demarcation and effusion of b. 28. callus on the upper extremity. Received after Gettysburg. 3888. A portion of the left femur, fractured in the lowest third by a conoidal ball. There is considerable displacement, b. 29. but the fragments are bound together quite firmly by callus. Private J. L., "B," 4th New York, 34: Antietam, 17th September, 186.2; died, Frederick, 5th February, 1863. Contributed by Assistant Surgeon H. A. Du Bois, U. S. Army. 2799. The lowest portion of the left femur, with the shaft obliquely fractured above the condyles. A decided peripheral b. 30. deposit of foliaceous callus has occurred, but the interior of the cavity is carious. There is nearly four inches shortening. The union is very moderate. Private J. F. W., "C," 15th Kentucky: Chickamauga, 19th September, 1863; died from exhaustion, 19th May, 1864. Contributed by Surgeon I. Moses, U. S. Vols. 1965. The lowest third of the right femur, obliquely fractured and partially united, with posterior displacement and two b. 31. inches shortening. Very moderate deposits of callus have occurred, and the fractured extremities are carious. Private T. B., " K," 26th North Carolina (Rebel): Gettysburg, 2d July; died, 4th September, 1863. Received from Camp Lettermau Hospital. 3313. A portion of the left femur, fractured in the the lowest third by a conoidal ball. A moderate amount of callus has b. 32. been deposited with partial union with deformity. Corporal W. S., "A," 118th Pennsylvania, 24: Wilderness, 7th May; admitted hospital, Alexandria, 24th June; secondary haemorrhage, 14th July; died exhausted, 19th July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. A.B. OF THE UNITED STATES ARMY MEDICAL MUSEUM 26;') I 5 36. The lower half of the right femur, fractured in the lowest third and partly consolidated with two inches shortening. b. 33. This specimen exhibits a fragment four inches long by one and a half wide which has preserved the vitality of its periosteal surface, by whose effusions it connects, as a bridge, tbe broken shaft; but the internal surface of the fragment is carious. There are other and smaller fragments entangled in the newly formed bone, some of which are necrosed and some serve as bonds. A battered fragment of lead is attached. Private J S., "A," 55th Ohio, 20: Chancellorsville, 2d May; admitted hospital, Washington, 15th June; died from pyaemia, 31st July, 1863. Contributed by Surgeon John A. Lidell, U. S. Vols. See 3454, XVIII. II. A. B. a. 9. See class XXVII. B. B. d. 1186. A portion of the left femur, obliquely fractured in the lowest third by aconoidal ball, as is supposed. Several b. 34. large fragments serve as bonds, welded by callus, and partial union has occurred. ----------: Second Bull Run, 29th August, 1862; died, near Alexandria, 20th January, 1863. Contributed by Acting Assistant Surgeon W. S. Hussleton. 3870. The lower half of the shaft of the left femur, fractured in the lowest third by a musket ball. Some of the b. 35. fragments remain and are bound to the extremities by considerable deposits of callus, but have not united the fractured bone. Private E. F. A., "G," 15th South Carolina, (Rebel,) 31: South Mountain, 14th September; admitted hospital, Frederick, 17th September, 1862; union quite firm, 6th January; accidentally re-fractured with four inches shortening, 12th January; gradually extended; died from exhaustion, 25th February, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. £ 3267. A portion of the left femur, fractured, with much comminution, by a couoidal ball in the b. 36. lowest third. The parts are not in position, but are firmly held together by bands of callus. The missile rests in the centre on carious bone. See figure 87. First Sergeant S. T. D., "G," 1st Maine Heavy Artillery, 28: Spottsylvania, 19th May; admitted hospital, Washington, 22d May; died from exhaustion, 26th September, 1864. Contributed by Acting Assistant Surgeon J. M. Downs. See 4627, A. 1, 35. See class XXVII. B. B. d. 3882. The lowest third of the left femur, showing a fracture from a conoidal ball firmly united by b. 37. profuse bone deposits, with lateral deformity and two and a half inches shortening. The lower fragment makes with the shaft an angle of about 15° forward. Private M. S., "K," 6th Louisiana, (Rebel,) 30: wounded with five balls, fracturing both thighs, Antietam, 17th September, 1862; died from exhaustion, Frederick, 22d April, 1863. F^T g Contributed by Acting Assistant Surgeon G. M Paullin. with extenxive new o oooi m-»ww»„i.i-- bone formation af- See 3881, VI11. A. B. b. I/O. ter fracture. Spec. 3267. 380. The lower half of the left femur. The shaft, badly comminuted by a conoidal ball from the rear, may be b. 38. regarded as a typical illustration of fracture of a long bone by such a missile at short range. Contributor and history unknown. 2486. The shaft of the left femur, comminuted in the middle third by a conoidal bail with extensive longitudinal b. 39. fracture. The greater portion of the specimen is superficially necrosed. Private T. H., "D," 1st Michigan Sharpshooters, 20: Spottsylvania C. H., 10th May; admitted hospital, Washington, 26th May; died from exhaustion, 10th June, 1864. Contributed by Surgeon D. W. Bliss, U. S. Vols. 3029. A section of the shaft of the right femur, perforated by a conoidal ball, which caused a stellate fracture in the b. 40. lowest third. There is scarcely any positive reparative action, but the lines of necrosis are clearly marked on the border of the fracture. Lieutenant R. M. M., "A," 45th North Carolina, (Rebel,) 24: before Washington, 12th July; admitted hospital, 17th July; died from pyaemia, 12th August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 3163. The middle of the shaft of the left femur, transversely fractured by a conoidal ball which is preserved, flattened, b. 41. with the specimen. Additionally, oblique and longitudinal fractures for five inches increase the injury. Corporal D. R., "B," 1st U. S. Artillery, 27: admitted hospital, Washington, 24th August; died with erysipelas, 30th August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See clas e* XXIII. A. a.; XXVII. B. B. d. 34 266 CATALOGUE OF THE SURGICAL SECTION XIII. 3618 A portion of the shaft of the right femur, fractured nearly transversely in the middle third by an unknown b 42. uisiLin an explosion of ordnance'stores. The necrosed bone is neariy separated by well-marked lines. A tnvtal E. B., d"Z! (t^ = S «* Au^st; died from exhaustion, West Philadelphia, 12th September, 1864. Contributed by Acting Assistant Surgeon A. Louis Eakin. 214©. A portion of the shaft of the femur, perforated in the middle third, with comminution. The specimen shows b «! stnmgty marked lines of separation in the effort to throw off the necrosed bone, which is the more notable as death is said to have followed the injury within a fortnight. Private B. B. S., "C," 10th Kentucky: Chickamauga, 20th September, 1863. Contributed by Surgeon I. Moses, U. S. Vols. 13*8 The greater portion of the shaft of the left femur, transversely fractured in the middle third, with splintering and b 44. comminution, by a conoidal ball which, partly split, is attached to the specimen. The bone is necrosed a the pom of fracture, and is eroded by suppuration throughout the greater part of the specimen. This man fell « thout experiencing pain, and was admitted hospital with no external wound of the thigh. The fracture was detected and attributed to a spent round shot. After death a closed wound of entrance was found near the knee, the tortuous track of which had TrHe3 j" Mr'»B '' 5th Wisconsin, 21: Second Fredericksburg, 3d May; admitted hospital, Washington, 8th May; the knee became secondarily involved, with great accumulation of pus; died from exhaustion, 16th June, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See classes XIV. A. B. c.; XXVII. B. B. d. 2717. The middle third of the left femur, obliquely and longitudinally fractured by gunshot. Marks of necrosis border b. 45. the fracture. . . . 00 , Private F. A. L., " B," 2d New Hampshire, 24: Cold Harbor, 3d June; died of pyaemia, in Washington, 2Jth June, 1864. Contributed by Acting Assistant Surgeon W. S. Herriman. 3313. A portion of the shaft of the left femur, showing a double oblique comminuted fracture in the middle third, with b. 46. the fragments eroded. . Private W. C, "A," 13th Tennessee Cavalry: Fort Pillow, Tenn., 12th April; admitted hospital, Mound City, 111., 14th April; died from pyaemia, 8th May, 1864. Contributed by Surgeon H. Wardner, U. S. Vols. 2686. The middle third of the left femur, with an oblique fracture, comminuted without displacement at the point of b 47 impact. The periosteum was denuded for nine inches. The patient was highly tuberculous. Private A. J. T., "B," 5th New Hampshire, 36: Cold Harbor, 3d June; admitted hospital, Washington, llth; died from exhaustion after secondary haemorrhage, 25th June, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 3909 The shaft of the right femur, comminuted, with loss of substance in the middle third, by a conoidal ball. b 48^ Private B. D. B., "I," 14th New Jersey: Monocaey Junction, Md., 9th July ; admitted hospital, Frederick, 12th; died, 15th July, 1864. Contributed by Acting Assistant Surgeon G. M. Paullin. 2128. The lower half of the right femur, obliquely fractured, with little comminution, by shell. A border of dead bone b 49. is in process of exfoliation from the upper fragment, beyond which a slight deposit of callus has been made, which, in its turn, is suffering from the suppurative action. The patient died exhausted three or four weeks after receiving the injury. Contributed by Surgeon I. Moses, U. S. Vols. 3526. The greater portion of the left femur. A conoidal ball struck the anterior aspect near the junction of the upper b. 50*. thirds and produced an oblique fracture of four inches downward. On the posterior surface a fissure extends from the fracture to the trochanter minor, seven and a half inches. A small fragment is chipped at the point of impact without further comminution. Private G. L., "K," 22d Massachusetts, 29: Spottsylvania, 12th May; admitted hospital, Washington, 14th; died from exhaustion, apparently induced by transportation, 22d May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. A.B. OF THE UNITED STATES ARMY MKDICAL MUSECM. 26 7 3168. The greater portion of the right femur. A conoidal ball impinged against the inner aspect a little below the b. 51. middle, producing a double-curved oblique fracture. Private J. H. W., " H," 125th New York, 21 : Hatcher's Run, Va., 2d April; admitted hospital, Washington, 6th; died, 10th April, 1865. Contributed by Assistant Surgeon W. F. Norris, U. S. Army. 1907. The left femur, comminuted in the centre of the shaft by a conoidal ball which previously passed through the b. 52. right thigh and is attached to the speci- men much flattened. The missile must have struck with its long diameter parallel to that of the shaft. See figure 88. Private J. D., "I," 57th Pennsylvania, 28: Rapidan, 27th November; admitted hospital, Alexandria, 4th December; died from exhaus- tion, 13th December, 1863. Contributed by Acting Assistant Surgeon Jona. Cass. See 4627, XXVI. A. 1, 4. See class XXVII. B. B. d. FIG. 88. Left femur comminuted in lalball. Sp. 1573. The, left femur, seventeen days after fracture by a pistol ball at the junction of the upper thirds. There is an b. 53. oblique fracture with an extensive longitudinal fissure, but no attempt at repair. R. D., teamster, colored, 60: Falls Church, Va., 1st April; admitted hospital, Washington, 2d: died from exhaustion, 17th April, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 1961. The greater portion of the left femur, showing a comminuted longitudinal fracture from tho middle third. b. 54. of demarcation mark the attempt to throw off the dead bone, and a very slight deposit of callus exists. Received after Gettysburg. Lines 1035. The left femur, comminuted in the middle third. The jagged extremities of the fracture are necrosed, and a slight b. 55. osseous deposit on the border occurs. The anterior trochanteric line is excessively developed in this specimen. There is no reliable history of this case. 3934. The shaft of the right femur, transversely fractured in the middle. There is a border of necrosed bone at the b. 56. point of injury, and the upper half is greatly roughened by suppuration from the upper extremity. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1310. The right femur, badly comminuted, with loss of substance, in the middle third by a conoidal ball. The necrosed b. 57. fragments are partially separated. Private G. W. A., "A," 77th New York, 44 : Chancellorsville, 3d May; admitted hospital, Washington, 8th May; died from exhaustion, 12th June, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3896. A portion of the shaft of the left femur, badly comminuted at the junction of the lower thirds by a conoidal ball. b. 58. The fragments are much necrosed, and there is an irregular deposit of inferior callus upou the upper extremity. Corporal J. L., "H," 126th Ohio, 24: Monocaey Junction, Md., 9th July; died from exhaustion, Frederick, 3d September, 1864 Contributed by Acting Assistant Surgeon J. C. Shimer. 779. The two lower thirds of the right femur, amputated for an exceedingly comminuted fracture. A small osseous b. 59. deposit occurs at the base of the line of health in the upper extremity. Private J. M. M., "E," 27th Georgia, (Rebel,) 22: Antietam, 17th September; admitted hospital, Frederick, 4th October; amputated, lOthl; died. 21st October, 1862. Contributed by Acting Assistant Surgeon North. See 871, XVIII. II. A. B. c. 10. 3733. The two lower thirds of the right femur, obliquely fractured in the middle by gunshot. The lines of demarcation b. 60. of the necrosed fragments are beautifully shown, and there is an extensive sequestrum in the upper part. The callus thrown out is small in quantity and produced no union. Private C. C, "F," 4th New Jersey, 38: Cedar Creek, 19th October; died, 13th December, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 268 CATALOGUE OF THE SURGICAL SECTION XIII. 1895. The greater portion of the left femur, obliquely fractured with comminution at the junction of the lower thirds. b. 61. There has been a moderate effusion of callus. One bony fragment is attached to the upper portion at an angle of 45°. Received after Gettysburg. 3788. The shaft of the right femur, badly comminuted in the middle by a conoidal ball. The lines of necrosis are b. 62. well marked, and there are slight irregular deposits of callus. Private L. S. E., "H," 90th New. York: Cedar Creek, 19th October; died from exhaustion, Winchester, 30th November, 1864. Contributed by Surgeon J. P. Wagner, 114th New York. 1322. The two lower thirds of the right femur, transversely fractured, with extensive longitudinal comminution, by a b. 63. conoidal ball which, extremely battered, is attached. The bone is diseased for six inches above the fracture. Private W. S., "B," 26th Wisconsin: probably Chancellorsville; admitted hospital, Washington, 15th June; died, 25th June, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. See class XXVII. B. B. d. 238. A portion of the left femur, badly fractured for eight inches in the lower thirds. A flattened conoidal ball rests b. 64. at the centre of comminution, and the fragments are slightly fringed with callus. Private E. R., Palmetto Sharpshooters, (Rebel,) 27: Fair Oaks, 1st June; admitted hospital, Philadelphia, 8th June; died, after haemorrhage, 17th July, 1862. Contributed by Acting Assistant Surgeon W. Hunt. Sec class XXVII. B. B. d. 3955. A portion of the shaft of the right femur, showing an oblique fracture with comminution from a conoidal ball at b. 65. the junction of the lower thirds. There is marked loss of substance with some callus effused, but no union accomplished. Corporal L. P., "F," 60th Georgia, (Rebel,) 41: Monocaey Junction, Md., 9th July; died from exhaustion, Frederick, 12th September, 1864. Contributed by Acting Assistant Surgeon T. E. Mitchell. 1970. The lower portion of the left femur, fractured at the junction of the lower thirds by a conoidal ball. The b. 66. extremities slightly lap, but the deposit of callus is insignificant. Private W. F. D., "I," 16th North Carolina, (Rebel,) 30: Gettysburg, 1st July; died from exhaustion, 13th October, 1863. Contributed by Acting Assistant Surgeon E. A. Koepner. 3335. The lower half of the right femur, badly comminuted at the junction of the lower thirds. The fragments are b. 67. tolerably well enveloped and fixed by callus in irregular positions, but no union of the shatt occurred. Private W. T., "C," 76th New York: Wilderness, 5th May; admitted hospital, Alexandria, 14th June; died from exhaustion, 24th July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. 1030. The left femur, badly comminuted in the middle third, with the fragments, some of which are necrosed, enveloped b. 68. in much spongy callus. A moderate degree of union had occurred, which was destroyed in preparing the specimen. Private T. J. L., 2d Texas, (Rebel,) 17: Shiloh, 7th April; admitted hospital, Cincinnati, 18th April; died from exhaustion, 7th July, 1862. Contributed by Acting Assistant Surgeon J. H. Murphy. 2684. The greater portion of the shaft of the left femur, fractured in the middle third by gunshot. In life the fragments b. 69. overlapped four inches The extremities were necrosed and a certain amount of callus retained the spiculae without causing union. Private E. B B., "A," 5th New Jersey, 45: admitted hospital, Washington, 26th May; died from exhaustion, 25th June, 1864. Contributed by Acting Assistant Surgeon A. Ansell. 1013. The left femur, showing the formation of an immense sequestrum in the lower half, following fracture of the b. 70. middle third. This subject was admitted to hospital, six weeks after the injury, with what was considered to be a partial fracture from a musket ball (probably round) at short range. There was neither shortening, crepitus, nor any considerable discharge, aud consolidation seemed to have occurred. The pus, however, appeared mixed with some disorganized bone. Nearly four months after the injury the femur was again broken by an accidental fall, and no reparative action could be established. The specimen shows disease of the whole lower two-thirds of the shaft. A. 13. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 269 Private C. H., " K," 7th Michigan: Antietam, 17th September, 1862; again broken by a fall, 9th .January; died from exhaustion, 19th March, 1863. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 1781. The right femur, five months after gunshot fracture in the middle third. The limb had been treated by horizontal b. 71. extension and is a little shortened, but the fractured ends are not in apposition, and the two portions are joined by a slender bridge formed chiefly from the fragments of old bone and in part by callus. The shaft at the point of solution is carious. A sequestrum an inch in length was removed a week before death. Private A. D., " K," 91st New York, 28: Gravelly Run, Va., 31st March; died, Washington, 26th August, 1865. Contributed by Brevet Captain W. Norris, Assistant Surgeon, U. S. Army. 2254. The greater portion of the right femur, obliquely fractured at the junction of the lower thirds and partly cousoli- b. 72. dated with much shortening. The new bone formation firmly retains the fragments, and is sufficiently rounded to indicate the lapse of considerable time. The adjacent surfaces of the old bone are, at places, carious. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1298. The greater portion of the right femur, shattered in the middle third by a musket ball. There is a slight deposit b. 73. of callus beyond the lines of necrosis ; that on the upper fragment is irregular in position, as though due to scraped-up periosteum. Corporal J. R., "A," 1st Louisiana Cavalry, 32: New Iberia, I6th April; died from exhaustion, New Orleans, 5th June, 1863. Contributed by Assistant Surgeon P. S. Conner, U. 8. Army. 3892. The shaft of the right femur, obliquely fractured in the middle third. There is a slight deposit of callus, but the b. 74. extremities are carious and not united. Private D. A., '-A,"7th Louisiana, (Rebel,) 26: Antietam, 17th September ; admitted hospital, Frederick, 23d September, 1862; died from erysipelas and exhaustion, Frederick, 17th March. 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Aruiy. See class XX III. A. a. 2100. The greater portion of the right femur, fractured in the middle by a conoidal ball. The specimen shows a large b. -75. amount of callus retaining fragments, with little shortening of the whole shaft. Partial union, which is believed to have occurred, was dissolved before death. The extremities proper of the shaft are carious. Corporal J. W. P., 47th Illinois: Vicksburg, 20th May ; admitted hospital, Memphis, 27th June ; erysipelas occurred, 7th October; died from pyaemia, 27th October, 1)8(53. Contributed by Acting Assistant Surgeon R. W. Coale. See class XXVII. B. B. d. 1643. The left femur, fractured in the middle third by a conoidal ball, with two immense frag- b. 76. ments glued by callus as splints. There are several small sequestra enclosed in the large deposits of callus. The bone is shortened and unusually large. See figure. 89. Corporal H. B., "H,"31st New York, 22: Chancellorsville, 3d -May; admitted hospital, Wash- ington, 8th May; bullet and fragments of bone removed, 16th June; died exhausted by suppuration, llth July, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 4627, XXVI. A. 1,31. 1105. The shaft of the left femur, fractured by a conoidal ball at the junction of the lower thirds b. 77. and united with three-fourths of an inch shortening. The specimen shows several large fragments bound as splints by new bone, which is copiously deposited in a foliaceous form. Two small sequestra are enclosed. Private T. K, "E," 28th Massachusetts, 29: Petersburg, 25th March; admitted hospital, Wash- ington, 1st April; died from dysentery, 30th July, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. 255. The left femur, obliquely fractured in the middle third and partly consolidated by an b. 78. excessive deposit of new bone on the posterior surface. The adjacent surfaces are carious, and a necrosed fragment remains at the upper portion. Corporal W. F.. ''B," 1st U. S. Colored Troops, 20: date of wound unknown; admitted hospital, from another, Baltimore, 24th July; necrosed fragment removed, September, 18(;.",; died with general fatty degeneration and leucocythaemia, 20th February, 1-66. Contributed by Brevet Major Geo. M. McGill, Assistant Surgeon, U. S. Army. See 2626, XX. C. B. 7. I'lQ. 89. Left femur, aft.-r fracture in middle third. Spec 1643. 270 CATALOGUE OF THE SURGICAL SECTION XIII. 2182. The left femur, fractured at the junction of the middle and lower thirds by a b. 79. conoidal ball. A large amount of callus has been thrown out, connecting by arches the extremities, which were not in juxtaposition. Shortening by several inches, with lateral deformity, has occurred Tubercular deposits were found in the lungs This case is remarkable for the length of time involved. A more favorable result might have beeu secured if better adaptation had been made See figure 90. Private J. F. D., "D,"6th Kentucky (Rebel): Stone River, 30th December 1862; reached Nashville, 4th April, 1863; died, 17th February, 1864. Contributed by Acting Assistant Surgeon R. T. Higgins. 1946. The left femur, comminuted in the middle third by a conoidal ball. An irregu- b. 80. lar deposit of callus, giving rise to partial union, has imprisoned the fragments of dead bone. There is much shortening and deformity. The whole appears to have been bathed in pus before death. Private J. L., " C," 2d Mississippi, (Rebel,) 24: Gettysburg, 3d July ; died from exhaus- tion, 5th October, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. 2177. A portion of the right femur, fractured in the middle third. The extremities b. 81. are not in apposition, but firm union occurred from a very large deposit of callus. A few small sequestra remain, and sinuses lead down to the necrosed bone. The lower half of the shaft is deprived of periosteum. Private J. F. P., "C," 6th Indiana: Chickamauga, 20th September, 1863; admitted hospital, Nashville, from Chattanooga, 22d January; died, 6th February, 1864. Was doing well at Chattanooga and ''his condition was not improved by the transit." Contributed by Surgeon J. W. Foye, U. S. Vols. 135 I. The left femur, six months after injury. The bone is fractured in the middle b 82. third by a conoidal ball. It has firmly united with three-fourths of an inch shortening and a little lateral displacement. The large fragments that were split off occupy the place of splints held by the callus. The point of fracture shows portions of dead bone not yet thrown off. The case at one time was looked upon as a cure, so slight was the discharge and so firm the union. The upper half of the shaft has been sawn open longitudinally. Private J. \Y., "F," 21st Georgia (Rebel): Petersburg, 25th March; admitted hospital, Washington, 10th April; photo- graphed as recovered, 15th August; died from osteo-myelitis, 23d September, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. See 4628, XXVI. A. 2, 92. 3872. The right femur, fractured by a conoidal ball in the middle third and united with anterior displacement and three b. 83. and a half inches shortening. In the involucrum of tbe upper fragment is imprisoned an original fragment necrosed. The entire shaft lost its periosteum and the head of the femur its articular cartilage. Corporal S. H., "B," 4th Rhode Island, 31: Antietam, 17th September, 1862; treated in the field without splints and union occurred in about two months; erysipelas set in, 1st April; admitted hospital, Frederick, 20th May; thigh filled with abscesses, hip joint became involved and subject died, llth June, 1863. Contributed by Acting Assistant Surgeon J. C. Shimer. See classes XII. A. B. c.; XXIII. A. a. 3877. The shaft of the left femur, fractured in the middle third by a conoidal ball. There is firm union with some b. 84. displacement and two inches shortening; several of the original fragments are firmly bound as splints. The whole shaft is eroded. Private J. G. E., " H," 14th U. S. Infantry: Antietam, 17th September, 1862; died from erysipelas and exhaustion, 27th March, 1-63 Contributed by Acting Assistant Surgeon J. C. Shimer. See class XXIII. A. a. 3884. The upper half of the right femur, seven months after fracture at the junction of the upper thirds united by four b. 85. bridges. The specimen shows several of the large original fragments attached by callus and assisting in the consolidation. Corporal P. K. W., "E," 2d Georgia, (Rebel,) 28: conoidal ball, Antietam, 17th September, 1862: doing well until roughly driven in an ambulance, Frederick, 12th March; erysipelas appeared, 17th March; the knee became greatly and the hip slightly involved, and death from exhaustion occurred, 22d April, 1863. Contributed by Acting Assistant Surgeon G. M. Paullin. Set rlassis XII. A K c. XIV. A. B. c. Pig. 90. Left femur united by arches of new bone after fracture in lowest third. >'/"*■ 2182. A. 13. OF THE UNITED STATES ARMY MKDICAL MUSEUM t'IG. '.il. CmiHfilidatei fracture in the mid die third of left IV inur. Spec. 3874. 3874. The shaft of the left femur, fractured at the junction of the lower thirds by a conoidal b. 86. ball which " entered about three inches below and to the outer side of the patella, emerged about one inch below the popliteal space, then [entered] in about two inches above the joint posteriorly, fracturing the thigh, and emerged at the inner side of the thigh about four inches below Poupart's ligament," subject being on his knees at the time. Firm union, by a columnar net-work of callus, has occurred, with two inches shortening. A little below the trochanter is an irregular spur of callus, as if the periosteum had been torn in the upward passage of the ball. See figure 91. Private D. K., " B," 3d North Carolina, (Rebel,) 34: Antietam, 17th September; erysipelas occurred, 20th December, 1862; portion of ball extracted, 14th February; continued to do well, walking with crutches, until erysipelas recurred, 15th May; died, 6th June, 1863. Contributed by Acting Assistant Surgeon G. M. Paullin. See class XXIII. A. A. 370. A portion of the shaft of the right femur, fractured, with comminution, by grape, in the b. 87. middle third. The specimen is a remarkable instance of reparative, effort. The fragments are thoroughly involved with callus, and a large sequestrum is nearly detached. There is an accidental post mortem fracture of the specimen one inch below its superior border. A moderate degree of union had occurred before death. Sergeant T. B., 93d Pennsylania, 36 : Fair Oaks, 31st May ; reached his home, Lebanon, Penna., by way of Fort Monroe and Philadelphia Hospitals, 26th July; died from pyaemia, 24th September, 1862. Contributed by Dr. B. F. Schenck, of Lebanon, Penna. 305. The upper third of the right femur, transversely fractured, without comminution, belo b. 88. the trochanters. A fissure of two and a half inches extends down the outer aspect of the shaft. The penis and scrotum were also wounded. See figure 92. Private C. G., "I," 3d Delaware, 21 : Petersburg, 1st April; admitted hospital, Washington, 6th; died from exhaustion, 19th April, 1865. Contributed by Assistant Surgeon W. F. Norris, U. S. Army. See class XX. A. B. b. 3013. The left femur, three weeks after injury. An exceedingly oblique fracture, with a b. 89. longitudinal fissure, occupies the upper half. There is no comminution. The perios- teum was stripped, as if by burrowing pus, from the greater portion of the bone. Corporal M. M., "I," 8th New York Heavy Artillery. 31: South Side R. R., Va., 31st March; admitted hospital, Washington, 6th April; died from exhaustion, 23d April, I■-'65. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 1811. The upper half of the left femur, fractured transversely, with oblique comminutiou b. 90. into somewhat large fragments, in the upper third, by a conoidal ball which is attached, split and battered. Private G. S. P., "H," 18th Massachusetts: Rappahannock Station, Va, 7th November; admitted hospital, Washington, 9th; died, 15th November, 1863. Contributed by Acting Assistant Surgeon A. Edelin. See class XXVI1. B. B. d. 3261. The upper third of the right femur. A conoidal ball has perforated the shaft on its b. 91. anterior surface, fissuring the bone longitudinally, with some comminution and loss of substance at the point of exit. Private M. D., "H," 14th New York Heavy Artillery: Petersburg, 26th June; admitted hos- pital, Washington, 1st July; died, 4th July, 1864. Contributed by Acting Assistant Surgeon Richard Westerling. Fig. 92. Transverse gun fract- ure of right femur below the trochanters. Spec. 305. 3439. The upper half of the right femur. There is a moderately oblique fracture of the middle third complicated with b. 92. fissures from above. The injury appears to be the result of the impact of a ball on the inner and anterior face of the shaft, near the trochanter minor, where the laminated structure is forced inward without complete fracture, and from which a deep fissure extends down to the seat of the principal mischief. The posterior aspect of the lesser trochanter is transversely fissured, without direct communication with the original injury It is possible the boue was struck simultaneously by two balls moving with different velocities, but the specimen appears to illustrate the transmission of force to a point apart from that of the original impingement. Private N. S., "K," 10th New Jersey, 29: Cedar Creek, 19th October; admitted hospital, Baltimore, 24th; died of sphacelus of thigh, 26th October, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 272 CATALOGUE OF THE SURGICAL SECTION XIII. 3557. The upper half of the right femur, with the greater part of the shaft obliquely fractured and comminuted by a b. 93. conoidal ball which had previously passed through the left thigh, penis and scrotum. The smaller fragments are wanting. Private S. C, "H," 140th Pennsylvania, 30: wounded, 29th May; admitted hospital, Washington, 4th June; the profunda ligated for secondary haemorrhage, 10th; the femoral ligated and death occurred, 13th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1272. Fragments, probably obtained after death, representing six inches of the shaft of the femur comminuted. A b. 94. conoidal ball, greatly flattened, is attached to the specimen. G. P. H., company and regiment unknown. Contributed by Assistant Surgeon D. H. Strickland, 111th Pennsylvania. See class XXVII. B. B. d. 65. The upper half of the left femur, with a very oblique fracture from a conoidal ball extending into the middle and b. 95. upper thirds. Private G. W. P., "A," 1st Maine Veteran Volunteers, 33: Petersburg, 1st April; admitted hospital, Washington, 12th April; died from exhaustion, with pyaemic symptoms, 3d May, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. 1275. The upper portion of the left femur, transversely fractured below the trochanters by a shell, with the loss of a b. 96. longitudinal section of two and a half inches of the shaft. Contributed by Assistant Surgeon H. Allen, U. S Army. 35 11. The upper third of the right femur, comminuted by a conoidal ball which pierced the shaft from the outer side b. 97. two inches below the great trochanter, wounded the membranous portion of the urethra and escaped at the left hip. Private A. G. S., "G," 5th North Carolina Cavalry (Rebel): 12th May: admitted hospital, Washington, 18th May; died from exhaustion, 4th June, 1864. A very large abscess existed at the point of fracture There was no effort at repair; neither was the hip joint involved. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 87. The upper two-thirds of the left femur, perforated by a conoidal ball at the base of the trochanters, with longitu- b. 98. diual splintering. The battered bullet is mounted in the specimen. Private J. Y., "E," 59th Alabama (Rebel): admitted hospital, Washington, 30th March; died, 31st March, 1865. Contributed by Acting Assistant Surgeon J. P. Arthur. See class XXVII. B. b. d. 3671. The upper half of the left femur, with an irregular oblique fracture, for six inches below the trochanters, from a b. 99. conoidal ball. Corporal R. J. M, "B," 8th Pennsylvania Cavalry, 21 : White's Tavern, Va., 16th August; admitted hospital, Philadelphia, 21st August; died from exhaustion, 5th September, 1864. The periosteum was denuded for ten inches below the injury. Contributed by Acting Assistant Surgeon A. F. B. Maury. 3828. The upper half of the left femur, extensively comminuted by perforation at the junction of the upper thirds. The b. 100. specimen shows the necrosed portions nearly gnawn through in the effort, to throw them off, but there are no evidences of positive repair. Corporal A. M. G., "D," 6th Vermont: Berryville, Va., 21st August; admitted hospital, Frederick, Md., 14th September; died, 17th September, 1864. Contributed by Acting Assistant Surgeon W. R. McCausland 1019. The greater portion of the left femur, obliquely fractured, with comminution, in the upper third. Necrosed bone b. 101. borders the fracture. The missile appears to have struck on the anterior surface, producing an oblique fracture downward. Private M. C, "C," 19th Arkansas (Rebel): Arkansas Post, 10th January; admitted hospital, St. Louis, 22d; died, 29th January, 1863. Contributed by Surgeon John T. Hodgen, U. S. Vols. 1933. The upper half of the left femur, obliquely fractured, without comminution, in the upper third. Necrosed action b. 102. shows the death of a belt of bone along the course of the injury, where exfoliation is taking place. A very insig- nificant osseous deposit has been made. Private A. N., "G," 2d South Carolina Cavalry, (Rebel,) 20: Gettysburg, 1st July; died from exhaustion, 5th Sep- tember, 1863. Contributor unknown. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 27;] 3067. The upper half of the left femur, badly comminuted a few inches below the trochanters by a conoidal ball. Necrosed b. 103. fragments are nearly separated at the line of fracture. This man lay twenty-three days without care in the enemy's hands. Private P. W. R., "G," 2d Vermont, 22: Wilderness, 6th May; admitted hospital, Washington, 31st May; died from exhaustion, 18th June, 1864. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 2839. The upper half of the left femur, badly comminuted just below the trochanters by a conoidal ball which lodged, b. 104. battered. The extremities are carious and partly absorbed. Private G. II., "D," 26th Michigan, 40: Cold Harbor, 2d June; admitted hospital, Washington, llth June: died from exhaustion, 12th July, 1864 Contributed by Acting Assistant Surgeon H. M. Dean. See class XXVII. B. B. d. 1303. The upper portion of the left femur, with an extensive oblique fracture of the upper third from a conoidal ball, of b. 105. which a portiou is attached. Sergeant C. H. C, "D," 14th Maine, 26: Port Hudson, La., 27th May; admitted hospital, New Orleans, 29th May; died from exhaustion and venous haemorrhage, 9th June, 1863. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. See class XXVII. B. B. d. 3915. The upper portion of the left femur, comminuted below tbe trochanters by a conoidal ball. The extremities of the b. 106. fracture are carious. A severe shell wound was inflicted over the left ilium on the same day. Private D. D., "C," 87th Pennsylvania: Monocaey, Md., 9th July; died from exhaustion, Frederick, 3d Sep- tember, 1864. Contributed by Acting Assistant Surgeon J. D. Mott. 4269. The shaft of the left femur, comminuted in the middle third by a conoidal ball. The specimen shows the first b. 107. eroding efforts of nature to throw off the dead bone. No further or positive effort at repair is observable. Private J. R., "F," 91st Ohio, 25: Winchester, 20th July; admitted hospital, Cumberland, Md., 24th July; died, 12th August, 1804. Contributed by Surgeon J. B. Lewis, U. S. Vols. 776. The greater portion of the shaft of the right femur, shattered, with a stellate fracture, by a conoidal ball entering b. 108. the inner aspect three inches below the trochanter minor. All the fractured portion is partially necrosed. Private J. B. C, 27th Georgia (Rebel): Antietam, 17th September; admitted hospital, Frederick, 1st October; secondary haemorrhage, 9th ; died from exhaustion, 17tli October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 2396. The upper third of the left femur, comminuted by a conoidal ball which entered below the trochanters, and is said b. 109. to have escaped "below (behind) knee joint." The remaining fragments and portions of the shaft bordering the fracture are necrosed. Private H. H., " K," 2d Michigan, 18: Wilderness, 7th May ; died from exhaustion, Washington, 30th May, 1864. Contributed by Surgeon D. W. Bliss, U. S. Vols. 2911. The shaft of the left femur, thoroughly comminuted in the middle third by a conoidal ball, a battered fragment of b. 110. which is attached. A large abscess surrounded the fracture, the fragments of which are necrosed and iu process of separation. There has been periosteal inflammation, but no creation of new bone. Private E. C, "A," llth Vermont: Petersburg, 23d June; admitted hospital, Washington, 4th July; died of pyaemia, 30th July, 1864. Contributed by Surgeon J. A. Lidell, U. S. Vols. See class XXVII. B. B. d. 781. The upper half of the right femur. The upper third is well shattered, as if by a conoidal ball, and the fragments b. 111. are much eroded by suppuration. Private S. R. W., 8th Florida, (Rebel,) 36: Antietam, 17th September; died exhausted, Frederick, 18thOctober, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 4 158. The upper half of the left femur, very badly shattered by aconoidal ball below the trochanters, with the fragments b. 112. aud borders of the fracture necrosed. Private J. K., "E," 49th Pennsylvania, 48: Burksville, Va., 4th April; died from pyaemia, Washington, 6th May, 1864. Contributed by Acting Assistant Surgeon G. K. Smith. 35 274 CATALOGUE OF THE SURGICAL SECTION XIII. 126*i. The upper half of the left femur, comminuted below the trochanters by a conoidal bullet. The borders of the b. 113. fragments are necrosed. Private C. G. H., " H," 12th Pennsylvania Cavalry, 23: Winchester, 23d July; died at Cumberland, Md., 30th Aueust, 1864. Contributed by Surgeon J. B. Lewis, U. S. Vols. 2627. The upper third of the right femur, much shattered below the trochanters. The fragments mounted with the b. 114. specimen are necrosed, and the fractured extremities are carious. A conoidal ball, much flattened by striking on its long diameter, is attached. Believed to be the case of Private D. McG., "H," 9th New York Cavalry. Contributed by Assistant Surgeon H. Allen, U. S. Army. See class XXVII. B. B. d. 1342. The two upper thirds of the left femur, comminuted below and involving the trochanters. Several inches of tho b. 115. shaft are missing, and the fractured extremities are carious and partly absorbed. Private J. S., "B," 5th Wisconsin, 44: Chancellorsville, 3d May; admitted hospital, Washington, 8th; died from exhaustion, 15th June, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3185. A splinter, six inches in length and three-fourths of an inch in width, from the upper third of the right femur. b. 116. A fragment of shell weighing nearly eight ounces, which was not recognized in life, is attached. Private J. W. T., "B," 83d Indiana: Kenesaw Mountain, Ga., 27th June; died, Fifteenth Corps Field Hospital, Boston Iron Works, Ga , 9th July, 1864. Contributed by Surgeon A. Goslin, 48th Illinois. See class XXVII. B. A. c. 680. The upper half of the left femur, fractured with comminution through the trochanters, about which there is b. 117. a meagre deposit of callus. Contributed by Surgeon I. Moses, U. S. Vols. 1039. A necrosed fragment of bone, nearly two inches long by one-half inch wide, which came away from a compound b. 118. fracture of the left femur in the upper third. Private W. V. A., "A," 22d New York, 24: Antietam, 17th September, 1862; treated near the field and recovered with half an inch shortening. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 2301. Seven fragments, representing about two inches of the shaft of the left femur comminuted in the upper third. b. 119. Private W. M., "B," 96th Pennsylvania, 20: wounded, 10th May; admitted hospital, Washington, 14th; died from exhaustion, 25th May, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. 1009. The upper third of the right femur, obliquely fractured below the lesser trochanter. The posterior face of the b. 120. great trochanter is destroyed by fracture and necrosis, and a line of callus along the fracture bears evidence of absorption. The body of the bone shows extensive caries. There is no history, but the fracture is less comminuted than is usual in gunshot. Contributor unknown. 4202. The upper part of the right femur, shattered, with much loss of substance, just below the trochanters. The frag- b. 121. ments are bordered by a delicate fringe of callus, with no substantial reparative effort Private F. W., "H," 7th New Jersey: probably Petersburg; admitted hospital, Washington, 25th March; died from pyaemia, 28th May, 1865. Contributed by Acting Assistant Surgeon H. E. Woodbury. 3710. A portion of the left femur, showing an oblique fracture from a conoidal ball in the upper third. The ed^es of the b. 122. fracture are carious, and an insignificant osseous deposit has occurred Sergeant S V., "B,"2d Ohio: Deep Bottom, Va , 16th August; died from secondary haemorrhage, Beverly, N. J., 29th September, 1864. Contributed by Assistant Surgeon C. Wagner, U. S. Army. 3189. The upper portion of the right femur, shattered by the passage of a bullet through both trochanters. The head b. 123. is injured, probably accidentally. Private J. C, "C," 5th New York Cavalry, 21: admitted hospital, Baltimore, 30th July; died from pysemia 2d August, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 275 1.807. The upper half of the right femur, comminuted below the trochanters by a conoidal ball. A very trivial amount b. 124. of osseous deposit occurred. Private W. N. J., "F," 149th New York: Chancellorsville, 2d May; admitted hospital, Point Lookout, 14th June; secondary haemorrhage and death, 3d July, 1863. Contributed, by Surgeon A. Heger, U. S. Army. 788. The two upper thirds of the right femur, badly comminuted below the trochanters, with no appreciable attempt b. 125. at repair. The fragments are carious. Private W. H. Y., "B," 7th Maine, 30: Antietam, 17th September; admitted hospital, Frederick, 3d October; died from exhaustion, Frederick, 14th November, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 803. A portion of the shaft of the left femur, fractured in the upper third with severe comminution. A line of separa- b. 126. tion is observable along the shaft. The lower portion was found drawn within the fragments of the others. Contributed by Acting Assistant Surgeon A. North. 283. The upper half of the left femur, curiously fractured obliquely downward by a ball impinging on the anterior b. 127. face of the shaft in the upper fourth. There is little splintering, but the broken bone is driven inward at the point of impact, and a band of necrosis marks the length of fracture. The callus exhibited is very trivial. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 2949. The upper portion of the left femur, perforated and comminuted below the trochanters. The parts involved in b. 128. the fracture are carious. Private J. S., "F," 12th New Jersey, 18 : probably Cold Harbor, 3d June; admitted hospital, Washington, llth June ; died from exhaustion, 30th July, 1864. Contributed by Surgeon N. R. Mosely, U. S. Vols. 763. A portion of the right femur, fractured in the upper third without union. The bone, where broken, is carious. b. 129. The missile passed through the left thigh and scrotum before causing this fracture. Private J. G. H.: South Side R. R., 31st March; died from exhaustion, Washington, 23d July, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. See class XX. A. B. a. 2239. The upper portion of the left femur, fractured at the junction of the upper thirds. A small amount of callus was b. 130. thrown out, but the line of separation of tho fragments of dead bone is beautifully marked. Sergeant W. W., "A," 7th Indiana, 26: Mine Run, Va.. 28th November; admitted hospital, Washington, 6th December; secondary haemorrhage, 17th December, 1863; died from exhaustion, 29th January, J864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1976. Half of the left femur, fractured in the upper third. The upper extremity is carious, aud there is a deposit of soft b. 131. callus on the end of the lower fragment. Contributor and history unknown. 964. The left femur, comminuted in the upper part of the middle third, with a small a nount of callus deposited ou the b. 132. fragments. Private J. E. L.: Fredericksburg, 13th December; admitted hospital, Washington, 26th December, 1862; died, 15th February, 1863. Contributed by Surgeon P. Pineo, U. S. Vols. 727. A portion of the left femur, comminuted below the trochanters. Many of the fragments are wanting : callus rests b. 133. on the remainder without union of the extremities. The fracture extends over six inches. Private O. M. W., "G," 16th Connecticut, 20: Antietam, 17th September; died from diphtheria, 3d November, 1862. Contributed by Surgeon T. H. Squire, 89th New York. 1961. The greater portion of the right femur, fractured by a conoidal ball in the upper third. Partial union is believed b. 134. to have occurred, but the callus, which was thrown out over a length of ten inches, is small in quantity. Several inches of necrosed bone occupy the seat of injury. Private C. N., "C," 57th Virginia, (Rebel,) 22: Gettysburg, 3d July ; died from exhaustion, llth September, 1863. Contributed by Acting Assistant Surgeon E. A. Koepner. 397. A portion of the shaft of the femur, comminuted in the middle third. There is a trivial deposit of callus and a b. 135. moderate sequestrum, but no union whatever. Private L. H., "F," 5th Wisconsin: admitted hospital, Baltimore, 10th May; died, 21st July, 1862. Contributed by Surgeon A. B. Hasson, U. S. Army. 276 CATALOGUE OF THE SURGICAL SECTION XIII. 29 I*. The upper half of the left femur, with an oblique, nearly longitudinal fracture, curiously curved. A fragment of b. 136. bullet is embedded at a contused spot on the outer aspect below the trochanters, from which a deep fissure extends downward joining the fracture. Another point of contusion appears on the anterior face at the summit of the frac- ture. A few pieces of bone are in process of separation and a fringe of callus borders the fracture. Private J. T., " E," 24th Massachusetts, 34 : Petersburg, 17th June ; died, Washington, 31st July, 1861. Contributed by'Surgeon E. Bentley, U. S. Vols. 659. A portion of the right femur, much shattered in the upper third. There is slight effusion of callus, but a fracture b. 137. in one of the large fragments beautifully illustrates union with exact apposition. Private D. T. B., " K," 53d Pennsylvania, 25 : Fredericksburg, 13th December; admitted hospital, Washington, 26th December, 1862; died, 4th February, 1863. Contributed by Acting Assistant Surgeon W. H. Ensign. 769. The greater portion of the left femur, with a very long oblique fracture through the upper third, caused by a round b. 138. ball piercing the bone, and probably aggravated by the subject falling from his horse. The extremities are somewhat carious, and a slight deposit of callus partially bound the fragments during life. Extensive abscesses occupied the thigh. Private R. M. B., 2d South Carolina Cavalry, (Rebel,) 28: Frederick, 14th September; died from exhaustion, 7th Novem- ber, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See 892, XXII. A. B. a. 9. llOO. The upper portion of the left femur, fractured just below the trochanters, with a moderate deposit of callus, but b. 139. without union. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 737. Half of the right femur, badly fractured in the upper third. One large fragment b. 140. is covered with a layer of soft callus, as are the borders of the others beyond the limits of the portions that are about being thrown off. Corporal J. Mel., "E," 20th Massachusetts: Fredericksburg, 14th December, 1862. Contributed by Medical Cadet-----Kingston. 1325. A portion of the femur, fractured in the upper third by a musket ball. The ends b. 141. of the fracture are covered with callus without union. Case treated by simple exten- sion. See figure 93. Lieutenant G., "E," 4th Minnesota: Iuka, 9th September; died, St. Louis, 18th April, 1863. Contributed by Surgeon J. T. Hodgen, U. S. Vols. See 4628, XXVI. A. 2, 96. 1517. The right femur, obliquely fractured below the lesser trochanter. There is some b. 142. osseous deposit below a region of necrosed bone covering the action of suppuration down the shaft. Lieutenant F. B., " B," 82d Illinois, 44: Chancellorsville, 2d May; died from exhaustion, Washington, 2d August, 1863. Contributed by Surgeon J. A. Lidell, U. S. Vols. FIG. 93. Femur eight months after fracture in upper third. Spec. 1325. 657. The upper half of the right femur, fractured just below the trochanters. Two large b. 143. fragments of bone remain at the seat of fracture. A very slight effusion of callus has occurred, and the shaft forms an obtuse angle with the neck, from the action of the adductors. Contributed without history by Surgeon D. W. Bliss, U. S. Vols. 729. Half of the right femur, comminuted in the upper third. Much of the broken bone is necrosed, and beyond the b. 144. line of death indifferent deposits of callus appear. The point of impact is on the outer surface, where fragments of lead yet remain. Private H. S., "E," 9th New York, 20: Antietam, 17th September; died, 27th October, 1862. Contributed by Surgeon T. H. Squire, 89th New York 213. The upper portion of the right femur, comminuted below the trochanters, with caries of the upper extremity b. 145. neerosed action along the borders of the lower fragments and slight and irregular deposit of callus. Private H. F., " E," 6th New Hampshire: further history unknown. Contributed by Acting Assistant Surgeon G. K. Smith. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 277 3786. The greater portion of the right femur, fractured in the middle third by a conoidal ball. Partial union was b. 146. believed to have taken place about six weeks after the injury, but diarrhoea then set in. and no consolidation existed when death occurred one month afterward from exhaustion. The specimen shows extensive sequestra in the lower fragment within a partial involucrum. Sergeant J. A. B., "E,"26th Massachusetts: Winchester, 19th September; died from exhaustion, 30th November, 1864. Contributed by Surgeon L. P. Wagner, 114th New York. 3577. A portion of the right femur, fractured in the upper third. The fragments are slightly bordered with callus, but b. 147. there is no attempt at union. Corporal H. R., "H," 149th Pennsylvania, 29: Spottsylvania, 8th May; admitted hospital, Washington, 26th May; died from exhaustion, 25th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4214. A portion of the right femur, fractured in large fragments by a conoidal ball in the upper thirds. The pieces are b. 148. fringed and partially united by spongy callus, and the dead bone is in process of separation. Private P. R., "K," 15th New York Heavy Artillery, 21: South Side R. R., 2d April; admitted hospital, Wash- ington, 10th April; died, 3d June, 1805. Contributed by Acting Assistant Surgeon G. K. Smith. 2059. The upper portion of the right femur, fractured just below the trochanters with some deposit of callus. In the b. 149. specimen the fragments join at a right angle. The history is imperfect. An unknown Rebel, wounded at Gettysburg, and admitted hospital, Chester, Penna., 19th July, 1863, so exhausted that he died the next day. Contributed by Acting Assistant Surgeon B. Stone. 3730. The upper portion of the left femur, shattered at the junction of the upper and middle thirds, with many of the b. 150. necrosed fragments encased in callus, but without union of the extremities of the shaft. Private J. W. G., 1st Maine: probably Cedar Creek, 19th October; died from pyaemia, 27th November, 1801. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 1761. The left femur, fractured by a conoidal ball in the upper third, with large deposits of callus, but without union. b. 151. Private W. Z., "F," 29th New York: Chancellorsville, 3d May; admitted hospital, Washington, 14th June; died, 6th October, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. 2946. The shaft of the left femur, fractured in the middle third, it is said by cannon shot. The dead tips of bone are b. 152. nearly necrosed in their thickness. Osseous matter is deposited, but not sufficiently to produce union, except of fragments to the shaft. Private J. H., "H," 100th Pennsylvania, 20: Cold Harbor, 3d June ; admitted hospital, Washington, 7th June; died from exhaustion, 5th August, 1864. Contributed by Acting Assistant Surgeon P. O. Williams. 1258. The right femur, fractured at tbe junction of the upper thirds. There has been marked effusion of spongy callus b. 153. over a length of ten inches, much of which has again been absorbed. A sequestrum of some size is nearly detached from the upper portion, while to the lower portion a large fragment, which has preserved its vitality, is attached. The greater part of the shaft is, however, necrosed. A fragment of the conoidal missile is seen in the wound. At one time the patient could move his limb in the bed. Bugler J. B., "E," 5th Michigan Cavalry, 20: South Side R. R, Va., 1st April; admitted hospital, Washington, 8th April; died from exhaustion, 7th August, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. See class XXVII. B. B. d. 244. The left femur, badly shattered at the junction of the lower thirds. The broken extremities are necrosed and a b. 154. copious deposit of spongy callus envelopes them. There is no union. Contributed by Surgeon J. C. Dorr, U. S. Vols. 1483. The upper portion of the right femur, fractured below the great trochanter by a conoidal ball. There is con- b. 155. siderable deposit of callus and firm union. Private J. B. W., "F," 37th Illinois, 21: Prairie Grove, Ark., 7th December; admitted hospital, Fayetteville, Ark., 9th December, 1862; union firm, suppuration ceased, splints removed, 28th February; suppuration recurred, 15th March: necrosed fragments removed at various times, and died, exhausted, 15th May, 1-63. Contributed by Surgeon H. J. Churchman, U. S. Vols. 27s CATALOGUE OF THE SURGICAL SECTION XIII. 724. The upper half of the right femur, from an old subject, comminuted below the trochanters. The extremities are b. 156. necrosed, and a slight fringe of callus has formed. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 1938. The upper portion of the left femur, fractured below the trochanters by a b. 157. conoidal ball. The specimen shows tbe deposit of large quantities of folia- ceous callus surrounding the extremities and involving the fragments. See figure 94. Private E. W. A., "G," 5th Florida, (Rebel,) 18: Gettysburg, 3d July; died, ex- hausted, 15th September, 1863. Contributed by Surgeon H. Janes, U. S. Vols. See 4627, XXVI. A. 1, 5. 618. The left femur, fractured in the upper third by a spherical ball. A fragment b. 158. nearly six inches long and one-third of the diameter of the femur was split off. A moderate amount of callus was effused at the extremities. Private J. B., "K," 44th New York, 26: Gaines' Mill, 27th June; a prisoner several weeks; reached Philadelphia, 26th July; secondary haemorrhage, 5th November; died, 6th November, 1862. Contributed by Acting Assistant Surgeon J. B. Bowen. 2285. The greater portion of the left femur, with a long oblique fracture extending b. 159. through the upper third of the shaft. There is little comminution, but the slight formations of callus are insufficient to afford union. A flattened frag- ment of a conoidal ball is attached. Private G. B., " C," 15th New York Heavy Artillery. FlG 9 , Ext,,nsivc, for„liltioll „f Ch11u« in Contributed by Acting Assistant Surgeon G. K. Smith. upper third of left femur. Spec. 1938. See class XXVII. B. B. d. 333. The upper half of the right femur, very badly comminuted below and on the posterior surface of the trochanters. b. 160. The cancellated tissue is exposed nearly to the capsular ligament. The lines of fracture are bordered by foliaceous callus, which, however, has availed nothing for union. The broken bone is carious and necrosed. Private J. S., "A," 56th Pennsylvania; admitted hospital, Washington, 1st September; died, 7th November, 1862. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1534. The upper portion of the right femur, obliquely fractured in the upper third and bruised at the base of the great b. 161. trochanter. There is a fringe of spongy callus without union. The specimen bears the mark of much suppuration and it appears as though some of the new bone had been lost. Private O. F. W., "G," 154th New York, 25: Chancellorsville, 3d May; treated in Acquia Creek Hospital until sent to Washington, 14th June; died from exhaustion, 31st July, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. 2200. A portion of the left femur, obliquely fractured with some comminution in the upper third. There is no union b. 162. between the extremities, which are chiefly carious, but a large fragment has become united, with displacement, to the lower portion. Contributed by Acting Assistant Surgeon G. P. Hachenburg. 4211. The shaft of the left femur, fractured at the junction of the upper and middle thirds by a round ball. There is a b. 163. considerable deposit of callus, and at death, which happened on the eighty-third day, from diarrhoea complicated with pneumonia, partial union had occurred with half an inch shortening. This union was broken in the post mortem examination. The muscles at the seat of fracture were contracted and had lost their elasticity from the callus deposited in them. A small sinus ran down nearly to the inner condyle, and the periosteum in its track was diseased from contact with pas. Private A. H., "K," 5th Wisconsin, 21: Burksville, Va., 6th April; admitted hospital, Washington, 19th April; died, 28th June, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. 3787. The upper half of the left femur, fractured just below the trochanters. There is moderate necrosis and slight b. 164. deposit of callus. " Patient insisted there was no fracture." Lieutenant L. J., "E," 3d Massachusetts Cavalry: Cedar Creek, 19th October; died from exhaustion, Win- chester, 7th December, lc64. Contributed by Surgeon L. P. Wagner, 114th New York. A. ?, OF THE UNITED STATES ARMY MEDICAL MUSEUM. 270 3268. The upper half of the right femur, obliquely fractured, with some comminution, below the trochanters. The b. 165. extremities overlap a little; w.w bone enveloped several fragments, and at one point brought about union. The extremities are, as usual, carious. Private T. B., " H," 2d Michigan, 28: admitted hospital, Washington, 25th May; died from exhaustion, 21st September, 1864. Contributed by Acting Assistant Surgeon S. Graham. 18lO. A portion of the left femur, shattered below the trochanters by a round ball. There is considerable effusion of b. 166. callus, but no union seems to have occurred. The missile is attached to the specimen. Private F. S., "C," 121st New York: Chancellorsville, 3d May; admitted hospital, Point Lookout, Md., 14th June; died from exhaustion, llth July, 1863. Contributed by Surgeon A. Heger, U. S. Army, See class XXVII. B. B. d. 2070. The upper portion of the left femur, obliquely fractured through the lesser trochanter, with a moderate deposit of b. 167. callus, but without union. Private E. V., "F," 13th South Carolina (Rebel): Gettysburg, 3d July: died from exhaustion, Chester, Penna , 13th October, 1863. Contributed by Acting Assistant Surgeon B. Stone. 1018. The upper third of the left femur, fractured below the trochanters, with a moderate effusion of spongy callus, b. 168. but without union. Contributed by Dr. Jas. R. Wood. 722. The shaft of the femur, thoroughly shattered in its middle third, with large fragments sheathed in callus, irregu- b. 169. larly placed. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 462. The upper portion of the left femur, obliquely fractured through the trochanters, with a fair deposit of callus, but b. 170. without union. The hip joint appears to have been involved Contributed without history by Surgeon A. B. Hasson, U. S Army. 1944. The upper third of the right femur, fractured obliquely below the trochanters by a conoidal ball. Shortening of b. 171. nearly four inches has occurred, with very slight union. The extremities are carious. Private H. F., "(J," 55th Ohio, 20: Gettysburg, 2d July; died from exhaustion, 26th September, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. 1935. The upper portion of the right femur, fractured just below the trochanters, with profuse deposit of callus with- in. 172. out union. The history reports "a complete false joinf, the head and socket being covered with a dense, smooth and apparently fibrous membrane," but this is not seen in the specimen. Private S. M., "A," 63d New York, 26: Gettysburg, 2d July; died from exhaustion, 8th October, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. 233. The upper half of the right femur, obliquely fractured and comminuted below the trochanters. A considerable b. 173. deposit of callus, imprisoning the larger fragments and affording partial union, has occurred Contributed by Surgeon A. Bournonville, U. S. Vols. 27. The upper half of the left femur, shattered just below the trochanters. Partial union at right angles has occurred. b. 174. Callus entangling the fragments has been somewhat copiously thrown out, but the inner surfaces are carious. The shaft, nearly the length of the specimen, is roughened by the action of pus. Contributed by Assistant Surgeon Warren Webster, U. S. Army. 3881. The right femur, united, with two inches shortening, after fracture by a conoidal ball in the upper third. A large b. 175. fragment is bound fast, a small sequestrum is nearly loose, the ends are well rounded, and the lower extremity is diseased as far as the condyles. Private M. S., "K," 6th Louisiana, (Rebel,) 30: Antietam. 17th September, 1862; died from exhaustion, Frederick, 22d April, 1863. Contributed by Acting Assistant Surgeon G. M. Paullin. See 3882, XIII. A. B. b. 37. 681. A portion of the right femur, obliquely fractured with comminution in the upper third. There is necrosis of b. 176. the extremities of the fracture and some deposit of callus, but no attempt at union. Contributed by Surgeon I. Moses, U. S. Vols. 280 CATALOGUE OF THE SURGICAL SECTION XIII. 2577. The upper half of the right femur, fractured obliquely at the junction of the upper thirds. A considerable b. 177. deposit of callus from the extremities united the fragments by columnar attachments without the direct apposition of the ends. Uuion, as seen in the specimen, with one aud three-fourths inches shortening, permitting the patient to be moved in a wheeled chair, occurred after ten weeks and two days' treatment. Private J. L., "H," 26th Pennsylvania: Gettysburg, 2d July; admitted hospital, Philadelphia, 14th July; died from haemorrhage following a sloughing ulcer after he appeared out of danger, 10th October, 1863. Contributed by Acting Assistant Surgeon W. D. Hall. 1197. A portion of the right femur, fractured at the junction of the upper thirds "by a cannon ball" (probably b. 178. grape shot). Very fair union has occurred. Subject had suffered from scrofula in childhood. Private B. F. R., "I," 22d North Carolina, (Rebel,) 27: Fair Oaks, 1st June; admitted hospital, Philadelphia, 8th June, 1862; died, tuberculous, 13th January, 1863. Contributed by Acting Assistant Surgeon C. B. King. 2233. The middle portion of the shaft of the femur, fractured by gunshot, with the fragments united by callus with b. 179. angular deformity. Contributed by Surgeon A. Nash, 9th Michigan Cavalry. 3885. The upper portion of the left femur, fractured, with much loss of substance, below the trochanters, and united by b. 180. an extensive deposit of callus, with the neck at nearly right angles to the shaft, shortened two and a half inches. Private R. D., "C," 4th Texas, (Rebel,) 20: Antietam, 17th September; removed to Winchester, 24th October, 1862; admitted hospital, Frederick, 23d January; died from exhaustion, 2d February, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1161. A portion of the shaft of the left femur, fractured in the upper third and partially b. 181. united by columns and arches of callus. A portion of the ball is found in the middle of the callus. Subject walked on crutches for the last three months. See figure 95. Private E. H., "B," 20th Indiana: Second Bull Run, 29th August, 1862; died from cerebral meningitis, Washington, 25th May, 1863 Contributed by Assistant Surgeon C. C. Byrne, U. S. Army. See 4627, XXVI. A. 1, 36. See class XXVII. B. B. d. 28 18. The right femur, fractured in its upper third by a conoidal ball. Union occurred by b. 182. arches of callus binding the fragments. A portion of the missile is embedded in the bone, the extremities of which are carious. Sergeant J. W. S., "D," 1st Maine, 24 : Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 24th October, 1864; died from diphtheria, 25th May, 1865. Contributed by Brevet Major D. C. Peters, Assistant Surgeon, U. S. Army. See class XXIII. B. B. d. 3357. A portion of the right femur, fractured by a conoidal ball, with loss of a portion of b. 183. the shaft in the upper third. The bone is firmly united by two columns of fragments and callus. Contributed by Acting Assistant Surgeon G. P. Hachenburg. 4382. The right femur, fractured in the upper third by a conoidal ball, eleven months after the injury. There is a b. 184. certain degree of union by foliaceous callus, but it was insufficient for support. Second Lieutenant G. A. C, "A," 7th Wisconsin, 24: Ream's Station, 25th August; admitted hospital, Wash- ington, 28th August, 1864; femur united, but sinuses extended to necrosed bone, which it was forbidden by the patient to remove, 1st April; necrosed bone and fragments of lead removed by Surgeon D. W. Bliss, U. S. Vols., 24th June- died exhausted, 31st July, 1865. Contributed by Acting Assistant Surgeon C. B. Porter. 1850. Tho upper third of the right femur, fractured through the great trochanter. Extensive spongy deposit surrounds b. 185. the wound in the bone, the interior of which is carious. Corporal J. R., "C," 27th Indiana, 22: Chancellorsville, 3d May: admitted hospital, Washington, 14th June; died from exhaustion, 25th October, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3*11. The greater portion of the left femur. The shaft has been fractured by gunshot in the upper third, and the b. 186. extremities remaining about four inches apart have been firmly united by callus, which has bound down the detached fragments. Owing to the want of apparatus there is lateral deformity of about 45°. Private M. D P., "H,"26th Alabama, (Rebel,) 22: Antietam, 17th September, 1862; admitted hospital, Frederick 2d January; died from exhaustion, 16th March, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. Fig. 95. Left femur, united by arches after fracture in middle third. Spec. 1161. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 281 3894. The upper half of the right femur, shattered at the junction of the upper thirds and firmly unite*] by columns of b. 187. callus involving the fragments. The internal surfaces are carious. Private R. R., "G," 27th Georgia (Rebel). Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1042. The upper half of the right femur, fractured by gunshot immediately below the b. 188. trochanters. Firm union, with four inches shortening and a very large deposit of callus, occurred. Four months after the injury the consolidation was complete, tbe external wounds, except one small sinus, were closed, and the subject walked a little on crutches. See figure 96. Private S. L. W., " K," 6th Pennsylvania Reserves: Antietam, 17th September, 1862; died from phthisis, Smoketown, Md., 9th March, 1863. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. See 4627, XXVI. A. 1,38. 3394. The upper portion of the left femur, badly comminuted below the trochanters and b. 189. united, shortened and mal-adapted, with a profuse deposit of callus. A number of large fragments, which have preserved their life, serve, covered with callus, to connect the broken shaft. But the central cavity is carious, and from its suppuration appears to have proceeded fatal exhaustion. Contributed by Assistant Surgeon C. C. Byrne, U. S. Army. See class XXVII. B. B. d. Via. 90. Consolidate 1 gnnnli<>t fracture of upper third right femur. Spec. 1042. 3416. The shaft of the left femur comminuted, with longitudinal fissuring of the middle third. A large section of the b. 190. bone is lost and the adjacent fragments are necrosed. A local deposit of spongy callus exists at one point. Private J. A., "IS," 181st New York: Cedar Creek, Va., 19th October; secondary haemorrhage from ulceration of femoral artery, 6th November; died, Baltimore, 8th November, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 798. The upper fourth of the left femur, showing a partially united fracture just below tho trochanters. There is short- b. 191. ening for two inches with lateral displacement. Foliaceous callus has been largely deposited, but the union is not of any strength. The extremities of the shaft are carious, and a few deep-seated necrosed fragments may be seen. History and contributor unknown. lO 15. The lower portion of the left femur, showing a consolidated gunshot fracture at the junction of the lower thirds. b. 192. There is three inches shortening with antero-posterior deformity. Union has occurred, but the fractured portion is filled with sinuses which lead to a carious condition of the shaft. The specimen is sawn longitudinally to expose the internal structure. Received without history from Brevet Major George M. McGill, Assistant Surgeon, U. S. Army. 1130. The inferior half of the right femur, perforated, with comminution, in the lowest third. The fractured bones are b. 193. necrosed in their borders, and on the superior portion there is a very trivial periosteal deposit. Private P. H., "C," 10th Vermont, 24: Monocaey, 9th July; died from exhaustion, Frederick, 7th August, 1864. Contributed by Acting Assistant Surgeon A. R. Gray. For other illustrations, see 1747, XII. A. B a. 22; 4386, XII. A. B. e. 8; 1473, XIV. A. n. c. 17; 3799, XIV. A. it. c. 23; 4627, XXVI. A. 1, 45, 46, 47, 48, 49, 50; 4628, XXVI. A. 2, 67, 68, 69, 71, 72, 73, 76, 77, 83, 84, 89, 90, 91; 4629, XXVI. A. 3, 111, 114, 115, 116, 117, 118, 119, 128, 129, 130, 131 ; 4719, XXVI. A. 4, 151, 153, 157, 158, 161 ; 3140, XXVII. B. B. d. 12. c. Excisions. 2816. The upper third of the left femur, showing an excision of fragments in a comminuted fracture. There is no bony c. 1. deposit, and the shaft is stripped of periosteum for some distance below the seat of injury. Private W. J. B., " D," 2d Pennsylvania Heavy Artillery, 18: before Petersburg; operation on the field, 19th June; admitted hospital, Washington, 24th June; died, 8th July, 1864. Contributed by Acting Assistant Surgeon W. H. Ensign. See class XIII. A. A. c. 11. C. 2 The right femur, from which fragments have been excised in its lowest third. ----P., company and regiment unknown: removed on 12th day by Acting Assistant Surgeon B. A. Vanderkieft; died of pyaemia in three weeks. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. 36 2S2 CATALOGUE OF THE SUKGICAL SECTION XIII. 29 17. The upper portion of the right femur, showing an excision of fragments for two and a half inches in the upper third. c. 3. Both excised extremities are necrosed. There is a deposit of some osseous matter on the upper extremity, but on the lower only upon a small portion of the posterior aspect. Private J. F., "G," 21st Massachusetts, 23: Cold Harbor, 3d June; operation on the field, 4th; admitted hospital, Wash- ington, 7th June; died of exhaustion, 3d August, 1864. Contributed by Surgeon N. R. Mosely, U. S. Vols. See class XIII. A. A. c. 396. Fragments and a small portion of the shaft of the femur, partly necrosed, excised after a certain amount of callus c. 4. had been thrown out. Contributed without history by Surgeon A. B Hasson, U. S. Army. I 176. Three inches of the upper third of the shaft of the femur, being a part of a portion of that bone excised for fracture c. 5. involving the trochanters. Private J. L., " B," 52d North Carolina (Rebel): died on the eighth day after the operation. Contributed by Surgeon R. W. Pease, U. S. Vols. 3031. Three inches excised from a femur fractured in the upper third. c. 6. Private H. S , " I," 59th Massachusetts, 16: Wilderness, 6th May; excised by Surgeon R. B. Bontecou, U. S. Vols., Washington, 3d June; died, 5th June, 1864. Contributed by the operator. 394. Two sections of the shaft of the femur, an inch and a half and three inches in length respectively, and an c. 7. irregular portion two inches by three in its greater lengths. The smaller section has a ring of necrosis at one extremity, as though it were a stump. The larger is obliquely fractured toward one end, with thickened periosteum, and bears the mark of the saw an inch from the extremity. The irregular portion is composed of fragments united by new bone. The specimen is from the upper part of the femur, and the long section is probably the one that was excised. Corporal J. W., "F," 12th U. S. Infantry: admitted hospital, Baltimore 21st July; excised, 26th July; died, 14th August, 1862. Contributed by^Assistant Surgeon Roberts Bartholow, U. S. Army. 1328. Three and one-fourth inches of the upper third of the left femur, excised for fracture from a conoidal ball. c. 8. Private J. W. H., "I," 92d New York: wounded, 14th December; excised by Surgeon C. A. Cowgill, U S. Vols., Newbern, N. C, 29th December, 1862; died, 22d January, 1863. Contributed by the operator. 2333. Two and a half inches of the shaft, and fragments amounting to two inches more, excised from the middle of the c. 9. right femur for gunshot. Private H. A. M., "A," 1st Maine Heavy Artilleiy, 20: Spottsylvania, 19th May; admitted hospital, Washington. 22d; excised by Surgeon N. R. Mosely, U. S. Vols., 23d May ; transferred to Portland, Me., 28th June, 1864 ; discharged the service, 6th June, 1865. Contributed by the operator. 199. Four and a half inches of the shaft of the femur, comminuted aud apparently excised. c. 10. Contributed by Surgeon D. W. Bliss, U. S. Vols. 2159. Four and three-fourths inches of the shaft of the femur, excised for a transverse oblique fracture. c. 11. Supposed to be the case of Second Lieutenant W. A. T., "F," 105th Illinois, 25: right femur fractured by shell, Resaca, Ga., 15th May ; about four inches of the middle third of the shaft excised at Field Hospital by Surgeon A. W. Reagan, 70th Indiana; admitted hospital, Nashville, Tenn., 28th June ; granted leave of absence, 21st July, 1864, and ultimately recovered. Contributed by Surgeon Geo. W. McMillin, 5th East Tennessee. 1539. Five inches of the shaft of the right femur, excised just below the neck and through the great trochanter for c. 12. perforation at the level of the lesser trochanter. The bone is fractured obliquely with some comminution. First Sergeant M. S., 76th Pennsylvania: Chancellorsville, 3d May; excised by Surgeon R. Thomain, 29th New York, in the field, 16th May, 1863. Recovered. Contributed by the operator. 2110. Six and a half inches of the shaft of the left femur, said to have been excised for a gunshot fracture in the C. 13. lower part. Contributed by Surgeon J. H. Brinton, U. S. Vols. A. 15. OF THE UNITKD STATES ARMY MEDICAL MUSEUM. L'H.'i 137 1. Seven and a half inches of tbe shaft of the left femur, excised for a comminuted fracture The fracture does not c. 14. reach the upper line of section by two inches. Contributed by Drs. Cantwell and Kibbee. d. Amputated Fractures. 844. The bones of the left knee. The femur was contused on the anterior face of the lowest fourth, where a scale of d. 1. lead has remained. The bone, superficially necrosed for the diameter of an inch, is roughened on the inner aspect by periostitis. Amputated in the lowest third for resulting ulceration of the knee. Probably Private J. M., "E,"8th Pennsylvania Reserves: probably Fredericksburg, 13th December; admitted hospital, Washington, 23d; amputated, 24th December, 1862; died, 19th January, 1863. Contributed by Surgeon Henry Bryant, U. S. Vols. See classes XIII. A. B. a.; XIV. A. b. c ; XXVII. B. B. d. 32. The lowest fourth of the right femur, perforated antero-posteriorly just above the inner condyles by a carbine d. 2. ball. ------------(Rebel): Williamsburg, 5th May; walked some distance after being shot; amputated for inflam- mation of the knee by Assistant Surgeon J. S. Billings, U. S Army, Washington, 30th May, 1862. The protruding end of the femur, after sloughing, was removed. Contributed by the operator. See classes XIII. A. B. a.; XIV. A. B. c. 1991. The lowest third of the right femur, amputated on account of inflammation of the knee joint following a partial d. 3. fracture of the shaft at its junction with the internal condyle. The ball has cut a comparatively clean passage from before backward. Private F. J., "A," 19th New York, 45: admitted hospital, Washington, 28th August: amputated by Surgeon N K Mosely, U. S. Vols., 30th August, 1864; died of exhaustion and diarrhoea, 23d January, 18(;r>. Contributed by Acting Assistant Surgeon W. H. Combs. See classes XIII. A. B. a.; XIV. A. B. c. 2437. The lowest third of the left femur, amputated for contusion by a conoidal ball above tho inner condyle, where it d. 4. is locally carious. The specimen is sawn open longitudinally, exhibiting diseased action to the centre of the bone. Private B. A. E., "B," 6th Michigan Cavalry: wounded, 28th May; amputated, Washington, 6th June; died of pyaemia, llth June, 1864. Contributed by Surgeon John A. Lidell. U. S. Vols. See class XIII. A. B. a. 164. The lowest third of the right femur, amputated for penetration by a conoidal ball which lodged in the anterior d. 5. portion of the base of the shaft. A longitudinal fracture through the shaft extends upward with other longitudinal fissuring. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. See class XXVII. B. B. d. 406. The lowest third of the left femur, amputated for a partial fracture by a conoidal ball which is embedded just d. 6. above the patella. A fissure extends upward three and a half inches, and another and independent one occupies the outer surface. Private W. S. W., Morgan's Cavalry (Rebel): wounded near Winchester; amputated by Dr. V. B. Thornton; and suffi- ciently recovered to be transferred to South Carolina. Contributed by Acting Assistant Surgeon F. Schafhirt. See classes XIII. A. B. a.; XXVII. B. B. d. 4041. The lowest third of the left femur, perforated and comminuted by a musket ball, probably conoidal, at the base of d. 7. the shaft. Private N. W., "C," 185th New York: South Side R. R , 29th March; admitted hospital and amputated by Surgeon D. W. Bliss, U S. Vols., Washington, 2d April; died from effects of fracture of skull, which was not discovered at the time of amputation, 18th April, 1865. Contributed by the operator. See class I. A. B. d. 1160. The lowest third of the right femur, shattered by a conoidal ball and amputated. d. 8. Private D. A., "D," 31st Maine, 20: Petersburg, 17th March; amputated by Surgeon W. O. McDonald, I S. Vols., 4th April; died from pyaemia, 11th April, 1865. Contributed by the operator. 284 CATALOGUE OF THE SURGICAL SECTION XIII. 31. Tbe lowest fourth of the left femur, partially fractured by two musket balls just above the condyles. The d. 9. laminated and part of the cancellar structures on the anterior surface of the shaft are torn away, and an oblique fracture extends three inches up the posterior aspect. Private N. B. B., "K," 19th Mississippi (Rebel): Williamsburg, 5th May; amputated by Assistant Surgeon J. S. Billings, U. S. Army, Washington, 19th; died of pyaemia, 26th May, 1862. Contributed by the operator. 369. The lowest third of the left femur, with two wounds in the base of the shaft. The outer and anterior angle just d. 10. above the articular surface is broken, and from it an oblique fracture extends three and a half inches upward toward the inner border of the shaft. The fractured region is surrounded by periosteal thickening, while the broken edges are necrosed. On the posterior surface is a conoidal cavity in the cancellated substance, with an external base of one inch in diameter, as though caused by the lodgement of a bullet and subsequent efforts at removal. The periosteal disturbance has been considerable. These two wounds appear to be one perforation, but in fact they do not communicate. Private M. H., 23d North Carolina (Rebel): Antietam, 17th September; amputated by Surgeon H. S. Hewit, U. S. Vols , Frederick, 8th October; died, 18th October, 1862. Contributed by the operator. 3315. The lowest third of the right femur, fractured just above the condyles by a musket ball passing from without d. 11. transversely through the shaft, splintering it and lodging in the left knee. M. R., a colored woman: wounded at Fort Pillow, Tenn., 12th April; amputated at Mound City, 111., by Sur- geon H. Wardner, U. S. Vols., 21st April; died, 26th April, 1864, rather from the effects of exposure after being wounded than from the wound itself. Contributed by the operator. 4069. The lowest third of the right femur, with a conoidal ball, which has comminuted the bone with longitudinal d. 12. fracture, lodged in the anterior surface. Private J. D., " B," 198th Pennsylvania, 22: South Side R. R., 31st March ; admitted hospital, Washington, 4th April; amputated by Surgeon N. R. Mosely, U. S. Vols., 7th ; died from exhaustion, 10th April, 1865. Contributed by the operator. See class XXVII. B. B. d. 4070. The lowest third of the left femur, amputated for a transverse fracture crossed anteriorly by a longitudinal one, d. 13. with some comminution, from a conoidal ball. Corporal H. M., " K," 7th Maryland, 24: South Side R. R, 31st March; admitted hospital, Washington, 4th April; amputated by Surgeon N. R. Mosely, U. S. Vols , 6th; died, llth April, 1865. Contributed by tbe operator. 1171. The lower portion of the left femur, obliquely fractured by a conoidal ball which struck the anterior surface of d. 14. the tibia in its lowest third, shattered it and passed through the inter-osseous space, wounding the popliteal vessels, penetrated the femur on its posterior surface an inch and a half above the articulation and lodged in the medullary canal. The leg was flexed at the instant of injury. Private CD., 148th Pennsylvania: Chancellorsville, 3d May; amputated in the field by Surgeon C. S. Wood, 66 th New York, 17th ; died, 19th May, 1863. Contributed by the operator. See class XV. A. B. d. 1366. The lower half of the right femur. A conoidal ball, striking the lowest third, has caused a longitudinal fracture of d. 15. five inches, and from the anterior surface three inches of fragments are wanting. Ihe missile, partly flattened, is attached. Received after Gettysburg. See class XXVII. B. B. d. 186. The lowest third of the left femur, partially fractured by a bullet, apparently spherical, which lodged in the shaft d. 16. just above the outer condyle. The fracture is oblique, extending upward as if in indication of tbe direction of the missile. A fragment of clothing is yet iu the wound. Private J. N., "A," 155th Pennsylvania, 22: Petersburg, 25th March ; admitted hospital, Washington, 2d April; amputated in the middle third, 7th; died, 25th April, 1865. Contributed by Assistant Surgeon H. Allen, U. S. Army. See classes XIII. A. B. a ; XXVII. B'. B'. 3757. The lowest third of the left femur, occupied by an oblique fracture without comminution, said to have been d. 17. caused by a conoidal ball. The shaft is superficially necrosed as far as the articulation. Private J. J., "C," 57th Indiana, 27: Franklin, Tenn., 27th December; amputated in the middle third by Surgeon M. Gay, U. S. Vols., 28th December, 1864; died from exhaustion, 1st January, 1865. Contributed by Acting Assistant SuTgeon H. C. May. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM 2sr, 3315. The lower portion of the left femur. A musket ball struck the outer angle of the shaft two inches above tbe d. 18. patella, slightly chipping the laminated structure and causing a complete oblique fracture which extends upward more than six inches. The fracture is bordered by superficial necrosis. Private J. C, "H," 155th Pennsylvania: Petersburg, 26th June; admitted hospital, Alexandria, 4th July; amputated for secondary haemorrhage, llth July, 1864. Death occurred in two hours. Contributed by Surgeon Edwin Bentley, U. S. Vols. 30. The lower half of the right femur, with two extensive longitudinal fissures downward from the point of impact d. 19. of a bullet on the anterior face at the junction of the lower thirds. A small triangular fragment was chipped out by the missile. Another shot passed through the head of the tibia. ----H. (Rebel): Williamsburg, 5th May; amputated by Assistant Surgeon J. S. Billings, U. S. Army, 19th May, 1S62. Recovered. Contributed by the operator. See classes XIII. A. B. a.; XV. A. B. d. 1427. The lower portion of the left femur, after amputation in the middle third for an oblique fracture in the lowest d. 20. third by a conoidal ball. There is no comminution, except by the loss of a small fragment at the point of impact. The fracture is downward, but necrosis may be traced on the upper fragment for more than two inches. Captain G. S. D., "F," 2d New York Heavy Artillery, 26: Petersburg, Kith June; admitted hospital, Washington, 22d June; amputated by Dr. Garcelon, date unknown; died, 6th December, 1864. Contributor and further history unknown. See 2828, XXV. A. B. b. 160. See class XVII. B. B. d. 1064. The lower portiou of the left femur, amputated in the middle third for perforation with oblique fracture of the d. 21. lowest fourth. Lieutenant F. M. W., "D," 132d Pennsylvania: admitted hospital, Washington, 1st May; died, 2d June, 1803. Contributed by Assistant Surgeon C. C. Byrne, U. S. Army. 2490. The lower half of the right femur, with a partial fracture near the base of the shaft, involving the destruction of d. 22. much of the laminated portion of the bone, and an extensive longitudinal fissure upward. Corporal S. H. H., "H," 36th Wisconsin, 36: North Anna, Va., 26th May; admitted hospital, Washington, 29th May; amputated by Acting Assistant Surgeon W. H. Dean, 9th June; died from exhaustion, 16th June, 1864. Contributed by the operator. See classes XIII. A. u. a.; XXVII. B B. d. 52. The lower half of the left femur. The lowest third was perforated in its upper portion by a conoidal ball which d. 23. obliquely fractured and splintered the shaft. Private L. S., " D," 29th Ohio: Cedar Mountain, 9th August: admitted hospital, Alexandria, 12th; amputated by Acting Assistant Surgeon J. B. Bellangee, 15th August; died, 4th September, 1862. Contributed by the operator. 2388. The lower half of the right femur, amputated for perforation by a conoidal ball in the lowest third, with much d. 24. longitudinal splintering. Private A. J. D , " M," 1st Maine Heavy Artillery, 21 : Wilderness, 19th May; admitted hospital, Washington, 22d ; amputated by Acting Assistant Surgeon W. H. Ensign, 31st May; died, 1st June, 1864. Contributed by Surgeon N. R. Mosely, U. S. Vols. 1163. The lower half of the left femur, comminuted in the lowest third. A fragment of a conoidal ball which entered d. 25. the anterior aspect has lodged. Private P. E., '-B," 18th Georgia (Rebel): Burksville, Va., 6th April; amputated in the middle third by Assistant Surgeon W. Carroll, U. S. Vols., 16th April, 1865. Contributed by the operator. See class XXVII. B. n. d. 365. The lower half of the left femur, severely contused at the posterior base of the shaft of the right femur. The d. 26. remains of periosteal inflammation extend upward several inches. H. H., 12th North Carolina (Rebel): Antietam, 17th September; amputated in the middle third by Surgeon H. S. Hewit, U. S. Vols., Frederick, 7th October; died, 9th October, 1862. Contributed by the operator. See class XIII. A. B. a. 286 CATALOGUE OF THE SURGICAL SECTION XIII. 1 501. The lower portion of the left femur, amputated in the middle for shattering of the lowest third. d. 27. Private J. B., "I," 69th Pennsylvania: Cold Harbor, 3d June, 1864. Secondarily amputated with unknown result. Contributed by Surgeon F. F. Burmeister, 69th Pennsylvania. 1161. The lower half of the left femur, very much comminuted by a conoidal ball in the middle third. The lines of d. 28. fracture are exceedingly irregular. Private G. AY. B., "G," 12th Alabama, (Rebel,) 18 : Burksville, Va., 6th April; amputated by Assistant Surgeon W. Carroll, U. S. Vols., 17th April, 1865. Contributed by the operator. 2824. The lower half of the left femur. The shaft, struck on the inner aspect by a conoidal ball, is badly shattered. d. 29. Private S. R. -lF," 1st Massachusetts Heavy Artillery, 39: Cold Harbor, 31st May; admitted hospital, Wash- ington, 4th June; amputated in the upper third by Assistant Surgeon Alex. Ingram, U. S. Army, 5th; died from exhaustion, 12th June, 1864. Contributed by the operator. 3831. The lower half of the right femur, obliquely fractured, with comminution and longitudinal fissuring, by a conoidal d. 30. ball in the lowest third. At the time of the operation a sinus communicated with the knee, which was ulcerated. The superior borders of the fracture were necrosed, above which periosteal inflammation occurred. The condyles are eroded. Private G. M., "H,"4th Vermont: Halltown, Va.; admitted hospital, Frederick, 29th August; amputated in middle third and died, 15th September, 1864. Contributed by Acting Assistant Surgeon J. C. Shimer. See class XIV. A. li. c. 184. The right femur, amputated in the middle third after comminution of the lowest fourth of the shaft from perfora- d. 31. tion by a conoidal ball. Private P. H., "K," 48th Pennsylvania: Second Bull Run, 29th August; amputated, 12th September; died, Washington, 25th October, 1862. Contributed by Surgeon O. A. Judson, U. S. Vols. 3548. The right femur, amputated in the upper part of the middle third for a comminuted fracture from a minie ball at d. 32. the junction of the lower thirds. Private C. C, "B," 120th New York, 22: Cold Harbor, 31st May; admitted hospital, Washington, 4th June; amputated by Assistant Surgeon W. Thomson, U. S. Army, 5th; died from pyaemia with osteo-myelitis, 12th June, 1864. Contributed by the operator. 2764!. Tbe lower half of the right femur, shattered, with loss of fragments, at the junction of the lower thirds. d. 33. Sergeant G. W. C, 1st Maine Heavy Artillery, 42: Petersburg, 18th June; admitted hospital, Washington, 2d July; amputated by Surgeon A. F. Sheldon, U. S. Vols., 3d; died from exhaustion, 10th July, 1864. Contributed by the operator. 3058. The lower half of the right femur, perforated, with longitudinal fracture, probably by a conoidal ball. Necrosis has d. 34. established a line of demarcation near the borders of the fragments, and a slight deposit of callus appears on the healthy portions. Private J. McC, "B," 140th Pennsylvania, 17: Wilderness, 12th May; admitted hospital, Washington, 16th May; amputated by Surgeon R. B. Bontecou, U. S. Vols, and died, 8th June, 1864. Contributed by the operator. 2033. The lower half of the right femur, comminuted by a conoidal ball in the lowest third. The parts about the fracture d. 35. are dead and stripped, but the upper half of the specimen is covered with an involucrum of foliaceous callus tolerably dense posteriorly. There is also some periosteal deposit above the condyles. Private E. G., " K," 119th Pennsylvania: Rappahannock Station, 7th November; admitted hospital, Washington, 9th November; condition of limb grew worse and severe secondary haemorrhage occurred, 28th December, 1863; amputated in the middle third, 21st January ; furloughed, 8th April, 1864. Contributed by Surgeon D. W. Bliss, U. S. Vols. 436. The lower half of the left femur, fractured in the lowest third by a conoidal ball. The extremities are necrosed, d. 36. there is a moderate effusion of callus on the upper fragment, and an imperfect coaptation of the parts without union occurred. Private J. R., "B," 42d New York: Antietam, 17th September; treated with plaster of Paris, 19th September—16th October; amputated in middle third by Acting Assistant Surgeon Webb, Frederick, 27th; femoral ligated for secondary haemorrhage and died, 30th October, 1862. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 287 1565. The lower half of the right femur, shattered at the junction of the lower thirds. The specimen shows union d. 37. by means of bridges of new bone embracing the fragments, with lateral and antero-posterior displacement. Piecei of dead bone are yet entangled, and both extremities of the fracture are carious. Sergeant B. F. F., " H," 2d New York Heavy Artillery, 22 : admitted hospital, Baltimore, from another hospital, 31st July ; amputated at the junction of the upper thirds and died, 2d August, 1865. Contributed by Surgeon Thomas Sim, U. S. Vols. 792. The lower half of the left femur, fractured in the lowest third by a conoidal ball, with slight union, some deformity d. 38. and one inch shortening. The fractured extremities are necrosed and are spanned at points by new bone. Major G. F. L., 32d New York: Crampton's Gap, Md., 14th September; thigh amputated in the middle third for secondary haemorrhage by Surgeon Lewis W. Oakley, 2d New Jersey, and death occurred, Frederick, 9th November, 1862. Contributed by Assistant Surgeon H. A. Du Bois, U. S. Army. 2167. The lower half of the left femur, obliquely fractured in the middle third by a conoidal ball, which entered near d. 39. the patella, avoiding the synovial pouches, and lodged in the limb five or six inches above the knee. The specimen was sawn longitudinally to exhibit osteo-myelitis, and shows a partially consolidated fracture, with two inches shortening, and a fragment of ball lodged in the medullary canal. Private T. B., "C," 57th Noith Carolina, (Rebel,) 30: Rappahannock Station, Va., 7th November; admitted hospital, Washington, 9th November, 1863; femur firmly united, with two inches shortening, and good general health, 1st January ; tumefaction of thigh commenced, 1st February ; cicatrix incised, evacuating a little pus, 2d March ; amputation demanded on the subsidence of inflammation, 20th ; secondary haemorrhage, 24th; died, 27th March, 1804. At the autopsy much serous infiltration was found; the soft parts were dissected for eight inches about the wound ; the medulla of tho femur above the fracture was bright red, as described by Virchow in osteo-myelitis, Contributed by Surgeon J. A. Lidell, U. S. Vols. See class XXVII. B. B. d. 83. The lower half of the left femur, fractured by the transverse passage of a musket ball on the anterior surface d. 40. above the condyles. The extremity of the upper fragment is necrosed, and its line of demarcation is distinct, above which a little callus has been deposited. Private J. S., "I," 75th Ohio: Second Bull Run, 30th August; admitted hospital, Alexandria, 7th September; amputated in the middle third, 25th September, 1862. Recovered. Contributed by Surgeon C Page, U. S. Army. 2803. The lowest third of the left femur, occupied by an oblique gunshot fracture extending through it. The parts d. 41. are not in apposition, but bands of callus fiimly unite them at intervals. Early history of this subject, wounded at Chickamauga, 20th September, 1863, unknown. Received in hospital, Murfreesboro', in a very low condition. Amputated in the middle third as the only chance for life. Died. Contributed by Surgeon I. Moses, U. S. Vols. 2290. The lower half of the left femur, obliquely fractured in the lowest third by a conoidal ball. Partial union, with d. 42. lateral displacement and four inches shortening, occurred. Contributor and history unknown. 3836. The lower half of the shaft of the left femur, badly comminuted by a conoidal ball. d. 43. Private S. P., "G," 31st Georgia, (Rebel,) 41: Monocaey Junction, 9th July; amputated in the middle third, August; died, Frederick 26th August, 1864. Contributed by Acting Assistant Surgeon J. H. Coover. 3855. The lower half of the left femur, fractured at the junction of the lower thirds and firmly united, with two and a d. 44. half inches shortening and antero-posterior displacement. The limb was amputated in the middle third in consequence of disorganization of the knee following erysipelas. The specimen displays the structure of the epiphysis. Private C. F. R., "F," 124th Pennsylvania, 29: Antietam, 17th September, 1862; admitted hospital, having been pre- viously treated without apparatus, with two and a half inches shortening, Frederick, 27 th January; attacked with erysipelas; knee joint destroyed; amputated in the middle third by Assistant Surgeon R. F. Weir, U. S. Army, 23d February; died from exhaustion following another attack of erysipelas, 21st March, 1863. Contributed by the operator. See 3903, XIII. A. B. f. 58. See classes XIV. A. B. c ; XXIII. A. A. 1918. The lower portion of the right femur, fractured in the lowest third, but firmly united with much deformity. On d. 45. two occasions portions of protruding necrosed bone were removed, and the thigh was finally amputated on account of utter uselessness of the limb. Captain K., ----- Louisiana, (Rebel,) 25: Stone River, 1st January; amputated in middle third by Surgeon A. H. Thurston, U. S. "Vols., Nashville, 15th September, 1863. Recovered. Contributed by Acting Assistant Surgeon H. M. Lilly. 288 CATALOGUE OF THE SURGICAL SECTION XIII. 1199. The middle third of the shaft of the left femur, comminuted by a conoidal ball which rests, flattened, against it. d. 46. Sufficient traces of periosteal disturbance remain to show the amputation to have been secondary. Private M. B., "G," 155th New York, 40: Cold Harbor, 3d June; amputated, Second Corps Hospital; died, 16th June, 1864. Contributed by Surgeon F. F. Burmeister, 69th Pennsylvania. See class XXVII. B. B. d. 863. Five inches of the shaft of the left femur, showing local necrosis after contusion by a conoidal ball in the upper d. 47. third. A moderate deposit of callus has occurred adjacent to the seat of injury. The specimen is an interesting illustration of serious injury without complete fracture. Private R. L D., "B," 24th North Carolina (Rebel): Antietam, 17th September; admitted hospital, Chester Penna., 2d October; amputated and died, 6th November, 1862. Contributed by Acting Assistant Surgeon John Ashurst, jr. See class XX 111. A. B. a. 2371. The two lower thirds of the right femur, extensively comminuted in the lowest fourth, with marks of extensive d. 48. periosteal inflammation. Amputation occurred four inches above the extreme point of fracture. Private H. E. S., ''E," 8dth New York, 17: Wilderness, 12th May; admitted hospital, Washington, 25th; amputated for secondary haemorrhage, 29th May; died, 2d June, 1864. Contributed by Surgeon D. W. Bliss, U. S. Vols. 261 7. The two lower thirds of the right femur, obliquely fractured, with splintering at their junction, by a conoidal ball. d. 49. Private T. M. P., "B," 1st Maine Heavy Artillery, 16: admitted hospital, Washington, 22d May; amputated iu the upper third by Acting Assistant Surgeon W. C. Mulford, 26th May; died of exhaustion, 31st May, 1864. Contributed by the operator. 1543. The shaft of the femur, successfully amputated in the upper third for a double oblique fracture of the central d. 50. portion. Contributed by Surgeon Robert Thomain, 29th New York. 1067. The greater portion of the shaft of the right femur, fractured in the middle third, with extensive longitudinal d. 51. fissures, by a conoidal ball which is attached, flattened. Private H. D., " I," 198th Pennsylvania, 20: admitted hospital, Washington, 4th April; amputated in the upper third by Surgeon N. R. Mosely, U. S. Vols.; died from exhaustion, 17th April, 1865. Contributed by the operator. See class XX VII. B. B. d. ■ 407. The greater portion of the shaft of the left femur, fractured, with much comminution, by the transverse passage of d. 52. a bullet in the middle third. Private R. G., "B," 23d Pennsylvania: Cold Harbor, 1st June; amputated at the junction of the upper thirds by Assistant Surgeon B. Stone, U. S. Vols., Sixth Corps Hespital, 9th; died, 13th June, 1864. Contributed by the operator. 3517. The central portion of the shaft of the left femur, amputated in the upper third for a stellate comminuted fracture d. 53. from a conoidal ball. Private B. D., " D," 100th Pennsylvania, 18: wounded, 30th May; admitted hospital, Washington, 4th June; amputated by Assistant Surgeon W. Thomson, U. S. Army, 5th; died without having rallied, 7th June, 1864. Contributed by the operator. 75. The shaft of the right femur, comminuted in the middle third, with lines of separation for the necrosed fragments d. 54. well marked. Private S. McN., "C," 19th Indiana: Second Bull Run, 30th August; amputated in upper third by Acting Assistant Surgeon B. F. Bowles, Georgetown, 22d; died, 25th September, 1862. Contributed by the operator. 2699. The greater portion of the shaft of the right femur, obliquely fractured, with some comminution, at the junction of d. 55. the upper thirds. One inch of necrosed bone, partially separated, borders the fracture iu the upper fragment. Spiculae have been removed from the lower portion, the upper border of which also is dead. Private W J. B., "D,"2d Pennsylvania Heavy Artillery, 18: Petersburg, 19th June; fragments removed on the field ; admitted hospital, Washington, 24th June; died, 8th July, 1864. Contributed by Surgeon N. R. Mosely, U. S. Vols. 379. A portion of the shaft of the left femur, badly comminuted in the upper third by a conoidal ball. d. 56. Sergeant C. W., "I," 15th Massachusetts: Antietam, 17th September; gangrene appeared, 25th September; and on that account the thigh was amputated in the upper third, and death followed, Sharpsburg, 2d October, 1862. Contributed by Surgeon A. Dougherty, U. S. Vols. >'. Recovered. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 2621. Two inches of the stump of the right femur, removed on account of enlargement and deficient covering. f. 36. Private R. M. F, "I," 24th Michigan: femur shattered, Gettysburg, 1st July: amputated in the lowest third, 6th July; admitted hospital, Philadelphia, 6th October; specimen removed by Acting Assistant Surgeon David Burpee, 4th November, 1863. Recovered. Contributed by the operator. See 1589, XXV. A. B. b. 94. 2853. Four inches of the stump of tbe right femur, six months after amputation. The involucrum is large, rounded f. 37. and spongy, and contains a tubular sequestrum of its own length. Private C. M., " G," 64th New York, 26: knee shattered, Hatcher's Run, Va., 25th March; thigh amputated in the lower third, 30th March ; reamputated, Albany, N. Y., 20th September, 1805. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See 3195, XXV. A. B. b. 147. 2152. Five inches of the stump of the left femur, with a good involucrum of newly formed bone and a sequestrum in f. 38. process of separation. Private J. L., "E," 2d New York State Militia, 30: leg fractured by a conoidal ball, Gettysburg, 2d July; amputated in the lowest third of the thigh, 5th July; femur exposed, about 1st October; admitted hospital and seven (?) inches femur removed by Surgeon C W. Jones, U. S. Vols., Baltimore, 7th November, 1803; stump healed, 20th February, 1864. Contributed by the operator. 2153. A section of new bone, two inches in length, apparently an involucrum from which a sequestrum has been removed, f. 39. and believed to be a part of the specimen recorded below. Corporal J. A. C, "K," 6th Wisconsin, 24 : right thigh primarily amputated in the lowest third, Gettysburg, 1st July; the end of the femur exposed, 15th August; a sequestrum of four and a half inches removed, 30th October : admitted hospital, Baltimore, 7th November, 1>63; four inches of the stump of the femur removed by Surgeon (,'. W. Jones, IT. S. Vols., 2d February ; discharged tho service, 3d May, 1864. Contributed by Surgeon C. W. Jones, U. S. Vols. 4190. A sequestrum aud a largo and firm involucrum of nearly three inches, from the stump of the left femur. f. 40. Sergeant J. W., "A," 2d Pennsylvania Heavy Artillery, 20: femur fractured and amputated in the lowest third before Petersburg, 19th June; admitted hospital, with protrusion of one-fourth inch of bone, Philadelphia, from Washington, 22d October, 1864; specimen removed by Acting Assistant Surgeon H. M. Bellows, 6th January, 1865. Recovered. Contributed by the operator. 1321. The two upper thirds of the left femur, being a stump, after death by pyaemia following amputation for fracture f. 41. of the knee. A second conoidal ball had entered the thigh in the middle third, but could not be found during life. After death it was found in perfectly healthy tissue, but not encysted, having grazed the posterior portion of the bone. The specimen shows the shaft to have been necrosed its entire length, with a large ring of callus, like an exostosis, half an inch above the extremity. Captain T. H. P., "C," 91st Pennsylvania, 29: shot while saving the regimental colors, Chancellorsville, 3d May; admitted hospital, Georgetown, 9th; amputated, llth May died of pyaemia. 26th June, 1863. Contributed by Assistant Surgeon H. W. Ducachet, U. S. Vols. 3199. Three inches of the shaft of the femur, being a reamputated stump. The extremity is necrosed, and no attempt f. 42. at repair is to be seen on the specimen. Contributed by Surgeon Robert Wm. Pounds. 38 298 CATALOGUE OF THE SURGICAL SECTION XIII. 1290. The stump of the left femur, after amputation at the junction of the lower thirds. The greater portion of the f. 43. volume of the lower half of the specimen, which is carious, has been destroyed by suppuration. A thin involucrum of new hone exists at the extremity. Private J. W R., "A," 3d Maryland, 43: left leg fractured in the middle third, Cold Harbor, 2d June; thigh amputated, Field Hospital, 4th ; admitted hospital, Washington, 15th June; died from exhaustion, llth July, 1864. Contributed by Surgeon G. L Pancoast, U. S. Vols. 389. Four inches of the middle third of the left femur, removed by a second amputation. Except a minute periosteal f. 44. disturbance on the inferior posterior border, there are no pathological appearances. Contributed by Surgeon John T. Hodgeu, U. S. Vols. 2563. Three inches of the stump of the left femur, amputated in the middle third. Necrosis, more marked posteriorly, f. 45. bands the extremity. Private W. E. C, "I," 5th North Carolina, (Rebel,) 32: Spottsylvania, 12th May; admitted hospital, Wash- ington, 22d; amputated by Surgeon N. R. Mosely, IT. S. Vols., 23d May; died, 17th June, 1864. Contributed by the operator. 310. The lower half of the right femur, showing a stump and a second amputation. The femur has been amputated f. 46. in the lowest fourth, as if for a fracture involving or below the knee. The extremity of the stump is superficially necrosed, and the anterior surface is slightly eroded, as if by ulceration. The second amputation has been made in the middle third. Contributor and history unknown. 1947. Two inches of the stump of the left femur, with the extremity necrosed. f. 47. Private E. F. J., "I," 8th Georgia, (Rebel,) 18: knee fractured by a conoidal ball, Gettysburg, 2d July; ampu- tated in the middle third, 12th August; died from exhaustion, 7th September, 1863. Contributed by Acting Assistant Surgeon E..P. Townsend. See class XIV. A. B. f. 3515. The right femur, amputated at the junction of the lower thirds and both portions bisected longitudinally. A f. 48. conoidal ball is lodged in the spongy base of the bone, and the stump shows some necrosis, with no attempt at repair. Corporal T. K., "H," 2d U. S. Cavalry, 24: Wilderness, 7th May; admitted hospital, with traumatic anuerism in the right popliteal space, Washington, llth; amputated, 14th May; died from pyaemia, 4th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 3579, XVIII. II. A. B. a 21; 3529, XVIII. III. A. B. a. 4. Sec class XXVII. B. B. d. 986. Four inches of the stump of the femur, superficially necrosed, with an inconsiderable deposit of new osseous f. 49. matter. Private C S. W.. "G," 142d Pennsylvania, 25: admitted hospital, with the femur amputated at the middle third, Washington, 23d December, 1862; too feeble to be operated upon; died, 19th January, 1863. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 3165. The stump of the left femur, necrosed at the extremity. The medullary canal was filled with pus, but general f. 50. pyaemia was not present. Private W. B. C, "F," 53d Pennsylvania, 18: Cold Harbor, 3d June; thigh amputated in the middle third on the field, 4th; admitted hospital, Washington, llth June; died from exhaustion, 10th July, 1864. Contributed by Acting Assistant Surgeon A. Armstrong. 2720. Nearly five inches of the necrosed stump of a femur, excellently exhibiting the commencement of the formation f. 51. of a sequestrum. Private W. M., "A," 90th Pennsylvania: femur fractured and amputated in the middle third, Wilderness, 6th May; admitted hospital, Washington, 26th May; bone protruded, 10th June; specimen removed by Surgeon D. W. Bliss, U. S. Vols., 16th; died from exhaustion, 24th June, 1864. Contributed by the operator. 2088. Five inches of the middle third of the femur, honeycombed by necrosis for two-thirds of its length following f. 52. amputation for fracture of knee. The original line of section was oblique. Private W. M., Gose's Arkansas Regiment, (Rebel,) 30: Helena, 4th July; amputated by Dr. R. M. McGowan, Memphis, 5th July; resection of stump, 1st August; second resection performed; died, 7th September, 1863. Contributed by Assistant Surgeon J. C G. Happersett, U. S. Army. A. J5. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 299 716. The stump of the left femur, amputated in the middle third for fracture of the knee. The extremity is irregularly f. 53. necrosed for nearly two inches. Around the lower part of the sound bone is a small amount of callus. An abscess extended from the extremity to the promontory of the sacrum. Private W. G. W., "F," 66th New York: Antietam, 17th September; amputated, 16th October; femoral artery ligated in Scarpa's triangle for secondary haemorrhage, 25th October; died, Frederick, 3d November, 1862. Contributed by Assistant Surgeon Philip Adolphus, U. S. Army. See class XIV. A. B. f. 308 1. The stump of the right femur, amputated in the middle third. A small sequestrum is nearly detached, and an f. 54. irregular involucrum is forming about the extremity. Private A. W., "C,"5th New York Cavalry, 18: admitted hospital, Washington, 24th May ; died from exhaustion following enteric fever, 18th August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 2918. The stump of the left femur, amputated at the junction of the lower thirds. A large abscess occupied the thigh f. 55. to the lesser trochanter. An osseous deposit surrounds the bone an inch above the extremity. Necrosed action involves half the specimen. Corporal A. P. H., "C," 1st Maine Heavy Artillery, 19: wounded and amputated, Petersburg, IStli June; admitted hospital, Washington, 28th June; died of osteo-myelitis, 1st August, 1864. Contributed by Acting Assistant Surgeon II. M. Dean. 2890. The stump of the right femur, amputated in the middle third, with a very large sequestrum in process of sojia- f. 56. ration and a partial involucrum formed. Private W. C, "B," 2d Pennsylvania Cavalry, 40: admitted hospital, amputated, Washington, 16th May; diod from exhaustion, 27th July, 1864. Contributed by Acting Assistant Surgeon II. M. Dean. See 4719, XXVI. A. 4, 164. 2006. The stump of the left femur in the middle third. A considerable ossific deposit exists half an inch from the f. 57. extremity, where a commencing sequestrum appears. Private W. S., "C," 7th Virginia, 21: tibia fractured, Pine Grove, Va., 28th November; admitted hospitul, Alexandria, 4th December; amputated by Acting Assistant Surgeon J. Cass, 15th December, 1863; died, (5th January, 1864. Contributed by the operator. See 2007, XIV. A. B. f. 188; 2008, XVIII. III. A. B. a. 3. 3903. Two inches of the stump of the left femur, after death four weeks after amputation in the middle third. Tho f. 58. extremity presents a ring of superficial necrosis. Private C F. R., "F," 124th Pennsylvania, 29: Antietam, 17th September, 1862; union occur red, but disorgan ization of knee followed erysipelas and amputation was performed 23d February; died from exhaustion, 21st March, 1863 Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 3855, XIII. A. B. d. 44. 1963. The stump of the left femur. The commencement of necrosed action is observable about tho extremity, and an f. 59. irregular deposit of callus, the apparent result of abraded periosteum, is noticeable. Private J. T. D., "A," 53d Virginia, (Rebel,) 26: left leg fractured in the lowest third by a conoidal ball, Gettysburg, 2d July; amputated in the middle third, 4th July; tibia protruded, necrosed, 1st October; sloughing and haemorrhage occurred and a sequestrum of three inches removed from stump; thigh amputated in the middle third, 9th; bone protruded, 20th October; died from exhaustion, 5th November, 1803. Contributed by Acting Assistant Surgeon E. A. Koepner. See 1975, XV. A. B. f. 44. 3858. The stump of the left femur, amputated in the middle third. Above the necrosed extremity a ring nf callus is f. 60. deposited. The head of the femur is eroded, but probably not as the result of disease. Private W. F. G., "H," 2d Mississippi (Rebel): tibia fractured, Antietam, 17th September; amputated by Assistant Surgeon R. F. Weir, U. S Army, 22d December; slight secondary haemorrhages, 27th-28th December, 1862 ; died from pyaemia, 15th January, 1863. Contributed by the operator. See 3893, XV. A. B. d. 94. 3818. The stump of the left femur, amputated at the junction of the lower thirds. The shaft is necrosed in its greater f. 61. length, and the partial involucrum that surrounds it is broken down, as if by ulceration. Private H. L., "A," 6th Pennsylvania Reserves, 25: fibula fractured, Antietam, 17th September; amputated in the upper thirds of the leg by Acting Assistant Surgeon A. V. Cherbonnier, Frederick, December, 1-02: femur amputated by Surgeon J. B. Lewis, U. S. Vols., 15th January; femoral ligated for secondary haemorrhage, 4th February; died from exhaustion, 3lst March, 1863. Lungs crowded with tubercles. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 748, XV. A. B. d. 119; 3983, XVIII. II. A. B. b. 38. 300 CATALOGUE OF THE SURGICAL SECTION XIII. 831. Four inches of the stump of the right femur. There is a ring of necrosed bone in process of separation at the f. 62. extremity, and an irregular formation of new bone from the periosteum, which has been carelessly detached and scraped up. Had this remained undisturbed it might have been usefui; as it exists it is incouvenient. The protrusion of bone in this case was reduced from one and three-fourths inches to half au inch, by extension with broad adhesive straps. Private W. H. McP., 50th Georgia (Rebel): femur fractured in the lowest third, South Mountain, 14th September; am- putated in the middle third by a Rebel Surgeon, 24th September; died from exhaustion, Frederick, 27th October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 2885. Eight inches of the stnmp of the right femur. A large sequestrum is partially loose within a moderate involu- f. 63. crum of soft osseous rua'ter. At death large abscesses occupied the thigh, and the femur protruded an inch. Private S. D., "K," 142d Pennsylvania, 20: wounded, and amputated in the middle third on the field, Wilder- ness, 12th May; admitted hospital, Washington, 16th May; died from secondary haemorrhage and exhaustion, 21st July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 3837. The stump of the left femur, amputated in the middle third. A small sequestrum extends up the shaft, and an f. 64. involucrum covers half the specimen. The extremity is somewhat rounded. Private W. H. P., "I," 3d-----, 20: ankle fractured by grape, Antietam, 17th September; leg amputated in the middle third; reamputated in the thigh, 30th November, 1862; attacked with erysipelas ; died from exhaustion, 3d May, 1863. Contributed by Acting Assistant Surgeon A. North. See 3962, XXI. A. B. b. 7. See class XVI. A. A. e. 3518. The stump of the left femur, amputated at the junction of the lower thirds. Bone protruded two and a half inches f. 65. at the time of death. A loose sequestrum lies in the specimen, which shows a very fine involucrum. Corporal T. T., "C," 12th Georgia (Rebel): before Washington, 12th July; admitted hospital and amputated by Assistant Surgeon J. C McKee, U S. Army, 14th July; died from exhaustion, 26th December, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See 4719, XXVI. A. 4, 165. 1099. The upper half of the left femur, showing a large, nearly detached sequestrum of considerable size, with the newly f. 66. deposited callus as an involucrum. Private J L., "G,"69th New York: femur fractured by a conoid ail ball, Antietam, 17th September; admitted hospital, Frederick, 24th September; amputated, 8th October; died from exhaustion, llth December, 1862. Contributed by Surgeon H. S. Hewit, U S. Vols. 2597. One and a half inches of the femur, with a large deposit of spongy callus protruded from the stump of the middle f. 67. third. Private A. F., 150th Pennsylvania: removed by Acting Assistant Surgeon J. II. Jamar, Philadelphia. Healed Contributed by Acting Assistant (Surgeon J. H. McClellan. 3342. The stump of the left femur, amputated in the f. 68. middle third for fracture of the knee. The itntire shaft of the bone is necrosed and enveloped in a slight foliaceous involucrum. See figure 97. Private AH.," B," 6th New Jersey : Wilderness, 6th May ; FlG. 97. Necroscd 8turap of lcft fcmur. Spec 3342 admitted hospital, Alexandria, 24th Ma,\; amputated by Sur- geon E. Bentley, U. S. Vols., 15th June: died from exhaustion, 23:h July, 1864. Contributed by the operator. Sec class XIV. A. B. f. 2965. The stump of the left femur, amputated in the middle third for secondary haemorrhage following gunshot fracture f. 69. of the upper portion of the leg. The specimen shows a large rounded, but perfectly spongy stump. Private A. P., "C," 6th New York Cavalry, 24: Front Royal, Va., 16th August; admitted hospital, Baltimore, 21st August; amputated, 3d September, 1864; died from osteo-myelitis, 8th July, 1865. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See class XV. A. B. d. 1487. The stump of the right remur, one month after amputation for wound by grape shot involving the knee. The f. 70. extremity is carious and there is no attempt at repair. Corporal J C., "A," 7th New York, 25: wounded and amputated in middle third, South Side, R. R , 2d April; admitted hospital, Washington, 6th April; died of pyaemia, 7th May, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. A. jj. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 301 I lOI. The stump of the right femur, after amputation in the upper third. There is very little observable change. f. 71. Private D. O'B., "H," 69th New York: the ball entered the thigh at the upper third and fractured the bone at the lowest third, Antietam, 17th September ; admitted hospital, Frederick, 24th September ; amputated by Surgeon It. S. Hewit, U. S. Vols., 5th December; died from exhaustion, 16th December, 1862. Contributed by the operator. Sec 755, XIII. A. it. d. 68. JJNW7. The upper third of the left femur, removed twenty-four days after amputation. f. 72. Private M. H. B., "D," 4th Vermont, 19: femur fractured and amputated, Funkstowu, Md., 10th July; admitted hospital, Frederick, 12th July; died from exhaustion, 3d August, 1*63. Contributed by Acting Assistant Surgeon Martin. 2011. The stump of the right femur, amputated in the upper third for fracture of the knee by a conoidal ball. The lowest f. 73. third of the specimen is necrosed. Private H. C, "K," 3d Michigan, 33: Jacob's Ford, Va., 27th November; admitted hospital iu bad condition, Alexandria, 4th December; operation by Surgeon E. Bentley, U. S. Vols., 13th December, 1863; died of pyaemia, 10th January, 1864. Contributed by the operator. See 2012, XX. C. B. 5. See class XIV. A. B. f. 2992. The stump of the right femur, amputated in the upper third and greatly necrosed to the trochanters. f. 74. Contributor and history unknown. 973. The upper portion of the left femur, six weeks after primary amputation in the middle thild for fracture, through f. 75. the knee by a conoidal ball. A heavy sequestrum, partially separated, exists at the sawn extremity, above which is a collection of callus irregularly placed. The anterior surface of the shaft, to the trochanters, presents a thickened periosteum ; much of the remainder of the bone is denuded. Private G W., " H," 26th New York, 18: Fredericksburg, 13th December; amputated on the field; admitted hospital, after much exposure, Washington, 23d December, 1862 ; haemoptysis, 6th January ; died, 23d January, 1863, Received from Lincoln General Hospital. See class XIV. A. B. f. 1096. The stump of the upper third of the right femur, with a large portion of necrosed bone nearly detached with very f. 76. little callus. Believed to be the case of M. S , "B," 61st New York, 20: minie ball entered the lowest third of the left thigh, Antietam, 17th September; admitted hospital, Frederick, 24th September; ball found lying against the upper third of the femur and removed, 22d October; amputated, 15th November; died, 24th November, 1802. Contributed by Surgeon H. S. Hewit, U. S. Vols. 2882. The upper third of the left femur,with a partially detached sequestrum and handsome but useless foliaceous deposit, f. 77. from a stump in which secondary haemorrhage occurred. Private L. W., "C," 26th Michigan: knee fractured, Spottsylvania, 12th May; admitted hospital, Washington, 30th May ; amputated by Acting Assistant Surgeon A. Ansell; died from secondary ha-morrhage, 19th July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. Sec class XIV. A. B. f. 3886. The stump of the right femur, tolerably well rounded, ten and a half months after amputation in the upper third. f. 78. Private F. N., " F," 18th New York: femur fractured in the middle third, Antietam, 17th September; amputated by Assistant Surgeon H. A. DuBois, U. S. Army, Frederick, 1st October; died from tuberculous disease, 8th August, 1863. Contributed by the operator. 1007. The upper portion of the right femur, after amputation below the trochanters, as seen in a group of five beautiful f. 79. specimens of involucra and sequestra. Contributed, without history, by Acting Assistant Surgeon George F. Shrady. See 4719, XXVI. A. 4, 162. See class XIII. A. B. g.; 3768. The upper half of the right femur, being a stump. The extremity for several inches is necrosed, without an f. 80. indication of repair in the specimen. Contributor and history unknown. 302 CATALOGUE OF THE SURGICAL SECTION XIII. 602. One and a half inches from the stump of the left femur, reamputated eighteen months after amputation at tho f. 81. junction of the lower thirds. The extremity of the specimen is a little carious, but the greatest portion of the circumference is surrounded by compact new bone. Color Sergeant II. C, "C," 125th New York, 22: knee shattered by a conoidal ball, Wilderness, 6th May; amputated, 17th May; admitted hospital, Albany, 17th November, 1864; sequestrum removed, 6th February; discharged the service, 22d September; admitted Albany City Hospital, 9th December, 1865; specimen removed by Assistant Surgeon J. H. Armsby, U. S. Vols. Contributed by the operator. See 666, XIII. A. B. g. in ; 294, XXV. A. B. b. 154. For other illustrations, see 3738, XII. A. B. e. 4; 81, XII. A. B. e. 7; 448, XIV. A. B. f. 1. g. Sequestra. 123. Seven small fragments of dead bone from the femur. g. 1. Private J. T, " D," 4th New Jersey: probably Gaines' Mill, 27th June; admitted hospital, Baltimore, 21st July; fragments removed, 12th August, 18b2; discharged the service, 3d March, 1863. Contributed by Surgeon A. B. Hasson, U. S. Army. 725. Two small exfoliations, apparently from the stump of the femur. g. 2. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 3840. A lance-shaped sequestrum, three fourths of an inch in length, with a fragment of ball embedded in it, removed g. 3. from a femur fractured by a conoidal ball in the middle third. A number of other pieces of bone were removed at different periods. Private W. F. R., " B," 26th Alabama, (Rebel,) 22 : South Mountain, 14th September, 1862; admitted hospital with one and a half inches shortening, Frederick, 15th January; specimen removed, 10th March; transferred, convalescent, to Balti- more, 28th May, 1863. Contributed by Acting Assistant Surgeon G. M. Paullin. 64 1. A small sequestrum, removed from tbe right femur comminuted in the upper third by a round ball. g. 4. Private T. I. C, "F," 87th New York: admitted hospital, Philadelphia, 28th June; specimen removed by Acting Assistant Surgeon T. G. Morton, 1st August; discharged, cured, with two inches shortening, 29th Sep- tember, 1862. Contributed by the operator. 703. A circular sequestrum, small and irregular, from the stump of the femur. g. 5. Contributed, without history, by Dr. Beale. 1265. A small crown-shaped sequestrum, from the stump of the left femur. g. 6. Private J. G. S., "I," 20th Massachusetts : near Fredericksburg, 10th December; thigh amputated in the lowest third in the field, 13th; admitted hospital with femur protruding, Washington, 26th December, 1862; specimen removed, 22d February, 1863; transferred to Philadelphia, 8th May; reamputated by Acting Assistant Surgeon R. J. Levis, 8th October ; died, 16th October, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4174. A small, nearly circular sequestrum, from the stump of the femur. g. 7. Contributor and history unknown. 705. A segment of exfoliated bone, from the extremity of an amputated femur. g. 8. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 660. A small sequestrum, from the stump of the femur. g. 9. Contributed by Surgeon J. L. Dorr, U. S. Vols. 1408. A small crown-shaped sequestrum, with two spiculae of necrosed bone removed four months after amputation. g. 10. Private J. McG., "I,"4thU. S Artillery: left femur fractured by gunshot, Columbus, Ga,, 16th April; thigh amputated in the middle third, 9th May ; specimen removed by Assistant Surgeon P. S Conner, U. S. Army, Fort Columbus, New York Harbor, 7th September, 1865; discharged the service, October, 1865. Contributed by the operator. \ \\ OF THE UNITED STATES ARMY MEDICAL MUSEUM 303 2968. A small ring of necrosed bone, from the extremity of the right femur. g. 11. Sergeant J. A. T., "G," 79th New York, 42: amputated, 9th May; specimen removed by Acting Assistant Surgeon S. Teats, New York, 29th July ; discharged, 15th August, 1804. Contributed by the operator. 2814. A ring of sequestrum, from the stump of the left femur amputated in the lowest third g. 12. Private D. G., "H," 3d Vermont, 22: left knee fractured, Wilderness, 10th May; amputated, 12th; admitted hospital, Washington, 25th May; specimen removed by Surgeon N. R. Mosely, U. S. Vols, 1st July, ISOI. Recovered. Contributed by the operator. 889. A ring of necrose 1 bone, removed for protrusion from ihe stump of a femur after amputation. g. 13. Contributed by Acting Assistant Surgeon Goldsborough. 3114. Eight small sequestral fragments, from the stump of the right femur. g. 14. Private T. C, "G," 142d New York: thigh fractured aud amputated, 15th January; specimen removed by Acting Assistant Surgeon S. Teats, New York, 7th July, 1865. Contributed by the operator. 715. A slender irregular sequestrum, of two and a half inches, from the stump of the femur. g. 15. Contributed, without history, by Surgeon B. A. Vanderkieft, U. S. Vols. 669. A necrosed spicu'a of bone, nearly four inches in length and longitudinally fractured the whole disiance. g. 16. Apparently two sequestra from each side of the line of fracture. Private W. B., "E," 9th Massachusetts, 55: right femur partially fractured, Gaines' Mill, Va., 27th June; admitted hospital, from Richmond, Philadelphia, 30th July, 1862. Specimen subsequently removed. Subject convalescent. Contributed by Surgeon J. A. Neill, U. S Vols See class XIII. A. B. a. 40 I 1. Two small exfoliated pieces of bone, apparently from the femur. g. 17. Contributor and history unknown. 714. A nearly circular, irregular sequestrum, from the stump of a femur, an inch and a half in its greatest length. g. 18. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 990. A small circle of bone, which protruded after amputation of the thigh, with a process of an inch and a half. g. 19. Corporal W. P., 1st Delaware, 24: admitted hospital, Washington, 18th December ; thigh amputated in the middle third, 28th December, 1862; sequestrum came away ten weeks afterward ; transferred to Delaware, 29th May, 1863. Recovered. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 1416. A nearly circular sequestrum and four small fragments, from the stump of the left femur one year after amputation. g. 20. Private J. M., "G," 126th New York, 23: leg amputated, Gettysburg, 3d July; thigh amputated at the lowest third, Philadelphia, 3d November, 1863; specimens removed by Acting Assistant Surgeon S. Teats, New York, 23d November, 1864. Recovered. Contributed by the operator. 408. Four necrosed fragments, one of which is nearly two inches in length, from the middle third of the shaft of the g. 21. right femur, after gunshot. Oue bullet inflicted a flesh wound, and a second entered posteriorly ten inches above the knee aud passed horizontally forward, fracturing the bone, and part of it emerged anteriorly. Private W. O. H., "H," 4th New York, 18: Gaines' Mill, 27th June; admitted hospital, Baltimore, July; fragments of bone and portions of bullets removed, 12th August, 1862 ; doing well, 20th February, 1863. Contributed by Surgeon A. B. Hasson, U. S. Army. 2154. A necrosed conical segment of the stump of the right femur, two inches long, removed as a sequestrum. g. 22. Private V. McL., "H,"7th Wisconsin, 23: leg fractured at Gettysburg; thigh amputated in the lowest third, Baltimore, 3d August; secondary haemorrhage at intervals, and two inches necrosed extremity removed, 20th August, 1863; sequestrum removed, 9th March, 1864. Recovered. Contributed by Surgeon C W. Jones, U. S. Vols. See 1697, XIII. A. B. f. 21. 304 CATALOGUE OF THE SUItGICAL SECTION XIII. 1227. The lower portion of the right femur, amputated in the middle third for a fracture of the inner condyle from a g. 23. round ball, and a complete sequestrum of an inch and a half taken from the stump. Two pieces of protruding necrosed bone were sawn off, but have been lost. Private P. M.. " K," 2d Wisconsin, 20: Second Bull Run, 28th August: amputated hy Acting Assistant Surgeon Skillern, Washington, 12th September, 1862; sequestrum removed, 15th January, 1863. Recovered. Contributed by Acting Assistant Surgeon George McCoy. 893. A small circular sequestrum, with a process two inches long, from the stump of a femur. g. 24. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 1665. An irregular circular sequestrum, two inches in its greatest length, from the stump of the left femur. g. 25. Corporal F. P, " F," 3d Virginia, 28: Second Bull Run, 2'Jth August; leg amputated in the upper third same day; thigh amputated in the lowest third for gangrene, Georgetown, latter part of October, 1862; gangrene recurred several times; stump opened aud specimen removed on account of pain by Surgeon D. W. Bliss, U. S. Vols., Washington, 6th August, 1863. Result favorable. Contributed by the operator. See class XXIII. A. B. 547. Two delicate sequestra, three and four inches in length, removed from the stump of the left femur three months g. 26. after injury Private J. W. C, "G," 5th Wisconsin, 24: Sailor's Creek, Va., 6th April; amputated in the middle third by Surgeon Allen, 5th Wisconsin, 8th April; admitted hospital, Baltimore, 26th June; specimen removed, 13th July, 1865. Contributed by Surgeon T. Sim, U. S. Vols. 3193. Five fragments of necrosed bone, from the s-tump of the left femur. g. 27. Corporal M. D , "H,"46th Pennsylvania: wounded and amputated, Dallas, Ga., 25th May, 1864; specimens removed by Acting Assistant Surgeon S. Teats, New York, 3d May, 1865. Contributed by the operator. 2156. An open sequestrum of three inches, from the stump of the left femur. g. 28. Private G. A., "F," 62d Pennsylvania, 18: left knee and right foot fractured, Gettysburg, 2d July; thigh amputated, 3d July; admitted hospital, Baltimore, 7th November; specimen removed, 21st December, 1863; stump healed, 24th March, 1864. Contributed by Surgeon C W. Jones, U. S. Vols. See class XIV. A. B. f. 1317. A conical sequestrum, three inches in length, with three smaller fragments, from the stump of the left femur in g. 29. the middle third. Private H. W., " H," 14th IT. S. Infantry, 25: knee fractured, Spottsylvania, 10th May; admitted hospital, Washington, 14th May; amputated by Acting Assistant Surgeon D. J. Evans, 8th June, 1864; femur became necrosed with abscesses in the stump, and specimen removed by Surgeon R. B. Bontecou, U. S. Vols., May, 1865, transferred to Phil- adelphia convalescent. Contributed by the operator. See class XIV. A. B. f. 113. A heavy, irregular sequestrum, with two processes, each two inches in length, removed from the stump of the g. 30. left femur. Private W. L. D., "I," 5th New York, 19: Cold Harbor, 2d June; thigh amputated in the lowest third on the field; admitted hospital, Baltimore, 28th November, 1864 ; sequestrum removed, 16th February; transferred to Philadelphia, 3d April, 1-05. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 3231. A nearly tubular sequestrum, four inches in length, in two longitudinal portions, from the femur. g. 31. Contributor and history unknown. 108. A honeycombed tubular sequestrum of three inches, from the stump of the right femur. g. 32. Private W. H. S., " G," 14th West Virginia, 23 : knee fractured, Lynchburg, 18th June; thigh primarily ampu- tated by a Rebel Surgeon; admitted hospital, Baltimore, 28th November, 1864; specimen removed, 1st February ; discharged, 2d June, 1865. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. Sec class XIV. A. A e. A. 15. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 30") 107. A sequestrum of two and a half inches, from the stump of the left femur. g. 33. First Sergeant E. D. U., "G," 15th New Jersey, 22: femur fractured in the lowest third, Cedar Creek, 19th October; admitted hospital, Baltimore, 24th October; amputated in the middle third by Acting Assistant Surgeon E. G. Waters, 14th November, 1864; specimen removed, 8th March; discharged, 29th May, 1865. Subsequently disarticu- lated at the hip joint and recovered. (See Am. Journ. Med. Sci., July, 1866.) Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See 3734, XIV. A. B. f. 197; 4719, XXVI. A. 4, 159. See class XII. A. b. e. 105 I. A sequestrum of four inches, from the stump of the right femur amputated in the lowest third. g. 34. Private E. F , "K," 12th New York, 24: tibia and fibula fractured, Second Bull Run, 30th August; lay seven days on the field; thigh amputated, 8th September; specimen removed seven weeks afterward, Washington, Octo- ber, 1862; patient doing well, 12th March, 1863. Contributed by Medical Cadet Burt G. Wilder. See class XV. A. n. d. 4247. A tubular sequestrum, three inches in length, removed from the stump of the right femur. g. 35. Corporal C. H., "G," 29th Indiana, 21: primarily amputated in the lowest third, before Atlanta, Ga., 12th August; admitted hospital, Louisville, 3d December, 1864 ; specimen removed, 24th February, 1865. Recovered rapidly. Contributed by Surgeon R. R. Taj lor, U. S. Vols. 706. A heavy sequestrum of four inches in length, from the stump of an amputated femur. g. 36. Private W. S., "F,"7th Indiana: knee fractured, Cedar Mountain, Va.. 9th August; admitted hospital, Alex- andria, Pith; amputated in the lowest third by Surgeon J. E. Summers, U. S. Army, 15th August; sloughing of stump commenced, 5th November; specimen removed, 15th; severe haemorrhage and femoral ligated, 19th November, 1862. Recovered. Contributed by the operator. See 40, XIV. A. B. f. 70. 2452. A conical sequestrum, four inches in length, from the right femur, three months after amputation. g. 37. Private M. S., " B," 183d Pennsylvania: patella fractured, South Side R. R , Va., 1st April; admitted hospital, Washington, 6th; amputated in the lowest third by Acting Assistant Surgeon D. L. Haight, 8th April; specimen removed, 17th July ; still under treatment, 2d November, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. See 1484, XIV. A. B. f. 58. 2908. A very heavy conical sequestrum, three and a half inches long, removed from the stump of the femur twenty-six g. 38. days after amputation. Private L. A., " H," 63d Pennsylvania, 20: right thigh amputated at junction of the lower thirds, for fracture of the knee, by Acting Assistant Surgeon M. F. Price, Washington,27th May; specimen removed, 22d June, 1864. Recovered. Contributed by the operator. See class XIV. A. B. f. 3957. A sequestrum, four inches in length, from the stump of a femur. Supposed to be the following case: g. 39. Private M. M., "H,"69th New York: femur fractured by a conoidal ball, 17th September; amputated, 27th; admitted hospital, Frederick, 29th September; secondary haemorrhage and femoral ligated iu the stump, 4th October; recommended for discharge, 16th December, 1862. Contributed by Acting Assistant Surgeon W. S. Adams. 666. A conoidal sequestrum, four and a half inches in length, removed from the stump of the left femur nearly nine g. 40. months after amputation in the lowest third. Color Sergeant H. C, "C," 125th New York, 22: knee fractured, Wilderness, 5th May; admitted hospital, Alexandria, 14th ; amputated in the lowest third by Surgeon E. Bentley, U. S. Vols., 17th May, 1864; specimen removed Albany, N. Y., 6th February; discharged the service, 22d September, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See 602, XIII. A. B. f. 81; 294, XXV. A. B. b. 154. 3276. A heavy tubular sequestrum, three inches in length, from the stump of the left femur. g. 41. Sergeant P. H., "C," 125th New York: wounded and amputated, 18th May, 1804 ; specimen removed by Acting Assistant Surgeon S. Teats, New York, 5th February, 1805. Contributed by the operator. :^0 306 CATALOGUE OF THE SURGICAL SECTION XIII. 3027. A sequestrum, five inches in length, from the stump of the left femur. g. 42. Private C B., "C," 39th New York, 25: knee fractured, Bristoe Station, 14th October; thigh amputated in the lowest third by Assistant Surgeon Norman S. Barnes, U. S. Vols., Alexandria, 17th October, 1863; sequestrum removed, 20th February, 1864 ; discharged the service, 20th September, 1865. Contributed by Acting Assistant Surgeon C. W. Koechling. See 2344, XIV. A. a. e. 34; 1787, XXV. A. B. b. 93. 1686. A spiral sequestrum of five inches, from the femur. g. 43. Private W. C. T., "F," 55th Ohio, 17: Chancellorsville, 2d May; specimen removed, Washington, 11tli Septem- ber, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. 285. A slender sequestrum, seven inches in length, divided in the middle, removed a year after injury through a cloaca g. 44. of one and a half inches longitudinal diameter, from a gunshot fracture of the upper third of the right femur. Private J. O'B., "D," 1st U. S. Infantry: Wilson's Creek, Mo., 10th August, 1861; specimen removed by Surgeon T. F. Azpell, U. S. Vols., St. Louis, 17th August; subject nearly recovered, 17th October, 1862. Contributed by the operator. 2373. A tubular sequestrum, nearly four inches in length, ot small calibre and quite uniform in thickness, removed from g. 45. the stump of the right thigh seven months after amputation. Private V. La P., "A," 81st New York, 25: Cold Harbor, 3d June; amputated, 5th June, 1861; specimen removed, Albany, N. Y., 5th January ; discharged the service, 16th June, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See 3765, XXV. A. B. b. 117. 2439. A handsome sequestrum, four and half inches in length. g. 46. Contributed by Surgeon E. Griswold, U. S. Vols. 3015. A heavy tubular sequestrum, nearly five inches in length, removed from the stump of the right femur six months g. 47. after amputation in the middle third. Private R. H. P., " E," 7th Wisconsin, 33: Southside R. R., 31st March; admitted hospital with primary ampu- tation, Washington, 4th April; specimen removed by Acting Assistant Surgeon Gibbons, 14th October, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 1264. A semi-tubular sequestrum of four inches, from the stump of the left femur. g. 48. Private H. B., "A," 88th Pennsylvania: Fredericksburg, 13th December, 1862; amputated on the field; admitted hospital, Washington, 26th December; specimen removed, 1st May; transferred to Philadelphia, 5th May, 1863. Recovered. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1971. A heavy tubular sequestrum, four and a half inches long, removed, by forcible traction, from the protruding stump g. 49. of the right femur for pain and abscesses. Private J. A. C, "K," 6th Wisconsin, 24: knee fractured, Gettysburg, 1st July ; femur amputated in the middle third, 2d July; flaps sloughed, 15th August; sequestrum removed, 30th October; transferred, convalescent, 7th November, 1863. Contributed by Acting Assistant Surgeon E. A. Koepner. See class XIV. A. A. e. 109. A tubular sequestrum of four inches, from the stump of the left femur. g. 50. Private W. B. B., "K," 38th Pennsylvania, 27: knee fractured, Cedar Creek, 19th October; amputated in the lowest third of the thigh by Acting Assistant Surgeon B. B. Miles, Baltimore. 27th October 1864; specimen removed, 22d February, 1865. Recovered. Contributed by the operator. See class XIV. A. B. f. 3128. A heavy tubular sequestrum, four and a half inches in length, from the femur amputated in the middle third. g. 51. Private P. W., " E," 37th Wisconsin, 38 : wounded in both thighs, Cold Harbor, 3d June; one thigh amputated, 20th; admitted hospital, Washington, 24th June; sequestrum extracted and died, 22d August, 1864. Contributed by Surgeon N. R. Mosely, U. S. Vols. 2232. A heavy tubular sequestrum, nearly five inches in length, removed from the stump of the left femur six months g. 52. after amputation at the junction of the upper thirds. Private J. F., ilD," 15th Massachusetts, 35: femur fractured by a fragment of shell, Bristoe Station, Va., 14th October; amputated, Gordonsville, Va., 26th October; admitted hospital, Annapolis, from Richmond, 8th November, 1863; sequestrum removed by Surgeon B. A. Vanderkieft, U. S. Vols., 1st April; discharged the service, 24th May, 1864. Patient convalesced rapidly. Contributed by Assistant Surgeon W. S. Ely, U. S. Vols. A. J3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 307 1011. A sequestrum, five inches in length, from the stump of the right femur. g. 53. Private J M. R., " H," 59th New York, 16: Antietam, 17th September; amputated in the middle third on the field, and admitted hospital, Smoketown, Md., 17th October, 1802 ; specimen removed, 14th March, 1863. Recovered. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 228. A sequestrum, five inches in length, from the stump of the left femur in its lowest third. g. 54. Private J. P., " B," 29th Iowa, 21: wounded and captured, Mansfield, La., 30th April, 1864; amputated by a Rebel Surgeon, time and place unknown; admitted hospital with protruding bone, New Orleans, 27th February; specimen removed, 28th February ; discharged, healed, 22d May, 1865. Contributed by Surgeon Jacob Bockee, U. S. Vols. 3860. A very complete and uniform tubular sequestrum, five inches in length, evidently from the stump of a femur g. 55. amputated in the lowest third. Contributor and history unknown. 1557. A sequestrum, five inches in length, from the stump of the femur, removed seven and a half months after g. 56. amputation. Private J. L., " D," 6th Connecticut: wounded near Petersburg, 12th May; thigh amputated, 1st June, 1864; specimen removed by Acting Assistant Surgeon S. Teats, 15th January, 1865; transferred to De Camp Hospital, New York Harbor, 12th August, 1865. Contributed by the operator. 252. A heavy conoidal sequestrum, five and a half inches in length, removed, four mouths after amputation, from a g. 57. stump in the middle third of the right femur. Private W. C, "E," 9th New Hampshire, 27 : fractured and amputated, near Petersburg, 30th July ; admitted hospital,Washington, 3d August; specimen removed from a good involucrum, 29th November, 1864. Recovered. Contributed by Assistant Surgeon W. F. Norris, U. S. Army. See 4(528, XXVI. A. 2, 61. 1429. A very heavy cylindrical sequestrum, five and a half inches in length, with a segment of bony capsule attached, g. 58. removed from the stump of the right femur eleven months after amputation. Private S. C Van H., "E," 4th New York Heavy Artillery, 33: right thigh fractured by gunshot in the lowest third, Ream's Station, 25th August; amputated at the junction of the lower thirds, 27th August, 1864; specimen protruding and removed, Baltimore, 13th July; recovered and discharged the service, 14th October, 18(55. Contributed by Surgeon Thomas Sim, U. S. Vols. 106. A sequestrum, five and a half inches in length and two ounces in weight, from the stump of a femur in the g. 59. lowest third. Private S. W. P., "G," 1st Rhode Island Artillery, 28: knee fractured, Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 24th October; femur amputated by Acting Assistant Surgeon B. B. Miles, 10th November, 1864 ; specimen removed, 5th March; discharged, 1865. Contributed by the operator. See class XIV. A. B. f. 3898. A sequestrum, six inches long, in three fragments, removed from the left femur, which was partially fractured in g. 60. the middle third. Sergeant J. O'B., "F," 42d New York, 30: Antietam, 17th September, 18(52; specimen removed by Acting Assistant Surgeon W S. Adams, Frederick, 1st February; died from pyaemia, 17th February, 1863. Contributed by the operator. See 3956, XIII. A. B. a. 32. 4239. A conical sequestrum, six inches in length, from the stump of the right femur in the middle third. g. 61. Sergeant W. G. B., "B," 5th Michigan Cavalry: amputated on the field, Appomattox Station, Va., 8th April; admitted hospital, Washington, 7th May; specimen removed by Acting Assistant Surgeon H. E. Woodbury, 12tb June, 1865. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1848. A tubular sequestrum, six inches in length, after osteo-myelitis of a stump. g. 62. Contributed by Surgeon M. Goldsmith, U. S. Vols. 1349. A heavy conical sequestrum, six inches in length, removed six months after amputation of the thigh in the lowest g. 63. third. Private J. M., " K," 118th Pennsylvania, 32: knee fractured, Petersburg, 30th September; admitted hospital with amputated thigh, Washington, 7th October, 18(54 ; specimen removed, 29th March, 1865. Convalescent. Contributed by Surgeon R. B. Bontecou, U. S. Vols. See class XIV. A. B. f. 308 CATALOGUE OF THE SURGICAL SECTION XIII. 3599. A very heavy tubular sequestrum, six inches in length, removed from the right femur four months after g. 64. amputation. Private 0. V., "B," 9th New Hampshire, 24 : wounded. 28th May; admitted hospital with fracture of middle third of the right tibia and limb erysipelatous and filled with abscesses, Washington, 4th June ; amputated in the lowest third of the femur by Assistant Surgeon W. Thomson, U. S. Army, llth June; specimen removed by Acting Assistant Surgeon H. Gibbons, jr., 15th October, 1864; discharged, healed, 14th June, 1865. Contributed by Assistant Surgeon W. F. Norris, U. S. Army. See 3558, XV. A. B. d. 99. See class XXIII. A. A. 3598. A nearly tubular sequestrum of six inches, from the stump g. 65. of the left femur. See figure 98. First Lieutenant B. F. E., "F," 2d Pennsylvania Heavy Artillery, 24: knee fractured, Petersburg, 17th June; admitted hos- pital, Washington, 23d ; thigh amputated in the lowest third by Act- ing Assistant Surgeon Colton, 25th June; sequestrum removed, 27th September, 1864. Recovered. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XIV. A. B. f. Fig. 98. Sequestrum of six inches, from stump of the left femur three mouths after amputation. Spec. 3598. 3570. A tubular sequestrum, six inches in length, from the stump of the right femur. g. 66. Private J. R., "B," 4th Ohio, 22: knee fractured, Cold Harbor, 3d June; admitted hospital, Washington, 12th; amputated in the lowest third, 15th June; specimen removed, llth September, 1864 ; recovered and discharged the service, 1865. Contributed by Assistant Surgeon W. Thomson, U. S. Army. Fig. 99. Sequestrum of seven inches ten months aftt femur. Spec. 3104. amputation of 2676. A heavy tubular sequestrum, six and a half inches in its greatest length, removed from the stump of the right g. 67. femur in the middle third after gangrene. Private H. R., "F," 13th U. S. Infantry, 30: conoidal ball fractured the lowest third, 29th December, 180-2; amputated in the middle third the same day; attacked with gangrene, July, 1803; sequestrum removed, 10th February, 1864. Contributed by Assistant Surgeon H. R. Tilton, U. S. Army. See class XXIII. A. B. 3101. Aheavytubularsequestrum, seven inches in length, g. 68. from the stump of the right femur. See figure 99. Private F. R., " D," 57th New York, 20 : left arm aud right thigh amputated on the field for shell fracture, Bristoe Station, Va., 14th October; admitted hospital, Alexandria, 15th October, 1863; specimen removed, 9th August, 1864, and subject convalescent. A photograph of his condition after the removal of the sequestrum stands with the specimen. Contributed by Surgeon T. R. Spencer, U. S. Vols. 476. A tubular sequestrum, seven inches in length, and three smaller specimens, removed from the stump of the right g. 69. femur in the lowest third nine and a half months after injury. Case of D. W. B. M., "H," 150th New York, 20: specimen removed, 16th March; transferred to De Camp Hospital, New York Harbor, 12th August, 1865. Contributed by Acting Assistant Surgeon S. Teats. 3100. Aheavytubularsequestrum, nearly eight inches g. 70. in length, from the stump of the left femur. See figure 100. Private J. G , "B," 63d New York, 22: ankle fractured and leg amputated, Cold Harbor, 3d June, 1864 ; specimen removed by Acting Assistant Surgeon S. Teats, New York, 19th March; recommended for discharge, 15th July, 1 Contributed by the operator. See class XVI. A. A. e. Fig. 100. Sequestrum of seven inches, from left femnr eight months after amputation. Spec. 3100. 111. A complete tubular sequestrum, eight inches long, from the stump of the left femur. g. 71. Private J. N., "G," 143d Pennsylvania, 21: thigh fractured, 15th May; amputated in the lowest third, about 24th May, 1-04; sequestrum removed, Washington, 9th April, 1805 Recovered. Contributed by Surgeon E. Griswold, U. S. Vols. 159. g. 72. A heavy conical sequestrum, nearly five inches long, from the femur after amputation. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. A. 15. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 30(J 4281. A sequestrum of eight inches, removed from the stump of the femur in its lowest third. g. 73. Private J. McM., ''I,"---- New York Cavalry: knee fractured and thigh amputated, Wilderness, 7th May; admitted hospital, Washington, 12th May; specimen removed after a lingering and critical illness, llth August, 1864. Recovered. A photograph of the case is mounted with the specimen. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1581. A sequestrum of eight inches, tubular for half its length, with ten smaller fragments of necrosed bone, from the g. 74. stump of the left femur eleven months after amputation. Private B. McC, "K," 170th New York: amputated in the lowest third of the left femur on the field, 16th June 1864; removed by Acting Assistant Surgeon S. Teats, New York, 21st May, 1865. Contributed by the operator. 171. A heavy sequestrum, eight and a half inches in length, of which four inches is tubular, removed from the stump g. 75. of the lowest third of the femur two months after amputation. Corporal H. S., " H," 64th New York, 30: near Petersburg, 25th March; admitted hospital, Washington, 2d April; thigh amputated soon afterward; sequestrum removed, 19th June; discharged, 25th September, 1865. Contributed by Assistant Surgeon H. Allen, U. S. Army. See 2283, XXV. A B. b. 144. 1853. A tubular sequestrum, ten inches in ' g. 76. length, from the left femur. See figure 101. Corporal H. H. E., " I," 16thNew York, 23: knee fractured, Second Fredericksburg, 3d May; 92 inches admitted hospital, Washington, 8th ; amputated in Fig. 101. Sequestrum successfully removed from left femur four months after the lowest third of the thigh by Acting Assistant amputation. Spec. 1853. Surgeon J. E. Smith, 13th; secondary haemorrhage, 20th-21st May, when the femoral was tied in Scarpa's triangle; subject became much reduced, and sequestrum, being loose, was removed, 9th August; convalescence rapidly followed, new bone forming and the stump retaining its length; discharged the service, 26th October, 1863; reported himself in good health, December, 1864. Contributed by Assistant Surgeon W. Thomson, IT. S. Army. See 1852. XIV. A. B. f. 73; 4627, XXVI. A. 1, 7. 1102. A heavy irregular sequestrum, nearly four inches in length, with two fragments, representing, in one part, the g. 77. entire shaft, removed without destroying the continuity of the bone. Private G. W., "E,"87th Pennsylvania: femur fractured in the upper third, Petersburg, 23d June; admitted hospital, Washington, 4th July, 1861; appeared healed, with two and a half inches shortening; wound opened again and specimen removed with mallet and chisel, 30th June, 1865. Recovered speedily. Contributed by Surgeon B. B. Wilson, U. S. Vols. 2926. A sequestrum and involucrum entire, an inch and a half in length, removed from the stump of the left femur. g. 78. Private J. K., "G," 2d U. S. Artillery, 21: knee fractured by shell and thigh amputated in middle third, Cold Harbor, 31st May; admitted hospital, Washington, 8th June; specimen removed, 31st July, 1864. Recovered. A large abscess had formed around the bone. Contributed by Assistant Surgeon Alex. Ingram, U. S. Army. 1094. A tubular sequestrum, three inches in length, surrounded by a cylindrical involucrum of spongy bone, from the g. 79. stump of a femur removed for protrusion and constitutional disturbance. Private J. M., "C," 18th Kentucky, 28: knee fractured and thigh amputated in the lowest third, Richmond, Ky., 30th August; admitted hospital, Cincinnati, 15th October, 1862; specimen removed by Acting Assistant Surgeon O. D. Morton, 15th Junuary, 18(53. Recovered. Contributed by A.cting Assistant Surgeon J. B. Smith See class XIV. A. A. e. 2602. An involucrum of three inches and a sequestrum of seven inches length, removed three months after amputation. g. 80. Private W. V., UD," 4th Pennsylvania Cavalry: shot through the right knee, Upperville, Va , 21st June; admitted hospital, Washington, the same day ; femur amputated in the lowest third, 7th July ; transferred to Phil- adelphia, 3d October specimen removed, by sawiug four inches from the extremity of the protruding bone and extracting the remainder of the sequestrum, by Acting Assistant Surgeon C. B. King, 5th October, 1863. Recovered. Contributed by the operator. See 1529, XXV. A. b. b. 152. See class XIV. A. B, 310 CATALOGUE OF THE SURGICAL SECTION XIII. 3226. Four and a half inches of the stump of the femur, a tubular sequestrum weighing two ounces and ten grains troy g. 81. and being six inches in length, and a smaller sequestrum of one inch by two. The stump, which is the involucrum that contained the greater sequestrum, is very firm, but is carious internally. Private D. S. W., " F," 117th New York, 23 : right knee shattered, Fort Harrison, Va., 29th September ; amputated in the middle third by a Rebel Surgeon, 30th September, 1864; the smaller sequestrum was removed, 10th March; the greater sequestrum was removed, and the stump sawn off by Assistant Surgeon J. H. Armsby, U. S. Vols., Albany, 26th September; secondary haemorrhage, 3d November; transferred to Albany City Hospital, 27th November, 1865. Contributed by the operator. See class XIV. A. A. e. 3111. The stump of the left femur exceedingly hyperostosed, measuring three and a half inches in diameter at the g. 82. extremity. The specimen is four and a half inches in length and exhibits a prodigious involucrum. The extremity and central portions are carious, and a slight sequestrum is contained. Corporal L. C. G., "D," 8th North Carolina (Rebel): knee wounded by shell, Winchester, 19th July; amputated in the lowest third of the thigh by Dr. Joseph Jones, Richmond, 22d July, 1864; died, February, 1865. Contributed by Acting Assistant Surgeon F. Schafhirt. See class XIV. A. a. e. 4220. Nearly two inches of the stump of the left femur, being a thick, well developed involucrum, beyond which a g. 83. slender sequestrum protrudes three inches. The date at which it was removed is unknown. Private S. S., "D," 24th Iowa, 28: tibia and fibula comminuted, Winchester, 19th September; amputated, 23d September, 1864; "returned to duty" (for muster-out), 28th July, 1865. Contributed by Assistant Surgeon Geo. M. McGill, U. S. Army. For other illu trutions, see 2972, XIII. A. B. f. 34; 1007, XIII. A. B. f. 79. B. Injuries not caused by Gunshot. A. Primary conditions. ' a. Contusions and partial fractures. b. Impacted fractures. c. Ordinary fractures. d. Excisions. e. Amputated fractures. f. Other operations. c. Ordinary Fractures. 1465. The shaft of the right femur obliquely fractured, with longitudinal fractures downward. c. 1. Private M. G., " E," regiment unknown: in an attack of mania a potu, leaped from a window forty feet from the ground, Provost Barracks, Philadelphia. Contributed by Surgeon A. C. Bournonville, U. S. Vols. 2991. The upper half of the right femur, nearly transversely fractured between the trochanters. A large portion of the C. 2. great.er trochanter is detached and a triangular fragment, two inches broad at the upper extremity and including the trochanter minor, and six inches in length, is broken off the inner surface. Corporal H. W., " H," 13th Connecticut, 42: instantly killed by leaping, in delirium of fever, from a window fifty feet from the ground, New Orleaus, 25th November, 1803. The pelvis, ribs and bones of the right arm and forearm were fractured aud the liver and kidneys lacerated. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. See 2977. XI. B. A. b. 1. S-e classes IV. B a. b.; VI. B. A. b.: VIII. B. a. b.; XX. B. A. a. B. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. ;m e. Amputated Fractures. 2122. The lower half of the right femur, amputated for transverse fracture, with some comminution, just above the e. 1. junction of the lower thirds, after having been run over by a heavily laden wagon. The soft tissues were much lacerated. Private M. D., "K," 140th Pennsylvania, Second Corps: about 15th March; amputated the same day; died, 18th March, 1864. Contributed by Surgeon Justin Dwinelle, 101st Pennsylvania. B. Secondary Conditions. < a. Contusions and partial fractures. b. Impacted fractures. c. Ordinary fractures. d. Excisions. e. Amputated fractures. f. Other operations. g. Stumps. h. Sequestra. b. Impacted Fractures. 2376. The left femur, showing a consolidated impacted fracture of the neck which has b. 1. resulted in shortening of five-eighths of an inch. The right femur, from the same case, is mounted with the specimen for the sake of comparison. The fracture is partly within and partly without the capsule, and the impaction is greater anteriorly than behind, causing inversion of the foot during life. The acetabulum was not affected. Private F. B., "C," 108th Ohio, 36: accidentally fell from a bridge, striking the left hip. April; admitted, with slight chronic dementia, Government Hospital for the Insane, Washing- ton, 16th May, 1865; the fracture became consolidated in the course of a few weeks, and the patient died with tuberculosis, 28th January, 186(5. Contributed by Dr. F. W. Nichols, Superintendent of the Hospital. c. Ordinary Fractures. 6. The upper half of the left femur, exhibiting a simple fracture through the trochan- c. 1. teric ridge firmly united. From an epileptic subject who died two years after the injury of the thigh. See figure 102. Contributed by Acting Assistant Surgeon F. Schafhirt. For other illustrations, see 4(528, XXVI. A. 2, 85. Fig. 102. Consolidated simple fracture through tbe trochant- ers. Spec. 6. 312 CATALOGUE OF THE SURGICAL SECTION, ETC XIII. c, Diseases. 128. The upper extremity of the right femur, showing deformity C. 1. of the neck simulating consolidated intracapsular fracture. The neck is shortened and partly turned upon itself, prob- ably the result of interstitial absorption. A longitudinal section which has been made demonstrates that there has been no fracture, although the subject, in his last illness, told his medical attendant that he had fractured his thigh by a fall several years previously. See figures 103, 104, 1(15. From a soldier who died of chronic diarrhoea, Louisville, Ky. Contributed by Assistant Surgeon B. E. Fryer, U. S. Army. 610. A cauliflower exostosis, two inches in diameter, removed C. 2. from above the inner condyle of the femur. Contributed by Surgeon D. P. Smith, U. S. Vols. Fig. 103. Anterior view of neck of right lemur after dis- ease simulating fracture. Spec. Fig. 104. Posterior view of diseased neck of right femur simulating consolidated frac- ture. Spec. 128. 4046. The upper two-thirds of the left femur, exhibiting two fractures C. 3. of the shaft with a pathological tumor between them. After the specimen was mounted it was impossible to determine the specific character of the morbid growth. Private J. C, "E," 91st Indiana: reported as dying from osteo-sarcoma. Contributed by Acting Assistant Surgeon F. H. Colton. 2979. The lower half of the left femur, from which a section has been C. 4. cut exposing a large abscess. The shaft is thickened externally, and a sinus from tho carious cavity communicates externally with the posterior surface. W. E. Q., (Negro,)19: subject a native of Tennessee, of tubercular diathesis, had been greatly exposed with Geneial Sherman's Army; admitted hospital, Alexandria, 16th May ; died from phthisis, 20th November, 1865. Contributed by Surgeon E. Bentley, U. S. Vols Fig. 105. Internal view of upper extremity of right femur after shortening and deformity of neck by disease. Spec. 128. 2738. The greater portion of the shaft of the left femur, shattered in the middle third by a round ball, which has split iu C. 5. two. The borders of the fragment show the etching of incipient necrosis; but the special feature of the specimen is an osteo-tumor in its upper portion, three by four inches in its greatest dimensions, whose principal attachment is on the posterior surface and which has grown forward, embracing the shaft. It presents such au appearance as might follow the moulding of a quantity of soft bone to the shaft. The history does not bear upon its cause or course. Private E. L., " H," 37th Wisconsin, 34 : Petersburg, 17th June; admitted hospital, Washington, 1st July ; amputated by Assistant Surgeon Geo. A. Mursick, U. S. Vols., 3d; died of pyaemia, 9th July, 1864. Contributed by the operator. See classes XIII. A. B. d.; XXVII. B. B. d. 4556. The lower half of the left femur, amputated for disease secondarily involving the joint. A partially separated C. 6. sequestrum occupies the lower four inches of the posterior portion of the specimen. This is b irdered longitudinally on both sides and is overhung at the superior portion by fragile and foliaceous new bone formation. The extremity of the diaphysis, which is covered anteriorly with the same new formation, is carious in its totality. The integrity of the articular surface has not been violated. No assignable cause was discovered for the disease. C. M., (colored.) 14: of scrofulous diathesis, under treatment two months; amputated by Surgeon R. Reyburn, U. S. Vols., Washington, 30th September, 1866. Convalescent when contributed. Contributed by the operator. See classes XIV. B. B. g.; XIV. C. 738. The upper portious of each femur, exhibiting superficial caries over a space of two square inches, the result of C. 7. long continued pressure which produced bed sores in a case of paraplegia. A. R, (colored,) 29: admitted hospital paraplegic, Washington, 1st July, 1865; died, 8th November, 1866. There was fatty degeneration of most of the viscera. Contributed by Hospital Steward Algernon M. Squier, U S. Army. For other illustrations, fee 4001, XIII. A. A. d. 15; 3563, XIV. A. 1! f. 180 : 2455, XIV. B. XIV. INJURIES AND DISEASES OF THE KNEE JOINT. A. Gu nshot Injuries. A . Primary Conditions. B. Secondary Condition f a. Contusions and partial fractures. b. Complete fractures C. Excisions. d. Disarticulations. I e. Amputations in the femur. L f. Other operations. a. Contusions and partial fractures. b. Complete fractures. c. Caries consecutive upon other injury than fr ture of the bones of tbe joint. d. Excisions. e. Disarticulations. f. Amput tti.ms in the femur. g. Other operations. h. Stumps. I. i. Sequestra. B. Injuries not. c;iuse< by Gunshot. x\_. Primary ('onditions. f a. Contusions and partial fractuies. b. Complete fractures. ! c. Excisions ] d. Disarticulations. | e. Amputations iu the femur. I f. Other operations. f a. Contusions and partial fractures. | b. Complete fractures. c. Dislocations. Bj d. Caries consecutive upon other inju . Secondary Conditions, j t«re of the bones of the joint. i e. Excisions. ry than fn f. Disarticulations. | g. Amputati ,ns iu the femur. | h. Other operations. j i. Stumps. I. k. Seque-tra. c. I) lseases. 40 XIV. KNEE JOINT. A, Gunshot Injuries. A. Primary Conditions. f a. Contusions and partial fractures. b. Complete fractures. C. Excisions. d. Disarticulations. e. Amputations in the femur. k f. Other operations. a. Contusions and Parti at, Fractures. 1488. The bones of the right knee, grooved iu the outer condyle by a musket ball. a. 1. Contributed by Surgeon J. H. Brinton, U. S. Vols. 1360. The lowest fourth of the left femur, with a round ball, from the outer side, firmly embedded in the centre of the a. 2. outer condyle an inch from the surface. Slight fissures extend into the joint. Contributed by Surgeon J. H. Brinton, U. S. Vols. See class XXVII. B. B. d. b. Complete Fractures. 3138. The lowest third of the left femur, transversely fractured three inches above the joint, complicated by commiuu- b. 1. tion and a severe longitudinal fracture extending in both directions the length of the specimen, From before Petersburg. 1496. The lower extremity of the left femur, with the external condyle fractured by a conoidal ball, which passed b. 2. through it, obliquely inward, from the front and lodged, opening the joint. Contributed by Surgeon J. H. Brinton, U. S. Vols. See class XXVII. B. B. d. c. Excisions. 2030. The condyles of the right femur, excised for a fracture of the outer one, c. 1. opening the joint, by a rough leaden canister shot. See figure 106. Private A. K., "G," 76th Pennsylvania, 25: Pocotaligo, S. C. 22d October; bullet removed and lower portion of the condyles and semi-lunar cartilages excised by Surgeon R. B. Bontecou, U. S. Vols., Beaufort, S. C, 24th October ; transferred North, 28th December, 1862; able to walk with a cane, and discharged the service, August, 1863. Contributed by the operator. d. Disarticulations. See 3514, XXI. A. B. b. 20; 4719, XXVI. A. 4, 154. e. Amputations in the Femur. Fig. 106. Condyles of right femur pri- marily excised. Spec. -2030. 1284. A wet preparation of a patella, very badly shattered, with much loss of substance, as if by a shell. e. 1. Sergeant J. MeP., "H," 20th Connecticut: Chancellorsville; amputated on the field, 3d May, In! unknown. Contributed by Assistant Surgeon J. A. Freeman, 13th New Jersey. Result ;;k; CATALOGUK OF THE SURGICAL SECTION XIV. 11 ->0. The bones of the right knee, amputated just above the condyles for a fracture of the inferior third of the patella. e. 2. Private G. B., "C," 205th Pennsylvania, 25: Petersburg, 1st April; amputated by Surgeon W. O. McDonald, U. S. Vols., City Point, 3d April, 1865. Contributed by the operator. 2380. The lower portion of the right femur, with the inner condyle longitudinally grooved on its articular surface. e. 3. Private C. W., "A," ----New York Heavy Artillery, 20: wounded and amputated in the lowest third, Cold Harbor, 5th June; admitted hospital, Washington, llth June; died, 1st August, 1864. Contributed by Surgeon F. F. Burmeister, 69th Pennsylvania. 3936. The lowest fourth of the right femur, with a conoidal pistol ball lodged beneath the patella, very slightly frac- e. 4. turing the face of tbe outer condyle. Private W. F., "C," 1st Potomac Home Brigade Cavalry: accidentally, Frederick, 1st March ; amputated by Acting Assistant Surgeon Adams, 2d March ; discharged, 27th May, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See class XXVII. B. IS. d. 2096. A ligamentous preparation of the bones of the right leg, amputated in the lowest third of the femur for a partial e. 5. fracture of the outer condyle and tuberosity at their outer angle. Contributed by Assistant Surgeon W Moss, U. S. Vols. 3914. The lowest third of the right femur, with a conoidal pistol ball embedded in the inner condyle, from which a e. 6. fracture extends into the joint. Private W. R., " H," 2d U. S. Cavalry, 22: Frederick, 14th September; amputated, 15th September, 1864. Recovered. Contributed by Acting Assistant Surgeon W. B. McCausland. See 1574, XXV. A. B. b. 121. See class XXVII. B. B d. 2459. Tie lowest third of the right femur, grooved, probably by a musket ball, across the base, involving the upper e. 7. anterior border of the condyles. A field amputation from Fredericksburg. 3935. The lowest third of the right femur, grooved along the anterior base, involving the upper border of the condyles, e. 8. by a conoidal ball. Private T. A. G., " F," 151st New York, 26: Monocaey Junction, Md., 9th July ; amputated in the lowest third, Frederick, 10th July; died from exhaustion, 4th August, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 2011. The lowest third of the left femur, obliquely perforated by a pistol ball through the external condyle. A e. 9. perpendicular fracture extends into the joint and longitudinal fissures run up the shaft three and four inches. Private J T., "E," 1st Delaware: Morton's Ford, Va., 6th February; amputated by Surgeon J. Dwinelle, 106th Pennsylvania, in the field, 8th February, 1864. Died. Contributed by the operator. j 746. The lowest fourth of the left femur, primarily amputated by Assistant Surgeon J. T. Calhoun, U. S. Army, for e. 10. fracture of the inner condyle by a conoidal ball, which is mounted against the same. Contributed by the operator. See ctas< XXVII. B. B. d. 3218. The lowest fourth of the left femur. The inner condyle is fractured on the articular surface by a conoidal ball e. 11. grooving it, with much loss of substance, from before backward. Corporal W. H. M., "G," 5th Michigan, 19: Petersburg, 16th June; amputated by Surgeon Henry F. Lyster, 5th Michigan, 17th June, 1864; discharged the service, 9th November, 1865. Contributed by the operator. 105. The bones of the left knee, fractured by a round ball that split the patella and lodged, battered, in the inner e. 12. condyle. From a field amputation at Antietam. Contributed by Surgeon J. H. Brinton, U. S. Vols. See class XXVII. B. B. d. 2151. The lowest fourth of the left femur, fractured by a conoidal ball which entered the articulation from the front, e. 13. chipped the inner surface of the external condyle and lodged anteriorly to the intercondyloid notch. Corporal R., 5th U. S. Cavalry: near Charlottesville, Va., 1st March, 1864; amputated by Assistant Surgeon J. W. Williams, U. S. Army, tbe same day; died from tetanus the fourteenth day. Contributed by the operator. A# \ OF THE UNITED STATES ARMY MEDICAL MUSEUM. 3228. The lowest fourth of the left femur, perforated obliquely upward by a round ball which e. 14. entered the posterior portion of the articular surface aud escaped anteriorly over the inner condyle. An oblique fraeture exists on the posterior portion of the shaft. Primary amputa- tion was probably performed. See figure 107. From in front of Petersburg. See class XXVII. B. B. d. 4155. The lowest third of the right femur, comminuted by gunshot, with a very slight fracture e. 15. into the joint. Private G. S. H., "F," 7th South Carolina (Rebel) : amputated and contributed by Sur- of left femur, showing geon J. F. Hutchins, 10th Pennsylvania: rlZu™!'M^%1Z Spec. 32'JA 3924. The lowest fourth of the left femur, obliquely fractured just above the joint, with a small couoidal pistol ball e. 16. lodged in the anterior surface. This bullet is reported to have entered near the tuberosity of the tibia, passed through the joint and lodged, while in the act of escaping, above and between the condyles. The missile has rotated upon its long axis and presents its base to view. A more probable hypothesis is that the pistol ball as seen is a second and inde- pendent missile partly penetrating. Private J. W. L., " C," 14th New Jersey: Frederick JunctioD, 9th July: amputated, 10th July; furloughed, nearly re- covered, 7 th October, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 2306, XXV. A. V. b. 123. See class XXVII. B. B. d. 1862. The bones of the right knee, primarily amputated near the middle of the lowest third by Assistant Surgeon J. T. e. 17. Calhoun, U. S. Army, for fracture of the inner condyle by a conoidal ball which has lodged in the articulation at that point. Contributed by the operator. See class XXVII. B. B. d. 4112. The bones of the right knee, with the inner tuberosity of the tibia laterally grooved on its summit. A fracture e. 18. extends three inches down the shaft. Private P. McC, 5th New Jersey Battery: amputated by Surgeon II. F. Lyster, 5th Michigan, 14th September, 1864. Recovered. Contributed by the operator. 399*7. The extremities of the right tibia and fibula, with the knee fractured by a ball which deeply ploughed tho head of e. 19. tho tibia from front to rear. Private J. A , "F," 200th Pennsylvania: Petersburg, 23d March, 1865; amputated in the field by Dr. Hunter. Contributed by Assistant Surgeon S. Adams, U. S. Army. 4010. The upper extremity of the left tibia, vertically fractured, with loss of substance, through the head by a conoidal e. 20. ball. Supposed to be Lieutenant C. C K., "C," 49th North Carolina (Rebel): Petersburg; amputated in the lowest third of the femur by Surgeon Kimball, 31st Maine, 1st April, 1865. Contributed by Assistant Surgeon S. Adams, U. S. Army. 1383. A ligamentous preparation of the right knee, except the patella, which was fractured by a conoidal ball that had e. 21. shattered the left knee. Private I. W., "I," 5th U. S. Artillery: Gettysburg; both thighs amputated by Assistant Surgeon B. Howard, U. S. Army, on the third day; died, 2d August, 1863. Contributed by the operator. See 1384, XIV. A. a. e. 22. 1384. The bones of the left knee, with the ppndyles of the femur completely shattered by a conoidal ball which passed e. 22. transversely through them and fractured the right patella. Private I. W., ''I," 5th U. S. Artillery: Gettysburg; both thighs amputated by Assistant Surgeon B. Howard. U. S. Army, on the third day; died, 2d August, 1863. Contributed by the operator. See 1383, XIV. A. a. e. 21. 1144. The bones of the right knee, with a conoidal ball, which chipped the left patella without opening the joint, lodged e. 23. in the inner condyle, which it has shattered. Corporal G. W. S., " A," 14th New York State Militia, (Brooklyn,) 18: near Fredericksburg, 29th April; ampu- tated by Surgeon R. B. Browne, Pennsylvania Volunteers, 30th April; captured and a prisoner in Richmond for a month; paroled, sent to Annapolis, aud ultimately discharged the service, 1S63; reported well, 15th June, 1864. The left kuee healed without suppuration. Contributed by the operator. See class XXVII. B. 1$. d. 318 CATALOGUE OF THE SURGICAL SECTION XIV. 211 N. The bones of the right knee, slightly fractured at the inferior border of the internal condyle by a conoidal ball. e. 24. Private W. J. R. "G," 39th New York: Morton's Ford, Va., 6th February; amputated in the middle third of the femur, Second Corps Hospital, 9th February; died of tetanus, 1st March, 1864. Contributed by Surgeon J. Dwinelle, 106th Pennsylvania. 2031. The upper extremities of the bones of the left leg. The head of the tibia is fractured on its inner aspect by a e. 25. conoidal ball, involving the articulation. Private R. T. W., "A,'' 76th Pennsylvania, 33: Pocotaligo, S. C, 22d October; thigh amputated in the lowest third by Surgeon R. B. Bontecou, U. S. Vols., Beaufort, S. C, 24th October; sent North, quite well, 28th December, 1862. Contributed by the operator. See 3018, XXV. A. B. b. 111. 3832. The lower extremity of the left femur, with the inner condyle superficially fractured by a fragment of shell. e. 26. Private J. O. B., "E," 138th Pennsylvania: Monocaey, 9th July; amputated in the lowest third, Frederick, llth July ; died, 1st September, 1864. Contributed by Acting Assistant Surgeon W. S. Adams. 3842. The lowest fourth of the right femur, amputated on account of fracture of the articular face of the inner condyle e. 27. by a conoidal ball perforating the joint. Corporal J. H., "C," 110th Ohio, 27: Monocaey Junction, Md., 9th July; amputated, Frederick, 13th July; died, llth August, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 4131. The bones of the left knee, with the patella badly fractured. e. 28. Private P. S. T., "H," 205th Pennsylvania, 20: Petersburg, 10th March; amputated in the lowest third by Assistant Surgeon W. Carroll, U. S. Vols., in the field, 14th March, 1865. Contributed by tbe operator. 4122. The bones of the left knee, with the patella shattered and the outer condyle and head of tibia fractured by a e. 29. conoidal ball, which lodged. Private J. K., "E," 57th Pennsylvania: amputated in the lowest third of the thigh by Surgeon O. Evarts, 20th Indiana, in the field, Va., 2d October, 1864. Contributed by the operator. See class XXVII. B. B. d. 4015. The bones of the left knee with the patella and outer condyle badly fractured. e. 30. Supposed to be Sergeant S. D. P., "D," 44th Virginia (Rebel): Petersburg; amputated in the lowest thitd of the thigh, in the field, by Surgeon Roche, 35th Massachusetts, 25th March. Contributed by Assistant Surgeon S. Adams, U. S. Army. 2842. The bones of the left knee, with the patella split and the internal condyle laterally grooved on its inferior surface. e. 31. Corporal T. C T., "C," 12th Georgia, (Rebel,) 29: before Washington; amputated iu the lowest third by Assistant Surgeon J. C. McKee, U. S. Army, 14th July; died from exhaustion, 26th December, 1864. Contributed by Acting Assistant Surgeon T. L. Leavitt. 4136. The upper portions of the bones of the right leg, with the outer tuberosity of the tibia fractured by a conoidal ball, e. 32. of which a fragment remains in place. Corporal S. S., "F," 200th Pennsylvania, 23: Petersburg, 25th March; amputated above the condyles by Surgeon W. O. McDonald, U. S. Vols., City Point, Va., 29th March, 1865. Contributed by the operator. See class XXVII. B. B. d. 4132. The lowest third of the left femur, with the inner condyle fractured so that much of the cancellated structure is e. 33. exposed. Private D. R., " K," 208th Pennsylvania, 25: Petersburg, 25th March ; amputated in the lowest third by Assistant Surgeon W. Carroll, U. S. Vols., 26th March, 1865. Recovered. Contributed by the operator. 2314. The upper portions of the bones of the left leg. The greater portion of the inner tuberosity of the tibia has been e. 34. split off obliquely. Private C B., "C," 39th New York, 26: Bristoe Station, 14th October; amputated in the lowest third of the femur, 16th October, 1863 ; sequestrum removed, 20th February, 1864; discharged the service, 20th September, 1865. Contributed by Surgeon----Bond. 6e-; 3027, XIII. A. B. g. 42; 1787, XXV. A. B. b. 93. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 31(J 4135. The upper extremities of the bones of the left leg, with a conoidal ball, which has perforated from within and below e. 35. and splintered the head of the tibia, resting on the articulation. Private T. J. F., "H,"57th Massachusetts, 26: near Petersburg, 25th March; amputated in the lowest third of the thigh by Surgeon W. O. McDonald, U. S. Vols., 28th March, 1865. Contributed by the operator. See class XXVII. B. B. d. 1621. The upper extremities of the bones of the right leg, with the head of the tibia shattered by being obliquely e. 36. perforated from without by a musket ball. Lieutenant D. L., " B," 30th Iowa: Vicksburg, 22d May ; amputated on Hospital Steamer " City of Memphis" by Assistant Surgeon H. M. Sprague, U. S. Army, 24th May, 1863. Contributed by the operator. 2856. The bones of the left knee, with the outer condyle fractured by a conoidal ball which is impacted in the head of e. 37. the tibia. Private J. T. M., " G,'' 45th North Carolina, (Rebel,) 20 : admitted hospital, Washington, 14th July ; amputated in the lowest third, probably primarily; died, 19th August, 1864. Contributed by Acting Assistant Surgeon T. L. Leavitt. See class XXVII. B. B. d. 138. The upper portions of the bones of the left leg, showing the inner tuberosity of the tibia shattered. e. 38. Private C H. W., "G," 14th New York State Militia (Brooklyn): 2d Bull Run, 30th August; amputated in the lowest third of the thigh by Acting Assistant Surgeon J. Nichols, Washington, 2d September ; died, 6th Sep- tember, 1862. Contributed by the operator. 1765. A ligamentous preparation of the left knee, fractured by the passage of a bullet through the outer condyle and e. 39. outer tuberosity of the tibia. Major T., 2d Pennsylvania Cavalry, 32: Bealton Station, 22d October; amputated in the lowest third of tho thigh by Surgeon Wadman, 2d Pennsylvauia Cavalry, 23d October; reacted well, but died suddenly, as in a convulsion, 21th October, 1863. Contributed by Assistant Surgeon G. M. McGill, U. S. Army. 4116. The bones of the left knee, with the anterior face of the inner tuberosity of the tibia fractured. A primary e. 40. amputation. Private R. E., "E,"86th New York: amputated above the condyles by Surgeou II. F. Lyster, 5th Michigan, 1864. Died en route from the field to City Point. Received from the Army of the Potomac. 3784. The extremities of the femur and tibia of the right knee. The outer condyle of the femur is much shattered by e. 41. a conoidal ball. Captain J. B., "A," 121st New York: Cedar Creek, 19th October; amputated iu the iowest third, Winchester, 22d October, 1864. Contributed by Assistant Surgeon W. G. Bryant, 122d Ohio. 4020. The lowest third of the right femur, amputated for fracture from a ball enteritg the popliteal space and passing e. 42. through the knee. The cancellated tissue was perforated by the bullet. Longitudinal fractures ascend the shaft to enter a transverse oblique fracture four inches above the articulation. Private W. H. G., "G," 44th Virginia (Rebel): Petersburg; amputated in the field, 1st April, 1865. Contributed by Assistant Surgeon S. Adams, U. S. Army. 2879. The patella chipped and the right femur perforated directly between the condyles by a conoidal ball which split e. 43. them and obliquely fractured the shaft. Private N. J. W., " C" 43d North Carolina, (Rebel,) 30: before Washington, 14th July ; amputated in the lowest third by Surgeon A. F. Sheldon, U. S. Vols., Washington, 17th July, 1864. Contributed by the operator. 1131. The bones of the right knee, with the inner condyle aud the head of the tibia fractured by gunshot. The missile e. 44. passed transversely. Sergeant A. M., •' K." 200th Pennsylvania: Petersburg, 25th March ; amputated above the condyles by Surgeon W. O. McDonald, U. S. Vols., City Point, 27th March, 1865. Contributed by the operator. ;520 CATALOGUE OF THE SURGICAL SECTION XIV. I 3*2. A ligamentous preparation of the bones of the right kuee. A conoidal ball from the front grooved the inner e. 45. tuberosity of the tibia anl shattered the inner condyle of the femur. First Lieutenant M. F. W., " I," 5th U. S Artillery: Gettysburg, 2d July; amputated i i tho lowest third of the femur by Assistant Surgeon B. Howard, U S. Army, 3d July, 1863. Recovered. Contributed by the operator. 3993. The lower extremity of the left femur, with the outer condyle shattered by a small conoidal ball, which has lodged. e. 46. Believed to be the case of Captain J. McC, 4th Georgia (Rebel): femur and tibia fractured near Petersburg; amputated in the lowest third of thigh by Dr. Smyser, 1st April, 1865. Contributed by Assistant Surgeon S. Adams, U. S. Army. See class XXVII. B. B. d. 1621. The bones of the left knee, with the patella extremely shattered anl the posterior portion of the outer condyle e. 47. split off. Private W. B., "C," 116th Illinois: Vicksburg, 22d May; amputated in the lowest third, 26th May, 1863. Contributed by Assistant Surgeon H. M. Sprague, U. S. Army. 1677. A ligamentous preparation of the bones of the left knee, with the patella and inner condyle badly torn up by a e. 48. grape shot. Private R. C, "F,"8th Illinois Cavalry: Culpeper, Va., 1st August; amputated in the lowest third by Acting Assistant Surgeon Carlos Carvallo, Washington, 3d; died, 20th August, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4383. The bones of the right knee, with the condyles split by a Colt's pistol ball, which obliquely perforated the shaft e. 49. of the femur. The missile lodged with its head entering the joint. Private J. P., ' ■ B," 1st California Cavalry: accidentally, Fort Marcy, N. M., 29th July ; amputated in the lowest third by Assistant Surgeon H. E Brown, U. S. Army, 30th July, 1865. Completely recovered. Contributed by the operator. See class XXVII. B. B. d. 3995. The bones of the right knee, fractured by a perforating shot through the patella which vertically split the head e. 50. of the tibia. Supposed to be Private I. H., " D," 56th North Carolina (Rebel): Petersburg; amputated in the lowest third, in the field, by Surgeon Oakes, 56th Massachusetts, 25th March, 1665. Contributed by Assistant Surgeon S. Adams, U. S. Army. 1622. A ligamentous preparation of the right knee joint, of which the inner condyle is perforated and fractured by a e. 51. musket shot entering from behind. Corporal S. A. McC, " A," 47th Illinois: Vicksburg, 22d May ; amputated by Assistant Surgeon H. M. Sprague, U. S. Army, Hospital Steamer "City of Memphis," 24th May, 1863. Contributed by the operator. 1535. A ligamentous preparation of the bones of the left knee, with the inner condyle split off by a bullet lodging e. 52. therein. Primary amputation was probably performed. Contributed by Surgeon J. H. Brinton, U. S. Vols. 1623. A ligamentous preparation of the right knee, with the internal border of the patella chipped and the inner condyle e. 53. fractured by a bullet passing from front to rear. Lieutenant H. J. D., "K," 30th Ohio, 22: Vicksburg, 22d May; amputated in the lowest third of the femur by Assistant Surgeon H. M. Sprague, U. S. Army, on Hospital Steamer "City of Memphis," 24th May, 1863. Result unknown. Contributed by the operator. 4S. The bones of the left knee, with the outer condyle separated from its fellow and destroyed by a ball entering e. 54. the front and passing through the base of the femur obliquely upward. Private G., "K," 46th Pennsylvania: Cedar Mountain, 9th August; amputated in the lowest third of the femur by Surgeon J. E. Summers, U. S. Army, Alexandria, 13th August; died, 15th September, 1862. Contributed by the operator. 3938. The lower extremity of the right femur, from which the inner condyle is split oft by a conoidal ball. e. 55. Private B. A., "A." 151st New York, 21: Monocaey Juuction, Md., 9th July ; amputated in the lowest third, llth July: transferred to Baltimore, nearly recovered, 23d August, 1864. Contributed by Assistant Surgeon R F. Weir, U. S. Army. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. :;-2i 3998. The lower extremity of the left femur, with fragments of the patella. The patella was fractured by a piece e. 56. of shell, which also destroyed the right knee, rendering double amputation necessary. Private C. I R., "C," 21st North Carolina (Rebel): near Petersburg; double amputation in the field by Dr. Bliss, 1st April, 1865. Contributed by Assistant Surgeon S. Adams, U. S. Army. 1120. The lower half of the right femur, with comminution of the condyles and of the shaft above the aiticulation, e. 57. together with longitudinal fissuring. Private C C, "I," 6th Wisconsin: amputated near Fredericksburg by Surgeon J. Ebeisoll, 19th Indiana. Contributed by Surgeon E. Shippen, U. S. Vols. 3897. The lower portion of the right femur, with the outer condyle broken off by a co ioidal ball entering from the front. e. 58. Private J. G., " B," 6th Pennsylvania, 19: Oettysburg, 3d July; amputated in the lowest third, 5th July; healed and discharged the service, 21st September, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 2262. The extremities of the left femur and tibia. The knee appeals to have been perforated by a bullet, which e. 59. fractured the articular surface of the tibia and shattered the inner condyle of the femur. Private S. W J , "B," 1st Massachusetts Heavy Artillery, 29: wounded and amputated iu the lowest third of the thigh, Spottsylvania, 19th May ; admitted hospital, Washington, 22d May : died, 1st June, 1S(>4. Contributed by Surgeon C K. Irwin, 72d New York. 4117. The bones of the left knee, with the femur comminuted, with oblique fracture throughout its lowest third, and tho e. 60. patella chipped. I'rivate F. M., " H," Sth New Jersey: amputated in the middle third by Surgeon O. J. Evans, 40th New York, in the field, Va., 8th November, 1864. Contributed by the operator. 4029. The extremities of the tibia and femur of the left knee, badly broken. A longitudinal fracture extends down tho e. 61. tibia on its posterior surface. Sergeant W. R. McC, "A," 209th Pennsylvania: Petersburg; amputated in the lowest third, in the field, 25th March, 1865. Contributed by Assistant Surgeon S. Adams, U. S. Army. 4008. The extremities of the tibia and femur of the right knee, fractured by shell and amputated in the lowest third of e. 62. the thigh. The outer condyle is slightly grooved, but the head of the tibia is comminuted by the transverse passage of the missile. Private J. R., "G," 207th Pennsylvania: Petersburg; amputated iu tbe field by Dr. Hunter, 31st March, 1865. Contributed by Assistant Surgeon S. Adams, U. S. Army. 2280. The lowest fourth of the left femur. A conoidal ball has entered between the condyles, shattering the inner one e. 63. and obliquely fracturing the shaft. Lieutenant J. M. L, "E," 148th Pennsylvania, 22: wounded and amputated, Wilderness, 10th May; admitted hospital, Georgetown, 14th; died, 28th May, 1864. Contributed by Surgeon J. W. Wishart, 148th Pennsylvania. 4000. The lowest third of the right femur, amputated for a shell fracture by which the knee is badly shattered. e. 64. Private W. T. R., "I," 2d Alabama (Rebel): Petersburg; amputated in the field by Dr. Oakes, 1st April, 1865. Contributed by Assistant. Surgeon S. Adams, U. S. Army. 3996. The lowest third of the right femur, amputated for a fracture of the knee from a transverse perforation of both e. 65. condyles by a conoidal ball. Supposed to be Private W. H- McB., "B," 44th Virginia (Rebel): Petersburg ; amputated by Dr. Hunter, in the field, 31st March, 1865. Contributed by Assistant Surgeon S. Adams, U. S. Army. 3244. The upper portions of the bones of the right leg, with the tibia, especially in its head, badly comminuted by shell. e. 66. Private H. P., "A," 1st New Hampshire Heavy Artillery: accidentally wounded, Fort Slocum, and admitted hospital, Washington, 14th September; amputated in the lowest third of the thigh by Surgeon R. B. Bontecou, U. S. Vols., the same day ; transferred North doing well, 17th May, 1865. Contributed by the operator. 41 322 CATALOGUE OF THE SURGICAL SECTION XIV. 3857. The bones of the right knee, with the lowest third and outer condyle of the femur, the head of the fibula and the e. 67. outer tuberosity of the tibia shattered and the outer border of the patella chipped by a conoidal ball. Private W. B., "A," 14th New Jersey : Monocaey Junction, Md., 9th July; amputated in the lowest third of the femur and died, Frederick, llth July, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 2015. The bones of the right knee, with the femur badly shattered and the outer tuberosity of the tibia chipped by a e. 68. fragment of shell (attached). Private B. K. T., " G," 196th New York: Morton's Ford, 6th February; amputated in the lowest third by Surgeon J. Dwinelle, 106th Pennsylvania, 9th February, 1864. Died of pyaemia. Contributed by the operator. See class XXVII. B. A. c. 2315. The lowest third of the right femur, The superior portion of the inner condyle and adjoining part of the shaft of e. 69. the femur have been completely carried away by a conoidal ball. Lieutenant Colonel J. W., 43d New York: amputated at the junction of the lowest thirds, fifteen hours after injury, by Surgeon J. Ebersoll, 19th Indiana. Contributed by Surgeon C. H. Chamberlain, U. S. Vols. 2656. The condyles of the right femur, with a conoidal ball which entered the external anterior aspect, destroying e. 70. the joint. Private P. B., "I," 28th Massachusetts: Cold Harbor, 4th June; amputated through the junction of the shaft and epiphysis by Assistant Surgeon S. B. Ward, U. S. Vols., Alexandria, 8th; died of gangrene and secondary htemorrhage, 16th June. Contributed by tbe operator. See classes XXIII. A. B.; XXVII. B. B. d. 4121. The upper portion of the left tibia, comminuted by a fragment of the base of a shell, e. 71. which is attached. See figure 108. Private C. II. M., "F," 1st Maine Heavy Artillery: amputated in the lowest third of the thigh by Surgeon J. S. Jamison, «0th New York, 2d October; died from exhaustion, 27th October, 1864. Contributed by the operator. See class XXVII. B. A. c. 4039. The bones of the left knee, in which the outer angle of the patella is grazed, the outer e. 72. condyle shattered and the head of the tibia fractured by a conoidal ball. The interesting feature in this specimen is a nearly transverse fracture of the shaft of the femur, about two inches above and connected only by a slight fissure with that immediately caused by the ball, afford- ing an excellent example of the effect of indirect violence. The wound was inflicted at very close range, in a charge upon our pickets, and its peculiar character seems due to the great momentum of the missile. Private C. M., "D," 48th North Carolina (Rebel): Hatcher's Run, Va.; amputated, an hour after the injury, in the lowest third by Acting Staff Surgeon T. H. Squire, 1st April, 1865. Contributed by the operator. See class XXVII. B. B. d. 1495. A wet preparation of the left knee. The external condyle of the femur is slightly abraded on its articular face e. 73. and the internal tuberosity of the tibia completely shattered, apparently by a conoidal ball passing obliquely through the joint. Amputation just above tbe knee was performed primarily. Contributed, without history, by Surgeon J. H. Brinton, U. S. Vols. 3766. The bones of the left knee, with the patella, outer condyle and tuberosity chipped, and amputated apparently e. 74. primarily. Private D. McG., "E," 88th New York: amputated by Assistant Surgeon J. S. Smith, U. S. Army, City Point, August, 1864. Contributed- by the operator. 3364. The bones of the right knee. The outer border of the patella was chipped and the outer condyle and base of the e. 75. shaft shattered. Private S. S. S., "K," 12th New Jersey: Cold Harbor, 3d June, 1864; primarily amputated by Surgeon F. F. Burmeister, 69th Pennsylvania. Received from the Army of the Potomac. Fig. 108. Upper extremity of left tibia shattered by base of shell. Spec. 4121. A. J3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 323 3489. The bones of the left knee. The outer condyle was fractured and split off by a bullet striking anteriorly. •e. 76. Private G. T., "A," 71st Pennsylvania, 50: Cold Harbor, 3d June; amputated by Surgeon F. F. Bunneister, 69th Pennsylvania, the same day; admitted hospital, Washington, llth June; died, 25th Augast, 1861. Received from the Army of the Potomac. 1072. The lowest fourth of the right femur, with much of the inner condyle carried away by a conoidal ball. e. 77. Private L. D., "A," 9th Virginia, 18: Halltown, Va., 25th August; admitted hospital, Frederick, 29th August; amputated in the lowest third the same day; admitted hospital, New York, 21st December, 1-61. Contributed by Acting Assistant Surgeon T. J. Dunott. For other illustrations, see 2930, XIII. A. B. f. 11; 384-*, XIII. A. B. f. 22; 482, XIII. A. B. f. 32; 3SS0, XIII. A. B. f. 33; 2972, XIll. A. B. f. 34; 108, XIII. A. B. g. 32; 1971, XIII. A. B. g. 49; 1094, XIII. A. B. g. 79; 3226, XIII. A. is. g. 81; 3141, XIII. A. B. g. 82; 4629, XXVI. A. 3, 132, 133, 134; 4719, XXVI. A. 4, 154, 160. f. Other Operations. 2261. A large fragment of the right patella, probably removed on the field. The outer condyle was also fractured. f. 1. Captain S. W. D , "B," 1st Maine Heavy Artillery, 32: Petersburg, 18th June; specimen probably removed at Second Corps Field Hospital; admitted hospital, New York Harbor, 26th; amputated in the lowest third of the femur by Assistant Surgeon Warren Webster, U. S. Army, 27th June ; died, 1st July, 1864. Contributed by Dr. Garcelon. See class XIV. A n. f. For other illustrations, sec 4199, XIV. A. H. f. 23. j). Secondary Conditions. a. Contusions and partial fractures. b. Complete fractures. C. Caries eonsecutive upon other mjury than fracture of the bones of the joint. d. Excisions. e. Disarticulations. £ Amputations in the femur. g. Other operations h. Stumps. i. Sequestra. a. Conti sions a\d Partial Fractures. 1339. The left knee, entered on the outer edge of the patella by a pistol ball which opened the joint and grazed the a. 1. head of the tibia. Private G. W. P., "G," 1st Massachusetts Cavalry, 22: Brandy Station, 9th June; admitted hospital, Washington, 12th June; attempt made to save the limb by making free incisions with the view to prevent abscesses of the thigh; died from secondary htemorrhage from ulceration of the posterior tibial artery, (due possibly to scorbutic taint,) 1st July, 1-63. (The mode of treatment appeared successful, and the result may be considered accidental.) Contributed by Assistant Surgeon W. Thomson, U. S. Army. 2134. The bones of the right knee. The external condyle is grooved by a bullet which passed a. 2. out at the posterior part of the joint. The articular surfaces are eroded. If freer openings "had been made along the track [for the escape of pus] it is believed the case might have been saved." See figure 109. Private J. B., "K," 42d Indiana: Chickamauga, 20th September; treated at Chattanooga until 12th December, when he was transferred to Murfreesboro', " an exhaustive and painful journey, and from which he did not rally;" died, 12th December, 1863. Contributed by Surgeon I. Moses, U. S. Vols. 3564. The lower half of the right femur, perforated from the front above the condyles, with an a. 3. oblique fracture up the shaft and a longitudinal fissure into the joint. Private H. C. McK., "B," llth Virginia, (Rebel,) 23: wounded, 27th May; admitted fig hospital, Washington, 12th June; died from pyaemia, 17th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 109. Right knee partially fractured above outer condyle. Spec. J134. 324 CATALOGUE OF THE SURGICAL SECTION XIV. 3643. The lowest fourth of the right femur, showing a fracture of the outer condyle, followed by inflammation and a. 4. suppuration of the joint. . Private W. J. C, "C," 19th Massachusetts: Deep Bottom Va. 16th August; died of pyaemia, Philadelphia, 22d September, 1-64. Contributed by Acting Assistant Surgeon D. Kennedy. For other illustrations, sec 3434, XIV. A. B. f. 2; 262, XIV. A. B. f. 3; 489, XIV. A. B. f. 14; 4418, XXVII. B. B. d. 160. b. Complete Fracture?. 2168. The lowest third of the left femur. The articular surface is destroyed by suppuration. A delicate longitudinal b. 1. fissure extends four inches on the posterior surface of the shaft. Private T. J B., "I," 40th Illinois, 24: patella fractured and joint opened by a grape shot, Missionary Ridge, 25th November; admitted Army of the Cumberland Field Hospital, 20th December, 1863; died, 14th January, 1864. Contributed by Acting Assistant Surgeon Chas. E. Ball. 3876. The bones of the left knee, anchylosed at an obtuse angle with the patella firmly adherent to the outer condyle, b. 2. following a flesh wound of the knee opening the joint. Private G. W. B., "C," 14th Indiana, 44: Antietam, 17th September, 1862; treated in Frederick, by extension with weight and pulley; died from pleurisy, llth May, 1863. So far as the knee is concerned, the case may be considered a success. Contributed by Acting Assistant Surgeon A. North. 3867. The bones of the right knee, with the patella anchylosed as the effect of inflammation and deposit of new bone b. 3. following gunshot. Much of the outer portion of the head of the tibia is wanting and the bone is carious. Case of C M., "D," 69th New York. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1402. A part of the bones of the right knee, with the posterior aspect of the head of the tibia very slightly fractured b. 4. by a canister shot, followed by extensive suppuration. Sergeant C M., "K," 13th New York, 33: Chancellorsville, 3d May; missile extracted, Washington, 21st May; died of exhaustion, 19th July, 186>3. Contributed by Surgeon D. W. Bliss, U. S. Vols. 355. The bones of the right knee, perforated by a buckshot at the junction of the shaft and epiphysis of the femur, b. 5. opening the synovial sac, and followed by ulceration of the joint and necrosis at the place of injury. An oblique fissure extends upward. Private F. M. F., 10th Georgia (Rebel): Antietam, 17th September, 1862. Further history and contributor unknown. 3754. The bones of the left knee. The anterior portion of the outer tuberosity of the tibia is fractured by a conoidal b. 6. ball which penetrated the joint, and the articular surfaces are eroded by ulceration. Private E. C. H., "F," 104th Ohio, 19; Franklin, Tenn., 30th November; admitted hospital, Nashville, 1st December; limb attempted to be saved; died of pyaemia, 28th December, 1864. Contributed by Acting Assistant Surgeon H. C May. 3895. The left femur, grooved on the inner condyle by a conoidal ball which opened the joint. A point of ulceration b. 7. is to be seen on its head, showing tbe hip joint to have been involved in an abscess that embraced the entire thigh. The much-battered bullet is mounted at the point of impact. W. R. W., 1st South Carolina Rifles, (Rebel,) 21: Falling Waters, Md., 14th July; died at Frederick, 8th August, 1863. Contributed by Acting Assistant Surgeon W. S. Adams. See classes, XII. A. B. c.; XXVII. B. B. d. 4045. The upper halves of the bones of the right leg. The tibia has been perforated by a conoidal ball two inches b. 8. below the joint, from which point longitudinal fissures extend down the shaft and into the articulation. Private P. G : history not furnished. Contributed by Medical Cadet E. A. Dulin. 753. The bones of the left knee. The patella is fractured and the head'of the tibia involved. A carious excavation b. 9. about the size of a bullet is observed near the tubercle of the tibia. Private J. T., "I," Tth Michigan, 26: 17th September; conoidal bullet not extracted until 27th October, at Frederick; inflammation first occurred, 27th October; limb attempted to be saved ; died, 20th November, 1862. Contributed by Acting Assistant Surgeon Redfern Davies. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. :\2?> 2120. A ligamentous preparation of the bones of the left knee. The patella has been perforated and the anterior face b. 10. of the inner condyle partially fractured. A moderate new bony formation is found on the lemur. The articular surfaces do not show extensive disease. Corporal E. P., "I," 19th Massachusetts: wounded, 26th June; probably taken to Richmond; admitted hospital, Phila- delphia, 30th July; died, 26th August, 1862 Contributed by Acting Assistant Surgeon J. B. Bowen. 808. A ligamentous preparation of the bones of the left knee, with the external condyle partially fractured by a ball b. 11. which entered below the patella and passed through the joint obliquely upward. The articulation is eroded. Private J. C. D., 5th Florida, (Rebel,) 35: Antietam, 17th September; admitted hospital, Frederick, 29th September; amputation deferred in the hope of improved condition; died, 26th October, 1862. Contributed by Acting Assistant Surgeon WT. W. Keen, jr. 1792. The condyles of the right femur and the patella. The latter bone is fractured longitudinally. b. 12. Sergeant J. R. F., " B," 14th Pennsylvania Cavalry. Contributed by Surgeon B. Beust, U. S. Vols. 3999. Tbe upper portion of the left tibia and the patella, with a conoidal bullet. The tibia is chipped on its anterior b. 13. surface, involving the joint. There is no attempt at repair. Private A. C, "H," 95th New York, 54: probably Petersburg, about 1st April; admitted hospital, Washington, 1st; died, 18th April, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S Army. Sec class XXVII. B. B. d. 2314. The bones of the right knee. The outer condyle is partially fractured on the posterior surface and the articula- b. 14. tion is destroyed by suppuration. I'rivate W. H M., "C," 3d Michigan: Fair Oaks, 1st June; admitted hospital, Philadelphia, 8th June; died, 8th August, 1863. Contributor unknown. 3380. The bones of the left knee, fractured on the outer border of the head of the tibia, with the articulation destroyed b. 15. by suppuration. The head of the fibula was carried away. Private J. F. L., " B," 13th Iowa, 25: Atlanta, 22d July; admitted Field Hospital, Rome, Ga., 7th August; died of exhaustion, 13th September, I sill. Contributed by Surgeon G. F. French, U. S. Vols. 2025. A ligamentous preparation of the bones of the left knee, with the palella perforated by a conoidal ball, a fragment b. 16. having been driven into the joint. Private R. B., "A," 119th Pennsylvania, 23: Rappahannock Station, 7th November; admitted hospital, Wash- ington, 9th November; died of pyaemia, 5th December, 1863. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 2561. The lowest third of the left femur, obliquely fractured to the joint, with loss of substance on the anterior surface, b. 17. by a conoidal ball which passed through the right groin and entered the left thigh three inches above the knee. Private W. H., "B," 184th Pennsylvania. 28: Cold Harbor, 3d June; admitted hospital, Alexandria, 7th ; died from repeated secondary haemorrhage from right femoral, 14th June, 1864. Contributed by Acting Assistant Surgeon P. Wilson. See 1779, XV. C. 2; 2562, XVIII. II. A. B. a. 15. 764. The upper portions of the right tibia and fibula. The outer tuberosity of the tibia and the head of the fibula b. 18. are fractured by a musket ball, which opened the joint. Suppuration involved two-thirds of the thigh and leg at the time of death. Private J. M., 20th New York: Antietam, 17th September; died, Frederick, 21st October, 1863. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 1945. The bones of the left knee. There is a bullet wound of the outer condyle, with fissures extending into the joint. b. 19. A thin layer of callus envelopes the lowest portion of the femur. A portion of the inner condyle and the corres- ponding part of the head of the tibia were denuded of synovial membrane and partial anchylosis of the knee existed. Private M. McL., "K," 13th Massachusetts: Gettysburg, 1st July; there was profuse suppuration and secondary haemorrhage from a fistulous openiug above the condyle; died, 9th November, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. 326 CATALOGUE OF THE SURGICAL SECTION XIV. 3785. The bones of the right knee, with a battered conoidal ball lodged in the head of the tibia from above. The b. 20. articular surfaces are destroyed by suppuration. Private J. J. B., "B," 14th New Hampshire, 20: Winchester, 19th September; died from exhaustion, 4th November, 1864. Contributed by Surgeon L. P. Wagner, 114th New Yoik. See class XXVI1. B. B. d. 1950. The bones of the right knee, with a flattened conoidal ball, which comminuted and fractured the outer condyle of b. 21. the femur, embedded in tbe outer tuberosity of the tibia. The bullet entered from the front, but lies in a reversed position. There is much caries of the parts involved. Private W. F. D., "C," 13th Mississippi (Rebel): Gettysburg, 2d July; died from exhaustion, 21st September, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. See class XXVII. B. B. d. 292. The lowest third of the right femur, perforated by a musket ball transversely through the outer condyle, producing b. 22. an oblique fracture into the joint. There is a slight deposit of callus on the borders of the fracture. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 2795. The upper extremities of the bones of the right leg, with a perforating, directly transverse fracture through the b. 23. head of the tibia, involving the joint. From a soldier wounded before Petersburg. Contributed by Surgeon F. C Lyon, U. S. Vols. 3537. The bones of the left knee, with the outer posterior border of the head of the tibia fractured by a bullet. b. 24. Private W. H. S., "K," 14th Indiana, 24: Wilderness, 10th May; admitted hospital, Washington, 28th; died of exhaustion, 31st May, 1864. An abscess extended from the wound to the heel. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 761. A ligamentous preparation of the bones of the left knee, with the anterior face of the outer tuberosity chipped by b. 25. a musket ball. Private J. H., 72d Pennsylvania: Antietam, 17th September; died, Frederick, 21st October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 3659. The upper portions of the right tibia and fibula, with the outer tuberosity of the tibia slightly fractured by b. 26. gunshot. The articular surface is eroded by ulceration. Private F. D., "D," 88th New York: admitted hospital, Philadelphia, 31st May; died from the effects of the wound and erysipelas, 23d June, 1864. Contributed by Acting Assistant Surgeon M. M. Jarrett. See class XXIII. A. A. 3398. The bones of the left knee, fractured in the inner condyle and head of the tibia by a musket ball. The articulation b. 27. was destroyed by suppuration. Corporal F. C, "A," 27th Illinois, 21: Mission Ridge, 26th November, 1863; died, Chattanooga, 23d February, 1864. Contributed by Assistaut Surgeon C. C. Byrne, U. S. Army. 3587. The bones of the right knee, with the tibia transversely perforated below the head, involving the joint. b. 28. Private J. S., "K," 51st New Y'ork, 18: Petersburg, 30th July; died, Washington, 3d August, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1713. The bones of the left knee, the head of the tibia being slightly injured and the patella comminuted on the lower b. 29. border. The articular surfaces are destroyed by suppuration. One abscess extended through three-fourths of the thigh and another to the ankle. Corporal O. S. C, "I," 19th Maine, 29: Gettysburg, 3d July; died of pyaemia, Baltimore, 31st August, 1863. Contributed by Assistant Surgeon D C Peters, U. S. Army. 2553. The upper extremity of the right tibia, with a longitudinal split in the outer tuberosity from an injury to the b. 30. posterior surface. Private R. McL., "H," 142d Pennsylvania: Spottsylvania C. H., 12th May, 1864. Contributor and history unknown. A. B. OF THE UNITED STATES ARMY MEDICAL MUS1U.M. .".27 1069. The upper extremities of the bones of the leg, with the inner tuberosity fiactnred by a bullet. The same patient b. 31. had a severe shell wound of the leg. Private W. H., "D," 28th Pennsylvania: probably Chancellorsville, 3d May; admitted with tetanus. Armory Square Hospital, Washington, 7th May, 1863; died the same day. Contributed by Assistant Surgeon C. C Byrne, U. 8. Army. See 1071, XV. A. H. b. 14; 1070, XXII. A. a. a. 3; 1068, XXII. A. a. a. 4: 1067, XXV. A. B. b. 149. 3. The upper third of the left tibia, crushed in the inner tuberosity. A delicate fissure extends obliquely three inches b. 32. down the front of the shaft. Private P. B., "E," 9tb Massachusetts: Malvern Hill, Va., 1st July; admitted hospital, Washington, 5th; attempted to save the limb ; died, 12th July, 1862. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. 356. The bones of the left knee, with the inner tuberosity of the tibia perforated obliquely downward by a round ball. b. 33. The articular surface is eroded by suppuration. The bullet is seen at the point of entrance, whither it appears to have gravitated through its own track and where the fragments are necrosed. The partial fracture of the shaft of the tibia has, in turn, been partially consolidated by effusions of callus. Private J. W. S., 43d Alabama (Rebel): Antietam, 17th September, 1.862. Received from Greencastle, Penna. See class XXVII. B. B. d. 1619. The head of the right tibia, much broken and carious on the outer surface. b. 34. Private E. A. H., " B," 72d New York, 17 : Gettysburg; died in Baltimore, 23d July, 1863. [The ordinary extensive abscesses of such cases occurred. ] Contributed by Assistant Surgeon D. C Peters, U. 8. Army. 1653. The upper portions of both tibias, fractured inlo the knee joints by a conoidal ball passing directly through tho b. 35. left tibia at the tubercle and lodging in the right one. There i* much loss of substance in tbe left tibia, with a necrosed condition of the fractured bone. Corporal A. H. S., " F," 12th New Jersey, 22: admitted hospital, Baltimore, 13th July; died of exhaustion, 30th July, 1863. He did not rally after admission to hospital sufficiently to endure an operation. Contributed by Assistant Surgeon D. C Peters, U. S. Army. See class XXVII. B. B d. 3943. The upper half of the left tibia, perforated just below the head by a conoidal ball which fractured the inner tuber- b. 36. osity. The articulation is eroded. Private W. R., "A," 180th Pennsylvania, 20: Maryland Heights, 5th July; died, Frederick, 20th July, 1-64. Contributed by Acting Assistant Surgeon Shimer. 912. The lower portion of the femur and the upper portion of the tibia of the left knee. The outer tuberosity of the tibia b. 37. is shattered, and an extensive longitudinal fissure extends down the shaft. The articulation has been destroyed by suppuration. There is a slight deposit of callus on the borders of the condyles of the femur and a considerable quantity has been irregularly thrown out, of which some has been reabsorbed around the seat of injury. Contributor and history unknown. 3482. The upper half of the left tibia, shattered below its head and fractured through the articulation. b. 38. Private J. E., " H," 40th Illinois: Kenesaw Mountain, -JTth June; patient positively refused to submit to ampu- tation and died, 12th July, f^til. Contributed by Surgeon A. Goslin, 48th Illinois. 3711. The upper portions of the bones of the leg, with the head of the tibia perforated through the external tuberosity b. 39. from behind forward and upward by a conoidal ball. Private R. C H., " F," llth Maine: Deep Bottom, Va., 16th August; died in hospital, Beverly, N. J., 26th September, 1864. Contributed by Assistant Surgeon C. Wagner, U S. Army. 4233. The upper portion of the bones of the right leg. The tibia is fractured by a conoidal ball which passed downward b. 40. from the front and lodged in the cancellated structure of the head, splitting the outer tuberosity. Private W. L. J., "F," 1st Maine Cavalry, 30: admitted hospital greatly exhausted, Washington, 16th April; died, 17th April, 1865. Contributed by Surgeon O. A. Judson, U. S. Vols. See class XXVII. B. B. d. 328 CATALOGUE OF THE SURGICAL SECTION XIV. 3701. The bones of the right knee, with the head of the tibia shattered. b. 41. Private A. M., "A," 32d U. S. Colored Troops: Honey Hill, S. C, 30th November; died, Beaufort, S. C, 18th December, 1864. Contributed by Surgeon J. Trenor, U. S. Vols. 760. The upper portions of the bones of the right leg, with the head of the tibia shattered by a ball passing through it b. 42. transversely. The fragments are necrosed. Private P. G., 1st Delaware: Antietam, 17th September; died, Frederick, 17th October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 1610. The bones of the left knee, with the inner tuberosity fractured. b. 43. Private W. J., "F," 82d Ohio, 22: Gettysburg; died in Baltimore of exhaustion, 25th July, 1863. Contributed by Assistant Surgeon D. C. Peters. U. S. Army. 2718. The bones of the left knee, the inner aspect of the internal tuberosity of the tibia is carried away and the articular b. 44. surfaces eroded. Private M. A., " A," 10th New Hampshire, 24: Cold Harbor, 3d June ; died, Washington, 29th June, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 3426. The bones of the right knee, with the head of the tibia thoroughly shattered by oblique perforation. b. 45. Private J. S. T., "G," 102d Pennsylvania, 18: Cedar Creek, 19th October; admitted hospital, Baltimore; died, 26th October, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 1980. The bones of the left knee, with the outer tuberosity of the tibia fractured by a conoidal ball, involving the joint. b. 46. The missile, split and battered, is impacted between the heads of the tibia and fibula, and the articular surfaces of the joint are destroyed by ulceration. An oblique fracture in the shaft of the tibia is directly connected with the graver injury only by fissures. Sergeant D. F. W., "B," 1st Vermont Cavalry, 23: Brandy Station, 6th October; admitted hospital, Washington, llth October; died, 24th December, 1863. Contributed by Acting Assistant Surgeon Fred. G. H. Bradford. See class XXVII. B. B. d. 1289. A wet preparation of the right knee, seven weeks after injury. The head of the fibula and external tuberosity b. 47. of the tibia are shattered. The articular surface is destroyed by suppuration. Sergeant M. H. C, "A," 60th New York, 25: Chancellorsville, 4th May; admitted hospital, Washington, 14th June; died exhausted, 24th June, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. See 4021, XXII. A. B. a. 11. 983. The bones of the right knee, with the inner condyle and head of the tibia fractured posteriorly. b. 48. Private W. J. P., "H," 132d Pennsylvania: Fredericksburg, 13th December; died, Washington, 28th Decem- ber, 1862. Contributed by Acting Assistant Surgeon W. A. Harvey. 468. The lowest fourth of the left femur, showing a fracture of the internal condyle, in which a round ball lodged. b. 49. Private G. C, "C," 63d Ohio, 20: Corinth, Mississippi, 3d October: died, in St. Louis, 29th October, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 1618. The bones of the left knee, with the inner condyle of the femur and inner tuberosity of the tibia fractured by a b. 50. ball passing from above downward. Private W. 0. A., "F," 17th Maine, 20: Gettysburg, 2d July; died of exhaustion, Baltimore, 24th July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 707. The bones of the right knee, with the outer condyle fractured by a ball from the rear lodging in the intercondyloid b. 51. fossa. The articulation is destroyed by suppuration. The history is incomplete, but the specimen is evidently post mortem. Case of B. Contributed by Acting Assistant Surgeon R. Ottman. 1948. The bones of the right knee, with the outer condyle fractured by a flattened conoidal ball, which is embedded in b. 52. it. There has been a slight deposit of callus. The ulcerative action is well marked, and the patient probably died from exhaustion. Case of G. W. W.: from Gettysburg without history. See class XXVII. B. B. d. A B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 320 2800. The lowest third of the left femur. A musket ball passed from the upper portiou of the popliteal space dowuward, b. 53. fracturing the posterior border of the base of the shaft and the external condyle and emerging at the upper border of the patella. There is an oblique fracture extending the length of the specimen and into the joint. Private J. F., " F," 35th Indiana: Chattanooga; removed to Murfreesboro', January; died from erysipelas and pneumonia, 23d March, 1864. Contributed by Surgeon I. Moses, U. S. Vols. See class XXIII. A. A. 242. The bones of the left knee. The inner condyle has been split off by a musket ball passing directly through the b. 54. articulation from the rear. The fractured bone has been partially consolidated, but the articulation is destroyed by suppuration. Private S. W., "A," 89th New York, 24 : Antietam, 17th September, 1862. Died without an operation. Contributed by Surgeon T. H. Squire, 89th New York, 3188. The bones of the right knee, with the patella and external condyle shattered. Suppuration appears to have b. 55. eroded the articular surfaces. Private A. J. W., "H," 2d Virginia Cavalry, (Rebel,) 22: admitted hospital, Baltimore, 30th July; died of pyaemia, 17th August, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 1156. The lower half of the right femur, exhibiting extensive longitudinal fractures. Tho articulation is split in tho b. 56. centre and the fracture ends obliquely in the middle of the bone. There is no history, but the specimen presents the appearance of an old subject struck by a fragment of shell in the lowest fourth, crushing in tho laminated portion. Contributor unknown. 1010. The bones of the right knee. The internal condyle is perforated and the external splintered on tho posterior aspect b. 57. by a bullet passing obliquely from side to side. Contributor and history unknown. 1404. The bones of the right knee, nearly one year after injury. A conoidal ball lodged in the internal condyle from b. 58. above. There is some deposit of callus around and caries in the course of its passage. The articular surfaces of the femur and tibia are eroded, and the knee was anchylosed in a nearly straight position when admitted to hospital. The patella is attached to the external condyle by bony union. The subject was a mulatto of scrofulous diathesis. Private T. B., " C," 110th U. S. Colored Troops, 18: Athens, Ala., 25th September, 1864; admitted hospital, Mobile, 4th August; died from exhaustion following suppuration and chronic diarrhoea, 7th September, 1865. Contributed by Surgeon Samuel Kneeland, U. S. Vols. 1399. The bones of the left knee, with the posterior portion of the internal condyle split off. b. 59. See figure 110. Private S. K., "E," 7th Michigan Cavalry: wounded by a conoidal carbine ball, which entered the front of the thigh at its middle and, passing downward and inward, lodged beneath the integument on the inner side of the joint, on picket, Chantilly, Va., 19th June; admitted hospital, Washington, 26th; bullet easily extracted from its superficial position, with no indication that the joint was involved, 27th June; some inflammation noticed, 2d July; erysipelas set in, 5th; died, 18th July, 1863. The fracture of the bone was first discovered post mortem, and the case well illustrates the obscurity of symptoms and difficulty of diagnosis which may attend a serious gunshot injury of an articulation so easy of general examination as the knee. Contributed by Surgeon John A. Lidell, U. S. Vols. See class XXIII. A. A. 3442. The bones of the right knee, with the patella split and the anterior face of the base of b. 60. the femur fractured. Private J. T. E., "A," 22d Pennsylvania Cavalry, 23: admitted hospital, Baltimore, 9th October; died of sphacelus of leg and thigh, 18th October, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 3791. The lower half of the left femur, badly comminuted in the lowest third, with the joint opened, by a conoidal ball b. 61. which entered the thigh in tho posterior aspect of the upper third. The shaft is much necrosed. Private R. T., "H," 114th New York: Cedar Creek, 19th October; constitution impaired and predisposed to phthisis pulmonalis; died from exhaustion, Winchester, 25th November, 1S64. Contributed by Surgeon L. P. Waguer, 114th New York. See class XXVII. B. B. d. 4 2 Fig. UO. A fracture of inner condyle that wail not recognized during life. Spec. 1399. 330 CATALOGUE OF THE SURGICAL SECTION XIV. 3910. The bones of the left knee, with the outer condyle shattered by a musket ball. The subject refused to submit to b. 62. amputation, and the specimen illustrates the strenuous reparative efforts at repair of nature as shown in throwing off the fragments and the partial anchylosis of the joint. Private N. Y., "B," 108th New York: Antietam, 17th September; admitted hospital, Frederick, 29th September, 1862; died from pyaemia, 12th January, 1863. Contributed by Acting Assistant Surgeon W. S. Adams. 3592. The bones of the right knee, shattered at the inner condyle by a bullet which passed through the middle third of b. 63. the left thigh inside the femur. Private E. F. L., "C," 4th New Hampshire, 20: 30th July; haemorrhage occurred from the femoral in the left thigh, which was ligated above and below the slough by Assistant Surgeon W. Thomson, U. S. Army, Washington, 12th August; died from pyaemia, 23d August, 1864. Contributed by the operator. 1290. The lowest third of the left femur, with the external condyle fractured and the articular surface disorganized and b. 64. greatly absorbed. Eight buckshot are said to have been extracted from the wound. Private M. S., "G," 36th Wisconsin: Chancellorsville, 3d May; admitted hospital, Washington, 15th June; died, 24th June, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. 3347. The bones of the left knee, with the inner condyle fractured and split off by a musket ball striking obliquely b. 65. from the anterior and outer aspect. Private S. P., "I," 116th Pennsylvania: Cold Harbor, 3d June; admitted hospital much exhausted, Alexandria, 7th June; died, llth July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. 1274. The bones of the right knee. The inner condyle has been split off by shell fracture. A longitudinal fissure b. 66. extends up the anterior face of the shaft. The joint surfaces are carious and greatly absorbed. Private T. C, " F," 8th New Jersey, 32: Chancellorsville, 3d May; a prisoner six days; admitted hospital, Washington, 14th June; died from pyaemia, 17th June, 1863. Contributed by Surgeon G. S. Palmer, U. S. Vols. 2125. The bones of the right knee, the patella and internal condyle being fractured by the passage of a bullet from b. 67. front to rear. The patella and femur and the tibia and femur are anchylosed. Private J. H., " C," 38th Illinois: Chickamauga, 20th September; in the enemy's hands several days; admitted hospital, Murfreesboro', 2d October; died from exhaustion, 4th October, 1863. Contributed by Surgeon I. Moses, U. S. Vols. 3441. The bones of the right knee. The patella is fractured and the base of tbe knee comminuted, the condyles being b. 68. split. J. T., "E," 2d Vermont, 38: Cedar Creek, 19th October; died from exhaustion, Baltimore, 3d November, 1864. Contributed by Assistant Surgeon D. C Peters, U. S. Army. 2057. The bones of the right knee fractured, and the articulation destroyed by suppuration. b. 69. Corporal P. R., " I," 42d Mississippi, (Rebel,) 50: Gettysburg, 2d July ; amputated, Chester, Penna., 24th July; died of exhaustion, 3d August, 1663, Contributed by Acting Assistant Surgeon J. L. Whitaker. 3472. The lower half of the left femur, fractured at the posterior aspect of the junction of the shaft and epiphysis, with b. 70. a complete longitudinal split between the condyles extending upward for several inches on the face of the shaft. Private G. W. B., "A," 65th New York: Cedar Creek, 19th October; died, in Baltimore, 4th November, 1864. Contributed by Acting Assistant Surgeon G. W. Fay. 2451. Tbe lower portion of the left femur. The outer condyle is fractured and carious. b. 71. First Sergeant C M., "F," 57thNew York: prpbably Fredericksburg, 13th December, 1862; died from secondary haemorrhage, 2d January, 1863. Contributor unknown. 2103. The bones of the right knee all fractured and much of the articular surface absorbed. Post mortem, an abscess b. 72. was found enveloping the joint from two inches below the head of the tibia to the middle third of the femur. Corporal W. R., "E," 100th Indiana: Mission Ridge, 25th November, 1863; died, 7th January, 1864. Contributed by Assistant Surgeon R. Bartholow, U. S. Army. A. B. OF THE UNITED STATUS ARMY MEDICAL MUSEUM. 331 297. The lowest fourth of the right femur, shattered by being perforated by a musket ball, with a slight deposit of callus b. 73. holding one of the fragments misplaced. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 1815. The right knee, with extensive destruction of the spongy portions of the shaft of the femur and external condyle. b. 74. Received after Gettysburg. 3431. The bones of the left knee, fractured by a ball passing obliquely from without inward and backward comminuting b. 75. the heads of the fibula and tibia and outer parts of the inner condyle. Private A. G., '■ C," 47th Pennsylvania, 44: admitted hospital, Baltimore, 24th October; died of sphacelus of the leg and thigh, 1st November, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 354. The bones of the right knee, with the outer condyle shattered. There has been a trivial deposit of callus, with b. 76. much caries and destruction of the articular surfaces of the joint. Private A. S., 19th Mississippi, (Rebel,) 19: died from exhaustion, about fifty days after the receipt of the injury, Greencastle, Pennsylvania, 1862. 700. The bones of the left knee, with the patella perforated by a musket ball which passed directly through the b. 77. joint, destroying the crucial ligaments, furrowing the base of the femur and fracturing the inner condyle. Private J. N. S., "C," 131st Pennsylvania: Fredericksburg, 13th December; admitted hospital, Washington, 17th December, 1862; died of pyaemia, 15th January, 1863. Contributed by Acting Assistant Surgeon J. C. Wyer. 376. The right knee, with the patella and internal condyle comminuted by a musket ball passing obliquely from front b. 78. to rear and splitting the shaft of the femur. The borders of the fracture are necrosed. Strips of periosteum retain some of the fragments. Contributed by Surgeon H. S. Hewit, U. S. Vols. 1321. The bones of the right knee, showing the extremity of the femur comminuted by a conoidal ball and necrosed, b. 79. and the joint totally disorganized by suppuration. Private J. B., "I," 4th Ohio: Chancellorsville, 3d May; died from exhaus- tion, Washington, 14th June, 1863. Contributed by Assistant Surgeon W. A. Bradley, U. S. Army. 709. A ligamentous preparation of the left knee, which is fearfully lacerated and b. 80. completely destroyed by a shell, two of the fragments of which are mounted with the specimen. It is difficult to conceive why primary amputation was not per- formed. See figure 111. Private B. M., "A," 28th Massachusetts: Fredericksburg, 14th December; admitted hospital, Washington, 26th; died without any operation having been performed, 29th December, 1862. Contributed by Medical Cadet Kingston. See class XXVII. B. A. c. 1038. A wot preparation of the left knee, fractured through the condyles. The speci- b. 81. men shows a large cavity at the base of the shaft, formed by suppuration, and exhibits the stripping of periosteum from the femur for several inches. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 3528. The upper portions of the bones of the left leg. The tibia was perforated at b. 82. the level of the tubercle, with a fissure extending into the joint and a deep longi- tudinal fracture running down the shaft, which is superficially necrosed. The articulation was destroyed by suppuration and the usual immense abscess occupied the high. Private M. McM., "K," 81st Pennsylvania: wounded in May, and died the day of admission to hospital, Washington, 26th May, 1S64. , , ' „ ' „ ™ TT „ . Flo. 111. Lett knee shattered. Contributed by Assistant Surgeon W. Thomson, U. S. Army. menu of shell. Sj*c 7t>9. 332 CATALOGUE OF THE SURGICAL SECTION XIV. FlO. 112. Radiating frac- 3175. The lowest third of the right femur. A conoidal ball lodged in the shaft on its outer b. 83. surface, just at its junction with the condyles, producing an oblique fracture, with radiations, and splitting off the posterior portion of the inner condyle. See figure 112. Contributor and history unknown. See class XXVII. B. B. d. 4707. The right patella, perforated just above its centre with radiating fractures. The broken b. 84. borders are slightly necrosed, and a minute particle of lead yet remains in the bone. Private A. V., "E," 163d New York: Fredericksburg, 13th December; admitted hospital, Washington, 2oth; no pain nor swelling occurred until violent inflammation set in, 31st December, 1862 ; free incisions were made, 3d January, and death occurred, 6th January, 1863. Contributed by Assistant Surgeon P. G. Glennan, U. S. Vols. See class XXVII. B. B. d. 812. The upper portions of the bones of the right leg, after death from exhaustion from a wound b. 85. involving the joint. A conoidal ball entered from the front, four inches below the articula- turo in base of right fe- tion, produced a partial fracture of the tibia on the outer side, passed into the joint and rested ban. !w. 3i75?D°'dal on the spinous process. The articulation is eroded at points, and at the place of contact with the ball is necrosed. Tbe missile was not discovered in life. Corporal T. J., " G," 149th Pennsylvania, 19: Gettysburg, 1st July; admitted hospital, Philadelphia, 13th; died exhausted, 23d July, 1863. He was too weak to bear an operation at any time. Contributed by Acting Assistant Surgeon Wm. V. Keating. 867. The knee extremities of the right femur and tibia. The inner condyle and head of the tibia are slightly fractured, b. 86. but great portions of the articular surfaces have been carried away by suppuration. Private A. C, "E," 82d Ohio: Gettysburg, 1st July; admitted hospital, Philadelphia, 13th July; died exhausted, 8th August, 1863. Contributed by Acting Assistant Surgeon Wm. V. Keating. 1693. The lowest third of the right femur. The outer condyle is fractured by the direct passage from front to rear of a b. 87. bullet on its inferior surface. A longitudinal fracture extends three and a half inches up the posterior surface of the shaft, prolonged two inches further as a fissure. A complete oblique fracture extends through the shaft, connected with the injury to the condyle only by the longitudinal fracture. Contributed, without history, by Surgeon Thomas Antisell, U. S. Vols. For other illustrations, see 4628, XXVI. A. 2, 63, 64, 78; 693, XXVII. B. B. d. 98. c. Caries Consecutive upon Other Injury than Fracture of the Bones of the Joint. 3024. The bones of the right knee, with the articular surfaces destroyed, consequent upon a flesh wound of the thigh c. 1. six inches above the joint. Private B. Q. C, " G," 18th Massachusetts: admitted hospital, Alexandria, 4th July; died from diphtheritis (?), 2d August, 1864. Contributed by Acting Assistant Surgeon W. C Miner. 4190. The bones of the right knee, with the articulation completely eroded and destroyed by a large abscess following a C. 2. flesh wound of the thigh near to, but not primarily involving the joint. Private W. H. W., " M," 4th New York Heavy Artillery, 21: Petersburg, 23d June ; died of exhaustion, Phila- delphia, 17th August, 1864. Contributed by Assistant Surgeon T. C Brainerd, U. S. Army. 3578. The bones of the left knee, showing the articular surfaces destroyed by inflammation following a flesh wound from C. 3. a bullet passing through the thigh an inch above the outer condyle. Private T. F., "D," 63d New York, 23: Wilderness, 5th May; died of exhaustion, Washington, 3d July, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4205. The bones of the left knee, with the articulation thoroughly destroyed by an abscess following a flesh wound, C. 4. which did not open the joint. The outer condyle and tuberosity appear to be fractured. Private T. G. S., 54th North Carolina, (Rebel,) 45: Harper's Farm, Va., 6th; admitted hospital, Baltimore, 22d April; d^d from exhaustion, 4th May, 1865. Contributed by Acting Assistant Surgeon A. Kessler. A.B. OF THE UNITED STATES ARMY MEDICAL MUSEIM. 333 3642. The bones of the right kuee, denuded and roughened, with the shaft of the femur necrosed from the inflammatory C. 5. action which followed a longitudinal flesh wound of the thigh, with the ball resting against the outer condyle without fracturing it. Corporal E. C. P., "A," 34th Massachusetts: Cedar Creek, 19th October; died from exhaustion, Philadelphia, 8th December, 1864. Contributed by Acting Assistant Surgeon G. P. Sargent. 1974. The lowest fourth of the left femur, obtained post mortem, showing its ulcerated condition after amputation at c. 6. the upper third of leg, 1st August, for wound of external malleolus by canister, 3d July. Private J. W. T., "G," 10th Alabama, (Rebel,) 38: Gettysburg; died from haemorrhage and gangrene, 18th September, 1863. Contributed by Acting Assistant Surgeon E. A. Rceper. See classes XVI. A. B. f.; XXIII. A. B. 2235. The bones of the right knee, with the articulation thoroughly disorganized from inflammation following a flesh c. 7. wound. Private W. L., "C," 14th Indiana, 28: knee opened by gunshot, with no fracture of bone, Morton's Ford, Va., 6th February ; admitted hospital, Alexandria, 24th March; excessive suppuration commenced, 1st April; died from exhaustion, 19th April, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. 227. The bones of the left knee, with the articular surfaces completely destroyed by ulceration following a wound of C. 8. the joint, without bony fracture. Private E. D., "D," 5th U. S. Cavalry, 21: Gaines'Mill, 27th June; admitted hospital, Philadelphia, 30th July; died from exhaustion, 30th September, 1862. The abscesses were very numerous and the disorganization complete. Contributed by Acting Assistant Surgeon R. P. Thomas. 3916. The bones of the left knee joint, which was opened by a musket ball. The articular surfaces are fearfully eroded, c. 9. although no direct injury to the bone appears to have been inflicted by the ball. Private J. D., "D," 82d New York, 21: Antietam, 17th September, 1862: died from exhaustion, Frederick, 9th February, 1863. The articulation was destroyed and extensive abscesses occupied the leg and thigh. Contributed by Assistant Surgeon H. A. Du Bois, U. S. Army. 1008. The bones of the right knee, with the articular surfaces destroyed from inflammation following a penetrating C. 10. wound of the joint without fracture. ------------, 118th New York : wounded near the inner border of the patella, 3d February; inflammation set up on the seventh day, and pus began to escape on the fourteenth; became much prostrated and tubercles rapidly formed, from which he died, 26th March, 1863. Contributed by Assistant Surgeon A. F. Mudie, 4th New Y'ork Artillery. 3260. The bones of the left knee, with the joint destroyed by inflammation following a gunshot wound through it C. 11. without injuring the bones. Private J. W., "F," 116th Pennsylvania: Petersburg; admitted hospital, Washington, 1st July; died, 17th July, 1864. Contributed by Acting Assistant Surgeon G. N. Hopkins. 3037. The lowest third of the left femur, partially fractured above the outer condyle. c, 12. Private W. B., "E," 7th New York, 23: Cold Harbor, 2d June; extensive abscesses opened the joint, and the thigh was amputated by Surgeon R. B. Bontecou, U. S. Vols., Washington, 25th June; died, 6th July, 1861. Contributed by the operator. See class XIII. A. B. a. 1957. The bones of the left knee, showing the femur severely contused on the anterior aspect of the base of the shaft, c. 13. with a partial fracture extending into the condyles. The joint has been destroyed by ulceration. Contributor and history unknown. Sec class XIII. A. B. a. 2055. Post mortem specimen, showing extensive ulceration of the knee joint following fracture of the head of the fibula, C. 14. with the articulation not primarily involved. Private B. F. C, "H," 13th North Carolina (Rebel): Gettysburg, 3d July; there was no operation; died from pyaemia, Chester, Penna., 29th August, 1863. Contributed by Acting Assistant Surgeon Birkey. See class XV. A. B. b. 334 CATALOGUE OF THE SURGICAL SECTION XIV. 3555. The bones of the right knee, with the outer condyle grazed in its superior portion by a conoidal ball. The joint c. 15. was not opened, but became consecutively involved. Private D. H., "D," 155th Pennsylvania, 20: wounded, 8th May; died from exhaustion, Washington, 13th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XIII. A. B. a. 759. The bones of the right knee and the lower half of the femur. The femur has been contused in the lowest third. c. 16. At the point of impact there is an exfoliation about separating and some periosteal thickeuing. The knee joint has evidently been destroyed by secondary ulceration. Contributor and history unknown. See class XIII. A. n. a. 1473. The lower portion of the left femur, obliquely fractured in the lowest third by a conoidal ball which has lodged c. 17. above the condyles. Excessive suppuration followed, involving the joint. Private J. H. C, " D," 75th Ohio, 23: Chancellorsville, 3d May; died of pyaemia, Washington, 25th July, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. See classes XIII. A. B. b.; XXVII. B. B. d. 719. The upper extremity of the left tibia, partially fractured by a bullet on the anterior surface of the head, with the c. 18. joint not implicated. The specimen has been damaged after death, so that the bone seems more gravely injured than it really was. Private R. F. F., "G," 5th New Hampshire: Fredericksburg, 13th December; admitted hospital, Washington, 18th December, 1862 ; inflammation ensued a week afterward, and death occurred, 9th January, 1863. Contributed by Assistant Surgeon Alex. Ingram, U. S. Army. See class XV. A. B. b. 1940. The extremities of the left femur and tibia, showing the knee destroyed by ulceration following a fracture of the c. 19. head of the tibia not primarily involving the joint. There has been some deposit of callus, with much caries and consecutive absorption. The injury was the seat of erysipelas. Private P. T., "G," 15th Ohio: Gettysburg, 3d July; died, 15th October, 1863. Received from Gettysburg. See classes XV. A. B. b. ; XXIII. A. A, 3575. The bones of the right knee, with the articular surface destroyed. An immense abscess reached from the thigh c. 20. to the leg, the result of a secondary involvement of the joint from perforation of the head of the tibia. In the specimen a fracture extends through the outer tuberosity, but this is not considered the direct result of the wound. Private J. L., "B," 65th New York, 21: Wilderness, 9th May; admitted hospital, Washington, 13th May; died from exhaustion, 24th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XV. A. B. b. 1972. The bones of the left knee, completely disorganized by suppuration following a fracture of the head of the tibia c. 21. by a conoidal ball not primarily affecting the joint. Private C. W., "B," 142d Pennsylvania, 20: Gettysburg, 1st July; died from exhaustion, 30th October, 1863. Contributed by Acting Assistant Surgeon G. L. Hadley. See class XV. A. B. b. 936. The lowest third of the right femur, obliquely fractured by a round ball, which is embedded. The borders of the C. 22. fracture are necrosed, but the greater part of the specimen is covered with a thin layer of callus. The articular surface is eroded by secondary ulceration. Contributed by Assistant Surgeon W. M. Notson, U. S. Army. See class XXVI. B. B. d. 3799. The lowest third of the right femur, comminuted above the condyles by a conoidal ball. Fringes of callus C. 23. border the fracture. The knee has been involved through the diffuse Inflammation that followed. PrivateS. D. H., "C," 12th Maine: Opequan Creek,Va., 19th September; died from exhaustion, 3d November, 1864. Contributed by Acting Assistant Surgeon W. L. Hammond. See class XIII. A. B. b. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 335 4230. The lower half of the left femur, showing a wound from a conoidal ball directly through the upper part of the c. 24. inner condyle. A considerable deposit of callus is seen in the neighborhood, with sinuses leading to the shaft, at the bottom of which sequestra are found. The joint surface was indirectly affected and is carious. Sergeant O. R., "C," 67th New York, 28: Wilderness; admitted hospital, Washington, 21st May; absent on furlough from 3d September, 1864, to 4th February, 1865; case seemed to have progressed well, but knee became inflamed, 10th, and patient died, exhausted, 24th February, 1865. The joint was found disorganized. Contributed by Surgeon O. A. Judson, U. S. Vols. See class XIII. A. B. a. 3580. The bones of the left knee, after destruction of the joint by ulceration without bony fracture. c. 25. Private S. F. B , "D," 17th Michigan, 25: Antietam, 17th September; died, 1st November, 1862. Contributed by Surgeon T. H. Squire, 89th New York. For other illustrations, see 3540, XIII. A. B. a. 20; 2126, XIII. A. B. b. 11; 1338, XIII. A. B. b. 44; 3884. XIII. A. B. b. 85; 844, XIII. A. B. d. 1; 32, XIII. A. B. d. 2; 1991, XIII. A. B. d. 3; 3831, XIII. A. B. d. 30; 3S.V>, XIII. A. B. d. 44; 701, XIV. A. B. f. 34; 3809, XIV. A. B. f. 46; 2036, XIV. A. B. f. 131 ; 2677, XIV. A. n. f. 175; 2047, XIV. A. B. f. 177; 4215, XIV. A. B. f. 187; 3393, XV. A. B. b. 48; 2184, XV. A. B. b. 56; 1372, XV. A. B. b. 58; 1993, XV. A. B. d. 48; 1943, XV. A. B. d. 49; 3006, XV. A. B. d. 57; 3436, XV. A. B. d. 58; 3740, XVI. A. B. f. 165. d. Excisions. 237.1 d. 1. A portion of the inner condyle of the femur, fractured and said to have been excised. Contributed by Surgeon D. W. Bliss, U. S. Vols. Fio. 113. Bonex of right knee excised. Spec. 4212. 3046. The patella and condyles of the right femur, from a case of excision of the knee where the left thigh had been d. 2. amputated in the upper third. Corporal G. W. H., "K,"2d Michigan, 19: patella and condyles of the right femur fractured, and left thigh amputated on the field, Petersburg, 17th June; the patella, two-thirds of the condyles and the articular faco of the tibia, excised by Surgeon R. B. Bontecou, U. S. Vols., Washington, 24th June; died of exhaustion, 2d July, 1864. Contributed by the operator. 4212. The patella, lower portion of the femur and upper portion of the tibia of the right d. 3. knee, excised for a musket wound of the patella aud outer condyle of the femur. Tbe thickness of the excised portion is two and one-fourth inches. See figure 113. Private D. F. R., "I," 49th Georgia (Rebel): Petersburg, 2d April; admitted General Hos- pital, Fort Monroe, 13th; excision performed by Surgeon 1). G. Rush, 101st Pennsylvania, ISth; died from .exhaustion, 26th April, 1865. "He could not have survived amputation twenty-four hours." Contributed by the operator. 1956. Five-eighths of an inch of tho upper extremity of the left tibia and d. 4. nearly two inches of the lower portion of the femur, excised for fracture by a spherical ball which lodged in the inner condyle. The cavity in which the bullet still rests has been enlarged by suppuration to the size of an English walnut. See figure 114. Private G. L., "B," 19th Indiana, 22: Gettysburg, 1st July; admitted hospital, Baltimore, 17th November; bullet detected by the Nelaton probe; excised by Acting Assistant Surgeon F. Hinkle, 1st December; died from pyaemia, 23d December, 1863 Contributed by the operator. See 4629, XXVI. A. 3, 104. Sec classes XXVII. B. B. d.; XXVII. B". Fig. ill excised Spec. 1956. Extremities ot left tibia anil femur A round ball rests in inner condyle. 33H CATALOGUE OF THE SURGICAL SECTION XIV. 1909. The lower part of the right femur and d. 5. upper parts of the tibia and fibula, from which the knee has been excised. See figure 115. Corporal J. S., "B," 4th Ohio: a conoidal ball fractured the inner condyle and opened the joint, 27th November; admitted hospital, with joint much in- flamed, Alexandria, 5th December; one inch of femur and an inch and a half of the tibia excised by Surgeon E. Bentley, U. S. Vols, 8th; died of pyaemia, 14th December, 1863. Contributed by the operator. 629. The upper portions of the left tibia and d. 6. fibula and lower part of the femur. An excision of the heads of the tibia and fibula and of the condyles of the femur has been performed- The superior portions of the leg bones are superficially necrosed, and the lower border of the femur has a thin osseous deposit. See figure 110. Private C. F. G , "I," 1st Pennsylvania Reserv-s: probably Second Bull Run, 30th August; admitted hospital, Alexandria, 9th September; excised, 15th September; died, 12th October, 18(y. Contributed by Acting Assistant Surgeon Bannister. See 600, XXI. A. B. a. 8. Fig. 115. Right femur, tibia and fibula after Yia, 116. Lt excision of joint surfaces. Spec. 1909. ' cision. ft knee after ex- Spec. 629. 556. A dried ligamentous preparation of the left knee, after excision of the patella. The d. 7. specimen presents the appearance of inflammation having been followed by anchylosis. See figure 117. The history of this case is undetermined. Contributed by Surgeon D. P. Smith, U. S. Vols. See 607, XXI. A. B. a. 7. e. Disarticulations. 2801. The bones of the right leg, disarticulated at the knee joint, preserving the patella e. 1. and not touching the cartilaginous extremity of the femur. Operation performed on account of gangrene following resection of two and a half inches in the lowest third of the tibia after gunshot. The lower fragment is curious at its cut extremity. On the fibular side a slight effusion of callus has occurred. The upper portiou is necrosed nearly to the tubercle, a space of seven and a half inches. On the posterior and inferior parts of the upper portion sufficient new bone has been thrown out to form a partial and irregular involucrum. That part of the fibula which corresponds to the excised section is moderately roughened by increased periosteal action. Corporal T. 8., "A," 38th Illinois: shot by a sentinel, Murfreesboro', 6th February; resection by Dr. Finley ; gangrene set in in three days ; disarticulation by Surgeon I. Moses, U. S. Vols., 4th April, 1863; died from erysipelas, 23d June, 1864. Contributed by the operator. See classes XV. A. A. c; XXIII. A. A.; XXIII. A. B. 929. The upper portion of the left tibia, transversely perforated about two inches below e. 2. the articulation, with the joint opened by fissures and disarticulated. There has been Fig. 11?. Left knee after excis- some periosteal disturbance about the fracture. ion "f Patella- *cc- 556- Private--- H., company and regiment unknown: Williamsburg, 5th May; disarticulated by Assistant Surgeon J. S. Billings, U. S. Army, Washington, 17th May, 1862. Died about four weeks after tho operation. Contributed by the operator. For other illustrations, see 467, XIV. A. B. h. 1; 1240, XIV. A. B. h. 2; 2058. XV. A. B. d. 41* 2061, XV. A. B. d. 42 2065, XV. A. B. d. 43; 2049, XV. A. B. d. 44; 2051, XV. A. B. d. 45; 2791, XV. A. B. d. 46; 270, XV. A. B. d. 47 375S XV. A. B. d. 117; 500, XV. A. B. d. 118; 2778, XV. A. B. f. 36; 668, XV. A. B. g. 26; 53, XVI. A. B. f. 163 2655 XVI. A. B. f. 164; 2064. XVI. A. B. f. 168; 4511, XVI. A. B. f. 176; 2660, XVII. A. B. a I. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 337 f. Amputations in the Femur. 448. The lowest portion of the left femur, contused and indented one inch above the inner condyle on the posterior f. 1. aspect, with a fissure which extends two inches upward. The knee joint was probably involved in the inflamma- tion. The femur was amputated one-half inch above the point of impact; and the stump, showing no attempt at repair, is mounted with the specimen. Sergeant T. D., 63d New York: Antietam, 17th September; amputated by Surgeon H. S. Hewit, U. S. Vols., Frederick, 3d October; died, 18th October, 1862. Contributed by the operator. See classes XIII. A. B. a.; XIII. A. B. f. 343 1. The lowest fourth of the right femur, slightly fractured in the external condyle. f. 2. Sergeant H. S. W., "B," 2d Connecticut Heavy Artillery, 29: Cedar Creek, Va, 19th October; amputated by Acting Assistant Surgeon B. B. Miles, Baltimore, 26th October; died from chronic diarrhoea, 11 th November, 1864. Contributed by the operator. See class XIV. A. B. a. 262. A ligamentous preparation of the bones of the left knee, amputated in tho lowest fourth of the femur for a gunshot f. 3. chipping of the external condyle followed by inflammation of the joint. Private M. H., "H," 108th New York, 18: Antietam, 17th September; amputated at Chester, Penna., 30th October, 1862. Recovered. Contributed by Acting Assistant Surgeon C. J. Morton. See class XIV. A. B. a. 756. A ligamentous preparation of the bones of the right knee, with a fracture of the upper and outer border of tho f. 4. patella This last-named bone appears to have been longitudinally split at some previous period and united by osseo-ligament. Private J. D., 69th New York: Antietam, 17th September; amputated in the lowest fourth by Assistant Surgeon R. F. Weir, U. S. Army, Frederick, 20th October, 1862. Recovered. Contributed by the operator. 2547. The lowest fourth of the left femur, fractured on the inner face of the inner condyle by a ball which passed f. 5. backward and downward opening the joint. Private J. W. A., "I," 2d Vermont, 23: Cold Harbor, 1st June; amputated, 10th June, 1864. Contributor unknown 2581. The bones of the right knee, the posterior portion of the outer condyle of which is shattered by a conoidal ball f. 6. passing from above downward. Private S. W., "I," 6th New Hampshire: Spottsylvania, 12th May; amputated just above the condyles by Surgeon G. L. Pancoast, U. S. Vols., Washington, 13th June ; died, 21st June, 1864. Contributed by the operator. 1482. The lower extremity of the left femur, with a round iron ball (from spherical case) embedded in the anterior f. 7. surface of the inner condyle. The ball, which produced no comminution, was not discovered until after amputation had been performed for inflammation of the knee. Private G. E. W., "A," 3d Illinois (Cavalry?): Gettysburg, 1st July; amputated in the lowest fourth by Surgeon W. H. Rulison, 9th New York Cavalry, 17th July, 1863. Result unknown. Contributed by the operator. See class XXVII. B. B. d. 2504. The lower portion of the left femur, perforated by a conoidal ball from front to rear between the condyles. The f. 8. articular surface is greatly eroded and partly absorbed. Private L. G., "E," 3d Maryland: Spottsylvania, 13th May; amputated, Washington, 5th June; died, 23d June, 1864. Contributed by Acting Assistant Surgeon F. G. H. Bradford. 3944. The lowest fifth of the left femur, with the outer condyle fractured by a conoidal ball, which lodged in it from f. 9. without. Private N. D., "E," 102d Pennsylvania, 33: Winchester, 19th September; amputated by Acting Assistant Surgeon Dunott, Frederick, 28th September; died of pyaemia, 7th November, 1864. Contributed by the operator. See 1562, XXV. A. B. b. 150. See class XXVII. B. it d. •13 338 CATALOGUE OF THE SURGICAL SECTION XIV. 3728. The lowest fourth of the left femur, fractured by a ball which opened the joint aud lodged in the inner condyle, f. 10. which is carious where broken. Private M. O. B, "E," 156th New York: Cedar Creek, 19th October, 1864; amputated by Acting Assistant Surgeon B. B. Miles. Baltimore, 13th January; transferred to Philadelphia, nearly healed, 16th May, 1865. Contributed by the operator. 3930. The lower extremity of the left femur, with the inner condyle shattered by shell. f. 11. Private H. H. R., "F," 1st Michigan Cavalry: Berryville, Va., 4th September; admitted hospital, Frederick, 14th: amputated within three inches of the knee by Acting Assistant Surgeon J. H. Bartholf, 18th; secondary htemorrhage, 19th ; died from pyaemia, 30th September, 1864. Contributed by the operator. 3066. The bones of the left knee, with the articular extremity of the femur shattered by a bullet. f. 12. Private A. McC, 63d Pennsylvania, 48: Wilderness, 5th May; amputated in the lowest fourth by Surgeon R. B Bontecou, U. S. Vols., Washington, 14th May, 1864 ; transferred, doing well, to Pittsburg, 31st March, 1865. Contributed by the operator. 2500. The upper portions of the bones of the left leg, with the head of the fibula broken off and the tibia fractured in f. 13. the laminated portion on the posterior aspect, with a minute fissure of the joint. The case is interesting from commencing tetanus being checked by amputation. Sergeant J. H., "A," 126th New York: Wilderness, 10th May; marked symptoms of tetanus, Washington, 29th; amputated, with immediate relief, 30th May, 1864; discharged the service, healed, 31st July, 1865. Contributed by Acting Assistant Surgeon F. G. H. Bradford. 489. The bones of the left knee, with the head of the tibia very slightly injured on the inner border by a musket ball, f. 14. from the rear, involving the joint, which is eroded by ulceration. The interest in the specimen lies chiefly in the slight degree of injury to the bone. Private T. N., 63d New York: Antietam, 17th September; amputated in the lowest third by Surgeon H. S. Hewit, U. S. Vols., and died, Frederick, 24th October, 1862. Contributed by the operator. See class XIV. A. B. a. 1891. A ligamentous preparation of the bones of the right knee, except the patella, amputated in the lowest fourth, f. 15. apparently for a contusion just above and behind the outer condyle. Contributed by Assistant Surgeon Geo. M. McGill, U. S. Army. 2048. The bones of the left knee, except the patella, amputated for slight gunshot fracture of the outer condyle. f. 16. Lieutenant A. W. F., 8th Georgia (Rebel): Gettysburg, 3d July; amputated and died, Chester, Penna., 21st July, 1863. Contributed by Acting Assistant Surgeon Lewis Fisher. 2759. The upper extremities of the left tibia and fibula. f. 17. Private J. H. C, "E," 110th Ohio, 40: wounded by a conoidal ball which fractured the fibula and partially fractured the tibia without opening the joint, Petersburg, 22d June; admitted hospital with the joint filled with pus, Washington, 4th July; thigh amputated in the lowest third by Assistant Surgeon Alex. Ingram, U. S. Army; died, 6th July, 1864. Contributed by the operator. 2629. The lower portion of the left femur, fractured in the outer condyle. f. 18. Private J. S., "E," 64th New York, 21: South Side Railroad, 1st April; admitted hospital, Washington, 6th; amputated by Assistant Surgeon W. F. Norris, U. S. Army, 10th April; died from pyaemia, 1st May, 1865. Contributed by the operator. 1433. A ligamentous preparation of the bones of the right knee, after amputation in the lowest third of the femur for f. 19. fracture of the head of the tibia into the joint by a conoidal ball, which embedded itself against the inner side. The tibia is obliquely fractured downward and the broken bone is necrosed. Corporal F. M., "F," 26th Pennsylvania, 20: Locust Grove, Va., 27th November; admitted hospital, Alexandria, 4th December; amputated by Surgeon Charles Page, U. S. Army, 23d December, 1863; died, 19th January, 1864. Contributed by Acting Assistant Surgeon Chas. W. Koechling. See 2019, XIII. A. B. f. 23. See class XXVII. B. B. d. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 33idal ball, which entered and split off the internal tuberosity. f. 69. Private A. H., "H," 111th New York. 47: South Side R. R., 2d April; admitted hospital, Washington, 6th; amputated by Assistant Surgeon W. F. Norris, U S. Army, 7th; secondary haemorrhage, llth; died from pyaemia, 16th April, 1865. Contributed by the operator. See class XXVII. B. B. d. 40. A ligamentous preparation of the bones of tbe left knee, of which the patella and external condyle are fractured f. 70. by a piece of shell. Private W. S., " F," 7th Indiana: Cedar Mountain, 9th August; amputated in the lowest third by Surgeon J. E. Summers, U. S. Army, Alexandria, 15th August; sloughing of stump commenced, 5th November; three inches necrosed bone removed, 15th; secondary haemorrhage and femoral ligated, 19th November, 1862. Recovered. Contributed by the operator. See 706, XIII. A. B. g. 36. 3911. The upper portion of the left tibia, with a conoidal ball nearly completely embedded in the outer tuberosity, f. 71. involving the joint. This case was not made out at first. Sergeant C P., '-E," 14th Virginia Cavalry (Rebel): admitted hospital, Frederick, 9th July; amputated in the lowest third of the thigh, 25th July; died from exhaustion, 2d August, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See class XXVII. B. B. d. 360. A ligamentous preparation of the bones of the right knee, showing fractures of the outer condyle and heads f. 72. of the tibia and fibula. Private G. R., 63d New York, 42: Antietam, 17th September; amputated in the lowest third by Acting Assistant Surgeon A. V. Cherbonnier, Frederick, 17th October; died, 21st October, 1862. Contributed by Surgeon H. S. Hewit, U. S. Vols. 1852. A ligamentous preparation of the bones of the left knee, with the upper border of the patella fractured by a f. 73. conoidal ball, which opened the joint. Corporal H. H. E., "I," 16th New York: Second Fredericksburg, 3d May; amputated in the lowest third by Acting Assistant Surgeon J. S. Smith, Washington, 13th May; secondary haemorrhage occurred, 20th and 21st May, when the femoral was ligated in Scarpa's triangle; sequestrum from stump removed, 9th August; discharged the service, 26th October, 1863; reported himself in good health, December, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. S,e 1853, XIII. A. B. g. 76. 51. The bones of the right knee, the external condyle of which has been fractured and the internal split off by a f. 74. conoidal ball, which is attached. Private S. P. K., "I," 7th Ohio: Slaughter Mountain, Va., 9th August; amputated in the lowest third of the femur by Assistant Surgeon T. G. McKenzie, U. S. Army, Alexandria, 14th August, 1862. Recovered. Contributed by the operator. See class XXVII. B. n. d 1143. The bones of the left knee, with the outer condyle shattered. f. 75. Private P. J. S., 6th Wisconsin: amputated in the lowest third of the thigh by Surgeon E. Shippen, U. S. Vols.; died, 19th June, 1864. Contributed by Assistant Surgeon J. T. Duffield, 7th Indiana. 3417. The bones of the right knee. The external condyle was fractured by a musket ball and the articulation £ 76. thoroughly destroyed by suppuration. Private J. M. D., "B," 126th Ohio, 23-: Fisher's Hill, Va., 21st September; amputated in the lowest third by Acting Assistant Surgeon B. B. Miles, Baltimore, 30th October, 1864; transferred to Philadelphia, 3d April, 1865. Contributed by the operator. 3562. The upper extremity of tbe bones of the right leg, with the anterior aspect of the outer tuberosity fractured. f. 77. Private J. R., "B," 4th Ohio: Cold Harbor, 3d June; amputated in the lowest third of the thigh by Assistant Surgeon W. Thomson, U. S. Army, Washington, 15th June, 1864. Recovered. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 345 469. The upper portion of the left tibia, with the head shattered and the shaft obliquely perforated by a conoidal ball f. 78. which passed upward from the popliteal space and lodged in the articulation. Long oblique fractures exteud down the shaft. Private T. P. C, "C," 12th Illinois, 22: Corinth, 3d October; amputated in the lowest third of the femur, St. Louis, 1st November; died of pyaemia, 13th November, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. See class XXVII. B. B. d. 4044. The lower extremity of the right femur, with the patella and external condyle fractured by a ball which has f. 79. perforated the joint. Private J. H., "I," 8th Pennsylvania Cavalry, 18: Dinwiddie C H., Va., 31st Match; admitted hospital, Washington, 4th April; amputated in the lowest third, 5th April; discharged the service, 30th September, 1865. Artificial limb furnished. Contributed by Medical Cadet E. A Dulin. 793. A ligamentous preparation of the bones of the left knee, with the patella and external condyle badly broken by a f. 80. conoidal ball. Private P. O'R., 42d New York 20: Antietam, 17th September; amputated in the lowest third by Acting Assistant Surgeon W. W. Keen, jr., Frederick, 1st October; died, 6th October, 1862. Contributed by the operator. 1939. The bones of the right knee, probably amputated in the lowest third. An attempt has been made to save the f. 81. limb after the joint was opened by perforation from behind forward. The entire articular surfaces are carious. Received after Gettysburg. 2276. The bones of the left knee, the internal condyle and the head of the tibia being fractured by a conoidal ball, which f. 82. is impacted in the latter. Private L. R., "F," 23d North Carolina (Rebel): amputated in the lowest third of the thigh by Surgeon O. A. Judson, U. S. Vols.; died of pyaemia, 30th May, 1864. Contributed by the operator. See class XXVII. B. B. d. 3424. The bones of the left knee, with the patella fractured and the condyles split, and a longitudinal fracture of the f. 83. shaft of the left femur, by a conoidal ball, which has lodged. Private O. M. H., "F," 106th New York, 20: Winchester, 19th September; amputated in the lowest third by Acting Assistant Surgeon E. G. Waters, Baltimore, 16th October, 1864 ; transferred North, 3d April, 1865. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See class XXVII. B. B. d. 120. The bones of the left knee, with the patella comminuted and condyles split by a conoidal ball. There are traces f. 84. of periosteal action. Private F. M. H., " D," 3d Virginia, 26 : wounded, 29th August; amputated by Acting Assistant Surgeon H. C Heilner, Georgetown, 15th September, 1862. Result unknown. Contributed by Assistant Surgeon B. A. Clements, U. S. Army. 47. The bones of the right knee, with a battered conoidal ball which has destroyed the internal condyle and lodged iu f. 85. the articulation. Private J. M., "E," 46th Pennsylvania: Cedar Mountain, 9th August; died in Alexandria, 26th August, 1862. Contributed by Surgeon J. E. Summers, U. S. Army. See class XXVII. B. B. d. 1426. The upper portions of the right tibia and fibula. The outer tuberosity of the tibia is shattered. f. 86. Private J. F. B., " B," llth Pennsylvania, 18: South Side R. R., Va., 30th March; admitted hospital, Wash- ington, 6th April; amputated in the lowest third of the thigh by Acting Assistant Surgeon G. P. Harnault, llth April; several secondary haemorrhages ; died from pyaemia, 21st May, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 1490. A ligamentous preparation of the bones of the left knee, with a conoidal ball embedded in the head of the tibia. f. 87. Captain R. I.: Arkansas Post, llth January; refused to submit to a primary amputation; transferred to Hospital Steamer "D. A. January," 13th; amputated in the lowest third, on account of violent inflammation, by Surgeon Alex. H. Hoff, U. S. Vols., 15th; died, 18th January, 1863. Contributed by the operator. See class XXVII. B. B. d. 44 346 CATALOGUE OF THE SURGICAL SECTION XIV. 1 INI. The head of the tibia, with an impacted round ball, which entered from behind, f. 88. fracturing the internal condyle of the right femur. See figure 119. Unknown: Gettysburg, 1st July; amputated in the lowest third by Surgeon P. A. Quinan, 15th July; died, 17th July, 1863. Contributed by the operator. See 4627, XXVI. A. 1, 16. See class XXVII. B. B. d. . 1191. A ligamentous preparation of the bones of the left knee. The head of the tibia and f. 89. the articular surface of the external condyle are grooved by a round bullet which passed through below the patella and lodged in the popliteal space. Captain G. B. W., " K." 14th Indiana, 29: Chancellorsville, 3d May; amputated in the lowest third by Surgeon H. W. Ducachet, U. S. Vols., Georgetown, 30th May, 1863. Recovered. Contributed by the operator. 1225. The patella and the head of the right tibia, fractured by a conoidal ball from above. f. 90. Private J. P., "K," 94th New York: Second Bull Run, 30th August; amputated in the lowest third of the thigh by Acting Assistant Surgeon George McCoy, Wash- ington, 6th September; reamputated, 13th September, 1862; two and a half inches of the femur exfoliated, January, 1863. Recovered. Contributed by the operator. „ „ „ """7. . ,., ^ r Pig. 119. Bones ot the right knee fractured by an impacted round 577. The upper extremity of the right tibia, partially fractured, with contusion, on the bal1- sPec-1481- f. 91. anterior face between the tuberosities. Private B. W. R., "C,"26th New York: probably Fredericksburg, 13th December; amputated by Assistant Surgeon G. M. McGill, U. S. Army, Washington, 29th December, 1862; died, 9th January, 1863. Contributed by the operator. 3811. The lower extremity of the left femur, with the inner condyle comminuted by gunshot. There has been much f. 92. ulceration of the joint. Sergeant T. J. L., " E," 3d Virginia Cavalry: accidentally, near Winchester, 21st December ; admitted hospital, Frederick, 23d December, 1864; amputated in the lowest third by Assistant Surgeon R. F. Weir, U. S. Army, 9th January; died from pyaemia, 17th January, 1865. Contributed by the operator. 1255. A ligamentous preparation of the right knee, the posterior aspect of the outer tuberosity of which was fractured f. 93. by a musket ball. Corporal F. H. M., " F," 6th Maine, 22: Chancellorsville, 3d May; amputated by Assistant Surgeon W. Thomson, U. S. Army, Washington, 14th; secondary haemorrhage and ligation of femoral in Scarpa's space, 18th; died, 23d May, 1863. Contributed by the operator. 1601. A ligamentous preparation of the bones of the knee, fractured by a round ball which entered the popliteal space, f. 94. passed forward between the condyles and lodged at the inner border of the patella. Private E. G., "A," 119th New York, 18 : Chancellorsville, 3d May; amputated in the lowest third by Surgeon R. Reyburn, U. S. Vols., Alexandria, 27th May; died of pyaemia, 20th June, 1863. Contributed by the operator. See class XXVII. B. B. d. 777. The bones of the right knee, with the outer tuberosity of the head of the tibia fractured by a ball which f. 95. perforated it obliquely and fractured the head of the fibula. Private C. M., 3d Battery, South Carolina Artillery, (Rebel,) 17: South Mountain, 14th September; admitted hospital, Frederick, 21st September; amputated in the lowest third by Assistant Surgeon A. H. Smith, U. S. Army. 2d October ; secondary haemorrhage occurred and femoral ligated four inches below Poupart's ligament, 16th October; died, 28th October, 1-62. Contributed by Acting Assistant Surgeon Redfern Davies. See 833, XIII. A B. f. 30. 3908. The upper portions of the bones of the right leg, with the head of the fibula and outer tuberosity of the tibia f. 96. fractured by a musket ball passing between them. Private G. W. M., "I," 61st Georgia, (Rebel,) 19: Gettysburg; amputated in the lowest third of the thigh by Assistant Surgeon R. F. Weir, U. S. Army, Frederick, 14th July; recovered slowly and transferred to Baltimore, 20th October, 1863. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 347 2898. The bones of the right knee, fractured by a musket ball passing transversely through the joint. The extremity f. 97. of the femur is utterly broken up and carious, and the head of the tibia is eroded. Corporal C. N., "K," 1st Maine Heavy Artillery, 23: Pamunkey river, 31st May; gangrene occurred and amputation in the lowest third performed by Surgeon N. R. Mosely, U. S. Vols., Washington, 27th July, 1864. Contributed by the operator. See class XXIII. A. B. 50. The patella and upper extremities of the bones of the left leg. The inner tuberosity of the tibia is comminuted f. 98. by a musket ball passing an inch below the articulation, and the fragments are necrosed. Corporal W. S., "K," 46th Pennsylvania: Slaughter Mountain, 9th August; amputated in the lowest third of the thigh by Assistant Surgeon J. Bernard Brinton, U. S. Army, Alexandria, 16th August; died, 2d September, 1862. Contributed by the operator. 3767. The bones of the left knee. The external condyle and tibia are shattered by a round ball which passed from rear f. 99. to front through the joint Amputation was performed in the lowest third of the femur. Contributor and history unknown. 1732. The bones of the left knee. A round ball entered the upper and inner border of the head of the tibia and passed f. 100. obliquely through that bone, emerging through the head of the fibula. A very considerable deposit of callus has occurred around the orifice of exit, anchylosing the tibia and fibula; there was no splintering. Private E. J., "E," 1st Maine: Gettysburg, 2d July; admitted hospital, Baltimore, 9th July; hospital gangrene occurred followed by erysipelas ; thigh amputated in the lowest third, Nth September ; discharged the service, healed, 9th December, 1863. Contributed by Assistant Surgeon D. C Peters, U. S. Army. See classes XXIII. A. a.; XXIII. A. B. 1819. A dried ligamentous preparation of the right knee, with the external condyle badly fractured by a conoidal bullet. f. 101. Private I. N. S., "D," 9th Louisiana, (Rebel,) 27: Rappahannock Station, Va., 7th November; amputated in the lowest third of the femur by Surgeon J. A. Lidell, U. S. Vols., Washington, 18th November; died from secondary haemorrhage, 3d December, 1863. Contributed by the operator. See 1860, XIII. A. B. f. 29; 1892, XVIII. II. A. B. c. 21. 4106. The bones of the right knee, fractured by a musket ball which grazed the under surface of the patella and passed f. 102. through the inner condyle of the femur and head of the tibia. Suppuration destroyed the articulation. Private J. H., "D," 56th Pennsylvania, 27: Hatcher's Run, Va., 30th March; amputated in the lowest third by Surgeon D. W. Bliss, U. S. Vols., Washington, 25th April; died, 26th April, 1865. Contributed by Acting Assistant Surgeon J. L. Turner. 2471* The bones of the right knee, with the anterior portion of the inner tuberosity of the tibia carried away by a f. 103. conoidal ball. Private J. W., "I," 170th New York: wounded, 22d May ; amputated in the lowest third of the thigh by Acting Assistant Surgeon Ottman, Washington, 30th May; died, 26th August, 1864. Contributed by Surgeon G. L. Pancoast, U. S. Vols. 3817. The lower extremity of the right femur with the patella. The inner border of the patella is chipped by a bullet f. 104. which was extracted from the wound of entrance. Private W. A., "G," 8th Virginia Cavalry, (Rebel,) 23: Snicker's Gap, Va., 14th July; admitted hospital, joint not inflamed, Frederick, 21st; amputated in the lowest third of the thigh by Acting Assistant Surgeon T. G. Mitchell, 27th July; died, 10th August, 1864. Contributed by the operator. 3032. The bones of the left knee. The inner tuberosity of the tibia is shattered by a musket ball which lodged therein f. 105. from the rear, breaking up much of the comminuted substance and creating a fissure down the shaft. Private W. B. L., " K," 2d Connecticut, 37: admitted hospital, Washington, 15th June ; amputated in the lowest third by Surgeon R. B. Bontecou, U. S. Vols., 16th; died of pyaemia, 19th June, 18<>4. Contributed by the operator. 153. The upper extremity of the right tibia, with the inner tuberosity chipped by a musket ball. f. 106. Lieutenant D. F., "B," 79th New York: Antietam, 17th September: amputated in the lowest third of the thigh by Assistant Surgeon J. B. Brinton, U. 8. Army, Frederick, Md., 9th October, 1862. Recovered. Contributed by Acting Assistant Surgeon J. P. Peabody. 348 CATALOGUE OF THE SURGICAL SECTION XIV. 3680. The bones of the right knee, with the inner condyle perforated, involving the joint. An osseous layer is deposited f. 107. on the lowest fourth of the femur. Private W. H. R., "I," 188th Pennsylvania: Cold Harbor, 1st June; thigh amputated in the lowest third by Acting Assistant Surgeon R. J. Lewis, Philadelphia, 21st July, 1864. Recovered. Contributed by Acting Assistant Surgeon B. Boyd. 4228. The lowest fourth of the right femur and the patella. Th'e patella and anterior surface of the external condyle £ 108. are fractured. Private D. H , "C," 5th New Hampshire, 21: Farmville, Va., 7th April; admitted hospital, Washington, 16th; amputated in the lowest third, for slight secondary haemorrhage, by Surgeon O. A. Judson, U. S. Vols , 27th April; died from pyaemia, with extensive abscesses in the thigh and the periosteum stripped, 14th May, 1865. Contributed by the operator. 1229. A ligamentous preparation of the bones of the left knee, with the patella comminuted and the inner condyle f. 109. fractured by a conoidal ball. Corporal H. J. C, "B," 139th Pennsylvania, 25: Second Fredericksburg, 3d May; attempted to save the limb ; amputated in the lowest third by Surgeon J. H. Baxter, U. S. Vols., Washington, 9th June; died, 17th June, 1863. Contributed by the operator. See 1230, XXII. A. B. a. 13. 1172. The bones of tho right knee. A round ball struck the tibia just below its head, passed upward and fractured the f. 110. inner and split off the outer condyle of the femur. Private H. M., 148th Pennsylvania: amputated in the lowest third. Contributed by Surgeon C S. Wood, 66th New York. 2268. The lower extremity of the right femur, the outer condyle of which is fractured and nearly split off by a conoidal f. 111. ball. About two aud a half square inches of the laminated bone is wanting. Brevet Major General J. C R., U. S. Vols., Major 2d U. S. Infantry: Spottsylvania C. H., 8th May; amputated in the lowest third by Surgeon B. Norris, U. S. Army, Washington, 15th May, 1864. Recovered. Contributed by the operator. 1882. The bones of the right knee. The outer condyle and the head of the tibia are badly fractured by a conoidal ball £ 112. which, compressed upon itself, is lodged in the latter bone, where it was received while kneeling and remained undiscovered for several days. Private W. G. M., " F," 4th Ohio, 25 : Milton's Mills, Va., 27th November ; amputated in the lowest third by Surgeon A. N. Dougherty, U. S. Vols., 3d December, 1863. Contributed by Surgeon J. Dwinelle, 106th Pennsylvania. See class XXVII. B. B. d. 3947. The left patella, fractured on the under and lower border by a very small conoidal pistol ball, which lodged in the f. 113. bone. Private A. H., ''A," 1st New York Cavalry, 21 : accidentally, near Halltown, Va., 1st April; amputated in the lowest third, Frederick, Md., 7th April; discharged the service, healed, 20th June, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See class XXVII. B. B. d. 2287. The bones of the left knee, with the anterior borders of the head of the tibia and inner condyle fractured by the f. 114. transverse passage of a conoidal ball. Captain W. H. L., " B," 4th Michigan, 35: Wilderness, 5th May; amputated in the lowest third of the thigh by Professor Frank Hamilton, Alexandria, 20th May ; died from haemorrhage, 30th May, 1864. Contributed by the operator 4068. The upper extremity of the right tibia, the head of which is fractured by gunshot, believed to have been amputated f. 115. in the thigh. Supposed to be the case of Private W. H. L., "I," 97th New York, 30: admitted hospital, Washington, 4th April; amputated by Surgeon N. R. Mosely, U. S. Vols, 10th; died, 27th April, 1865. Contributed by Acting Assistant Surgeon L M. Osmun. 569. A portion of the bones of the left knee, with the outer tuberosity of the tibia fractured. £ 116. Private C. W., " B," 12th Pennsylvania: Fredericksburg, 13th December; amputated by Assistant Surgeon Daniel Wiesel, Washington, 25th ; died, 28th December, 1862. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 349 2821. The bones of the right knee. The external condyle was fractured by shell and the articulation destroyed by £ 117. the subsequent suppuration. Private G. M. T., "I," 3d Pennsylvania Cavalry: Sulphur Springs, Va., 15th October: amputated in the lowest third by Assistant Surgeon Alex. Ingram, U. S. Army, Washington, 23d November, 1863; died from exhaustion, 28th January, 1864. Contributed by the operator. 2866. The upper extremity of the left tibia, with the inner tuberosity split off. f. 118. Private P. M., "A," 125th New York, 44: Petersburg, 17th June; amputated in the lowest third of the thigh by Assistant Surgeon Alex. Ingram, U. S. Army, Washington, 15th July, 1864. Contributed by the operator. 2942. The bones of the right knee, with the head of the tibia and the outer condyle fractured, apparently by shell. £ 119. Private A. H. P., "H," 188th Pennsylvania, 24: admitted hospital, Washington, 3d June; amputated in the lowest third of the thigh, 10th ; died, 14th June, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. 3296. The bones of the upper part of the right leg. The external tuberosity of the tibia is fractured by a conoidal ball £ 120. which entered the articulation from the popliteal space and lodged. Private W. S., "A," 1st Massachusetts Heavy Artillery, 21 : Spottsylvania C H., 16th May ; admitted hospital and amputated in the lowest third by Surgeon D. P. Smith, U. S. Vols., near Alexandria, 25th May; died, 8th June, 1864. Contributed by the operator. See class XXVII. B. B. d. 3721. The upper half of the left tibia. A conoidal ball passed from the front through tho bone two inches below the £ 121. head, producing an oblique fracture and fissuring the articulation. The specimen shows caries at the point of injury and some attempt at union in the line of the fractures. Private G. Y., "A," 3d Maryland : Weldon R. R., Va., 30th September; amputated by Acting Assistant Surgeon J. N. Snively, Beverly, N. J., 22d November, 1864. Recovered. Contributed by Assistant Surgeon C. Wagner, U. S. Army. 3561. The upper extremity of the left tibia, fractured by a bullet from the rear which lodged in the spongy head and £ 122. fissured the articulation. Captain A. J. A., " H," 11th Connecticut, 24: Cold Harbor, 3d June; amputated in the lowest third by Assistant Surgeon W. Thomson, U. S. Army, Washington, 15th June; died from pyaemia, 6th July, 1864. Contributed by the operator. 449. The upper portion of the left tibia, perforated directly through the tubercle by a conoidal bullet, with fissures f. 123. extending into the articulation. The injured portions are carious. Private A. McM., 9th New York State Militia: Antietam, 17th September; thigh amputated at Frederick, 22d October, 1862. Recovered. Contributed by Surgeon J. B Lewis, U. S. Vols. 816. The upper portions of the bones of the right leg, with the inner tuberosity of the tibia shattered by a musket £ 124. ball. The fragments are necrosed. Private A. D. C, "H," 17th South Carolina (Rebel): South Mountain, 14th September; thigh amputated by Acting Assistant Surgeon Halsey, Frederick, 27th September; died, 2d October, 1862. Contributed by the operator. 3731. The upper extremity of the left tibia, shattered by gunshot. £ 125. Bugler W. C. S., 1st New York Independent Battery: probably Cedar Creek, 19th October; admitted hospital, Baltimore, 24th October; amputated in the lowest third of the femur by Acting Assistant Surgeon E. G. Waters; died, 23d November, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 3662. The left patella, comminuted by gunshot. Erysipelas supervened. £ 126. Sergeant P. C, "G," 1st Massachusetts Heavy Artillery: before Petersburg; amputated in the lowest third of the thigh by Acting Assistant Surgeon F. H. Getchell, without reaction, Philadelphia, llth July, 1864. Contributor unknown. 3200. The left patella, in fourteen fragments, after gunshot. £ 127. Corporal J. McD., " B," 94th New York, 20: South Side R. R., Va., 1st April; admitted hospital, Washington, 6th; thigh amputated in the lowest third by Acting Assistant Surgeon M. Gibbons, jr., 8th; died from pyaemia, 2nth April, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 350 CATALOGUE OF THE SURGICAL SECTION XIV. 3060. The lower extremity of the right femur, transversely fractured on the anterior aspect of both condyles. f. 128. Private W. B.. "E," 7th New York: Cold Harbor, 2d June; amputated in the lowest third by Surgeon R. B. Bontecou, U. S. Vols., 25th June; died, 6th July, 1864. Contributed by the operator. 3414. The upper portion of the left tibia, with the outer tuberosity carried away. The broken bone is carious. A small f. 129. exostosis exists on the posterior portion of the tibia. Private J. W. 8., "C," 6th Maryland, 18 : Cedar Creek, 19th October; admitted hospital, Baltimore, 24th October; amputated by Acting Assistant Surgeon T. F. Murdoch, 9th November; died, 22d November, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See class XV. C 3812. The upper portions of the tibia and fibula. The tibia is perforated just below the head by a conoidal bullet which £ 130. fissured both tuberosities. The fibula is transversely fractured opposite the tibial injury, probably consecutively. Private T. F., "A," 12th Pennsylvania Cavalry: Monocaey, 9th July; thigh amputated in the lowest third on account of secondary haemorrhage, Frederick, 24th July; died, 3d August, 1864. No reparative action whatever had occurred. Contributed by Acting Assistant Surgeon W. S. Adams. See 3958, XVIII. II. A. B. c 22. 2036. A part of the bones of the right knee, showing evidence of suppuration in the joint following the injury to the £ 131. anterior aspect of the head of the tibia, which is greater in the specimen than during life. Captain E. O. C, " C," 15th Virginia (Rebel): wounded at Brandy Station by a conoidal ball passing across the tibia below the head and not involving the joint, llth October; admitted hospital, Washington, 21st October, 1863; progressed favorably, without constitutional symptoms or inflammation of articulation, until he accidentally injured the knee, 26th January; severe inflammation followed, and amputation in the lowest third of the thigh was performed by Assistant Surgeon J. C McKee, U. S. Army, 8th February; died from pyaemia, 19th February, 1864. Contributed by Assistant Surgeon H. Allen, U. S. Army. See class XIV. A. B. c. 323. The upper extremities of the right tibia and fibula. The head of the tibia is very extensively comminuted by a £ 132. conoidal ball which, split and battered, lodged within the joint. On the inner aspect an attempt at consolidation has occurred. Sergeant C. E. B., " C," 74th New Y'ork: near Manassas, 27th August; amputated in the lowest third by Acting Assistant Surgeon R. Reyburn, Alexandria, 4th September, 1862. Recovered. Contributed by Surgeon J. E. Summers, U. S. Army. See class XXVI1. B. B. d. 4104. The upper extremity of the left tibia. A conoidal ball has lodged directly in the centre of the head, breaking it £ 133. up and obliquely fracturing the shaft. Corporal C M., "K," 5th New Hampshire, 33: Burksville, Va., 7th April; amputated by Surgeon B. A. Vanderkieft, U. S. Vols., Annapolis, 25th April, 1865. Contributed by the operator. See class XXVII. B. B. d. 3050. The bones of the left knee, with the head of the tibia badly shattered. £ 134. First Sergeant F. J. R., "E," 112th New York, 29: Cold Harbor, 1st June; thigh amputated in the lowest third by Surgeon R. B. Bontecou, U. S. Vols., Washington, llth; a series of haemorrhages occurred and the femoral was ligated above the profunda, when the limb became gangrenous and death followed, 18th June, 1864. Contributed by the operator. See class XXIII. A. C. 3 143. The upper portions of the bones of the leg, with the head of the tibia thoroughly broken up. £ 135. Private J. R., "D," 12th Connecticut, 34: Cedar Creek, 19th October; amputated in the lowest third of the thigh by Acting Assistant Surgeon C. H. Jones, Baltimore, 4th November; died from exhaustion, 23d November, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 3929. The bones of the left knee, with the head of the tibia badly shattered and the inner condyle fractured. Numerous £ 136. longitudinal fractures extend down the shaft of the tibia. Private E. T, 1st Pennsylvania Artillery: thigh amputated in the lowest third, Frederick, Md., 5th August; died from secondary haemorrhage, 12th August, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 3960, XVIII. II. A. B. b. 32. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 351 3596. The upper extremity of the right tibia, shattered through the head. £ 137. Captain R. F., "K," 1st New Jersey: Spottsylvania, 12th May; amputated in the lowest third of the thigh by Assistant Surgeon W. Thomson, U. S. Army, Washington, 27th May; erysipelas ensued and death from exhaustion followed, 14th June, 1864. Contributed by the operator. See class XXIII. A. A. 2837. The upper half of the left tibia, fractured through the inner tuberosity by a musket ball which passed out at the £ 138. popliteal space. A long fissure, bordered with osseous deposit, runs down the shaft. Private J. W. E., "G," 44th Alabama (Rebel): admitted hospital, Washington, 5th June; thigh amputated in the lowest third by Acting Assistant Surgeon T. L. Leavitt, llth July; died from chronic diarrhoea, 27th October, 1864. Contributed by the operator. 2941. The bones of the right knee, with the head of the tibia badly fractured by a musket ball which entered directly £ 139. over the condyle and passed downward. Private E. B., "B," 188th Pennsylvania: Cold Harbor, 3d June; admitted hospital, Washington, llth; amputated in the lowest third by Surgeon O. A. Judson, U. S. Vols., 13th; died, 23d June, 1864. Contributed by the operator. 2286. The bones of the left knee, shattered by a conoidal ball which entered the tibia three inches below the joint f. 140. and, passing upward, destroyed the inner condyle of the femur. Private J. M., "D," 12th Massachusetts, 31: Spottsylvania C. H., 9th May; amputated in the lowest third, Washington, 16th May; died from pyaemia, 25th June, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. 2272. The bones of the right knee, with the femur and tibia extensively comminuted by a conoidal ball. The upper £ 141. extremity of the specimen is transversely jagged, as though broken by shell. Corporal H. B., "G," 6th Maine, 20: Wilderness, 7th May; amputated in the lowest third by Surgeon D. W. Bliss, U. S. Vols., Washington, 14th May; died, 5th June, 1864. Contributed by the operator. See class XXVII. B. U. d. 121. The bones of the left knee, with the patella and inner condyle shattered by a fragment of shell. f. 142. Unknown: Second Bull Run, 30th August, 1862 ; amputated by Assistant Surgeon B. A. Clements, U. S. Army, Georgetown. Contributed by the operator. 570. The bones of the right knee, with the femur utterly shattered and the posterior aspect of the inner tuberosity of £ 143. the tibia broken, apparently by a fragment of shell. Private F. L., " C," llth Pennsylvania Reserves: probably Fredericksburg, 13th December; admitted hospital, Washington, 23d; thigh amputated, 29th December, 1862; died, 4th January, 1863. Contributed by Surgeon H. Bryant, U. S. Vols. 41. A ligamentous preparation of the bones of the right knee, with the lower extremity of the femur severely £ 144. comminuted. Private M. H., "F," 111th Pennsylvania: Cedar Mountain, 9th August; amputated in the lowest third by Surgeon J. E. Summers, U. S. Army, Alexandria, 15th; died, 27th August, 1864. Contributed by the operator. 2127. The bones of the left knee, with the femur badly shattered and partly consolidated with some displacement. The f. 145. articular surfaces are destroyed by ulceration, and the lower extremity of the upper fragment is necrosed. Private J. M., "F,"24th Illinois: Chickamauga, 20th September, 1863; remained in the hauds of the enemy ten days; amputated in the lowest third by Surgeon I. Moses, U. S. Vols., Murfreesboro', Tenn. Died. Contributed by the operator. 2269. The upper half of the right tibia and fibula, with the outer tuberosity of the tibia fractured by a musket ball. £ 146. Colonel O. S. W., 83d Pennsylvania: Wilderness, 5th May; thigh amputated by Surgeon D. W. Bliss, U. S. Vols., Washington, 16th May ; received leave of absence, 19th June, and was in good health, winter of 1864-5. Contributed by Surgeon T. Antisell, U. S. Vols. 1077. A wet preparation of a portion of the left knee. A bullet has entered below the patella and, passing obliquely £ 147. through the outer tuberosity of the tibia, has emerged directly above the head of the fibula. Enough of the integument remains to show the two openings made by the ball. J. L. H.: amputated by Assistant Surgeon E. Marsh, U. S. Army. Contributed by the operator. See class XXII. A. B. a. 352 CATALOGUE OF THE SURGICAL SECTION XIV. 2256. A wet preparation of the right knee, nine months after injury. The patella was much fractured by a musket ball, £ 148. but the specimen shows ligamentous union to have occurred. Corporal J Z., "F," 6th Wisconsin Cavalry, 23: probably Gettysburg, 3d July; admitted hospital, Baltimore, 19th July, 1863; amputated in the lowest third of the thigh on account of suppuration, 14th April; discharged the service, 10th December, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 2074. A wet preparation of the right knee, fifteen months after injury. A conoidal ball £ 149. perforated the external condyle from behind, fracturing the upper part of the patella. Anchylosis at a right angle occurred. The limb was amputated on account of profuse and exhausting suppuration. Private F. W. L., "C," 21st Wisconsin: Perryville, Ky., 8th October, 1862; amputated by Surgeon H. Culbertson, U. S. Vols., Madison, Wis., 3d January; discharged, 26th May, 1864. Contributed by the operator. 59. The lowest third of the right femur, of which the outer condyle is split off, with an £ 150. oblique fracture by a round ball which entered from behind and lodged in the joint. See figure 120. Private R. W., 26th Pennsylvania: South Mountain, 14th September; amputated by Assistant Surgeon C. A. McCall, U. S. Army, Washington, 30th September; died, 2d October, 1862. Contributed by the operator. See 4627, XXVI. A. 1, 12. FlG m Lower extremity of See class XXVII. B. B. d. right femur with round ball lodged in joint. Spec. 59. 76. The lowest third of the right femur, perforated just above the patella by a musket £ 151. ball. Two longitudinal fissures extend several inches upward, and a slight one enters the joint. The wound of entrance is remarkably well defined. See figure 121. Private S. S. K., "E," 10th Pennsylvania Reserves, 21: Second Bull Run, 28th August; amputated by Surgeon Charles Page, U. S. Army, Alexandria, 20th September; died, 22d Sep- tember, 1862. Contributed by the operator. See 4627, XXVI. A. 1, 2. 3057. The lowest third of the right femur, which has been penetrated on its anterior face £ 152. by a bullet that fractured the patella. A minute fissure extends up the shaft, but there is a marked absence of comminution. Private C M. L., "H," 58th Pennsylvania, 30: Cold Harbor, 3d June; thigh amputated in the lowest third by Surgeon R. B. Bontecou, U. S. Vols., Washington, 8th ; died from exhaustion, 14th June, 1864. Contributed by the operator. 3430. The lowest third of the left femur, fractured in the outer condyle, which is carious at £ 153. that point, by a musket ball which entered from below and passed out through the popliteal space. Private L. W. G., "D," 1st Rhode Island Light Artillery: Cedar Creek, 19th October; am- rated above The condyles with putated by Acting Assistant Surgeon E. G. Waters, Baltimore, 7th November; died from exhaus- fi8SUre in the jolnt- Spec- 76- tion, 22d December, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 576. The lowest third of the right femur, evidently amputated for inflammation of the knee following a partial fracture f. 154. from a spherical iron ball from canister, which is lodged in the anterior face of the outer condyle. Contributed by Acting Assistant Surgeon G. Welles. See class XXVII. B. A. c. 2818. The lowest third of the left femur, with the anterior portion of the external condyle broken off'by a conoidal f. 155. ball. Certain fissures extend upward, and there are traces of periosteal disturbance. Sergeant M. C, " B," 9th Massachusetts: Spottsylvania, 12th May; amputated by Assistant Surgeon Alex- In°ram, U. S. Army, Washington, 26th May; died of pyaemia, 9th June, 1864. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSI FM. 353 319. Tho lowest third of the right femur, perforated by a round ball directly through the centre of ihe shaft just f. 156. below the patella. The shaft, is split longitud'nally in its anterior surface for four inches, and, posteriorly, obliquely for the same distance. The condyles are also separated by a fissure. Private J. D., "A," 25th Ohio: Second Bull Run, 30th August; amputated by Surgeon J. E. Summers, U. S. Army, Alexandria, 5tb September; died, 20th October, 1862. Contributed by the operator. 3423. The lowest third of the left femur, with the upper border of the patella grazed and the anterior suiface of tl e f. 157. external condyle grooved by a ball passing transversely from without inward through the knee joint. Private A. E., "F," 114th New York, 21: Cedar Creek, 19th October; amputated by Acting Assistant Surgecn E. G. Waters, Baltimore, 7th November, 1864; transferred to Philadelphia, 6th Fcbiuary, 1865. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 90. The lowest third of the left femur, the upper portion of the tibia and the comminuted £ 158. patella. The patella was shattered without immediate injury to the other bones, and the specimen shows the fringes of callus that surround it. The articular cartilages are de- stroyed by the subsequent inflammation. See figure 122. Dr. J. R. M., of Mexico (Rebel): Shiloh, 6th April, 1862; amputated by Surgeon Sutherland, (Rebel,) Richmond. Recovered. Contributed by Acting Assistant Surgeon F. Schafhirt. 4099. The lowest third of the left femur, fractured across the anterior face of the base, with the £ 159. joint opened, by a conoidal ball. Private P. F., "E," Gist New York: Burksville, Va., 7th April; amputated by Assistant Surgeon W. S. Ely, U. S. Vols., Annapolis; died from pyaemia, 26th April, 1865. Contributed by the operator. 4050. The lowest third of the left femur,with the outer condyle pierced transversely by a conoidal f. 160. ball which fractured the joint. Private A. J., l;G," 91st New York, 27: Petersburg, 1st April; amputated by Acting Assistant Surgeon T. O. Bannister, Washington, 9th ; died, 27th April, 1865. Contributed by Surgeon A. F. Sheldon, U. S. Vols. 3905. The lowest third of the left femur, fractured by a perforating conoidal ball just above fig. 122. Left knee, with £ 161. the condyles. The joint is fissured and the shaft commiuuted for several inches. A section comminutert pntella. of one inch of the femur, removed at the time of the amputation, is attached. Private C D., "II," 21st New York Cavalry, 27: admitted hospital, Frederick, Md., 27th July; amputated, 28th July; recovered well and discharged the service, 17th December, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 39. The lowest third of the left femur, completely shattered by a musket ball at the junction of the shaft and £ 162. epiphysis, with the joint slightly involved. Private B F. G., "E," 7th Ohio: Cedar Mountain, Va., 9th August: amputated by Surgeon J. E. Summers, U. S. Army, Alexandria, 15th; died, 29th August, 1862. Contributed by the operator. 2659. The lowest third of the left femur, showing the passage of a ball from the lower anterior face of the external f. 163. condyle upward and backward above the popliteal space, causing an oblique fracture through the joint and four inches of the shaft. Private G. A., "L," 6th New York Artillery: Spottsylvania, 19th May; amputated by Surgeon E. Bentley, U. S. Vols., Alexandria, 25th May; died of pyaemia, 9th June, 1864. Contributed by the operator. 4270. The lowest third of the left femur, perforated from before backward, above the condyles, by a conoidal ball which £ 164. chipped the outer edge of the patella. Private I S., "K," 14th West Virginia, 16 (?): Winchester, 20th July; admitted hospital, Cumberland, 23d July; amputated in the lowest third by Surgeon J. B. Lewis, U. S. Vols., 26th July; died of secondary ha-niorrhage, 14th August, 1864. Contributed by the operator. 162. The lowest third of the left femur, with the anterior border of the outer condyle chipped by a conoidal ball which £ 165. had previously passed through the left elbow. Corporal M. B. D., "E," 185th New York, 22: South Side Railroad, 29th March; amputated in the lowest third of the femur by Aeting Assistant Surgeon J. Winslow, Washington. 3d April; died from pyaemia, 5th May. 1*65. Contributed by Assistant Surgeon H. Allen, U. S. Army. 45 354 CATALOGUE OF THE SURGICAL SECTION XIV. 771. The lowest third of the left femur, with tho condyles split and the shaft fractured by a conoidal ball from the £ 166. rear which lodged in the ligamentum patellae. Private M. B., "M," 72d Pennsylvania: Antietam, 17th September; amputated by Acting Assistant Surgeon J. n. Bartholf, Frederick, 7th October; discharged, 29th December, 1862. Contributed by the operator. 2 199. The lowest third of the left femur. A conoidal ball struck the anterior surface just above the condyles, causing £ 167. an oblique fracture of the shaft and a fissure of the joint. Extensive abscesses formed, compelling amputation. Tho battered missile was found in the articulation. Private T. M., "D," 8th Ohio, 32: Wilderness, 6th May; amputated by Surgeon D. W. Bliss, U. S. Vols., Washington, 10th June; died, 12th June, 1864. Contributed by tbe operator. See class XXVII. B. B. d. 1081. The lowest third of the left femur, with a round ball, which entered the popliteal space, lodged in the outer f. 168. condyle, which it shattered on the articular surface. Sergeant M. McC, "D," 140th Pennsylvania, 32: Second Fredericksburg, 3d May; amputated by Assistant Surgeon W. Thomson, U. S. Army, Washington, 9th; died, 17th May, 1863. Contributed by the operator. See class XXVII. B. B. d. 2820. The lowest third of the left femur, perforated by a conoidal ball "from before backward," (? undoubtedly the £ 169. reverse,) just above the condyle, fissuring the joint. Private C V., "B," 42d Virginia (Rebel): Spottsylvania, 12th May; amputated, Washington, 19th May; died of pyaemia, 10th June, 1864. Contributed by Assistant Surgeon Alex. Ingram, U. S. Army. 23. The lowest third of the left femur, with the greater part of the external condyle broken off by a conoidal ball £ 170. which penetrated the joint. This soldier walked off the field when wounded. Private J. F. B., "F," 5th Ohio: Port Republic, Va., 9th June; amputated by Assistant Surgeon J. S. Billings, U. S. Army, Washington. Contributed by the operator. 2392. The lowest third of the right femur, with the inner condyle transversely perforated and shattered. The thorax was £ 171. wounded at the same time. Private C G., "G," 3d Maryland: Petersburg, 17th June: admitted hospital and amputated, Washington, 24th; died, 25th June, 1864. Contributed by Surgeon N. R. Mosely, U. S. Vols. 457. The lowest third of the left femur. The outer condyle was shattered by a shell, and the articular surface is £ 172. eroded. Unknown: Antietam, 17th September; amputated, Frederick, 4th October, 1862. Contributed by Acting Assistant Surgeon G. Chaddock. 3399. The lower half of the right femur, showing the posterior portion of the outer condyle very moderately chipped. £ 173. Sergeant D. J. C, "A," 69th Ohio: wounded, 1st June ; admitted hospital and amputated in the middle third, for extensive inflammation of the knee joint, by Assistant Surgeon C C. Byrne, U. S. Army, Chattanooga, 16th; died, 18th June, 1864. Contributed by the operator. 2657. The extremity of the left femur, with the articular surface of the outer condyle transversely fractured by a conoidal £ 174. ball. First Sergeant H. S. B., "C," 7th Massachusetts, 21: Wilderness, 6th May ; amputated in the middle third by Surgeon E. Bentley, U. S. Vols., Alexandria, 25th May; died of pyaemia, 19th June, 1864. Contributed by the operator. 2677. The bones of the right knee, showing destruction of the articulation following perforation of the tibia near the £ 175. tubercle. The track of the wound is carious and the orifice of exit is surrounded by callus. A portion of the femur has been removed for convenience. Private J. C, "K," 7th Missouri. 23: Raymond, Miss., 16th May; admitted hospital, Jefferson Barracks, Mo, 16th December, 1863; amputated at the junction of the lower thirds by Assistant Surgeon H. R. Tiltou, U. S. Army, 10th April; discharged the service, 30th June, 1864. Contributed by the operator. See class XIV. A. B. c. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM, 3.">f) 3372. The lowest third of the left femur and the patella. The patella is completely and the superior portion of tho outer £ 176. condyle partially fractured. Private W. R. R., "D," 29th Alabama, (Rebel,) 25: Resaca, Ga., 13th May ; amputated in the middle third, Nashville, 17th June, 1864. Died of pyaemia. Contributed by Surgeon R. S. Stanford, U. S. Vols. 2047. The bones of the right knee, with the articulation destroyed by suppuration following a wound from a conoidal £ 177. ball which entered four inches below the trochanter major and was extracted three weeks afterward in the popliteal space. There is a slight deposit of callus on the posterior aspect of the shaft, apparently due to irritation set up by contact with the ball in position. First Sergeant G. A. D., 6th Maine, 21: Rappahannock Station, Va., 9th November, 1863; amputated iu the middle third of the thigh by Surgeon D. W. Bliss, U. S. Vols., Washington, 19th February, 1864. Recovered. Contributed by the operator. See classes XIII. A. B. c; XIV. A. B. c; XXVII. B'. B'. 256. The bones of the right knee, with the patella chipped on its inner border by a musket ball which perforated tho £ 178. joint, lodging in the inner condyle. The whole articular surfaces are disorganized by suppuration. Private J. H., "D," 1st New York, 26: White Oak Swamp, 30th June; a prisoner thrco weeks; admitted hospital, Philadelphia, 26th July; purulent infiltration from the ankle to the middle third of tho thigh, with hectic; thigh amputated in the middle third by Acting Assistant SurgeoD S. D. Gross, 7th August; died from pyaemia, 19th August, 1862. Contributed by the operator. 4077. The lower portion of the left femur, fractured by a conoidal ball which entered the joint near tho patella, passed £ 179. upward, grooving the anterior face of the bone, in which it lodged, longitudinally exposed, aud caused an obliquo fissure for several inches. Corporal F. H. I., "E," 93d Pennsylvania: Fort Fisher, N. C, 25th March; amputated in tho middle third by Surgeon D. W. Bliss, U. S. Vols., Washington, 14th April; died from pyaemia, 2d May, 1865. Contributed by the operator See class XXVII. B. B. d. 3563. The lower half of the right femur, of which the posterior half of the outer condyle was carried away by a bullet. £ 180. A small exostosis exists on the posterior portiou. Believed to be the case of Private G. A. F., "K," 8th New York, 19: Cold Harbor, 2d June ; admitted hospital, Washington, I2th; amputated, 15th; died of pyaemia, 23d June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XIll. C 4232. The bones of the left knee, with the head of the tibia fractured by a conoidal ball. The specimen shows inflam- £ 181. matory action to have occurred some distance up the shaft. This subject had suffered an amputation of the right thigh in the middle third in the field, 8th April. Private S. B., " B," 5th New Hampshire, 21 : High Bridge, Va., 7th April; admitted hospital, Washington, with amputa- tion of the right thigh and wound of the left knee, 16th April; left thigh amputated in the middle third by Surgeon O. A. Judson, U. S. Vols., 3d June; died from exhaustion, July, 1865. Contributed by the operator. 42. The lower half of the left femur, exhibiting an extensive longitudinal fracture implicating the joint, complicated £ 182. with oblique fracture in the lowest third, from a conoidal bullet passing transversely through the femur, posteriorly, just above the condyles. Private J. S., "A," 3d Maryland: Cedar Mountain, Va., 9th August; amputated by Assistant Surgeon Philip Adolphus, U. S. Army, Alexandria, 15th; died, 20th August, 1862. Contributed by Surgeon J. E. Summers, U. S. Army. 2760. The upper portions of the bones of the left leg. The head of the tibia is chipped by a conoidal ball which passed £ 183. transversely across its front, opening the joint. Private A. H., "A," 8th Michigan, 25: Petersburg, 26th June; admitted hospital, Washington, 1st July; amputated in the middle third of the thigh, 4th; died of pyemia, 29th July, 1864. Contributed by Assistant Surgeon Alex. Ingram, U. S. Army. 2661. The lower extremity of the right femur, the inner condyle of which was fractured by a conoidal ball on its posterior £ 184. aspect. Private A. G., "E," 93d Pennsylvania, 34: Wilderness, 9th May; amputated in the middle third by Surgeon E. Bentley, U. S. Vols., Alexandria, 29th May; died from secondary haemorrhage, 2d June, 1864. Contributed by tho operator. 350 CATALOGUE OF THE M'RGICAL SECTION XIV. 2 149. Tbe lower half of the left femur, fractured through the outer condyle by a conoidal ball which lies embedded in £ 185. the cancellated base of the shaft. The shaft is split upward for five inches on both sides, and the specimen shows a slight atempt at repair. Private A. P., "A," 122d New York: Wilderness, 6th May; amputated by Surgeon D. W. Bliss, U. S. Vols., Washington, 7th June; died, 13th July, 1864. Contributed by the operator. See class XXVII. B. B. d. 3987. The lower portion of the left femur, perforated above the outer condyle by a conoidal ball which has fissured the £ 186. joint and is attached at the wound of exit not changed in outline. Private J. L., "E," 60th Georgia, (Rebel,) 36: Gettysburg, 2d July; amputated in the middle third, Frederick, 15th July; died from pyfemia, 10th August, 1863 Contributed by Acting Assistant Surgeon Goldsborough. See 3856, XIII. A. B. f. 20 ; 3968, XVIII. II. A. B. c. 16; 3988, XXII. A. B. a. 5. Sec class XXVII. B. B. d. 42 1.5. The bones of the left knee, showing the joint thoroughly destroyed by suppuration and carious. The fibula and £ 187. tibia are contused about three inches below the joint by a bullet which lodges against the latter, and the inflamma- tion of the knee appears to have been secondary. A portion of the femur has been removed from the specimen. Private 0. P. C, "F," 1st Michigan Infantry, 20: Petersburg, 31st March; admitted hospital, Washington, 5th April; amputated in the middle third by Surgeon A. F. Sheldon, U. S. Vols., 3d June; died, 1st July, 1864. Contributed by the operator. See classes XIV. A. B. c; XV. A. B. a.; XXVII. B. B. d. 2007. The upper portions of the left tibia and fibula, transversely grooved on the posterior surface by a rifle ball which £ 188. opened the joint. Private W. S., "C,"7th Virginia (Rebel): Pine Groves, Va., 28th November; amputated in the middle third, Alexandria, 15th December, 1833; died, 6th January, 1864. Contributed by Acting Assistant Surgeon Jona. Cass. See 2006, XIII. A. B. f. 57; 2008, XVIII. III. A. B. a. 3. 147. The upper extremity of the left tibia, fractured, with much loss of cancellated substance, and split down the shaft £ 189. by a conoidal ball that has lodged between the tuberosities. Private P. G., "H," 28th Massachusetts: wounded, 28th August; amputated in the middle third, 10th September, 1862; discharged the service, healed, 5th January, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. See class XXVII. B. B. d. 1625. The two lower thirds of the left femur, obliquely perforated just above the condyles by a musket ball which opened £ 190. the joint. Private W. C. B., "I," 4th Virginia (Rebel): Vicksburg, 19th May ; supposed to have been amputated in the middle third by Acting Assistant Surgeon L. Darling, Hospital Steamer "City of Memphis," 26th May, 1863. Contributed by Assistant Surgeon H. M. Sprague, U. S. Army. 460. The lower extremity of the left femur with the outer condyle grooved and partly split by a conoidal pistol ball. f. 191. Private J. H., "A," 1st Texas Cavalry, 20: admitted hospital, New Orleans, 5th September; femur amputated at the junction of the lower thirds by Surgeon J. Bockee, U. S. Vols., 10th September, 1863; furloughed, (?) 23d March, 1864. Contributed by the operator. See class XXVII. B. B. d. 1351. The bones of the right knee. The femur was perforated at the base of its shaft, with much upward splintering. f. 192. Extensive secondary ulceration of the joint has followed. Private J L., "B," 47th Indiana: Vicksburg, 1st May; amputated at the junction of the lower thirds by Surgeon G. Grant, U. 8. Vols., Hospital Steamer "Atlantic," 10th June, 1863. Contributed by the operator. 1994. The bones of the left knee, with a battered conoidal ball embedded between the condyles A small amount £ 193. of callus surrounds the large bones, and the articular surfaces of the patella and tibia are eroded. Private M. K., "B," 106th Pennsylvania, 23: Gettysburg, 2d July; much exhausted aud amputation in the middle third performed by Acting Assistant Surgeon F. Hinkle, Baltimore, 10th November, 1863; deserted from hospital, it is presumed healed, Philadelphia, 30th December, 1-64. Contributed by Assistant Surgeon D. C. Peters, I'. S. Army. See class XXVII. B. B. d. A. JJ OF THE UNITED STATES ARMY MEDICAL MUSEUM 357 2709. The right femur, comminuted by a musket ball, three inches above the kuee, with the internal condyle fissured, £ 194. for which amputation was performed in the middle third. Private W. H. G., "K," 13th New Hampshire, 25: amputated by Assistant Surgeon S. B. Ward, U. S. Vols., Alexandria, 14th June; died, 25th June, 1864. Contributed by Acting Assistant Surgeon G. A. Riecker. 2555. The lower extremity of the right femur, with the external condyle shattered by a conoidal ball which, battered, is £ 195. mounted with the specimen. Private D. McP., " E," 5th Michigan: Gainesville, Va., 2d June; amputated at the junction of the lower thirds by Acting Assistant Surgeon P. C. Porter, Washington, 14th; died from exhaustion, 20th June, 1-64. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. See class XXVII. B. B. d. 637. The lower extremity of the right femur, with the outer condyle torn up by a conoidal ball which entered the f. 196. upper third of the thigh while the soldier was lying down. Private D. M., "F,"62d Pennsylvania, 18: Fredericksburg, 13th December; amputated in the lower portion of the middle third by Surgeon O. A Judson, U. S. Vols., Washington, 27th December, 1862; died from secondary haemorrhage, 4th January, 1863. Contributed by the operator. 3734. The lower portion of the left femur, comminuted two inches above tbe condyles, with a longitudinal fracture £ 197. opening the joint. Sergeant E. D. U., "G," 15th New Jersey: Cedar Creek, 19th October; amputated in the middle third for secondary haemorrhage by Acting Assistant Surgeon E. G. Waters, Baltimore, 14th November, 1864. Subsequently disarticulated at the hip joint and recovered. Contributed by Acting Assistant Surgeon B. 15. Miles, Curator Jarvis Hospital. See 107, XIII. A. b. g, 33; 4719, XXVI. A. 4, 159. 3062. The bones of the right knee, with the head of the tibia aud both condyles fractured A moderate exostosis occurs £ 198. on the posterior surface of the tibia. Private A. D. J., "B," 12th Neu- Hampshire: Cold Harbor, 3d June ; auiputated in tho middle third by Surgeon R. B. Bontecou, U. S Vols., Washington, 8th; died, 15th June, 186-1. Contributed by the operator. See class XV. C. 3425. The lower portion of the left femur, with the internal condyle torn up and detached. f. 199. Private W. B. B., "K," 138th Pennsylvania: Cedar Creek, 19th October; amputated in the middle third by Acting Assistant Surgeon B. B Miles, Baltimore, 27th October, 1864. Recovered. Contributed by the operator. 4058. The lower half of the left femur, with the lowest fourth shattered by a conoidal ball which, battered, has lodged £ 200. on the posterior surface. Private M. D. C, 6th Ohio Cavalry: amputated in the middle third by Surgeon D. W. Bliss, U. S. Vols., Washington, 5th April; discharged the service, 18th July, 1865. Contributed by the operator. Sec class XXVII. B. B. d. 2381. The lower portion of the right femur, perforated from behind just above the outer con- £ 201. dyle, splintering into the joint, breaking up the patella and obliquely fracturing the shaft. First Sergeant J. G. R., "F," 7th New York Heavy Artillery, 21 : Spottsylvania, 19tb May ; admitted hospital, Washington, 22d : amputated in the middle third by Acting Assistant Surgeon W. C Mulford, 26th May; died from pyaemia, 2d June, 1-64. Contributed by the operator. 4071. Tho lowest third of the left femur, with a battered conoidal ball, which has obliquely £ 202. fractured the shaft and fissured the joint, embedded in the cancellated portion just above the condyle. See figure 123. Private C. L , "A," 95th New York: admitted hospital, Washington, 4th April; amputated in the middle third by Surgeon N. R. Mosely, U. S. Vols., 7th April, 1-65. Contributed by tho operator. Via. l'-Si. Left femur, with c „;...%»»■■ i, j a bullet 1c»1l.'i-[1 above the See class VX\ II. B. B. d. condyle-. !>>,-. 4U71. ;'58 CATALOGUE OF THE SURGICAL SECTION XIV. 141. The upper extremity of the rierht tibia and the fibula. A conoidal ball, which lodged in the outer border of tho £ 203. head of the tibia, has transversely fractured the articular surface and obliquely fractured the shaft. Lieutenant C. L., "D," 20th New York State Militia: wounded, 13th September; amputated iu tho middlo third of the femur, Washington, 4th October; died, 9th October, 1862. Contributed by Surgeon O. A. Judson, U. S. Vols. See class XXVII. B. B. d. 661. The lower half of the left femur, comminuted at the base of the shaft by a conoidal ball which has lodged, f. 204. battered, between the condyles, having split the bone into the joint. Supposed to be I. R, "I," 8th Pennsylvania Reserves: Fredericksburg, 13th December ; amputated by Surgeon J. E. Summers, U. S. Army, Alexandria, 29th December, 1862; died of pyaemia, 10th January, 1863. Contributed by the operator. See class XXVII. B. B. d. 2927. The bones of the left knee, with the lower extremity of the femur thoroughly shattered and the joint disorganized £ 205. by long-continued and excessive suppuration. Private S. B., "M," 4th New York Cavalry, 25: Trevillian Station, Va , 12th June; amputated in the middle third, Washington, 5th August, 1864. Healed. Contributed by Acting Assistant Surgeon P. C Porter. 274. The bones of the right knee. A musket ball opened the joint, which is eroded, grazed the patella and fractured f. 206. the external condyle. Sergeant R. C, "I," 16th Connecticut, 43: Antietam, 17th September; amputated in the middle third by Dr. Oliver, Keedysville, Md., 15th October, 1862. Contributed by Surgeon T. H. Squire, 89th New York. 2931. The upper portions of the bones of the leg. The tibia is fairly perforated by a musket ball, with longitudinal £ 207. fractures extending into the articulation and down the shaft. Private J. B., "F," 48th Pennsylvania, 25: admitted hospital, Washington, and thigh amputated in the middle third, 7th June ; died, 8th June, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. 127. The left femur, comminuted in its lowest fourth by a conoidal ball passing from front to rear directly between the £ 208. condyles and just above the patella. Private B. P. C, 4th Texas (Rebel): Antietam, 17th September; amputated in the middle third by Surgeon A. N. Dougherty, U. S. Vols., Field Hospital, 24th September, 1862. Contributed by the operator. 3064. The lower extremity of the right femur, with a round ball, which opened the joint from the front, embedded in f. 209. the internal condyle. Private E. R., "H," 8th Maine, 21 : Cold Harbor, 3d June; amputated in the lowest third by Surgeon R. B. Bontecou, U. S. Vols., Washington, 9th; amputated in the middle third for repeated secondary haemorrhage by Acting Assistant Surgeon Trautman; died 13th June, 1864. Contributed by Surgeon R. B. Bontecou, U. S. Vols. Se-. class XXVII. B. B. d. 2658. The upper portions of the bones of the left leg, with a large portion of the head of the £ 210. tibia carried away by a ball passing directly from front to rear. Private T. L., "F," 6th New York Heavy Artillery, 50: Spottsylvania C. H., 19th May ; amputated in the middle third of the thigh by Surgeon E. Bentley, U. S. Vols., Alexandria, 25th ; died, 2-th May. 1864. Contributed by the operator. 1053. The bones of the left knee, with the outer condyle perforated from behind forward, f. 211. apparently by a round pistol ball or buckshot, which opened the joint. The articulation is eroded. The wounds, both of entrance and exit, are very small, and the broken condyle has received a new bony coat. See figure 124. Corporal W. C. R., "E," 121st Pennsylvania: Fredericksburg, 13th December, 1-62; extensive suppuration occurring, amputated in the middle third by Assistant Surgeon A. Hartsuff, U. S. Army, Washington, 4th February; died, 14th February, 1863. Contributed by Assistant Surgeon E. J. Marsh, U. S. Army. FIG. 124. Left knee per forated from behind. Spec. 1053. A. B. OF TnE UNITED STATES ARMY MEDICAL MUSEUM. 359 3560. The upper extremities of the bones of the left leg, with the posterior aspect of the head of the tibia slightly £ 212. fractured. Captain W. S. S., 155th New York, and A. D. C, 24: Cold Harbor, 3d June; thigh amputated in the middle third by Assistant Surgeon W. Thomson, U. S. Army, Washington, 16th; died from exhaustion, 20th June, 1-64. Contributed by the operator. 595. The lower half of the left femur, badly shattered at the junction of the shaft and epiphysis by a conoidal ball £ 213. passing transversely through the base and nearly detaching the internal condyle. Private T. G., "A," J2th Massachusetts: Fredericksburg, 13th December; amputated by Surgeon E. Bentley, U. S. Vols., Alexandria, 22d December, 1862; died from secondary haemorrhage, 1st January, 1863. Contributed by the operator. 813. A ligamentous preparation of the left knee, with both condyles fractured by a musket ball passing transversely f. 214. through them. Private J. K., 63d New York: Antietam, 17th September; amputated in the middle third of the thigh, Frederick, 10th October; died, 19th October, 1862. Contributed by Assistant Surgeon Searle, 26th New York. 2407. The upper portion of the right tibia and the patella. The lower portion of the patella and the inferior exterior £ 215. region of the outer tuberosity have been fractured. Private J. B. F., "A," 16th Massachusetts, 21: Second Bull Run, 30th August; amputated in the middle third of the femur by Dr M. F. Bowes, Washington, 26th September, 1862. Recovered. Contributed by the operator. 2408. Tho bones of the right knee, well shattered on the outer aspect. £ 216. Private J. H.," I," 7th Indiana, 29: Wilderness, 6th May; admitted hospital, Aloxandria, 25th; amputated in the middle third by Surgeon J. Ebersoll, 19th Indiana; died, 29th May, 1864. Contributed by the operator. 1054. A wet preparation of the left knee, five months after injury. A buckshot entered the popliteal space, and was £ 217. removed after six weeks from near the patella. The specimen shows the internal tuberosity of the tibia and the corresponding condyle partially eroded The external condyle and patella arc also eroded at the place of contact. Lieutenant E. McM., "D," 22d New York: Second Bull Run, 30th August; admitted hospital, Washington, 2d September; missile removed, 9th October, 1862; thigh amputated in the middle third by Assistant Surgeon E. J. Marsh, U. S. Army, 7th February; removed to private hospital, 30th March, 1863. Contributed by the operator. 3213. The bones of the left knee. The outer tuberosity of the tibia is slightly fractured and the articular surfaces are f. 218. much eroded by suppuration. The epyphises have entirely separated in the preparation. H. W. W., Landsman, U. S. S. "Mendota," 18: wounded by a shell, James River, 16th July; amputated in the upper third, U. S. Naval Hospital, Portsmouth, Va., 2d September; transferred to Brooklyn, 28th October, 1864; stump healed; discharged the service, llth April, 1865. Contributed by Surgeon Wm. Johnson, jr., and Passed Assistant Surgeon W. R. Scofield, U. S. Navy. 3016. The upper portions of the right tibia and fibula. A conoidal ball entered the inner condyle of the head of the f. 219. tibia and perforated that bone outward and backward, resting against the neck of the fibula, which it fractured, and breaking the articular surface. Private M. McM., "B," " Virginia Grays" (Rebel): Stafford, Va., 25th February, 1863; amputated in the upper (?) third of the femur by Dr. Peter H. Johnson, Richmond; died on the eighth day. Contributed by Acting Assistant Surgeon F. Schafhirt. See class XXVII. B. B. d. 1153. The upper extremities of the bones of the left leg, struck by a solid shot and shattered. "The muscles of the leg £ 220. were pounded to pomace." Private C C, "A," 125th Pennsylvania: Chancellorsville, 3d May: a prisoner, without attention, until 17th May, when the thigh was amputated in the upper third by Assistant Surgeon C. H. Lord, 102d New York, at Twelfth Corps Hospital. Result unknown. Contributed by the operator. 1263. The two lower thirds of the right femur with the bones of the knee. Both condyles are fractured, and there is an £ 221. oblique fracture of the shaft from a conoidal ball. There is a slight deposit of callus on the border of the fracture. but tho articulation is much disorganized by suppuration. 3G0 CATALOGUE OF THE SURGICAL SECTION XIV. Sergeant J. H., "D," 8th Kew York: Chancellorsville, 3d May; admitted hospital, with extensive abscesses of the thigh and calf, Washington, 14th June; amputated by Surgeon D. W. Bliss, U. S. Vols., 16th June; transferred to St. Elizabeth hospital, Washington, 14th September, ls63. Contributed by the operator. 2 1 15. The bones of tbe right knee, after amputation in the lowest third for fracture of the outer condyle. £ 222. Contributed by Surgeon J. E. Summers, U. S. Army. 1078. A wet preparation of the lowest third of the left femur and the patella. The femur is grooved on its anterior face f. 223. and the patella completely shattered. D. N. G. : amputated by Assistant Surgeon E. J Marsh, U. S. Army. Contributed by the operator. 2496. A ligamentous preparation of the bones of the left knee. The inner tuberosity of the tibia was fractured and the f. 224. knee disorganized. Private J. K., "B,"2d U. S. Infantry : Antietam, 17th September; admitted hospital, Frederick, 27th September; thigh amputated, 16th October, 1862. Contributed by Surgeon H. S. Hewit, U. S. Vols. 2535. A ligamentous preparation of the left knee, showing ulceration of the articulation. Probably amputated. £ 225. Contributor and history unknown. 2101. The lowest fourth of the left femur. A conoidal ball entered the outer aspect of the outer condyle and, passing f. 226. downward and forward, emerged at the inner border of the patella. Both the condyle and patella are badly broken up, and a complete oblique fracture splits off the inner condyle. The lower extremity of the patella possesses a small quantity of callus. Corporal C. S., 9th Illinois Cavalry: wounded, 7th August; amputated in the lowest third, 14th; died from pyaemia, Memphis, 29th August, 1864. Contributed by Surgeon W. Watson, U. S. Vols. 3493. The lower portion of the right femur, badly fractured above the condyles and imperfectly united, especially f. 227. posteriorly, with large necrosed fragments attached. Private L. S. M., "E," 12th Massachusetts: Second Bull Run, 30th August; admitted hospital, Georgetown, 8th September ; amputated at the junction of the lower thirds by Assistant Surgeon B. A. Clements, U. S. Army; transferred to another hospital, 28th September, 1862. Contributed by the operator. 3368. The upper portiou of the right tibia, shattered below the head, whence large fragments have been removed. A f. 228. fissure extends into the joint, and the cancellated structure of the upper fragment was carious when amputated. First Sergeant F. M. W., "F," 57th Indiana, 24: Resaca, Ga., 14th May; admitted hospital, Nashville, 27th; thigh amputated in the lowest third, 30th May; died, 22d June, 1864. Contributed by Surgeon R L. Stanford, II. S. Vols. 3070. The lower portion of the right femur, with a conoidal ball lodged on the anterior surface, having fractured the £ 229. patella and obliquely split the shaft. Private G. A. J., "B," 12th New Hampshire: Cold Harbor, 3d June; amputated in the middle third by Surgeon R. B. Bontecou, U. S. Vols., Washington, 8th; died, 15th June, 1864. Contributed by the operator. Sec class XXVII. B. b. d. 4-16. A large number of small fragments of necrosed bone, being a portion of the head £ 230. of the tibia fractured by a conoidal ball. Private J. D., "I," 88th New York: Antietam, 17th September; amputated in the middle third of the femur, 21st October; died, 27th November, 1862. Contributed by Assistant Surgeon Philip Adolphus, U. S. Army. 77. The lowest fourth of the right femur. The bone is obliquely shattered, with de- £ 231. struction of the outer condyle and caries of the broken surfaces, but externally a deposit of callus has caused partial union. See figure 125. ------------: Fredericksburg, 13th December, 1862; amputated, First Corps Hospital, by Assistant Surgeon J. T. Duffield, 7th Indiana. Result unknown. Fig. 125. Lower extremitTof right Contributed by the operator. femur, fractured and partly re- J r united. Spec. 77. A. B. OF THE UNITED STATUS ARMY MEDICAL MUSEUM. 361 4129. The lowest third of the left femur and the patella. The femur is cleanly perfo- £ 232. rated, just above the condyles, by a musket ball from the rear, which caused a very oblique fracture of the shaft and severe fracture of the patella. See figure 126. Sergeant W. B., "K," 86th New York: amputated in the lowest third by Surgeon O. J. Evans, 40th New York, 17th November, 1864. Contributed by the operator. 4154. The upper portion of the left tibia, shattered just below the inner tuberosity, with £ 233. a fissure extending into the articulation and a longitudinal fracture of six inches down the shaft. Private J. M., "H," 44th New York: Fredericksburg, 13th December; admitted hospital, Washington, 17th; amputated in the middle third of the thigh, 24th; died, 29th December, 1862. Contributed by Surgeon T. Antisell, U. S. Vols. Fig. 126. Patellu fractured and 4014. The lower half of the left femur, two months after shattering of the joint. A bullet spec. 4129.' f. 234. has passed directly through, comminuting the patella and splitting the condyles. An oblique fracture extends three inches up the shaft. The articular surfaces are beginning to show carious action, but the upper border of the femur is fringed with callus. Private J. R., "B," 2d Wisconsin: Second Bull Run, 30th August; admitted hospital, Georgetown, 28th September; died, 29th October, 1862. Contributed by Assistant Surgeon J. C. McKee, U. S. Army. 1119. The lower portion of the left femur, amputated near the junction of the lower thirds for shattering, by perforation, £ 235. at the base of the shaft. The patella is badly broken, the condyles divided by a longitudinal fracturo, the outer surface of the outer condyle split and the lowest three inches of the shaft comminuted. Lieutenant J. C, "E," 119th Pennsylvauia: Chancellorsville, 3d May; admitted hospital, Georgetown, 8th; amputated by Acting Assistant Surgeon H. W. Ducachet, llth May; discharged, 22d August, 1863. Contributed by the operator. 200. The lowest third of the right femur and the patella. The patella is chipped on the outer edge and the outer condyle f. 236. is fractured by a fragment of shell. First Sergeant W. H. H. McA., " G," 4th Vermont, 27 : Fredericksburg, 13th December; amputated by Acting Assistant Surgeon Charles W. Fillmore, Washington, 28th December, 1862 ; discharged the service, 19th September, 1864. Contributed by Surgeon T. Antisell, U. S. Vols. 201. The bones of the left knee, with the outer condyle split off by a conoidal ball with loss of substance. The line of £ 237. solution is oblique, on the posterior surface passing to the inner condyle. Private H. D., "I," 82d Pennsylvania, 33: Cold Harbor, 1st June; amputated by Acting Assistant Surgeon Carlos Carvallo, 8th; admitted hospital, Washington, llth; died, 13th June, 1864. Contributed by the operator. 822. The bones of the left knee, after amputation for a shell fracture of the inner condyle from the front. The articular £ 238. surfaces are entirely destroyed by ulceration. Private A. S., "D," 20th Michigan, 24 : Wilderness, llth May; admitted hospital, Washington, 25th; amputated in the lowest third of the femur, 27th; died, 30th May, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 926. A portion of the right femur, amputated in the lowest third for fracture involving the knee. A bullet passed £ 239. transversely across the front of the shaft at its base, tearing up the cancellated structure, fissuring the joint and obliquely fracturing the boue four and a half inches above the articulation. Private A. O., 19th Georgia (Rebel): Antietam, 17th September; amputated by Assistant Surgeon C. Bacon, U. S. Army, Frederick, 21st October, 1862. Contributed by the operator. 1715. The lowest third of the left femur, from which the inner condyle has been broken by a bullet which passed trans- £ 240. versely through the anterior portion of the joint and inflicted a flesh wound in the right knee. The wound was not painful under flexion, extension or pressure, and the full degree of the injury does not appear to have been recognized until after amputation. Private I. R., " B," 28th Pennsylvania: Antietam, 17th September; admitted hospital, Washington, 21st September; ampu- tated by Surgeon Charles Page, U. S. Army, 13th October, 1862: died from colliquative diarrhoea, 5th January, 1-63. Contributed by the operator. 46 362 CATALOGUE OF THE SURGICAL SECTION XIV. 4047. The bones of the right knee, with a solid elongated bullet lodged in the inner condyle, where it remained nearly £ 241. a year. The outer part of the patella was longitudinally fractured and has united. The condyle is somewhat broken. Fragments have attached themselves with slight derangement. Sergeant W. W., "K," 6th U. S. Cavalry: Dinwiddie C H., 30th March, 1865; treated with water dressing, Alexandria; there was little pain, redness or swelling, and in three weeks the wound healed with the leg at an angle of 45°; discharged the service and employed in the Quartermaster's Department; after several months the knee became swollen, painful and flexed to a right angle; thigh amputated in the lowest third by Dr. N. S. Lincoln, 19th March; returned to duty as a Quartermaster's watchman, 14th May, 1866. Contributed by Assistant Surgeon W. Thomson, U. S. Army. For other illustrations, see 1697, XIII. A. B. f. 21 ; 1947, XIII. A. B. f. 47 ; 746, XIII. A. B f. 53; 3342, XIII. A. B. f. 68; 2011, XIII. A. B. f. 73; 973, XIII. A. B. f. 75; 2882, XIll. A. B. f. 77; 2156, XIII. A. B. g. 28; 4347, XIII. A. B. g. 29; 2908, XIII. A. B. g. 38; 109, XIII. A. B. g. 50; 106, XIII. A. B. g. 59; 4349, XIII. A. B. g. 63; 3598, XIII. A. B. g. 65; 2602, XIII. A. B. g. 80; 2261, XIV. A. A. f. 1; 800, XXII. A. B. a. 15. g. Other Operations. 915. The bones of the left knee. The condyles are vertically split, the inner one being broken posteriorly and nearly g. 1. detached, and the articular surface eroded by suppuration. The heads of the tibia and fibula have been fractured, and the extremities of both these hones are thoroughly carious. The remarkable feature of this case is the attempt that was made to save the limb by the ligation of the femoral artery, with the view of preventing inflammation. Private G. F. M., "K," 12th Pennsylvania: Antietam, 17th September; femoral artery tied to control inflammation by Dr. ----Rogers, 19th September ; the vitality of the parts was lowered, much sloughing occurred and death from exhaustion followed, 28th October, 1862. Contributed by Acting Assistant Surgeon G. W. Corey. See class XVIII. II. A. B. b. 670. A fragment of the left patella, removed from a comminuted fracture of that bone by a conoidal ball. g. 2. Private W. H. H., "A," 118th Pennsylvania, 22: Blackburn's Ford, Va., 20th September; admitted hospital, Philadelphia, 27th September, 1862; treated with flax-seed poultice and rest; large abscesses above the knee opened. Contributed by Surgeon John Neill, U. S. Vols. 2349. The bones of the left knee, with the inner condyle shattered by a conoidal ball. g. 3. Private L. H., "B,"39th New York: Wilderness, 6th May; fragments and missile removed by Surgeon D. Prince, U. S. Vols., 19th; died from pyaemia, 23d May, 1864. Contributed by the operator. See class XXVII. B. B. d. 1022. The upper extremity of the left tibia, in the spongy portion of which a buckshot was embedded. g. 4. Private W. C. J., "E," llth Pennsylvania Reserves: Fredericksburg, 13th December; buckshot extracted, Alexandria, 31st December, 1862; died of pyaemia, 3d January, 1863. Contributed by Acting Assistant Surgeon G. F. French. 2137. The bones of the right knee, fractured by a musket ball which entered the outer condyle and lodged in the g. 5. cancellated structure of the femur. The articulating surfaces are completely destroyed by suppurative action. Private E. O., "H," 1st Ohio Cavalry: Mission Ridge, 24th October; the ball was extracted at Chattanooga; moved by rail one hundred miles to Murfreesboro', Tenn., December, 1863; died from exhaustion, 11th January, 1864. Contributed by Surgeon I. Moses, U. S. Vols. 825. The bones of the left knee, fractured by a musket ball passing transversely through the joint knocking off pieces g. 6. of the condyles and the articular surface of the tibia on the posterior border. The articular surfaces are eroded. Private W. W., '-C," 51st Georgia (Rebel): South Mountain, 14th September; at the patient's request, amputation was not performed, but joint laid open, Frederick, 4th October; died, 14th October, 1862. Contributed by Acting Assistant Surgeon J. H. Bartholf. 1202. The bones of the right knee. A conoidal ball chipped the upper and posterior aspect of the inner condyle of the g. 7. femur and passed out beneath the outer condyle, opening the joint. The articulating surfaces are thoroughly carious and partly absorbed. The posterior aspect of the shaft of the femur is necrosed for several inches bordered by a moderate osseous deposit. Private A. L., "C," 16th Maine: Fredericksburg, 13th December; joint freely'opened, pus evacuated and fragments removed by Assistant Surgeon J. B. Bellangee, U. S. Vols., Alexandria, 19th December, 1832; died, 21st January, 1863. Contributed by the operator. IS. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 363 735. A wet preparation of the left knee. A bullet (probably round) entered the joint obliquely from the front, g. 8. fractured the articular face of the inner condyle internally and grooved the corresponding head of the tibia. The patella is also dislocated outward. Private W. H. C, 8th Massachusetts Battery, 18: Antietam, 17th September; at the patient's urgent solicitation the limb was allowed to remain on; joint was opened posteriorly for escape of pus; when first examined by the contributor his condition would not permit amputation ; died, 30th October, 1862. Contributed by Surgeon T. H. Squire, 89th New York. 601. A small fragment of the inner condyle, removed after a fracture of the right knee. g. 9. Private W.H., "B," 79th New York, 24: Wilderness, 9th May ; admitted hospital, Washington, 14th; specimen removed, 15th May; died from typhoid fever, 3d June, 1864, Contributed by Surgeon O. A. Judson, U. S. Vols. 1065. The inner half of the right patella, in two fragments. g. 10. Private O. D., " I," 1st Maine Heavy Artillery, 30: Spottsylvania, 19th May; admitted hospital, Washington, 22d ; specimen removed by Surgeon N. R. Mosely, U. S. Vols., 23d May; died, 10th June, 1864. Contributed by the operator. h. Stumps. 467. The lowest third of the right femur. The patella and tibia, which are wanting, were probably injured. The h. 1. extremity is much eroded by suppuration. Private W. L., " A," 1st Missouri Artillery, 40: wounded on Ram "Queen of the West," and leg amputated at the knee joint, date unknown; died, St. Louis, 27th October, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. See class XIV. A. B. e, 1240. The lowest portion of the right femur, from a field amputation. Profuse suppuration occurred from the stump h 2. and the thigh became honeycombed with sinuses. The cartilages entirely disappeared and only the integument covered the bone. The patella was removed in the operation. The patient was enfeebled by chronic diarrhoea before and afterward, and by haemorrhage at the time of the operation. Private W. 8., "H," 53d Pennsylvania: Fredericksburg, 13th December; the tibia was extensively comminuted iu the upper third by a conoidal ball; disarticulation of the knee, 14th; admitted hospital, Washington, 26th December, 1862; died from exhaustion, 26th April, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. Sec class XIV. A. B. e. B, Injuries not caused by Gunshot. A. Primary conditions. a. Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Disarticulations. e. Amputations in the femur. t £ Other operations. 6. AMPUTATIONS IN THE FEMUR. 34 70. The bones of the right leg, terribly comminuted by the wheels of a train of cars. e. 1. Private P. O'R., 40 i " F," 5th New York Heavy Artillery; both legs horribly mutilated by a train of cars, near Baltimore, 5th November; admitted hospital and the right thigh amputated in its middle third by Surgeon Thomas Sim, U. S. Vols.; sank so rapidly as to forbid operation on the other leg; died the same day. Contributed by the operator. 364 CATALOGUE OF THE SURGICAL SECTION XIV. 2455. The lowest third of the left femur and the patella. The patella is nearly vertically fractured. The lowest fourth e. 2. of the femur is shattered, both in the shaft and condyles. The line of amputation has passed through a small exostosis. J. M., discharged from a Minnesota Regiment: leaped from a second-story window twenty feet, in an attack of delirium tremens, New Brighton, Penna., 9th January, 1866; primarily amputated by Dr. D. Stanton, late Surgeon, U. S. Vols. Recovered. Contributed by the operator. See class XIII. C. Contusions and partial fractures. . Complete fractures. Dislocations. . Caries consecutive upon other injury than fracture Bof the bones of the joint. , Secondary Conditions. { e. Excisions. £ Disarticulations. g. Amputations in the femur. h. Other operations. i. Stumps. k. Sequestra. b. Complete Fractures. 2098. The upper half of the right tibia. The head is badly broken by longitudinal fractures extending down the shaft. b. 1. H. P., Brakeman, N. V. Ch. R. R.: jammed by cars at Bridgeport, Ala., 8th January ; died, 16th January, 1864. Contributed by Assistant Surgeon Henry T. Legler, U. S. Vols. 3183. A wet preparation of the left knee. The patella was fractured in its internal inferior region by the kick of a b. 2. horse and has united. The joint is completely anchylosed. At the autopsy numerous sinuses were found running from the joint, as well as many old ones healed. Private P. S. K. L., "H," 3d Pennsylvania Artillery, 32: admitted hospital, Baltimore, 15th March; died from suppurative fever, 3d August, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. d. Caries. See 2004, XIV. B. B. g. 1; 2234, XIV. B. B. g. 2. g. Amputations in the Femur. 2004. The lowest third of the left femur, amputated on account of inflammation of the knee following an incised wound g. 1. by an axe two inches above the patella. Private C. W., 8th Independent Company Infantry, New York Volunteers'. near Alexandria, 26th September: amputation performed by Surgeon D. P. Smith, U. S. Vols., 4th October, 1863. Recovered. Contributed by the operator. See class XIV. B. B. d. 2234. The bones of the right knee, showing the articular surface destroyed by inflammation following an incised wound g. 2. by an axe. Artificer O. F. R., " B," U. S. Engineers: wounded, 12th March; admitted hospital, 21st March; thigh amputated in lowest third, 24th April; died, 1st May, 1864. Contributed by Surgeon E. Bentley, U. S. Vols, See class XIV. B. B. d. For other illustrations, see 4556, XIII. C. 6. k. Sequestra. See 4711, XXIII. B. D. 6. (J OF THE UNITED STATES ARMY MEDICAL MUSEUM. 365 \J. Diseases. 914. The bones of the right knee, after amputation for scrofulous disease of eight months' standing. The articular C. 1. surfaces are carious, above which are a few feeble indications of attempts at new osseous formations. W. T., colored, 16: admitted hospital, Washington, 1st November, 1866; amputated in the lowest third of the thigh by Brevet Lieutenant Colonel R. Reyburn, Surgeon, U. S. Vols., 6th February, 1867. Doing well four weeks afterward. Contributed by the operator. 3079. The bones of the left knee, after amputation for a scrofulous abscess of the joint. The articular surface of the C. 2. tibia and parts of the femoral cartilage are eroded and carious. H. H. (colored): admitted hospital, Washington, October, 1866; amputated in the middle third of the thigh by Brevet Lieutenant Colonel Robert Reyburn, Surgeon, U. S. Vols., 13th March, 1867. Contributed by the operator. For other illustrations., see 4556, XIII. C. 6; 1220, XXV. C. A. 1. XV. INJURIES AND DISEASES OF THE BONES OF THE LEG, INVOLVING NEITHER ARTICULATION. A, Gunshot Injuries. x\.. Primary Conditions. ±J. Secondary Conditions. f a. Contusions aud partial fractures. I b. Complete fractures { c. Excisions. j d. Amputated fractures. (. e. Other operations. Contusions and partial fractures. . Complete fractures. , Excisions. { d. Amputated fractures. e. Other operations. f. Stumps. ,. g. Sequestra. B, Injuries not caused by Gunshot. A. Primary Conditions. Jj. Secondary Conditions. f a. Contusions and partial fractures. j b. Complete fractures. { c. Excisions. d. Amputated fractures. t e. Other operations. a. Contusions and partial fractures b. Complete fractures. c. Excisions { d. Amputated fractures. e. Other operations. £ Stumps. j. g. Sequestra. c, Diseases. XV. BONES OF THE LEG. A. Gunshot Injuries. f a. Contusions and partial fractures. A,-. . .,, ,. . b. Complete fractures. . Primary Conditions, j c. Excisions. j d. Amputated fractures. ( e. Other operations. b. Complete Fractures. 2520. The lower halves of the bones of the left leg. The tibia is comminuted in the lowest third. The fibula is b. 1. transversely fractured and this is evidently one of that large class of cases where the smaller bone is broken, not by the missile, but by the weight of the body. Contributor and history unknown. 1415. Ihe two lower thirds of the bones of the right leg, chiefly interesting on account of partial fracture ("willow") b. 2. of the fibula, evidently due to the weight of the body when the tibia had been comminuted in the middle third. Contributor and history unknown. 2519. The lower halves of the left tibia and fibula, from a young subject. The tibia has been perforated, causing b. 3. comminution, about three inches above the ankle, and the fibula has snapped evidently consecutively. Received after Chancellorsville. 4019. Parts of the shafts of the bones of the right leg. The fibula was transversely fractured after the tibia was b. 4. splintered by a bullet entering from the inside. Contributed by Assistant Surgeon S. Adams, U. S. Army. 3149. The lower portions of the bones of the right leg, with the tibia shattered and the fibula transversely fractured just b. 5. above the ankle. Received from the Army of the Potomac. 3274. The bones of the right leg, of which the tibia is obliquely fractured in the upper third and the fibula, with loss b. 6. of substance, in the lower part of the middle third. Received from Winchester. 4§0. The left tibia, transversely fractured, with some comminution and, in the middle third, longitudinal fissuring, and b. 7. the fibula fractured in four distinct places. Contributed by Surgeon W. H. Leonard, 51st New York. 2550. The bones of the left leg. The tibia is fractured, with comminution, at the middle third, and the fibula is fractured b. 8. in two places. E. C Contributor and history unknown. c. Excisions. 1982. Two and one-fourth inches of the shaft of the left fibula, excised. c. 1. Private W. L., "H," 148th Pennsylvania, 21: probably Ream's Station, Va., 25th August; admitted hospital, Washington, 28th; excised by Surgeon N. R. Mosely, U. S. Vols., 29th August, 1864. Contributed by Acting Assistant Surgeon J. M. Downs. 47 370 CATALOGUE OF THE SURGICAL SECTION XV. 19 lO. Two and a half inches of the shaft of the fibula, excised. c. 2. Private G. F., " H," 19th Maine, 18: Ream's Station, Va., 25th August; admitted hospital, Washington, 28th August, 1864; excised by Surgeon N. R. Mosely, U. S. Vols; returned to duty, (probably for muster-out,) 3d February, 1865. Contributed by Acting Assistant Surgeon J. M. Downs. 2867. The upper half of the right tibia, fractured in the upper third. Two inches of the shaft were resected on the field. c. 3. In the specimen the extremities are somewhat irregularly necrosed. Sergeant L. H., "D," 2d Michigan, 22: Petersburg, 18th June; admitted hospital, Washington, 1st July; amputated in the lowest third of thigh, 7tb ; died from pyaemia, 28th July, 1864. Contributed by Assistant Surgeon Alex. Ingram, U. S. Army. See class XV. A. B. d, 1307. Four and a half inches of the lowest third of the tibia, with a fragment of bullet, excised for fracture. A part of c. 4. the specimen was lost before transmission. The bone was removed to within an inch of the ankle joint. Private H. M. G., "C," 160th New York, 24: Port Hudson, La., 27th May; admitted hospital and operation performed by Assistant Surgeon P. S. Conner, U. S. Army, Now Orleans, 30th May, 1863. Contributed by the operator. See class XXVII. B. B. d. 1584. Five and one-fourth inches from the upper third of the tibia, excised on account of a perforating comminuted c. 5. fracture. Contributor and history unknown. 3546. The bones of the left leg, amputated in the upper third after an exsection of six inches of the shaft of the tibia, c. 6. made on the field for fracture by a conoidal ball. Private P. O'R., "F," 7th New York Heavy Artillery: Cold Harbor, Va., 30th May ; admitted hospital, Wash- ington, 4th; amputated, 5th June, 1864. Recovered. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XV. A. B. d. 4146. Six and one-half inches, excised from the right tibia just below the knee for shattering by a conoidal ball which C. 7. remains lodged, battered. Private W. C, "K," 1st Pennsylvania. Contributed by Surgeon J. J. Comfort, 1st Pennsylvania. For other illustrations, see 2801, XIV. A. B. e. 1; 2237, XV. A. B. g. 10. d. Amputated Fractures. 490. Th"e left tibia and fibula, amputated in the middle third. The fibula, just above the malleolus, and the tibia, two d. 1. inches above the joint, are transversely fractured by a conoidal ball which is attached. There is no history, but the case is noteworthy in the absence of comminution following fracture by such a missile. Contributed by Assistant Surgeon G. M. McGill. U. S. Army. See class XXVII. B. B. d. 3245. The lower halves of the right tibia and fibula, amputated for a fracture of both bones in the lowest third. The d. 2. conoidal ball remains attached. This man had also an extensive flesh wound of the right thigh and a fracture of the metatarsal bones of the left foot. Private B. F. M., "A," 1st New Hampshire Heavy Artillery: accidentally wounded, admitted to hospital, operated upon, and died, 14th September, 1864. Contributed by Surgeon R. B. Bontecou, U. S. Vols. See class XXVII. B. B. d. 1122. The bones of the right leg, fractured, with transverse comminution, in the lowest fourth and amputated in the d. 3. middle third by Dr. D. Duffy. Contributed by the operator. 1260. The lower halves of the bones of the right leg. The tibia was shattered in the lowest third and the fibula d. 4. fractured nearly transversely. Amputated in the middle third by Surgeon St. John W. Mintzer U. S. Vols. Contributed by the operator. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 371 313. The left tibia, shattered in the middle third by a musket ball, and the fibula, fractured by the subject's weight d. 5. coming suddenly upon it. Brigadier General G. W. T., U. S. Vols.: Second Bull Run, 27th August; amputated in the middle third by Surgeon J. H. Brinton, U. S. Vols., within six hours; admitted hospital, Washington, in thirteen hours; died, exhausted, 1st September, 1862. Contributed by the operator. 4028. The bones of the right leg, after amputation in the middle for a comminuted fracture of the lowest third of the d. 6. tibia. The missile, a fragment of a large shell, with pieces of the subject's boot and trowsers taken from the wound, accompany the specimen. Contributed by Assistant Surgeon S. Adams, U. S. Army. See class XXVII. B. A. c. 4141. A section of the bones of the left leg, amputated for comminution. d. 7. Private J. K., "H," 107th Pennsylvania: amputated by Surgeon J. F. Hutchins, 107th Pennsylvania. Received from the Army of the Potomac. 1809. The left tibia shattered and the fibula fractured in their lower thirds, with laceration of both tibial arteries. d. 8. D. R., (colored): accidentally shot and amputated in the upper third, 14th May, 1863. Recovered. Contributed by Surgeon A. Heger, U. S. Army. 1146. Tbe left tibia and fibula, fractured in the middle third by a conoidal ball and amputated iu the upper third. d. 9. Private E L., 22d New York: amputated by Assistant Surgeon J. T. Duffield, 7th Indiana. Recovered. Contributed by Surgeon E. Shippen, U. S. Vols. 4032. The right tibia shattered and the fibula fractured in the lowest and amputated in the upper third. d. 10. Supposed to be the case of Corporal L. G. P., "E," 17th North Carolina (Rebel): wounded by a conoidal ball which escaped on the inside of the thigh ; amputated by Surgeon D. C Roundy, 37th Wisconsin. Contributed by Assistant Surgeon S Adams, U. S. Army. 3829. The lower halves of the bones of the left leg. The tibia is badly comminuted throughout the lowest third, and d. 11. the fibula is transversely fractured. Private G. H., "E," 110th Ohio, 45: Monocaey, Md., 9th July; admitted hospital, Frederick, 10th; amputated just below the knee, llth; gangrene, 20th July; secondary haemorrhage, 4th August; died, 8th August, 1864. Contributed by Acting Assistant Surgeon W. S. Adams. See class XXIII. A. B. 3314. The right tibia and fibula, shattered at the junction of the upper thirds and amputated below the knee. The d. 12. fibula presents a marked longitudinal fracture. Private J. S., "B," 13th Tennessee Cavalry, 15: Fort Pillow, 12th April; amputated by Surgeon H. Wardner, U. S. Vols., 16th; died, exhausted, 29th April, 1864. Contributed by the operator. 3158. The left tibia, badly fractured in the upper third by a conoidal pistol ball. Primary amputation was performed d. 13. below the knee. Private J. T., "I," 1st New Jersey Cavalry: accidentally, 29th August, 1864; severe haemorrhage followed a wound of the posterior tibial; amputated by Surgeon A. Hard, 8th Illinois Cavalry. Contributed by the operator. 4002. The shafts of the left tibia and fibula, of which the former is shattered in the middle third by perforation by a d. 14. musket ball. Primary amputation below the knee was probably performed. Private J. W. C, "H," 25th North Carolina (Rebel): Petersburg, 1st April, 1865. Contributed by Assistant Surgeon S. Adams, U. S. Army. 4579. A portion of the shaft of the left tibia, obliquely fractured, with comminution iu the upper third, and amputated d. 15. just below the knee. Private O. McD., "M," 1st Massachusetts Artillery, 30: Petersburg, 20th June; primarily amputated by Surgeon C. C. Jewett, 16th Massachusetts; died, Washington, 17th July, 1864. Contributed by the operator. 4152. The bones of the right leg, amputated in their upper thirds for transverse fractures, with some comminution of d. 16. both in middle thirds. G. B., Quartermaster's Department: ordnance explosiou, City Point, 9th August, 1 eG4; primary amputation by Assistant Surgeon J. T. Calhoun, U. S. Army. Contributor and further history unknown. 372 CATALOGUE OF THE SURGICAL SECTION XV. 4156. Sections of the left tibia and fibula, shattered by a conoidal ball in the upper thirds and amputated below the knee. d. 17. Private E. B., "C," 12th Mississippi (Rebel): amputated by Surgeon A. A. White, 8th Maryland. Contributor and history unknown. See class XXVII. B. B. d. 179. The bones of the left leg, amputated in the upper third for a comminuted fracture of both bones in the middle by d. 18. a conoidal ball entering from behind. The bullet appears to have entered from the right, aud to have passed obliquely upward, through the medullary canal of the tibia, which bone it has shattered longitudinally. Private R. A. H., "H," 155th Pennsylvania, 20: near Rockville, Md., 14th September; admitted hospital and amputated by Acting Assistant Surgeon W. H. Butler, Georgetown, 15th September, 1862. Recovered. Contributed by the operator. 3166. The left fibula transversely fractured and the tibia shattered in the upper third, amputated just below the knee. d. 19. Private J. M., "G," 9th Veteran Reserve Corps, 33: near Washington, llth July; admitted hospital and amputated the same day; died from exhaustion, 28th July, 1864. Contributed by Acting Assistant Surgeon A. W. Merrill. 4018. Bones of the left leg, fractured in the upper third by a ball perforating the tibia transversely and eompletely d. 20. destroying the upper part of the fibula. Believed to be the case of Private J. W., "A," 57th Massachusetts.: Petersburg; amputated below the knee, on the field, March, 1865. Contributed by Assistant Surgeon S. Adams, U. 8. Army. 553. The right tibia and fibula, each transversely fractured in two places and amputated in their upper thirds. d. 21. Contributed by Assistant Surgeon Warren Webster, U. S. Army. 4153. The bones of the right leg, amputated just below the knee for comminuted fractures in their middle thirds. The d. 22. fibula is also independently transversely fractured in the lowest third. A. G., Quartermaster's Department: ordnance explosion, City Point, 9th August, 1864; primarily amputated by Assistant Surgeon W. Blundell, 3d New Jersey. Received from the Army of the Potomac. 692. The right tibia, shattered in the middle third by grape shot, aud the fibula partially fractured (willow fracture, d. 23. probably by subject's weight,) and amputated in the upper thirds, at Hilton Head, S. C Contributed by Assistant Surgeon J. C Semple, U. S. Army. 1883. The upper halves of the bones of the left leg. The tibia is shattered just below the head, and this is one of the d. 24. few cases in which the fibula was not consecutively broken by the weight of the subject. Private G. A. B., "F," 72d Pennsylvania: Milton's Mills, Va., 27th November; amputated in the thigh by Surgeon Martin Rizer, 72d Pennsylvania, 28th November; removed to Washington, 4th December, 1863. Contributed by Surgeon J. Dwinelle, 106tb Pennsylvania. 731. The left tibia, comminuted by grape shot in the upper third, with the fibula transversely fractured, probably by the d. 25. subject's weight. Amputated in the thigh. Contributed by Assistant Surgeon J. E. Semple, U. S. Army. 4145. The left tibia and fibula, comminuted in the upper thirds. d. 26. Private P. L., " D," llth Pennsylvania: amputated in the lowest third of tho femur by Surgeon J. W. Anawalt, llth Pennsylvania. Contributor and history unknown. 4119. The bones of the right leg, shattered at the junction of the upper thirds. d. 27. Private J. M. B., "B," 99th Pennsylvania: amputated in the lowest thirdof thethigh by Surgeon N. A. Hersome, 17th Maine, 17th November, 1864. Contributor and history unknown. 2236. The upper portion of the right fibula, fractured three and a half inches below the head by a bullet which also d. 28. destroyed the anterior and posterior tibial arteries. This case is remarkable on account of the arrest of extensive sphacelus of the stump by local application of bromine. The subject ultimately died of tetanus after recovering from the effects of the disease. A. A. OF THE UNITED STATES AKMY MEDICAL MUSEUM. 373 Captain W. E. D., " B," 30th North Carolina, (Rebel,) 25: Kelly's Ford, Va., 7th November; admitted hospital, Wash. ington, 9th; amputated in tbe lowest third of the thigh by Assistant Surgeon W. Thomson, U. S. Army, 10th ; severe attack of sphacelus successfully resisted by local application of bromine, llth-20th; died from tetanus, 22d November, 1863. Contributed by Acting Assistant Surgeon Carlos Carvallo and the operator. See class XIII. A C 1335. The right tibia and fibula, comminuted in their shafts by a round shot. See figure 127. d. 29. Major General D. E. S., U. S. Vols.: Gettysburg, 2d July; amputated in the lowest third of the thigh by Surgeon T. Sim, U. S. Vols., on the field; stump healed rapidly and subject was able to ride in a carriage, 16th July; completely healed, so that he mounted his horse early in September, 1863. Contributed by the subject. See 4627, XXVI. A. 1. 43. 4510. The middle thirds of the shafts of the bones of the right leg, after primary amputation for d. "30. comminution of both. Private R. T. S., "F," 2d Pennsylvania Reserves, 19: Spottsylvania, 12th May; ampu- tated on the field by Dr. Roher; admitted hospital, Washington, 16th May; died from exhaustion, 3d June, 1864. Contributed by the operator. 4512. The upper halves of the bones of the left leg, after primary amputation in the lowest third d. 31. of the thigh. The tibia is shattered in the upper third, with longitudinal fractures for five inches. Private W. J. P., "A,' '7th----Cavalry, (Rebel,) 24: amputated by Surgeon F. F. Burmeister, 69th Pennsylvania ; died en route to hospital. Contributed by the operator. «- . m, . u, ,. i /• , , r , • , r • , Fl(i. 127. Bones of right leg 4511. The middle thirds of the bones of the right leg, after primary amputation by antero- fractured by round shot. d. 32. posterior flap in the upper third. The tibia is shattered for six inches, and the fibula is Spec'1335' fractured. Lieutenant J. B. R., "C," 2d Pennsylvania Reserves, 32: Spottsylvania, 12th May, 1864; amputated by Surgeon Bowers. Recovered. Contributed by the operator. 4497. The lower halves of the bones of the right leg, after a primary amputation in the middle third for fracture above d. 33. the joint. A split and battered conoidal ball is lodged in the tibia, which is shattered for four inches. The fibula is comminuted for one inch. Sergeant W. W. H., "I," 93d New York, 20: Wilderness, 5th May; leg amputated by Surgeon Harris, 6th ; thigh ampu- tated in lowest third, 16th May, 1864 ; carious bone removed from the stump, Troy, N. Y., 5th April; discharged the service, 12th July; artificial limb furnished, 23d August, 1865. Contributed by the operator. See classes XV. A. B. d.; XXVII. B. B. d. 4540. The lower portions of both bones of the right leg, comminuted above the ankle after primary amputation in the d. 34. upper thirds. Private W. W., "E," 7th Michigan, 24 : Spottsylvania, 18th May; amputated in the field, 21st May; discharged the service, 29th December, 1861. Received from the Army of the Potomac. 4547. The upper portions of the bones of the right leg, with the tibia partially fractured at the tuberosity by the lateral d. 35. passage of a bullet. The articular surface was not involved. Corporal E. H., "G," 115th Pennsylvania, 37: Spottsylvania, 12th May; amputated in the lowest third of the thigh the same day ; admitted hospital, Washington, 25th May ; died, 8th June, 1864. Contributed by Surgeon C. C. Jewett, 16th Massachusetts. 665. The upper portion of the right tibia, perforated below the head and shattered in the shaft for six inches. d. 36. Private J. S., "C,"53d Pennsylvania, 20: Cold Harbor, 3d June; amputated in the thigh the same day by Surgeon Geo. L. Potter; admitted hospital, Washington, 12th; died, 24th June, 1864. Contributed by the operator. For other illustrations, see 3573, XIII. A. B. f. 26; 2965, XIII. A. B. f. 69. 374 CATALOGUE OF THE SURGICAL SECTION XV. a. Contusions and partial fractures. b. Complete fractures. B C. Excisions. . Secondary Conditions. ^ d. Amputated fractures. e. Other operations. f. Stumps. ^ g. Sequestra. a. Contusions and Partial Fractures. 74. The shaft of the right tibia, contused by shell at the First Bull Run, 21st July, 1861 ; admitted hospital, a. 1. Washington, two months afterward, with the knee distended with pus and too exhausted to suffer an operation. The specimen shows general periostitis and local necrosis. Contributed by Acting Assistant Surgeon D. W. Cheever. 2196. The left tibia, without fracture, bearing marks of periostitis on its lowest third, apparently after a contusion. a. 2. Contributor and history unknown. 2109. The left fibula, contused at the junction of the lower thirds The shaft is locally necrosed at the point of impact, a. 3. adjacent to which is periosteal thickening. This subject was at the same time wounded through both legs and slightly in the left shoulder. Haemorrhage from the left leg was controlled by pressure. Private W. L., "I," 10th Missouri: Missionary Ridge, 25th November, 1863; died from pyaemia (?), (pneumonia? history obscure,) Chattanooga, 19th January, 1864. Contributed by Acting Assistant Surgeon C E. Ball. 815. The upper portions of the bones of the left leg. A conoidal ball has gouged out the anterior surface of the tibia a. 4. just below the tubercle. Subject "died from exhaustion from a bed sore," complicated with double pneumonia. Private J. S., "I," 27th North Carolina (Rebel): Antietam, 17th September, 1862. Contributed by Assistant Surgeon Philip Adolphus, U. S. Army. 1314. The bones of the right leg, with a partial fracture of the tibia in the upper third, six months after injury. The a. 5. interior is carious, and the orifice is raised by a deposit of callus around it. Private C.S., " B," 59th New York, 17: probably Fredericksburg, 13th December; admitted hospital, Washington, 24th December, 1862; died from exhaustion, 8th June, 1863. Contributed by Surgeon G. S. Palmer, U. S. Vols. 2187. The upper portion of the left tibia, six weeks after injury. The specimen was perforated by a round bullet a. 6. downward, from front to rear, causing a partially oblique fracture. There is but the faintest trace of an attempt at repair. The limb was gangrenous at death. The missile, flattened, is attached. Sergeant T. B. O., "B," 34th Mississippi (Rebel): Lookout Mountain, 25th November, 1863; died, Nashville, 12th January, 1864. Contributed by Acting Assistant Surgeon P. Peter. See class XXVII. B. B. d. 3590. The left fibula, three months after injury. The wound is said to have been in the foot. The shaft of the fibula a. 7. is necrosed nearly its entire length, and a slight involucrum of callus covers one portion. There was a fracture of the humerus. Private J. H. R., "I," 17th Maine, 46: wounded, 16th May; admitted hospital, Washington, 18th May; died from exhaustion, 15th August, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 2053. The right tibia, two and a half months after a partial fracture below the head on the inner surface. From this a. 8. point, following a curved line six inches down the shaft, the laminated structure has been absorbed for an average width of half an inch, as though in the track of a fissure. The adjacent osseous tissue is carious. Second Lieutenant H. G. W., "K," ---- North Carolina (Rebel): Gettysburg, 2d July; died from pyaemia, Chester, Penna., 21st September, 1863. Contributed by Acting Assistant Surgeon B. F. Strawn. 1269. The bones of the right leg, six weeks after injury. The tibia sustained a longitudinal partial fracture of the a. 9. shaft and is necrosed its greater length. Private A. C. C, "D," 7th Ohio: Chancellorsville, 3d May ; on the field until 14th May; died from pyaemia, 13th June, 1863. Contributed by Assistant Surgeon O. G. Field, 5th Ohio A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 375 3355. The upper half of the left tibia, with several sharply defined and curiously arranged fissures extending through a. 10. the compact portion. The parts adjacent to the fissures are dead, but below these borders slight periosteal deposit has occurred. Contributor and history unknown. 1916. The bones of the left leg, five months after injury. The tibia appears originally to have been contused by a a. 11. musket ball. Erysipelas first and gangrene afterward reduced the subject exceedingly. A considerable portion of the tibia is necrosed. The diseased portion is encircled with a fringe of callus. Corporal T. C, "H," 21st Michigan, 35: Stone River, 1st January; died, in Nashville, 1st June, 1863. Contributed by Assistant Surgeon C C Gray, U. S. Army. 2022. The two lower thirds of the bones of the left leg. The tibia has been partially fractured in the lowest thiid. An a. 12. abundant involucrum has been formed to nearly the point of section, exhibiting through the cloacae a large sequestrum detached but imprisoned. A few points of osseous deposit are seen on the fibula, which is uninjured. Contributed by Surgeon J. A. Lidell, U. S. Vols. 3003. The right fibula, two and a half months after injury. The bone was partially fractured on the posterior surface. a. 13. A fair amount of callus had been effused, but much of it has evidently Deen destroyed by suppuration following gangrene. Private W. S., "B," 4th South Carolina Cavalry, (Rebel,) 37: Hawe's Shop, Va., 28th May; admitted hospital, Washington, 6th June; died, llth August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean See class XXIII. A. B. 103. The shaft of the left tibia, fissured longitudinally by a musket ball striking the middle third. Necrosis has followed a. 14. the induced periostitis Contributor and history unknown. 783. The lower halves of the bones of the right leg. The tibia has been struck by a bullet at the junction of the a. 15. lower thirds and a longitudinal section is split loose. The specimen beautifully shows how a chain-work of callus has woven the fragment again to the shaft in its lower portion. Reparative action in the upper part is less in degree. Contributed, without history, by Acting Assistant Surgeon W. W. Keen, jr. 3588. The left tibia, two and a third months after injury. An iron ball (case?) fractured longitudinally the anterior a. 16. border of the tibia for three inches. Necrosis has destroyed the greater portion of the shaft. Corporal P. D., " K," 164th New York, 48: Cold Harbor, 3d June; admitted hospital, Washington, 24th June; died, exhausted, 14th August, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 799. The upper thirds of the left tibia, exhibiting a longitudinal fracture, with loss of substance of the inner and a. 17. posterior portion of the shaft, which did not pass entirely through the bone. There is a feeble periosteal deposit adjoining the bony edges. The broken portion has not been preserved. Private L. S. G., "K," 145th Pennsylvania, 22: Gettysburg, 2d July; admitted hospital, Philadelphia, 13th July; died from exhaustion after haemorrhage from the popliteal artery, 14th August, 1863. Contributed by Acting Assistant Surgeon Wm. V. Keating. 1468. The upper portions of the bones of the left leg. The tibia exhibits an oblique partial fracture in the upper third a. 18. with longitudinal splintering. The ball struck from above and behiud, and the specimen well illustrates the tendency of the fracture to be propagated in the direction of the force. The borders of the fracture are necrosed. Contributed by Surgeon J. H. Brinton, U. S. Vols. 3609. The left tibia, four months after injury. The periosteum was injured by a bullet, and, after two weeks, gangrene a. 19. supervened denuding the bone. The specimen shows one longitudinal half of the bone necrosed and nearly separated, with the other portion sheathed with callus. Private J. B., "A," 16th Michigan, 26: Petersburg, 30th September; admitted hospital, Washington, 7th October, 1864; died, exhausted, 26th January, 1865. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 344. The lower portion of the left tibia, indented, without comminution, on the anterior surface, by a pistol ball which a. 20. lodged just above the ankle joint. The missile was firmly embedded and was extracted with diflBculty five days after the injury. The anterior tibial nerve was compressed but not lacerated, and the subject died thirty-six hours after the removal of the bullet. Private J. B. S., "F," 2d New York: accidentally shot; died of tetanus, 20th July, 1861. Contributed by Assistant Surgeon J. W. S. Gouley. 376 CATALOGUE OF THE SURGICAL SECTION XV. For other illustrations, see 4215, XIV. A. B. f. 187 ; 2793, XV. A. B. d. 7; 212, XV. A. B. d. 35; 19*0, XV. A. n d. 38 ; 589, XV. A. B. d. 51; 917, XV. A. B. d 53; 3319, XV. A. B. d. 66; 3468, XV. A. B. d. 71 ; 2228, XV. A. B. d. 80; 858, XV. A. B. d. 104; 3853, XV. A. B. g. 18; 989, XV. A. b. g. 20; 4250, XV. A. b. g. 29; 420, XV. A. n. g. 34; 4337, XV. A. B. g. 37. b. Complete Fractures. 3521. The left tibia and fibula. The tibia is obliquely fractured, with a little comminution in the lowest fourth, and b. 1. the fibula is fractured in the upper third. The missile was removed on the field and its character does not appear. Two were probably employed. Private J. H. R., "H," 105th Pennsylvania, 40: wounded, 6th May; admitted hospital, Washington, llth; died from exhaustion, 17th May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1831. The bones of the right leg, with the tibia very obliquely fractured throughout the lowest third. The borders of b. 2. the fracture are necrosed, and a certain amount of callus has been deposited, but no union whatever has occurred. Received, without history, from Gettysburg. 3207. The left fibula, three months and a half after injury. The bone was shattered in the lowest third by a conoidal b. 3. ball. Callus was effused so as to firmly unite the broken parts without shortening, but with some lateral deformity from the position of the fragments. Private E. T., "C," 20th Massachusetts: Spottsylvania, 10th May; admitted hospital, Washington, 26th May; died from typhoid fever, while convalescent from the wound, 29th August, 1864. Contributed by Acting Assistant Surgeon F. G. H. Bradford. 3164. The right tibia, comminuted in the lowest third, complicated with a flesh wound of the left leg. A small exostosis b. 4. is seen on the lower extremity of the specimen. Private F. K., " A," 12th Mississippi, (Rebel,) 43: wounded, 21st August; admitted hospital, Washington, 24th; died from tetanus, 30th August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See class XV. C. 3928. The lower two-thirds of the bones of the right leg. There is a slight contusion of the fibula with a small exfolia- b. 5. tion. The tibia is fractured with comminution in the lowest third. There has been a moderate deposit of callus and much necrosis. Private E. H. L., "F," 14th Virginia. Received, without history, from Frederick. 721. The lowest thirds of the left tibia and fibula. The fibula has been fractured nearly transversely and has partially b. 6. united with some anterior displacement. The tibia has been fractured with comminution. The bulk of the shaft at the point of fracture is carious, but posteriorly the fragments have been held together by callus. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 2750. The lower halves of the bones of the left leg, with the fibula comminuted, with loss of substance in the lowest b. 7. third. Private H. N. W., "D," 19th Maine: Gettysburg, 2d July; admitted hospital, Philadelphia, 8th July; secondary haemorrhage and anterior tibial ligated by Acting Assistant Surgeon F. F. Maury, 12th; died from pyaemia, 18th July, lo63. Contributed by the operator. 1828. The lower portion of the bones of the left leg. The tibia has been shattered in its lowest third without union. b. 8. Fringes of callus have been deposited, and a portiou of the bone is separated by necrosis. Received, without history, from Gettysburg. 751. The lower portions of the bones of the right leg, with ununited comminuted fractures in the lower thirds. A b. 9. large amount of callus has been effused, and fragments are attached to the fibula, but the broken tibia is carious within. Contributed, without history, by Assistant Surgeon W. Moss, U. S. Vols. 3344. The left tibia, twenty-four days after injury. The bone is transversely fractured in the middle third. No union b. 10. has occurred and no deposit of callus. The parts immediately adjoining are necrosed, and a degree of periostitis over the bone has existed. Private A. V., "I," 1st Maine Heavy Artillery: Petersburg, 18th June; admitted hospital, Alexandria, 29th June; died, exhausted, 12th July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. A.B. OF' THE UNITED STATES ARMY MEDICAL MUSEUM. 377 1914. The left fibula, one month after injury. The bone is slightly comminuted in its lowest third, but without displace- b. 11. ment. There was no attempt at union, and the extremities of the fragments are necrosed. Sergeant J. C, "D," 92d Ohio, 32: Chickamauga, 20th September; admitted hospital, Nashville, 4th October; died from pyaemia, 22d October, 1863. Contributed by Assistant Surgeon D. M. Dill, 84th Illinois. 3774. The right fibula, fractured in its shaft without union. A small amount of callus has been effused and absorbed, b. 12. and the bone has lost substance by suppuration. Contributor and history unknown. 567. The upper half of tbe left fibula, three weeks after fracture in two places. The specimen is transversely fractured b. 13. at the junction of the upper thirds, and obliquely about two inches above that point. There are traces of periostitis, and at the first-named fracture is a spot of local necrosis. Private C S., "B," 7th Maryland: probably South Side Railroad, 1st April; admitted hospital, Washington, 6th; secondary haemorrhages, 10—14th; died from pyaemia, 20th April, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 1071. The shafts of the bones of the left leg. The tibia was roughened, aud about two inehes of the fibula iu the b. 14. middle third was carried away by shell. There was also a bullet wound of the knee. Trismus presented itself a few hours after the injury. Private W. H., "D," 28th Pennsylvania: probably Chancellorsville, 3d May; admitted hospital and died of tetanus, Washington, 7th May, 1863. Contributed by Acting Assistant Surgeon C H. Bowen. See 1069, XIV. A. B. b. 31; 1070, XXII. A. a. a 3; 1068, XXII. A. A. a. 4; 1067, XXV. A B. b. 149. 3769. A portion of the shaft of the right tibia, comminuted longitudinally with death of the parts along the lines of b. 15. fracture, beyond which a small amount of callus has been thrown out. Contributor and history unknown. 624. The left tibia, comminuted for six inches in the middle third. A fragment of a battered conoidal ball is attached b. 16. to the specimen, which shows traces of periosteal inflammation. Private J. W., 103d Pennsylvania. Contributed by Assistant Surgeon S. A. Storrow, U. S. Army. See class XXVII. B. B. d. 3891. The bones of the right leg, with an ununited fracture of the tibia in the middle third. The fibula appears to have b. 17. been contused at the level of the fracture, where there is a necrosed portion of bone, with dead callus above and below. The tibia exhibits a large quantity of callus with caries and necrosis of the shaft. Private S. B. M., "G," 6th Alabama, (Rebel,) 22: Antietam, 17th September, 1862; supposed to have died from exhaustion following hospital gangrene, winter 1862-63. Contributed by Acting Assistant Surgeon North. See class XXIII. A. B. 3776. The lower portions of the right tibia and fibula, fractured and, after some repair by callus, nearly destroyed by b. 18. suppuration. Contributor and history unknown. 558. A portion of the fibula, with much callus, two months after injury. The bone was comminuted at the junction of b. 19. the upper thirds, and the fracture has been bridged over at one border. A. F.: probably Antietam, 17th September; died, Frederick, 20th November, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 1832. The bones of the right leg, with an united fracture of the tibia at the junction of the upper thirds. The tibia has b. 20. been comminuted by gunshot, with the loss of many fragments. There is some necrosis of the extremities and a slight effusion of callus. The fibula is locally necrosed, as if from the lodgement of the missile. After Gettysburg. 317. The bones of the left leg, ununited, after fracture in the middle third. A little callus has been thrown out about b. 21. the transverse fracture of the fibula. The tibia is comminuted, with death of the larger fragments and a slight effusion of callus. Contributed, without history, by Surgeon J. E. Summers, U. S. Army. 48 378 CATALOGUE OF THE SURGICAL SECTION XV. 3336. The bones of the left leg, two and a half months after injury. The fibula was fractured in the upper third with b. 22. loss of an inch and a half. The extremities support fringes of callus. The tibia is denuded of periosteum, although it was not touched by the bullet. Private N. McN., "A," 70th New York: Spottsylvania, 12th May; admitted hospital, Washington, 29th May; died, 30th July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. 1249. The upper halves of the bones of the right leg. The tibia was extensively comminuted in the upper third by a b. 23. battered conoidal ball which was found, post mortem, to have compressed the lacerated posterior tibial vessels. The fibula is transversely fractured, as if by the weight of the body. Private G. F. S., "A," 6th Maine, 30: Chancellorsville, 3d May; admitted hospital, Washington, in no condition for operation, 8th; died from exhaustion with gangrene, 16th May, 1863. Contributed by Assistant Surgeon W. Thomson, U S. Army. See classes Will. A. B.; XXVII. B. B. d. 1936. The lower thirds of the bones of the left leg, four months after injury. The tibia was fractured by a conoidal ball. b. 24. Caries has invaded the shaft to a considerable degree, and a large portion is lost by suppuration. A largo deposit of callus has occurred, and the bone is united on its external aspect. A sequestrum yet remains attached. Private W. S., "K," 1st Louisiana, (Rebel,) 18: Gettysburg, 2d July; died, 3d November, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. 1973. The right tibia, four months after perforation, without complete fracture, in the upper third by a conoidal ball. b. 25. The bone gradually became carious and exfoliating. The callus, which was thinly deposited over the shaft for six inches, became diseased on the posterior surface. Private F. M., "D," 146th New York, 21: Gettysburg, 2d July; died from exhaustion, 30th October, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. 1270. The bones of the left leg, with severe ununited fracture in the upper third. The missile, a much battered conoidal b. 26. ball, is lodged in the bone, which has made no effort at repair. M. S. Contributed by Assistant Surgeon D. H. Strickland, 111th Pennsylvania. See class XXVII. B. B. d. 2138. The left tibia and fibula, shattered in their upper thirds. There is an abundant deposit of callus, without union, in b. 27. the fibula. On the tibia callus is less marked, and there is great loss of tissue by suppuration. Contributed, without history, by Surgeon I. Moses, U. S. Vols. 1018. The upper portion of the left fibula, consolidated by callus three months after fracture. The posterior tibial was b. 28. obliterated by the injury. Corporal F. D., "B," 81st Ohio: Corinth, 3d October; admitted hospital, St. Louis, 30th November, 1862; died from pyaemia, 14th January, 1863. Contributed by Surgeon John T- Hodgen, U. S. Vols. 3549. The upper halves of the bones of both legs, with each tibia shattered in its upper third. Incipient necrosis is the b. 29. only observable change. Private J. G. M., "D," 17th Maine: Wilderness, 5th May ; treated at Frederickburg, and admitted hospital, Washington, 25th May; died, exhausted, 31st May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1613. The upper third of the right tibia, four weeks after comminution on its posterior aspect by an explosive ball. b. 30. Superficial necrosis occurs around the injury. Sergeant J. L. F, 9th Massachusetts Battery: probably Gettysburg; died from pyaemia, Baltimore, 28th July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 1803. The left tibia, shattered in the upper third without injury to the fibula. The broken extremities are carious, and b. 31. a part of the substance must have been absorbed. Received afier Gettysburg. 4207. The bones of the right leg, with the tibia obliquely fractured, with comminution, in the upper third by a conoidal b. 32. ball. The fragments in position are superficially necrosed. Second Lieutenant W .H .G., 24th Georgia, (Rebel,) 27: Farmville, Va., 6th April; died with pyaemic symptoms, Baltimore, 7th May, 1865. Contributed by Acting Assistant Surgeon W. G. Knowles. A. B OF THE UNITED STATES ARMY MEDICAL MUSEUM. 379 652. The upper halves of the bones of the right leg, with an oblique and somewhat comminuted fracture of the tibia. b. 33. There is no pathological change noticeable, except traces of periostitis. Private J. B. H., "B," 142d Pennsylvania: Fredericksburg, 13th December; admitted hospital, Washington, 23d December, 1862. Contributed by Surgeon Thomas Antisell, U. S. Vols. 866. The lower halves of the bones of the left leg, with the fibula perforated just above the malleolus by a conoidal b. 34. ball that lodged in the tibia. There is some displacement of the fractured fibula, and its fragments are necrosed, as are the broken borders of the tibia. An oblique partial fracture extends upward several inches on the shaft of the tibia, and periosteal disturbance is observable the entire extent of the specimen in the fibula. Private C F., "B," 14th U. S. Infantry, 22: Gettysburg, 2d July ; admitted hospital, Philadelphia, 13th; died of tetanus, 18th July, 1863. The posterior tibial nerve was lacerated. Amputation was not advisable at any time after the appearance of the disease. Contributed by Acting Assistant Surgeon H. C. Yarrow. 1200. The bones of the left leg, with a fracture in the upper third of the tibia partially united posteriorly. A portion b. 35. of the effused callus has been absorbed, the inner surface of the fracture is carious and, unless amputation iu the thigh was performed, the man died from exhaustion. Contributor and history unknown. 1812. The bones of the left leg, with an ununited fracture in the upper third of the tibia. There has been slight perios- b. 36. teal inflammation, but no effective deposit of callus. The chief beauty of the specimen is a well-defined and narrow line of necrosis bordering the fracture its entire course. Contributor and history unknown. 2342. The two upper thirds of the bones of the right leg. The tibia is fractured, with longitudinal splintering in the b. 37. upper third. Below the point of injury are traces of old and decided periostitis, and the fibula, which is not fractured, is well marked in the same manner throughout the specimen [syphilitic periostitis?]. There is no known history. Contributed by Assistant Surgeon B. Stone, U. S. Vols. See class XV. C 3945. The bones of the right leg, one month after injury. The tibia is shattered and the fibula transversely fractured b. 38. (as if consecutively) in the upper third. The tibia is slightly necrosed. Corporal S., " D," 9th New York Heavy Artillery: Monocaey, 9th July ; died, Frederick, llth August, 1864. Contributed by Acting Assistant Surgeon J. C Shimer. 1545. The greater portions of the bones of the left leg. The tibia is obliquely comminuted and the fibula transversely b. 39. fractured in their upper thirds. Death occurred from pyaemia, leaving little pathological change in tbe specimen. Contributed by Surgeon R. Thomain, 26th New York. 1894. The bones of the left leg, fractured with comminution in the upper thirds. The parts about the fracture are b. 40. necrosed, beyond which there is some deposit of callus. Received after Gettysburg. 708. The upper portions of the left tibia and fibula. The tibia is comminuted by a conoidal ball in the upper third b. 41. and the lower fragment is necrosed. The fibula has been sawn near the junction of the upper third and in the specimen is not fractured. Private B B., "C,"7th New Jersey: Fredericksburg, 14th December; admitted hospital much prostrated, Washington, 25th December, 1862; died, 12th January, 1863. Contributed by Medical Cadet Kingston. 2060. The bones of the left leg, two months after injury. The tibia was perforated and the fibula fractured in the b. 42. upper third. There has been a slight deposit of callus and great suppuration. Private L. B. McG., " H," 28th North Carolina (Rebel): Gettysburg, 3d July; died from secondary haemorrhage, Chester, Penna., 5th September, 1863. Contributed by Acting Assistant Surgeon J. Moore. 3392. The bones of the right leg, twenty-four days after injury. The tibia was perforated by a rifle ball in the upper b. 43. third and fractured nearly its entire extent. Private J. R., "B," 79th Illinois: Resaca, Ga., 10th May; admitted hospital, Chattanooga, 2d July; died 4th July, 1864. Contributed by Assistant Surgeon C. C Byrne, U. S. Army. 1804. Both bones of the right leg, fractured with comminution iu the upper thirds. Necrosed fragments are about to b. 44. separate, and there is a slight effusion of callus. Received after Gettysburg. 380 CATALOGUE OF TPIE SURGICAL SECTION XV. 1785. The bones of the left leg, with the tibia shattered in its upper third. A few pieces of dead bone are entangled in b. 45. the scanty callus that has been deposited. Contributor and history unknown. 518. The upper third of the bones of the left leg, with the tibia very badly shattered and the fragments necrosed. b. 46. Contributed by Assistant Surgeon C. H. Alden, U. S. Army. 3735. The shaft of the left tibia, two and a half months after injury. The specimen shows a transverse fracture in the b. 47. middle third with thorough necrosis. A moderate involucrum that has formed has been nearly destroyed by suppuration. Private J. P., "G," 9th New York Heavy Artillery: probably Cedar Creek, Va., 19th October; admitted hospital, Balti- more, 24th October, 1864; died from exhaustion following gangrene and secondary haemorrhage, 4th January, 1865. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See class XXIII. A. B. 3393. A portion of the left tibia, three months after injury. The bono was fractured in the middle third and has firmly b. 48. united. There are a few carious points near the fracture. Erysipelas occurred in the course of the case, and the knee became inflamed and suppurated. Private R. H. B., "I," 38th Alabama, (Rebel,) 34: Missionary Ridge, 25th November, 1863; died from exhaustion, Chattanooga, 2d March, 1864. Contributed by Acting Assistant Surgeon C E. Ball. See classes XIV. A. B. c; XXIII. A. A. 1313. A fragment, four inches by three-fourths of an inch in its greatest dimensions,, believed to belong to a tibia with b. 49. a compound fracture. Contributed by Assistant Surgeon J. A. Freeman, 13th New Jersey. 1444. The right tibia, seven months after transverse perforation just below the head. A large quantity of callus has b. 50. been deposited on the outside of the bone, and the cavity of passage is enlarged by ulceration. The lower portion of the specimen is superficially necrosed. Private J. W. S., "K," 48th North Carolina, (Rebel,) 23r. Hatcher's Run, Va., 31st March; died from exhaustion, Washington, 1st October, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 284. The bones of the right leg, fractured with comminution just below their heads. Callus has been effused, but no b. 51. union has taken place, except to a slight degree on the posterior surface of the tibia. There are several pieces of necrosed bone entangled. Contributed by Surgeon T. H. Squire, 89th New York. 377. The upper portion of the bones of the right leg, with the tibia perforated just below the head by a bullet which b. 52. has grazed the fibula. The wound of exit, on the other side of the tibia, is surrrounded by a deposit of callus embracing a slight exfoliation. Contributed by Surgeon H. S. Hewit, U. S. Vols. 316. The upper halves of the bones of the right leg, transversely perforated, with longitudinal fissuring, by a conoidal b. 53. ball just below the knee. Contributed by Acting Assistant Surgeon H. J. Bigelow. 1527. A portion of the shaft of the tibia,, with a moderate deposit of callus, after fracture, near one extremity, which is b. 54. necrosed. Contributor and history unknown. 3591. The upper portions of the bones of the left leg, with the head of the fibula carried away by a conoidal ball. b. 55. Private E. D. L., "D," 17th Vermont, 19: Petersburg, 30th July; admitted hospital, Washington, 3d August; died from pyaemia, 21st August, 1864. The knee wets not directly involved. Contributed by Assistant Surgeon W. Thomson, U. 8 Army. 2184. The bones of the left leg, thirteen and a half months after injury. The tibia was fractured at the junction of b. 56. the upper thirds, with the loss of an inch and a half. The upper fragment rotated upon itself and dislocated the fibula, to which there was union at one point. Great suppuration of bone substance has occurred, and the kuee appears involved. Very numerous abscesses occupied the limb. Private J. G., "D," 39th North Carolina (Rebel): Murfreesboro', Tenn , 31st December, 1862; remained in hospital there until removed to Nashville, 1st August, 1863; died from exhaustion with pulmonary complications, 15th February, 1864. Contributed by Acting Assistant Surgeon R. T. Higgins. See class XIV. A. B. c. A. 13. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 381 2633. The bones of the right leg, seventy-one days after injury. The specimen shows the fibula partially fractured and b. 57. the tibia shattered in the middle thirds. One month after injury phagedaena appeared, lasting, without pyaemia, until death. A portion of the bone is blackened, possibly by the treatment employed. The parts about the injury are thoroughly necrosed and a deposit of callus occurred beyond. The medulla above the wound was acutely inflamed. Musician G. H. P., "E,"60th Ohio, 14: Weldon R. R., 6th July; admitted hospital, near Alexandria, 24th July; died, 26th September, 1864. Bromine was used. Contributed by Assistant Surgeon H. Allen, U. S. Army. 1372. The upper halves of the bones of the left leg, seven weeks after injury. The fibula is fractured at the junction b. 58. of the upper thirds and no attempt has been made at repair. The tibia is extensively necrosed on its entire surface. The knee became secondarily involved. Private D. M., "E," 1st Michigan, 19: probably South Side R. R., 1st April; admitted hospital, Washington, 6th April; died from pyaemia, 17th May, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. See class XIV. A. B. c. 3502. The lower halves of the bones of the right leg. The tibia has been fractured by gunshot and united at one or two b. 59. points. The greater volume of the bone has been destroyed by suppuration. Received, without history, from Cumberland Hospital. 3746. The lower halves of the bones of the left leg. The tibia has been fractured in the lowest third. A very extensive b. 60. amount of callus has been deposited, and the remains of a sequestrum in the carious chamber may be seen through the cloacae. History and contributor unknown. For other illustrations, see 2055, XIV. A. B. c. 14; 719, XIV. A. B. c. 18; 1940, XIV. A. b. c. 19; 3575 XIV. A B. c 20; 1972, XIV. A. B. c. 21; 493, XVI. A. B. b. 7. c. Excisions. 1193. The head of the fibula, fractured, partly consolidated and excised. c. 1. Private M. C, "G," 1st Michigan: Second Bull Run, 30th August, 1862; excised by Surgeon D. P. Smith, U. S. Vols., Alexandria, 17th March, 1863. Discharged the service with anchylosed knee. Contributed by the operator. 1109. The head and one inch of the shaft of the left fibula, excised four and a half months after injury for caries. c. 2. Private T. F. H., "G," 15th Massachusetts : Antietam, 17th September, 1862 ; excised by Surgeon S. D. Freeman, U. S. Vols., Baltimore, 20th February, 1863; discharged, 4th February, 1864. Contributed by Acting Assistant Surgeon T. Artaud. 11 lO. Three and a half inches of the upper third of the left fibula, excised. The specimen encloses a bony sequestrum, c. 3. and presents at one part the appearance of a united fracture. Private W. P., " C," 8th Pennsylvania: Gaines' Mills, Va., 27th June, 1862 ; excised by Acting Assistant Surgeon T. Artaud, Baltimore, 2d February, 1863. Contributed by the operator. 3269. The bones of the right knee, with four inches of the upper portion of the fibula, excised for fracture involving c. 4. the heads of both leg bones. Private J. B , "K," 170th New York, 44: admitted hospital, Washington, 28th August; gangrene occurred, 9th September; excision made by Acting Assistant Surgeon W. H. Ensign, 12th; posterior tibial ligated for secondary haemoirhage by Surgeon N. R. Mosely, U. S. Vols., 18th; femur amputated in the lowest third, 18th; died, 21st September, 1864. Contributed by Acting Assistant Surgeon H. G. Bates. See 3250, XV. A. B. e. 3. See classes XV. A. B. d.; XXII. A. B. 583. i£^_ Four inches of the shaft of the fibula,^shattered by gunshot and apparently excised. c. 5. Contributed, without history, by Surgeon H. Bryant, U. S. Vols. 1326. Two seetions of the fibula, being, with the];comminuted portions, six and a half inches, excised for .shattering by c. 6. gunshot. Private M. H. C, "H," 23d Massachusetts: wounded, 15th December; excised by Surgeon C A C< wgill, II. S. Vols., Newbern, N. C, 26th December, 1862. " Recovered pleasantly." Contributed by the operator. 382 CATALOGUE OF THE SURGICAL SECTION XV. 675. Two and a half inches of the tibia, excised. c. 7. Contributed by Acting Assistant Surgeon McGuigan. 2551. The bones of the right leg, with two inches of the shaft of the tibia in the n iddle third missing, supposed to C. 8. have been excised for fracture. Much of Ihe til ia is necrosed. M. G. Contributor aud history unknown. 3337. The bones of the right leg, with two and a half inches of the middle third of the tibia, excised. The specimen c. 9. shows the bone have died for an inch on each side of the excision. Private N. B., "I," 155th Pennsylvania: Petersburg, 19th June; excised by Surgeon Reed, 155th Pennsyl vania, 21st; admitted hospital, Alexandria, 28th June; gangrene appeared, 14th July; amputated in the middle third ol thigh, 19th; died, 21st July, 1864. Contributed by Surgeon E Bentley, U. S. Vols. See classes XV. A. B. d.; XXIII. A. B. 3367. Three and a half inches of the shaft of the left tibia, excised one month after injury. The specimen, which is c. 10. much necrosed, shows an abortive attempt at repair. Sergeant J. H. B., 94th Ohio, 21: Resaca, Ga., 14th May; admitted hospital, Nashville, 27th May; excision made, 13th June; died from pyaemia, 23d June, 1864. Contributed by Surgeon R. L. Stanford, U. S. Vols. 2148. Three inches of the fragments of the middle third of the right tibia, removed for gunshot fracture, the fibula being C. 11. uninjured. Private S. H., "H," 2d Kentucky: Chickamauga, 19th September; excised by Surgeon I. Moses, U. S. Vols., 29th September; removed to Murfreesboro', November, 1863; progressed favorably, and " was furloughed with a good leg," January, 1864. Contributed by the operator. See 2149, XV. A. B. c. 12. 2119. Four inches of fragments, from the left tibia. C. 12. Private L. M., "F," 21st Illinois: wounded at the same time and in the same manner, treated in the same way, and furloughed on the same date, with equally serviceable log as (2148) preceding case. Contributed by the operator. See 2148, XV. A. B c. 11. 1283. Four inches of the necrosed and fractured shaft of the tibia, excised. C. 13. Contributed by Assistant Surgeon J A. Freeman, 13th New Jersey. 2940. Five inches of the upper third of the left tibia, excised for gunshot fracture. There is superficial necrosis. C. 14. Corporal W.N. E., "E," 1st Pennsylvania Cavalry, 24: White House, Va., 21st June; admitted hospital, Washington, 25th June; excised, 6th July; died from pyaemia, 23d July, 1864. Contributed by Surgeon O. A. Judson, U. S. Vols. 2958. Five inches of the shaft of the left tibia, badly comminuted by a conoidal ball and excised. c. 15. Private H. G., 116th New York, 24: Port Hudson, La., 27th May; admitted hospital, Now Orleans, 30th May; excised by Assistant Surgeon P. S. Conner, U. S. Army, June; died from diarrhoea, 14th August, 1863. Contributed by the operator. See 2956, XV. A. B. c. 16. 2956. The bones of the left leg, from which five inches of the tibia In the middle and lower thirds have been excised for c. 16. fracture by a conoidal ball. The specimen shows the extent of repair that existed two months later, when the patient died from diarrhoea. The extremity of the lower fragment is carious, and a spur from the upper projects three inches downward. The face of the fibula is involved with callus. Private H. G., 116th New York, 24: Port Hudson, La., 27th May; admitted hospital, New Oilcans, 30th May ; excision by Assistant Surgeon P. S. Conner, U. S. Army, June; died from diarrhoea, 14th August, 1863, Contributed by the operator. See 2958, XV. A. F. c. 15. 4101. Fragments of the left tibia, six inches in length, removed by excision on account of fracture. The fibula was also c. 17. fractured. Private H. M., " H," 4th New York Heavy Artillery : Dinwiddie C. H., Va., 5th April; excised by Surgeon B. A. Vanderkieft, U. S. Vols., Annapolis, 16th April; died, exhausted, 9th May, 1865. Contributed by Ihe operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 383 2108. The two lower thirds of the left tibia and fibula. c. 18. Corporal P. L., " C," 10th Missouri: tibia fractured in its lowest third, Mission Ridge, 25th November, and two and a"half inches excised that evening; admitted, with no attempt at repair, Field Hospital, Chattanooga, (?) 20th December, 1863; amputated in upper third on account of secondary haemorrhage from posterior tibial, by Assistant Surgeon R. Bartholow, U. S. Army, 10th January; fibula found fractured near its articulation and excised; profuse secondary haemorrhage and commencing gangrene, 16th; secondary "haemorrhage treated with actual cautery, 17th—31st January; amputated in the lowest third of thigh, 2d February, 1864. Contributed by the operator. See classes XV. A. B. d.; XXIII. A. B. 2404. Fragments, representing two inches of the fibula, excised from the lowest third after fracture. c. 19. Private J. K., " I," 150th Pennsylvania: excised by Surgeon W. T. Humphrey, 149th Pennsylvania. Contributed by the operator. 2155. The bones of the right leg, after an excision in the middle third. Both sawn ends of the tibia are diseased, and the c. 20. callus that was deposited has been partially absorbed. Extensive ulceration occupied the whole leg when first admitted to hospital, Baltimore. Previous history unknown. Private D. A. H., "C," 2d Massachusetts, 25: Gettysburg, 2d July; excision performed at period unknown; admitted hospital, Baltimore, nearly moribund, 19th November; amputated in the upper third, 16th December, 1863. Recovered. Contributed by Surgeon C W. Jones, U. S. Vols. See class XV. A. B. d. 555. Four inches of the shaft of the left tibia, obliquely fractured, with comminution, in the upper third and successfully c. 21. excised. There is some periosteal thickening, but consolidation could not have occurred. Corporal J. D., "D," 56th Pennsylvania, 23: Second Bull Run, 28th August; admitted hospital, Washington, 1st September ; excised, 4th October, 1862; reported healed and fit for discharge, 1st May, 1864. Contributed by Surgeon Joseph R. Smith, U. S. Army. d. Amputated Fractures. 590. The lower extremity of the right tibia, partially fractured just above the maleolus. d. 1. Private G. F. McG., " I," 57th New York : amputated in the lowest third by Assistant Surgeon G. M. McGill, U. S. Army. Contributed by the operator. 527. The lower halves of the left tibia and fibula, amputated. The fibula is comminuted just above the malleolus by a d. 2. shot evidently directly from without, which has made an indented and partial fracture of the tibia. Contributed by Assistant Surgeon W. Moss, U. S. Vols. 2527. The lower halves of the right leg bones, from a young subject. The fibula has been shattered about two inches d. 3. above the joint, and the tibia grooved and partially fractured, apparently, by a fragment of shell. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 38. The lower halves of the bones of the right leg, with the fibula transversely fractured and the tibia shattered by a d. 4. round ball which lodged about three inches above the joint. Corporal J. L. G., "A," 66th Ohio: Slaughter Mountain, Va., 9th August; admitted hospital, Alexandria, 12th; amputated in the middle third by Assistant Surgeon J. B. Brinton, U. S. Army, 15th August, 1862. Contributed by the operator. See class XXVII. B. B. d. 2485. The bones of the right leg, amputated in the middle for a comminuted fiacture of the tibia in the lowest third. d. 5. Sergeant G. B. C, "H," llth Connecticut: amputated by Surgeon N. R. Mosely, U. S. Vols., 10th June; died from secondary haemorrhage, 13th June, 1864. Contributed by the operator. 3941. The lower halves of the bones of the right leg, fractured, with moderate comminution, in the lowest third by a d. 6. conoidal ball. Private S. B., "I," 14th New Jersey, 18: Monocaey, 9th July; amputated, Frederick, 28th July; died, 24th August, 1864. Contributed by Acting Assistant Surgeon G. M. Paullin. 384 CATALOGUE OF THE SURGICAL SECTION XV. 2793. The lower portion of the left tibia, necrosed for several inches and having a thin coating of osseous matter above d. 7. the seat of injury. Private J. G., " K," 131st New York, 53: thirty years before, this man was injured in the United States service in Florida, and the wound has broken out at intervals subsequently; early in 1863 he injured the same spot by falling from a street car; from this and intemperate habits a large sloughing ulcer with necrosis of tibia occurred; admitted hospital, Philadelphia, 17th March; amputated in middle third by Surgeon J. J. Reese, U. S. Vols., April, 1863. Recovered, Contributed by the operator. See classes XV. A. B. a.: XV. B. B. d. 1599. The lowest thirds of the left tibia and fibula, four months after injury. The bones were accidentally fractured by d. 8. a carbine ball about two inches above the ankle. The specimen shows slight irregular union, with considerable loss of substance, probably due to the scrofulous constitution of the subject. Private W. S., "F," 1st Florida Cavalry, 19: Montgomery, Alabama, 6th May; admitted hospital, Mobile, 26th August; amputated in the middle third, 30th August, 1865. Contributed by Surgeon Samuel Kneeland, U S. Vols. 3382. A portion of the right tibia, three weeks after injury. A battered conoidal ball, which has longitudinally fractured d. 9. the bone, is lodged in the lowest third. Private W. N., "H," 20th Illinois: Kenesaw Mountain, Ga., 17th June; admitted hospital, Rome, 27th June; amputated in the middle third of the leg for secondary haemorrhage by Surgeon G. F. French, U. S. Vols., 6th July; died from exhaustion, 19th August, 1864. Contributed by the operator. See class XXVII. B. B. d. 195. The lower half of the left fibula, amputated six weeks after fracture by a conoidal ball. There is no attempt at d. 10. repair and the extremities are necrosed. Sergeant D. B., "K," 93d Pennsylvania, 19:' Petersburg, 25th March; admitted hospital, Washington, 2d April; amputated by Acting Assistant Surgeon H. Craft, 6th May; died from pyaemia, 15th May, 1865. Contributed by Assistant Surgeon H. Allen, U. S. Army. 3647. The lower portions of the bones of the left leg. The tibia was nearly entirely fractured by a conoidal ball in the d. 11. lowest third. The specimen shows some deposit of callus around the orifice, and an extensive loss of substance iu the body of the bone, which is carious. Sergeant J. C. S., " F," 1st Rhode Island Artillery : Petersburg, 10th August; amputated in the middle third, Philadelphia, 28th September; died, 7th October, 1864. Contributed by Acting Assistant Surgeon G. P. Sargent. 3707. The bones of the right leg, ten days after injury. The tibia was shattered in the lowest third d. 12. of callus has taken place, but incipient necrosis is seen. Private C, "B,"I0th Connecticut: Deep Bottom, Va., 16th August; amputated in the middle third of the leg, Beverly, N. J., 26th August; died, llth September, 1864. Contributed by Assistant Surgeon C Wagner, U. S. Army. 3395. The lower half of the left tibia, amputated for an oblique fracture with splintering, but d. 13. without displacement, in the lowest third. Private J. M. W., "C," 97th Ohio, 30: Dallas, Ga., 26th May; admitted hospital, Chatta- nooga, 6th June; amputated; transferred to Nashville, 24th June; discharged, 12th November, 1864. Contributed by Assistant Surgeon C C Byrne, U. S. Army. 481. The lower portions of the bones of the right leg, ten and a half months after injury. d. 14. The tibia was perforated three inches above the ankle by a conoidal ball. Much suppura- tion has created a large cavity in the bone, which is increased by the external deposit of callus. See figure 128. Private E. C, "A," 3d Mississippi, (Rebel,) 22: Peach Tree Creek, Ga., 20th July, 1864 ; admitted hospital, Mobile, 7th June; amputated in the middle third, 8th June; discharged, healed, 8th July, 1865 Contributed by Surgeon S. Kneeland, U. S. Vols. No effusion Fig. 128. Bones of left leg ten and a half months after fracture. SpecASl. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 385 2594. The bones of the right leg, seven months after injury. Both bones were d. 15. fractured in the lowest third. The fibula is firmly consolidated. Much callus has been effused about the tibia, but caries has prevented firm union. See figure 129. Private W. H.H., "D," 18th Massachusetts: Fredericksburg, 13th December, 1862; amputated in the middle third by Assistant Surgeon C R. Greenleaf, U. S. Army, Philadelphia, July, 1863. Recovered. Contributed by the operator. 3603. The right tibia, comminuted in the middle third by a glancing ball without d. 16. injury of the fibula. See ./J^wre 130. Brigadier General F., U. S. Vols.: amputated below the knee by Professor F. Bacon, eight days after injury. Recovered. Contributed by the operator. 2475. Portions of the bones of the right leg, shattered by a conoidal ball which d. 17. entered the lowest fourth of the thigh and passed downward. Private M. S., "C," 7th New York Heavy Artillery: wounded, 21st May; admitted hospital, Washington, 26th May; amputated in the upper third of the leg by Acting Assistant Surgeon Nelson, 6th June; died, llth June, 1864. Contributed by Surgeon G. L. Pancoast, U. S Vols. Fig. 129. Bones of right leg seven months after fracture. Spec. 2594. 2585. The middle third of the left tibia, obliquely fraetured by a conoidal ball and d. 18. amputated in the upper third. Private A. B. C, " H," 58th Massachusetts, 18: Cold Harbor, 7th June; admitted hospital,Wash- ington, 15th June, 1864 ; amputated by Acting Assistant Surgeon Nelson. Died. Contributed by the operator. Pig. 130. Tibia, ampututed for fracture in middle third. Spec. 3603. 2807. The two lower thirds of the bones of the left leg, amputated for very extensive fracture of the shaft of the tibia. d. 19. Private H. K. D , " K," 44th New York, 22: Petersburg, 22d June; admitted hospital, 2d July; amputated by Assistant Surgeon A. Delany, U. S. Vols., 6th July, 1864 ; discharged the service, 18th March, 1865. Contributed by the operator. 1271. The greater portion of the right tibia and lower portion of the fibula, shattered at the junction of the lower thirds d. 20. "by conoidal (?) ball and buckshot." Private M. B., '• C," 149th New York: Chancellorsville, 3d May; admitted Field Hospital, 14th; amputated below the knee by Assistant Surgeon D. H. Strickland, 111th Pennsylvania, 16th May, 1863. Recovered. Contributed by the operator. 2716. The bones of the right leg, after amputation in the upper third. The lowest third of the tibia is nearly transversely d. 21. fractured, and the injury is complicated with longitudinal fractures that give it the " broken willow" appearance. These longitudinal fractures communicate with an oblique fracture near the middle of the specimen. Incipient death of the bone is traced near the line of injury. Private J. L. B., "K," 4th South Carolina, (Rebel,) 21 : Mechanicsville, 30th May; amputated, Washington, 29th Jure; died, 2d July, 1865. Contributed by Acting Assistant Surgeon T. L. Leavitt. 3926. Tbe two lower thirds of the bones of the left leg, with the tibia shattered by a conoidal ball and the fibula d. 22. transversely fractured in their lowest thirds. Lieutenant Colonel E. T , 9th New York Heavy Artillery, 32: Monocaey Junction, 9th July; amputated in the upper third for secondary haemorrhage by Assistant Surgeon R. F. Weir, U. S. Army, 22d July; received leave of absence, stump nearly healed, 7th September, 1864. Never afterward reported to hospital. Contributed by the operator. 634. The shaft of the right tibia, comminuted in the middle third by a conoidal ball. There is very little displacement d. 23. of fragments as seen in the specimen, but, post mortem, it was found that a spicula had been driven into the anterior tibial aitery. Private E. W., "F," 136th Pennsylvania, 45: Fredericksburg, 13th December; admitted hospital, Washington, 21st; amputated in the upper third for obstinate secondary haemorrhage, 28th December, 1862; died after recurring haemorrhage, 1st January, 1863 Contributed by Surgeon O. A. Judson, U. S. Vols. 4!) 386 CATALOGUE OF THE SURGICAL SECTION XV. 117. The bones of the left leg, six and a half months after injury. The tibia was fractured in the middle third. No d. 24. union has taken place, and the specimen shows ulcerative action. Erysipelas at one time supervened. Private W. C. B., "K," 93d Ohio, 23: Chickamauga, 20th September, 1863; admitted hospital, Louisville, 25th February ; amputated, 12th April, 1864. Recovered. Contributed by Assistant Surgeon B. E. Fryer, U. S. Army. See class XXVII. A. A. 22. The right tibia, shattered in the lowest third by a musket ball and amputated below the knee. Incipient necrosis d. 25. can be seen. Private G, "D,"69th New York: Malvern Hill, 1st July; amputated, Washington, 18th July; transferred in good condition from Judiciary Square Hospital, 29th October, 1862. Contributor and further history unknown. 4100. The lower portions of the bones of the left leg, after amputation below the knee for comminution in the lower d. 26. thirds. . The fibula is transversely broken with moderate loss. Nearly two inches of the tibia is missing. Private E. C, "D," 2d Connecticut Heavy Artillery: Chapman's Farm, Va., 6th April; amputated by Surgeon B. A. Vanderkieft, U. S. Vols., Annapolis, 18th April, 1865. Contributed by the operator. 345. The two lower thirds of the right tibia, comminuted extensively in the middle third. A good illustration of the d. 27. effect of a conoidal musket ball fairly striking the shaft of a long bone. Private A. J.: amputated below the knee. Contributed, without history, by Assistant Surgeon J. W. S. Gouley, U. S. Army. 7. The bones of the left leg, amputated eight weeks after injury. The fibula was fractured in the middle third and d. 28. callus thrown out without union. The tibia was necrosed in a small space, around which callus was thrown out, uniting with the free extremity of the fibula. Private W. J., "K," 2d Florida, (Rebel,) 25: Williamsburg, 5th May; admitted hospital, Washington, 16th May; erysipelas occurred, 1st June ; limb amputated in the upper third, 28th June; died, 6th July, 1862. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. See class XXIII. A. A. 2472. The right tibia, extensively comminuted, and the fibula, transversely fractured in the lowest third by a conoidal d. 29. ball entering the tibial side. Private D. H., "H," 170th New York : wounded, 24th May ; admitted hospital, Washington, 29th ; amputated in the upper third by Acting Assistant Surgeon Ottman, 30th May ; died, 26th June, 1864. Contributed by Surgeon G. L. Pancoast, U. S. Vols. 1542. The bones of the right leg, thirteen days after injury. The tibia is shattered in the upper third. The specimen d. 30. shows a decided effort of nature to throw off the dead bone. Amputation was performed below the knee. Recovered. Contributed by Surgeon R. Thomain, 29th New York. 585. The shaft of the tibia, longitudinally fractured, with comminution in the middle third, amputated in the upper d. 31. third. Private W. S., " I," 1st Pennsylvania Rifles : Fredericksburg, 13th December ; amputated by Surgeon H. Bryant, U. S. Vols., Washington, 25th December, 1862. Contributed by tbe operator. 3476. The bones of the left leg, six weeks after injury. The tibia was shattered just below the head and is carious. d. 32. Private J. L. B., "I," 14th New York, 22: Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 25th October; amputated in the lowest third of the thigh by Acting Assistant Surgeon A. W. Emory, 29th November, 1864; discharged, 10th April, 1865. Contributed by Surgeon T. Sim, U. S. Vols. 2587. A part of the right tibia, sixteen days after injury. The specimen is fractured in the upper third and exhibits d. 33. well-marked necrosis. Private A. R., "C," 100th Pennsylvania: wounded, 4th June; admitted hospital, Washington, 15th; amputated in the upper third by Surgeon G. L. Pancoast, U. S. Vols., 20th June, 1864. Contributed by the operator. 2067. The two lower thirds of the bones of the left, leg, five months after injury. The tibia was partially fractured in d. 34. the lowest third. Callus has nearly repaired the injury, leaving, however, a sinus iu the bune. Private S. R. T., " G," 89th New York : Antietam, 17th September, 1862; amputated in the upper third, Chester, Penna., 15th February, 1863. Contributed by Acting Assistant Surgeon L. Fisher. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 387 212. The bones of the right leg, amputated in the upper third on account of gangrene following a contusion of the d. 35. tibia by shell in the middle third. The periosteum was denuded for several inches. Private J. D., " F," 17th Michigan: probably South Mountain or Antietam; admitted hospital, Washington, 13th October; amputated by Acting Assistant Surgeon L. Heard, 21st October, 1862. Recovered. Contributed by the operator. See class XV. A. B. a. 2888. The right tibia and fibula, amputated in the upper third for a double transverse fracture of the fibula aud very d. 36. oblique comminution of the tibia in the lowest third. Private G. K., "D," 98th Pennsylvania, 50: near Washington, llth July; admitted hospital, 12th; amputated, 20th July, 1864. Contributed by Acting Assistant Surgeon W. H. Randolph. 3316. The bones of the right leg, about two and a half months after injury. The tibia was partially fractured, and the d. 37. greater portion of the shaft was necrosed at the time of amputation. Sergeant A. C B., "G," 13th Pennsylvania Cavalry, 36: admitted hospital, Washington, 17th August; amputated in the upper third by Surgeon N. R. Mosely, U. S. Vols., 20th October; died, 29th October, 1864. Contributed by Acting Assistant Surgeon J. E. Jandrin. 1920. The left tibia, six weeks after contusion by a conoidal ball on the middle third of the anterior border. The bone d. 38. is thoroughly denuded of periosteum and is necrosed in its greatest extent. Private G. W., " B," 1st Ohio Artillery, 20: Chickamauga, 20th September; amputated below the knee, Nashville, 6th November; died, 7th November, 1863. Contributed by Acting Assistant Surgeon M. L. Herr. See class XV. A. B. a. 321. The left tibia, sixteen days after fracture in the middle third by a conoidal ball. Periostitis involved the shaft d. 39. with a delicate coating of callus. Private J. N. C, "K," 46th Pennsylvania: Cedar Mountain, 9th August; admitted hospital, Alexandria; ampu- tated below the knee by Acting Assistant Surgeon S. E. Fuller, 27th August; erysipelas followed; secondary haemorrhage, 16th September; died, 19th September, 1862. Contributed by the operator. 3389. The shaft of the right tibia, with an extensive longitudinal fracture by shell, which also denuded the fibula of d. 40. periosteum. Private T. C E., "E,"31st Ohio, 18: Marietta, Ga., 22d June; admitted hospital, Chattanooga, 29th Jnne; amputated in the upper third, 8th July ; died, exhausted, 1st August, 1864. Received from General Field Hospital, Chattanooga. 2058. The bones of the left leg, one month after injury* The tibia was shattered at the junction of the lower thirds d. 41. and is necrosed without union. Private W. A. F., "A," 55th North Carolina, (Rebel,) 24: Gettysburg, 1st July; amputated at the knee joint, Chester, Penna., 6th August; died, llth August, 1863. Contributed by Assistant Surgeon B. Stone, U. S. Vols. See class XIV. A. B. e. 2061. The lowest thirds of the bones of the left leg and the foot, one month after injury. The tibia was perforated by a d. 42. conoidal ball just above the ankle, and a small amount of callus surrounds the dead bone retained. The fourth metatarsal bone also is fractured. Private W. W., "D," 52d North Carolina (Rebel): Gettysburg, 3d July; amputated at the knee joint, Chester, 5th August, 1863. Recovered. Contributed by Acting Assistant Surgeon J. A. Draper. See classes XIV. A. B. e.; XVII. A. B. e. 2065. The bones of the right leg, eight and a half months after injury. The tibia is sawn in two longitudinally, d. 43. exhibiting extensive disease of the shaft following a partial fracture in the middle third. Very considerable deposit of spongy callus over the surface of the bone has occurred, and a sequestrum of four inches is found within. Private H. C. P., "B," 12th New York: Gaines' Mill, Va., 27th June, 1862; amputated at the knee joint, Chester, Penna., 14th March, 1863. Recovered. Contributed by Acting Assistant Surgeon J. A. Draper. See class XIV. A. b. e. 388 CATALOGUE OF THE SURGICAL SECTION XV. 2049. The bones of the left leg, two months after injury. The tibia was fractured at the junction of the lower thirds. d. 44. Much of the shaft of the tibia has disappeared under fracture and absorption, and the fibula is thickened by periostitis. Private D. F. A., "C," 55th North Carolina (Rebel): Gettysburg, 1st July; amputated at knee joint, Chester, Penna., 29th August; died, 20th September, 1863. Contributed by Acting Assistant Surgeon Griffith. See class XIV. A. B. e. 205 1. Tbe upper portions of the bones of the left leg, with the tibia shattered. No attempt at repair has been made. d. 45. Sergeant W H., "B," 14th Tennessee (Rebel): Gettysburg, 1st July; amputated at the knee joint, the posterior tibial having ulcerated, Chester, Penna , 25th July; died from exhaustion, 10th August, 1863. Contributed by Acting Assistant Surgeon J. L. Whitaker. Sec class XIV. A. B. e. 2791. The bones of the left leg, one and a half months after injury. The tibia was wounded, without complete fracture, d. 46. and the specimen shows very extensive death of the bone, embracing nearly the entire shaft. Amputation was performed below the knee, but, not clearing the diseased portions, it was immediately repeated. Private G. M. W , "H," 98th Pennsylvania: Gettysburg, 2d July; amputated through the knee joint, Philadelphia, 15th August, 1863. Recovered. Contributed by Acting Assistant Surgeon M. S. Perry. See class XIV. A. B. e. 270. The bones of the left leg, eleven weeks after injury. The tibia was comminuted, without being completely d. 47. fractured, in tbe middle third by a round ball, which is attached. Callus has fastened several of tbe splinters of bone. There, are a few fragments of dead bone remaining. Private S. S., "K," 5th Vermont: wounded, 29th June; admitted hospital, Chester, Penna., 13th August; amputated at knee joint by Acting Assistant Surgeon J. K. Kane, 6th October; died, 9th October, 1862. Contributed by the operator. See classes XIV. A. B. e ; XXVII. B. B. d. 1993. The left tibia, shattered in the upper third by a conoidal ball. There has been loss of substance and some deposit d. 48. of callus. The inner face of the cavity is carious. Private M. II., "A," 18th Connecticut, 18: Winchester, 15th June; admitted hospital, Baltimore, 5th August; amputated in the lowest third of thigh fur suppurative inflammation of the knee, 23d December, 1863; discharged, 15th June, 1864. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See class XIV. A. B. c. 1943. The upper third of the right tibia, shattered by a conoidal ball, three months after inj'ury. There is much loss d. 49. of substance, and a thin layer of callus has been deposited over the fractured parts, which internally are carious. Private C. D. B., " K," 53d Virginia, (Rebel,) 19: Gettysburg, 3d July; tendency to anchylosis, 12th August; knee much inflamed aud thigh amputated in its lowest third, 30th September; died, 3d October, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. See class XV. A. B. c. 444. Portions of the bones of the left leg, with a gunshot fracture through the head of the tibia. The interosseous d. 50. membrane is preserved in this specimen. Private W. H. J., Ashland Artillery (Rebel): Antietam, 17th September; amputated in the lowest third of the thigh by Acting Assistant Surgeon Hines, Frederick, 25th October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 589. The upper halves of the bones of the right leg. The tibia is comminuted in the upper third without complete d. 51. fracture of the shaft, apparently by a nearly spent missile, such as a fragment of shell or grape shot. Private A. A. C, "K," 34th New York: probably Fredericksburg, 13th December; amputated in the thigh by Surgeon H. Bryant, U. S. Vols., Washington, 26th December, 1862; died, 25th January, 1863. Contributed by the operator. See class XV. A. B. a. 1181. The left tibia and fibula, fractured in their upper thirds. Gangrenous inflammation occupied the leg for twenty d. 52. days, until arrested by permanganate of potassa The fractured extremities are necrosed with lines of demarcation beyond which are traces of periosteal inflammation. Private N. A. P., "D," 2d Rhode Island: Fredericksburg, 3d May; admitted hospital, Washington, 8th; amputated above the knee, 29th May, 1863. Contributed by Surgeon J. H. Baxter, U. S. Vols. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 389 917. The upper portions of tho bones of the left leg, three months after injury. A musket ball lodged in the tibia to d. 53. the depth of half an inch, about two inches below the head. Phagedaenic sloughing in the fourth week denuded the tibia for three inches, and it was amputated on account of hospital gangrene. The specimen shows a carious condition at the point of impact, with a slight line of callus on the outer side. Corporal J. C. B., "H," 7th Wisconsin: South Mountain, Md., 14th September; amputated in the thigh by Acting Assistant Surgeon G. W. Corey, Middletown, Md., 8th December, 1862. Recovered. Contributed by tbe operator. See class XV. A. B. a. 2874. The upper thirds of the left fibula, unbroken, and the tibia shattered just below its head. The fragments are d. 54. partly necrosed. Private E. S., "I," 1st Pennsylvania Rifles: admitted hospital, Washington, 24th June; amputated in the lowest third of the thigh by Surgeon N. R. Mosely, U. S. Vols., 15th July, 1864 ; died, exhausted, llth April, 1865. Contributed by Acting Assistant Surgeon R. L. Skinner. 2357. The upper halves of the right tibia and fibula, transversely perforated below their respective heads and amputated d. 55. in the lowest third of the thigh. Private R. E., "B," 1st Michigan Sharpshooters, 28: Wilderness, 12th May; amputated in the lowest third of the thigh by Acting Assistant Surgeon L. C Dodge, Washington, 26th May; died of pyaemia, 6th June, 1864. Contributed by the operator. 732. The bones of the left leg, with the tibia fractured in the upper portion by shell, the fibula not involved. Amputated d. 56. in the thigh at Hilton Head, S. C. Contributed by Assistant Surgeon J. E. Semple, U. S. Army. 3006. The bones of the right knee, with the tibia and fibula perforated just below their heads by a conoidal ball. d. 57. There was very little splintering, and a profusion of callus has been thrown out about the wound, the track of which, however, is carious. Inflammation involving the joint, the thigh was amputated in the lowest third. Private P. C, "E," 88th Illinois, 26: Mission Ridge, 25th November, 1863; admitted hospital, Madison, Ind., 8th April; amputated in the lowest third of the thigh by Surgeon G. Grant, U. S. Vols , May; doing well, 1st August, 1864. For details, see photograph history. Contributed by Acting Assistant Surgeon B. McCluer. See 4628, XXVI. A. 2, 95. See class XIV. A. B. c. 3436. The right tibia, three months after injury. A small segment in the middle third of the anterior border of the d. 58. tibia has been chipped, without splintering, by gunshot. The bone is necrosed nearly its entire length, with slight patches of osseous matter upon the detached periosteum. This case much resembles one of contusion. Sergeant A. H., "M," 2d New York Heavy Artillery, 29: Ream's Station, Va., 25th August; admitted hospital, Wash- ington, 28th August; gangrene from 12th to 20th September; thigh amputated in the lowest third by Acting Assistant Surgeon W. H. Ensign, 21st November, 1864. Recovered. Contributed by the operator. See classes XV. A. B. a.; XXIII. A. B. 2924. The left tibia, two months after injury. The bono was shattered just below the head by a conoidal ball, and a d. 59. broad line of necrosis occupies the anterior border of the shaft its entire length. Private W. H., "I," 6th North Carolina, (Rebel,) 45: near Petersburg, 1st June; admitted hospital, Wash- ington, 10th June; amputated in lowest third of thigh by Acting Assistant Surgeon T. L. Leavitt, and died, 4th August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 2202. The bones of the left leg, three and a half months after injury. The tibia has united after fracture by a conoidal d. 60. ball iu the upper third, but much of the lower portion of the shaft is carious and patched with spongy callus. Private G. W., "K," 7th Ohio, 24: Ringgold, Ga., 27th November, 1863; admitted hospital, Nashville, 2d February; amputated in the lowest third of the thigh, 15th March, 1864. Recovered. Contributed by Acting Assistant Surgeon M. L Herr. 968. The bones of the left leg, four months after injury. The tibia and fibula were fractured in the middle third; d. 61. abundant callus was thrown out, and union with some deformity occurred. Fragments of necrosed bone aud of the missile were, however, retained in the wound, causing an exhausting drain. Private G. W. L., 43d Ohio: Corinth, 4th October; admitted hospital, Jackson, Tenn., 13th December, 1862; amputated in the lowest third of thigh, 2d February, 1863. Contributed by Assistant Surgeon J. P. Wright, U. S. Army. 390 CATALOGUE OF THE SURGICAL SECTION XV. 3723. The left fibula, with an ununited fracture of the upper third. d. 62. Private________, "B," 13th Ohio Cavalry: South Side R. R., 30th September, 1864; thigh amputated on account of gangrene, Beverly, N. J. Received, without history, from Beverly, N. J See class XXIII. A. B. 2575. The shaft of the right tibia, three weeks after injury. The bone is obliquely fractured and several large fragments d. 63. are missing. The broken extremities are necrosed, beyond which the bone is carious. Private S. E. K., " H," 4th Maine, 36: North Anna, Va., about 25th May; amputated in the lowest third of the thigh, Washington, 17th June; died, 22d June, 1864. Contributed by Acting Assistant Surgeon H M. Dean. 4245. The right tibia, two months after injury. The bone is shattered in the upper third. There is necrosis of a d. 64. considerable portion of the shaft, and a large deposit of callus encloses the dead bone irregularly, with partial union. Private A. K., "E," 5thMinnesota, 26: Nashville, 16th December; admitted hospital, Louisville, 20th December, 1864; amputated in the lower part of the thigh by Acting Assistant Surgeon H. M. Lilly, 10th February; discharged the service, 21st June, 1865. Contributed by Surgeon R. R. Taylor, U. S. Vols. 1695. The upper portions of the bones of the left leg, fractured below the knee, five weeks after injury. The fibula d 65 was shattered, and the tibia perforated and longitudinally fractured by a conoidal ball which lodged beneath the head. The specimen shows callus effused on the fibula, with several exfoliations about to separate on each bone, a carious condition internally in the tibia and traces of periosteal inflammation. Private T. J., "E," 70th New York, 26: Gettysburg, 3d July; admitted hospital, Baltimore, llth; missile removed, 27th July; amputated in the lowest third of the femur for secondary haemorrhage, 7th August; died from exhaustion, 18th August, 1863. Contributed by Surgeon C W. Jones, U. S. Vols. See class XXVII. B. B. d. 3319. The bones of the left leg, four months after injury. Both tibia and fibula appear to have been contused on their d. 66. posterior borders in the lowest third. Gangrene occurred in the wound with extensive necrosis of both bones. A partial involucrum was thrown out for a considerable extent. Sergeant H. A. C, "G,"2d United States Sharpshooters, (Volunteers,) 23: admitted hospital, Washington, 30th June; amputated in the lowest third of the thigh, 20th October; died, 1st November, 1864. Contributed by Acting Assistant Surgeon J. Walsh. See classes XV. A. B. a; XXIII. A. B. 3004. A portion of the left tibia, one month after injury. The bone was fractured at the junction of the lower thirds d. 67. with little comminution. There is no attempt whatever at repair. Amputation was attempted in the upper third, but, on account of a sinus, was performed above the knee. Private H. K., "E," 139th Pennsylvauia, 33: Fort Stevens, and admitted hospital, Washington, 12th July; amputated by Acting Assistant Surgeon J. F. Barbour, llth August, 1864. Contributed by the operator. 1670. The fibula, six weeks after injury, ununited and with necrosis of the extremities of fracture. After amputation d. 68. the peroneal artery was found to be wounded and a large aneurismal sac formed. Private L. N., "F," 157th New York, 18: Gettysburg, 1st July; admitted hospital, Baltimore, 7th July; amputated in the lowest third of thigh for secondary haemorrhage and profuse suppuration, 14th August, 1863; discharged, 31st May, 1864. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 3477. The shaft of the left tibia, two months after injury. The bone was partially fractured by shell in its upper third, d. 69. and at the time of the amputation the shaft was necrosed in three-fourths its length. Private A. H. S., "H," 13th Pennsylvania Cavalry, 25: Weldon R. R., Va., 29th September ; admitted hospital, Washington, llth October; amputated in tho lowest third of the thigh by Acting Assistant Surgeon J. H. Thompson, 3d December, 1864. Recovered. Contributed by Assistant Surgeon P. C Davis, U. S. Army. 1546. The upper thirds of the bones of the right leg, with the tibia fractured below the head. The subject, but fifteen d. 70. years of age, was amputated in the lowest third of the thigh by a secondary operation. Contributed by Surgeon R. Thomain, 29th New York. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 391 3468. The right tibia, showing a portion of the bone chiseled off after a contusion. The bone has been removed to d. 71. the medullary cavity over a space of one-half by three-fourths of an inch near the junction of the upper thirds. Below this the anterior face of the tibia has been irregularly removed for two and a half inches. Corporal S. H. P., " C," 14th New Jersey : tibia contused and periosteum removed, without fracture, Monocaey, 9th July ; imprudent exertion induced inflammation, followed by gangrene, 1st August; diseased bone removed to allow the escape of pus, 13th September; amputated above the knee by Surgeon T. Sim, U. S. Vols,, 15th September, 18S4. Recovered. Contributed by Acting Assistant Surgeon G. W. Fay. See classes XV. A. B. a.; XV. A. B. e.; XXIII. A. B. 4272. Tbe bones of the left leg, with the tibia shattered at the junction of the lower thirds by a musket shot, and the d. 72. fibula transversely fractured in the middle third, probably by the weight of the body. Sergeant N. H. G., "F," 58th Virginia (Rebel): Winchester, 20th July; admitted hospital, Cumberland, Md., 23d ; amputated in the lowest third of the thigh,----July; died, 8th August, 1864. Contributed by Surgeon J. B. Lewis, U. S. Vols. 3025. The two upper thirds of the bones of the left leg, eighty days after injury. The tibia was d. 73. badly shattered below the knee, and nearly all the effused callus has been absorbed. One large fragment is partially reattached with displacement forward. The cavity of Ihe bone is carious. See figure 131. Private W. H. H., "I," 19th Maine: North Anna, 24th May; amputated in the lowest third of the thigh, Washington, 12th August, 1864. Contributed by Acting Assistant Surgeon W. H. Randolph. 4096. The right tibia, comminuted in the middle third. The fractured extremities are necrosed. d. 74. Private A. T., "A," 29th Pennsylvania, 29: Petersburg, 2d April; admitted hospital, Washington, 12th; amputated in the thigh for secondary haemorrhage by Surgeon D. W. Bliss, U. S. Vols , 25th April; died from pyaemia, 23d May, 1865: Contributed by Acting Assistant Surgeon J. R. Tewmey. 3427. The right tibia, very obliquely fractured, with some comminution, but with little displace- d. 75. ment of fragments, in the upper third. The point of impingement by the ball, which appears to have glanced, is plainly observable on the spine below the tubercle. Private J. A. S., 1st Veteran Maine Battery, 21 : Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 24th; amputated in the lowest third of the thigh by Acting Assistant Surgeon E. G. Waters, 25th October, 1864. Contributed by Acting Assistant Surgeon B B. Miles, Curator Jarvis Hospital. Fig. 131. Bones of left leg eighty days after fracture of tibia. Spec. 3025. 3273. The bones of the left leg. A conoidal ball entered the tibia at its upper and posterior border and, ranging d. 76. downward and forward, became impacted on the front of the bone, extensively splintering the upper third. Corporal S. F , "E," 67 th New York, 37: near Winchester, 19th September; amputated in the lowest third of the thigh by Assistant Surgeon J. G. Thompson, 77th New York, 24th September; died from pyaemia, 13th October, 1864. Contributed by the operator. See class XXVII. B. B. d. 3328. The bones of the left leg, four months after injury. The tibia was completely fractured d. 77. in the upper third. Union, with some displacement, occurred on the posterior surface. Much callus has evidently been formed and subsequently absorbed. Private W. H., "A," 106th New York, 20: Wilderness, 9th May; admitted hospital, Washington, 26th May ; amputated through the thigh, on account of extensive abscesses, by Surgeon R. B. Bontecou, U. S. Vols., llth September; died, 19th September, 1864. Contributed by the operator. 1582. The bones of the right leg, three months after fracture below the knee. Firm union with d. 78. some displacement has occurred in the fibula. Callus that was effused in the tibia appears to have been absorbed. Gangrene was present during the last six weeks. The tibia is super- ficially necrosed in much of the specimen. See figure 132. Private B. F. R , '-K," 26th Pennsylvania, 21: Chancellorsville, 3d May; amputated above the knee, Washington, 6th August, 1863; transferred, 22d January, 1864. Contributed by Surgeon D. W. Bliss, U. S. Vols. leg, three months after o ; -wmr-mmw a t. fracture below knee. Sec class XXIII. A. B. Spec 1582 392 CATALOGUE OF THE SURGICAL SECTION XV. 46. A ligamentous preparation of the bones of the left knee. The tibia has been completely carried away and the d. 79. fibula fractured about two inches below the joint. There was also an extensive flesh wound in the lower part of the thigh, and amputation was performed in the lowest third of the femur. Wounded, probably by shell, Cedar Mountain, Va., 9th August; admitted hospital. Alexandria, 12th ; amputated by Surgeon J. E. Summers, U. S. Army, 15th August, 1862. Name and result unknown. Contributed by the operator. 2228. The upper portion of the left tibia, fractured on its posterior surface by a ball which entered behind the knee. d. 80. The laminated bone is missing for three square inches. Removed twenty-four miles the day of injury. Private W. R., "D," 8th Tennessee Cavalry, (Rebel,) 21 (quarter-blood Indian): Sevierville, Tenn, and admitted hospital, Knoxville, 20th February ; severe secondary haemorrhage ; on cutting down to tie the tibial the popliteal was found to bleed ; amputated in the thigh by Assistant Surgeon H. L. W. Burritt, U. S. Vols., 5th March ; died from pyaemia, llth March, 1864. Contributed by the operator. See class XV. A. B. a. 1808. The bones of the right leg, twelve weeks after injury. Both bones were fractured in the upper third and are d. 81. ununited. There is an indifferent deposit of callus on the fibula. Of the tibia, fragments are irregularly retained by a deposit of spongy callus. A considerable portion of the bone is dead. Lieutenant S., "D," 73d Pennsylvania: Chancellorsville, 3d May; admitted hospital, Point Lookout, Md., 14th June; thigh amputated in the lowest third, 28th July, 1863. Recovered. Contributed by Surgeon A. Heger, U S. Army. 4387. The right tibia and fibula, six months after fracture in the lower thirds. Tolerable union has occurred in the d. 82. fibula. The tibia has partially united, is carious at the point of fracture and has a very large and complete foliaceous deposit throughout its greatest length. Sergeant A. C, "B," 2d Maryland: Petersburg, 2d April; admitted hospital, Alexandria, 7th April; amputated in the lowest third of the thigh, after erysipelas, by Brevet Lieutenant Colonel Edwin Bentley, Surgeon, U.S. Vols , llth October, 1865. Contributed by the operator. 2195. The left tibia, fractured in the upper third, six weeks after injury. Eighteen dead fragments are mounted with d. 83. the specimen. Much suppuration has occurred, and a trace of ossific deposit is seen. Private R. L. W., "C," 15th Ohio, 24: Mission Ridge, 25th November, 1863: admitted hospital, Nashville, 31st January; amputated in lowest third of the thigh by Acting Assistant Surgeon P. Peter, 1st February; discharged, 28th July, 1864. Contributed by tbe operator. 1662. The upper portions of the bones of the left leg, one month after injury. The tibia has been perforated below the d. 84. head, causing many longitudinal fissures, and the fibula has been partially fractured, with the same longitudinal splintering, by the same missile. Private F. B. R., "H," 7th New Hampshire: Morris Island, S. C, 1st July; amputated in the lowest third of the thigh for secondary haemorrhage, New York Harbor, 1st August; died, llth August, 1863. Contributed by Assistant Surgeon R. Bartholow, U. S. Army. 3053. The left tibia, two months after injury. The bone is shattered in its upper third without uni >n, but with some d. 85. callus effused. There has been much suppuration. Private M. V., "I," 15th New York, 23: wounded, 19th May; admitted hospital, Washington, 25th May; ampu- tated in lowest third of the thigh by Surgeon R. B. Bontecou, U. S. Vols., 28th July, 1864. Contributed by the operator. 2097. The bones of the left leg, three months after injury. The tibia was fractured in its upper third and a large piece d. 86. of bone entirely killed by a fragment of shell. Necrosis destroyed the vitality of the volume of tbe shaft, leaving a very slight formation of callus. A sequestrum, long and narrow, may be seen through cloacae for a great distance. Private J. J., " G," 149th New York, 26: Lookout Mountain, 28th October; admitted hospital, Bridgeport, Ala., 2d November, 1863; amputated in the lowest third of the thigh by Surgeon William Varian, U. S. Vols., 21st January, 1864. Recovered. Contributed by Acting Assistant Surgeon H. T. Legler. 2035. The bones of the right leg, three months after injury. The fibula was dislocated and the tibia fractured in its d. 87. upper third. Partial union has occurred on the posterior border.of the tibia. Private J E., "E," 1st Wisconsin: Chickamauga, 19th September; admitted hospital, Murfreesboro', 3d December; amputated in the lowest third of the thigh by Acting Assistant Surgeon W. E. Whitehead, 25th December 1863. Convalescent. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 393 982. The right tibia and fibula, transversely fractured in the upper third, and the fibula again fractured in the middle d. 88. third by gunshot. The want of comminution is marked and remarkable. The lowest third of the tibia is missing. Private J. J., '-B," 27th Connecticut: Fredericksburg, 13th December; admitted hospital, Washington; ampu- tated in the lowest third of the thigh, 23d December, 1862. Contributed by Acting Assistant Surgeon W. A. Harvey. 366. The upper portions of the bones of the left leg, with fracture and partial loss of substance on their adjacent d. 89. faces below tbe knee. Amputation has occurred in the thigh. Received, without history, from Frederick, Md. 1620. The upper portions of the bones of the left leg. The tibia is much comminuted in the upper third by a conoidal d. 90. ball. The fibula was transversely fractured by the weight of the body. Private M., 24th Massachusetts: near Newbern, N. C; underwent secondary amputation of thigh. Recovered. Contributed by Surgeon F. G. Snelling, U. S Vols. 3604. The right tibia and fibula, broken, with comminution, by a conoidal ball in their upper thirds, d. 91. and amputated in the lowest third of the thigh. The highest line of fracture on the inner side is three inches below the articular surface of the inner tuberosity of the tibia. On the outer side of that bone a minute fissure runs up one inch higher. The fracture of the fibula is somewhat lower. See figure 133. Brigadier General T. W. S., U. S. Vols., Colonel, 3d U. S. Artillery: Port Hudson, Miss., 27th May; fragments removed and wound sewed up by a continued suture; reached New Orleans, and contents of sac (?) evacuated, 2d June; amputation performed by Professor Warren Stone, middle of June, 1863. Recovered. Contributed by Professor F. Bacon, of Yale College. See 4627, XXVI. A 1, 33. 2172. The lower thirds of the left fibula, three months after injury. The fibula was partially d. 92. fractured in its lowest third by a grape shot which lodged in the calf. Missile removed after five weeks. There is a loss of a portion of the substance of the bone, but the union is quite firm. Private J. T., "K," 30th Indiana, 26: Chickamauga, 19th September; admitted hospital with gan- grenous abscess, Nashville, 5th November; amputated at the junction of the lower thirds of the thigh, 18th December; died from secondary haemorrhage, 31st December, 1863. Contributed by Surgeon J. W. Foye, U. S. Vols. 3474. The upper portion of the right tibia, six weeks after injury. The bone was perforated just d. 93. below the head, splintering the upper third. The bony track is carious. Private W. E., "I," 14th New York, 35: Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 25th October; amputated in the middle third of thigh by Surgeon T. Sim, U. S. Vols., 29th November, 1864; discharged, 10th April, 1865. Contributed by the operator. 3893. The bones of the left leg, three months after injury. The tibia was fractured in the upper third. There is some d. 94. loss of substance, and a portion of the effused callus has been absorbed. The fibula opposite the point of injury has also a deposit of new bone. Private W. F. G., "H,"2d Mississippi, (Rebel,) 18: Antietam, 17th September; amputated in the middle third of the thigh by Assistant Surgeon R. F. Weir, U. S. Army, 22d December, 1862; died, 15th January, 1863. Contributed by the operator. See 3858, XIII. A B. f. 60. 2201. The bones of tho right leg, four and a half months after fracture in their upper thirds. The fibula has united with d. 95. some deformity. Some spongy callus has been effused around the tibia, imprisoning a few fragments of dead bone, but without union. Private H. H. H., "K," 137th New York, 21 : Wawhatchie, 23th October, 1863; amputated at the junction of the lower thirds of thigh, Nashville, 8th March, 1864. Recovered. Contributed by Acting Assistant Surgeon H. C. May. 447. The upper portions of the left tibia and fibula transversely fractured by perforation through their heads by a d. 96. conoidal ball, not involving the knee joint. Private J. D., "I," 88th New York: Antietam, 17th September; amputated in the middle third of thigh, 21st October; died, 27th November, 1862. Contributed by Assistant Surgeon P. Adolphus, U. S. Army. 50 Fig. 133. Both bones of the right leg, shattered by conoi- dal ball. Spec. 3604. 394 CATALOGUE OF THE SURGICAL SECTION XV. 789. The bones of the left leg, three weeks after injury. The tibia is badly shattered in the upper third by a conoidal d. 97. ball, and the fibula chipped. The least possible deposit of callus has occurred around the necrosed borders. Private J. L., 6th Georgia (Rebel): Antietam, 17th September; thig-h amputated in the middle third for secondary haemorrhage, Frederick, 6th October; died from pneumonia, 14th October, 1862. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1330. The bones of the left leg, ten and a half months after injury. The tibia was perforated below the head by d. 98. a musket ball. The bony tissue became thickened without by the depos-it of spongy callus, at the same time the internal portions wasted by suppuration. Private W. B. R., "H," 27th New York, 20: Gaines' Mill, Va., 27th June; in hospital, Savage Station, one month; admitted hospital, Philadelphia, 31st July 1862; amputated in the middle third of thigh by Surgeon J. Neill, U. S. Vols., 14th May; transferred, convalescent, 22d June, 1863. Contributed by Acting Assistant Surgeon H. M. Bellows. 3558. A portion of the right tibia, fractured, with eccentric splintering in the upper third, by a conoidal ball. The d. 99. bone adjacent to the fractures is greatly necrosed. The upper half of the specimen has been sawn longitudinally. Private O. V., "B," 9th New Hampshire, 24: wounded, 28th May; admitted hospital, Washington, 4th June; amputated in the middle third of the femur by Assistant Surgeon W. Thomson, U. S. Army, llth June; heavy sequestrum removed, 15th October, 1864; discharged, healed, 16th June, 1865. Contributed by the operator. See 3599, XIII. A. B. g. 64. 1149. The shaft of the tibia, amputated in the upper third on account of shattering in the middle third. d. 100. Lieutenant B., "F," 27th Iowa: Chancellorsville, 3d May; a prisoner ten days; amputated by Surgeon W. H. Twiford, 27th Iowa, Twelfth Corps Hospital, 16th May, 1863. Contributed by the operator. 1311. The upper portions of the left tibia and fibula, fractured by a shell, the injury having at first been recognized d. 101. simply as a contusion. Corporal W. H. C: Port Hudson, 27th May; admitted hospital, New Orleans, 29th May; a resection of a portion of the right humerus was made, 8th June; amputated in the lowest third of the thigh, 12th June, 1863. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. See class VI. A. B. c. 3065. The lower thirds of the left tibia, two months after injury. The tibia is shattered by shell in its lowest third. d. 102. The specimen shows loss of substance, a fragment of necrosed bone in the wound and a sequestrum extending up the shaft. There is a fair coating of callus, but no worthy attempt at repair. Private J. P., "B," 139th New York, 24: Cold Harbor, 3d June; admitted hospital, Washington, 15th June; amputated by Surgeon R. B. Bontecou, U. S. Vols., 1st August, 1864. Contributed by the operator. 79. The bones of the left leg, amputated at the place of election, after shattering in the middle third. d. 103. Private M. C, "G," 107th Pennsylvania. Contributed by Assistant Surgeon S. H. Storrow, U. S. Army. 858. A section of the left tibia, eight and a half months after contusion by shell. The bone is carious for a space of d. 104. three arid a half by two inches on the inner surface, while on the outer side it is thickened by periosteal deposit. Reverend J. L., Volunteer Chaplain (Rebel): Fredericksburg, llth December, 1862; amputated below tho knee for gangrene by Dr. Pearson, Lynchburg, 25th August; died, 2d September, 1863. Contributed by Acting Assistant Surgeon F. Schafhirt. See classes XV. A. B. a.; XXIII. A. B. 861. The lower halves of the bones of the left leg, six months after injury. The tibia was fractured by a musket ball d. 105. in the lowest third, and was firmly united with some deformity. The limb has been strengthened by the adhesion of the fibula through four inches of its course. The shaft of the tibia, however, shows so much suppuration to have occurred that amputation became necessary. Private D. C. L., "E,"20th Massachusetts: White Oak Swamp, Va., 30th June; admitted hospital, Philadelphia, 13th August, 1862; amputated in the middle third by Acting Assistant Surgeon C. J. Morton, 2d January, 1863. Contributed by the operator. 4544. The lower thirds of the right tibia, perforated just above the inner malleolus. The ankle joint does not seem d. 106. to have been primarily involved. The track of the missile is carious, and near the wound there is a slight osseous deposit. Amputation has been performed high up. Corporal W. A. H., "D," 29th Ohio: admitted hospital, Washington, 15th June; discharged the service, 22d December, 1862. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 395 4546. The greater part of the shaft of the left tibia, shattered for six inches in its upper portion by a conoidal ball d. 107. which lodged in the right calf. Private C. K., "E," 16th Michigan, 46: Second Bull Run, 30th August; admitted hospital, Washington, 2d September; flap amputation in the lowest third of the thigh by Surgeon J. C Dorr, U. S. Vols., 12th; ball removed from right leg, 16th September, 1862; discharged the service, 7th October, 1863. Contributed by the operator. 716. The lower portions of the bones of the left leg, after secondary amputation near the junction of the lower thirds d. 108. for fracture of the fibula by a conoidal ball, which is attached, battered. Private A. L., " D," 9th New York, 21 : Second Fredericksburg, 3d May, 1863; amputated by Acting Assistant Surgeon T. H. Hearing, Washington; discharged the service, 16th July, 1864. Contributed by the operator. See class XXVII. B. B. d. 2558. The upper portions of the bones of the left leg. The tibia received a bullet in front, directly below the tuberosity, d. 109. which crushed in the bone and caused a long oblique fracture. Private A H. H., "B," 142d Pennsylvania, 23: Fredericksburg, 13th December; amputated in the thigh by Surgeon H. Bryant, U. S. Vols , Washington, 25th December, 1862 ; secondary haemorrhage, 7th January ; died, exhausted, 10th January, 1863. Contributed by the operator. 4703. The bones of the left leg, chiefly interesting from a nearly transverse fracture in the middle third of the tibia, d. 110. while the missile has lodged in the upper third, with longitudinal fractures communicating. Contributor and history unknown. See class XXVII. B. B. d. 203. The lower halves of the bones of the left leg. A bullet from the right oblique front shattered the tibia in the d. 111. lowest third without touching the fibula. Corporal L. J. T., "K," 81st New York, 21: Cold Harbor, 2d June; admitted hospital, Washington, 10th; amputated by Surgeon N. R. Mosely, U. S. Vols., llth June; discharged the service, 30th September, 1864. Contributed by the operator. 204. The greater portion of the left fibula, fractured, with some loss of substance, at the junction of the lower thirds. d. 112. Private S. S., " K," 52d New York: Cold Harbor, 3d June, 1864; believed to have been amputated in the lowest third of the thigh by Surgeon----Cornish, 15th Massachusetts; result unknown, but probably fatal. Contributed by the operator. 206. A large portion of the shaft of the right tibia, shattered in the middle third by the transverse passage of a bullet d. 113. and amputated at the junction of the upper thirds. Periosteal thickening has occurred on the adjacent fragments. Corporal J. S. McG,, "H," 8th Pennsylvania Reserves, 20: Fredericksburg, 13th December; admitted hospital, Washington, 23d; amputated by Acting Assistant Surgeon D. Weisel, 28th December, 1862; died of pneumonia, 5th February, 1863. Contributed by the operator. 3176. The upper halves of the bones of the left leg. Several inches of the posterior portion of the tibia has been carried d. 114. away by a bullet from the right, and the fibula has been consecutively transversely fractured. Private W. H. W., "F," Purnell Legion, Maryland Volunteers, 27: near Richmond, 30th May; amputated in the lowest third of the thigh by Assistant Surgeon J. B. Baxter, 16th Maine, 9th June; admitted hospital, Washington, 12th June, 1864. Contributed by the operator. 2289. The bones of the left leg, with the tibia obliquely fractured and fissured at very great length in the two upper d. 115. thirds. There is a small osteophyte on the tibia near the fibular articulation. Private E. R. H., " F," 4th Virginia Cavalry, (Rebel,) 22: Wilderness, 10th May; amputated in the field by Acting Assistant Surgeon C P. Bigelow, 18th; died, 25th May, 1864. Contributed by the operator. 581. A portion of the shaft of the left tibia, after amputation below the knee. The bone is longitudinally fractured in d. 116. its middle third with comminution, but without complete solution. The fragments, which retain their position, are partly necrosed and slightly bound by callus. Sergeant R. A. M., "I," 4th Pennsylvania Reserves: Fredericksburg, 13th December; admitted hospital, Washington, 23d; amputated, 29th December, 1862; died from haemorrhage, 8th January, 1863. Contributed by Surgeon H. Bryant, U. S. Vols. 396 CATALOGUE OF THE SURGICAL SECTION xv« 3758. The upper half of the left tibia, some weeks after injury. The bone has been fractured in its upper third by a d. 117. bullet from the rear. A large fragment, which remains in position, is partly necrosed. Corporal A. A. L., "L," 8th Iowa Cavalry, 27: Cassville, Ga., 20th May; admitted hospital, Nashville, 31st May; disarticulated, the condyle being sawn off, by Surgeon R. R. Taylor, U. S. Vols., 13th June; died of pyaemia, 16th June, 1864. Contributed by Assistant Surgeon C. C. Byrne, U. S. Army. See class XIV. A. B. e. 500. The upper half of the left tibia, fractured obliquely with comminution by a round ball which penetrated to the d. 118. medullary canal, where a portion of it yet remains. There is a cavity in the shaft, one inch in depth and one- third greater in its superficial diameter, which is necrosed. The posterior surface of the shaft is covered with a moderate layer of new osseous tissue. The integument over the wound of entrance, enlarged by sloughing, is preserved, attached. Private P. F., " D," llth U. S. Infantry, 20: before Richmond, 29th June; admitted hospital, Philadelphia, 30th July; bullet extracted, 1st August; disarticulated at the knee by Acting Assistant Surgeon R. S. Kenderdine, 6th August; died, exhausted, 6th October, 1862. Contributed by the operator. See classes XIV. A. B. e.; XXVII. B. B. d. 748. The amputated portions of the bones of the left leg. The fibula has been fractured, with loss of substance of d. 119. one inch, in the lowest third. The adjacent portion of the tibia is superficially necrosed, aud increased periosteal action is shown on the superior portion of the fibula. Private H. L., "A," 6th Pennsylvania Reserves, 25: Antietam, 17th September; amputated in the upper third by Acting As:-istant Surgeon A. V. Cherbonnier, Frederick, 4th December, 1862; femur amputated by Surgeon J B. Lewis, U. S. Vols., 15th January; femoral ligated for secondary haemorrhage, 4th February; died, lungs crowded with tubercles, 31st March, 1863. Contributed by Surgeon H. S. Hewit, U. S. Vols. See 3818, XIII. A. B. f. 61 ; 3983, XVIII. II. A. B. b. 38. For other illustrations, see 1171, XIII. A. B. d. 14; 30, XIII. A. B. d. 19; 3682, XIII. A. B. f. 27; 1051, XIII. A. B. g. 34; 2867, XV. A. a. c. 3; 3546, XV. A. a. c. 6; 4497, XV. A. a. d. 33; 3269, XV. A. B. c. 4; 3337, XV. A. B. c. 9 ; 2i08, XV. A. B. c. 18; 2155, XV. A. B. c. 20; 2362, XV. A. B. e. 2. e. Other Operations. 412. Six small, partly necrosed fragments, removed from the shaft of the tibia. e. 1. Private J. B., "D," 5th U. S. Artillery: Gaines' Mill, Va., 27th June; specimen removed, Baltimore, 6th September, 1862. Recovered with slight deformity. Contributed by Surgeon L. Quick, U. S. Vols. 2362. Five small fragments, removed, partially by excision, from a fractured left fibula. e. 2. Private F. T., "D,"631 Pennsylvania: Wilderness; admitted hospital, Washington, 25th May; amputated in the middle third, 17th August, 1864. Recovered. Contributed by Surgeon N. R. Mosely, U. S. Vols. See class XV. A. B. d. 3250. Fragments, from the upper portion of the right fibula, removed for gunshot fracture. e. 3. Private J. B., "K," 170th New York, 44: admitted hospital, Washington, 28th August; excised by Acting Assistant Surgeon W. H. Ensign, 12th September; posterior tibial ligated for secondary haemorrhage by Surgeon N. R. Mosely, U. S. Vols., 17th; amputated in the lowest third of the thigh, 18th; died, 21st September, 1864. Contributed by Acting Assistant Surgeon H. G. Bates. See 3269, XV. A. B. c. 4. 428. Eleven fragments of bone, removed from the left tibia. e. 4. Private J. McQ., "E," 82d Pennsylvania, 20: wounded, 1st July; specimen removed, Baltimore, 1st September; firm union with slight discharge. 1st November. 1862. Contributed by Surgeon L. Quick, U. S. Vols. 1479. Three and a half inches of the middle third of the right fibula, in three fragments, removed by partial excision on e. 5. account of imperfect union following fracture. Private G. D. W., "D," 30th Massachusetts: Cedar Creek, Va., 19th October, 1804; excised by Acting Assistant Surgeon W. P. Moon, Philadelphia, 2d March, 1865. Contributed by Acting Assistant Surgeon W. Scott Hendrie. ,\ ft OF THE UNITED STATES ARMY MEDICAL MUSEUM. 397 258. A Urge fragment of the right tibia, five inches in length, removed two weeks after injury. e. 6. Private J. B., " C," 2d New Jersey, 26 : wounded, 27th August; specimen removed by Acting Assistant Surgeon E. Schumo, 15th September, 1862. Contributed by Surgeon A. Wynkoop, U. S. Vols. See class XV. A. B. e. 1280. Four inches of fragments, removed from the tibia. e. 7. Contributor and history unknown. For other illustrations, see 3468, XV. A. B. d. 71. f. Stumps. 3361. Two sections of the stump of the left fibula, removed two months after amputation. On admission to hospital f. 1. half an inch of protruding fibula was removed by the fingers and is not preserved. One week afterward the expanded extremity was taken off, and the other portion removed at the same time because insufficiently protected. Private J. I. T., "A," 29th Pennsylvania, 21 : wounded and leg amputated, Resaca, Ga., 15th May; admitted hospital, Nashville, 8th July; specimen removed, 16th July, 1864. Contributed by Acting Assistant Surgeon H. C May. 3263. One inch of the extremities of the bones in the stump of the leg, sawn off for necrosis and protrusion of half the f. 2. specimen. Private S. S., " H," 4th Michigan: Petersburg, 18th June; amputated City Point, 20th; admitted hospital, Washington, 24th June ; specimen removed, 9th July, 1864. Recovered. Contributed by Acting Assistant Surgeon R. Ottman. 281. Two inches of the stump of the right tibia and fibula, removed, apparently, for protrusion. The extremities are f. 3. diseased. Contributed, without history, by Surgeon J. T. Hodgen, U. S. Vols. 4329. Two and a half inches of the stump of the right leg, amputated for want of vitality. The specimen appears to f. 4. have become diseased after having first been well rounded, enlarged and firm. Private G. B., "C," 97th Pennsylvania: Petersburg, llth July, 1864; amputated for hospital gangrene, New York; reamputated, 16th April, 1865. Recovered. Contributed by Acting Assistant Surgeon S Teats. See class XXIII. A. B. 4335. Three inches of the stump of the right leg, removed, seven and a half months after the first amputation, for an f. 5. indolent ulcer. Private H. P., "A," 59th New York: foot shattered, Spottsylvania C. H., 17th May; amputated in the lowest third, 3d August, 1864; reamputated by Acting Assistant Surgeon S. Teats, New York, 26th March, 1865. Recovered. Contributed by the operator 1969. A section of the right tibia and fibula, after amputation. The tibia is much necrosed in the shaft, around which f. 6. an imperfect involucrum has been formed. Received after Gettysburg. 4330. The stump of the left tibia and fibula, with au excellent deposit of callus, but carious internally. f. 7. Private F. K., "E," 1st Vermont Heavy Artillery: leg amputated, 9th September, 1864; reamputated by Surgeon B. A. Clements, U. S. Army, New York, 15th February; discharged, recovered, 8th August, 1865. Contributed by Acting Assistant Surgeon S. Teats. I 526. Six inches of the stumps of the bones of the left leg, reamputated for necrosis of the tibia. The specimen shows a f. 8*. massive involucrum, except on the anterior border, where a heavy sequestrum is visible. The bones are joined by an osseous deposit at their lower extremities, which are rounded. Private J. C, " C," 7th Wisconsin, 21: ankle fractured, Petersburg, 18th June; amputated on the field in the lowest third ; admitted hospital, Washington, 1st July, 1864 ; reamputated in the upper third by Surgeon Benjamin B. Wilson, U. S. Vols., 25th February, 1865. Recovered. Contributed by the operator. 3411. Four inches of the necrosed stump of the tibia, removed four and a half months after the first amputation. f. 9. C. T. N., "C," 1st Massachusetts Heavy Artillery, 29: admitted hospital and leg amputated in the lowest third for fracture' of ankle, Washington, 22d May ; specimen removed by Surgeon N. R. Mosely, U. S. Vols., 14th November, 1864; discharged, 29th January, 1865. Contributed by Acting Assistant Surgeon J. M. Downs. 398 CATALOGUE OF THE SURGICAL SECTION XV. 2494. Four inches of the stumps of the left tibia and fibula, after death from pyaemia, eighteen days after amputation in f. 10. the lowest third. The specimen shows the extremities denuded, for one-third of an inch, of periosteum, which is thickened and loosened above that line. There was no reparative attempt at the extremities of the bones. The tibia has been sawn longitudinally to display the recent pathological changes. Private J. G. M., " L," 1st New York Artillery, 23: wounded, West Virginia, 18th May ; admitted hospital, Washington, 20th ; amputated by Assistant Surgeon G. A. Mursick, U. S. Vols., 21st May; died, 8th June, 1864. Contributed by the operator. 2923. The stumps of the bones of the right leg, three weeks after amputation in the lowest third. A ring of necrosis f. 11. surrounds each extremity, and there is no healthy action. Corporal A. W. D., "F," 14th North Carolina (Rebel): ankle laceratedby a round shot and leg amputated before Washington, 12th July; admitted hospital, Washington, 14th July; amputated below the tubercle, for protrusion following gangrene, by Acting Assistant Surgeon T. L. Leavitt, 4th August; died, 10th August, 1864. Contributed by the operator. See class XXIII. A. B. 3878. The bones of the stump of the left leg, thirty-six days after a wound in the ankle and amputation in the lowest f. 12. third. A minute sequestrum, nearly separated, is seen on the extremity of the tibia, which is carious and without callus. Knee joint involved. Private B. S., "I," 17th Pennsylvania Cavalry, 28: Funkstown, Md., 10th July; admitted hospital, Frederick, 21st July ; died, 16th August, 1863. Contributed by Acting Assistant Surgeon J. C. Shimer. 4327. The extremities of the bones of the left leg, tolerably well rounded and united, but carious. f. 13. Private F. F., " C," 5th New York Heavy Artillery, 17 : ankle fractured by a conoidal ball, Snicker's Gap, Va., 18th July; admitted hospital from Frederick, Md., New York, 21st December, 1864 ; reamputated at the junction of the upper thirds. Discharged. Contributed by Acting Assistant Surgeon S. Teats. See class XVI. A. B. f. 3318. The bones of the stump of the left leg, seven weeks after amputation in the upper third. Sequestra are about f. 14. separating from each bone. There is little healthy action. Private H. L., "A," 183d Pennsylvania, 18: ankle fractured, Wilderness, 8th May; admitted hospital, Washington, 28th May ; amputated by Surgeon N. R. Mosely, U. S. Vols., 27th August; died, 14th October, 1864. Contributed by the operator. 4328. Carious extremities of the bones of the left leg, seven and a half months after amputation. f. 15. Private C L., "A," 142d New York, 48: ankle fractured by shell and amputated in the lowest third, near Fair Oaks, Va., 27th October, 1864; specimen amputated by Acting Assistant Surgeon S. Teats, New York, 15th June; transferred to New York Harbor, 12th August, 1865. Contributed by the operator. See class XVI. A. B. f. 2454. Three inches of the stump of the right tibia and fibula in the lowest third, four months after amputation. A f. 16. large spongy involucrum surrounds a small sequestrum of the tibia. The fibula is carious. Private C. F., "I," 111th New York: South Side Railroad, Va., 31st March; amputated one inch above the ankle, Washington, 3d May; specimen amputated by Surgeon B. B. Wilson, U. S. Vols., 6th September, 1865. Healed. Contributed by the operator. See class XVI. A. li. f. 3155. The stump of the left tibia and fibula, after amputation in the middle third. The tibia is very carious, especially f. 17. on the anterior surface. Private I. H., "H," 1st North Carolina Cavalry (Rebel): shell wound of ankle, Gettysburg, 1st July, 1863; amputated by Dr. J. B. Carroll, Petersburg -, died, 2d April, 1864. Contributed by Acting Assistant Surgeon F. Schafhirt. See class XVI. A. B. f. 4336. Four inches of the bones of the stump of the left leg, seven months after amputation. The extremities are f. 18. united by osseous matter and tolerably well rounded, but carious. Private F. P. B., "C," 55th Massachusetts, 21: foot fractured, Spottsylvania, 18th May; amputated in the lowest third, 19th May; reamputated by Acting Assistant Surgeon S. Teats, New York, 25th December, 1864; discharged, 3d April, 1865. Contributed by the operator. See class XVII. A. B. e. \t ft OF THE UNITED STATES ARMY MEDICAL MUSEUM. 399 3696. Seven inches of the right tibia and fibula, reamputated at the point of election. The specimen shows the fibula f. 19. well rounded and united at its extremity to the tibia. There is a sequestrum in the tibia, six inches in length, ready for extraction, and over the upper part of the anterior border the involucrum is wanting. Private F. G., "A," 6th Wisconsin: reamputated by Surgeon H. Culbertson, U. S. Vols., Madison, Wis., 7th September, 1864. Recovered. Contributed by the operator. 2757. Two inches of the bones of the stump of the left leg, removed for necrosis eighteen months after the first f. 20. amputation. Private J. K., "K," 2d Delaware, 23: foot fractured, Antietam, 17th September; leg amputated, lowest third, 6th October, 1862; admitted hospital, stump unhealed, Philadelphia, 21st March; specimen removed by Acting Assistant Surgeon G. B. Boyd, May, 1864. Recovered. Contributed by the operator. See class XVII. A. B. e. 1962. A section of the bones of the right leg, three months after amputation in the middle third. Extensive necrosis of f. 21. the tibia has occurred, and from it a sequestrum six inches in length was withdrawn a few days before death. The specimen shows the very extended ravages of disease. Private W. H. G., " K," 8th Pennsylvania, 20: foot fractured by conoidal ball, Gettysburg, 3d July; amputated in the lowest third, 1st August; died exhausted, 5th November, 1863. Contributed by Acting Assistant Surgeon E. P. Townsend. 2079. The bones of the stump of the left leg, with necrosis of the extremities, probably after death from pyaemia. f. 22. Contributor and history unknown. 3320. Five inches of the right tibia, removed from the extremity of a stump for necrosis. The specimen shows much f. 23. disease of the bone, with no attempt at repair. Sergeant J. Q., "K," 170th New York, 45: admitted hospital, amputated at the lowest third, 10th September; specimen removed for gangrene by Surgeon N. R. Mosely, 21st October; died, 5th November, 1r65. Contributed by Acting Assistant Surgeon S. Graham. See class XXIII. A. B. 2212. Four and a half inches of the stump of the left tibia, twenty-nine weeks after amputation in the middle third. f. 24. An attack of pyaemia was survived in this case. The extremity is tolerably well rounded, and in the recent specimen the medullary orifice was covered by a thin plate of bone Reamputation was performed on account of excessive pain in the stump with contraction of the muscles. The recent case exhibited vascularity, which cannot be shown in the dried specimen. Private D. O'C, "C," Cobb's Legion, (Rebel,) 28: ankle fractured and leg amputated, Madison C H., 21st September; admitted hospital, Washington, 25th September; suffered pyaemia, 16th—29th October, 1863; reamputated, 14th April; transferred to Old Capitol Prison, 4th October, 1864. Contributed by Surgeon John A. Lidell, U. S. Vols. See class XVI. A. B. f. 183. 3773. The bones of the right leg, amputated in the middle third. The stump shows no effort at repair, and both bones t 25. are necrosed in tbeir greatest length, the tibia having probably been exposed. From a case of hospital gangrene, Nashville. See class XXIII. A. B. 3125. The bones of the stump of the left leg, amputated in the middle for fracture of foot. The extremities of the bones f. 26. are much necrosed, without attempt at repair. Sergeant H. H., "B," 109th New York, 26: admitted hospital, gangrenous, and amputated by Acting Surgeon A. Ansell, Washington, 20th July; died, 26th August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See class XXIII. A. B. 1097. The stump of the bones of the right leg, amputated in the middle third. The only observable pathological change f. 27. is a slight necrosis at the extremity of the tibia. Contributed, without history, by Assistant Surgeon R. F. Weir, U. S. Army. 3340. The bones of the left leg, one month after amputation in the middle third. The extremities are necrosed, and f. 28. there was attempt at osseous deposit. A slight attack of gangrene occurred, and the knee was occupied by a diffuse abscess. Private A. J. W., "A," 8th New York Heavy Artillery: ankle fractured, Cold Harbor, 3d June; admitted hospital, Alexandria, 7th; amputated by Surgeon E. Bentley, U. S. Vols., 9th June; died, 10th July, 1864. Contributed by the operator. See 2497, XVI. A. b. f. 15. 400 CATALOGUE OF THE SURGICAL SECTION XV. 795. The stumps of the right tibia and fibula, amputated in the middle third. The specimen shows ulceration of the f. 29. extremities. Contributed by Surgeon H. S. Hewit, U. S. Vols. 3108. The bones of the stump of the right leg, amputated in the middle third, ten months after the operation. Reampu- f. 30. tation was performed for sloughing and necrosis of the stump. The specimen shows the union of the extremities of the bones and the disease leading to the second operation. Private E. C, "F," 103d Ohio, 20: Chickamauga, 19th September; amputated, 4th October, 1863; admitted hospital, Columbus, Ohio, 20th June; amputated above the knee by Assistant Surgeon G. M Sternberg, U. S. Army, 5th August, 1864; discharged, 18th March, 1865. Contributed by the operator. 4243. The stump of the left tibia and fibula in the middle third, said to have been entirely healed f. 31. at the time of the subject's death from chronic diarrhoea, five months after the amputation. The specimen, however, shows the extremity and posterior surface of the tibia necrosed. Private W. J. H., "G," 33d Mississippi, (Rebel,) 18: Peach Tree Creek, Ga, 20th July; admitted hospital with chronic diarrhoea, Nashville, 9th December; died, 23d December, 1864. Contributed by Surgeon R. R. Taylor, U. S. Vols. See 4244, XXI. A. B. b. 9. 4225. Five inches of the stump of the right tibia, removed five months after amputation. The f. 32. specimen shows a large sequestrum extending its entire length, embraced by an involucrum, which is wanting on the anterior border. 'Ihe fibula, well rounded, has joined its extremity to the tibia. See figure 134. Private D. S. C, "A," 47th Pennsylvania, 27: wounded and amputated, Cedar Creek, 19th October, 1864; specimen removed by Acting Assistant Surgeon W. G Smull, Baltimore, 25th March; discharged, healed, 31st May, 1865. Contributed by Assistant Surgeon G. M. McGill, U. S. Army. 3714. The bones of the stump of the left leg, amputated at the junction of f. 33. the upper thirds, and reamputated at the lowest third of the thigh for protrusion and necrosis of the tibia. A sequestrum of three inches, nearly detached, is contained within a heavy involucrum that is deficient on its anterior border. See figure 135. Private F. H. H., "H,"2d Pennsylvania; wounded, llth July; amputated, Hampton, Va., 18th July; reamputated, Beverly, N. J., 6th December, 1864. Recovered. Contributed by Assistant Surgeon C. Wagner, U. S. Army. 2695. The stump of the left tibia, amputated in the middle third. The f. 34. specimen, which is seven inches in length, shows an attempt'at rounding at the extremity, but caries and necrosis of the centre. The inner side of the shaft, midway, is occupied by a large, partially detached sequestrum. Reamputation appears to have been performed just below the knee. Contributor and history unknown. Fig. 134. Bony stump of riglitk'g, five months alter amputation. Spec. 42i5. FIG. 135. Boneg of the left leg, five months after amputation. Spec. 3714. 4334. The extremities of the right tibia and fibula, twelve weeks after amputation. f. 35. shows caries of the extremities. Private H. C. M., New York, 13th June; amputated 1865. Recovered. Contributed by the operator. The specimen y yv\ " II," 116th Ohio : amputated, Petersburg, 2d April; admitted hospital, ^UlsSi ated in the middle third by Acting Assistant Surgeon S. Teats, 23d June, ' 2778. The stump of the right tibia and fibula, with excessive hyperostosis of the extremities of f. 36. both bones. "The extraordinary osseous formation at the divided extremities of the tibia and fibula is due to an exaggeration of the natural process by which the extremities of bones are rounded off, and presents the histological characters of ordinary callus." See figure 136. Private W. N., '• A," 71st Pennsylvania: ankle fractured and leg amputated in the middle third, White Oak Swamp, Va., 29th June; admitted hospital, Philadelphia, from Richmond, 30th July; a slender sequestrum from the tibia removed, 13th November, 1862; reamputated at the knee joint by Acting Assistant Surgeon T. G. Morton, 27th August, 1863. Recovered with a useful and firm stump. Contributed by the operator. See 668, XV. A. B. g. 26; 2458, XXV. A. B. b. 162; 4628, XXVI. A. 2, 99. See classes XIV. A. B. e.; XVI. A. a. e. FIG. 136. Hyperostosis of bones of the right leg, after amputation. Spec. 2778. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 401 3883. The stump of the right tibia and fibula, much diseased, the knee joint also having ulcerated. f. 37. Private B. T., "C," 28th Pennsylvania, 33: fractured ankle, Antietam, 17th September; admitted hospital, Frederick, 29th September; amputated in the middle third, 4th October; necrosed extremities of bones came away, 5th November; gangrene appeared, 25th December, 1862; erysipelas occurred, 1st April; knee opened, 9th; thigh amputated in the lowest third, 14th April; convalescent, 18th May, 1863. Recovered. Contributed by Assistant Surgeon R. F. Weir. U. S. Army. See classes XVI. A. n. f.; XXIII. A. A.; XXIII. A. B. 2880. The bones from the stump of the left leg, one month after amputation, necrosed at the extremities. No healthy £ 38. action has occurred. Sergeant J. B., "H," 7th New York Heavy Artillery, 21: wounded, 16th June; admitted hospital, amputated in the lowest third, with protruding tibia, Washington, 28th June; amputated in the middle third by Acting Assistant Surgeon F. Hall, 16th July, 1864. Recovered. Contributed by the operator. 1979. The stump of the left tibia and fibula, amputated in their upper thirds. Necrosis has invaded the entire remainder f. 39. of the tibia, and a small sequestrum about to separate is seen on the extremity. A very trivial deposit of callus is observed. The knee joint has suppurated. Received after Gettysburg. 3657. The bones of the stump of the left leg, three months after amputation in the upper third. A sequestrum in each £ 40. bone is on the point of detachment, and firm partial involucra are seen. Sergeant H. W., "E," 125th New York: ankle fractured by conoidal ball, Deep Bottom, Va., 16th August; amputated for secondary haemorrhage, Philadelphia, 10th September; died from exhaustion and pneumonia, 7th December, 1864. Contributed by Acting Assistant Surgeon G. P. Sargent. See 3658, XVI. A. B. f. 91. 2604. The stump of the left tibia and fibula in the upper third, believed to have been reamputated in the thigh for £ 41. suppuration of the extremities. Contributor and history unknown. 3330. The stump of the left tibia, four and a half months after amputation in the upper third. The stump is well f. 42. rounded, but has a carious centre, with a moderate deposit of callus on the posterior aspect. Private W. M., "I," 27th Michigan, 31: wounded and amputated, Wilderness, 10th May; sloughing; admitted hospital, Washington, 14th May; amputated in the lowest third of the right thigh by Acting Assistant Surgeon C. T. Trautman, 20th September; died from exhaustion, 4th October, 1864. Contributed by the operator. 2897. The bones of the stump of the left leg in the upper third, one month after amputation. The specimen is necrosed. £ 43. Corporal H. G. B., "B," 37th Wisconsin, 21: leg fractured and amputated before Petersburg, 16th June; amputated in the middle third of the femur, for sloughing of the stump, by Surgeon N. R. Mosely, U. S. Vols., 21st July; died, 3d August, 1864. Contributed by Acting Assistant Surgeon H. G. Bates. 1975. The stumps of the left tibia and fibula, amputated in their upper thirds, with the lowest portion of the femur. The £ 44. specimen shows necrosis of the ends of the bone and involvement of the knee joint. Private J. T. D., " A," 53d Virginia, (Rebel,) 26:. leg fractured, Gettysburg, 2d July; amputated in the middle third, 4th July; three inches necrosed tibia removed, 8th October; thigh amputated, 9th October; died, 5th November, 1863. It is somewhat questionable whether this specimen and history belong together; but the specimen, undoubtedly, illustrates a very similar case. Contributed by Acting Assistant Surgeon E. A. Koepner. See 1963, XIII. A. B. f. 59. 1996. The lower portion of the left femur, with the upper portions of the tibia and fibula. The leg has been amputated, f. 45. as seen in the specimen, sloughing has probably occurred and reamputation followed in the lowest third of the thigh. Contributor and history unknown. 3574. The tibia and fibula, from the stump of the left leg, amputated in the upper third. The extremities of both bones f. 46. are carious, and no reparative effort has been made. Private P. M., " H," 6th Wisconsin, 23: admitted hospital, amputated, Washington, 26th May; died, exhausted, 6th July, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 51 402 . CATALOGUE OF THE SURGICAL SECTION XV. 1977. Tho upper portion of the left tibia, evidently a stump long after operation. The bone is very carious, and the f. 47. knee joint involved. Received, without history, from Gettysburg. 280. The stump of the right tibia and fibula, amputated through the tubercle. f. 48. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 3445. The stump of the left tibia and fibula, forty days after amputation. The specimen shows a deposit of callus on f. 49. the posterior surface, hut an absence of all reparative action on the anterior. Private B. G. W., "H," 19th Maine, 19: wounded and amputated, 15th October; amputated in the lowest third of the thigh by Surgeon E. Bentley, U. S. Vols., Alexandria, 24th November, 1864. Contributed by the operator. See 3446, XVIII. III. A. B. a. 9 ; 3447, XXI. A. B. b. 6; 3448, XXI. A. B. b. 8. 4172. The bones of the stump of the left leg, nineteen months after amputation in the lowest third. Both bones are f. 50. necrosed nearly their entire lengths, and the dead shafts are surrounded by a quite complete involucrum. The extremity of the fibula is roughened, but softened, as if carious. The tibia approaches roundness, but the extremity is incomplete, exhibiting the end of the sequestrum. The size of the involucrum approaches hypertrophy. Private W. M., "I," 72d Pennsylvania, 24: left foot, Antietam, 17th September; leg amputated, 27th September, 1862; thigh amputated lowest third by Acting Assistant Surgeon R. J. Levis, Philadelphia, 28th April, 1864. Contributed by the operator. See 274*, XXI. A. B. b. 26. See class XVII. A. B. e. g. Sequestra. 1111. A small fragment of necrosed bone, removed from the tibia seven months after injury. g. 1. Private J. B., " F," 27th Indiana, 27: conoidal ball lodged in the tibia, Antietam, 17th September, 1862; the missile and fragments of bone were removed at various times in the succeeding six months; specimen extracted by Surgeon L. Quick, U. S. Vols., Baltimore, 27th April, 1863. Contributed by Acting Medical Cadet S. D. Twining. 461. Fourteen minute fragments of necrosed bone, from a fractured tibia. g. 2. Private W. H. A. D., "K," 63d Pennsylvania, 24: White Oak Swamp, Va., 30th (probably Gaines' Mill, 27th) June; admitted hospital, Philadelphia, 2d July ; specimen removed, 5th August, 1862 ; died, 26th January, 1863. Contributed by Surgeon A. B. Hasson, U. S. Army. 704. A small sequestrum, probably from the stump of the tibia. g. 3. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 429. A "small fragment of necrosed bone, from the fractured tibia of P. F., 7th August, 1862. g. 4. Contributed by Surgeon L. Quick, U. S. Vols. 4222. Four small pieces of necrosed bone, from Sergeant J. M., " M," 1st Maryland Cavalry. g. 5. Contributor and history unknown. 4353. Seven fragments of necrosed bone, from the right tibia. g. 6. Private I. T., "A," 7th U. S. Infantry, 27 : Gettysburg, 2d July, 1863; specimen removed by Assistant Surgeon P. S. Conner, U. S. Army, Fort Columbus, N. Y., 28th January, 1865; discharged the service convalescent, 30th June, 1865. Contributed by the operator. 1355. Ten fragments of dead bone, from the upper third of the left tibia. g. 7. Sergeant F. A. B., " A," 82d New York, 25: Wilderness. 6th May ; admitted hospital, New York, 27th September; specimen removed by Acting Assistant Surgeon S. Teats, 25th October, 1864; still under treatment, 4th May, 1865. Contributed by the operator. 1766. Twelve fragments of sequestra, removed from the upper portion of the right tibia. g. 8. Sergeant J. G., " B," 26th Wisconsin : tibia fractured by round ball, Chancellorsville, 2d May; admitted hospital. 15th June; specimen removed by Surgeon D. W. Bliss, U. S. Vols., 30th October, 1863. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 403 3129. A small semi-circular sequestrum, from the stump of a protruding tibia after gangrene. g. 9. Private A. P., "E," 37th Wisconsin, 37: Petersburg, 18th June; leg amputated, 19th; admitted hospital, Washington, 24th June; specimen removed, 22d August, 1864. Recovered. Contributed by Acting Assistant Surgeon W. H. Ensign. See class XXIII. A. B. 2237. A crown-shaped exfoliation, removed from the lower extremity of a resected tibia. g. 10. Private J. H., "A," 127th Pennsylvania, 47 : tibia fractured by a conoidal ball, Fredericksburg, 13th December; the entire shaft of the tibia, from just below the tubercle for seven inches, was excised in the field ; admitted hospital, Washington, 26th December, 1862; specimen removed, 26th February; the tibia did not reproduce itself, and the fibula did not enlarge sufficiently to be of service ; enlistment expired, 1st May, but he remained in hospital until 12th October, 1863, when he went home with a healed but useless leg. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XV. A. A. c. 104. A crown-shaped sequestrum, an inch and a half in length, removed from the right tibia. g. 11. Corporal C W. A., "G," 62d New York, 20: Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 24th October, 1864; specimen removed, 25th February; transferred to Philadelphia, 5th April, 1865. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 3107. A spicula of tibia, three inches in length. g. 12. Private M. C, 12th U. S. Infantry: Second Bull Run, 29th August, 1862; specimen removed, 12th July, 1863. Convalescent. Contributed by Acting Assistant Surgeon P. Middleton. 2123. An irregular sequestrum, two inches long by one broad, from the middle third of the left tibia, eight months after g. 13. injury. Corporal C B. F., "E," 16th Massachusetts, 33: Gettysburg, 2d July; admitted hospital, Annapolis, 16th July, 1863; specimen removed, 10th March; furloughed, 14th March, 1864. Contributed by Assistant Surgeon W. S. Ely, U. S. Vols. 3833. A slender sequestrum, two inches in length, from the stump of the tibia after gangrene. g. 14. Private P. S., "E," 6th Wisconsin: South Mountain, 14th September; amputated in the middle of leg, 30th September, 1862; specimen removed in the winter of 1862-'3. Contributed, with obscure history, by Assistant Surgeon R. F. Weir, U. S. Army. 3697. A sequestrum, three inches long, in four longitudinal pieces, from the stump of the tibia. g. 15. Private S. B. T., "I," 29th Wisconsin: removed by Acting Assistant Surgeon T. Henderson, Madison, Wis., 26th December, 1864. Contributed by Surgeon H. Culbertson, U. S. Vols. 3072. A circular sequestrum, from the stump of the tibia, with a process of three inches, corresponding to the crest, g. 16. removed two months after amputation. Private L. A. S., '-G," 9th New Hampshire, 28: tibia and fibula fractured and amputation performed in the middle third, Hanover C H., Va., 31st May; admitted hospital, Washington, 4th June; specimen removed by Surgeon N. R. Mosely, U. S. Vols., 8th August, 1864; transferred to New Hampshire, 25th February, 1865. Contributed by Acting Assistant Surgeon J. E. Jandrin. 2251. Two spiculae of necrosed bone, three and four and a half inches in length, from the stumps of the fibula and tibia, g. 17. respectively, in the lowest thirds. Private A. G., "D," 93d New York, 19: tibia fractured, Wilderness, 5th May; admitted hospital, Washington, 15th May; amputated in the lowest third of the leg, 26th June; specimen removed by Surgeon N. R. Mosely, U. S. Vols., 25th August, 1864; out of service, 30th November, 1865. Contributed by Acting Assistant Surgeon J. M. Downs. 3853. Four sequestra, of various siees, the largest three inches in length. g. 18. Private J. S., "B," 28th Ohio: specimens removed after periosteal inflammation had occurred from contusion by gunshot. Contributed by Acting Assistant Surgeon G. M. Paullin. See class XV. A. B. a. 398. Three large and eight small fragments, necrosed and removed from the fractured shaft of the right tibia. g. 19. Private J. M., "G," 81st Pennsylvania, 20: wounded, 1st July; admitted hospital, Baltimore, from Richmond, 25th July; specimen removed, 21st August, 1862. Contributed by Surgeon L. Quick, U. S. Vols. 404 CATALOGUE OF THE SURGICAL SECTION XV. 989. A slender exfoliation, four inches in length, from the left tibia. g. 20. Sergeant J. W., "D," 2d Delaware, 36: admitted hospital, Washington, with a gunshot wound wherein the bullet split on the tibia. Specimen came away in the course of recovery. Contributed by Acting Assistant Surgeon W. A. Harvey. See class XV. A. B. a. 1003. The head of the fibula and four inches of sequestrum. g. 21. Contributed, without history, by Acting Assistant Surgeon G. F. Shrady. 3284. A tubular sequestrum, four inches in length, from the stump of the left tibia. g. 22. Private O. A. A., "B," 120th New York, 33: tibia fractured, Cold Harbor, 3d June; leg amputated in the field; admitted hospital, Washington, 12th June; specimen removed by Surgeon D. W. Bliss, U. S. Vols., llth October, 1864. Recovered. Contributed by the operator. 3259. A slender sequestrum, four inches in length, removed from the right tibia four months after amputation. g. 23. Private J. L., "M," 2d New York Heavy Artillery, 26: tibia fractured by a conoidal ball, Cold Harbor, 1st June ; amputated in the lowest third, 10th June; specimen removed, Washington, llth October, 1864. Recovered. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1655. A heavy fragment of the left tibia, four inches in length, separated one month after injury. About half the surface g. 24. is covered with a thin osseous deposit, and the remainder has been dead from the time of the fracture. Private I. D. L., "C," 1st Potomac Home Brigade: tibia fractured, Gettysburg, 3d July; specimen removed, Baltimore, 31st July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 3852. Two sequestra, four and six inches in length. g. 25. Received, without history, from Frederick. 668. A slender sequestrum, four and a half inches in length, from the right fibula. g. 26. Private W. N., "A," 71st Pennsylvania: ankle fractured and leg amputated in the middle third, White Oak Swamp, Va., 30th June; admitted hospital, Philadelphia, (from Richmond,) 30th July; specimen removed, 13th November, 1862; reamputated at knee joint for hyperostosis, 27th August, 1863. Recovered. Contributed by Surgeon J. Neill, U. S. Vols. See 2778, XV. A. B. f. 36; 2458, XXV. A. B. b. 162. See class XIV. A. B. e. 3278. A slender sequestrum, six inches in length, from the right tibia. g. 27. Private J. N., "F," 14th New York State Militia, 31: Spottsylvania, 18th May; admitted hospital, with leg amputated, Washington, 26th May; specimen removed by Acting Assistant Surgeon H E. Woodbury, 5th October, 1864; transferred to New York, llth January, 1865. Contributed by Surgeon D. W. Bliss, U. S. Vols. 2620. A broad exfoliation, five inches in length, removed from the right tibia three months after injury by a round ball g. 28. and two months after an attack of hospital gangrene. Corporal G. D., "D," 82d Ohio, 21: Gettysburg, 1st July, admitted hospital, Philadelphia, 9th; gangrene appeared, 23d July, and lasted two weeks; specimen removed, 20th September, 1863. Contributed by Acting Assistant Surgeon M. Lampen. See class XXIII. A. B. 4250. A slender sequestrum, six inches in length, from a partial fracture of the tibia by a conoidal ball. g. 29. Private R. F., "H," 155th New York: Cold Harbor, 3d June, 1864 ; specimen removed six weeks afterward. Contributed by Dr. Benedict. See class XV. A. B. a. 1040. A slender sequestrum, six inches in length, from the stump of the right tibia. g. 30. Private F. H., "H," 97th New York, 40: tibia fractured by shell, Antietam, 17th September; cicatrix formed, Smoketown, 6th December; crest of tibia protruded, 19th December, 1862; specimen removed, 6th February, 1863. Healed. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols, A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 405 4193. A questrum. six inches in length, removed from the right tibia, four aud a half months after gunshot. g. 31. Sergeant J. M., "H," 52d New York, 43: Spottsylvania C. H., 12th May; specimen removed by Acting Assistant Surgeon D. W. Cadwalader, 1st October; discharged, healed, 28th October, 1864. Contributed by the operator. 3283. A sequestrum, of six inches extreme length, and for four inches tubular, from the left tibia, five months after injury. g. 32. Private J. W., "A," 7th Wisconsin, 27 : a conoidal ball lodged in the middle third of the tibia, Wilderness, 6th May; admitted hospital, Washington, 12th August; missile removed, 13th August; specimen removed by Surgeon D. W. Bliss, 10th October, 1864 ; discharged, 24th January, 1865. Contributed by the operator. 2099. A semi-tubular sequestrum, five inches in length, from the tibia. g. 33. Private G. C, "D," 83d Ohio: admitted hospital, with leg amputated in the middle third, Memphis, 14th June; specimen removed, 25th August; transferred, convalescent, to St. Louis, 20th September, 1863. Contributed by Surgeon W. Watson, U. S. Vols. 420. A slender sequestrum, nearly eight inches in length, following a contusion of the left tibia and removed nine and g. 34. a half months afterward. Private W. H., "C," 142d New York, 25: Chapin's Farm,Va., 29th September, 1864; specimen removed, Albany, N. Y., 15th July; mustered out of service, healed, 21st July, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See class XV. A. B. a. 4354. A sequestrum, eight inches in length, now in five fragments, from the right tibia. g. 35. Private E. S., "D," 10th U. S. Infantry, 24: Petersburg, 1st October, 1864; specimen removed by Assistant Surgeon P. S. Conner, U. S. Army, Fort Columbus, N. Y., llth May; discharged the service, convalescent, 12th July, 1865. Contributed by the operator. 3601. A very large sequestrum, eight inches in length, in two pieces, from the tibia, after gangrene following gunshot g. 36. fracture. Private H. R., "B," 104th New York: Petersburg, 22d June; specimen removed, Washington, 29th October, 1864; transferred, convalescent, to Elmira, N. Y., 4th January, 1865. Contributed by Surgeon R. B. Bontecou, U. S. Vols. See class XXIII. A. B. 4337. A sequestrum, nine inches in length, with eleven smaller pieces of necrosed bone, from the tibia. g. 37. Private H. R., "D," 4th New York Heavy Artillery, 22: tibia bruised, Old Church, Va., 30th May; admitted hospital, Washington, 4th June, 1864; specimen removed by Surgeon B. B. Wilson, U. S. Vols., 14th March ; discharged the service, 6th June, 1865 ; although not perfectly healed, his limb enabled him to walk steadily and with ease, August, 1865. Contributed by the operator. See 4628, XXVI. A. 2, 82. See class XV. A. B. a. 1489. A heavy sequestrum, nine and a half inches in length, in two pieces, with eleven other fragments, from the tibia, g. 38. eight months after fracture. Second Lieutenant C M., " C," 2d New York Heavy Artillery, 39: a conoidal ball fractured the tibia and fibula in the middle third, Deep Bottom, Va., 14th August; admitted hospital, Washington, 17th August, 1864; specimen removed by Assistant Surgeon C. H. Leale, U. S. Vols., 25th April; extremely ill, with pyaemic symptoms, until 6th May; convalescent, able to walk and with a fair prospect of a useful limb, 15th July, 1865. Contributed by the operator. 1406. A slender sequestrum, three and a half inches in length, removed from the right fibula after amputation. g. 39. Private M. J. L., " E," 3d New York Heavy Artillery: wounded and amputated, 22d October, 1864. Contributed by Acting Assistant Surgeon S. Teats. 406 CATALOGUE OF THE SURGICAL SECTION XV. B. Injuries not caused by Gunshot. A. Primary Conditions. f a. Contusions and partial fractures. | b. Complete fractures. ^ c. Excisions. j d. Amputated fractures. L e. Other operations. See 493, XVI. A. B. b. 7. b. Complete Fractures. d. Amputated Fractures. 20. Portions of tbe left tibia and fibula, fractured, with comminution, in the lowest third and amputated in the upper d. 1. third. The case of an intoxicated Marine, run over by the cars ; amputated, within four hours, at the Washington Infirmary, and died three hours afterward. Contributed by Medical Cadet E. K. Hutchins. 348. d. 2. Extensively fractured tibia and fibula of both legs of a child. Probably run over by a vehicle and amputated. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 1846. The two lower thirds of the bones of the right leg and the lowest thirds of the bones of the left leg, apparently d. 3. amputated at these points. The most of the feet bones are also attached. Both legs have suffered a comminuted fracture of both bones in the middle of the specimens as mounted, and the left metatarsus is also crushed. The case is that of a boy ten years old, the victim of a railroad accident, and was contributed by Acting Assistant Surgeon T. Hunt Stillwell. 3288. The bones of the right foot and leg and the two lower thirds of the femur. The tibia and fibula were fractured in d. 4. the lowest third by the subject falling in the street while intoxicated An oblique fracture of the tibia extends into the ankle, and the fibula is transversely fractured at the junction of the upper thirds. A civil practitioner cut off the extremities of the fractured bone, and the next day amputated the femur in the upper third for no assignable cause. Death followed. Contributed, as a surgical curiosity, by Acting Assistant Surgeon F. Schaf hirt. See 2263, IX. A. A. e. 1., from tbe same operator. B. Secondary Conditions. f a. Contusions and partial fractures. b. Complete fractures. | c. Excisions. d. Amputated fractures. e. Other operations. f. Stumps. (. g. Sequestra. See 2403, XV. B. B. d. 3. a. Contusions and Partial Fractures. b. Complete Fractures. 1057. A portion of the shaft of the tibia, firmly consolidated, after simple oblique fracture. Death occurred from an b. 1. independent cause. Contributed by Assistant Surgeon E. Coues, U. S. Army. B B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 407 3932. A section of the right tibia, showing an old consolidated fracture, apparently not caused by gunshot, followed by b. 2. a spongy and carious condition of tbe anterior portion of the bone. Sergeant Major I. L. H., 18th Pennsylvania Cavalry: admitted hospital, with indolent ulcer over the right tibia, Frederick, 13th July; died, after mania a potu, 26th October, 1864. Contributed by Acting Assistant Surgeon W. S. Adams. c. Excisions. 346. One and one-fourth inches of the shaft of the tibia, excised, for want of union, one month after fracture from the c. 1. kick of a horse. Firm union occurred three months after the operation. The excised fibula has not been preserved. Private C. P., "A," 10th Massachusetts. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. d. Amputated Fractures. 1744. The right tibia and fibula, transversely fractured, with some comminution, in the middle third, by a horse falling d. 1. upon the subject. There is no attempt at union. First Sergeant H. M. L , "D," 12th Illinois Cavalry: injured, 10th October; amputated by Acting Assistant Surgeon W. H. Ensign, in the upper third, 26th October; secondary haemorrhage checked by Mott's tourniquet, 26th November, 1863; discharged the service, 30th July, 1864. Contributed by the operator. See 1879, XXII. A. B. c. 1. 2077. Portions of the right tibia and fibula, fractured in a railroad accident. The left leg was fractured with d. 2. comminution at the same time. Both bones are transversely fractured, the tibia being somewhat comminuted. Captain J. W. S., " F," 1st Michigan Engineers: train thrown from track by guerillas, 23d October; right leg amputated, 3d November; died, Tullahoma, Tenn., 15th November, 1863. Contributed by Surgeon B. Woodward, 22d Illinois. 2403. The two lower thirds of the left tibia and fibula, ten months after injury. The leg was contused by a wagon d. 3. passing over it, and extensive necrosis of the tibia followed sloughing of the soft parts. In the specimen the tibia is occupied in its greatest part by an involucrum of new bone, through the cloacae of which an extensive sequestrum may be detected. Private J. L., "B," 1st New Jersey Artillery, 45: injured, Wilderness, 26th May; admitted hospital, Chester, Penna., 20th June, 1864; amputated at the junction of the upper thirds by Acting Assistant Surgeon R. B. Watson, 15th March, 1865. Contributed by Brevet Lieutenant Colonel T. H. Bache, U. S. Vols. See class XV. B. B. a. 21. The bones of the left leg, nine weeks after injury. The specimen shows both bones fractured in the middle third. d. 4. A fragment of the fibula has attached itself to the lower portion. Callus has apparently beeu thrown out and absorbed, leaving the bones ununited. An ambulance driver, kicked by a horse: the limb was kept in a fracture-box until erysipelas and an abscess in the knee required amputation iu the thigh. Recovered. Contributed by Medical Cadet E. K. Hutchins. See class XXIII. A a. For other illustrations, see 2793, XV. A. B. d 7 f. Stumps. 4242. The stump of the right tibia and fibula, after amputation in the upper third. The specimen in its dried state £ • 1. shows no pathological change. Private F. Y., "E," 93d Pennsylvania, 34: both bones fractured by the kick of a mule, 10th May; admitted hospital, Washington, 23d May; attacked with gangrene, 5th June; amputated by Acting Assistant Surgeon G. K. Smith, 13th ; died from pyaemia, 27th June, 1865. Contributed by Medical Cadet J. S. Montgomery. See class XXI. A. B. 2798. Four inches of the extremities of the left tibia and fibula, four months after amputation. The ends are somewhat f. 2. rounded, but the tibia is enlarged and diseased by the deposit of callus on its outer surface, which is carious. Private G. M., "C," 12th Veteran Reserve Corps, 49: railroad accident, 10th May; amputated junction of lower thirds, 15th May; reamputated, Albany, 26th September, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 408 CATALOGUE OF THE SURGICAL SECTION XV. g. Sequestra. 1915. An immense sequestrum, nearly twelve inches in length, from the right tibia, after no wound. g. 1. Private W. F., " E," 85th Illinois, 29: admitted hospital, convalescent from pneumonia, Nashville, 22d February. A small vesicle on the right leg soon sloughed into an ulcer, which then took on hospital gangrene, but which was arrested, 3d March; small exfoliations were thrown off from time to time, and the specimen was removed, without the aid of instruments, 27th July; subject improved until 20th August; died from pyaemia, 23d September, 1863. Contributed by Surgeon C. W. Horner, U. S. Vols. See 4627, XXVI. A. 1, 40. See class XXIII. A. B. For other illustrations, see 4711, XXIII. B. D. 6. \J# Diseases. 409. An exostosis, three-fourths of an inch in length, removed from below the inner tuberosity of the right tibia C. 1. beneath the insertion of the semitendinosus and gracilis. Private J. L P., "B," 104th New York. Removed and contributed by Surgeon S. D. Freeman, U. S. Vols. 1779. The upper portions of the bones of the left leg, exhibiting an exostosis downward on the inner border of the C. 2. tibia, near its head, nearly two inches in length. Private W. H., "D," 184th Pennsylvania, 28: wounded in the right thigh and left knee, Cold Harbor, 3d June; died, Alexandria, 14th June, 1864. Contributed by Acting Assistant Surgeon Peter Wilson See 2561, XIV. A. B. b. 17; 2562, XVIII. II. A. B. a. 15. 1921. The shafts of the bones of the left leg, after amputation for dry gangrene. The disease occurred from no C. 3. assignable cause. The specimen shows a line of demarcation in each bone near the junction of the upper thirds. Corporal C. O'K., "F," 42d Indiana, 21: admitted hospital, Nashville, 26th August; amputated below the tubercle of the tibia, 9th September, 1863. Recovered. Contributed by Acting Assistant Surgeon H. M. Lilly. See class XXIII. B. C 3387. A section of the right tibia, carious on the anterior surface and thickened by new bone deposit near by. C. 4. The subject died with what was supposed typhomalarial fever. Post mortem examination showed metastatic foci in both lungs, being an identical state with pyaemia following gunshot. The other viscera were healthy. A large periosteal abscess was found on the tibia, which exhibited the pathological appearance of an old node. This specimen very closely resembles gunshot contusion, illustrations of which see. Contributed by Surgeon E. Bentley, U. S. Vols. 2046. A part of the condyles of the femur and the two upper thirds of the bones of the left leg, after successful amputation C. 5. for disease of the tibia (probably scrofulous in its nature). The tibia is carious in its upper third, below which it is thickened, as if by inflammatory action. The case of a little girl eight or ten years of age. Contributed by Dr. Hellen, of Washington. 584. The left tibia, with the lowest third sawn open, exposing a large medullary abscess. The bone at the place of C. 6. disease is hypertrophied, and above the limits of the caries is abnormally compact. J. C, mulatto, 21: admitted Freedman's Hospital, Washington, 15th January, with typhoid pneumonia; died 6th February, 1866. Contributed by Dr. S. S. Bond. c. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 409 3095. The right tibia, immensely enlarged in the upper third, with abscesses, as seen by a section, into the medullary C. 7. canal. The new tissue is spongy and contains sinuses. H. J., colored, (?) 54: admitted hospital, Alexandria, 28th September; died, 19th October, 1865. Contributed by Surgeon E. Bentley, U. S. Vols. A drawing of this specimen, when recent, is on file. 2009. The lower halves of the bones of the right leg. The tibia is hypertrophied and in its lowest third presents several C. 8. abscesses, as though of a syphilitic character. The fibula is partly absorbed and has a moderate periosteal deposit near the seat of disease. Private W. R., "F," 6th New York: admitted hospital, Alexandria, 5th August, 1863; died with gangrenous inflammation of the head, 3d January, 1864. Contributed by Acting Assistant Surgeon W. G. Elliott. 2779. A wet preparation of the shaft of the right tibia, exhibiting a large carcinomatous tumor over the upper third of C. 9. the bone, for which amputation in the lowest third of the thigh was performed. Private C. W. B., "I," 95th New York, 23: bruised by a fall, Acquia Creek, 20th June, 1862; "a swelling" commenced in about ten days; admitted hospital, Washington, 25th March; Philadelphia, 3d May; a tumor the size of a goose egg, removed by Assistant Surgeon C. R. Greenleaf, U. S. Army, 24th July; operation repeated, 20th August; amputated in the lowest third of thigh, 17th October, 1863. Contributed by Acting Assistant Surgeon J. H. Jamar. 3310. The right tibia, enlarged and carious, with scrofulous disease of four years standing, from a young subject. There C. 10. are fourteen sinuses extending into the bone, where a sequestrum of nearly seven inches is loose. J. W. S., 14: amputated in the lowest third of the thigh by Surgeon H. Wardner, U. S. Vols., 5th October, 1864. Recovered. Contributed by the operator. See 4628, XXVI. A. 2, 52. 887. The lower portions of the bones of the right leg, with the tibia shattered into the joint, and probably primarily C. 11. amputated. The specimen is chiefly remarkable for an articulation formed by the adjoining surfaces of the exostoses about one inch above the ankle. Contributor and history unknown. See class XVI. A. A. e. 3096. A section of the tibia, from the junction of the upper thirds, six months after the removal of carious bone, for C. 12. scrofulous disease, by the gouge and saw. The opening was two and a half inches in length and extended to the medullary cavity. The volume of the bone is doubled and the artificial opening is nearly closed by new formation. An oblique section shows the walls very much hypertrophied and, opposite the seat of disease, loose in texture. Nearer the sound bone the tissue is very compact. The interior was highly colored when recent, and presents numerous small abscess- like cavities. R. R , colored girl, 12: died of tuberculosis, six months after the operation. Contributed by Brevet Lieutenant Colonel Robert Reyburn, Surgeon, U. S. Vols. For other illustrations, see 3414, XIV. A. B. f. 129; 3062, XIV. A. B. f. 198; 3164, XV. A. B. b. 4; 2342, XV. A. B. b. 37. 52 XVI. INJURIES AND DISEASES OF THE TARSAL ARTICULATIONS. A, Gunshot Injuries. A. Primary Conditions. JJ. Secondary Conditions. f a. Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Amputations in the tarsus. j e. Amputations in the leg or thigh. t f. Other operations. ' a. Contusions and partial fractures. b. Complete fractures. c. Caries consecutive upon other injury than frac- ture of the bones of the joint. d. Excisions. e. Amputations in the tarsus. f. Amputations in the leg or thigh. g. Other operations. h. Stumps. i. i. Sequestra. B, Injuri by es not caused Gunshot. J\., Primary Conditions. JO. Secondary Conditions. a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. { d. Excisions. e. Amputations in the tarsus. f. Amputations in the leg or thigh. g. Other operations. a. Contusions and partial fractures. b. Complete fractures. O. Dislocations. d. Caries consecutive upon other injury than frac- ture of the bones of the joint. { e. Excisions. f. Amputations in the tarsus. g. Amputations. h. Other operations. i. Stumps. I. k. Sequestra. c, Diseases and Deformities. D. List of Cases illustrating Special Amputations in the Tarsus. XVI. TARSAL ARTICULATIONS. lJ_t Gunshot Injuries. f a. Contusions and partial fractures. . I b. Complete fractuies. A. Primary conditions. J c- Excisions j d. Amputations in the tarsus. I e. Amputations in the leg or thigh. (. f. Other operations. a. Contusions and Partial Fractures See 4578, XVI. A. a. e. 25. b. Complete Fractures. 210. A ligamentous preparation of the right lower extremity, with the outer malleolus shattered. b. 1. Contributed by Surgeon H. S. Hewit, U. S. Vols. 954. The lower halves of the bones of the left leg and parts of the astragalus and calcaneum. The bullet appears to b. 2. have entered the inner side of the tibia from above, to have split off the lowest and anterior fifth and, fracturing the astragalus, to have passed perpendicularly through the tarsus. Contributed by Assistant Surgeon E. de W. Breneman, U. S. Army. 1 169. A ligamentous preparation of a portion of the left foot, with the external malleolus fractured. A second shot b. 3. has passed perpendicularly through the base of the third metatarsal bone. The specimen is interesting from illustrating two wounds received at the same time in adjoining regions, and especially from the unusual direction of the second injury. Contributed, without history, by Surgeon J. H. Brinton, U. S. Vols. d. Amputations in the Tarsus. 1121. The metatarsus and phalanges of the left foot. The first, third, fourth, and fifth metatarsal bones are fractured d. 1. by a conoidal ball, the fracture extending into the tarsal articulations of the first and fourth bones. Private W. J., "C," 24th Michigan: wounded, 29th April; Lisfranc's metatarso-tarsal disarticulation by Surgeon E. Shippen, U. S. Vols., 1st May; died, 25th May, 1863. Contributed by the operator. See XVI. D. 4543. The left astragalus and lower borders of the tibia and fibula, apparently representing a modification of Syme's d. 2. amputation. The astragalus is transversely fractured. Contributor and history unknown. See XVI. D. 828. The left metatarsus and the scaphoid, cuboid and two outer cuneiform bones of the tarsus. A large, battered d. 3. conoidal bullet occupies tbe place of the inner cuneiform. The bones adjacent to it are fractured. This subject underwent in hospital an excision in the shaft of the right humerus. Private H. E. B., "K," 1st Massachusetts Artillery: Spottsylvania, 19th May; amputated, after Syme's method, on the field, by Surgeon J. W. Wishart, 140th Pennsylvania; admitted hospital, Washington, 22d May; died, 22d June, 1864. Contributed by the operator. See 2322, VI. A. B. c. 2. See classes XVI. D.; XXVII. B. B. d. 414 CATALOGUE OF THE SURGICAL SECTION XVI. e. Amputations in the Leg or Thigh. 4113. The right calcaneum and astragalus, fractured at their posterior articulation. e. 1. Private A. T., "F," 99th Pennsylvania: amputated by Surgeon D. S. Hayes, 110th Pennsylvania, 16th September, 1864. Contributed by the operator. 2 119. The bones of the right tarsus and metatarsus, amputated in the leg for fracture of the astragalus. e. 2. Private J. G., "I," 2d New York Artillery. Contributed by Assistant Surgeon G. F. Winslow, U. S. Navy. 537. A ligamentous preparation of a portion of the left foot and the extremities of the tibia and fibula. The plantar e. 3. surface of the tarsus was shattered by a shell. ------------: Fredericksburg, 13th December, 1862; amputated just above the malleoli, in the field, by William A. Hammond, M. D. Contributed by the operator. 2244. A ligamentous preparation of the left tarsus, with the astragalus shattered by a ball passing through it postero- e. 4. anteriorly. Private J. H. T., "C," 5th New York Cavalry: wounded and amputated primarily in the lowest third by Assistant Surgeon O. W. Armstrong, 5th New York Cavalry, 28th April, 1864. Contributed by the operator. 4140. The bones of the left ankle, fractured on the inner side of the tibia and astragalus. e. 5. Private W. P., " B," 60th Ohio, 22: Petersburg, 1st April; amputated in the lowest third of the leg by Assistant Surgeon W. Carroll, U. S. Vols., 3d April, 1865. Recovered. Contributed by the operator. 1764. A portion of the left foot, with the calcaneum and inferior border of the astragalus comminuted by a conoidal e. 6. ball perforating obliquely from behind. Private J. D. B., "I," 109th New York, 19: accidentally wounded and admitted hospital Washington, 3d November; amputated lowest third by Surgeon D. W. Bliss, U. S. Vols., 6th November, 1863. Recovered. Contributed by the operator. 1629. A ligamentous preparation of the bones of the left ankle, with the inner malleolus and scaphoid bone fractured e. 7. by a conoidal ball. Private J. B., "B," 54th Indiana, 35: Transport "J. C. Swan," 3lst May; amputated in the lowest third by Acting Assistant Surgeon M. B. Graff, 3d June, 1863. Contributed by Assistant Surgeon H. M. Sprague, U. S. Army. 2841. The lower extremities of the bones of the left leg. The fibula is partially fractured and the tibia shattered, with e. 8. a fissure into the joint. Private W. B., "D," 7th Maine, 21: near Washington, 12th July; amputated in the lowest third by Acting Assistant Surgeon T. Carroll, 15th July, 1864. Contributed by Assistant Surgeon C. A. McCall, U. S. Army. 1769. A ligamentous preparation of the left ankle, perforated with comminution through all the bones. e. 9. Private G. H. O., "F," 6th Maine, 18: Rappahannock Station, 7th November ; admitted hospital, Washington, 9th; amputated in the lowest third by Surgeon D. W. Bliss, U. S. Vols., llth November, la63. Contributed by the operator. 314. The bones of the right ankle, shattered by a ball passing transversely from within outward. e. 10. Private G. E., "E," llth Ohio: Fairfax Station, Va., 28th August; amputated in the lowest third by Surgeon J. E. Summers, U. S. Army, Alexandria, 29th August, 1862. Recovered. Contributed by the operator. 4022. The bones of the left ankle, with the astragalus and calcaneum badly shattered and the lower extremities of the e. 11. tibia and fibula comminuted, as though by a missile of considerable size. Amputation has been performed in the lowest third. Contributor aud history unknown. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 415 470. The bones of the left ankle, shattered by a conoidal ball passing from the internal malleolus obliquely downward e. 12. and outward, at the closest range, from the accidental discharge of the piece. Private D. C. S., "B," 23d Iowa, 25: amputated at the junction of the lower thirds of the leg, St. Louis, 23d October; died from pyaemia and erysipelas, 10th November, 1862. Contributed by Surgeon J. H. Hodgen, U. S. Vols. See class XXIII. A. A. 1219. The lower portions of the bones of the right leg, fractured by shell. The external malleolus is broken off, and e. 13. the tibia is shattered and obliquely fractured. Wounded at Beverly Ford, Va., 9th June, 1863: amputated in the middle third, and contributed by Surgeon-in- Chief First Cavalry Division, Army of the Potomac. 2284. The lower portions of the bones of the left leg. The extremity of the fibula has been carried away and the e. 14. adjacent portion of the tibia has been broken. Another fracture, where the bone has been chipped, exists, five and a half inches above the joint, from which longitudinal fractures extend into the articulation. Private J. S., "C," 119th Pennsylvania: Spottsylvania C. H., 10th May; amputated, 14th May, 1861. Recovered. Contributed by Surgeon O. A. Judson, U. S. Vols. 3312. The lower halves of the bones of the left leg. Both leg bones are shattered at tho ankle, and the astragalus is e. 15. fractured by musket ball. Private W. J., "D," 7th U. S. Colored Artillery: Fort Pillow, Tenn., 12th April; amputated by Surgeon II. Wardner, U. S. Vols., 15th; died 23d April, 1864. Contributed by the operator. See 3311, V. B. B. b. 1. 1627. The bones of the right ankle joint, shattered by a transversely perforating musket ball. The astragalus is very e. 16. much torn up. Second Lieutenant F. D., "C," 12th Missouri: Vicksburg, 22d May; amputated in the middle third byAssistant Surgeon H. M. Sprague, U. S. Army, 26th May, 1863. Contributed by the operator. 1628. The lower halves of the bones of the right leg, and the tarsus. A bullet has entered the ankle joint from the e. 17. rear, badly fracturing the posterior portions of the tibia and fibula, destroying the astragalus and tearing up the inferior surface of the tarsus as it proceeded longitudinally, at the same time dislocating the tarsus outward. Private R. W., "K," 81st Illinois: Vicksburg, 22d May; amputated in the middle third of the leg by Assistant Surgeon H. M..Sprague, U. S. Army, 26th May, 1863. Contributed by the operator. 1163. The lower halves of the bones of the left leg, with the tarsus and metatarsus The tibia is obliquely fractured in e. 18. its lower portion, with the inner malleolus shattered and the fibula transversely fractured three inches above the articulation. The case is interesting as one of several who were injured at the same time and in the same way. They were standing on the deck of a gunboat which was lifted up by an explosion and, as the contributor remarks, the injuries closely resemble those that would be received by falling on the feet from a considerable height. Private A. A. S., "A," 3d Rhode Island Artillery: explosion of magazine of Steamer " George Washington," near Beaufort, S. C, 10th April; amputated, llth April, 1863. Contributed by Surgeon F. L. Dibble, 6th Connecticut. See 1165, XVI. A. a. e. 19. 1165. A ligamentous preparation of the bones of the right lower extremity, with tho ankle joint and tarsal bones e. 19. shattered and a fracture of the fibula in the lowest third. With this injury the subject received two slight scalp wounds, a compound fracture of the right ulna and a fracture of the right femur in its middle third, all from the explosion of the magazine of the gunboat "George Washington." Private E. J. V., "A," 3d Rhode Island Artillery, 18: near Beaufort, S. C, 9th April; leg amputated in the middle third, llth; died, 14th April, 1863. Contributed by Surgeon F. L. Dibble, 6th Connecticut. See 1163, XVI. A. A. e. 18. 4474. The calcaneum, part of the astragalus and lower portions of the left tibia and fibula. The astragalus is split e. 20. longitudinally and the outer half is wanting. The outer malleolus is fractured. Private S. W., " C," 3d Maine: Cold Harbor, 5th June, 1864; amputated on the field by Surgeon F. F. Burmeister, 69th Pennsylvania; discharged the service, 6th March, 1865. Contributed by the operator. 416 CATALOGUE OF THE SURGICAL SECTION XVI. 4 19 4. The astragalus and lower halves of the bones of the left leg. The tibia is shattered into the ankle, and the fibula e. 21. is transversely fractured, as if consecutively. Second Lieutenant E. O'B., "H," 28th Massachusetts: Cold Harber, 5th June; amputated on the field in the middle third by Surgeon Peter Emmet Hubon, 28th Massachusetts; admitted hospital, Washington, 8th June; leave of absence, llth July, 1864. Contributed by the operator. 2969. The lower halves of the bones of the right leg, primarily amputated for shattering of the tibia, involving the e. 22. ankle and a transverse fracture of the fibula two inches above the articulation. Private J. W., "B," 5th Pennsylvania Reserves, 24: Spottsylvania, 8th May, 1664; amputated by Dr. Rohr the same day; discharged the service, Philadelphia, 8th June, 1865. Contributed by the operator. 2934. The greater part of the tarsal bones, with the astragalus and calcis fractured by shell. The knee was also injured, e. 23. and primary amputation was performed in the thigh. Private T. K., " G," 183d Pennsylvania, 35: wounded and amputated by Surgeon Peter Emmet Hubon, 28th Massachusetts, Cold Harbor, 3d June, 1864. Discharged. Contributed by the operator. 4498. The bones of the left ankle, with the posterior half of the calcaneum and the border of the astragalus carried away e. 24. by grape shot. Captain W. F. M., "I," 1st Massachusetts Heavy Artillery, 47: Spottsylvania, 19th May; admitted hospital, with leg amputated in the lowest third, 22d May ; on leave, 6th July, 1864. Contributed by Surgeon J. W. Lyman, 57th Pennsylvania. 4578. The astragalus and lowest fourths of the bones of the left leg, with a spherical leaden ball lodged just at the e. 25. anterior border of the articulation. Private P. R., "K," 5th New Jersey, 19: Petersburg, 17th June; amputated by Surgeon Wm. Watson, 105th Pennsylvania, 20th June ; died from exhaustion, 30th July, 1864. Contributed by the operator. See classes XVI. A. a. a.; XXVII. B. B. d. 257. The two lower thirds of the bones of the left leg, after shattering of the fibula and partial fracture of the tibia. e. 26. Private P. B., "E," 164th New York, 38: Petersburg, 16th June, 1864 ; amputated below the knee on the field ; discharged the service, summer of 1865. Operator and contributor unknown. 502. Tho bones of the left ankle, showing fractures of the inner borders of the calcaneum and astragalus. Primary e. 27. amputation was performed at the junction of the upper thirds, but of the leg bones only the lower portions have been preserved. Private J. A. H., "D," 8th New York Heavy Artillery, 28: Petersburg, 18th June; amputated by Assistant Surgeon G. F. Winslow, U. S. Navy, 19th; admitted hospital, Washington, 28th June, 1864; discharged the service, 21st June, 1865. Contributed by the operator. For other illustrations, see 3796, III. A. B. b. 24; 1188, V. A. B. b. 30; 3837, XIII. A. B. f. 64; 3100, XIII. A. B. g. 70 ; 2778, XV. A. B. f. 36. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 417 JO. Secondary Conditions a. Contusions and Partial Fractures. 2827. The right tarsus and metatarsus, scarcely injured. This specimen is interesting from a battered conoidal ball a. 1. having been found resting against the plantar surface of the middle and external cuneiform bones. The missile apparently entered from the rear and grazed the astragalus and calcis on their internal borders. There is no satisfactory history. See class XXVII. B. B. d. For other illustrations, see 1345, XVI. A. B. f. 140.; 3204, XVI. A. B. f. 180. b. Complete Fractures. 3338. The bones of the right ankle, three weeks after injury. The external malleolus was fractured by gunshot. b. 1. Hospital gangrene extended through the joint, and profuse suppuration involved the foot and leg. Sergeant H. S. E., "C," 6th Ohio Cavalry: St. Mary's Church, Va., 24th June; died, Alexandria, 15th July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. See class XXIII. A. B. 4147. The bones of the left ankle, six weeks after injury. The astragalus is fractured and tke joint is carious. The b. 2. condition of the patient at no time after admission to hospital justified amputation. Private J. Y., "E," 7th Maryland, 45: probably Petersburg, 25th March or 1st April; admitted hospital, Washington, 6th April; died, exhausted, 5th May, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 1682. The bones of the right ankle, nineteen days after injury. The internal malleolus is slightly fractured. The b. 3. articular surfaces are eroded by suppuration. Private W. L., "M," 5th U. S. Cavalry, 25: Brandy Station, Va., 1st August; admitted hospital, Washington, 2d; attempted to save the limb; died from pyaemia, 19th August, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1203. The left calcaneum, perforated in its posterior portion by a conoidal ball obliquely from without and from b. 4. the front. Corporal E. D., "K," 6th Pennsylvania: Fredericksburg, 13th December; admitted hospital, Alexandria, 19th December, 1862; died of double pleuro-pneumonia, 3d January, 1863. Contributed by Surgeon Charles Page, U. S. Army. 3351. Part of the left foot, three weeks after injury. The third and fourth metatarsal bones were fractured by a conoidal b. 5. ball, involving their bases, and are carious. Private T. B. T., "I," 24th Michigan: 18th June; admitted hospital, Alexandria, 4th July; died of pleuro- pneumonia, with gangrene, llth July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. See class XXIII. A. B. 3755. The left calcaneum, with fractured astragalus, scaphoid and cuboid, nineteen days after injury. An unsuccessful b. 6. attempt was made to save the limb. Private G. A., "K," 9th Minnesota, 39: Nashville, 15th December, 1864; died, exhausted, 3d January, 1865. Contributed by Acting Assistant Surgeon H. C. May. 53 ' a. Contusions and partial fractures. b. Complete fractures. C. Caries consecutive upon other injury than fracture of the bones of the joint. 1 d. Excisions. | e. Amputations in the tarsus. f. Amputations in the leg or thigh. g. Other operations. h. Stumps. „ i. Sequestra. 418 CATALOGUE OF THE SURGICAL SECTION XVI. 493. The bones of the left leg, with the internal malleolus split off. The fibula is fractured transversely, with slight b. 7. comminution, three and five inches above the ankle, and again, with the loss of an inch and a half, in the upper third. Although reported as a gunshot fracture, this specimen appears to illustrate injury such as might be received from a heavy wagon. Contributed by Acting Assistant Surgeon Jas. McGuigan. See classes XV. A. B. b.; XV. B. a. b.; XVI. B. A. b. 2339. The left calcaneum, fractured and supporting the astragalus, which is shattered by a conoidal ball lodged in it b. 8. from the front. Received, without history, from Fredericksburg. See class XXVII. B. &. d. 253. The left astragalus and the lower halves of the tibia and fibula, three weeks after injury. The extremities of both b. 9. bones of the leg are shattered by gunshot. Corporal M. M., "D," 28th Massachusetts: Hatcher's Run, Va., 25th March; admitted hospital, Washington, 5th April; declined operative interference, and died from pyaemia, 14th April, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. 736. Tho bones of the left ankle, with the outer side of the astragalus and the lower portion of the tibia fractured and b. 10. carious. There is some periosteal thickening upon the shafts of the leg bones. An unsuccessful attempt to save the joint was made. The articulation has been destroyed by ulceration. Private M. A. McD., " K," 125th Pennsylvania: Antietam, 17th September; admitted hospital, Philadelphia, 27th September ; died, 17th October, 1862. Contributed by Surgeon Paul B. Goddard, U. S. Vols. 3899. The left tarsus, with the cuneiform bones fractured and the others necrosed, one month after injury. A round ball b. 11. is attached, which was removed three days before death. Private J. A., "D," 15th New Jersey: Funkstown, Md., 8th July; admitted hospital, Frederick, 15th July; died, 6th August, 1863. Contributed by Acting Assistant Surgeon W. S Adams. See class XXVII. B. B. d. 3702. The right astragalus and calcaneum The os calcis is shattered by a grape shot, which is attached. b. 12. Private J. M., "A," 55th Massachusetts, colored: Grahamsville, S. C, 30th November; died of tetanus, Hilton Head, S. C, 8th December, 1864. Contributed by Surgeon J. Trenor, U. S. Vols. See class XXVII. B. B. d. 1157. A ligamentous preparation of the left foot, with the scaphoid and cuboid bones shattered by a grape shot of one b. 13. and a half inches diameter, which entered the dorsum and escaped through the plantar surface. A piece of leather driven in between the astragalus and cuneiform bones remains in position. The missile also is preserved. Contributed by Surgeon Meredith Clymer, U. S. Vols. See 1158, XXII. A. A. a. 1.; 1159, XXII. A A. a. 2. See classes XXVII. B. A. c; XXVII. B'. B'. 948. The left tarsus and metatarsus and lower extremities of the leg bones, one month after injury. The external b. 14. malleolus is fractured, and the tibia grooved by a bullet passing into the joint. The astragalus and tibia are both eroded by suppuration. Sergeant G. B. H., "H," llth Kentucky, 30: Murfreesboro', Tenn., 31st December, 1862; admitted hospital, Cincinnati, 23d; died, exhausted, 1st February, 1863. Contributed by Surgeon John A. Murphy, U. S. Vols. 8©. A ligamentous preparation of parts of the right tibia, fibula, astragalus aud calcaneum. The transverse passage b. 15. of a bullet across the anterior surface of the ankle has fractured its three bones. Contributed by Acting Assistant Surgeon Warner. 290. A ligamentous preparation of the right ankle and lower halves of the bones of the leg. The external malleolus b. 16. has been fractured by gunshot and is partially reunited. The articulating surface of the ankle is roughened by suppuration. Contributed by Surgeon J. H. Brinton, U. S. Vols. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 419 767. The lower thirds of the bones of the right leg, one month aftnr injury. The tibia is comminuted with a fracture b. 17. into the joint. The fractured portions are necrosed and around them some callus has been thrown out on the shaft, but there has been no attempt at union, nor does the joint show more than tbe destruction of cartilage. The subject died from a depressed fracture of the cranium. Unknown, 63d New York : Antietam, 17th September; admitted hospital, Frederick, 22d September; died, 16th October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See 765, I. A. B. b. 61. 1800. The bones of the right leg, with the lower extremities shattered into the ankle. There has been a feeble attempt b. 18. at repair in the shafts. The articulation is destroyed by suppuration. Received after Gettysburg. 1801. The bones of the left leg, shattered into the ankle. Necrosed portions are about separating, and there is a feeble b. 19. effort at reparation. Received after Gettysburg. 626. A ligamentous preparation of the bones of the left foot, shattered through the ankle and tarsus, with the internal b. 20. malleolus fractured. The missrle appears to have entered the outer inferior border. Contributed by Assistant Surgeon W. Moss, U. S. Vols. 3501. The bones of the left ankle, very carious, with the articulation entirely destroyed by suppuration after fracture b. 21. of the external malleolus. Contributor and history unknown. 1822. The astragalus and calcis and portions of the leg bones. The specimen appears to be a post mortem one, and b. 22. represents an unsuccessful attempt to save the joint after fracture of the external malleolus A portion of the extremity of the fibula, perfectly dead, remains, and the articulation has been destroyed by suppuration without reparative effort. Received after Gettysburg. 1799. The bones of the left ankle, fearfully shattered by a conoidal ball which split the lower extremity of the tibia, b. 23. broke up the astragalus and traversed the calcaneum, in the posterior portion of which it is lodged, reversed. An apparent attempt to save the joint displays the effect of suppuration. Received after Gettysburg. See class XXVII. B. b d. 1348. The bones of the left foot, one month after injury, with the tarsus carious. The ankle was shattered by a conoidal b. 24. ball. The subject was predisposed to tuberculosis. Private E. B., "E," 3d Wisconsin, 33: Beverly Ford, 9th June; admitted hospital, Washington, 10th June; died, 8th July, 1863. Contributed by Surgeon G. S. Palmer, U. S. Vols. 4580. The greater portion of the bones of the right leg, with the fibula transversely fractured in the lowest fourth and b. 25. the anterior portion of the tibia shattered into the ankle. There was also a flesh wound of each leg and of the thorax. Private Wm. H. P., "C," 1st Massachusetts Heavy Artillery, 39: Spottsylvania, 19th May; admitted hospital, Washington, 22d; died from pyaemia, 30th May, 1864. Contributed by Assistant Surgeon J. C. McKee, U. S. Army. 2546. The bones of the left tarsus and metatarsus, honeycombed with caries, after fracture involving the ankle. b. 26. Contributor and history unknown. 677. A ligamentous preparation of the right ankle and foot, showing shell wounds. The external malleolus and b. 27. adjoining portion of the astragalus are fractured, and the scaphoid, external and middle cuueiform and seond and third metatarsals are shattered. Private W. A. R., " 1," 123d Pennsylvania. Contributed by Surgeon Thomas Antisell, U. S. Vols. 766. A ligamentous preparation of the left ankle and adjacent bones, fractured by perforation by a conoidal ball, six b. 28. weeks after injury. The articulation is destroyed by suppuration. No operation was performed on account of the subject's weakness from an abdominal wound received at the same time. Private L. S. P., "E," 3d North Carolina (Rebel): Antietam, 17th September; died, Frederick, 25th October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See 852, XXII. A. B. a. 6. 420 CATALOGUE OF THE SURGICAL SECTION XVI. 3360. The lower portions of the bones of the left leg, the astragalus and calcaneum. The articulating surfaces have b. 29. been torn away by gunshot and the fractured remains are carious and have been wasted by suppuration. A little callus has been deposited externally on the tibia, and the fibula has lost a small segment of tbe shaft four inches above the joint. The astragalus and calcis are anchylosed. Private J. C, "A," 90th Illinois, 18: Mission Ridge, 25th November, 1863; admitted hospital, Nashville, 4th February; "died from the effects of chloroform at the time of the operation for the extraction of the ball," 8th March, 1864. Contributed by Surgeon R. L. Stanford, U. S. Vols. See 2188, XVI. A. B. b. 31. 275. An interesting specimen of vigorous attempt at repair after gunshot fracture of the leg bones involving the right b. 30. ankle. The external malleolus has been broken off and the tibia obliquely fractured in its lowest fourth. A large quantity of callus was thrown out, and the fragments of the tibia were tolerably agglutinated. The extremity of the fibula is attached to the tibia. The joint has suffered from suppuration. Private H. W., "D," 9th Now York, 20: Antietam, 17th September; amputated by Surgeon T. H. Squire, 89th New York, 21st October, 1862. Recovered. Contributed by the operator. 2188. The bones of the right ankle, five and a half months after fracture. The fibula was shattered', three inches above b. 31. the joint, by a conoidal ball which passed, downward lodging in the tibia, whichit split into the joint. The fractured portions are carious and the articulation is destroyed by suppuration. Reported as below, but probably an error. Private J. C , "A," 90th Illinois, 18: Chickamauga, 19th September, 1862; admitted hospital, Nashville, 4th February; died, 7th March, 1864. Contributed by Acting Assistant Surgeon H. C. May. See 3360, XVI. A. B. b. 29. See class XXVII. B. B. d. 2240. The bones adjacent to the right ankle, seven months after injury. The ankle was fractured by a bullet passing b. 32. transversely, shattering the inner malleolus. An attempt was made to save the limb and obtain anchylosis of the ankle joint. The tarsal articulations are destroyed and all Ihe bones carious. There is some callus thrown out at the extremity of the tibia. Private H. H., " D," 3d Wisconsin, 18: Chancellorsville, 3d May; admitted, hospital, Washington, 14th June; died, exhausted, 1st December, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 857. The greater part of the left calcaneum, and a portion of the astragalus much shattered. The point of interest is b. 33. a superficial deposit of callus on the inner surface of the calcis. Contributor and history unknown. c. Caries Consecutive upon Other Injury than Fracture of the Bones of the Joint. 1949. The lower extremities of the bones of the left leg, showing the articular surfaces destroyed by ulceration without c. 1. direct fracture. Private E. P. H., "I," 1st Minnesota: Gettysburg, 2d July; left leg amputated; died, 4th August, 1863. Contributor unknown. For other illustrations, see 3332, XVI. A. B. f. 57; 2865, XVI. A. B. f. 126; 483, XVI. A. B. f. 177. d. Excisions. 506. Several fragments, representing excised portions of the second, third and fourth metatarsal bones. d. 1. Private W. McK., " n," 3d Michigan: Fair Oaks, 31st May; excised, Washington, 24th June; died, 6th July, 1862. Contributed by Actiug Assistant Surgeon D. W. Cheever. 2321. Nine pieces of bone, representing an excision of the first, fourth and fifth metatarsal, and the removal of the d. 2. internal and middle cuneiform bones. Private T. G., "I," 9th Massachusetts : removed by Acting Assistant Surgeon C. H. Von Tagen, May, 1864. Contributed by Ihe operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 421 1286. The right calcaneum, excised for caries following gunshot, five months after injury. A conoidal ball at short d. 3. range perforated the os calcis, and the specimen exhibits general caries. • Sergeant T. C. B., " C," 81st Pennsylvania, 18: Fredericksburg. 13th December, 1862; admitted hospital, Philadelphia, 6th January; excision performed by Assistant Surgeon C. R. Greenleaf, U. S. Army, 16th May, 1863. Recovered. Contributed by the operator. 3045. One inch of the shaft of the left tibia and fibula, excised from the lower extremities for caries following fracture. d. 4. Private A. B. McC, "E," 188th Pennsylvania, 21: Cold Harbor, 3d June; admitted hospital, Washington, 15th June; excised by Surgeon R. B. Bontecou, U. S. Vols., 12th July; died, 21st July, 1864. Contributed by the operator. 3035. The bones of the right tarsus and the lower extremity of the tibia. A bullet entering above the inner malleolus d. 5. fractured it and the astragalus and calcis. Private J. C. P., "B," 81st New York, 27: Cold Harbor, 3d June; admitted hospital, Washington, 15th June; " ankle joint resected " by Surgeon R. B. Bontecou, U. S. Vols., 7th July; died, 17th July, 1864. Contributed by the operator. e. Amputations in the Tarsus. 540. The left ankle, fractured in the astragalus, upon which PirogofFs amputation has been performed. e. 1. Contributed by Surgeon J. E. Prince, 36th Massachusetts. See class XVI. D. 1650. A portion of the right foot, one month after injury. The tarsus is perforated by a musket ball, with great effusion e. 2. of callus. The track is necrosed. Private E. McE., "B," 73d New York, 23: Gettysburg, 2d July; admitted hospital, Baltimore, 10th July; Chopart's amputation, 4th August; discharged, 16th December, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See class XVI. D. 2028. A part of the right foot, one month after injury. The metatarsus is badly shattered by a conoidal ball. Some of e. 3. the fragments are necrosed, and a slight effusion of callus has occurred iu the neighboring parts. Private W. A. E., "C," 6th Maine,25: Rappahannock Station, 7th November; admitted hospital, Washington, 9th November; PirogofFs amputation by Surgeon R. B. Bontecou, U. S. Vols., 6th December, 1863. Recovered. Contributed by the operator. See class XVI. D. 3007. Portions of the calcaneum, scaphoid, cuneiform and metatarsals of the right foot after Chopart's amputation for e. 4. accidental fracture by gunshot. Private J. McC, "F," 48th New York, 38: admitted hospital, Beaufort, S. C, 7th March; posterior tibial ligated for gangrene; Chopart's amputation, 23d March; inner half os calcis separated, 17th May; sent Noith nearly well, 13th September, 1864. Contributed by Acting Assistant Surgeon C T. Reber. See classes XVI. D.; XXIII. A. B. 4493. The right foot, after Chopart's amputation for fracture of the first three metatarsals. Missile entered the sole and e. 5. lodged near the inner malleolus. Private S. H., "F," llth Pennsylvania Reserves: Fredericksburg, 13th December; Chopart's amputation, Washington, 23d December, 1863; died from pyaemia, 15th January, 1863. Contributed by Assistant Surgeon G. M. McGill. See class XVI. D. 2983. A portion of the left calcaneum and shattered astragalus, with a battered conoidal ball e. 6. attached. PirogofFs amputation appears to have been performed. See figure 137. Received, without history, from City Point. See classes XVI. D.; XXVII. B. B. d. 3068. The left tarsus and part of the metatarsus, one month after injury. Bullet entered the ■ ■,,, r , , , , j i ,, , e A . -,.,., Fio. 137. Shattered astraga- e. 7. middle ot the nrst metatarsal bone and emerged at the base ot the second and third ius and sawn calcaneum toes, which were immediately amputated. £™" apir°eoff ca^- Spec. Private E. R. F., "I," 32d Maine, 44: accidentally, at White House, Va., 15th June; admitted hospital, Washington, 20th June ; amputated, by Syme's operation, by Surgeon R. B. Bontecou, U. S. Vols., 18th July; died, exhausted, 23d July, 1864. Contributed by the operator. See class XVI. D. 422 CATALOGUE OF THE SURGICAL SECTION XVI. 305 1. The bones of the left tarsus, after amputation by PirogofFs method. The malleoli and a thin section of the tibia e. 8. were sawn off and the calcaneum divided. The fractured tarsal bones are preserved. Private S. S., " K," 80thNew York, 47: Wilderness, 10th May; admitted hospital, Washington, 14th; amputated, by a modification of PirogofFs, for excessive nervous irritation, by Surgeon R. B. Bontecou, U. S. Vols , 2d May; died of pyaemia, 19th June, 1864. Contributed by the operator. See class XVI. D. 296. A ligamentous preparation of the right foot, with the external portions of the tarsus and metatarsus shattered, on e. 9. which Syme's amputation has been performed. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. See class XVI. D. 303. The left tarsus, with the calcaneum fractured. Syme's amputation has been performed. e. 10. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. See class XVI. D. 691. A ligamentous preparation of the scaphoid, cuboid and cuneiform bones and the metatarsus of the left foot. The e. 11. bases of the second and third metatarsals are fractured by a bullet which appears to have entered the dorsum, passing directly through. Syme's amputation is represented to have been performed. If such was the case, the remaining bones have not been contributed. Private D. C H., "A," 4th New ■ Hampshire: Pocotaligo, S. C, 22d October; amputated, by Syme's method, by Acting Assistant Surgeon Thomas S. Smiley; died of pyaemia, 12th November, 1862. Contributed by Assistant Surgeon J. E. Semple, U. S. Army. See class XVI. D. 2783. The lower borders of the tibia and fibula, the astragalus and a slice of the upper portion e. 12. of the calcaneum from the right ankle. The astragalus is fractured and carious and the tibial articulation eroded. Amputation, after the manner of Pirogoff, was successfully performed. Three-fourths of an inch of the shaft of the tibia, besides the malleoli, was sawn off See figure 139. Private O. C, "B," 7th Wisconsin, 17: Gettysburg, 1st July; admitted hospital, Philadelphia, 13th ; amputated, on account of sloughing, by Acting Assistant Surgeon Addinell Hewson, 1st August, 1863. Recovered, with one inch shortening. Contributed by the operator. See XVI. D. For other illustrations, see 887, XV. C. 1J. f. Amputations in the Leg or Thigh. 4702. The right ankle, one month after injury. The inner malleolus is fractured and the lower extremity of the shaft of f. 1. the tibia shattered. There is no attempt at repair, but absorption of the cancellated structure of the fibula, astragalus and calcaneum has occurred. Private I. L., "A," 8th Michigan: Antietam, 17th September; amputated lowest third, Locust Spring Hospital, Md., 4th October, 1862. Recovered. Contributed by Surgeon T. H. Squire, 89th New York. 479. A ligamentous preparation of the right tarsus and lower extremities of the leg bones, with the outer malleolus f. 2. fractured. Private J. S., "H," 90th Pennsylvania, 29 : Fredericksburg, 13th December ; amputated just above the ankle by Acting Assistant Surgeon Weisel, 25th December, 1862; died from pyaemia, 12th January, 1863 Contributed by the operator. 4576. The right tarsus and metatarsus. The smaller tarsal bones are much fractured and carious. f. 3. Private A. S. W., "E," 3d New Jersey, 22: Spottsylvania, 8th May; amputated by Acting Assistant Surgeon Chas. A Lindsay, Washington, 28th May; died from pyaemia, 13th June, 1864. Contributed by the operator. 4548. A ligamentous preparation of the left tarsus and lower portions of the bones of the left leg, with the astragalus f. 4. and under surface of the external malleolus fractured by a ball which entered from behind and lodged in the joint. Private J. C, "B," 7th Pennsylvania Reserves: Fredericksburg, 13thDecember; admitted hospital, and amputated by Surgeon H. Bryant, U. S. Vols., Washington, 27th December, 1862. Recovered. Contributed by the operator. FIG. 139. Portions of tibia, fibula, astragalus and cal- caneum,from a successful Pirogoff's amputation. Spec. 2783. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 423 4545. The astragalus, calcaneum, cuboid and scaphoid of the right tarsus. The calcaneum in its anterior portion was f. 5. broken and the fibula reported fractured. Second Lieutenant E. C G., "A," 139th Pennsylvania, 24: Wilderness, 5th May ; admitted hospital, Alexandria, 12th; amputated by the circular method, in the middle third of the leg, bv Dr. Frank H. Hamilton, 25th May; died of pyaemia 5th June, 1864. Contributed by the operator. 4577. The lowest thirds of the bones of the left leg. The fibula is obliquely fractured. The tibia Is comminuted, with f. 6. a longitudinal fracture in the middle of the bone into the ankle. Private J. M., "E," 8th Pennsylvania Reserves, 20: Fredericksburg, 13th December; amputated by Assistant Surgeon Geo. M. McGill, U. S. Army, Washington, 24th December, 1862; died of pyemia, 19th January, 1863. Contributed by the operator. 2421. The right astragalus and a portion of the os calcis, three weeks after injury. The posterior half of the calcaneum f. 7. has been carried away by a conoidal ball. A slight layer of callus is seen on the internal surface, and a portion of the upper surface which had been split off remains in apposition partially united. Private W. G., "C," 15th (?) U. S. Infantry, 18: Spottsylvania C H., 12th May; admitted hospital, Washington, 18th May; amputated by Surgeon D. W. Bliss, U. S. Vols., 2d June, 1864. Contributed by the operator. 386. The left astragalus and calcaneum, fractured by a round ball at their posterior articulation. f. 8. Private P. F., "D," 108th New York: Antietam, 17th September ; admitted hospital, Frederick, 26th September; amputated in the leg by Acting Assistant Surgeon James H. Peabody, 12th October, 1862. Contributed by the operator. 3359. Several tarsal bones, somewhat eroded, one month after injury. A conoidal ball fractured the tarsus and opened f. 9. the ankle. No attempt at repair. Sergeant J. C, "I," 124th Ohio, 27: Rocky Faced Ridge, Ga., 9th May; admitted hospital, Nashville, 27th May; amputated, llth June, 1864. Contributed by ActiDg Assistant Surgeon H. C May. 575. The left calcaneum, shattered by gunshot. f. 10. Sergeant H. D., 8th Pennsylvania Reserves: probably Fredericksburg, 13th December; amputated in the leg by Surgeon H. Bryant, U. S. Vols., Washington, 24th December, 1862. Contributed by Assistant Surgeon George M. McGill, U. S. Army. 1459. The right tarsus and metatarsus, three weeks after injury. A conoidal ball has passed transversely through the f. 11. foot, fracturing to comminution the bones just anterior to the astragalus and calcaneum. There is no attempt at repair. First Lieutenant O. T., "C," 119th New York: Gettysburg, 1st July; admitted hospital, Baltimore, 9th; amputated for secondary haemorrhage, 20th July, 1863. Contributed by Assistant Surgeon D. C Peters, U. S. Army. 3300. The left tarsus and metatarsus, fractured by gunshot. The calcaneum has been longitudinally broken and the f. 12. smaller bones are missing. Private S. S. F., "C," 1st Massachusetts Heavy Artillery, 43: Spottsylvania C. H , 15th May; amputated in leg by Surgeon D. P. Smith, U. S. Vols., near Alexandria. Contributed by tho operator. 2829. The right tarsus and metatarsus, three weeks after injury. The internal cuneiform bone is carried away and the f. 13. base of the metatarsal of the great toe is fractured. The adjacent bones show the effects of suppuration. Corporal A. J. K., "M," 1st Maine Heavy Artillery, 34: Petersburg, 18th June; admitted hospital, Washington 25th June; amputated by Acting Assistant Surgeon W. L. Baxter, 10th July, 1864. Recovered. Contributed by the operator. 1031. The right tarsus and metatarsus, three weeks after injury. The internal cuneiform bone has been carried away f. 14. and the base of the first metatarsal bone fractured. The tarso-metatarsal articulation has been destroyed by suppuration, and the commencement of necrosis is observable in nearly all the bones. Private S. L., "I," 29th Missouri: Vicksburg, 29th December, 1862; admitted hospital, Paducah, Ky., 13th January; amputated, 19th ; died, 23d January, 1863. Contributed by Surgeon H. P. Stearns, U. S. Vols. 424 CATALOGUE OF THE SURGICAL SECTION XVI. 2497. A portion of the left tarsus, with the calcaneum shattered. This man was also wounded in the right shoulder. f. 15. Private A. J. W., "A," 8th New York Artillery: Cold Harbor, 3d June; amputated by Surgeon E. Bentley, U. S. Vols., Alexandria, 8th June; died from exhaustion, 10th July, 1864. Contributed by Acting Assistant Surgeon J. T. Smith. See 3340, XV. A. B. f. 28. 1606. A ligamentous preparation of the left ankle, completely shattered. f. 16. Private D. C G., "E," 111th New York: probably Gettysburg, 3d July; admitted hospital, Baltimore, 15th; leg amputated, 27th July, 1863; discharged the service, 10th September, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 55. A ligamentous preparation of the left foot, with the external malleolus and astragalus fractured and the calcaneum f. 17. and cuboid shattered. ----F.: died. Contributed by Assistant Surgeon J. S. Billings, U. S. Army. 3942. The right tarsus, with the calcis and astragalus fractured by a conoidal ball. f. 18. PrivateH. J.H., "D," 12th Georgia, (Rebel,) 24: Monocaey, 9th July; amputated in the lowest third, Frederick, 22d; died, 31st July, 1864. Contributed by Acting Assistant Surgeon T. E. Mitchell. 649. A ligamentous preparation of the right foot, with the lower portions of the leg bones. The internal malleolus f. 19. has been shot away. Private G. S. C, "G," 6th Pennsylvania: Fredericksburg, 13th December; admitted hospital, Washington, 23d; amputated in the lowest third of the leg, 25th December, 1862. Contributed by Acting Assistant Surgeon A. W. Tryon. 4054. The lower portions of the bones of the left leg. The tibia is fractured by a round ball entering anteriorly and f. 20. lodging just above the ankle, fissuring into it. Private L. V., "K," 91st New York, 21: Petersburg, 31st March; admitted hospital, Washington, 6th April; amputated lowest third of the leg by Assistant Surgeon A. Delaney, U. S. Vols., llth April; discharged, 21st June, 1865. Contributed by the operator. See class XXVII. B. B. d. 3285. The left ankle, with a conoidal ball lodged in the articulation, having comminuted the anterior extremity of the f. 21. tibia. The missile is solid, resembling a slug more than the ordinary minie bullet. The leg was amputated just above the malleoli. Private G. S., " I," 20th Maine: Chapin's Farm, Va., 30th September; amputated by Surgeon R. B. Bontecou, U. S. Vols., Washington, llth October; died, 19th October, 1864. Contributed by the operator. See class XXVII. B. B. d. 2548. The lowest thirds of the bones of the left leg, with the posterior portion of the tibia fractured into the joint. f. 22. Private J. A. M., "A," 10th Connecticut: Cold Harbor, Va., 1st June; amputated in the lowest third, Alexandria, 7th June, 1864; discharged, 2d January, 1865. Contributed by Surgeon E. Bentley, U. S. Vols. 2765. The bones of the left tarsus and extremities of the tibia and fibula. The inner malleolus and astragalus are f. 23. fractured, and the internal cuneiform bone chipped. Private C. F. B., "F," 1st Connecticut Cavalry, 24 : Petersburg, 20th June; admitted hospital, Washington, 2d July ; amputated in lowest third by Surgeon A F. Sheldon, U. S. Vols., 3d July, 1864. Recovered. Contributed by the operator. See 4700, XXV. A. B. b. 239. 2474. The lowest thirds of the bones of the left leg, with the inner two inches of the tibia broken off into the joint. f. 24. Private T. H. T., "G," 2d Massachusetts Cavalry (?) : wounded, 22d May; amputated in lowest third by Actum- Assistant Surgeon Ottman, Washington, 30th May; died, 9th June, 1864. Contributed by Surgeon G. L. Pancoast, U. S. Vols. 1453. A ligamentous preparation of the left tarsus and lower portion of the leg bones, three weeks after injury. The f. 25. external malleolus was fractured, and amputation was required by the infiltration of pus. Private M N., "I," 73d New York, 23: Gettysburg, 2d July; admitted hospital, Baltimore, 16th; amputated in the lowest third, 21st July; died, 1st August, 1863. Contributed by Assistant Surgeon D. C Peters, U. S. Army. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 425 2662. The lowest thirds of the bones of the left leg, with the tibia fractured on the anterior aspect of the articulating f. 26. surface.- Private L. P., "G," 28th Massachusetts, 48: Cold Harbor, Va., 2d June; admitted hospital, Alexandria, 7th; amputated lowest third by Surgeon E. Bentley, U. S. Vols., 9th June, 1864. Recovered. Contributed by the operator. 1605. A ligamentous preparation of the right tarsus and metatarsus, three weeks after injury. The astragalus has been f. 27. perforated transversely by a conoidal ball. There is no attempt at repair. The left ankle was fractured at the same time, and the leg was amputated the day before the operation upon this limb. Private M. Y., "E," 120th New York, 20: Gettysburg, 2d July; admitted hospital, Baltimore, 16th; amputated in the lowest third by Acting Assistant Surgeon F. Hinkle, 28th July; died, 9th August, 1863. Contributed by Assistant Surgeon D. C Peters, U. S. Army. See 1609, XVI. A. B. f. 162. 1667. A ligamentous preparation of the right ankle, nearly eight weeks after injury. The posterior portion of the f. 28. astragalus is fractured and carious, and the joint appears anchylosed. Private S. D. F., "F," 105th Pennsylvania: Gettysburg, 2d July; admitted hospital, Baltimore, 16th July; amputated in the lowest third by Acting Assistant Surgeon F. Hinkle, 25th August; discharged, 27th August, 1864. Contributed by Assistant Surgeon D C. Peters, U. S. Army. 4276. The bones of the right foot and ankle, an unknown period after injury. The external malleolus was fractured and f. 29. the missile passed obliquely downward through the calcis. The ankle is thoroughly disintegrated. When admitted to hospital, this subject labored under confirmed phthisis. Private J. W. P., "E,"3d West Virginia Cavalry: admitted hospital, Cumberland, Md., 14th March; amputated in the lowest third of the leg, 3d April, 1863. Contributed by Surgeon J. B. Lewis, U. S. Vols. 3534. The bones of the left ankle, twenty-four days after fracture by shell. The internal malleolus and part of the f. 30. astragalus are fractured and lost. The articulation has been destroyed by suppuration, and no attempt at repair has been made. Private G. A. W., "A," 20th Maine, 19: Wilderness, 6th May; admitted hospital, Washington, 12th; amputated in the lowest third, 30th May; died from exhaustion following operation, and chronic diarrhoea, 10th July, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 439. A ligamentous preparation of the left tarsus and metatarsus, with the inner malleolus and astragalus fractured by f. 31. a musket ball perforating the ankle. Private C. S., 1st Pennsylvania Reserves: South Mountain, 14th September; amputated in the lowest third by Surgeon H. S. Hewit, U. S. Vols., Frederick, 12th October; died, 19th October, 1862. Contributed by the operator. 1306. The lower extremity of the right tibia, shattered, with the cancellated portion carious. f. 32. Private J. W., "C," 159th New York, 25 : Port Hudsou, La., 27th May; amputated in the lowest third, New Orleans, 8th June, 1863. Contributed by Assistant Surgeon P. S. Conner, U. S. Army. 1173. The lower extremities of the bones of the left leg, with the tibia shattered into the ankle. A battered bullet is f. 33. lodged in the bone. Private W. J., 52d New York: Chancellorsville, 3d May, 1863; amputation was performed in the lowest third fourteen days after injury. Contributed by Surgeon C. S. Wood, 66th New York. See class XXVII. B B. d. 650. A ligamentous preparation of the lower extremities of the bones of the right leg and tarsus, with the external f. 34. malleolus fractured. When admitted to the hospital the joint was filled with pus, with great constitutional disturbance. Private C. Z., "E," 8th Pennsylvania Reserves: Fredericksburg, 13th December; admitted hospital, Washington, 23d ; amputated in the lowest third by Acting Assistant Surgeon A. W. Try on, 25th December, 1862. Contributed by the operator. 1619. A ligamentous preparation of the left foot, fractured by the astragalus being earned away and the internal f. 35. malleolus being broken off, with an oblique fracture of the tibia. The fractured extremities are carious. Sergeant A. D. McP., "A," 105th Pennsylvania: probably Gettysburg, 3d July; admitted hospital, Baltimore, 16th July; amputated in the lowest third of the leg, 1st August, 1863; discharged, 9th June, I -*< > 4. Contributed by Assistant Surgeon D. C Peters, U. S. Army. 54 426 CATALOGUE OF THE SURGICAL SECTION XVI. 1548. The lowest thirds of the bones of the left leg. The extremity of the fibula is carried away and the tibia is badly f. 36. split. A round ball and piece of cloth yet remain in the tibia above the articulation. ----G.: amputated. Contributed by Surgeon R. Thomain, 29th New York. See classes XXVII. B. B. d.; XXVII. B'. B'. 2 170. The right astragalus aud lower portion of the tibia. The tibia is shattered by a conoidal ball at the articulation. f. 37. The leg was amputated in the lowest third on account of secondary haemorrhage, the bullet having grazed the posterior tibial, possibly driving some small spiculae of bone into it. The arterial specimen has been lost. Private J. H.. "D,"6thU. S. Cavalry: wounded, 31st May; amputated, Washington, 8th June; died, 21st June, 1864. Contributed by Surgeon J. A. Lidell, U. S. Vols. 1346. The left tarsus and lowest thirds of the bones of the leg. The bones about the joint are thoroughly carious. f. 38. Private E., "E," 120th New York: probably Chancellorsville, 3d May; admitted hospital, Washington, 15th June; discharged while on furlough, 16th November, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. 981. The lowest third of the right tibia and the astragalus. The outer malleolus is shattered, and an oblique fracture f. 39. of the shaft of the tibia has extended its base over the extremity of the bone. Private J. P., "H," 123d Pennsylvania: Fredericksburg, 13th December; admitted hospital, Alexandria, 18th; amputated, 28th December, 1862. Contributed by Surgeon E. Bentley, U. S. Vols. 596. The lowest thirds of the bones of the left leg. The tibia was perforated into the articulation and the inner f. 40. malleolus split. A slight periosteal disturbance is to be observed. Private A. B. A., "C," 16th Maine, 19: Fredericksburg, 13th December; amputated by Surgeon E. Bentley, U. S. Vols., Alexandria, 22d December, 1862. Contributed by the operator. 3808. The left-tarsus and metatarsus, with the astragalus aud cuboid bones shattered by a conoidal ball. f. 41. Private J. K. V., "B," 1st Virginia: Ashby's Gap, Va, 24th July; admitted hospital, Frederick, Md., 27th July; amputated in the lowest third, 4th August; died, 20th August, 1864. Contributed by Acting Assistant Surgeon A. R. Gray. 1136. The right ankle. The inferior external extremity of the tibia is crushed by a musket ball which passed downward f. 42. into the joint. The articulation is eroded. Private P. S., "K," 4th U. 8. Artillery: Chancellorsville, 3d May; amputated in the lowest third by Surgeon J. H. Baxter, U. S. Vols., 20th May, 1863. Contributed by the operator. 136. The astragalus and calcaneum of the right tarsus, both badly fractured. f. 43. Private J. B. W., "H," 16th Massachusetts, 30: Second Bull Run, 30th August; amputated in the lowest third of the leg, after haemorrhage from the anterior tibial, 14th September, 1862. Recovered. Contributed by Assistant Surgeon C A. McCall, U. S. Army. 733. A ligamentous preparation of a portion of the right lower extremity, with the tarsus shattered by grape shot and f. 44. amputation performed in the lowest third of the leg. Contributed by Assistant Surgeon J. E. Semple, U. S. Army. 2211. Portions of the right calcaneum and astragalus, shattered by a bullet passing through the joint from above, f. 45. downward and backward. The tibia was implicated. Private D. E. V., "E," 76th New York: amputated in the lowest third, April, 1864. Contributed by Surgeon N. D. Ferguson, 8th New York Cavalry. 4055. The right tarsus, with the astragalus shattered and the os calcis fractured. f. 46. Private E. W., "E," 3d Delaware, 25: Petersburg, 1st April; admitted hospital, Washington, 6th; amputated lowest third of the leg by Acting Assistant Surgeon F. Hall, llth April, 1865. Recovered. Contributed by the operator. 597. A ligamentous preparation of the bones of the left ankle, with the astragalus longitudinally fractured. f. 47. Private W. W. W., "E," 16th Maine, 20: Fredericksburg, 13th December; amputated lowest third of leg by Surgeon E. Bentley, U. S. Vols., 22d December, 1862; discharged the service, 21st May, 1863. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 427 1347. The lower extremities of the bones of the right leg. The external malleolus is broken off. f. 48. Corporal G. B. S , "H," 8th New York Cavalry, 19: probably Beverly Ford, Va., 9th June; admitted hospital, Washington, 10th ; amputated lowest third, 23d June; died, 1st July, 1863. Contributed by Surgeon G. S. Palmer, U. S. Vols. 1851. The right tarsus and the lowest thirds of the bones of the leg, three weeks after injury. f. 49. The astragalus, immediately behind and below the internal malleolus, was slightly fractured by a ball which remained at the point of impingement until extracted by the fingers. The astragalus is carious where fractured. Private J. F., "K," 27 th Indiana, 24: Chancellorsville, 3d May; admitted hospital, Washington, 7th; amputated lowest third by Assistant Surgeon W. Thomson, U. S. Army, 21st May; discharged the service, 16th September, 1863. Contributed by the operator. 2533. The bones of the left tarsus, shattered by a ball which fractured the inner malleolus and passed longitudinally f. 50. through the foot. Private J. B. C, "I," 8th New York Artillery: Cold Harbor, 3d June; admitted hospital, Alexandria, 7th; amputated lowest third, 14th June; discharged the service, 10th November, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. 1736. A ligamentous preparation of a portion of the left foot, with the external malleolus shattered and the astragalus f. 51. and tibia grooved by a musket ball perforating the joint. The subject suffered from a scorbutic taint when wounded Private J. S., "C,"'5th New York Cavalry, 30: Culpeper, llth October; admitted hospital, Washington, 12th amputated in lowest third of leg and, from the condition of the tissues, immediately reamputated lowest third of thigh by Surgeon D. W. Bliss, U. S. Vols , 17th October, 1863; discharged, 27th July, 1864. Contributed by the operator. 402. A ligamentous preparation of the right tarsus and metatarsus, with the astragalus shattered by a conoidal ball f. 52. perforating from rear to front. Private J. W., "H," 61st New York: Antietam, 17th September; amputated in the lowest third by Surgeon H. S. Hewit, U. S. Vols., Frederick, 29th September, 1862. Recovered. Contributed by the operator. 562. The bones of the left ankle, with the astragalus transversely fractured just posterior to the tibia. f. 53. Private H. H., "C," 7th Pennsylvania Reserves: Fredericksburg, 13th December; admitted hospital, Wash- ington, 23d; amputated in the lowest third, on account of secondary haemorrhage, 24th December, 1862. Result believed to have been fatal. Contributed by Acting Assistant Surgeon F W. Dearing. 980. The bones of the right ankle, shattered by a c moidal ball. The extremity of the tibia and the astragalus arc f. 54. comminuted. Private H. K., "A," 18th Massachusetts: Fredericksburg, 14th December; amputated in the lowest third, Washington, 19th December, 1802. Contributed by Acting Assistant Surgeon W. A. Harvey. 3922. The bones of the left ankle, twenty-four days after fracture. The external malleolus is grooved, the astragalus f. 55. shattered, the tibia splintered and the articulation destroyed by suppuration. Tuc wound was received while being carried off the field with a perforating wound of the chest. Private R. C, "F," 14th New Jersey, 21: Monocaey, 9th July; admitted hospital, Frederick, 10th July; amputated in the lowest third, 3d August, 1864. Recovered. Contributed by Acting Assistant Surgeon J. C. Shimer. 1903. A ligamentous preparation of the left tarsus, one month after injury. A bullet passed through the calcaneum, f. 56. which is necrosed, grazing the astragalus and opening the ankle joint. There is no perceptible attempt at repair. Private L. M., "1," 119th Pennsylvania, 22: Rappahannock Station, Va , 7th November: admitted hospital, Baltimore, 9th November; amputated lowest third by Surgeon D. W. Bliss, U S. Vols., 6th December, 1863. Died of pyaemia. Contributed by the operator. 3332. The bones of the right ankle, after amputation in the middle third of the leg on account of suppuration of the f. 57. joint following section of the tendo Achillis. Corporal E D. G., " D, ' 25th Massachusetts, 21: Cold Harbor, 3d June; admitted hospital, Washington, 10th June, 1864; amputated by Acting Assistant Surgeon B. F. Butcher. Recovered. Contributed by the operator. See class XVI. A. B. c. 428 CATALOGUE OF THE SURGICAL SECTION XVI. 3356. A ligamentous preparation of the right tarsus and metatarsus, one month after injury, with a conoidal ball lodged f. 58. in the astragalus, which is carious. . Private C. H., "C," 33d Massachusetts: Dallas, Ga., 25th May; admitted hospital, Nashville, 26th May; amputated in the lowest third, 26th June, 1864. Contributed by Acting Assistant Surgeon L. B. McNabb. See class XXVII. B. B. d. 4248. The bones of the right ankle, eight months after injury. The outer border of the calcaneum has been grooved f. 59. and the posterior portion of the astragalus carried away, both of which are carious where fiactured. The articulation is anchylosed, and the shaft of the tibia aud fibula show marked periosteal disturbance for several inches. Private S. B. D., "B," 97th Indiana, 24; Kenesaw Mountain, Ga., 27th June; admitted hospital, Louisville, 29th November, 1864; amputated in the lowest third by Surgeon R. R. Taylor, U. S. Vols., 18th February, 1865- Contributed by the operator. 3496. Part of the tarsal bones of the left foot, carious, after injury. No attempt at repair. f. 60. Private L. Van G., "D," 107th New York, 21: Dallas, Ga., 25th May; admitted hospital, Nashville, 2d June; amputated in the lowest third, 24th June; died from diarrhcea, 29th July, 1864. Contributed by Acting Assistant Surgeon H. C May. 13. Parts of the left calcaneum, astragalus, scaphoid and cuboid, one month after fracture. The articular surfaces f. 61. are destroyed and the bones are carious. Private D. M , "A," llth Maine: Fair Oaks, 31st May; amputated lowest third of leg, Washington, 25th June; died of tuberculosis, 25th July, 1862. Received from Judiciary Square Hospital. 364. A portion of the right foot, fractured through the bases of the metatarsal bones by a- conoidal ball. f. 62. Private H. J. O., 14th Tennessee (Rebel): Antietam, 17th September; amputated in the lowest third of the legs by Assistant Surgeon C Bacon, U. S. Army, Frederick, 21st October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 1251. A ligamentous preparation of the right ankle and tarsus. The calcaneum was transversely perforated from f. 63. within in its posterior half by a conoidal ball. Private J. A., "A," 15th New Jersey: Second Fredericksburg, 3d May; entered hospital, Washington, 8th; amputated in the lowest third of the leg by Acting Assistant Surgeon C Carvallo, 16th; died, 19th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 2663. The right os calcis, fractured by musket shot. f. 64. Private D. C, "F," 28th Massachusetts, 32: Cold Harbor, 3d June; amputated in the lowest third by Surgeon E. Bentley, U. S. Vols., Alexandria, 9th June, 1861; discharged the service, 25th May, 1865. Contributed by the operator. 2664. The right calcaneum, fractured in its posterior portion. f. 65. Private F. T., "H," 8th New York Heavy Artillery, 31: Cold Harbor, 3d June; admitted hospital, Alexandria, 7th; amputated lowest third by Surgeon E. Bentley, U. S. Vols., 9th June, 1864. Contributed by the operator. 2763. A portiou of the bones of the left foot, with the internal cuneiform missing and the first metatarsal fractured at f. 66. its base. Private H. R., "F," 2d New York Heavy Artillery, 52: admitted hospital, Washington, 30th June; amputated lowest third of leg, 4th July. Died. Contributed by Surgeon A. F. Sheldon, U. S. Vols. 2054. A ligamentous preparatiou of tbe right tarsus and metatarsus, one month after injury. The missile appears to f. 67. have lodged between the articulating extremities of the tibia and fibula, buth of which are broken. The fibula, fractured two inches above the malleolus, has united, but the articulation is destroyed by suppuratiun. Sergeant E. O. T., "E," 14th South Carolina, (Rebel,) 18: Gettysburg, 3d July; amputated in lowest third, Chester, Penna., 3d August, 1863. Recovered Contributed by Acting Assistant Surgeon J. L. Whitaker. 3816. The bones of the left ankle, all fractured and carious, one month after injury. f. 68. Private E. W. S., "A," 12th Georgia, (Rebel,) 21: Monocaey, Md., 9th July ; admitted hospital, Frederick, 10th July; amputated in the lowest third of the leg by Acting Assistant Surgeon Coover, 6th August, 1864. Recovered. Contributed by Acting Assistant Surgeon J. E. Mitchell. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 429 363. A ligamentous preparation of the left foot, between two and three weeks after injury. The calcaneum was f 69. perforated in its posterior portion from above downward There is some necrosed bone to be seen in the track of the ball. Private J. W. F., "G," 6th Wisconsin: Antietam, 17th September; amputated in the lowest third by Assistant Surgeon C Bacon, U. S. Army, 6th October; died, 15th October, 1862. Contributed by the operator. 4078. The right tarsus, fractured by a conoidal ball on the outer aspect. f. 70. Captain E. A. C, "A," 95th New York, 31: Boydton Plank Road, Va., 31st March; admitted hospital, George- town, 12th April; amputated in the lowest third by Surgeon H. W. Ducachet, U. S. Vols., 16th April; died of pyaemia, 7th May, 1865. Contributed by Acting Assistant Surgeon G. M. Bradfield. 1696. A portion of the right tarsus, fractured in the scaphoid bone. f. 71. Private M. S., "D," 13th Vermont, 21: Gettysburg, 3d July; admitted hospital, Baltimore, 12th; amputated in the lowest third of the leg, 19th July, 1863. Recovered. Contributed by Surgeon C. W. Jones, U. S. Vols. 2713. The right calcaneum, sixteen days after fracture by a conoidal ball. The bone is honeycombed by caries. f. 72. Private W. W., "E," 63d New York, 34 : Cold Harbor, 3d June; admitted hospital, Washington, 7th ; amputated lowest third of leg, 19th June, 1864. Contributor and result unknown. 1847. A ligamentous preparation of parts of the bones of the left leg and foot, six and a half months after injury. The f. 73. calcaneum was perforated obliquely by a conoidal ball. Much callus has been deposited on the surfaces of the bones, but tbe track of the missile is not closed. Private F. S., "A," 6th Maine, 20: Second Fredericksburg, 3d May; admitted hospital, Washington, 6th May; amputated in the lowest third by Surgeon J. A. Lidell, U. S. Vols., 24th November, 1863; discharged, 18th June, 1864. Contributed by the operator. 4098. Portions of the right tarsus and metatarsus, with the last four metatarsal bones fractured by a conoidal ball. f. 74. Private L. W., '"I," 5th New Hampshire: Petersburg, (?) 6th April; amputated in the lowest third of the leg by Acting Assistant Surgeon C H. Pegg, Annapolis, 18th; died, 26th April, 1865. Contributed by the operator. 2572. A part of the bones of the right foot, fractured through the tarsus. f. 75. Private E. G., "F," 69th New York, 37: Cold Harbor, 3d June; admitted hospital, Washington, llth; amputated in the lowest third of the leg by Acting Assistant Surgeon A. Ansell, 17th; died of pyaemia, 28th June, 1864. Contributed by the operator. 3102. The metatarsus of the right foot, three months after injury. A bullet has passed through the base of each bone, f. 76. except the first. The injured portions are necrosed. Sergeant J. Q., "K," 169th New York, 21: Drury's Bluff, 16th May; admitted hospital, Washington, from hospital at Point Lookout, 6th August; amputated in lowest third, 19th August, 1864. Recovered. Contributed by Assistant Surgeon P. C Davis, U. S. Army. 1611. A ligamentous preparation of the right tarsus, with the outer malleolus fractured, the astragalus denuded and the f. 77. scaphoid and calcaneum shattered by musket ball. The fractured bones are carious. Private H. F. D., "F," 12th New Hampshire: probably Gettysburg, 3d July; admitted hospital, Baltimore, 16th July, 1863; amputated in the lowest third. Recovered. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 2489. The bones of the left ankle, apparently amputated in the lowest third of the leg for caries of the astragalus f. 78. following fracture. Contributor and history unknown. 4273. The bones of the left foot, with portions of the tarsus and metatarsus fractured by musket ball. f. 79. Private J. T., " H," 91st Ohio, 32: Winchester, 20th July ; admitted hospital, Cumberland, Md., 24th July; amputated in the lowest third of the leg, 6th August; died, 10th August, 1864. Contributed by Surgeon J. B. Lewis, U. S. Vols. 430 CATALOGUE OF THE SURGICAL SECTION XVI. 1668. A ligamentous prepartion of the left ankle and adjacent bones, seven weeks after injury. A musket ball passed f. 80. transversely through the joint fracturing the astragalus and calcaneum. Sergeant A. J. S., " I," 72d New York: Gettysburg, 2d July ; admitted hospital, Baltimore, 16th July ; amputated in the lowest third of leg, 21st August, 1863; discharged the service, 3d July, 1864. Contributed by Assistant Surgeon D. C Peters, U. S. Army. 1651. A ligamentous preparation of the left ankle and adjacent bones, one month after injury. The astragalus is £ 81. comminuted and necrosed. Sergeant J. C, "I,' 1st New York Light Artillery, 24 : Gettysburg, 2d July ; ad nitted hospital, Baltimore, 16th July; amputated in lowest third, 2d August, 1863; transferred North, 24th April, 1864. Contributed by Assistant Surgeon D. C Peters, U. S. Army. 3429. The bones of the right ankle, three weeks after injury. The astragalus and scaphoid were fractured, and the f. 82. articular surfaces of the ankle destroyed by the succeeding suppuration. Corporal H. G., "G," 176th New York, 18: Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 24th October ; amputated in the lowest third by Acting Assistant Surgeon B. B. Miles, 7th November ; died from exhaustion, 26th November, 1864. Contributed by the operator. 263. The left tarsus and metatarsus, anchylosed and carious, after comminution by a grape shot passing perpendicularly f. 83. through the tarsus. About half of the smaller bones of the tarsus and of the metatarsus have disappeared under suppuration. The missile is attached. Corporal M. McD., 1st Virginia Cavalry (Rebel): Fredericksburg, 13th December, 1862; treated at home with cold water for more than a year; amputated in the lowest third of the leg. Recovered. Contributed by Acting Assistant Surgeon F. Schafhirt. See class XXVII. B. B. d. 3565. The right calcaneum and astragalus, eroded by suppuration, one month after fracture by a conoidal ball. f. 84. Corporal J. L., 6th New York Heavy Artillery: wounded, 19th May; admitted hospital, Washington, 28th May ; amputated in the lowest third of the leg, 2d July; died, exhausted, llth July, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4216. The left astragalus and calcaneum, two and a half months after injury. The calcis was perforated by a bullet f. 85. and the joint opened. The bones soon became carious aud the soft parts gangrenous. Private H. G. R., "K," 7th Mississippi, (Rebel,) 23: Nashville, 15th December, 1864; amputated lowest third, 1st March; died, llth March, 1865. ' Contributed by Acting Assistant Surgeon D. D. Talbot. See class XXIII. A. B. 326. The bones of the right tarsus and metatarsus, seven weeks after injury. A fragment from the anterior portion of f. 86. the astragalus is broken off with complete destruction of most of the tarsals. The ankle joint is very slightly involved. Private R. B., "G," 28th New York: Cedar Mountain, llth August; amputated in the lowest third of the leg by Acting Assistant Surgeon S. E. Fuller, 27th September, 1862. Recovered. Contributed by the operator. 4231. A portion of the bones of the left foot and the lower extremities of the tibia and fibula, six months after injury, f. 87. showing anchylosis of the ankle. The tarsus was shattered by a conoidal ball passing from the dorsal to the plantar surface. The osseous structures are honeycombed and all the articulations anchylosed. Private J. D., "D," 1st Maine Cavalry, 47: Weldon Railroad, Va., 26th October, (September?); admitted hospital, too much exhausted for an operation, 14th November, 1864; amputated in lowest third, 30th April, 1865. Contributed by Surgeon O. A. Judson, U. S. Vols. 2062. A ligamentous preparation of the lower extremities of the right leg bones, the tarsus and metatarsus, seven weeks f. 88. after injury. A conoidal ball shattered the tibia and astragalus and lodged in the metatarsal bone of the great toe. The broken bones are necrosed, but around them callus has been notably,effused. Private J. H. B., "E," 28th North Carolina (Rebel): Gettysburg, 2d July; amputated in the lowest third, Chester, 20th August; died from pyaemia, 20th September, 1863. Contributed by Acting Assistant Surgeon J. A. Draper. See class XXVII. B. B. d. A. B. OF THE UNITED STATES ARMY MKDICAL MUSEUM. 431 2050. A ligamentous preparation of the left ankle, seven weeks after fracture. Callus has been deposited around the f. 89. extremities of the leg bones and the tarsus has been somewhat destroyed by suppuration. Private J. G., "C," 10th Louisiana, (Rebel,) 37: Gettysburg, 2d July; amputated in the lowest third, Chester, Penna., 24th August, 1863. Recovered. Contributed by Acting Assistant Surgeon J. L. Whitaker. 3663. The bones of the left ankle, one month after injury. The external malleolus and upper portion of the astragalus f. 90. were fractured and are carious. There is no attempt at repair. Private L. O., "A," 19th Maine: Petersburg, 221 June; leg amputated in the lowest third by Acting Assistint Surgeon F. H. Getchell, Philadelphia, 23d July; died, 28th July, 1864. Contributed by the operator. 3658. The bones of the left ankle, twenty-five days after injury. The external malleolus was fractured, and the f. 91. articulation is destroyed by suppuration. Sergeant H. W., " E," 125th New York: Deep Bottom, Va., 16th August; amputated in the lowest third of tho leg, Philadelphia, 10th September; died, 7th December, 1864. Contributed by Acting Assistant Surgeon G. P. Sargent. See 3657, XV. A. B. f. 40. 3428. The bones of the right ankle, two weeks after injury, with the external malleolus and the articulating surface of f. 92. the tibia fractured. The articulation has been destroyed by suppuration. Some periosteal inflammation is shown on the shafts of the bones, but theie is no attempt at repair. Private M. F. J., "L," 9th New York Artillery, 17: Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 24th October ; amputated in the middle third by Acting Assistant Surgeon J. Neff, 2d November, 1864. Recovered. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 4217. The bones of the left tarsus and metatarsus, fourteen weeks after injury. The inferior extremity of the fibula f. 93. (which is not preserved) was fractured, opening the joint. The internal and middle cuneiform are wanting. The first metatarsal is obliquely fractured. Private W. J. C, "D," 24th South Carolina, (Rebel,) 33: Franklin, Tenn., 30th November; admitted hospital, Nashville, 27th December, 1864 ; amputrted in the lowest third of the leg, 17th February; died, llth March, 1865. Contributed by Surgeon B B. Breed, U. S. Vols. 4052. The left ankle, six months after injury. A musket ball passed between the tibia and astragalus. Large quantities £, 94. of spongy new bone were thrown out around the tibia, but the bodies of the bones were destroyed by suppuration. Private D. D., " B," 48th Pennsylvania: Wilderness, 6th May; admitted hospital, Washington, 25th May; amputated in the lowest third by Assistant Surgeon A. Delaney, U. S. Vols., 10th November, 1864. Recovered. Contributed by Surgeon A. F. Sheldon, U. S. Vols. 191. A portion of the left tarsus and the lower extremities of the bones of the leg. The internal malleolus has beeu f. 95. fractured and the posterior portiou of the calcaneum shattered. Amputation was performed just above the malleoli. Contributed by Surgeon D. W. Bliss, U. S. Vols. 2826. The bones of the right ankle, three weeks after fracture by gunshot. The lower portion of the tibia is obliquely f. 96. fractured and necrosed. The fibula is transversely fractured above the malleolus. The articulation is destroyed by suppuration. Private J. F. T , "K," 20th Michigan, 22: Petersburg, 18th June; amputated by Acting Assistant Surgeon A. F. A. King, 10th July; transferred North, 6th October, 1864. Contributed by the operator. 43. The lower halves of the bones of the left leg, with portion of tke tarsus. The tibia and fibula are shattered just f. 97. above the malleoli, involving the joint. The tibia presents a slight enlargement, as if from a node, just below the point of amputation. Corporal G. W. B., "A," 2d Massachusetts: Cedar Mountain, 9th August; admitted hospital, Alexandria, 12th; amputated in middle third by Acting Assistant Surgeon O. F. Scheldt, 15th August, 1862. Died. Contributed by the operator. 2469. The lower portions of the bones of the left leg. The fibula is fractured just above the malleolus, involving, by a f. 98. longitudinal fissure, the ankle. Private H. E., 1st Maine Artillery: wounded, llth May; admitted hospital, Washington, 28th; leg amputated in the middle third by Acting Assistant Surgeon Nelson, 31st May, 1864. Contributed by Surgeon G L. Pancoast, U. S. Vols. 432 CATALOGUE OF THE SURGICAL SECTION XVI. 1550. The bones of the right ankle, with the external malleolus and portions of the tibia and astragalus cairied away f. 99. and the joint ulcerated. ----W.: successfully amputated in middle third of leg. Contributed by Surgeon R. Thomain, 29th New York. 599. The lowest third of the left tibia, thoroughly shattered by shell, opening the joint. The astragalus is attached. f. 100. Private J. A, " C," 5th U. S. Artillery, 19: Fredericksburg, 13th December; admitted hospital, Alexandria, 19th ; amputated middle third of leg by Surgeon E. Bentley, U. S. Vols.; died, 31st December, 1862. Contributed by the operator. 762. The lower halves of the bones of the left leg and a portion of the astragalus. The outer malleolus is partially f. 101. fractured and carious. The remains of the extremity of the tibia, bordered by a trace of callus, are carious, and the surface of the shattered astragalus is spongy. The right shoulder was fractured at the same time. Private C S., 57th New York: Antietam, 17th September; amputated in the middle third, Frederick. 3d October; died, 9th October, 1862. Contributed by Surgeon H. S. Hewit, U. S. Vols. 1250. The bones of the right ankle, with the astragalus and inner malleolus fractured by a ball entering the heel and f. 102. emerging above the joint. The bones where fractured are carious. Private J. F., "H," 119th Pennsylvania, 24: Second Fredericksburg, 2d May; admitted hospital, Washington, 8th; amputated middle third, 17th; died, 19th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4037. The bones of the left ankle, with the inner portion of the internal malleolus carried away and the posterior portion £ 103. obliquely fractured. Corporal W. L. P., " C," 198th Pennsylvania, 21: Dinwiddie C. H., Va., 29th March ; amputated at the junction of the lower thirds of the leg by Acting Assistant Surgeon M. J. Munger, Washington, 3d April; transferred to Philadelphia, 24th June, 1865. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1126. A ligamentous preparation of portions of the bones of the left leg and foot. The external malleolus is shattered, f. 104. and the outer portion of the astragalus is fractured and the calcaneum roughened by shell. Amputation iu the middle third of the leg was probably performed in the second week. Contributed by Assistant Surgeon C C Byrne, U. S. Army. See 1127, XXII. A. B. a. 17. 2311. The lower half of the left tibia, fractured just above the ankle, splintering into the joint and through the lowest f. 105. third of the bone. Private J. H., "I," 35th Indiana, 30: Lost Mountain, 21st June; admitted hospital, Chattanooga, 25th; amputated in the middle third, 27th June, 1864. Recovered. Contributed by Assistant Surgeon C C. Byrne, U. S. Army. 1541. The lowest thirds of the bones of the right leg. The external malleolus is shattered and the tibia obliquely f. 106. fractured. ----S.: amputated in middle third. Recovered. Contributed by Surgeon R. Thomain, 29th New York. See class XXVII. B. B. d. 3614. The bones of both ankles. A conoidal ball fractured the external malleolus and the astragalus of the left ankle f. 107. and then, passing behind the joint, lodged in the right ankle, having shattered the base of the tibia. The right fibula is transversely fractured just above the malleolus, as if by the propagated force. There are traces of periosteal disturbance. Sergeant P. S., "K," 69th New York: Petersburg, Va.; amputated at junction of lower thirds by Acting Assistant Surgeon J. H. Hutchinson, Philadelphia, 6th September; died, 14th October, 1864. Contributed by the operator. 687. The bones of the right ankle, necrosed after fracture by grape, amputated iu the middle third of the leg. f. 108. Contributed by Assistant Surgeon J. C Semple, U. S. Army. 271 5. A portion of the left tarsus, with the astragalus, calcaneum and scaphoid fractured and somewhat spongy. f. 109. Sergeant E. C. P., " K," 12th New Hampshire: amputated in the middle third of the leg, Washington, 30th June ; died of chronic diarrhoea, 8th August, 1864. Contributed by Acting Assistant Surgeon H. C Dodge. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 433 4097. The lower halves of the bones of the right leg. The tibia is perforated two inches above the ankle joint and shattered f. 110. into it. The fibula is transversely fractured, as though consecutively. Traces of periosteal inflammation cover both bones. Private J. W., "F," 5th New Hampshire: Farmville, Va., 7th April; amputated by Acting Assistant Surgeon J. Sweet, Annapolis, 20th April; transferred to Baltimore, 26th June, 1865. Contributed by the operator. 810. The left tarsus and metatarsus, with the ankle opened by fracture of astragalus. The scaphoid and calcis also f. 111. have been broken. Private S. R. Y., "A," 28th Pennsylvania: Antietam, 17th September; amputated at junction of lower thirds by Assistant Surgeon Charles P. Russell, U. S. Army, Frederick, 5th October, 1862. Recovered. Contributed by the operator. 2275. The bones of the left ankle, with the joint opened by a conoidal ball which slightly fractured the calcaneum and f. 112. external malleolus. Second Lieutenant M. McG., "H," 1st United States Sharpshooters (Volunteers): Wilderness, 7th May; admitted hospital, Washington, 16th; amputated in the middle third by Assistant Surgeon J. C McKee, U. S. Army, 17th; died from pyaemia, 22d May, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 4103. The bones of the right ankle, with a conoidal ball lodged in the astragalus, which it has shattered. f. 113. Private R. McC, " K," 82d Pennsylvania: Farmville, Va., 7th April; amputated in the middle third by Surgeon B. A. Vanderkieft, U. S. Vols., Annapolis, 17th April; died from dysentery, 3d July, 1865. Contributed by the operator. See class XXVII. B. B. d. 1633. A ligamentous preparation of the bones of the right ankle, with the lower extremity of the tibia shattered, as f. 114. though perforated from the front by a bullet, just above the astragalus. Private S. B., "A," 77th Illinois, 25: Vicksburg, 22d May; amputated in the middle third by Assistant Surgeon H. M. Sprague, U. S. Army, 3d June, 1863. Contributed by the operator. 2034. A ligamentous preparation of the right tarsus and lower portions of the bones of the leg, three and a half months f. 115. after injury. The internal malleolus was shattered and the astragalus broken up by a musket ball. A large deposit of callus holds together all but one of the fragments of the tibia, and attaches this one to the calcis. Excessive suppuration was kept up from the internal carious surface, and gangrene of the foot, from diminished vascularity owing to the entanglement of the artery in the callus, required amputation. Private J. O'B., " F," 19th U. S. Infantry: Chickamauga, 20th September; a prisoner eleven days; admitted hospital, Chattanooga, early in October; transferred to Murfreesboro', 3d December, 1863; amputated at junction lower thirds by Acting Assistant Surgeon W. E. Whitehead, 8th January, 1864. Contributed by the operator. See class XXIII. A. c 62. A ligamentous preparation of the left tarsus and metatarsus, showing the astragalus shattered on its anterior f. 116. surface. Private C D., "K," 82d Ohio: Second Bull Run, 29th August; admitted hospital, Georgetown, 1st September; amputated in the middle third by Assistant Surgeon B. A. Clements, U. S. Army, 18th September, 1862. Contributed by Acting Assistant Surgeon C. W. Currier. 2205. The bones of the right ankle, six months after injury. The joint was fractured by a conoidal ball, and is f. 117. anchylosed, with the bones very carious. Private F. D., " D," 2d Missouri, 28: Chickamauga, 20th September; admitted hospital, Nashville, 3d December, 1863; amputated in the middle third, in consequence of secondary haemorrhage following gangrene, 27th March, 1864. Recovered. Contributed by Medical Cadet C H. Fisher. See class XXIII. A. B. 2199. The bones of the right leg and ankle, two months after injury. The outer malleolus and astragalus were fractured f. 118. by a conoidal ball, and the specimen shows extensive caries. The tibia exhibits the effect of the gangrene that attacked the leg. Corporal B. J. A., "I," 105th Ohio, 24: Mission Ridge, 25th November; admitted hospital, Nashville, 3d December, 1863; amputated at the junction of the lower thirds of the thigh, 29th January; died from exhaustion following secondary haemor- rhage, 18th February, 1864. Contributed by Acting Assistant Surgeon J. Grant. 55 434 CATALOGUE OF THE SURGICAL SECTION XVI. 1184. The right tarsus and lower portion of the tibia, four weeks after injury. The bony injury, which is confined to f. 119. the internal malleolus, is slight, but the articulation became destroyed by suppuration. Sergeant H. A., "F," 119th Pennsylvania, 22: Second Fredericksburg, 3d May; admitted hospital, Washington, 8th; amputated in the middle third, 31st May, 1863. Recovered. Contributed by Surgeon J. H. Baxter, U. S. Vols. See 1185, XXII. A. B. a. 16. 3069. The lower portions of the bones of the right leg, much shattered, one month after injury. Partial necrosis and f. 120. ti aces of periosteal inflammation are visible on the shafts. Private C. McR., "A," 27th Michigan, 34: Wilderness, 6ih May; admitted hospital, Washington, 25th May; amputated iu the middle third by Surgeon R. B. Bontecou, U. S. Vols, 10th June; died, 18th July, 1864. Contributed by the operator. 2464. The bones of the right ankle, two and a half weeks after injury. The astragalus was transversely grooved by a f. 121. conoidal ball, and the resulting suppuration has destroyed the articular surface. A certain amount of post mortem injury to this specimen must not be confounded with the effect of disease. Private A. L., "I," 24th Michigan: wounded, 24th May; admitted hospital, Washington, 29th May; amputated at the junction of lower thirds by Surgeon G. L. Pancoast, U. S. Vols., 9th June; died, 18th June, 1864. Contributed by the operator. 2203. The bones of the right ankle, three and a half months after injury. Firm anchylosis has occurred between the f. 122. astragalus, fractured on the posterior portion, and the tibia. The adjoining articulations have been destroyed. Private M. B. M., "C," llth Tennessee, (Rebel,) 22: Mission Ridge, 25th November, 1863; amputated in middle third, Nashville, 10th March; died from pneumonia and diarrhoea, 25th March, 1864. Contributed by Acting Assistant Surgeon G. P. Hachenburg. 2895. The bones of the left tarsus, three weeks after injury. The joint was fractured by a conoidal ball passing f. 123. transversely through the astragalus, which is carious, and the consequent suppuration destroyed the articulation. Private J. G., "A," 1st Vermont Cavalry: Petersburg, 8th July; amputated in middle third by Surgeon N. R. Mosely, U. S. Vols., Washington, 28th July; transferred to Vermont, October, 1864. Contributed by Acting Assistant Surgeon J. Walsh. 1712. A ligamentous preparation of the left tarsus and metatarsus, with the ankle joint opened in connection with a f. 124. severe fracture of the calcaneum, eight weeks after injury. A conoidal ball, which has shattered the os calcis at its posterior articulation with the astragalus, lies nearly under the internal malleolus. The calcis is carious and the joint disorganized. Private J. N. B., " C," 16th Massachusetts: Gettysburg, 3d July; admitted hospital, Baltimore, 16th July; amputated in the middle third by Acting Assistant Surgeon F. Hinkle, 27th August, 1863; discharged, 3d May, 1864. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See class XXVII. B. B. d. 1607. A portion of the bones of the left foot, showing the ankle slightly involved, with a fearful comminution of the f. 125. body of the tarsus, four weeks after injury. A conoidal ball passing transversely shattered the cuboid and scaphoid, the anterior portion of the astragalus and the border of the os calcis. The ankle joint was opened and its astragular surface eroded. The fractured bones are necrosed. Sergeant H. W. S., "K," 111th New York, 20: Gettysburg, 2d July ; admitted hospital, Baltimore, 15th; amputated in the middle third of the leg, 28th July; died, 7th August, 1863. Contributed by Assistant Surgeon D. C Peters, U. S. Army. 2865. The bones rf the right tarsus and extremities of the tibia and fibula, eight weeks after injury. The specimen f. 126. does not show any bony fracture, but the articular surfaces are destroyed and the osseous structures carious, as the result of suppurative inflammation. Private W. S., "D," 17th U. S. Infantry, 22: Wilderness, 12th May; admitted hospital, Washington, 18th May; amputated at the junction of the lower thirds, 8th July; died, 20th July, 1864. Contributed by Assistant Surgeon Alex. Ingram, U. S. Army. See class XVI. A. B. c. 770. A ligamentous preparation of the left tarsus and metatarsus, three weeks after fracture. The astragalus aud f. 127. calcis are comminuted and necrosed. Private C. F. C, 7th Maine: Antietam, 17th September; amputated in the middle third by Assistant Surgeon Searle, 26th New York, Frederick, llth October: died from pyaemia, 23d October, 1862. Contributed by the operator. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 435 4229. The bones of the left tarsus, five weeks after fracture of the anterior inferior portion of the calcaneum by a conoidal f. 128. ball. The articulation is completely destroyed, and a trivial amount of callus on the fibula is the only indication of repair. Corporal J. W. P., "C," 1st Michigan Sharpshooters, 22: W'eldon Railroad, 30th September; admitted hospital, Washington, 5th October; amputated in middle third, 4th November, 1864. Recovered. Contributed by Surgeon O. A. Judson, U. S. Vols. See class XXVII. B. B. d. 1352. A ligamentous preparation of the lower halves of the right leg bones, the tarsus and metatarsus, five weeks after f. 129. fracture of the ankle by a carbine ball. The astragalus was shattered and the articular surfaces destroyed by profuse suppuration. Corporal H. S., "B," 8th New York Cavalry, 25: Beverly Ford, Va., 9th June; amputated in middle third of leg, Washington, 13th July, 1863; discharged the service, 2d September, 1864. Contributed by Assistant Surgeon H. Allen, U. S. Army. 3341. The bones of the right ankle, ten weeks after injury. A conoidal ball pierced the tibia and fibula at the f. 130. articulation. A very large amount of callus has been thrown out, thoroughly anchylosing the joint. The track of the ball is carious. Private M. S., "H," 7th Wisconsin: 5th May; admitted hospital, Alexandria, 14th June; amputated at the junction of the lower thirds by Surgeon E. Bentley, U. S. Vols., 12th July, 1864. Contributed by the operator. 797. The lower halves of the bones of the left leg, two months after comminution of the ankle. The lower extremity of f. 131. the tibia is destroyed and that of the fibula much eroded by suppuration. Private D. D. W., "I," 39th New York: admitted hospital, Alexandria, 28th September; amputated by Assistant Surgeon J. B. Brinton, U. S. Army, 1st December, 1862. Contributed by Acting Assistant Surgeon J. A. McArthur. 2354. The bones of the left ankle, very carious, three weeks after injury. f. 132. Private C. H. P., "G," 39th Massachusetts, 18: Wilderness, 5th May; admitted hospital, Washington, and amputated in the middle third by Surgeon D. W. Bliss, U. S. Vols., 26th May, 1864. Contributed by the operator. 3607. The right ankle, thirteen and a half months after injury. The ball entered six inches above the ankle and, passing f. 133. downward and inward, escaped at the point of the heel. Very profuse new-bone formations have occurred, enveloping the fractured portions, but the path of the missile is perfectly carious and greatly enlarged by suppuration. Private J. C. C, "B," 43d Ohio, 43: Missionary Ridge, 23d November, 1863; admitted hospital, Columbus, Ohio, 13th December, 1864; amputated at the junction of the lotfer thirds by Assistant Surgeon Geo. M. Sternberg, U. S. Army, 7th January, 1865. Recovered. Contributed by the operator. 2415. The right astragalus and lower halves of the bones of the leg, fifteen months after fracture by a conoidal ball f. 134. grooving the three bones. The specimen shows a hyperostosed condition of the tibia, a similar condition, in a less degree, of the fibula, partial anchylosis of the joint aud caries in the track of the bullet. Private J. G., " C," 15th West Virginia, 23: Winchester, 24th July; erysipelas involved the entire limb, October, 1864, and continued until July, 1865 ; amputated in the middle third by Brevet Major George M. McGill, Assistant Surgeon, U. S. Army, Baltimore, 12th October; " nearly recovered," 1st December, 1865. Contributed by Surgeon Thomas Sim, U. S. Vols. See 455, XXV. A. B. b. 224. See class XXIII. A. B. 226. The bones of the right ankle, three weeks after injury. A bullet struck the tibia from the front, perforated it, f. 135. producing longitudinal fissures, and shattered the joint. Private J. D. C, "D," 4th New York Artillery, 24: near Petersburg, about 1st April; admitted hospital, Wash- ington; amputated in the middle third of the leg by Assistant Surgeon W. F. Norris, U. S. Army, 23d April; died of pyaemia, 7th May, 1865. Contributed by the operator. 791. The left tarsus, with the cuboid, astragalus and calcaneum shattered by a ball passing from front to rear. f. 136. Private P. S., 6th Wisconsin, 23: South Mountain, 14th September; amputated middle third, 30th September; attacked with hospital gangrene, 7th December, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See class XXIII. A. B. 436 CATALOGUE OF THE SURGICAL SECTION XVI. 3536. The right tarsus and metatarsus, with the scaphoid bone fractured by gunshot. Very little callus has been thrown f. 137. out, nor is there much caries, although the suppuration is described as copious. Corporal L. M. C, "M," 13th Pennsylvania Cavalry: Malvern Hill, Va., 14th August; admitted hospital, 17th August; amputated in the middle third by Surgeon A. F. Sheldon, U. S. Vols., 23d December, 1864; discharged, 24th June, 1865. Contributed by the operator. 2833. The left tarsus and metatarsus, with the anterior half of the os calcis carried away by a musket ball. f. 138. Private V. K., " H," 47th New York : Petersburg, 19th June; admitted hospital, Alexandria, 3d July; amputated middle third by Surgeon E. Bentley, U. S. Vols., 5th July, 1864; still under treatment, Albany, New York, 30th September, 1865. Contributed by Acting Assistant Surgeon G. A. Riecker. 1222. A portion of the left foot, showing the posterior tarsus shattered, twenty-five days after injury. From this specimen, f. 139. which does not extend beyond the bases of the metatarsal bones, the soft parts have not been removed, but are presented in a dried condition. The shattered calcaneum is carious. Sergeant S. McG., " G," llth Pennsylvania Reserves: Wilderness, 6th May; admitted hospital, Washington, 14th; amputated in the middle third, 31st May, 1864. Recovered. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1345. The bones of the right ankle, with the external malleolus contused and split off by a spent ball. The articulating f. 140. surfaces have been destroyed by suppuration. Private W. Y., "G," 8th Illinois Cavalry, 29: Beverly Ford, Va., 9th June; admitted hospital, Washington, 10th June; amputated in the middle third, 10th July ; died, 20th July, 1863. Contributed by Acting Assistant Surgeon D. Weisel. See class XVI. A. B. a. 3258. The bones of the left foot, six weeks after injury. The middle cuneiform and scaphoid were fractured. The bases f. 141. of the metatarsal bones show periosteal inflammation. Private M. S., "A," 1st Minnesota Battery, 42: Deep Bottom, Va., 14th August; admitted hospital, Washington, 17th August; amputated in the middle third of the leg by Surgeon A. F. Sheldon, U. S. Vols., 24th September, 1864. Contributed by the operator. 1135. The astragalus and portions of the os calcis of the right foot. The calcaneum is shattered by a conoidal ball. f. 142. Private J. L., " C," 2d Rhode Island : Second Fredericksburg, 3d May; admitted hospital, Washington; amputated at junction of lower thirds by Surgeon J. H. Baxter, U. S. Vols., 20th May, 1863. Recovered. Contributed by the operator. 2429. Portions of the right os calcis and cuboid, three weeks after injury. The specimen exhibits a fragment of the f. 143. calcaneum that had been broken off, partially united nearly in apposition. Captain N. M. B, "C," 12th New Jersey, 22: Wilderness, 12th May; admitted hospital, Washington, 25th May; amputated in the middle third by Surgeon D. W. Bliss, U. S. Vols., 3d June, 1864. Recovered. Contributed by the operator. 1450. A portion of the bones of the left foot, with the tarsus shattered by a conoidal ball. f. 144. Private T. F. K., "B," 73d New York, 20; Gettysburg, 2d July ; amputated at the junction of the lower thirds, Baltimore, 12th July, 1863. Contributed by Assistant Surgeon D. C Peters, U. S. Army. 3352. The left calcis, five weeks after injury. The bone has been completely fractured and a small deposit of callus f. 145. has formed. Caries has followed where comminution occurred. Private L. G., "K," llth Pennsylvauia: Cold Harbor, 3d June; admitted hospital, Alexandria, 7th June; amputated in middle third, for necrosis following gangrene, by Surgeon E. Bentley, U. S. Vols., 8th July died 16th July, 1864. Contributed by the operator. 3475. The left astragalus and calcaneum, four weeks after injury by a conoidal ball. The calcis is completely shattered f. 146. and its articulation with the astragalus eroded. No attempt at repair. The battered missile is attached Private A. D. G., "K," 8th Vermont, 21: Cedar Creek, Va., 19th October; admitted hospital, Baltimore, 25th October; amputated in middle third by Acting Assistant Surgeon A. W. Emory, 13th November, 1864. Recovered. Contributed by Surgeon Thomas Sim, U. S. Vols. See c/ass XXVII. B. B. d. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 437 3533. The left astragalus and portions of the tibia and fibula, three weeks after injury. The lower portion of the f. 147. fibula, which was probably fractured, is wanting. The articulation has been destroyed by suppuration. Private J. K., "I," 15th Pennsylvania: Wilderness, 5th May; admitted hospital, Washington, 26th; amputated in the middle third, 29th May, 1864. Recovered. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 2710. The scaphoid and three cuneiform bones of the left tarsus, fractured on the inner surface and carious. f. 148. Private E. W. B., "H," 45th Pennsylvania, 16: Cold Harbor, 3d June; admitted hospital, Alexandria, 7th; amputated in the middle third of the leg for tetanus by Surgeon E. Bentley, U. S. Vols., 16th; died from tetanus, 20th June, 1864. Contributed by the operator. 3432. The left tarsus and metatarsus. The base of the fifth metatarsal bone was fractured. The surfaces of the tarsal f. 149. bones are necrosed. Private C McA., "G," 106th New York, 38: admitted hospital, Baltimore, 31st August; amputated in upper third of leg by Acting Assistant Surgeon C H. Jones, 21st September, 1864. Recovered. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 2312. The left tibia, fibula and astragalus, shattered by the transverse passage of a conoidal ball. f. 150. Private J. B., "B," 5th Noith Carolina (Rebel): Wilderness, 12th May; admitted hospital, Washington, 17th; amputated five inches below the knee, 20th May; transferred to prison, 24th September, 1864. Contributed by Surgeon D. W. Bliss. 2071. The bones of the right ankle, an unknown time after injury. The lower extremity of the tibia is carried away f. 151. and the astragalus eroded by suppuration. Private S. S. K., "G," 13th North Carolina (Rebel): Gettysburg, 1st July, 1863 ; amputated in upper third of leg, Chester, Penna. Recovered. Contributed by Acting Assistant Surgeon G. Martin. 3503. The two lower thirds of the left tibia, perforated an inch above with a fracture extending into the ankle joint. f. 152. The traces of incipient necrosis are visible. Private D. L., "K," 5th Tennessee, 24: Resaca, Ga., 15th May; amputated, Nashville, 1st June; died from pyaemia, 10th June, 1864. Contributed by Acting Assistant Surgeon M. L. Herr. 3678. The lower extremities of tbe bones of the left leg and a portion of the tarsus, eleven weeks after injury. The f. 153. external malleolus is fractured, and the astragalus and posterior portion of the calcaneum are badly broken. The specimen is spongy with caries. Private E. W., "A," 93d Pennsylvania: Wilderness, 5th May; admitted hospital, Philadelphia, 16th May; amputated iu the upper third of the leg by Acting Assistant Surgeon E. Hartshorne, 23d July, 1864. Recovered. Contributed by Acting Assistant Surgeon H. B. Buehler. 1273. The left tarsus and bones of the leg, amputated in the upper third for secondary haemorrhage. The joint was f. 154. traversed transversely by a musket shot, and the specimen shows the articulation entirely destroyed by suppuration following fracture. ■ A trivial deposit of callus has been provoked about the extremities of the tibia and fibula. Private M. K., "D," 75th Pennsylvania, 50: wounded, 6th May; admitted hospital, Washington, 15th; amputated for haemorrhage from posterior tibial, 18th May, 1863; discharged the service, 15th June, 1864. Contributed by Surgeon H Bryant, U. S. Vols. 2052. A ligamentous preparation of the right tarsus and metatarsus and the lower portions of the tibia and fibula three f. 155. weeks after injury. The external malleolus has been fractured and parts of the tibia and astragalus chipped. Private J. W., "G," 1st Texas, (Rebel,) 30: Gettysburg, 1st July; admitted hospital, Chester, Penna 9th- amputated in upper third, 23d July, 1863. Recovered. Contributed by Assistant Surgeon B. Stone, U. S. Vols. 741. A ligamentous preparation of the left tarsus and metatarsus, fractured in the tarsus by a round bali. The missile f. 156. and portions of the astragalus and scaphoid were removed eight days after injury. Limb amputated below the knee Private J. G., 3d Wisconsin: Antietam, 17th September; auiputated, Frederick, 4th October, 1862. Recovered Contributed by Assistant Surgeon A. H. Smith, U. S. Army. 1648. A ligamentous preparation of the left tarsus and metatarsus, one month after injury. The calcaneum cuboid f. 157. external cuneiform, head of the fifth metatarsal and lower extremity of the fibula were shattered, as if by a conoidal ball passing downward, forward and inward. The fibula does not appear in this specimen. Sergeant C M., "D," 42d New York: Gettysburg, 1st July; admitted hospital, Baltimore, 9th July; amputated below the tuberosity of the tibia, 1st August, 1863 Contributed by Assistant Surgeon D. C Peters, U. S. Army. 438 CATALOGUE OF THE SURGICAL SECTION XVI. 1237. The two lower thirds of the bones of the left leg, the calcaneum and astragalus. The tibia and fibula are f. 158. shattered just above the malleoli, involving the joint. The broken bones are partly necrosed, with no attempt at union. Sergeant J. O'C, "C," 11 th Massachusetts: probably Chancellorsville, 3d May; amputated in the upper third, Washington, 16th June, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. 744. The bones of the left leg, one month after injury. The tibia was struck, about four inches above the joint, by a f. 159. round ball which shattered the bone and then, passing down the medullary canal, escaped through the ankle. The fibula was transversely fractured. Private J. M., "G," 4th New York: Antietam, 17th September; amputated below the knee by Acting Assistant Surgeon J. H. Peabody, Frederick, 12th October, 1862. Recovered. Contributed by the operator. 3126. The left tarsus and metatarsus, showing a fracture of the ankle. The astragalus is partially fractured by a f. 160. fragment of shell which destroyed the internal malleolus. Private S. C, "G," 17th Michigan, 18: Petersburg, 31st July; admitted hospital, Washington, 30th August; amputated in upper third of leg by Surgeon A. F. Sheldon, U. S. Vols., 1st September; died from exhaustion, 15th September, 1864. Contributed by the operator. 254. A ligamentous preparation of the right tarsus, metatarsus and lower portions of the bones of the leg, seven f. 161. weeks after injury. The tibia and fibula were grazed on their posterior surfaces just above the articulation. Amputation became necessary from the reduction of the system by irritation. The subject received four other wounds (not serious) in the same battle. Supposed to be the case of Private W. B., "I," 7th Michigan: Antietam, 17th September; admitted hospital, Washington, 26th September ; amputated below the knee by Surgeon John O. Bronson, U. S. Vols., 3d November, 1862. Recovered. Contributed by the operator. 1609. A ligamentous preparation of the tarsus and metatarsus, three weeks after injury. The anterior portion of the f. 162. extremity of the tibia, including the inner malleolus, has been grooved by a conoidal bullet. There is no attempt at repair. This subject suffered a fracture of the right ankle at the same time. Private M. Y., "E," 120th New York, 20: Gettysburg, 2d July; admitted hospital, Baltimore, 16th; foot became gangrenous and leg was amputated at the tuberosity of the tibia by Acting Assistant Surgeon F. Hinkle, 27th July; the right leg was amputated the next day; died, 9th August, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See 1605, XVI. A. B. f. 27. 53. The right tarsus and portions of the metatarsus and tibia and fibula. The three cuneiform bones and the base of f. 163. the third metatarsal are fractured by shell. The tibia also was fractured by the same missile two inches above the joint. Private E. P., 6th Maine Battery, 19: Cedar Mountain, 9th August; admitted hospital, Alexandria, 12th; amputated at the knee joint, leaving the patella, by Surgeon E. Bentley, U. S. Vols., 14th August; discharged, 28th October, 1862. Contributed by Surgeon J. E. Summers, U. S. Army. See class XIV. A. B. e. 2655. The lower extremities of the bones of the right leg, with the inner malleolus badly fractured. f. 164. Private A. F., "I," 83d New York, 51: Wilderness, 9th May; amputated at knee joint by Surgeon E. Bentley, U. S. Vols., Alexandria, 15th May; died from pyaemia, 1st June, 1864. Contributed by the operator. See class XIV. A. B. e. 3740. The left fibula, transversely fractured and the tibia shattered, three inches above the ankle, by a large conoidal f. 165. pistol ball. The tibia is fissured into the joint. Corporal C. H. B., "F," 49th Indiana: New Orleans, 14th October; amputated in the lowest third of the thigh, for erysipelas and purulent infiltration of the knee, by Surgeon 8. Kneeland, U. S. Vols., and died in three hours, 20th October, 1864. Contributed by the operator. See classes XIV. A. B. c; XXIII. A. A.; XXVII. B. b. d. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 439 3522. The lower extremities of the bones of the left leg, with the outer malleolus shattered. f. 166. Private W. H. H., "K," 39th Massachusetts: Wilderness, 10th May; admitted hospital, Washington, 14th; amputated above the knee for secondary haemorrhage, 18th ; died from exhaustion following secondary haemorrhage, 31st May, 1804. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 1702. The lower extremities of the right leg bones, one month after injury. The inner malleolus was partially fractured f. 167. by a conoidal ball and the articulating surface of the tibia fissured. A small fringe of callus borders the fracture. Private W. C. K., "G," 68th Ohio, 46: Vicksburg, 22d May; admitted hospital, Memphis, 13th June; refused to allow an operation until, from erysipelas, amputation was performed above the knee by Acting Assistant Surgeon J. Thompson, 24th June; died, llth July, 1863. Contributed by the operator. See class XXIII. A. a. 2064. A ligamentous prepartion of the left tarsus and metatarsus, one month after injury. The external malleolus has f. 168. been carried away and the articulation is destroyed by suppuration. Private W. A. W., "H," 1st Virginia, (Rebel,) 33: Gettysburg, 3d July; amputated at knee joint, Chester, Penna., 8th August; died, exhausted, 12th August, 1863. Contributed by Acting Assistant Surgeon A. A. Griffith. See class XIV. A. B. e. 2428. The lower extremity of the right tibia, fractured on the anterior surface by a conoidal ball that opened the joint. f. 169. Private J. R. G., " A," 7th West Virginia, 38 : Spottsylvania C H., I2th May ; admitted hospital, Washington, 25th May; amputated in the lowest third by Surgeon D. W. Bliss, U. S. Vols., 4th June, 1864. Recovered. Contributed by the operator. 1669. A ligamentous preparation of the right tarsus and metatarsus, with a fracture of the anterior portion of the f. 170. astragalus, six weeks after injury. Corporal J. G. W., "H," 62d Pennsylvania, 19: Gettysburg, 2d July; admitted hospital, Baltimore, 13th July; leg amputated, 14th August; discharged the service, 16th December, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. 167. The bones of the right tarsus, five weeks after injury. The scaphoid and astragalus were slightly injured by a f. 171. conoidal ball, which was extracted on the fifth day. Violent succeeding suppuration destroyed the articulation, as seen in the specimen. Private H. H. B., "E," llth Pennsylvania: Second Bull Run, 30th August; admitted hospital, Washington, 1st September; amputated in the lowest third, by Teale's method, 5th October, 1862. Sloughing of the long flap required reamputation. Recovered. Contributed by Assistant Surgeon C A McCall, U. S. Army. 54. The bones of the left ankle, with the joint opened by a fissure from the lower extremity of the tibia, which is badly f. 172. shattered by a conoidal ball. Private R. P. D., "D," 3d Wisconsin: Cedar Mountain, Va., 9th August; admitted hospital, Alexandria, 14th; amputated in the middle third by Acting Assistant Surgeon S. E. Fuller, 17th August; discharged the service, 29th October, 1862. Contributed by the operator. 1385. The left os calcis, transversely fractured by a conoidal ball which entered from within. f. 173. Sergeant J. P. B., "I," 5th Pennsylvania Reserves, 23: Fredericksburg, 13th December; leg amputated in lowest third by Assistant Surgeon Weisel, Washington, 28th December, 1862. Recovered and discharged. Contributed by the operator. 2649. The lowest thirds of the bones of the right leg, amputated for moderate fracture of both bones on the anterior f. 174. surface just above the articulation. Private J. L, "L," 4th New York Heavy Artillery: Petersburg, 19th June; amputated by Surgeon Wm. Watson, 105th Pennsylvania. Contributed by the operator. 2775. The bones of the left ankle. The inner malleolus and the adjoining portion of the astragalus are partially fractured. f. 175. Private P. D., "B," 170th New York, 23: Petersburg, 16th June; amputated by Dr. A. Garcelon, in the field, 20th June, 1864. Recovered. Contributed by the operator. 440 CATALOGUE OF THE SURGICAL SECTION XVI. 4541. A ligamentous preparation of the right tarsus and lower portions of the leg bones. The anterior part of the f. 176. calcaneum, tbe astragalus and cuboid are fractured by the transverse passage of a bullet. Corporal M. B., "F," 7th Pennsylvania Reserves, 21: Fredericksburg, 13th December; admitted hospital, Alexandria, 19th; amputated at the knee joint by Surgeon E. Bentley, U. S. Vols., 26th December, 1862; femoral ligated for secondary haemorrhage, 7th January; died, 12th January, 1863. Contributed by the operator. See class XIV. A. B. e. 483. A ligamentous preparation of the left tarsus and metatarsus and lower portions of the bones of the leg, showing f. 177. anchylosis of the ankle from abscess following gunshot of the thigh ten months previously. The astragalus is fractured transversely in the specimen, the evident result of violence after the operation. Farrier J. H. A., "I," 21st Pennsylvania Cavalry, 19: Amelia C H., Va., 5th April; admitted hospital, Baltimore, 21st July, 1866; amputated, with periosteum flaps, by Acting Assistant Surgeon H. McElderry; discharged the service, 14th March, 1866 Contributed by Assistant Surgeon G. M. McGill, U. S. Army. See 477, XIV. A. B. f. 36; 403, XXV. A. B. b. 157. See class XVI. A. B. c. 817. The lower extremities of the left tibia and fibula and the greater portion of the astragalus. The posterior portions f. 178. of the tibia and astragalus are fractured, and the amputation, which is reported as a modification of Syme's, was performed just above the articulation. Corporal T. J. H., company and regiment unknown: probably wounded before Richmond, June; amputated, Baltimore, 30th July, 1862. Contributed by Surgeon L. Quick, U. S. Vols. See XVI. D. 818. The astragalus and lower portions of the bones of the left leg. Both of the long bones have been partially f. 179. fractured on their posterior surfaces, at the articulation, by a conoidal ball. In the tibia there is an oblique fracture on the posterior surface for three inches. Corporal G. T, "I," 7th New York Artillery, 27 : Petersburg, llth June; amputated by Surgeon William Watson, U. S. Vols., 25th; admitted hospital, Alexandria, 28th June, 1864; discharged the service, 15th July, 1865. Contributed by the operator. 3204. The bones of the left tarsus, with the astragalus contused on its anterior border by a conoidal ball, which is f. 180. singularly flattened after the infliction of comparatively so slight an injury. Private W. S., " I," 8th New York Heavy Artillery, 21: Cold Harbor, 3d June; amputated in the middle third of the leg by Surgeon F. F. Burmeister, 69th Penna.; secondary haemorrhage, 13th June; died, 12th July, 1864. Contributed by the operator. See classes XVI. A. B. f.; XXVII. B. B. d. 97. The bones of the left foot. All the metatarsals and all the tarsals, except the astragalus, have been fractured, f. 181. as if by a conoidal ball passing from within outward. Private W. M., "A," 72d Pennsylvania: Antietam, 17th September; amputated in the lowest third of the leg by Acting Assistant Surgeon P. Middleton, Washington, 28th September, 1862. Recovered. Contributed by the operator. 61. A ligamentous preparation of the right foot and two lower thirds of the bones of the leg. The inner malleolus has f. 182. been carried away and the lowest fourth of the tibia comminuted with oblique splintering. The inner half of the astragalus is shattered. Private A. B., "E," 25th New York: Second Bull Run, 30th August; admitted hospital, Washington, 7th Septenber; amputated in the upper third by Acting Assistant Surgeon Wm. Eddy, 10th September; died, 12th October, 1862. Contributed by the operator. 943. The lower portions of the bones of the left leg, with the articular surfaces carious, after fracture of the tibia by the f. 183. passage of a bullet from the front directly through the articulation. Private W. M., "K,"81st Pennsylvania: probably Fredericksburg, 13th December; admitted hospital, Wash- ington, 28th December, 1862; amputated in the middle third of the leg; transferred to another hospital, 17th April, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. For other illustrations, see 1974, XIV. A. B c. 6; 4327, XV. A. B. f. 13; 4328, XV. A. B. f. 15; 2454, XV. A. B. f. 16; 3155, XV. A. B. f. 17; 2212, XV. A. B. f. 24; 38*3, XV. A. B. f. 37; 3668, XXII. A. B. c. 14; 1699, XXII. A. B. c. isi 1034, XXII. A. li. c 16; 1036, XXII. A. B. c. 17; 1731, XXII. A. B. c 18. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 441 g. Other Operations. 424. Twenty small fragments of necrosed bone, removed from the left tarsus seven weeks after gunshot. g. 1. Private J. H. N., "A," 20th Massachusetts, 32: White Oak Swamp, Va., 30th June; admitted hospital, Baltimore, 21st July; specimen removed by Surgeon A. B. Hasson, U. S. Army, 20th August, 1862. Contributed by the operator. 785. Fragments of the astragalus and scaphoid, with a flattened round bullet removed from the fractured tarsus. g. 2. Private J. G., 3d Wisconsin: Antietam, 17th September; specimen removed, Frederick, 25th September; ampu- tated below the knee, 4th October, 1862. Recovered. Contributed by Assistant Surgeon A. H. Smith, U. S. Army. See class XXVII. B. B. d. h. Stumps. 1706. A Syme's stump, one month after operation. The extremities are necrosed, and no repara- h. 1. tive action has occurred. Private F. W. B., "D," 23d Iowa: foot wounded and Syme's amputation performed, Black River, Miss., 19th May; admitted hospital, Memphis, 13th June; reamputation at the junction of upper thirds of leg by Acting Assistant Surgeon J. Thompson, 17th June; reamputation on account of sloughing in the lowest third of thigh, 2d July; died, exhausted, following gangrene, 16th July, 1863. Contributed by Surgeon J. G. Keenon, U. S. Vols. See classes XVI. D.; XXIII. A. B. 2281. The right tibia, being a stump, two weeks after amputation at the ankle, by Syme's method, h. 2. for comminuted fracture of the tarsus. The extremity is somewhat eroded. Private H. H. J., "A," 9th New York Heavy Artillery, 18: Monocaey, 9th July; admitted hospital, Frederick, 10th; amputated by Assistant Surgeon R. F. Weir, U. S Army, 12th; died from exhaustion following erysipelas, 28th July, 1864. Contributed by the operator. See classes XVI. D.; XXIII. A. a. 214. The lower halves of the bones of the left leg and the posterior portion of the calcaneum, h. 3. being a Pirogoff stump, nearly two months after operation. The cut extremities of the tibia and calcis are carious, and no union whatever has occurred. The lower extremity of the fibula is carious and the upper portion of the shaft is necrosed. The shaft is enlarged by attempts at au involucrum from the periosteum. See figure 139. Private J. L., "K," 67th New York, 22: tarsus, Malvern Hill, 2d July; a prisoner three weeks; PirogofFs amputation made, 26th July; admitted hospital, Philadelphia, the same day; amputated, by flaps, for sloughing after erysipelas, by Acting Assistant Surgeon S. D. Gross, 16th September, 1862; discharged the service, 31st July, 1863. Contributed by the second operator. See classes XVI. D.; XXIII. A. a. Fig. 139. Bones of left leg, two months alter a Pirogoff amputation. Spec. 214. 56 442 CATALOGUE OF THE SURGICAL SECTION XVI. JD. Injuries not caused by Gunshot. \ a. Contusions and partial fractures. I b. Complete fractures. A I C. Dislocations. • Primary Conditions. { d. Excisions, I e. Amputations in the tarsus. | f. Amputations in the leg or thigh. ^ g. Other operations. b. Complete Fractures. See 493, XVI. A. B. b. 7. f. Amputations in the Leg or Thigh. 1844. The right tibia, crushed above the ankle, and the external malleolus fractured by a lailroad accident, f. 1. P. D., civilian, 18: Alexandria, Va., 14th September, 1863; both legs amputated below the knee; sent home, 24th January, 1864. Contributed by Acting Assistant Surgeon Stillwell. 1704. The lowest thirds of the bones of the left leg, one month after injury. Both bones are fractured by a railroad f. 2. accident, and the tibia is split into the ankle. The parts next the lines of fracture are denuded of periosteum and necrosed. Private J. U, "I," 103d Illinois, 24: railroad, 6th June; admitted hospital, Memphis, 1st July; amputated just below the knee by Acting Assistant Surgeon J. Thompson, 2d July, 1863. Contributed by the operator. 3676. A portion of the bones of the left lower extremity, amputated in the lowest third for con minution of the astragalus f. 3. and lower borders of the tibia and fibula by the wheel of a railroad car. The fibula is also transversely fractured about two inches above the ankle. Private J. S., "B," 51st New York: injured, and amputated, on account of haemorrhage, by Acting Assistant Surgeon L Curtis, Philadelphia, 4th October, 1864. Contributed by Surgeon Lewis Taylor, U. S Army. 251. A ligamentous preparation of the calcaneum, astragalus, scaphoid and cuboid of the left tarsus, the remaining1 f. 4. bones of which were crushed by a car wheel. Private H. D., "D," 50th Pennsylvania, 17: injured, and amputated in the lowest third of the leg, Chester, 15th August, 1804. Recovered. Contributed by Brevet Lieutenant Colonel Thomas H. Bache, Surgeon, U. S. Vols. 930. The lower halves of the bones of the left leg. There is a fracture of the inner malleolus and a Pott's fracture of f. 5. the fibula. There is no known history to this specimen, but the injury appears to have been caused by the passage of a heavy wheel over the ankle, and to have been followed by a primary amputation in the middle third. Near the line of section are evidences of an old contusion of the fibula. J. T. N. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See class XVI. B. B. a. For other illustrations, see 4204, XXII. B. A. c. 2. c. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 443 ' a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. d. Caries consecutive upon other injury than fracture of the bones of the joint. { e. Excisions. f. Amputations in the tarsus. g. Amputations. h. Other operations. i. Stumps. .. k. Sequestra. a. Contusions and Partial Fractures. For illustrations, see 930, XVI. B. A. f. 5; 1839, XVI. B. B. g. 3. g. Amputations. 781. A portion of the right lower extremity, amputated two inches above tho malleoli. The plantar portions of the g. 1. scaphoid and three cuneiform bones are fractured, but the dorsal surfaces exhibit no injury. Private D. M., 145th New York: railroad car passed over the foot, Frederick, 7th October; amputated, 19th October; died, 24th October, 1862. Contributed by Assistant Surgeon G. L. Porter, U. S. Army. 2422. The bones of the right ankle, seven months after injury. The tibia was fractured above the ankle by a heavy g. 2. timber falling upon it. The specimen shows the articulation utterly destroyed. The tibia and fibula have been united by spongy callus above the malleoli, and the astragalus and calcaneum are honeycombed by caries. Private J. M. S., "M," 1st Illinois Artillery, 24: injured, 26th October, 1863; admitted hospital, Madison, Wisconsin, 18th May; amputated at the point of election by Surgeon H. Culbertson, U. S. Vols., 22d May; discharged the service, 28th December, 1864. Contributed by the operator. 1839. The bones of the left tarsus and metatarsus, with the lower halves of the tibia and fibula. The bones of the ankle g. 3. are eroded by ulceration. Private D. B., " F," 12th Pennsylvania Cavalry, 17: ankle contused by a fall from his horse; admitted hospital, Frederick, 17th July; amputated in the middle third, for extensive subfascial abscesses and caries, 6th August, 1864; died in a few hours. Contributed by Acting Assistant Surgeon A. R. Gray. See class XVI. B. B. a. 2982. A wet preparation of the right ankle, after amputation in the middle third of the leg for scrofulous inflammation g. 4. of the joint following a sprain. The articulation between the astragalus and calcaneum is carious. F. S , colored, 34 : amputated by Surgeon R. Reyburn, U. S. Vols., more than a year after the sprain, 3d October; died, 29th October, 1866. Contributed by Assistant Surgeon P. Glennan, U. S. Vols. \J» Diseases and Deformities. 886. A wet preparation of the right foot, being a well-marked case of talipes varus complicated with equineus. The C. 1. heel is drawn up and outwardly and the whole of the anterior portion is turned inwardly. A. B., colored, 23: died in hospital, Washington, 20th November, 1866. Contributed by Hospital Steward A. M. Squier, U. S. Army. See 854, XVI. C. 2, from the same case. JO, Secondary Conditions. 444 CATALOGUE OF THE SURGICAL SECTION, ETC. XVI. 854. A ligamentous preparation of the bones of the left foot and the lower portions of the bones of the leg, from a case C. 2. of greatly exaggerated club foot. The foot is turned directly inward toward its fellow and is completely inverted, the plantar surface looking upward. The calcis, which is small, is nearly parallel with the shafts of the leg bones, and presents on its outer side two marked grooves, as if for the passage of the long flexor tendons. Locomotion occurred chiefly upon the anterior surfaces of the calcaneum and the astragalus and the dorsal surfaces of the other tarsal bones. The metatarsals are of marked slenderness. The great toe is drawn across the second one. A. B., colored, 23: died in hospital, Washington, 20th November, 1866. Contributed by Hospital Steward A. M. Squier, U. S. Army. See 886, XVI. C 1,from the same case. jl/» List of Cases illustrating Special Amputations in the Tarsus. Hey's or Lisfranc's Metatarso-tarsal. 1121, XVI. A. a. d. 1; 2777, XXI. B. B. b. 3; 3197, XXV. A. B. b. 236. Chopart's. 1650, XVI. A. B. e. 2; 3007, XVI. A. B. e. 4; 4493, XVI. A. B. e. 5; 2857, XXV. A. B. b. 231; 1530, XXV. A. b. b. 232. Pirogoff's. 540, XVI, A. B. e. 1 ; 2028, XVI. A. B. e. 3; 2983, XVI. A. B. e. 6; 3054, XVI. A. B. e. 8; 2783, XVI. A. B. e. 12; 214, XVI. A. b. h. 3; 3211, XXI. A. b. b. 28; 3664, XXIII. A. B. 27; 2298, XXV. A. b. b. 233; 4218, XXV. A. B. b. 234; 3732, XXV. A. B. b. 235. Syme's. 4543, XVI. A. a. d. 2; 828, XVI. A. a. d. 3; 3068, XVI. A. b. e. 7; 296, XVI. A. B. e. 9; 303, XVI. A. b. e. 10; 691, XVI. A. B. e. 11; 817, XVI. A. b. f. 178; 1706, XVI. A. B. h. 1; 2281, XVI. A. b. h. 2; 2165, XXI. A. b. b. 27; 4369, XXV. A. B. b. 229; 726, XXV. A. B. b. 230; 2857, XXV. A. B. b. 231. XVII. INJURIES AND DISEASES OF THE BONES OF THE FOOT, NOT INVOLVING THE TARSAL ARTICULATIONS. A, Gunshot Injuries. A. Primary Conditions. JL>. Secondary Conditions. f a. Contusions and partial fractures. b. Complete fractures. Excisions. Disarticulations and amputations in the foot Amputations in the leg or thigh. Other operations. a. Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Disarticulations and amputations in the foot. e. Amputations in the leg or thigh. f. Other operations. g. Stumps. h. Sequestra. B, Injuries not caused by Gunshot. Zi.. Primary Conditions. { d JO. Secondary Conditions. a. Contusions and partial fractures. b. Complete fractures. Dislocations. Excisions. Disarticulations and amputations in the foot. f. Amputations in the leg or thigh. g. Other operations. a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. d. Excisions. { e. Disarticulations and amputations in the foot. f. Amputations in the leg or thigh. g. Other operations. h. Stumps. I i. Sequestra. c. Diseases. XVII. BONES OF THE FOOT. A, Gunshot Injuries. A. Primary Conditions. f a. Contusions and partial fractures. j b. Complete fractures. ! c. Excisions. ] d. Disarticulations and amputations in the foot. I e. Amputations in the leg or thigh. L f. Other operations. b. Complete Fractures. 3142. The left tarsus and metatarsus, with the first metatarsal bone fractured. This specimen possesses no surgical b. 1. interest and is preserved because it admirably shows the relations of the various bones. Received from the Army of the Potomac. JJ. Secondary Conditions. a. Contusions and partial fractures. b. Complete fractures. c. Excisions. d. Disarticulations and amputations in the foot. e. Amputations in the leg or thigh. f. Other operations. g. Stumps. h. Sequestra. a. Contusions and Partial Fractures. 2660. The left calcaneum, partially fractured on its internal surface. a. 1. Private C E. F., "D," 36th Wisconsin, 25: Cold Harbor, 3d June; amputated at knee joint, on account of gangrenous condition of soft parts, by Assistan! Surgeon S. B. Ward, U. S. Vols., 9th June, 1864. Contributed by the operator. See classes XIV. A. B. e ; XXIII. A. B. b. Complete Fractures. 2110. The first metatarsal bone of the right great toe, two months after inj'ury. The bullet fractured the bone near the b. 1. phalangeal articulation, and the specimen shows the extremity necrosed with a loss of substance Private W. J. O., "G," 41st Alabama (Rebel): Charleston, Tenn., 24th November, 1863; admitted hospital, near Chattanooga, 3d January; died from apncea consequent upon abscess of epiglottis, 24th January, 1864. Contributed by Assistant Surgeon A. B. Taylor, Indiana Volunteers. 1458. Portions of the right foot, fractured in the third, fourth and fifth metatarsal bones. b. 2. Private J. B., 157th New York, 28: Gettysburg, 2d July; admitted hospital, Baltimore, 9th; died from tetanus, induced by exposure on the field and in transportation, 10th July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. For other illustrations, see 3407, XXII. A. B. c. 19; 2730, XXVII. B. B. d. 186. 448 CATALOGUE OF THE SURGICAL SECTION XVII. d. Disarticulations and Amputations in the Foot. 3510. A portion of the first phalanx of the left great toe, carious after fracture and amputated through the metatarsal d. 1. bone. Contributor and history unknown. 1116. A wet preparation of the second toe of the right foot, amputated at the metatarsal articulation. The toe is much d. 2. flexed upon itself, but the exact character of the inj'ury does not appear. Private H. M. P., "D," 5th New Hampshire: injured, 1st December, 1862 ; amputated by Surgeon L. Quick, U. S. Vols., Baltimore, 27th April, 1863. Contributed by the operator. 2364. Necrosed fragments from the least toe. d. 3. Corporal W. H. K. E., "F," 15th New Jersey, (or New York,) 30: Wilderness, Va.; admitted hospital, Washington, 17th May; amputated at metatarso-phalangeal articulation by Surgeon N. R. Mosely, U. S. Vols., 23d May; returned to duty, 12th December, 1864. Contributed by the operator. 1063. Two fragments from the second toe of the left foot, amputated at the metatarsal articulation. d. 4. Private F. W., "H," 96th Pennsylvania, 20: Spottsylvania, 12th May; admitted hospital, Washington, 22d; amputated by Surgeon N. R. Mosely, U. S. Vols, 23d May ; returned to duty, 2d December, 1864. Contributed by the operator. e. Amputations in the Leg or Thigh. 1187. A ligamentous preparation of a portion of the left foot, one month after injury. The posterior portion of the e. 1. calcaneum is fractured with loss of substance The other foot was wounded also. Corporal J. W., " B," 26th Pennsylvania: Second Fredericksburg, 3d May; admitted hospital, Washington, 9th May ; amputated in lowest third, 2d June, 1863. Contributed by Surgeon J. H. Baxter, U. S. Vols. For other illustrations, see 2061, XV. A. B. d. 42; 4336, XV. A. B. f. 18; 2757, XV. A. B. f. 20; 4172, XV. A. B. f. 50. B, Injuries not caused by Gunshot. JO. Secondary Conditions. a. Contusions and partial fractures. b. Complete fractures. c. Dislocations. d. Excisions. e. Disarticulations and amputations in the foot. f. Amputations in the leg or thigh. g. Other operations. h. Stumps. k i. Sequestra. e. Dis\rticulations and Amputations in the Foot. See 869, XXII. B. n. 8. C. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 449 \J i Diseases. 3694. An exostosis, one inch in length, removed from the upper extremity of the first metatarsal for encroachment upon C. 1. the second and the tarso-metatarsal articulation after gunshot fracture. Corporal F. P., 146th Co., 2d Battalion, V. R. C: excised with chain saw by Surgeon H. Culbertson, U. S. Vols., 31st December, 1864. Contributed by the operator. 3687. A large irregular exostosis, removed from the fifth metatarsal of the right foot for impingement upon the fourth C. 2. metatarsal and the tarso-metatarsal articulation. Cause unknown. Mrs. K. Contributed by Surgeon H. Culbertson, U. S. Vols. 57 XVIII. INJURIES AND DISEASES OF THE ORGANS OF CIRCULATION. A. Heart, Pericardium and Great Vessels of the Thorax. A B, • Gunshot Injuries. | A. Primarily Fatal. JJ. Secondary Results. . . ill -A-» Primarily Fatal. Injuries not caused by . N., " B," 69th New York: murdered, Washington, 13th August, 1862. Contributed by Medical Cadet E. Coues. 2639. A wet preparation of the lower half of the heart, showing a perforation of the left ventricle by a small conoidal A. 2. pistol ball. The missile is attached. The bullet entered between the fifth and sixth ribs, entered the left ventricle one inch above the apex and near the septum, escaped an inch and three-fourths from the apex and three-fourths of an inch from the septum and lodged, inverted, in the body of the eleventh dorsal vertebra, not entering the spinal canal. Lieutenant D. H. J., "I," 55th Massachusetts: killed instantly, by accident, Yellow Bluff, Fla., 23d March, 1864. Contributed by Assistant Surgeon Burt. G. Wilder, 55th Massachusetts. 837. A wet preparation of the heart, perforated by a conoidal pistol bullet which entered the left ventricle and emerged A. 3. from the right auricle. Private C. T., 1st Maryland Potomac Home Brigade, 25: shot, Frederick, 11 p. m., 14th February, 1862; died one hour afterward. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 504. A wet preparation of the heart and portions of the great vessels, showing a bullet embedded between the arteria A. 4. innominata and vena cava descendens within the pericardium. Contributed by Surgeon D. W. Bliss, U. S. Vols. For other illustrations, see 4065, XVIII. II. A. a. a. 1. c, Diseases. A. Primarily Fatal. JJ. Secondary Results. A. Primarily Fatal. 2164. A wet preparation of an aneurism of the aorta which burst into the pericardium The aneurism, upon the posterior A. 1. side of the aorta, an inch and a half from its origin, is about the size of an egg and firmly adherent to the descending cava and pericardium. Twenty-six ounces of blood was found in the pericardium, which prevented the heart's action and produced death by asphyxia. (The specimen embraces the origins of the innominata, left subclavian and left common carotid.) Private P. F., "H," 4th U. S. Cavalry, 42: had never reported sick, and died suddenly in camp, Tennessee, 9th December, 1863. Contributed by Acting Assistant Surgeon Thomas Bo wen. 454 CATALOGUE OF THE SURGICAL SECTION XVIII. II. Jj. Secondary Results. 2243. A wet prepartion of the heart and pericardium, showing a marked case of pericarditis following gunshot of the B. 1. thorax. B^th of the serous surfaces are shaggy with profuse deposits of lymph, which in the recent state were pinkish in color. Toward the posterior surface the two sides of the pericardium are united. Thirty-two ounces of clear mahogany-colored serum was found in the pericardial cavity. Private W. L., " B," 6th Ohio Cavalry, 18: wounded in a skirmish in Virginia by a conoidal ball which entered near the fourth rib on the left side, behind the costal cartilage, and escaped through the seventh rib in front of its angle, while at the same time another ball entered from behind near the tenth rib and fractured the ninth posteriorly to its cartilaginous extremity; admitted hospital, Washington, 12th September; died from pleurisy an 1 pericarditis, 6th October, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. See 1722, XIX. A. B. a. 8. II. Arteries, A, Gunshot Injuries. a. Not operated upon. Primary Conditions. \ *■ ^ed in continuity. J j c. legated after division. I. d. Other operations. a. Not Operated Upon. 4065. A section of the abdominal aorta, perforated by a bullet. a. 1. Contributor aud history unknown. See 4064, III. A. A. b. 15, from the same case. See class XVIII. I. A. a. a. 3377. A preparation of the right subclavian, perforated at the junction of its second and third portions, as if by a a. 2. buckshot or small pistol ball. Contributor and history unknown. b. Ligated in Continuity. 2545. A wet preparation of the brachial, axillary and subclavian arteries, the latter two ligated for secondary haemorrhage. b. 1. Sergeant E. O. G., "M," 4th New York Heavy Artillery, 22: flesh wound in the upper part of the right arm, Cold Harbor, 4th June; admitted hospital, Philadelphia, 17th; right axillary ligated in its continuity for haemorrhage, 25th June ; subclavian ligated for haemorrhage, 1st July, 1864; died the same day. Contributed by Acting Assistant Surgeon W. Scott Hendrie. c. Ligated after Division. 2613. A wet preparation of the brachial artery, fifteen hours after amputation. Death occurred fifteen hours after c. 1. operation and twenty-eight days after the wound. « Contributed by Acting Assistant Surgeon W. W. Keen, jr. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 455 BC a. Not operated upon. a„___j„..„ n__ju;__„ 1 b. Ligated in continuity. . Secondary Conditions. I a L>ated after divisi/n_ { d. Other operations. a. Not Operated Upon. 3410. A wet preparation, showing an opening by ulceration from a conoidal ball lodging against the innominata just a. 1. below the origin of the carotid. "A diffused aneurism had formed around it." Private W. A. J., "A," 7th Virginia, 26: date of injury not reported; admitted hospital, Washington, 30th October; died from secondary haemorrhage, 31st October, 1864. Contributed by Acting Assistant Surgeon C. B. McQuesten. , 2576. A wet preparation of the left axillary artery, which has sloughed in the middle of its course after gunshot. a. 2. Private A. A., "F," 25th Massachusetts, 25: musket ball entered axilla and was extracted on the posterior border of the scapula, Cold Harbor, 3d June; profufe secondary haemorrhage, checked by compression and per- sulphate of iron, Washington, 15th and 16th; axillary ligated and death occurred, 17th June, 1864. Contributed by Acting Assistant Surgeon W. L. Herriman. See class XVIII. II. A. B. b. 881. A wet preparation of the left common, external and internal carotid arteries, the last of which was wounded and a. 3. is impermeable. Private L. E., 22: a bullet entered his open mouth, passed through the middle of tbe left anterior pillar of the fauces and escaped through the back of the neck, two inches from the spinous process of the second cervical vertebra on the same side, causing profuse haemorrhage followed by syncope for several hours, Antietam, 17th September; doing well until two slight arterial haemorrhages occurred, Frederick, 31st October and 2d November; paralysis left side of the face, 13th November; died, 14th November, 1862. Injection of the carotid arteries revealed the left internal closed, after two and a half inches, by an organized cul de sac, its distal termination and its branches being undiscovered. It appears the bullet laid open the internal carotid, and a coagulum, sufficient to arrest further haemorrhage, was formed while fainting, and the remainder of the artery was disintegrated aud carried away by suppuration. The succeeding haemorrhages may have occurred from minute openings in the external carotid occuning spontaneously and arrested in like manner. (See Am. Jour. Med. Sci. January, 1863, pp. 79-80.) Contributed by Acting Assistant Surgeon Redfern Davies. See 778, III. A. B a. 11. 2222. A wet preparation of a portion of the right common, external and internal carotid arteries, showing a solution of a. 4. the coats of the artery near the origin of the internal maxillary. Corporal R. I. F., "F," 60th New York, 22: right superior maxilla shattered by a ball which entered the nose and escaped near the right ear, Second Fredericksburg, 3d May; admitted hospital, Washington, 7th; secondary haemorrhages, 9th aud 11th ; died, llth May, 1863. The alarm of the patient prevented active surgical interference. Contributed by Acting Assistant Surgeon E. F. Bates. 2343. A wet preparation of the carotid artery, without a complete history. a. 5. There is an enlarged open sac communicating with the vessels midway of the specimen, believed to be occasioned by the lodgement of a bullet. The walls of the sac are much thickened. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 1742. A wet preparation of the larynx and tissues on the right side of that organ. A bullet entered the upper lip to a. 6. the left of the median line, passed through the tongue and escaped through the external border of the middle of the sterno-cleido-mastoid. A glass tube in the specimen indicates the course of the bullet. The right common carotid sloughed in the track of the missile, as seen by a director of wood passed through the vessel. Private E. H. D., "K," 86th New York, 22: probably Chancellorsville, 3d May; admitted hospital, Washington, 8th ; died from secondary haemorrhage, 12th May, 1863. Contributed by Acting Assistant Surgeon J. P. Wyer. 2835. A wet preparation of the left subscapular artery, which has sloughed after gunshot. a. 7. Private F. M. D., " D," 35th North Carolina, (Rebel,) 27: conoidal ball through axilla, Petersburg, 16th June ; admitted hospital, Washington, 25th June ; secondary haemorrhage checked by pressure and persulphate of iron, 10th July; haemorrhage recurred and death, 12th July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 456 CATALOGUE OF THE SURGICAL SECTION XVIII. II. 1190. A wet preparation of the soft tissues of the right elbow, showing a false aneurism of the common interosseous. a. 8. A wooden director is passed through the artery from its origin to the seat of injury, which is near the bifurcation. The injury is due to a fragment of bone, which may be observed still embedded in the specimen. An excision of three and a half inches of the radius for comminution was first made, and subsequently amputation was performed. Contributed by Surgeon C. Allen, U. S. Vols. See 1189, VIII. A. B. c. 26. 3454. A wet preparation, from a case of pyaemia, of portions of the right, common and external iliacs and femoral a. 9. arteries, showing an embolus in the latter near the seat of fracture in the thigh. Private J. S., "A," 55th Ohio, 20: thigh fractured by gunshot, Chancellorsville, 3d May; admitted hospital, Washington, 15th June ; slight secondary haemorrhage checked by persulphate of iron, 22d June; died from pyaemia, (fractUT firmly consolidated,) 31st July, 1863. Contributed by Surgeon J. A. Lidell, U. S Vols. See 1536, XIII. A. B. b. 33. See class XVIII. II. C. B. b. 2114. A wet preparation of the upper portion of the left femoral artery, with the walls much thickened by a coagulum a. 10. in the sheath following impingement of a ball which induced diminution of calibre. Private H. K., " D," 149th New York: flesh wound of both thighs, Dalton, Ga., 27th November; thigh ainpu. tated at junction of lower thirds for gangrene caused by exposure to cold and diminished size of artery, 14th December, 1863 ; died of pyaemia, 14th January, 1864. Contributed by Assistant Surgeon W. Teal, 88th Indiana. See class XXIII. A. C. 3794. A wet preparation of portions of the left femoral artery and vein, wounded by gunshot. The artery, after death a. 11. from pyaemia, was found completely severed and occluded in both portions by firm clots The vein was opened and filled with pus two inches above Poupart's ligament. Above that point, to near the internal iliac, it was filled with a coagulum of lymph. Private E. H. C, "I," 26th Massachusetts, 22: conoidal ball through fleshy part of the left thigh, with severe haemorrhage which ceased spontaneously, Winchester, 19th September; venous haemorrhage, 25th September; died from pyaemia, 17th October, 1864. Contributed by Surgeon C. H. Andrus, 176th New York. See classes XVIII. III. A. B. a.; XVIII. III. C. B. b. 1518. A wet preparation of the right femoral artery and vein, from a case of gunshot fracture of the femur, followed in a. 12. three months by death. ''The sheath of the artery appears thicker and stronger than natural." Lieutenant F. B., " B," 82d Illinois, 44 : femur fractured by round bullet, Chancellorsville, 2d May; admitted hospital, Washington, 15th June; died exhausted, fracture ununited, 2d August, 1863. A large abscess occupied the thigh by the walls of which the artery ran for several inches, purulent infiltration extending beyond it. Contributed by Surgeon John A. Lidell, U. S. Vols. 3959. A wet preparation of portions of the femoral vessels, wounded by gunshot. The femoral and profunda arteries a. 13. are completely torn across an inch and a half below the origin of the profunda. (There is no mention in the history of a wound of the artery where it is held together by wire in the specimen.) The femoral and saphena veins are both torn near their junction. Private A. A. B., "F,'' 8th Illinois Cavalry, 20: wounded and tourniquet applied, Williamsport, Md., 7th July; admitted hospital, with instrument still in position, Frederick, 8th; died from mortification of limb, 9th July, 1863. Contributed by Acting Assistant Surgeon Morgan. See class XVIII. III. A. B. a. 2797. A wet specimen of a portion of the femoral artery, with an orifice in the walls, as though caused by sloughing a. 14. after gunshot. Sergeant B. F. F., "H," 2d New York Heavy Artillery, 22: admitted hospital, with gunshot fracture of the lowest third of the right femur, Baltimore, 21st July ; amputated for secondary haemorrhage, 2d August, 1865; died within two hours. Contributed by Surgeon Thomas Sim, U. S. Vols. 2562. A wet preparation of portions of the right femoral and profunda arteries after secondary haemorrhage, showing a. 15. one of the circumflex arteries torn by gunshot. Private W. H., "D," 184th Pennsylvania, 28: a conoidal ball entered the right groin half an inch to the right of the femoral artery, passed downward and inward and fractured the left knee, Cold Harbor, 3d June; admitted hospital, much debilitated, Alexandria, 7th; secondary haemorrhage, 13th; died, 14th June, 1864. No operation was performed, owing to the pyaemic condition of subject. Contributed by Acting Assistant Surgeon P. Wilson. See 2561, XIV. A. B. b. 17; 1779, XV. C. 2. A. B. OF THE UNITED STATES ARMY MEDICAL MUShUM. 457 1877. A wet preparation of the femoral vessels, from a case of gangrenous ulcer. The history is incomplete, and the a. 16. specimen simply shows the walls hardened by the action of alcohol, and possibly thickened as the result of disease. At no point are they observed open by sloughing. W. F.: from Philadelphia. 2614. A preparation, which appears to be of the femoral artery. A great breach in its wall, just above the origin of the a. 17. anastomotica magna, is the probable result of sloughing after gunshot. Contributed by Acting Assistant Surgeon Jas. Eagleston. 2150. A wet preparation of the popliteal artery, showing a clot formed in it from inflammation along the track of a a. 18. ball which did not involve the arterial coats in the sloughing process. Amputation was performed to obviate sphacelus, and the subject recovered. Contributed by Surgeon I. Moses, U. S. Vols. 2247. A wet preparation of the popliteal artery and vein, after amputation for sphacelus. The artery was divided by a. 19. gunshot, and its end was surrounded by a semi-organized clot sufficiently firm to prevent haemorrhage. Sergeant D. A. B., "B," 99th Pennsylvania: Kelly's Ford, Va., 7th November; admitted hospital, Washington, 9th; amputated, 10th November, 1863. Contributed by Surgeon John A. Lidell, U. S. Vols. See 2246, XVIII. II. A. B. c. 19; 3991, XVIII. III. A. B. a. 7. 856. A wet preparation of the popliteal artery, after amputation. The aitery appears to have been completely divided a. 20. by gunshot and closed by coagulum on the proximal side. The accompanying vein is opened at the seat of injury; probably by the subsequent sloughing. Contributed by Surgeon H. S. Hewit, U. S. Vols. See class XVIII. III. A. B. a. 3579. A wet preparation of portions of the right popliteal artery and vein, partially divided by a bullet. a. 21. Corporal T. K., "H," 2d U. S. Cavalry, 24: wounded, 7th May; admitted hospital, with aneurismal thrill, Washington, llth; amputated in the lowest third of the thigh, 14th May; died from pyaemia, 4th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 3545, XIII. A. B. f. 48; 3529, XVIII. III. A. B. a. 4. 535. A wet preparation of the left knee, amputated in the lowest third of the femur. The femur has been grazed a. 22. above the condyle and the popliteal artery cut across by a bullet. Contributed by Surgeon J. P. Prince, 36th Massachusetts. See class XIII. A. B. a. 888. A wet preparation of the popliteal artery, showing two large sloughs in the walls of the vessel from gangrene a. 23. after a flesh wound. Private D. W., "A," 57th New York, 23: Antietam, 17th September; violent haemorrhage from the popliteal, 2d December; thigh amputated in the lowest third by Acting Assistant Surgeon A. V. Cherbonnier, 2d; died, 20th Decem- ber, 1862. Contributed by the operator. See class XXIII. A. B. 3963. A wet preparation of portions of the femoral, popliteal, anterior and posterior tibial arteries and popliteal vein, a. 24. after amputation for secondary haemorrhage, eighteen days after gunshot. The specimen shows a large, well- organized clot near the orifice of the posterior tibial, which is severed at its origin. A bit of wood protruding marks the cut extremity of the vein. Sergeant L. H. M., "M," 5th Michigan Cavalry, 27: ball passed through the popliteal space, Funkstown, Md., 8th July; admitted hospital, Frederick, 17th; haemorrhage, 21st—26th July, when the thigh was amputated in lowest third; died, 19th August, 1863. Contributed by Acting Assistant Surgeon Adams. 1737. A wet preparation of the left popliteal and posterior tibial arteries, showing the last-named severed by tbe a. 25. passage of a bullet. A ligature upon the specimen appears to have been placed there after death. Lieutenant Colonel W. G. D., Cobb's Legion (Rebel): fibula fractured, Madison C. H., Va., 22d September, admitted hospital, Washington, 25th September; died, gangrenous to the kuee, 2d October, 1863. Contributed by Surgeon J. A. Lidell, U. S Vols. See class Will. A. C. 58 458 CATALOGUE OF THE SURGICAL SECTION XVIII. II. 1191. A wet preparation of the upper portion of the left leg, showing a wound of the anterior tibial artery. The tibia a. 26. was perforated by a bullet striking it on its anterior border a little below the knee, shattering the fibula in its escape. "Before being transferred to the boat he had two severe attacks of secondary haemorrhage. No attempt having been made to arrest it by ligating the artery in the wound, or by tying the femoral, he was so far exhausted when received that an operation could not have been performed." Contributed from Hospital Transport " D. A. January," Mississippi river, by Surgeon A. H. Hoff, U. S. Vols. 1698. A wet preparation of the upper portion of the bones and interosseous tissue of the right leg, showing traumatic a. 27. aneurisms of both tibial arteries. Private J. H., "C," 22d Massachusetts, 19: a conoidal ball passed between the bones three inches below the knee, Gettysburg, 2d July; admitted hospital, Baltimore, llth ; slight haemorrhage, 21st and 22d July; amputated in lowest third of thigh for secondary haemorrhage and incipient gangrene of the foot, 5th August; died from pyaemia, 16th August, 1863. Contributed by Surgeon C. W. Jones, U. S. Vols. See class XXIII. A. C. 3653. A wet preparation of the posterior tibial artery, severed by a conoidal ball which fractured the fibula. a. 28. Private H. C, "I," 24th Michigan: Wilderness, 6th May; two inches of the shaft of the fibula excised, Washington, 19th ; thigh amputated lowest, third for mortification, 22d; died, 27th May, 1864. Contributed by Assistant Surgeon H. Allen, U. S. Army. 875. A wet preparation of the posterior tibial artery showing ulceration of the coats, from a case of secondary haemor- a. 29. rhage after gunshot. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1718. A preparation of the popliteal artery, with its continuations. The anterior tibial and femoral are ulcerated near a. 30. their origins. Amputation was performed in the thigh. Contributed by Assistant Surgeon C. C. Byrne, U. S. Army. For other illustrations, see 2430, XX. A. B. a. 5; 4537, XXVII. B. B. d. 111. b. Ligated in Continuity. 2607. A wet preparation of portions of the arch of the aorta, the innominata, left common carotid and subclavian arteries, b. 1. terminating at the point of ineffectual ligation of the left subclavian in its third portion. The specimen shows separation of the coats with no formation of clot. Private S. R. P., "D," 14th U. S. Infantry: arm amputated near the shoulder for shell wound, Chancellorsville, 3d May, admitted hospital, with erysipelas, from Washington, Philadelphia, 17th June; haemorrhage, 8th July; haemorrhage and ligation of subclavian, 9th; haemorrhage at point of ligation and digital compression substituted, 16th; died, 18th July, 1863. Contributed by Acting Assistant Surgeon D. Kennedy. See class XXIII. A. A. 1684. A wet preparation of the left subclavian artery, forty-six days after ligation in the third portion for traumatic b. 2. aneurism of the axillary after gunshot, and twenty-eight days after the ligature came away. Captain J. F. J , "B," 13th Virginia Cavalry, (Rebel,) 31: a carbine ball passed through the brachial plexus of nerves and cut the auxiliary artery one and a half inches above its termination, Middleburg, Va , 21st June ; admitted hospital, Washington, 23d June; a circumscribed traumatic aneurism at the seat of injury appeared, 12th July; subclavian ligated at the external border of scalenus by Surgeon John A. Lidell, U. S. Vols., 14th; aneurismal sac opened spontaneously, 19th July ; ligature separated without haemorrhage, 1st August; profuse haemorrhage from the sac, arrested by injection of solution of persulphate of iron, 6th; haemorrhage recurred, 10th, llth, and 18th; died, exhausted with the suppuration and the haemorrhages, 29th August, 1863. Contributed by the operator. See 3213, XXII. A. B. b. 2. 3631. A wet preparation of the right subclavian, supposed to have been ligated (probably for secondary haemorrhage, b. 3. after fracture of the scapula and clavicle). Private L. R., "D," 16th Pennsylvania Cavalry. Contributed by Acting Assistant Surgeon W. F. Atlee. See 3650, IV. A. B. b. 31. 1331. A wet preparation of the right subclavian artery, ligated in its third portion for secondary haemorrhage from the b. 4. subscapular. The suprascapular and transversalis colli arose too near the point of ligation to permit the formation of a clot on the proximal side. The distal portion of the artery contained a large coagulum. The subscapular had sloughed near its origin in the track of the missile. The subclavian vein was found open in the track of the wound. A. 13. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 459 Private T. C, " G," 48th New York, 21: conoidal ball through axilla, below Fort Darling, Va., 9th May; admitted hospital, New York, 23d; haemorrhage controlled by pressure, 27th; haemorrhage recurred, 30th; and again, when the subclavian was ligated in its third portion by Acting Assistant Surgeon G. F. Shrady, 31st May; two venous haemorrhages, 1st June; a vein of the axillary plexus tied by Acting Assistant Surgeon Shrady for a third haemorrhage, and death occurred three hours afterward, 2d June, 1864. Contributed by the operator. See classes XVIII. II. D.; XVIII. III. A. B. a.; XVIII. III. A. B. b. 2812. A wet preparation of the right subclavian, twelve days after its ligation in the third part Tho specimen shows b. 5. the formation of a partial clot. Bits of wood are introduced in the vertebral, internal mammary, thyroid axis and superior intercostal arteries. Subject was of a peculiar haemorrhagic diathesis and suffered a severe cough. Sergeant H. B., '' D," 12th New Hampshire, 21: wounded in the right shoulder, Cold Harbor, 3d Juno; admitted hospital, Washington, 16th; ligated for secondary haemorrhage by Surgeon N. R. Mosely, U. S. Vols., 17th; ligature gave way and died, 29th June, 1861. Contributed by the operator. 2568. A wet preparation showing ulceration of the right subclavian following ligation, and also the cicatrix embracing b. 6. the nerves and vessels on the face of the stump. The specimen shows the main artery completely occluded, although secondary haemorrhage frequently occurred; a coagulum in the subclavian on the cardiac side of the point of ligation, that on tho distal side appearing to have been destroyed by ulceration; a complete coagulum of the vein. Two bits of wood have been introduced at the point of ulceration Private S. D., "C,"9th Illinois Cavalry: arm fractured and amputated in the upper third, Tupelo, Miss., 14th July; admitted hospital, Memphis, 25th July; gangrene in stump, 1st August; haemorrhage from stump, 8th and 10th; subclavian ligated by Acting Assistant Surgeon J. N. Sharp, 10th ; haemorrhage from stump arrested by solution persulphate of iron, 17th and 23d; ligature came away, 25th; haemorrhage from subclavian and death, 30th August, 1864. Contributed by Assistant Surgeon W. M. Dorran, U. S. Vols. See classes XVIII. III. A. B. a.; XXIII. A. B. 2609. A wet preparation of a traumatic aneurism of the right axillary artery, with the subclavian ligated in the third part. b. 7. Sergeant H. G., "K," 5th U. S. Cavalry: bullet through right axilla, Beverly Ford, Va., 9th June; admitted hospital, Philadelphia, with aneurism, 23d June; secondary haemorrhage, 16th August; subclavian ligated by Medical Inspector R. H. Coolidge, U. S. Army ; [a nerve lying directly under the artery was accidentally included in the ligature, although, in the opinion of the assistants at the time of the operation, nothing but the artery was embraced;] died six hours afterward, 17th August, 1863. See Am. Jour. Med. Sciences, Vol. XLVIL, p. 128. Contributed by Acting Assistant Surgeon Isaac Norris, jr. See 1448, XXVII. B. B. c. 45. 4339. A wet preparation, in two portions, of parts of the aorta, innominata, left common carotid, subclavian and b. 8. axillary arteries, the last of which has been ligated near its origin for secondary haemorrhage following false aneurism after gunshot. About two inches of the artery had nearly disappeared, and around the deficiency a cavity with several ounces of organized clot existed. Private G. R. P., 3d Maine, 21: shoulder wounded by buckshot and left arm amputated in the middle third about 15th May ; admitted hospital, with a fluctuating tumor near the lower angle of scapula, New York Harbor, 8th June; haemorrhage from the anterior wound, below the outer third of clavicle, 1st and 20th July; axillary ligated near its origin for haemorrhage, 28th July; died from secondary haemorrhage, 5th August, 1862. The ligature could not be found after death. Contributed by Acting Assistant Surgeon 8. Teats. See 1827, VI. A. B. f. 28; 4338, VI. C. 1. 2674. A wet preparation of the axillary, showing nearly half of the calibre of the vessel cut away by a musket ball in b. 9. its upper portion, from which injury death did not occur for nine days. A piece of cloth lodged in the artery is supposed to have assisted in restraining the haemorrhage. Private W. H., "H,"' 15th U. S. Infantry, 19: accidentally, Mobile, llth January; lost blood to syncope; secondary haemorrhage, 20th-21st; ligated by Surgeon Coale, U. S. Vols., 22d January, 1866; died a few minutes afterward. Contributed by Assistant Surgeon H. J. Phillips, U. S. Army. See class XXVII. B'. B'. 3630. A wet preparation of the axillary artery, showing great loss of substance by sloughing after gunshot. b. 10. Private J. L., "E," 25th Massachusetts: conoidal ball through axilla, Petersburg, 10th August; admitted hospital, Philadelphia, 17th; slight secondary haemorrhage, controlled by pressure, 27th; severe haemorrhage, controlled by pressure on the subclavian, 29th August; an immense aneurism, formed by the sloughing of the coats, opened and ligatures placed on both sides of the injury, 17th September; arm amputated at the shoulder joint for mortification, and died, 19th September, 1864. Contributed by Surgeon I. I. Hayes, II. S. Vols. 460 CATALOGUE OF THE SURGICAL SECTION XVIII. II. 3679. A wet preparation of the left axillary artery, ligated in its third portion for secondary haemorrhage. The specimen, b. 11. which is from a pyaemic subject, shows the artery patalous, having been cut through by the ligature, which came away after death. Corporal P. Y., " F," 116th Ohio, 37 : received a flesh wound in the middle and outer portion of the left arm from a conoidal ball, Winchester, 19th September; admitted hospital, wound sloughing,Philadelphia, 27th September; haemorrhages, controlled by solution of alum and persulphate of iron, 4th, 5th, 6th October; artery ligated for severe haemorrhage by Acting Assistant Surgeon W. L. Wells, 7th; died from pyaemia, 22d October, 1864. Contributed by Surgeon Lewis Taylor, U. S. Army. 3973. A wet preparation of the trachea and larynx, the upper lobe of the left lung, the arch of the aorta, the right b. 12. and left carotids and some of the muscular tissue on the left side of the neck. The specimen shows the left common carotid to have been ligated for a traumatic aneurism. Death resulted from the artery opening into an abscess in the upper portion of the lung, twenty-three days after the ligature came away and thirty-seven after the operation. Wooden directors are passed into the two unnatural cavities through the openings in the vessel. Private E. M. K., "I," 6th Pennsylvania Cavalry, 26: a buckshot entered the left side of the neck just above the anterior edge of the sterno-mastoid, a little below the thyroid notch, and passed out to the left of and below the occipital protuberance, causing severe haemorrhage and great swelling, Harper's Ferry, Va., 1st January; admitted hospital with aneurism of left carotid, Frederick, 9th February; common carotid ligated below the omo-hyoid by Assistant Surgeon R. F. Weir, U. S. Army, 27th February; ligature came away, 13th March; slight haemorrhages from wound controlled by pressure, 16th, 17th, 18th March; expectorated fresh red blood, 3d, 5th, 6th April; and died from profuse haemorrhage by the mouth and suffocation by blood in trachea, 5 p. m., 6th April, 1863. Contributed by the operator. 3981. A wet preparation of the larynx and adjacent tissues, posteriorly and to the left side. The specimen shows a b. 13. bullet lodged against the body of the sixth cervical vertebra, having severed the vertebral artery. The carotid has been ligated for secondary haemorrhage that was supposed to proceed from the lingual, which also was severed. Private W. F., "H," 9th Virginia: conoidal ball entered the right side of the face an inch from the outer angle of the mouth, fractured the lower jaw, severed the lingual artery and lodged, Halltown, Va, 25th August; admitted hospital, Frederick, 27th August; haemorrhage from the mouth controlled by pressure on left common carotid, and artery then ligated by Assistant Surgeon R. F. Weir, U. S. Army, 3d September; died from secondary haemorrhage, 4th September, 1864. Contributed by the operator. 3409. A wet preparation of the left common carotid, ten days after ligation for secondary haemorrhage, showing a b. 14. fair clot. Corporal G. P., " H," 91st Pennsylvania, 28: bullet entered left side of chin and lodged beneath the angle of inferior maxilla, place and date not reported; admitted hospital, Washington, 31st October; secondary haemorrhage arrested by compression, 4th November; common carotid tied by Surgeon N. R. Mosely, U. S. Vols., for recurring haemorrhage, 6th; died from exhaustion, 16th November, 1864. Contributed by Acting Assistant Surgeon W. H. Combs. 508. A wet preparation of the left common carotid, completely plugged by a white fibimous clot, ten days after b. 15. ligation for secondary haemorrhage. Private M. S., "D," 52d Pennsylvania: ball entered left mastoid process, passed beneath the inferior maxillary and emerged below the left eye, Fair Oaks, 31st May; secondary haemorrhage, 13th and 14th June; artery tied above omo- hyoid, 14th ; died, 24th June, 1862. Contributed by Acting Assistant Surgeon D. W. Cheever. 898. A wet preparation of the left common carotid, nine days after ligature. The artery has ulcerated without the b. 16. formation of a clot. Corporal J. Q., "G," 38th New York: ball entered behind the left condyle of the lower jaw and escaped at the left side of the nose, Fredericksburg, 13th December; profuse secondary haemorrhages from the mouth, checked by plugging the nares, Washington, 25th, 26th, and 27th ; common carotid ligated above the omo-hyoid by Acting Assistant Surgeon H. N. Fisher, 27th December, 1862; ligature came away and death from secondary haemorrhage followed, 5th January, 1863. Contributed by the operator. 3179. A wet preparation of the left common carotid, ligated an inch and a half below the bifurcation for secondary b. 17. haemorrhage following gunshot. Private H. B., "A." 1st Palmetto (?) Sharpshooteis, 18: wounded in the left temporo-maxillary region, We'don R. R., Va.; admitted hospital, Washington, 21th August; haemorrhage, 26th; common carotid ligati d for hemorrhage, 27th August; haemorrhage recurred daily until death. 2d September, 1864. The bleeding vessel was never detected. Contributed by Acting Assistant Surgeon H. M Dean. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 461 3969. A wet preparation of the common carotid artery, ligated three-fourths of an inch below the bifurcation. b. 18. Private G. W. B.. "G,"42d Virginia, (Rebel,) 25: neck and inferior maxilla wounded, Gettysburg, 3d July; secondary haemorrhage from external carotid, Frederick, 9th ; common carotid ligated, 10th; died, 13th July, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 3902, II. A. a. b. 2. 1636. A wet preparation of the right common carotid, showing two ligations for secondary haemorrhage after gunshot. b. 19. Sergeant A. F., "D," llth Indiana, 25: ball entered oral orifice and escaped through the right ramus of the inferior maxilla, Vicksburg, 24th June: common carotid tied at the crossing of the omo-hyoid, for secondary haemorrhage, on the Hospital Steamer "Ciescent City," 8th July ; tied half an hour afterward, for recurrence of haemorrhage, at the bifurcation, embracing both branches; haemorrhage recurred, checked by plugging. 9th; died, 10th July, 1863. Contributed by Surgeon J. T. Hodgen, U. S. Vols. . See 1635, II. A. B. b. 10. 2133. A wet preparation of a portion of the right common carotid, ligated one inch and a half above its origin. b. 20. Private P. O'C, "H," 18th U. S. Infantry: a musket ball entering below the left zygomatic arch escaped below the angle of the inferior maxilla on the left side, Chickamauga, 20th September; secondary haemorrhage from wound of exit and mouth, controlled by compress, 2d October; external carotid tied by Surgeon Cleary, U. S. Vols., 4th; haemorrhage again checked by compress; recurred profusely and common carotid ligated by Surgeon I. Moses, U. S. Vols., 23d; died, exhausted, 25th October, 1863. Contributed by Surgeon I. Moses, U. S. Vols. 3252. A wet preparation of the right common carotid, ligated for secondary haemorrhage after gunshot. At the point b. 21. of ligation an abscess extended for three-fourths of an inch above and below. The ligature had come away, leaving a well-formed clot. The vessel that gave rise to the haemorrhage was never detected. Iu the specimen the internal carotid has been ligated, apparently as an experiment upon the cadaver. Sergeant L. A. P., "B," 8th New York Heavy Artillery, 21: gunshot through the right ear, Ream's Station, Va., 25th August; admitted hospital, Washington, 28th August; secondary haemorrhage restrained by persulphate of iron, 7th Sep- tember; common carotid ligated for return of haemorrhage, 9th; haemorrhage recurred, llth, 12th, 17th, 18th; ligature removed, 19th; died from haemorrhage, 20th September, 1864. The parotid gland was in a suppurating condition around the place of ligation. The bleeding vessel was never detected. Contributed by Acting Assistant Surgeon H. M. Dean. 2018. A wet preparation of the right common carotid, ligated an inch aud a half below the bifurcation for secondary b. 22. haemorrhage after gunshot from the internal carotid. Sergeant P. B. M., "A," 111th Pennsylvania: ball entered mouth, fractured right lower jaw and escaped near the vertebrae, place and date not reported ; lost four quarts of blood from haemorrhage from internal carotid, Tuilahoma, Tenn., 2d December; lint saturated with solution of persulphate of iron held against the bleeding vessel, while the common carotid was ligated by Assistant Surgeon Pierce, 150th New York; haemostatic retained "for a length of time;" doing well until 8th; died from inflammation of. the brain, 9th December, 1863. A firm clot extended half au inch below and an inch and three-fourths above the point of ligation. The internal carotid was filled, as far as the entrance to the skull, with a firm fibrinous clot. Ligation of the internal carotid was impracticable from the tumefaction and the severity of the haemorrhage. Contributed by Surgeon Benjamin Woodward, 23d Illinois. 950. A wet preparation of the brachial artery, ligated (in two places) for secondary haemorrhage after gunshot. b. 23. Contributed by Assistant Surgeon Warren Webster, U. S. Army. 913. A wet preparation of the radial artery, ligated at its origin at the bifurcation of the brachial, for a wound of the b. 24. elbow, on the field, Fredericksburg, and amputated a few days afterward on account of the severity of the wound. Contributed by Hospital Steward A. J. Schafhirt, U. S. Army. 3645. A wet preparation, showing the radial artery ligated just below and tbe brachial artery just above the bifurcation. b. 25. Corporal A. G., "D," 46th New York : flesh wound of right forearm from conoidal ball, Petersburg, 18th June ; admitted hospital, anaemic and gangrenous, Philadelphia, 28th June; secondary haemorrhage from the radial,which was ligated, 23d July ; the tissues being disorganized and the bleediug continuing, the second ligature was tied the same day ; died, exhausted, 25th July. 1864. Contributed by Acting Assistant Surgeon W. B. Corbit. 3464. A wet preparation of the pelvic viscera, showing the left internal and common iliac arteries ligated for secondary b. 26. haemorrhage. The bullet entered the left gluteal region, passed into the pelvis and lodged in the right wall. Private J. H., " H," 98th New York, 25: Weldon R. R., Va, 20th August; admitted hospital, Washington, 21th August; haemorrhage, 4th September; left internal iliac tied by Assistant Surgeon J. C. McKee, U. S. Army, 12th; bleeding not ceasing, left common iliac tied the same day; haemorrhage recurred, and died, 14th September, 1864. Contributed by the operator. 462 CATALOGUE OF THE SURGICAL SECTION XVIII. II. 3986. A wet preparation of the right and left common, external and internal iliac arteries, eighteen weeks after ligation b. 27. of the right external iliac for traumatic aneurism. The specimen shows the ligated artery diminished to a small cord, and the corresponding internal branch much enlarged. Accompanying is a portion of the femoral artery which was ligated subsequently, but the point of ligation does not appear in the specimen. The ligatures about the lower end of the femoral and the left external iliac seem to have been placed post mortem. Private J. R. L., "F," 10th Georgia, (Rebel,) 19: ball passed through the right thigh from front to rear, half an inch below Poupart's ligament, Antietam, 17th September; admitted hospital with wound closed, but with an aneurismal tumor in groin, Frederick, 27th October; external iliac ligated above the circumflex and epigastric by Assistant Surgeon R. F. Weir, U. S. Army, 6th November; slight attack of hospital gangrene, 25th November, 1862; an abscess near the cicatrix discharged, 2d March ; arterial haemorrhage, seven ounces, followed a counter-incision for discharge of pus, 13th ; haemorrhage, five ounces, 14th; haemorrhage, seven ounces, sac opened, femoralnecessarily cut, but without loss of blood, no vessel could be found, and death occurred from previous haemorrhage and shock of operation, 16th March, 1863. Contributed by tbe operator. 855. A wet preparation of a portion of the femoral artery, tied in Scarpa's triangle for secondary haemorrhage from b. 28. ulceration of the vessel in its middle third following gunshot. Private H. G., " E," 8th New York Cavalry: operation and death, Frederick, 19th November, 1862. Contributed by Surgeon H. S. Hewit, U. S. Vols. See 768, XIII. A. B. b. 27. 1140. A dry preparation of a portion of tbe femoral artery, ligated in Scarpa's triangle for secondary haemorrhage from b. 29. the popliteal four days after the operation and forty-three after being wounded. The specimen shows a well-formed clot in the proximal portion and a smaller one in the distal portion. Private ----F., ----Maine: posterior part of upper third of right leg wounded, Fredericksburg, 13th December, 1862; typhoid condition observed, 15th January ; secondary haemorrhage, controlled by pressure, 23d, 24th, 25th; femoral ligated by Surgeon J. A. Lidell, IT S. Vols., 25th; died, 29th January, 1863. The autopsy showed the popliteal to have ulcerated. Contributed by the operator. 2086. A wet preparation of the right femoral, ligated just above the origin of the profunda, which has been opened by b. 30. gunshot. Private G. H. M., "F," 3d Iowa, 23: canister shot entered Scarpa's triangle, left side, traversed the perineum and escaped two inches below the right trochanter major, causing great loss of blood, 18th May; admitted hospital, Memphis, 2d June ; femoral ligated for haemorrhage from right thigh, 3d; haemorrhage from branches of internal iliac, 8th and 9th ; died, 10th June, 1863. Contributed by Acting Assistant Surgeon A. W. Nelson. 2219. A wet preparation of the left femoral artery, ligated below the origin of the profunda for the relief of a false b. 31. aneurism. Private D. R., " K," 7th Indiana, 20: bullet passed directly through the left thigh from behind, dividing both femoral artery and vein and escaping iu Scarpa's space, Robinson's Creek, Va., 30th November; admitted hospital, Washington, 6th December; on examination it was found that there was free communication between tbe artery and vein in the sac, but no effusion of blood in the tissues, hence, not literally a false aneurism ; but, the artery being obliterated and the aneurismal condition increasing, an operation became necessary ; the tumor was laid open by Assistant Surgeon W. Thomson, U. S. Army, and were tied (1) the proximal end of the femoral vein near the entrance of the saphena for profuse haemorrhage, (2) the femoral artery below the origin of the profunda, (3) the femoral artery two inches from the distal extremity, (4) the femoral vein near the distal extremity to control an accidental haemorrhage, 9th; death followed mortification of limb, 13th December, 1863. For a full history of this very interesting case, see MS. catalogue. Contributed by the operator. See 2250, XVIII. III. A. B. b. 1. 3960. A wet preparation of the femoral artery, ligated below the origin of the profunda for secondary haemorrhage after b. 32. amputation of the thigh for gunshot fracture of the knee. Private E. T., " G," 1st Pennsylvauia Artillery, 20: admitted hospital and thigh amputated, Frederick, 5th August; secondary haemorrhage and artery ligated by Acting Assistant Surgeon J. H. Coover, 9th; died, 12th August, 1864. Contributed by the operator. See 3929, XIV. A. B. f. 136. 3105. A wet preparation of the femoral artery, ligated below the profunda for secondary haemorrhage following gunshot. b. 33. Private J. S., "F," 69th New York: admitted hospital, with severe contusion of femur from musket ball splitting upon it, Washington, 30th July; secondary haemorrhage, 4th August; artery ligated by Acting Assistant Surgeon H. M. Dean, for secondary haemorrhage, 5th; died from pyaemia, 21st August, 1864. Contributed by the operator. See 3106, XIII. A. B. a. 2; 31 M, XVIII. III. C. B. b. 1. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 463 3972. A wet preparation of portions of the left femoral and profunda arteries with their branches. The femoral is b. 34. ligated for secondary haemorrhage. Private W. C "C," 2d Massachusetts Cavalry: a conoidal ball entered the left popliteal space and escaped at the lower portion of the upper third, Berryville, Va.; admitted hospital, Frederick, 14th September; secondary haemor- rhage checked by compression, 24th ; ligated for another haemorrhage, 25th; died, 28th September, 1864. The bleeding point was not discovered. Contributed by Acting Assistant Surgeon J. C. Shimer. 1357. A wet preparation of portions of the left profunda and femoral arteries, ligated for secondary haemorrhage after b. 35. gunshot. Private C. D., "A," 47th Pennsylvania, 24: musket ball through middle third of thigh, injuring femur, Cedar Creek, Va., 19th October, 1864; admitted hospital, Philadelphia, 10th February; haemorrhage from descending branch of the external circumflex, 4th March ; profunda ligated near its origin by Acting Assistant Surgeon W. P. Moon, 5th; haemorrhage from femoral, which was ligated just below origin of profunda by Acting Assistant Surgeon Moon, 9th ; died, 12th March, 1865. Contributed by Acting Assistant Surgeon J. T. Goddard. 4085. A wet preparation of the femoral artery, three days after ligation below the profunda for secondary haemorrhage b. 36. following gunshot. The specimen shows the popliteal to have sloughed after puncture by a bony spicula, First Lieutenant A. M. B., "A," 26th Virginia (Rebel): femur fractured in the lowest third by a pistol ball, Burk's Station, Va., 6th April; femoral ligated for secondary haemorrhage, City Point, Va., 17th; died from mortification of limb, Washington, 20th April, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. See 4084, XIII. A. B. b. 3; 554, Urino-Genital Organs, Medical Series. 2085. A wet preparation of the left femoral artery, ligated below the origin of the pr< funda for secondary haemorrhage. b. 37. Private B. A., "A," 5th Iowa, 40: a conoidal ball passed through Scarpa's triangle without directly injuring the vessels, Vicksburg, 19th May; admitted hospital, Memphis, Tenn., 27th ; haemorrhage checked by compression, 31st May; wound opened and a darning needle extracted from the sheath of the vessels, 2 p. m., secondary haemorrhage and artery ligated, 8 p. m., died, 11 p. m., 1st June, 1863. Contributed by Acting Assistant Surgeon A. W. Nelson. See 2020. XVIII. III. B. B. b. 1. 3983. A wet preparation of portions of the external iliac, the femoral, profunda and anastomotica magna arteries, with b. 38. the femoral ligated in its continuity for secondary haemorrhage. Private H. L., "A," 6th Pennsylvania Reserves, 25: tibia and fibula fractured in the middle third, Antietam, 17th September ; amputated in the upper third of the leg, 4th December, 1862 ; amputated at the junction of the lower thirds of the femur by Surgeon J. B. Lewis, U. S. Vols., 15th January; femoral ligated for secondary haemorrhage, 4th February: one and a half inches necrosed extremity of the femur removed, 5th March; died, 31st March, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 3818, XIII. A. B. f. 61 ; 748, XV. A. B. d. 119. 1024. A wet preparation of the femoral artery, ligated in the lowest third for secondary haemorrhage from sloughing b. 39. of tibialis posticus after gunshot. Private S. B., "G," 134th New York, 16: accidentally wounded posterior middle third left leg, 30th August; admitted hospital, Alexandria, 5th September ; profuse secondary haemorrhage controlled by pressure, 14th November ; femoral ligated for haemorrhage by Assistant Surgeon W. A. Conover, U. S. Vols., 28th November; died from pyaemia, 7th December, 1862. Contributed by the operator. 507. A wet preparation of a portion of the femoral artery, after ligation for secondary haemorrhage following b. 40. amputation. A. S., "F," 10th New York. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 3971. A wet preparation of the right femoral and profunda, ligated for secondary haemorrhage. The specimen shows b. 41. the ligature upon the femoral intact above the seat of sloughing. Private J. S., "A," 4th Virginia, (Rebel,) 22: femur fiactured by a conoidal ball in the middle third, Monocaey Junction, Md., 9th July; femoral ligated at point of bleeding, 5th August; profunda ligated for recurrent haemorrhage, 6th August, 1864 ; commencing gangrene and death six hours afterward. Contributed by Acting Assistant Surgeon Coover. See class XXIII. A. c. 1098. A wet preparation of the popliteal artery, which appears to have sloughed above the point of ligation. b. 42. Contributed by Surgeon H. S. Hewit, U. S. Vols. 464 CATALOGUE OF THE SURGICAL SECTION XVIII. II. 2611. A wet preparation of the anterior tibial artery, ligated above and below a point of sloughing for secondary b. 43. haemorrhage, after hospital gangrene following a resection in the shaft of the left fibula. Private E. H. B., "K," 1st Michigan Cavalry, 39: fibula fractured, Gettysburg, 3d July; excision performed at Cavalry Corps Hospital; admitted hospital, Philadelphia, 8th September; hospital gangrene occurred, 18th; secondary haemorrhage to the extent of three pints, operation and death, 18th October, 1863. Contributed by Acting Assistant Surgeon J. H. Jamar. 894. A wet preparation of the internal iliac artery, ligated for secondary haemorrhage. b. 44. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 2481. A wet preparation of the common carotid artery, ligated one inch below the bifurcation, with the formation of a b. 45. clot on the cranial aspect. The external carotid is pierced by a pin, the presence of which is unexplained. Private J. R. "B," 63d New York: inferior maxilla fractured, Wilderness, 5th May; admitted hospital, Wash- ington, 13th; carotid ligated, 31st May; died, 1st June, 1864. Contributed by Surgeon G. L. Pancoast, U. S. Vols. See 2482, II. A. B. b. 7. 897. A preparation of the femoral artery, after ligation in its continuity, as if for secondary haemorrhage. An extensive b. 46. solution of its coats appears an inch and a half below the point of operation. Above and below the ligature, which has nearly ulcerated through the artery, firm clots have formed. Contributor and history unknown. 906. A portion of a small artery, accompanied by the veins. It has been opened by ulceration near one extremity. b. 47. A memorandum describes it as ligated, but the point of operation is not discernable. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1001. A small section of the femoral and profunda arteries, after ligation. A clot, plugging the femoral, is exposed b. 48. where the artery has been cut through by a ligature. Another ligature remains on the profunda at its origin, where also a clot has been formed. Contributed by Acting Assistant Surgeon G. F. Shrady. 2220. An arterial preparation, received without history. It is believed to be the femoral artery, ligated just below the b. 49. origin of the anastomotica magna, (where it narrows more rapidly than is common,) which, in this case, arises very near to the profunda. The chief point of interest in the specimen is this peculiar origin. Contributed by Acting Assistant Surgeon J. Leidy. See class XVIII. II. D. 2225. A wet preparation of an artery, with no history. The specimen appears to be the brachial cut thiough by a b. 50. ligature just above the bifurcation. An opening in its walls below the anastomotica magna may have been the cause of death. A ligature is loosely placed about the vessel in the middle of its course, as if to indicate where the second operation should have been performed. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 2384. An arterial preparation, apparently of the external iliac, ligated just below the episgastric, which, in the specimen, b. 5 1. has beeu cut off close to the main trunk. Contributor and history unknown. 509. A wet preparation of a portion of the femoral artery, showing a false aneurism, the size of a walnut, following b. 52. guushot. Second Lieutenant R. W. S., "I," 5th Pennsylvania Reserves: Second Bull Run, 30th August; admitted hospital, Washington, 5th September; artery reported ligated, 7th; died, 8th September, 1862. Contributed by Assistant Surgeon Warren Webster, U. S. Army. For other illustrations of this class, see 3542, II. A. B. b. 12; 2124, IV. A. n. b. 42; 2787, VII. A. B g 3 • 2700 VIII A.B. d.13; 272, VIII. A. B. d. 15; 993, IX. A. b. f. 28; 758, XII. A. B. a. 7 ; 3098, XII. A. B.e. 2; 81, XII. a'b e 7- 1757, XIII. A. B. a. 26; 915, XIV. A. B. g. 1; 2576, XVIII. J I. A. B. a. 2. c. Ligated after Division. 2687. A wet preparation of tbe brachial artery, nearly sloughed across above the ligated extremity after amputation c. 1. On each side of the point of ulceration the artery is healthy. Private G. K., "E," 40th New York, 29: fracture of elbow, and arm amputated middle third Wilderness- admitted hospital, Washington, 26th May; death from secondary haemorrhage, 26th June, 1864. nnnt.rihnterl hv Aatincr Assistant- Surfi-onn W AT "nrtr,»» Contributed by Acting Assistant Surgeon H. M. Dean. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 465 1386. A wet preparation of the brachial artery, two days after amputation for secondary haemorrhage. A clot has c. 2. formed. Private A. C, "C," 8th Illinois Cavalry, 27: carbine ball entered above the wrist and lodged near the elbow Upperville, Va., 21st June; admitted hospital, Washington, 24th June; secondary haemorrhage, controlled by pressure, and ball removed, 3d July; after several haemorrhages, controlled by pressure, arm amputated by Acting Assistant Surgeon McCoy, 9th; died, llth July, 1863. Contributed by the operator. See 1387, VIII. A. B. a. 2. 2616. A wet preparation of portions of the left brachial, radial and ulnar arteries, after death from pyaemia three c. 3. weeks after amputation at the junction of the upper thirds of the forearm for secondary haemorrhage from the radial following gunshot of the metacarpus and gangrene. The radial is designated in the specimen by a piece of silk thrown, lightly around it. The ligatures have all been removed and the extremities are sealed, but in each branch, a short distance above its termination, a small opening, as if from ulceration, occurs. Private J. G. K., "G," 75th Pennsylvania, 42; Gettysburg, 1st July; admitted hospital, with left middle finger and its metacarpal bone removed, and hospital gangrene present, Philadelphia, 9th; gangrene disappeared, and an abscess in the wrist opened, 15th; slight haemorrhages, 18th-19th; haemorrhage from the radial, which was ligated at both extremities, 24th; haemorrhage recurred and forearm amputated, 29th July; ligatures came away, 7th-9th August; slight haemorrhage and symptoms of pyaemia, 14th; died, 19th August, 1863. Contributed by Acting Assistant Surgeon M. Lampen. See 2773, IX. A. B. c. 2; 2615, XXI. A. B. b. 1. See class XXII. A. B. 853. A wet preparation of the right femoral artery, nine days after amputation in the upper third. c. 4. Private M. S., "B," 61st New York, 20: femur contused, Antietam, 17th September; admitted hospital, Frederick, 24th September; ball removed from against femur, 20th October; thigh amputated by Surgeon H. S. Hewit, U. S Vols., 15th November; died, 24th November, 1862. Contributed by the operator. 2883. A wet preparation of the femoral artery, ligated for secondary haemorrhage after amputation. c. 5. Private L. W., "C," 26th Michigan, 23: knee fractured, Spottsylvania C. H., 12th May; admitted hospital, Washington, 30th May; thigh amputated upper third; secondary haemorrhage from stump, artery secured by Acting Assistant Surgeon Ansell, and patient died, 19th July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 2509. A wet preparation of the femoral artery, apparently after amputation in the upper third. The ligature remains c. 6. in the specimen. Contributed by Assistant Surgeon Wm. Thomson, U. S. Army. 874. A wet preparation of the right femoral artery, thirty-three days after ligation at the place of amputation. The c. 7. extremity of the vessel is perfectly closed. Private W. H.McP., 50th Georgia (Rebel): lowest third of right thigh fractured, South Mountain, 14th September; amputated middle third by Dr. Boyle, (Rebel,) Frederick, 24th September; died, exhausted, 27th October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 4224. The femoral vessels, after amputation in the middle third of the thigh and excision of the greater part of the remainder C. 8. of the shaft of the femur. A conical clot, two and a half inches long, with the base uppermost, extends to the first small branch. When fresh the clot was of a light brownish or pink color. Below the profunda the femoral vein was much narrower, with thick walls terminating in a cord. The internal saphenous vein is pointed and corded at the extremity. The sciatic nerve, slightly clubbed at the extremity, is attached. Private J. G., " D," 15th New York, 28: left thigh amputated at the middle third on the field, Cedar Creek, 19th October; admitted hospital, Baltimore, 26th October; the femur, nearly to the trochanter major, was removed by Surgeon Z. E. Bliss, U. S. Vols., 30th December, 1864; died from exhaustion, 4th February, 1864. Contributed by Assistant Surgeon Geo. M. McGill, U. S. Army. See class XVIII. III. A. B. a. 1595. A wet preparation of the femoral vessels, from a case of death from pyaemia after amputation in the middle third. c. 9. The artery contains a clot, the lower part of which is honeycombed, with a patulous sac below. The vein contained a clot to the profunda, black and loose below. Private N. M. H., "B," 91th New York : thigh fiactured, Hatcher's Run, Va., 7th February; amputated in the middle third, 8th; admitted hospital, Baltimore, llth February; died from pyaemia, 4th March, 1865. Contributed by Acting Assistant Surgeon J. G. Keller. See 1504, XIX. C. b. b. 1. 466 CATALOGUE OF THE SURGICAL SECTION XVIII. II. 871. A wet preparation of a portion of the femoral artery, eleven days after amputation at the junction of the lower C. 10. thirds. A clot has formed for half an inch. . Private J. M. M., "E," 27th Georgia, (Rebel,) 22: femur fractured in the lowest third, 17th September; amputated, Frederick, 10th October; died, exhausted, 21st October, 1863. Contributed by Acting Assistant Surgeon North. See 779, XIII. A. B. b. 59. 873. A wet preparation of the femoral artery, fifteen days after amputation, well closed, but the clot evidently softening c. 11. at the time of death. . Sergeant J. K, 69th New York: fractured knee, Antietam, 17th September; admitted hospital, Frederick, 24th September; amputated at the junction of the lower thirds, 10th October; ligature came away, 21st; died, 25th October, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See 790, XIV. A. B. f. 32. 4223. A wet preparation of the femoral artery, three months after amputation. A clot, five lines in length, occupies c. 12. the extremity. , Corporal D. W., "H," 13th Virginia, (Rebel,) 19: admitted hospital, with thigh amputated for gunshot, Cedar Creek, Baltimore, 26th October; four inches of the stump of the femur removed, 30th December, 1864; died from pyaemia, 15th January, 1865. Contributed by Assistant Surgeon George M. McGill, U. S. Army. See 4219, XIII. A. B. f. 6. 3980. A wet preparation of the femoral artery, fifty-three days after amputation, from death following hospital gangrene. C. 13. The vessel is completely pervious, as if from breaking down of the clot. Private J. O. B., "E," 138th Pennsylvania: left knee fractured, 9th July; admitted hospital, Frederick, 10th; thigh amputated, llth ; gangrene commenced, 16th July ; death from exhaustion, 1st September, 1864. Contributed by Acting Assistant Surgeon W. S. Adams. See class XXIII. A. B. 2907. A wet preparation of the femoral artery, five weeks after amputation, from a, case of death by pyaemia. There is c. 14. no coagulum, and the artery is open in several places near the point of ligation. Private A.J. R., "A," 1st Maine Heavy Artillery, 38: femur amputated in the lowest third for gunshot, Petersburg, June, 1864; admitted hospital, Washington, 28th June; died from gangrene of the stump and pyaemia, 28th July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See class XXIII. A. B. 1242. A wet preparation of portions of the right femoral artery and vein, from a case of pyaemia. c. 15. Private J. A. G., "G," 3d Wisconsin: thigh fractured and amputated lowest third, Chancellorsville, 3d May; admitted hospital, Washington, 8th May; died from pyaemia, 9th June, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 1241, XIII. A. B. f. 24. 3968. A wet preparation of the femoral artery, twenty-five days after amputation. The extremity is not closed in the c. 16. specimen. Private J. L., "E," 60th Georgia, (Rebel,) 36: admitted hospital, with a conoidal ball lodged near left knee, Frederick, 6th July; thigh amputated lowest third, 15th July; died from pyaemia, 10th August, 1863. Contributed by Acting Assistant Surgeon Goldsborough. See 3856, XIII. A. B. f. 20; 3987, XIV. A. B. f. 186; 3988, XXII. A. B. a. 5. 872. A wet preparation of a portion of the femoral artery, twenty-one days after amputation. The vessel has sloughed c. 17. through in two places near the point of ligation. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1§87. A wet preparation of the left femoral artery, after death from pyaemia following amputation for gunshot. The c. 18. extremity of the artery is well plugged and shows no abnormity. Private W. S., " E," 119th Pennsylvauia, 40: bones of left leg fractured and anterior tibial artery severed by a conoidal ball, Rappahannock Station, Va., 7th November; admitted hospital, Washington, 8th; amputated in the lowest third of thigh by Assistant Surgeon Geo. A. Mursick, U. S. Vols., J4th November; died of pyaemia, 1st December, 1863 Contributed by Surgeon John A. Lidell, U. S. Vols. See 1890, XIII. A. B. f. 7; 1888, XVIII. III. A. B. a. 6; 1889, XX. C B. 2. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 467 2246. A wet preparation of the femoral and profunda arteries, from a case of pyaemia after amputation in the lowest c. 19. third. From the profunda to within two inches of its cut extremity the artery was reddened and its inner surface soft and easily removed. The inflammation in the artery is apparently circumscribed, the lower extremity, yet containing the clot following the ligature, being normal in condition. A faithfully colored drawing of the recent case is in the Surgeon General's Office. Sergeant D. A. B., " B," 99th Pennsylvania: knee wounded and popliteal obliterated, Kelly's Ford, Va., 7th November; admitted hospital, Washington, 9th ; amputated in the lowest third of the thigh, 10th; died of pyaemia, 26th November, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 2247, XVIII. II. A. B. a. 19; 3991, XVIII. III. A. B. a. 7. 3967. A wet preparation of the femoral artery, after death from pyaemia sixteen days after amputation. The extremity C. 20. of the artery is not closed by clot. Private M. F., "L," 21st New York Cavalry, 17: thigh amputated in the lowest third for fracture of the knee, 2d August; died from pyaemia, 18th August, 1864. Contributed by Acting Assistant Surgeon A. R. Gray. See 3835, XIV. A. B. f. 60. 1892. A wet preparation of the right femoral artery and vein, fifteen days after amputation in the lowest third. The C. 21. end of the vein is well sealed up, its calibre diminished to the nearest valve and its walls thickened. The mouth of the artery is open. A fragment of an osteophyte is attached to the extremity of the artery. Private J. N. S., "D," 9th Louisiana, (Rebel,) 27: conoidal ball fractured the lowest third of femur, Rappahannock Station, Va., 7th November; admitted hospital, Washington,9th; amputated, 18thNovember; died from secondary haemorrhage, 19th December, 1863. Contributed by Surgeon John A. Lidell, U. S. Vols. See 1860, XIII. A. B. f. 29; 1819, XIV. A. B. f. 101. 3958. A wet preparation of the lower part of the right femoral, the anastomotica magna and the superior internal C. 22. articular arteries ten days after amputation in the lowest portion of the femur. There is no clot in the femoral. Private T. F., "A," 12th Pennsylvania Cavalry: knee fractured by a conoidal ball, Monocaey, Md., 9th July; amputated low down, after haemorrhage, Frederick, 25th July; died, exhausted after secondary haemorrhage, 3d August, 1865. Contributed by Acting Assistant Surgeon W. S. Adams. See 3812, XIV. A. B. f. 130. 868. A wet preparation of the femoral artery, eight days after ligation. The extremity is patulous, but the history is c. 23. obscure. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 3966. A wet preparation of the femoral artery, five days after amputation in the lowest third of the thigh. The clot is C. 24. about three-fourths of an inch and well formed. The specimen is suspended by its ligature. Captain G. M. A., "F," 53d North Carolina, (Rebel,) 36: knee fractured, Gettysburg, 2d July; admitted hospital, Frederick, 6th; amputated in the lowest third, llth; died, 16th July, 1863. Contributed by Acting Assistant Surgeon G. M. Paullin. See 3977, XIV. A. B. f. 54. 1989. A wet preparation of a portion of the femoral artery, showing a clot following ligature. The sheath is torn near c. 25. the seat of the ligature, but the accident appears to have occurred post mortem. M. A. Contributed by Surgeon E. Bentley, U. S. Vols. 468 CATALOGUE OF THE SURGICAL SECTION XVIII. II. B. Injuries not caused by Gunshot. f a. Not operated upon. At> • r\ j-i- ! b. Ligated in continuity. . Primary Conditions. { c Li|ated after divjsio£. I. d. Other operations. 1a. Not operated upon. b. Ligfated in continuity. o. Ligated after division. d. Other operations. a. Not Operated Upon. 1640. A wet preparation of the axillary artery, curiously obliterated at the passage of the pectoralis minor. The attached a. 1. subclavian vein is ruptured. In this subject the humerus and clavicle were comminuted, and the soft parts between the shoulder joint and the sternum pulpified by being crushed between two cars. No pulsation could be felt at the wrist, and sphacelus from the shoulder to the arm occurred. V. K., laborer in Subsistence Department: railroad accident, and admitted hospital, Washington, 20th July; no operation was performed; died, 23d July, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 3201, IV. B. A. b. 2; 1639, VI. B. A. b. 2. See class XVIII. III. B. A. a. 516. A wet preparation of the left hand and forearm, showing a large varicose aneurism of the radial artery near the a. 2. carpus. There is a tumor the size of a walnut at the seat of injury, and two lesser tumors on the side and back of the forearm, as if caused by the blood enlarging certain capillary and venous passages. The connection with the brachial vein, greatly enlarged, is seen over the palmar surface of the forearm. The case is understood to be the result of a blow at the seat of the aneurism. Believed to be contributed by Assistant Surgeon Warren Webster, U. S. Army. See XVIII. III. B. B. a. 3964. A wet preparation of portions of the femoral and popliteal arteries, injected with wax. The specimen shows an a. 3. accidental wound of the artery, made while opening a deep-seated abscess, enlarged by ulceration, from which secondary haemorrhage occurred. Private O. H., "F," 61st Georgia, (Rebel,) 34: admitted hospital, with the left femur fractured in the lowest third, 12th July; counter-opening to deep purulent sinuses, 12th November ; died from secondary haemorrhage, 19th November, 1864. Contributed by Acting Assistant Surgeon Mitchell. 3761. A wet preparation of the popliteal vessels, lacerated by a splinter of wood in a railroad accident. The specimen a. 4. is not well preserved and shows little. Corporal J. L. T., "E," 12th Missouri Cavalry, 25: injured, 29th October; admitted hospital, Memphis, 2d November; amputated at tbe junction of the lower thirds and died, 3d November, 1864. Contributed by Acting Assistant Surgeon H. C. May. 2721. The innominata artery, with one and a half incbes.of the common carotid and the subclavian. The subclavian, a. 5. one-fourth of an inch from the innominata, shows a bayonet injury by which the artery is opened for two-thirds of its circumference. Unknown soldier: killed at Fort Wagner, S. C. Contributed by Acting Assistant Surgeon H. K. Neff. For other illustrations, see 1419, XXV. B. a. a. 1. C. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 469 b. Ligated in Continuity. 3597. A dry preparation, injected and colored, of varicose aneurism (aneurismal varix) of the femoral vessels, showing b. 1. ligations of the left external iliac and common iliac arteries. Private G. C, "I,"4th New Jersey: admitted field hospital, with an aneurism resulting from a wound by a knife blade inflicted eight years previously, Warrenton, Va., August, 1863; left external iliac tied by Acting Assistant Surgeon J. B. Cutter, Newark, N. J., 6th February; the tumor at first diminished, and then increased until the common iliac was ligated, 17th September; died from peritonitis, 22d September, 1864. Contributed by Assistant Surgeon C. Wagner, U. S. Army. See 4628, XXVI. A. 2, 74. \J • Diseases. A. Operated Upon. J £ |e"3ary. a. Primary. 4089. A wet preparation of a section of the left subclavian, six days after ligation for secondary haemorrhage from a. 1. hospital gangrene. The clot is well shown. Private D. W. I., " B," 6th Connecticut, 35: Bermuda Hundred, Va., 20th May; admitted hospital, New Haven, Conn., 13th June; subclavian ligated, 18th; died from pj'aemia, 24th June, 1864. Contributed by Acting Assistant Surgeon T. B. Townsend. See class XXIII. A. B. b. Secondary. 3282. A wet preparation of the left external iliac artery, ligated above the origins of the internal epigastric and internal b. 1. circumflex for arterio-venous aneurism. Private A. S., " G," 97th Pennsylvania: admitted hospital, with amputation of the left thigh, Alexandria, llth August; hospital gangrene occurred, September; slight swelling in the groin, 22d; artery ligated for pulsating tumor by Surgeon E. Bentley, U. S. Vols., 26th September; died, 7th October, 1864. Contributed by Acting Assistant Surgeon W. C. Miner. B,IT, , _ . (a. Primary. . Without Operation. } b. Secondary. b. Secondary. 3498. A wet preparation of the femoral artery, opened by gangrene, causing secondary haemorrhage. b. 1. Contributed by Surgeon Robt. Wm. Pounds. See class XXIII. A. B. 4340. A wet preparation of the femoral artery, opened by gangrene below the profunda, causing secondary haemorrhage b. 2. and death. Private J. I., "L," 21st Pennsylvania Cavalry: flesh wound of thigh by conoidal ball, Amelia Springs, Va., 5th April; admitted hospital, Washington, 16th; attacked with gangrene, 29th April; secondary haemorrhage, controlled by pressure, and death, 15th June, 1865. Contributed by Surgeon R. B. Bontecou, U. S. Vols. See class XXIII. A. B. For other illustrations, see 3454, XVIII. II. A. B. a. 9. 470 CATALOGUE OF THE SURGICAL SECTION XVIII. III. D. Peculiar Distributions. 3961. A wet preparation of the left external iliac and femoral and profunda arteries, showing a peculiar distribution of D. 1. the last-named vessel which is given off immediately below Poupart's ligament. The internal epigastric and circumflex are given off only one-fourth of an inch above the bifurcation. Private J. M. R., "C," 47th North Carolina, (Rebel,) 29: admitted hospital, Frederick, 18th July; thigh amputated in the lowest third by Acting Assistant Surgeon Paullin, 26th; died, 29th July, 1864. Contributed by the operator. For other illustrations, see 4331, XVIII. II. A. B. b. 4; 2220, XVIII. II. A. B. b. 49. III. Veins. ±\_t Gunshot Injuries. A. Primary Conditions. ( a. Not operated upon. ! b. Ligated in continuity. | c. Ligated after division. (. d. Other operations. B. Secondary Conditions. a. Not operated upon. b. Ligated in continuity. o. Ligated after division. d. Other operations. a. Not Operated Upon. 1055. A wet preparation of a portion of the right internal jugular vein, wounded by a round bullet from spherical a. 1. case. A part of the parietes of the vein is carried away, and in the posterior portion an orifice is seen, through which the contributor considers the missile passed. A portion of the par vagum was forwarded with the specimen, but was lost at the Museum. Private H. O., "A," 5th U. S. Artillery: Suffolk, Va., 15th April; died, 19th April, 1863. Contributed by Surgeon T. H. Squire, 89th New York. See 1472, IV. A. A. b. 1. 2441. A wet preparation of a portion of the right internal jugular vein, after secondary haemorrhage from gunshot. The a. 2. specimen shows the point of sloughing, and is occupied by a coagulum two inches below the orifice. Private S. W. S., " B," 1st New York Dragoons, 23: ball entered two inches below and to the right of the superior angle of the right scapula, passed through the neck and fractured the inferior maxilla, Spottsylvania C. H., Va , 8th May; admitted hospital, Alexandria, Va., 24th; secondary haemorrhage, arrested by persulphate of iron, 27th May, 1864. Date of death not reported. Contributed by Acting Assistant Surgeon Jona. Cass. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 471 2008. A wet preparation of a portion of the left femoral vein, from a case of pyaemia after amputation in the middle a. 3. third of the thigh. The walls are thickened, and the calibre is filled with coagulum. Private W. S., "C," 7th Virginia, 21: leg fractured by gunshot, Pine Grove, Va., 28th November; admitted hospital, Alexandria, 4th December; thigh amputated in middle third for involvement of knee, 15th December, 1863; died from pyaemia, 6th January, 1864. Contributed by Acting Assistant Surgeon Jona. Cass. See 2006 XIII. A. B. f. 57; 2007, XIV. A. B. f. 188. 3529. A dried preparation of the right femoral and saphenous veins, from a case of pyaemia. Both were occluded with a. 4. coagula, partially shown, "becoming softened into the yellow dirty fluid so commonly met with"and supposed to be pus," which is dried on the walls in the preparation. Coporal T. K., "H," 2d U. S. Cavalry, 24: wounded in the popliteal space by a bullet which lodged in the frmur, 7th May; admitted hospital, with aneurismal thrill at wound, Washington, llth; amputated in lowest third of thigh, 14th May ; died from pyaemia, 4th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 3545, XIII. A. B. f. 48; 3579, XVIII. II. A. B. a. 21. 1093. A wet preparation of the upper portion of the femoral vein, showing the point of sloughing after gunshot. The a. 5. orifice is nearly opposite the mouth of the profunda. Private M. H., "A," 117th Ohio, 21 : conoidal ball at short range passed directly through the iuner part of the thigh in its upper region, Covington, Ky., and admitted hospital, Cincinnati, 1st April; venous haemorrhage, 10th, llth, and 13th ; died, 15th April, 1863. Contributed by Acting Assistant Surgeon E. P. Buckner. 1888. A wet preparation of the left femoral vein, after death from pyaemia following amputation for gunshot. The end a. 6. of the vein was well sealed in the stump ; the vein was empty and collapsed with thickened walls for a distance of six inches; near the mouth of the profunda the vein was filled to distension with foetid blood; at the mouth of the profunda it was plugged with yellowish white fibrin, and the femoral above it filled with recent coagulum. Private W. S., " E," 119th Pennsylvania, 40: bones of the left leg fractured and anterior tibial artery severed by a conoidal ball, Rappahannock Station, Va., 7th November; admitted hospital, Washington, 8th; amputated in the lowest third of the thigh by Assistant Surgeon Geo. A. Mursick, U. S. Vols., 14th November; died of pyaemia, 1st December, 1863. Contributed by Surgeon John A. Lidell, U. S. Vols. See 1890, XIII. A. B. f. 7; 1887, XVIII. II. A. B. c. 18; 1889, XX. C. B. 2. 3991. A wet preparation of the femoral and saphena veins, from a case of pyaemia after amputation in the lowest third. a. 7. The femoral vein at the entrance of the saphena was filled with a semi-organized clot, extending through both vessels to within two inches of the stump, rendering them hard, impervious cords, reddened in the fresh subject. A faithfully colored drawing of the recent case may be found in the Surgeon General's Office. Sergeant D. A. B., "B," 99th Pennsylvania: knee wounded and popliteal obliterated, Kelly's Ford, Va., 7th November; admitted hospital, Washington, 9th ; amputated in the lowest third of the thigh, 10th; died of pyaemia, 26th November, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 2247, XVIII. II. A. B. a. 19; 2246, XVIII. II. A. B. c. 19. 2094. A wet preparation of the right femoral vein, showing an orifice from gunshot enlarged by sloughing. a. 8. Private C. C, "A," 30th Iowa: bullet entered between the trochanter major of the left femur and the apex of the coccyx, cut the prostate gland and emerged one inch below Poupart's ligament, right side, Vicksburg, 22d May; admitted hospital, Memphis, 27th May; died, exhausted from numerous small haemorrhages, 4th June, 1863. Contributed by Surgeon W. Watson, U. S. Vols. See 2093, XX. A. B. a. 21- 3446. A wet preparation of a portion of the popliteal vein, forty days after amputation, showing the extremity closed a. 9. by the operation of nature. Private B G. W , " H," 19th Maine, 19: left leg fractured by a conoidal ball and amputated in the upper third, before Petersburg, 15th October; admitted hospital, Alexandria, 21st October; thigh amputated iu the lowest third, from sloughing of stump, 27th November, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. See 3445, XV. A. B. f. 49; 3447, XXI. A. B. b. 6; 3448, XXI. A. B. b. 8. 4169. A wet preparation of portions of the femoral and iliac veins. The history of the case is obscure and the specimen a. 10. in itself unintelligible. It is reported to be from 2285, XIII. A. B. b. 159 (which see). Contributed by Acting Assistant Surgeon George K. Smith. For other illustrations, see 3794, XVIII. II. A. B. a. 11; 3959, XVIII. II. A. B. a. 13; 856, XVIII. II. A B a. 20; 4331, XVIII. II. A. B. b. 4; 2568, XVIII. II. A. B. b. 6; 4224, \\ III. II. A. B. c. 8; 516, XVIII. II. B. B. a. 2. 472 CATALOGUE OF THE SURGICAL SECTION XVIII. III. b. Ligated in Continuity. 2250. A wet preparation of the left femoral vein, ligated below the entrance of the saphena for the relief of a false b. 1. aneurism. Private D. R., "K," 7th Indiana, 20: bullet passed directly through the left thigh from behind, dividing both femoral artery and vein and escaping in Scarpa's space, Robinson's Creek, Va., 30th November; admitted hospital, Washington, 6th December; on examination it was found that there was free communication between the artery and vein in the sac, but no effusion of blood in the tissue, hence, not literally a false aneurism ; but, the artery being obliterated and the aneurismal condition increasing, an operation became necessary; the tumor was laid open by Assistant Surgeon W. Thomson, U. S. Army, and were tied (1) the proximal end of the femoral vein near the entrance of the saphena for profuse haemorrhage, (2) the femoral artery below the origin of the profunda, (3) the femoral artery two inches from the distal extremity, (4) the femoral vein near the distal extremity to control an accidental haemorrhage, 9th; death followed mortification'of limb, 13th December, 1863. For a full history of this very interesting case, see MS. Catalogue. Contributed by the operator. See 2249, XVIII. II. A. B. b. 31. For other illustrations, see 4331, XVIII. II. A. B b. 4. c. Ligated after Division. For illustrations, see 790, XIV. A. B. f. 32. L)» Injuries not caused by Gunshot. Af a. Not operated upon. . Primary Conditions. ! b. Ligated in continuity. | c. Ligated after division. t d. Other operations. a. Not Operated Upon. For illustrations, see 1040, XVIII. II. B. B. a. 1. Bf a. Not operated upon. . Secondary Conditions. J b. Ligated in continuity. ] c. Ligated after division. I, d. Other operations. b. Ligated in Continuity. 2020. A wet preparation of the left femoral vein, pierced by a darning needle. b. 1. Private B. A., "A," 5th Iowa, 40: a conoidal ball passed through Scarpa's triangle without directly injuring the blood vessels, Vicksburg, 19th May; admitted hospital, with wound in a'sloughing condition, Memphis 27th; haemorrhage, checked by compression, 31st May ; wound opened and needle extracted from tbe sheath, 2 p. m.; artery ligated for secondary haemorrhage, 8 p. m.; died, 11 p. m., 1st June, 1863. Contributed by Acting Assistant Surgeon A. W. Nelson. See 2085, XVIII. II. A. B. b. 37. C. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 473 \jt Diseases. A. Operated upon. \ £ Scondlry. -D. Without Operation. \ £. fecondary. b. Secondary. 3118. A wet preparation of the femoral vein, from a case of pyaemia following guushot contusion of femur. There is no b. 1. record of the condition of the vein at the autopsy and the specimen presents no peculiarity. Private J. S., "F," 69th New York: admitted hospital with severe gunshot contusion of femur, Washington, 30th July; femoral artery ligated for secondary haemorrhage, 5th August; died from pyaemia, 21st August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See 3106, XIII. A. B. a. 2; 3105, XVIII. II. A. B. b. 33. 4061. A wet preparation of portions of the left femoral artery and vein, after death from pyaemia eighteen days after b. 2. gunshot fracture. The artery is clear. The vein is much enlarged and occluded by a clot, as if an embolus. Private J. S., " H," 69th New York, 20: conoidal ball fractured lowest third of left thigh, before Petersburg, 25th March; admitted hospital, Washington, 1st April; fragments removed, 8th -, died from pyaemia, 12th April, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. See 4060, XIII. A. B. b. 9. 3974. A wet preparation of portions of the ascending vena cava, right and left common iliac and left internal iliac veins, b. 3. showing a varicose enlargement of those on the left side of the body. The right common iliac and femoral veins were not enlarged, and there was no assignable cause for the abnormity. From a marked case of tabes mesenterica in the adult. Private B. V., "F," 10th Virginia, (Rebel,) 44: admitted hospital, Frederick, 12th November; died, 25th November, 1864. Contributed by Acting Assistant Surgeon J. H. Bartholf. For other illustrations, see 3794, XVIII. II. A. B. a. 11; 2526, XXV. C. B. 2. 60 XIX. INJURIES AND DISEASES OF THE ORGANS OF RESPIRATION, Including the Hyoid Bone and Pleurae. A. Gunshot Injuries. A. Primary Conditions. $ f ■ Without operation. I b. Operated upon. B. Secondary Conditions. $ a- Without operation. } b. Operated upon B, T • • , j A. Primary Conditions. $ a. Without operation. Injuries not Caused | J I b. Operated upon. by Gunshot. ] _B. Secondary Conditions. 5 ?■ Without operation. < b. Operated upon. c. Diseases and Mal- formations. A. Operated Upon. Jj. Not Operated Upon. a. Primary. b. Secondary. a. Primary. b. Secondary. XIX. ORGANS OF RESPIRATION. A Gunshot Injuries. Be ^ /~, t.. S a. Without operation. . Secondary Conditions. [ b- Operated upon. a. Without Operation. 1440. A wet preparation of the larynx, wounded by a battered conoidal ball, which is mounted (as 1440 also) near the a. 1. specimen. An imitation of the missile rests in the upper portion of the right wing of the thyroid cartilage, where the bullet, which first shattered the inferior maxilla to the right of the symphysis, lodged. The appearance of false membrane, which was not recorded in the hospital notes, is observable in the larynx. No large artery was opened, but the air passages were much congested and swollen. The specimen is noteworthy as illustrative of the length of time life may be preserved under so severe a wound. Corporal T. A. W., "K," 111th New York, 22: Gettysburg, 2d July; admitted hospital, Baltimore, 15th; died suddenly, 22d July, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See 1451, II. A. B. b. 5. See classes XXVII. B. B. d.; XXVII. B'. 648. A wet preparation of, the larynx and the upper rings of the trachea. A pistol ball passed transversely through the a. 2. larynx, splitting the cartilage of the epiglottis and avoiding the nerves and principal vessels of the neck. The larynx and trachea were much inflamed, and the rima glottidis was closed at the time of death. The specimen is poorly prepared and not at all satisfactory to examine. Private W. B., "K," 3d Pennsylvania: admitted hospital, Philadelphia, 5th November; died, 12th November, 1862. Contributed by Acting Assistant Surgeon J. A. Jack. 697. A wet preparation of the larynx and upper part of the trachea. The anterior and upper portion of the thyroid a. 3. cartilage has been carried away by a bullet which shattered the head of the humerus and the clavicle of the left side and subsequently escaped through the right cheek. The external ecouomy of the larynx is not interfered with. Private D. B., "I," 22d Massachusetts: Fredericksburg, 13th December; admitted hospital, Washington, 18th December, 1862; died from pleuro-pneumonia and general exhaustion, 14th January, 1863. Contributed by Medical Cadet Burt G. Wilder. See 695, V. A. B. b. 37; 696, XIX. A. B. a. 12. 2021. A wet preparation of the larynx, with the upper portion of the trachea and a section of the supra-hyoid muscles. a. 4. A bullet that fractured the left side of the inferior maxilla passed through the hyo-glossus, destroyed the epiglottis and emerged on the right side of the neck just below the omo-hyoid. The wounds of the muscles are held open by glass rods. Respiration was carried on through the lower wound, and most of the food escaped through the same orifice. Private S. C, "C," 44th North Carolina, (Rebel,) 44: Bristoe Station, Va., 14th October; admitted hospital, Alexandria, 15th ; died, 19th October, 1863. Contributed by Acting Assistant Surgeon Norman S. Barnes. 2117. A wet preparation of portions of three ribs of the right side, showing the middle one fractured by a conoidal ball a. 5. which penetrated the thorax and from which death followed iu four days. The missile is suspended outside the jar. Private F. H., "B," 14th Connecticut: Morton's Ford, Va., 6th February; died, 10th February, 1664. Contributed by Surgeon Justin Dwinelle, 101st Pennsylvania. See classes IV. A. B. b.; XXVII. B. B. d. 478 CATALOGUE OF THE SURGICAL SECTION XIX. 2636. A wet preparation, showing sections of the first six ribs of the left side with some pleuritic adhesions. The missile a. 6. had fractured the left clavicle and the first six ribs near their spinal extremities, emerging near the articulation of the eighth. The lung, wounded in its upper lobe, was only locally effected, but there were general adhesions. Private C. R., " F," 8th New York Heavy Artillery, 39: Wilderness, 5th May; died, Washington, 21st June, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See 3460, IV. A. B. b. 6. See class IV. A. B. b. 2119. A wet preparation of portions of four ribs, with the two central ones fractured by a conoidal ball which penetrated, a. 7. slightly wounding the lung. Pleuritic adhesions are observable. Private C. S., "I," 14th Connecticut, 22: Morton's Ford, Va., 6th February; died, with extensive pleuritic effusion, 28th February, 1864, Contributed by Surgeon Justin Dwinelle, 101st Pennsylvania. 1722. A wet preparation of portions of the sixth, seventh and eighth ribs of the left side. The seventh rib is fractured, a. 8. anteriorly to the angle, by a conoidal ball, which entered near the fourth rib, posteriorly to the costal cartilage, and escaped through the wound as seen. The subject received another wound in the left side at the same time. Death followed a month afterward from pleuritis and pericarditis. The specimen shows firm pleuritic adhesions. There was empyema of the left side and hydrothorax of the right. Private W. L., " B," 6th Ohio Cavalry, 18: admitted hospital, Washington, 12th September; died, 6th October, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. See 2243, XVIII. I. C. B. 1. See class IV. A. B. a. 1142. A wet preparation of the right costal pleura thickly coated with closely adherent lymph. The specimen is stretched a. 9. over glass. Private W. T., "C," 33d North Carolina, (Rebel,) 21: a conoidal ball entered the eighth intercostal space, fractured the ninth rib, passed through the posterior part of the right lobe of the liver and rested on the diaphragm, Second Fredericksburg, 3d May; admitted hospital, Washington, llth; died from pnuemonia, 21st May, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. See 1141, IV. A. B. a. 1. 4184. A wet preparation of the left lung, perforated from above downward by a conoidal ball which entered near the left a. 10. shoulder and emerged near the eighth dorsal vertebra. The lung was darkly mottled with closely adherent fibrinous layers. Private J. H. T, "I,"32d Massachusetts, 22: Hatcher's Run, Va., 7th February; admitted hospital, Baltimore, llth; died, 17th February, 1865. Contributed by Acting Assistant Surgeon W. G. Smull. 826. A wet preparation of a section of several of the dorsal vetebrse and of eight of the ribs of the left side. A bullet a. 11. entered the fourth rib near the nipple and escaped through the sixth rib near the spine. The specimen shows that profound pleuritis ensued. A portion of the pericardium is adherent to the wall. Private J. L., "F," 27th North Carolina, (Rebel,) 22: Antietam, 17th September; admitted hospital, Frederick, 28th October ; died from exhaustion following tetanus, 27th November, 1862. Contributed by Acting Assistant Surgeon Alfred North. See class IV. A. B. a. 696. A preparation of the left lung, showing pleuritis following gunshot when the cavity of the thorax had not been a. 12. opened. A conoidal ball shattered the left shoulder, chipped the trachea and fractured the right side of the lower maxilla. Private D. B., "I," 32d Massachusetts: Fredericksburg, 13th December; admitted hospital, Washington, 18th December; died from pleuritis and probably pyaemia, 14th January, 1863. Contributed by Medieal Cadet Burt G. Wilder. See 695, V. A. B. b. 37; 697, XIX. A. B. a. 3. 512. A preparation of the right lung and several of the ribs of the right side. A bullet has entered from in front a. 13. between the first and second ribs, pierced the lung and escaped posteriorly through the sixth rib. The lung is collapsed and solidified, and the pleura intensely thickened after inflammation. Private W. B., "F," 6th Wisconsin, 18: Second Bull Run, 30th August; admitted hospital, Georgetown, 6th September; died, 21st October, 1862. Contributed by Acting Assistant Surgeon G. K. Smith. 960. A preparation of a portion of the left lung, with a battered conoidal ball lodged near the apex. a. 14. Received, without history, from Frederick. See XXVII. B. B. d. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 479 961. A preparation of a lung, with a fragment of bone driven into it by gunshot. a. 15. Received, without history, from Frederick. 2707. A preparation of the right lung, perforated through the lower lobe by a musket ball which entered to the right of a. 16. the spinous process of the ninth dorsal vertebra, fractured the transverse process, chipped the eighth rib, fractured the fifth and escaped through the axilla. A glass tube shows the course of the bullet. Private G. P. L., "F," 4th New York Heavy Artillery, 28: South Side R. R., Va., 2d April: admitted hospital, Wash- ington, 5th; died, 9th April, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. See class IV. A. is. a. 1714. Portions of the third, fourth and fifth ribs of the left side, with pleuritic adhesions. The fourth rib is fractured a. 17. by a conoidal ball, which entered the thorax, wounded the lung and escaped through the tenth rib. Pleuritis of the right side also occurred. Private A. M., "G," 75th Pennsylvania, 39: Gettysburg, 1st July; admitted hospital, Baltimore, 10th July; gangrene set in, 29th August; erysipelas occurred, 3d September; died, 6th September, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See classes XXIII. A. A.; XXIII. A. B. 1855. A preparation of a portion of lung, with a conoidal ball embedded and apparently encysted therein. a. 18. Believed to be the case of Private W. H., " G," 8th New York Cavalry. Contributed by Acting Assistant Surgeon W. C. Miner. See class XXVII. B. B. c. 2844. A preparation of a portion of the left lung, perforated by a conoidal ball near the apex. A piece of glass tubing a. 19. is placed in the wound. Death occurred from fracture of the spine. Private W. L. B., "I," 21st Georgia, (Rebel,) 22: admitted hospital, Washington, 14th July; died, 15th July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See 2843, III. A. A. b. 6. 2424. A preparation of the left lung, penetrated by a fractured portion of the eighth rib and perforated by a conoidal a. 20. bullet which entered the left kidney. The missile entered from behind, fracturing the scapula, and was found after death in the left kidney. Private H. C. H., "B," 1st Maine Heavy Artillery, 21: wounded, 6th May; admitted hospital, Washington, 22d May; died, 3d June, 1864. Contributed by Assistant Surgeon J. Cooper McKee, U. S. Army. See 2423, IV. A. b. b. 23; 2425, XX. A. B. a. 7. 3348. A preparation of the lower portion of the right lung, perforated by a conoidal ball which entered between the a. 21. sixth and seventh ribs, and gangrenous. Corporal J. P., "A," 69th Ohio: Petersburg, 26th June; admitted hospital, Alexandria, 4th July; died, 12th July, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. 3388. A preparation of the upper half of the left lung, with a conoidal bullet embedded in its substance, partially a. 22. blocking up the pulmonary vein. The missile entered from above, fracturing the first rib and, partially, the clavicle. Private A. P., "C," 34th Virginia, (Rebel,) 35: admitted hospital, Washington, 30th October; died from secondary haemorrhage, llth November, 1864. Contributed by Acting Assistant Surgeon J. Fischer. See class XVIII. III. A. B. a. 606. A preparation of the right lung, showing a perforation of the apex followed by ulceration. A bullet entered near a. 23. the sterno-cleido-mastoideus, three-fourths of an inch above tho clavicle, and escaped an inch to the right of the fourth dorsal vertebra The specimen is badly cut, as if in dissection. PrivateV. B.C., "C," 16thMaine: Fredericksburg, 13th December ; admitted hospital, Washington, 18th; cough appeared 20th; haemorrhages from anterior wound until 24th ; died, 30th December, 1862. Contributed by Acting Assistant Surgeon F. P. Sprague. 2808. A preparation of a portion of the lung, wounded by the lodgement of a conoidal pistol ball near the root. In a. 24. the specimen a model of the bullet is embedded, and the original is mounted near at hand, marked 2808 a. Private S. L. B., "C," 16th Pennsylvania Cavalry, 28: admitted hospital, Washington, 4th June; died, 4th July, 1864. Received, without further history, from Emory Hospital. See class XXVII. B. B. c. 480 CATALOGUE OF THE SURGICAL SECTION XIX. 1798. A preparation of a portion of the left lung, perforated near its apex by a bullet. This subject also suffered a. 25. amputation of the left arm for gunshot fracture of the wrist. Private B. A., "D," 151st Pennsylvania, 19: Gettysburg, 2d July; died from pyaemia, Baltimore, 6th September, 1863. Contributed by Acting Medical Cadet W. H. Bradley. See 1796, XXII. A. B. c. 9. 2014. A preparation of a portion of the left lung, with a conoidal ball lodged just beneath its surface. The missile a. 26. entered two inches below the left coracoid process and, passing downward and inward and forward, inpinged against the sternum at the articulation of the second rib, which was found denuded and rough at the autopsy. Corporal W. S., "H," 151st New York, 26: Locust Grove, Va., 26th November; admitted hospital, Washington, 4th December, 1863; doing well until pleuro-pneumonia set in, 3d January; died, 10th January, 1864. Contributed by Acting Assistant Surgeon H. G. Elliott. See class IV. A. B. a. 603. A wet preparation of the left lung, showing ulceration of the apex following gunshot. a. 27. Private W. B. T., " E," 4th Maine : a bullet entered to the left of the seventh cervical vertebra, and was cut out on the field, just behind the right sterno-cleido-mastoideus, opposite the fourth cervical vertebra, Fredericksburg, 13th December; admitted hospital, Washington, 18th ; haemorrhage from the anterior wound and cough appeared, 21st; air issued from posterior wound, 27th; died, 28th December, 1862. The right humerus was fractured near the elbow, also. Contributed by Acting Assistant Surgeon F. P. Sprague. See 605, VII. A. B. b. 6. 1678. A preparation of the left lung, showing a perforating wound of the upper portion, with a cast of the missile a. 28. attached. A carbine ball fractured the third rib, and was extracted beneath the angle of the scapula. The bullet is mounted on a stand near by, marked 1678 a. Sergeant T. C, "I," 1st U. S. Cavalry : Brandy Station, Va., 1st August; admitted hospital and missile removed, Wash- ington, 2d; died with profuse serous effusion from traumatic pleuritis, 7th August, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See class XXVII. B. B. d. 3736. A wet preparation of the heart and left lung, with the model of a conoidal bullet in situ, which remained more than a. 29. four months embedded near the apex of the lung. The specimen shows that neither speedy death nor pneumonia is a necessary consequence of gunshot of lung. The original missile, marked 3736 a, is mounted near by. Private A. J., "H," 12th New York: ball entered above the right sterno-clavicular articulation, fractured the sternal end of the left clavicle and lodged as seen, Deep Bottom, Va., 16th August; died from empyema of left side, Beverly, N. J., 21st December, 1864. Contributed by Assistant Surgeon C. Wagner, U. S. Army. See 3737, IV. A. B. b. 5. See class XXVII. B. B. c. 962. A wet preparation of a portion of the right lung, adherent to sections of the third, fourth, fifth and sixth ribs. A a. 30. round ball has entered between the fourth and fifth ribs and, passing backward, lodged in the lung. The track of the ball is stuffed with cotton in the specimen. "A large abscess existed in the base of the lung and at one point on the margin of the sixth rib, two-thirds of the way back, ulceration occurred, and a piece of cloth protruded through the lung into the pleural cavity." Received, without further history, from Frederick. See class XXVII. B'. B'. 1315. A wet preparation of portions of the fifth, sixth and tenth ribs, fractured, with perforation of the thorax. The a. 31. pleura is thickened and adherent. Private J. McC, " C," 5th North Carolina Cavalry (Rebel). Contributed by Surgeon G. S. Palmer, U. S. Vols. See class IV. A. B. b. 846. A wet preparation, showing pleural abscess of the right side following a gunshot fracture of the tenth rib. a. 32. Private S. B., "A," 9th New York State Militia (83d New York): a conoidal ball entered the right thorax, Fredericksburg, 13th December; admitted hospital and ball removed from the ninth intercostal space, the tenth rib being fractured at the angle, Washington, 26th December, 1862; empyema observed, 4th January ; pleuro-pneumonia of the left side occurred, 18th; died, 21st January, 1863. Contributed by Surgeon Henry Bryant, U. S. Vols. See 579, IV. A. B. b. 10; 515, XIX. A. B. a. 33. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 481 515. A wet preparation of the right lung, exhibiting intense local pleuritis following gunshot fracture of the thoracic a. 33. parietes without direct injury of the lung. Private S. B., "A," 83d New York (9th New York State Militia): a conoidal ball entered the right thorax, Fredericksburg, 13th December; admitted hospital and ball removed from the ninth intercostal space, the tenth rib being fractured at the angle, Washington, 26th December, 1862; empyema observed, 4th January; pleuro-pneumonia of the left side occurred, 18th; died, 21st January, 1863. Contributed by Surgeon Henry Bryant, U. S. Vols. See 579, IV. A. B. b. 10; 846, XIX. A. B. a. 32. 3990. Two fragments of woolen cloth, very loose in texture, the first one inch by one-half in width and the other one-half a. 34. by one-fourth, discharged by expectoration from the right lung four and a half months after injury. Lieutenant Colonel J. B. C, 7th Wisconsin: conoidal ball fractured the tenth rib, on the right side, wounded the liver and lodged, Gettysburg, 1st July; specimen expelled, 16th November, 1863. The bullet has not been removed. Contributed by Acting Assistant Surgeon J. H. Longnecker. See XXVII. B'. B'. 3421. The larynx and upper portions of the trachea and oesophagus. The oesophagus is transversely perforated by a a. 35. bullet without direct injury to the larynx. At the time of death the glottis was very cedematous and the internal mucous membrane gangrenous. Corporal P. L., "A," 116th New York: Cedar Creek, 19th October; admitted hospital, Baltimore, 22d; died, 27th October, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. 2484. The larynx, upper part of the trachea and surrounding tissues, showing a musket wound of the muscles on the a. 36. left side of the neck not directly opening the larynx, but apparently entering it through an abscess. The history of this case is very meagre. Private M. D. D., "D," 169th New York, 36: Cold Harbor, 3d June; admitted hospital, Washington, 7th; died, 10th June, 1864. Contributed by Surgeon N. R. Mosely, U. S, Vols. 3978. The tongue, pharynx, upper part of the oesophagus and larynx, showing several fistulous openings into the a. 37. passages following an abscess in the track of a bullet that fractured the inferior maxilla and lodged in the fifth cervical vertebra. Private J. S., "D," 6th Alabama, (Rebel,) 18: Gettysburg, 1st July; admitted hospital, Frederick; opened abscess in neck, 12th September; died, 28th September, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 3979, II. A. B. f. 1; 3985, III. A. B. b. 5. 910. A dried preparation of portions of the abdominal aorta, vena cava ascendens and right renal vein, with au a. 38. elongated bullet, which has injured neither vessel, lodged between the two larger after penetration of the thorax. The ball fractured the right sixth rib near its middle and passed backward and downward, piercing the diaphragm and passing through the right lobe of the liver, into which organ a spicula of the fractured rib was carried. Hernia of the lung protruded on coughing. The intestines were not wounded, the liver was healthy aud there had been no peritonitis. The missile rested against the vertebra, very firmly encysted. Private J. T., "H," 60th New York : Kenesaw Mountain, Ga., 19th June; admitted hospital, Nashville, 8th July ; died, 31st October, 1864. The lungs were filled with unsoftened miliary tubercle. Contributed by Dr. S. C. Ayres, late Assistant Surgeon, U. S. Vols. See classes XX. A. B. a.; XXVII. B. B. d. 616. The lower lobe of the right luDg and part of the liver, with a portion of the diaphgram intervening,, to which both a. 39. viscera are firmly adherent. The lung was wounded by the metallic portion of a tompion which was embedded in it. Private G. M., " C." 13th New Jersey : shot by a comrade in the rear rank, who forgot to remove his tompion, Antietam, 17th September; admitted hospital, Philadelphia, 26th September; died, 15th October, 1862. Contributed by Acting Assistant Surgeon H. Hart. See 617, IV. A. B. b. 33. See class XXVII. B'. B'. For other illustrations, see 4092, IV. A. B. b. 36.; 3940, V. A. B. b. 27; 2884, XX. A. B. a. 3; 4575, XXVII. B. B. d. 104. 61 482 CATALOGUE OF THE SURGICAL SECTION XIX. B Injuries not caused by Gunshot. At-. . r, ..... (a. Without operation. . Primary Conditions. J b Operated upon. a. Without Operation. 299. The hyoid bone, fractured by a rope in execution by hanging. The greater and lesser comua are separated a. 1. from the body at their point of junction. Each of the great cornua presents an example of the incomplete or "green stick" fracture about half an inch from its posterior extremity, that of the right side being bent upward and slightly outward and that on the left directly inward The body of the bone is uninjured. Captain H. W., Rebel: hanged, Washington, 10th November, 1865. Contributed by Assistant Surgeons Thomson and Allen, U. S. Army. See 300, III. B. a. a. 1; 298, VIII. A. B. a. 1; 301, XXII. B. a. c. 1 ; 302, XXII. B a. c.3. 4091. A wet preparation of the larynx, upper part of trachea and lower part of the pharynx and tongue, together with a. 2. a piece of corned beef one inch in diameter and an inch and a half in length. The subject from whom this specimen was taken was suffocated by the lodgement of the food, partially in the oesophagus and partially in the larynx. The epiglottis was held open by the bolus. The specimen shows the foreign body in the position in which it caused death. Private------------, " I," 7th Connecticut: a patient in hospital for gunshot wound of the face, who died, New Haven, 2d October, 1863. Contributed by Acting Assistant Surgeon W. C. Miner. See 4090, II. A. B. f. "2. Be j n v.- S a. Without operation. . Secondary Conditions. < b- Operated upon. b. Operated upon. b. Operated Upon. 4080. A wet preparation of the upper portion of the trachea, the cricoid cartilage and larynx, showing the incision made b. 1. in laryngotomy for suspension of respiration under chloroform. Private H. B., " C," 38th Georgia (Rebel): elbow fractured, Gettysburg, 1st July ; admitted hospital, Frederick. 6th; put under chloroform for excision; respiration ceased, and, not responding to Marshall Hall's method applied half a minute, the larynx was opened by Assistant Surgeon R. F. Weir, U. S. Army, 18th ; natural breathing was established, after two minutes' artificial respiration, by compression and relaxation of the thorax and abdomen; died from capillary bronchitis, 27th July, 1863. Contributed by the operator. See 3901, VII. A. B. a. 2. C.B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 483 c, Diseases and Malformations. A (a. Primary. . Operated upon. \ b. Secondary. a. Primary. 835. A wet specimen of the larynx and upper portion of the trachea, showing laryngotomy performed by the removal a. 1. of a portion of the cricoid cartilage for acute laryngitis. The adjacent parts are much thickened. Private N. Y., 2d Maine Battery, 23: (slightly wounded at Antietam;) complained of "sore throat," Frederick, 29th October; crico-thyroid ligament divided, to relieve threatened suffocation, by Acting Assistant Surgeon Redfern Davies, 9.30 p. m., 31st October; smallportionof the cricoid cartilage removed upon recurrence of symptoms, 11 p. m.; died, 11. 30 p. m. Contributed by Assistant Surgeon S. H. Searle, 26th New York, and Acting Assistant Surgeon W. W. Keen, jr. 836. A wet specimen of the larynx, showing laryngotomy through the crico-thyroid membrane for acute laryngitis a. 2. following typhoid fever. The epiglottis and neighboring soft tissues are infiltrated with plastic euffsion. Private S. M., "C," 12th U. S. Infantry: suffered from "sore throat" while a patient in hospital, Frederick; breathing becoming much embarrassed, operation was performed by Assistant Surgeon G. L. Porter, U. S. Army, 4 p. m., 5th October, 1862; died, 4.15 p. m. the same day. ] Contributed by tho operator. b. Secondary. 2513. A wet preparation of the larynx, in which laryngotomy had been performed for relief from an abscess. b. 1. Private J. L., 1st Veteran Volunteers, 1st Army Corps, 26: admitted hospital with typhoid pneumonia, Wash ington, 7th April; larynx opened with a bistoury, for apparent oedema glottidis, by Assistant Surgeon W. F. Norris. U. S. Army, 25th April; died from pneumonia, 4th May, 1865. Contributed by the operator. B. Not operated upon. J £ g£3wy. b. Secondary. 1504. A wet preparation of a small portion of the lung, exhibiting two pyaemic abscesses after amputation of the thigh. b. 1. Private N. M. H., " B," 94th New York, 21: thigh fractured, Hatcher's Run, Va., 7th February; amputated in the middle third, 8th; admitted hospital, Baltimore, llth February; died from pyaemia, 4th March, 1865. Contributed by Acting Assistant Surgeon J. G. Keller. See 1595, XVIII. II. A. B. c. 9. XX. INJURIES AND DISEASES OF THE ABDOMINAL AND PELVIC VISCERA AND GENITO-URINARY ORGANS. A, Gunshot Injuries. A. Primary Conditions. \ £ ^^J^ B. Secondary Conditions. 5 £; Without operation. J ( b. Operated upon. B, Injuries not caused by Gunshot. A_. Primary Conditions. j J3. Secondary Conditions. $ a. Without operation. b. Operated upon. a. Without operation. b. Operated upon. c. Diseases. A. Operated Upon. JJ. Without Operation. XX. ABDOMINAL AND PELVIC VISCERA AND GENITO- URINARY ORGANS. A, Gunshot Injuries. A„ . ~ -. . < a. Without operation. . Primary Conditions. } b. Operated upon. a. Without Operation. 1773. The right kidney, through the middle and internal face of which a carbine ball has passed. The twelfth rib was a. 1. scraped and the stomach, small intestine and liver pierced. Corporal D. H. M., "H,"6th Pennsylvania Cavalry: Brandy Station, Va., 1st August; died from haemorrhage en route to hospital, Washington, 2d August, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 1772, XX. A. a. a. 7 ; 1645, XX. A. A. a. 9. 1232. A wet preparation of the liver, perforated by a musket ball. a. 2. Sergeant A. A. N., "D," 2d Massachusetts: probably Beverly Ford, Va., 9th June; died in ambulance en route to hospital, Wash- ington, 10th June, 1863. Contributed by Surgeon G. S. Palmer, U. S. Vols. 2213. A portion of the liver, lacerated by the passage of a bullet through a. 3. it longitudinally. The tissue is exceedingly torn. See figure 140. Private C. F. M., " E," 19th Veteran Reserve Corps: shot by the guard and died in eleven hours. Contributed by Acting Assistant Surgeon Daniel Weisel. 1646. A portion of the liver, perforated by a conoidal ball which fractured a. 4. the eleventh rib, perforated the spleen and both kidneys and fractured the third lumbar vertebra Private W. B., "I," 6th Pennsylvania Cavalry: Brandy Station, 1st August, 1863 ; died from haemorrhage from the liver while being transferred to Wash- ngton. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 1647, III. A. A. a. 1; 3291, IV. A. B b. 20. Fio. 140. Liver lacerated by a musket ball. Spec. 2213. 3749. The stomach perforated, with two orifices in its greater curvature, by a conoidal ball which entered the cartilage a. 5. of the eighth and ninth ribs, penetrated the diaphragm, stomach, colon aud fourth lumbar vertebra. Private J. B., "I," 9th Minnesota, 28: wounded aud admitted hospital, Nashville, 16th December; died, 17th December, 1864. Contributed by Acting Assistant Surgeon H. C. May. See 3748, III. A. A. b. 12. 1332. A portion of the greater extremity of the stomach, perforated in two places, through a fold, by a conoidal pistol a. 6. ball at close range. The ball entered between the seventh and eighth ribs, perforated the diaphragm, stomach, mesentery and second lumbar vertebra, lodging in the muscles of the back. Paraplegia and haematemesis followed. Death occurred twenty-one hours after injury. Private J. McD., " K," 7th Michigan Cavalry : 1st July; died, 2d July, 1863. Contributed by Acting Assistant Surgeon A. H. Crosby. See 1331, III. A. a. b. 5. 488 CATALOGUE OF THE SURGICAL SECTION XX. 1772. A portion of the duodenum, perforated by a conoidal ball with much loss of substance near its commencement. a. 7. The missile entered from behind on the right side, scraping the twelfth rib, passing through the right kidney, stomach and left lobe of the liver, and escaped to the left of and below the sternum. Corporal D. H. M., " H," 6th Pennsylvania Cavalry: Brandy Station, 1st August; received at hospital, dead, Washington, 2d August, 1863. A profuse and recent haemorrhage was found on post mortem examination. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 1773, XX. A. A. a. 1 ; 1645, XX. A. A. a. 9. 1231. Two sections of the small intestine, each perforated by a small conoidal ball which is attached. The missile a. 8. entered in the median line five inches above the pubes and was found lying on the peritoneum. There was much abdominal haemorrhage. Second Lieutenant McV., company and regiment unknown: (probably Beverly Ford, Va.;) received at hospital, dead, Washington, 10th June, 1863. Contributed by Surgeon G. S. Palmer, U. S. Vols. See class XXVII. B. B. c. 1645. The liver, perforated through the left lobe by a carbine ball which scraped the twelfth rib and passed through a. 9. the right kidney, stomach and duodenum. Corporal D. H. M., "H," 6th Pennsylvania Cavalry: Brandy Station, 1st August; died from haemorrhage en route to hospital, Washington, 2d August, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 1773, XX. A. A. a. 1; 1772, XX. A. A. a. 7. b. Operated Upon. 4389. A portion of the ileum, divided longitudinally and stretched upon a glass frame, exhibiting a sewn-up gunshot b. 1. wound that had nearly severed the intestine to its mesenteric attachment. W. W., colored: shot transversely through the abdomen; admitted hospital and died, Alexandria, 23d May, 1865. Received from L'Overture Hospital. See 4390, XX. A. A. b. 2. 4390. A portion of the ileum, exhibiting two gunshot wounds sewn up. b. 2. W. W., civilian, colored: admitted hospital with gunshot wound of abdomen, from which several feet of intestine protruded, Alexandria, 23d May, 1865; died the same day. Received from L'Overture Hospital, Alexandria. See 4389, XX. A. A. b. 1. 2560. The left testicle, very badly torn by a conoidal ball and excised. The thigh was also wounded. b. 3. Private J. E. L., " C," 105th Pennsylvania: excised in the field by Surgeon J. Ebersoll, 19th Indiana; admitted hospital, Washington, 26th May; transferred to Philadelphia, 6th June, 1864. Contributed by the operator. For other illustrations, see 3210, X. A. A. e. 1. B. Secondary Conditions. \ ?■ Without operation. J \ b. Operated upon. a. Without Operation. 3123. A portion of the liver, perforated through the right and left lobes by a musket ball which also passed through the a. 1. right elbow. Lieutenant H. I., "B,"----South Carolina, (Rebel,) 38: admitted hospital, Washington, 24th August; died 26th August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 489 2512. An ordinary silver catheter which remained in the bladder but five days, and is deeply encrusted with calcareous a. 2. deposit for the space of an inch. It illustrates the necessity of frequently changing such instruments. From the case of Brigadier General C, U. S. Vols. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 2884. A portion of the pancreas, with a battered bullet lodged near its head. The missile a. 3. entered near the left shoulder, fractured the fifth rib and perforated the left lung and the left lobe of the liver. Both lungs and the liver were congested. Private W. P. B., "A," 44th Georgia, (Rebel,) 22: near Washington, 12th July; admitted hospital, 14th; died, 22d July, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. See classes XIX. A. B. a.; XXVII. B. B. c. 3527. A spleen, lacerated by a musket ball. The bullet entered above the eighth rib, a. 4. perforated the diaphragm in two places, lacerated the spleen and left kidney and fractured the eighth and ninth ribs. The subject lived two weeks. See figure 141. First Lieutanant M. K., "A," 69th New York, 25: Spottsylvania C. H., 12th May; admitted I0'mu'ketbPan!n tyec!3527.by " hospital, Washington, 25th ; died, 26th May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 2430. A wet preparation, consisting of parts of the descending aorta and coeliac axis, a. 5. spleen, pancreas and left kidney. A conoidal ball fractured the eighth rib, perforated the spleen and lodged in the pancreas. Secondary haemorrhage occurred several weeks after the injury, and the bullet was found post mortem in a pouch it had made for itself by ulceration, opening the splenic artery, between the spleen and pancreas. All the parts are closely adherent from inflammation, and the specimen cannot well be studied without taking it from the jar. Private J. K., "B," 51st New York: Wilderness, 5th May; admitted hospital, Wash- ington, 25th May; secondary haemorrhage, 1st June; haemorrhage recurred daily until his death, 4th June, 1864. Contributed by Assistant Surgeon J. Cooper McKee, U. 8. Army. See class XVIII. II. A. b. a. 2113. A wet preparation of the spleen, in two portions, ruptured by the impact of an a. 6. unexploded and nearly spent shell rolling against the subject while lying down. A large abdominal abscess followed, and death resulted a month and a half after injury. See figure 142. Private C. G., "B," 26th Illinois: Mission Ridge, 26th November; admitted hospital, Chattanooga, 20th December, 1863; died, 8th January, 1864. Contributed by Acting Assistant Surgeon C. E. Ball. Pig. 142. Spleen ruptured by nearly spent unexploded shell. Spec. 2113. 2425. A portion of the left kidney, with a conoidal ball embedded in the supra-renal capsule. a. 7. The missile fractured the eighth rib from behind, penetrated the left lung and lodged as seen. See figure 143. Private H. H., "B," 1st Maine Heavy Artillery, 21: Wilderness, 6th May; admitted hospital, Washington, 26th May; died from pyaemia, 3d June, 1864. Contributed by Assistant Surgeon J. Cooper McKee, U. S. Army. See 2423, IV. A. B. b. 23; 2424, XIX. A. B. a. 20. See class XXVII. B. B. d. 3703. The right kidney, the upper extremity of which has been carried away by a conoidal ball. a. 8. Private T. W., "B," 127th New York: Pocotaligo, S. C, 9th December; died, FlG 143 ^^707fferi in Beaufort, S. C, 16th December, 1864. left supra-renal capsule. Contributed by Surgeon John Trenor, U. S. Vols. Spec. 2425. 1735. A portion of the right kidney, perforated and torn in its lower extremity by a conoidal ball which is mounted with a. 9. tbe specimen. When recent the kidney, in a perpendicular secdon, appealed of a pate pink hue and granular, softened and flabby; the pyramids were almost entirely effaced, except one at the upper extremity, which was of a dark brownish hue and whose tubes were distinct; the pelvis was of a greenish color and its veins were much distended with blood. There was effusion in the right pleural cavity with the deposit of much lymph. An abscess below the caput 62 490 CATALOGUE OF THE SURGICAL SECTION XX. FIG. 144. Right kidney torn by a musket ball. Spec. 1735. coli burrowed down the muscles of the back. It was lined with false membrane, and at its lower part was found a bullet which rested against the sacrum, having in its course perforated the kidneys and fractured the transverse process of the third lumbar vertebra. See figure 144. Sergeaut J. A. B., "I," 8th Illinois Cavalry, 29: wounded in the right hypochoudrium im- mediately below the ribs, Madison C. H., Va., 22d September; admitted hospital, Washington, 25th September; died, 6th October, 1863. Contributed by Assistant Surgeon Geo. A. Mursick, U. S. Vols. See 1782, XX. A. B. a. 13. See class XXVII. B. B. d. 3378. A portion of the duodenum, with half its calibre carried away, at one point, by a a. 10. conoidal ball which entered the right epigastric region and escaped through the right glutei, notching the ilium. Private J. M., "F," 14th New Jersey, 27 : Winchester, 19th September ; admitted Sixth Corps Field Hospital, 20th September; faeces escaped by both wounds lor a few days, and afterward peranum; died, 12th October, 1864. Contributed by Acting Assistant Surgeon W. Leon Hammond. See 3379, XX. A. b. a. 14. 1604. A wet preparation, showing a portion of the jejunum strangulated by passing through a fissure at the base of a. 11. Hesselbach's triangle, forming an internal inguinal hernia not perceptible to the touch during life. It followed a wound by a conoidal ball which entered above the external ring and became embedded in the body of the pubes close to the cotyloid cavity. Corporal J. F., " D," 2d New York Cavalry : Aldie, 17th June ; admitted hospital, Alexandria, 18th; died, 25th June, 1863. Contributed by Acting Assistant Surgeon W. Leon Hammond. See 1603, XII. A. B. b. 21. 1204. Two portions of the small intestine, each perforated by a carbine ball which passed transversely through the a. 12. abdomen just above the ilia. The wounds are large and ragged. Private J. W., 4th Virginia Cavalry, [Mosby's command,?] (Rebel,) 19: wounded, Warrenton Junction, Va., and admitted hospital, Alexandria, 2d May; died from peritonitis, 5th May, 1863. Contributed by Surgeon Charles Page, U. S. Army. 1782. A portion of the colon, perforated by a conoidal ball and ulcerated. The missile entered the right hypochondriac a. 13. region and lodged in the right kidney. Sergeant J. A. B., "I," 8th Illinois Cavalry, 29: Madison C. H., Va., 22d September; admitted hospital, Washington, 25th September; died, 5th October, 1863. Contributed by Assistant Surgeon Geo. A. Mursick, U. S. Vols. See 1735, XX. A. B. a. 9. 3379. The ccecum, perforated just above the valve by a conoidal ball which entered the right epigastric region, wounded a. 14. the duodenum, notched the ilium and escaped through the right glutei. Private J. M., "F," 14th New Jersey, 27: Winchester, 19th September; faeces escaped by both wounds for a few days, and afterward peranum; admitted Field Hospital, 20th September; died, 12th October, 1864. Contributed by Acting Assistant Surgeon W- Leon Hammond. See 3378, XX. A. B. a. 10. 2216. A portion of the descending colon and anterior parietal walls, showing an a. 15. artificial anus. A conoidal ball entered the left iliac region, wounded the colon, passed through the posterior portion of the ilium and lodged subcu- taneously. The intestine was adherent to the muscular parietes of the pelvis and communicated with an abscess under the iliaeus internus and psoas magnus, which cavity communicated with the anterior and posterior openings. Private J. R. M., "E," llth Mississippi (Rebel): Gettysburg, 2d July, 1863; died in Baltimore, 12th March, 1864. Contributed by Surgeon T. H. Bache, U. S. Vols. See 2214, XI. A. B. e. 3; 2217, XI. A. B. b. 34. 1926. A portion of the omentum magnum, in the folds of which is lodged a a. 16. conoidal bullet slightly misshapen from having glanced against the brass plate of the soldier's waist belt. It is believed that the patient survived about two weeks. See figure 145. Contributor and history unknown. [It is a matter of regret that the particulars of this unique ease have been lost. Any one having cognizance of it is requested to communicate with the Surgeon General.] See class XXVII. B. B. c. Pig. 145. Conoidal ball held in the foldH of the omentum magnum. Spec. 1926. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 491 3242. A wet preparation of the right side of a vertical section of the lumbar vertebrae, the superior posterior portion of a. 17. the ilium and the muscular tissue between these bones. A bullet from the rear has opened the pelvic cavity by entering just to the left and behind the crest of the ilium. A fracture of the vertebrae at the junction with the pelvis exists, but it is apparently the result of accident in taking out the specimen. The track of the wound, through which a glass tube is placed in the specimen, shows the case to have been one embracing a length of time. Received from the Army of the Potomac. See class XXII. A. B. a. 3752. A wet preparation of the bladder and lower part of the rectum, perforated by a conoidal ball which entered two a. 18. inches to the left of the coccyx, fractured the ramus of the right pubes and escaped above that bone without opening the peritoneal cavity. Sergeant H. B., "K," 5th Minnesota, 21: Nashville, 16th December; died from exhaustion, 29th December, 1864. Contributed by Acting Assistant Surgeon H. C. May. See 3751, XI. A. B. a. 7. 1758. The bladder, with a portion of the right ischium. A ball entered the pubes to the right of the symphysis, passed a. 19. through the bladder and escaped between the coccyx and spine of the ischium. Spiculae of bone were removed at times from the bladder. The bladder is greatly contracted aud the walls thickened. It was found to be nearly filled by two stones weighing gij, gr. x, and ^iij, ^ij, gr. xvij =3yj, gr. vij. The calculi are mounted as specimen 2567, XX. C. n. 8 (which see). Private J. M., "H," 101st New York, 19: Second Bull Run, 29th August; died, Washington, 24th October, 1862. Contributed by Surgeon D. W. Bliss, U. S. Vols. See class XI. A. B. a. 510. The urinary bladder, perforated by a musket ball which entered above and to the right of the pubes and escaped a. 20. between the coccyx and spine of the ischium. The wound of exit has entirely closed, the walls are very much thickened and the cavity greatly diminished in size. Private C. W., "H," 24th New York, 20: Centreville, Va., 30th August; admitted hospital, Georgetown, 1st September; died, 13th September, 1862. Contributed by Assistant Surgeon J. H. Butler, U. Si Army. 2093. The urinary bladder, wounded, with loss of substance, near its neck by a musket ball which entered near the a. 21. great trochanter of the 16ft femur and escaped through the right femoral region. Private C. C, "A," 30th Iowa, 24: Vicksburg, 22d May; admitted hospital, Memphis, 27th May; died, 4th June, 1864. Contributed by Surgeon W. Watson, U. S. Vols. See 2094, XVIII. III. A. B. a. 8. 1789. A wet preparation of several ribs, the stomach, a portion of the omentum and the diaphragm. A hernia of the a. 22. entire stomach, through an old gunshot wound of the diaphragm, caused death. A consolidated fracture of the ribs is to be observed. The specimen is very rare. Private C. C, 69th Company, Invalid Corps: admitted hospital, Washington, llth November; died, loth November, 1863. Contributed by Acting Assistant Surgeon H. M. Dean. See class IV. A. B. b. 902. A wet preparation of the penis, perforated through the urethral portion, a. 23. Contributor aud history unknown; 841. A portion of the small intestine, perforated at one point by a small pistol ball. The lips of the wound are everted a. 24. and thickened and deepened in color. Traces of peritonitis remain. The solitary follicles and villi are enlarged, as if the subject were suffering under intestinal disease when wounded; Received, without history, from Post Hospital, Richmond, October, 1866. ' Contributed by Acting Assistant Surgeon R. Thomain. For other illustrations, see 3975, XI. A. B. b. 22; 545, XII. A. B. a. 5; 1183, XII. A. B. b. 3; 1391, XII. A. B. b. 29; 3864, XII. A. B. c. 6; 1594, XIII. A. B. a. 29; 305, XIII. A. B. b. 88; 763, XIII. A. B.b. 129; 910, XIX. A. B. a. 38; 4628, XXVI. A. 2, 65, 81, 97; 4629, XXVI. A. 3, 105; 4189, XXVII. B. a. c. 7. 492 CATALOGUE OF THE SURGICAL SECTION XX. b. Operated Upon. 88. A fragment of an iron hand grenade, encrusted with the earthy phos- b. 1. phates, two inches in length, seven-eighths of an inch in width and three-eighths of an inch in thickness, weighing two ounces and five grains troy, removed by lithotomy nine months after injury. The wound of entrance was nearly closed at the time of the operation. See figure 146. Private C. L , "A," 23d Indiana, 32: the missile entered the right nates two inches from and parallel with the end of the coccyx, Vicksburg, 25th June ; admitted hospital, Jefferson Barracks, Mo., 5th August, 1863; removed, by Surgeon John F. Randolph, U. S. Army, 2d April, 1864. Recovered. Contributed by the operator. See 4628, XXVI. A. 2, 88. For other illustrations, see 4712, XX. C. A. 6 ; 4417, XXVII. B. B. c. 62; 4394, XXVII. B. B. d. 78. _D# Injuries not caused by Gunshot. A . < a. Without operation. . Primary Conditions. \ b. Operated upon. a. Without Operation. See 2997, VI. B. a. b. 3; 2977, XI. B. A. b. 1 ; 2991, XIII. B. A. c. 2. B . ) a. Without operation. . Secondary Conditions. \ b. Operated upon. a. Without Operation. 2258. The stomach, perforated by a bayonet, in two places, (through a fold,) near the cardiac extremity. a. 1. Private J. W., " B," 5th New York Heavy Artillery, 24 : wounded and admitted hospital, Baltimore, 15th March; died from traumatic peritonitis, 18th March, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See 2259, XX. B. B. a. 2. 2259. A portion of the jejunum, perforated by a bayonet (making two wounds). Faeces and an ascaris lumbricoides a. 2. passed into the abdominal cavity. Private J. W., " B," 5th New York Heavy Artillery, 24: wounded and admitted hospital, Baltimore, 15th March ■ died from traumatic peritonitis, 18th March, 1864. Contributed by Acting Assistant Surgeon B. B. Miles, Curator Jarvis Hospital. See 2258, XX. B. B. a. 1. 3461. A wet preparation of the pubic bones and adjacent tissues, exhibiting a double inguinal hernia. On the left side a. 3. it is very large and appears to have been strangulated. Case of a Teamster, contributed, without history, by Dr. N. Lincoln, of Washington. FIG. 146. Fragment of grenade, encrusted with phos- phates, succesfully removed from the bladder. Spec. 88. P. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 493 903. A wet preparation of a large and very old inguinal hernia of the right side which had become scrotal. Two a. 4. distinct and large loops of the small intestine are embraced, each of which is impermeable from inflammatory action which has covered and agglutinated the entire specimen and is evidently of long standing. Rods are passed in the bowel to show the strictures. Openings between contiguous portions must have occurred at two places, to agree with the the history. Unfortunately, the whole of the specimen was not preserved. F. B., (colored,) 70: admitted hospital, Alexandria, 22d May; made no complaint of the hernia; "on the 26th diarrhoea supervened, over which appropriate remedies seemed to exercise little or no controlling influence, and he sank ; died, May 28th 1866." Report of the Ward Surgeon. Contributed by Surgeon Edwin Bentley, U. S. Vols. 2919. About twenty-four square inches of integument, from a case of umbilical hernia. "An opening at the umbilicus a. 5. through the linea alba, with a tendinous margin lined by peritoneum covered by fascia and integument, two inches in diameter, of circular form and rounded edges," was found at the autopsy. Unknown (colored) : admitted hospital, Washington, 16th January, 1866 ; died the next day. From Freedman's Hospital, Washington; autopsy by Hospital Steward S. S. Bond, U. S. Army. b. Operated Upon. 951. A portion of the rib of a rabbit, two inches in length, extracted from the rectum of an officer. It was found lodged b. 1. transversely just above the sphincter and had remained in the body twelve days. Contributed by Brevet Lieutenant Colonel Basil Norris, Surgeon, U. S. Army. \J • Diseases. A. Operated Upon. 1687. A calculus, weighing twenty-three grains, extracted, by lithotomy, four months after a wound of the bladder. A. 1. Private S. E. P., "K," 16th New York, 27: a conoidal ball passed through his canteen, entered the body near the left inguinal canal and lodged near the right trochanter, Salem Church, Va., 3d May ; ball extracted on the fourth day; admitted hospital, Washington, 13th June; fragments of stone that had foreign bodies for neuclei escaped at intervals, and the specimen was removed, by lateral lithotomy, by Surgeon D. W. Bliss, U. S. Vols., 9th September; transferred North, 28th October, 1863. The nucleus appears to be cloth. Contributed by the operator. 1334. A mulberry calculus, removed by lateral lithotomy. A. 2. Private J. R., "L,"8th New York Cavalry, 19: suffered symptomatic pains nearly five years, but was not disqualified for work or duty; admitted Field Hospital with typhoid fever, 1st January; admitted hospital, Wash- ington, 22d April; specimen removed by Surgeon D. W. Bliss, U. S. Vols., 29th June, 1863. Contributed by the operator. 3654. The left testicle, enormously enlarged and excised entire. The organ, when removed, weighed two and a A. 3. quarter pounds. W. S., (colored,) 50: removed by Assistant Surgeon S. J. Bumstead, 29th Illinois, Vicksburg, Miss., November, 1864. Recovered. Contributed by the operator. See class XXIV. C. A. a. 4066. The right testicle, extirpated, two years after the injury, for an abscess following a bruise. A. 4. Recruit H. D. T., 25th Ohio, 23: hurt by falling, January, 1863; admitted hospital, Alexandria, 4th March, 1865; abscess broke, 23d March; operation performed, 2d April, 1865. Contributed by Acting Assistant Surgeon A. W. Tryon. 494 CATALOGUE OF THE SURGICAL SECTION XX. 91. A wet preparation of a fibrous intra-uterine polypus, which, in its recent state, was two and a half inches in A. 5. diameter and three inches in length and protruded through the vulva. Removed, by means of an iron-wire ligature, by Surgeon H. Culbertson, U. S. Vols., 1861. The growth had not returned in 1862. Contributed by the operator. See class XXIV. C. A. d. 4712. A calculus, extracted from the bladder, in which it was encysted, more than ten months after gunshot perforatiou A. 6. of that viscus. The stone, which is an inch in diameter, was removed by lithotomy from a pouch on the anterior wall of the bladder, formed by a plastic deposit, which facilitated the calcareous accretions, near the wound of entrance. No foreign body was found as a nucleus. Private R. S M., "E," Palmetto Sharpshooters (Rebel): Frazer's Farm, Va., 29th June, 1862; a bullet entered the right side of the abdomen, crushed the outer surface of the os pubis, traversed the bladder and escaped through the left buttock between the tuberosity of the ischium and the coccyx ; the wound of exit (the lower one) closed in a few weeks ; the wound of entrance remained open until the operation; removed by Surgeon J. J. Chisolm, C. S. A., Charleston, 5th May, 1863. Recovered very rapidly. Contributed by the operator, whose Manual of Military Surgery, pp. 352-3, see for fuller history. See class XX. A. B. b. 4079. The scrotum and one testicle, taken after death from a case of hydrocele. It is presumable that an operation was A. 7. performed, but the history is worthless and the specimen obscure. Private J. H. E., "F," 7th Wisconsin. Contributed by Acting Assistant Surgeon A. North. 2221. A haemorrhoidal tumor, rather more than an inch in length. A. 8. Contributed by Surgeon I. Moses, U. S Vols. 3010. Three prepuces, amputated for syphilis. A. 9. Contributed by Acting Assistant Surgeon Robert Thomain. 3017. Three prepuces, amputated for syphilis. A. 10. Contributed by Acting Assistant Surgeon Robert Thomain. 3000. Two prepuces, amputated for syphilis. A. 11. Contributed by Acting Assistant Surgeon Robert Thomain. 3830. Fragments of urinary calculi, weighing about five hundred and forty grains troy, said to have been removed by A. 12. the lithotrite, in six sittings, from a clerk in Washington, by Professor Pancoast, of Philadelphia. A preliminary examination shows "its composition to be mainly that of alternate layers of white and hard phosphate of lime and of a reddish and friable mixture of phosphate of lime and urate of ammonia." Contributed by Brevet Major J. S. Billings, Assistant Surgeon, U. S. Army. B. Without Operation. 2253. The spleen, showing a metastatic abscess midway in the anterior border. Probably from a pyaemic case. B. 1. Received, without history, from Emory General Hospital. 1889. A section of the right extremity of the spleen, showing several small superficial metastatic abscesses. B. 2. Private W. S., " E," 119th Pennsylvania, 40: left leg, Rappahannock Station, 7th November; admitted hospital, Washington, 9th; thigh amputated in the lowest third by Assistant Surgeon Geo. A. Mursick, U. S. Vols., 14th'; pyaemia commenced, 20th November; died, 1st December, 1864. Contributed by Surgeon John A. Lidell, U. S. Vols. See 1890, XIII. A. B. f. 7; 1887, XVIII. II. A. B. c. 18; 1888, XVIII. III. A. B. a. 6, 4240. A portion of the liver, with numerous metastatic foci, after death from pyaemia following amputation of the left B. 3. leg crushed by a railroad accident. Private J. F., "D," 2d Massachusetts, 38: leg crushed by cars and amputated in the upper third by Acting Assistant Surgeon McCay, and admitted hospital, Washington, 7th June; died from pyaemia, 24th June, 1865. Contributed by Brevet Captain W. F. Norris, Assistant Surgeon, U. S. Army. (J. ft. OF THE UNITKD STATUS ARMY MEDICAL MUSKUM. 41)5 3270. A pair of kidneys, presenting the appearance of foci sometimes observed in pyEemia. B. 4. Contributor and history unknown. 2012. A kidney, from a pyaemic subject. The specimen is torn across the middle, as though in the track of abscesses. B. 5. Private H. C, "K," 3d Michigan, 33: knee fractured, Jacob's Ford, Va., 27th November; admitted hospital, Alexandria, 4th December; amputated in the middle third by Surgeon E. Bentley, U. S. Vols., 13th December; died from pyaemia, 10th January, 1864. Contributed by Acting Assistant Surgeon S. B. Ward. See 2011, XIII. A. B. f. 73. 2529. The right kidney, showing several secondary abscesses, from a patient who died of pyaemic pneumonia after B. 6. contusion of femur. T. C. C. Contributed by Surgeon J. A. Lidell, U. S. Vols. See class XIII. A. B. a. 2626. A pair of kidneys. One is opened longitudinally and exhibits a certain amount of fatty degeneration. Nearly B. 7. all the viscera partook of the same condition. Corporal W. F., "B," IstU S. Colored Troops, 20: gunshot left thigh, probably spring of 1865; died of exhaustion after erysipelas, Baltimore, 20th February, 1866. Contributed by Assistant Surgeon George M. McGill, U. S. Army. See 255, XIII. A. B. b. 78. 2567. Two large calculi, weighing, respectively, gij, gr. x, and 3iij, gr. lvij, or, together, 3yj, gr. vij. These stones B. 8. were found after death occupying nearly the entire cavity of the urinary bladder in a man who had suffered a gunshot wound directly through that organ, and from which several spiculae of bone had been removed. The coats of the viscus were exceedingly thickened and contracted. Private J. M., "H," 101st New York, 19 : ball passed through the bladder, Second Bull Run, 29th August; died, Wash- ington, 24th October, 1862. Contributed by Surgeon D. W. Bliss, U. S. Vols. See 1758, XX. A. B. a. 19. 1061. One testicle, with a cyst of hydrocele attached. B. 9. Contributed by Acting Assistant Surgeon G. F. Shrady. 1845. A wet preparation of the penis, studded with syphilitic warts. The corona glandis is encircled its whole extent B. 10. with them. Two small ones are upon the head and several upon the uuder surface of the organ. Contributed by Acting Assistant Surgeon T. H. Stillwell. 2102. A wet preparation of a portion of the penis, occupied over the greater part of the head and anterior part of the B. 11. body by a large cancerous growth. Received, without history, from Louisville, Ky. See class XXIV. C. B. 3989. A urinary bladder, from the inner surface of which spring numerous polypoid B. 12. growths of connective tissue almost completely occluding the organ. See figure 147. "It was taken from the body of a child who died with all the symptoms .which Jsecksch lays down as those pertaining ammoniaemia." From the private cabinet of the contributor. Contributed by Surgeon M. Goldsmith, U. S. Vols. 4667. A small urinary calculus, passed, after three days' frequent micturition, B. 13. with cutting pains along the membranous portion of the urethra. There were no previous symptoms. Fig. 147. Polypoid growths on the inner _ , , „ surface of the.urinary bladder. Spec. 3!>S). Colonel R. Contributed by Brevet Lieutenant Colonel Basil Norris, Surgeon, U. S. Army. 587. Fragments of a small urinary calculus of oxalate of lime, passed by an infant eleven months old. B. 14. Contributed by Dr. Thos C. Smith, of Washington. 2967. A small portion of the liver, in the upper margin of which is an irregular abscess about the size of a hen's egg. B. 15. Private J. H., "A," 140th New York: left arm, Gettysburg, 2d July; admitted hospital, Baltimore, 14th; amputated, 28th July; died, 24th August, 1863. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See 1711, VI. A. B. f. 13. XXI. RESULTS OF OPERATIONS EMBRACING THE SOFT TISSUES AND NOT INCLUDING THE VISCERA. A.F1 For Gunshot In- uries. A.. Primary Conditions. JtS. Secondary Conditions. a. After excisions. b. After amputations. c. Other operations. a. After excisions. b. After amputations. c. Other operations. B. For Injuries not caused by Gun- shot. ix. Primary Conditions JL). Secondary Conditions. f a. After excisions. v b. After amputations. 1^ C. Other operations. {i After excisions. After amputations. Other operations. c. For Disease (i3 XXI. RESULTS OF OPERATIONS. IjL. For Gunshot Injuries. B( a. After excisions. . Secondary Conditions. < b. After amputations. ( c. Other operations. a. Excisions. 958. One and one-fourth inches of the median nerve, excised for neuralgia of the hand following a flesh wound of the a. 1. arm at the junction of the lower thirds. Private M. H., "I," 2d U. S. Infantry: Gaines' Mill, 27th June; admitted hospital, Washington, 4th July; excised by Surgeon P. Pineo, U. S. Vols., 17th December; discharged, at his own request, 14th February, 1863. "Always complained of pain in the extremities of the ulnar as well as the median nerve, and while the pain was less in the extremity of the median, after the operation it was the same in the ulnar." * * * "A less amount of the nerve was taken away in this case than in that of Corlis, and the pain, though manifestly less, was not so complete[ly removed?] as when double the amount was removed. Contributed by the operator. See 959, XXI. A. B. a. 2. 959. Two inches of the median nerve, excised for excessive neuralgia of the palmar portion of the hand and fingers a. 2. following a flesh wound of the left arm at the junction of the upper thirds. Private J. H. C, "B,"14th New York (State Militia?): Second Bull Run, 30th August; admitted hospital, Washington, 1st September; excised by Surgeon P. Pineo, U. S. Vols., 9th December, 1862; discharged, at his own request, 14th February, 1863. "A manifest improvement, however, has been in progress since the operation." Contributed by the operator. See 958, XXI. A. B. a. 1. 1066. The two lower thirds of the right arm, from which three and a half inches of the humerus have been excised in a. 3. the field. Each cut extremity of the bone has received a full deposit of callus. In the lower portion a sinus extends into the elbow ; in the upper, necrosed fragments rest. Private D. M. G., "K," 1st Pennsylvania Rifles, 25: Fredericksburg, 13th December; excised, 17th; admitted hospital, Washington, 23d December, 1862; hospital gangrene appeared, 10th April; unsuccessfully treated with nitric acid and chlorine; amputated, 20th April, 1863. Recovered. Contributed by Acting Assistant Surgeon D. Weisel. See classes VI. A. A. c; XXIII. A. B. 684. The left arm, two weeks after an excision of an inch and a half of the middle third. A fragment of bullet remains a. 4. embedded in tbe soft parts. The cicatrix of the wound of entrance is seen on the posterior aspect. E. H. B., company and regiment unknown : Fredericksburg, 13th December, 1862; died, 5th January, 1863. Contributed by Acting Assistant Surgeon Bannister. See classes VI. A. A. c; XXVII. B. B. d. 3462. The soft tissues of the left shoulder, after an excision of the head of the humerus. The osseous structures have a. 5. been separately mounted. The bullet appears to have entered at the anterior summit of tbe shoulder, and to have escaped in the axilla. The operation was performed through a U-shaped incision, which is cicatrized, the specimen appearing to be three or four weeks old. Fistulous openings for the escape of pus appear on the arm. Contributor and history unknown. See 2162, XXI. A. b. a. 6. Sec class V. A. n. c. .500 CATALOGUE OF THE SURGICAL SECTION XXI. 2162. A wet ligamentous preparation of portions of the left humerus and scapula. The upper extremity of the humerus a. 6. has been excised to below the tuberosities. The cut extremity of the humerus is diseased. The limb has been supported to such a height that the excised extremity of the bone is more elevated than the humeral head would be normally. The resulting pocket of the joint is diseased by the action of the retained pus. Contributor and history unknown. See 3462, XXI. A. B. a. 5. See class V. A. B. c. 607. The soft structures of the knee, after excision of the patella. The cicatrix is H-shaped, the horizontal portion a. 7. being four inches and the upright three inches in length. The integument appears to have sloughed over a large portion of the front of the knee and to have imperfectly cicatrized. On the lateral and posterior portions are the marks of several abscesses. The history of this case, which is the same as 556, XIV. A. B. d. 7, is unknown. Contributed by Surgeon D. P. Smith, U. S. Vols. See 556, XIV. A. B. d. 7. 600. A wet preparation of the left knee, exhibiting the integument, four weeks after excision and six weeks after injury. a. 8. The bullet appears to have entered the outer side near the head of the tibia, where the cicatrix is thin aud weak. The operation appears to have been performed by two longitudinal incisions, each of four inches, in the sides, connected anteriorly and midway by a lateral incision of three inches. The cicatrices are firm in their greater extent. Private C F. G., "I," 1st Pennsylvania Reserves: probably Second Bull Bun, 30th August; admitted hospital, Alexandria, 9th September; excised, 15th September; died, 12th October, 1862. Contributed by Acting Assistant Surgeon Bannister. See 629, XIV. A. B. d. 6. b. Amputations. 2615. Five inches of the median nerves from a stump, three weeks after amputation at the junction of the upper thirds b. 1. of the forearm for secondary haemorrhage from a wound of the hand. The extremity is divided for an inch, and each termination is slightly expanded and rounded. Private J. G. K., "G," 75th Pennsylvania, 42: Gettysburg, 1st July; forearm amputated for secondary haemorrhage, Philadelphia, 29th July; died, 19th August, 1863. Contributed by Acting Assistant Surgeon M. Lampen. Sec 2773, IX. A. b. c. 2; 2616, XVIII. II. A. b. c. 3. 1117. A bulbous enlargement of the extremity of the median nerve, removed from the stump five months after amputation b. 2. in the upper third of the humerus. The specimen is half an inch in diameter, but in its present condition it is impracticable to specify how much is nerve tissue. Private J. B., " G," 97th New York: left arm amputated, Antietam, 17th September, 1862; specimen removed by Surgeon S. D. Freeman, U. S. Vols., Baltimore, 18th February, 1863. Contributed by the operator. See 1790, XXI. A. B. b. 3. 1790. A bulbous extremity of the median nerve, removed, for the second time, from the upper third of the humerus one b. 3. year after amputation. Private J. B., "G," 97th New York: left arm amputated, Antietam, 17th September, 1862; extremity removed by Surgeon S. D. Freeman, U. S. Vols., Baltimore, 18th February; present specimen removed by the same, fall of 1863. Contributed by the operator. See 1117, XXI. A. B. b. 2. 1176. Four inches each of the median and ulnar nerves, from the left forearm after amputation, exhibiting the extremities b. 4. bulbous. The median is divided and the ulnar is single. Amputation was performed in the humerus for necrosis of the radius and anchylosis of the elbow. Private W. J. N., "E," 1st Michigan: hand and wrist fractured, Second Bull Run, 30th August; forearm amputated, Washington, 3d September, 1862; arm amputated, 3d April, 1863. Recovered. Contributed by Surgeon Thomas R. Crosby, U. S. Vols. See 1175, VII. A. B. f. 58. See class IX. A. A. e. 2087. Four inches of the sciatic nerve, five days after amputation. The specimen presents no remarkable appearance, b. 5. excepting that the lower end is somewhat ragged, as though torn. Contributed by Surgeon J. Dwinelle, 106th Pennsylvania. Sec 2115, XIII. A. n. f. 10. A ft OF THE UNITED STATES ARMY MEDICAL MUSEUM. 501 3447. A nervous trunk, from a leg stump, believed to be the saphenous, forty days after amputation. The extremity is b. 6. somewhat irregular. Private B. G. W., "H," 19th Maine, 19: left leg amputated in the upper third, Petersburg, 15th October; thigh amputated for sloughing stump, Alexandria, 27th November, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. See 3445, XV. A. B. f. 49; 3446, XVIII. III. A. B. a. 9; 3448, XXI. A. B. b. 8. 3962. Four and a half inches of the saphenous nerve, from a stump of the left thigh. Through the cut extremity is to be b. 7. observed the remains of a wire ligature, which is not to be confounded with the wires uniting the upper part after an accidental section. Private W. H. P., "I," 3d------, 20: ankle fractured, Antietam, 17th September; leg amputated in the middle third ; thigh amputated for involvement of the knee, 20th November, 1862; abscess of stump opened, 19th March; died with erysipelas, Frederick, 2d May, 1863. "Patient has frequently complained of pain in the stump, but it is impossible to say whether it was from the abscesses that were forming from time to time or from the irritation of the wire.'" Contributed by Acting Assistant Surgeon A. North. See 3H37, XIII. A. B. f. 64. See class XXIII. A. A. 3448. A nervous trunk, flattened and expanded, from the stump of the left leg. Believed to be the popliteal, forty days b. 8. after amputation. Private B. G. W., "H," 19th Maine, 19: amputated, Petersburg, 15th October; femur amputated, Alexandria, 27th November, 1864. Contributed by Surgeon E. Bentley, U. S. Vols. See 3445, XV. A. B. f. 49; 3446, XVIII. III. A. B. a. 9; 3447, XXI. A. B. b. 6. 4244. Amputated portions of the anterior and posterior tibial and musculo-cutaneous nerves, five months after the b. 9. amputation. The extremity of each is bulbous. Private W. J. H., "G," 33d Mississippi, (Rebel,) 18: died from chronic diarrhoea, Louisville, Ky., 23d December, 1864. Contributed by Surgeon R. R. Taylor, U. S. Vols. See 4243, XV. A. B. f. 31. 4197. The stump of the forearm, amputated at the wrist, showing ulceration of the extremity in consequence of b. 10. insufficient covering. In this case the stump was almost useless from extreme sensitiveness. Private G. F. M., "B," 39th Massachusetts, 21: Spottsylvania, 10th May; admitted hospital, with stump as exhibited, Philadelphia, 1st October, 1864; reamputated in the middle third of the forearm by Acting Assistant Surgeon James Tyson, 7th January, 1865. Recovered. Contributed by the operator. See class IX. A. B. e. 2536. The stuffed integument of a stump of the left forearm, eighteen months after amputation. The operation appears b. 11. to have been circular. The cicatrix is small and firm. Private W. B., (octoroon,) "A," 29th U. S. Colored Troops, 19: Weldon R. R., September, 1864; died from meningitis, Alexandria, April, 1866. Contributed by Surgeon E. Bentley, U. S. Vols. See 2537, XXI. A. B. b. 12. 2537. A partially dissected stump of tbe left forearm, from which the integument has been removed, eighteen months b. 12. after amputation in the lowest third. All the tissues are normal in appearance and, at the extremity, adhere well to the bones, which are rounded but from which the muscular tissue has been absorbed. Private W. B., (octoroon,) "A," 29th U. S. Colored Troops, 19: Weldon R. R., September, 1864; recovered from the wound and amputation, and died from meningitis, Alexandria, April, 1866. Contributed by Surgeon E. Bentley, U. S. Vols. See 2536, XXI. A. B. b. 11. 2672. Tbe soft tissues of the stump of the right forearm, reamputated in the lowest third of the arm, for necrosis of the b. 13. bones, nine months after amputation in the lowest third of the forearm. The extremity is well rounded, but presents several points of ulceration, aDd just below the elbow is an opening of more than an inch from the same cause. Corporal I. M., "B," 184th Pennsylvania, 39: finger wounded and amputated, Cold Harbor, 3d June; admitted hospital, Chester, Penna., 12th; amputated above the wrist, for hospital gangrene, by Acting Assistant Surgeon J. G. F. Strawbridge, 30th June, 1864; amputated in the lowest third of the arm, for necrosis of the bones of the stump, by Acting Assistant Surgeon Geo. S. Stein, 9th April, 1865. -Recovered. Contributed by Brevet Lieutenant Colonel T. H. Bache, Surgeon, U. S. Vols. .See 4170, VIII. A. B. f. 10; 551, XXIII. A. B 4. 502 CATALOGUE OF THE SURGICAL SECTION XXI. 891. A partially dissected stump of the humerus. The flaps have united, but the extremity presents extensive b. 14. granulations, as if upon the seat of ulcers. The blood vessels have been injected, showing their extremities closed. Three inches of the end of the bone are encased with a newly formed involucrum, below which the shaft appears necrosed, which disease was the probable cause of the reamputation that has been performed. Contributed by Acting Assistant Surgeon Goldsborough. 718. The soft tissues ol the stump of the right humerus in the lowest third, after death by pyaemia. The flaps have b. 15. not united by any vital action. Private G. La F., " E," 26th New York : right elbow fractured by a conoidal ball, biceps of same arm wounded by another bullet and knee joint opened, Fredericksburg, 13th December; arm amputated same day; admitted hospital, Washington, 24th December, 1862 ; inflammation of the knee, 2d January ; died from pyaemia, 14th January, 1863. Contributed by Surgeon H. Bryant, U. S. Vols. 1268. The stump of the right arm, amputated in the middle third and opened to expose both the soft parts and the b. 16. humerus. The soft tissues were much swollen and baggy, as if following suppuration, and the extremity is imperfectly united, with indifferent granulations. A ligature remains yet attached. The extremity of the humerus is carious and greatly eroded for several inches by suppuration. Contributor and history unknown. 4095. The soft tissues, from the stump of the right arm after death by pyaemia following amputation in the upper third. b. 17. The flaps are partially united. Private B. C. K., " A," 1st Delaware Cavalry: flesh wound of the arm, wounding the nerves, Edward's Ferry, Va., 15th February ; neuroma extirpated, 3d April; arm amputated for neuralgia by Surgeon D. W. Bliss, U. S. Vols., 10th; died from pyaemia, 28th April, 1865. Contributed by Acting Assistant Surgeon H. E. Woodbury. See 4038, XXIV. C. a. a. 3; 4056, XXIV. C. A. a. 5. 4189. A thigh stump, largely healed by granulation, with a yet remaining ulcer, the size of a quarter of a dollar, b. 18. uncicatrized. Contributor and history unknown. 621. A well-rounded stump of the thigh, where the skin appears to have sloughed, but which has nearly cicatrized. b. 19. Four ligatures yet remain attached to the arteries. There is no attainable history. Contributed by Surgeon H Bryant, U. S. Vols. 3514. The extremity of the left femur and the soft tissues forming the stump, after amputation through the knee joint b. 20. for fracture of the tibia involving the articulation. The soft parts are imperfect and contracted, showing the traces of ulceration which, rendering the stump impracticable, required reamputation. Private C. H. R., "A," 36th Michigan: wounded and amputated on the field, Cold Harbor, 3d June; admitted hospital, Washington, llth June; reamputated by Surgeon J. C. McKee, U. S. Army, 15th December, 1864. Contributed by the operator, See class XIV. A. A. d. 1740. The extremities of the tibia and fibula, after amputation, with the soft tissues covering the stump. The cicatrix b. 21. is well marked and the adhesions are firm. Contributed by Surgeon Meredith Clymer, U. S. Vols. 260. The stump of the left leg, two months after amputation, by posterior flap, in the upper third. The stump is well b. 22. rounded and the cicatrix firm. J. T., Negro, 13: admitted hospital with frozen legs, Washington, 22d January ; amputated for mortification by Acting Assistant Surgeon A. R. Abbott, 28th January; died from tuberculosis, 28th March, 1866. Contributed by Dr. S. S. Bond. See 4701, XXV. B. B. b. 6. 4198. Three inches of the stump of the left leg, after amputation in the middle third. Both the tibia and fibula protrude b. 23. beyond the skin, covered on the extremities with granulations. The stump remained in this condition three months. Private J. F., "I," 87th Pennsylvania, 20: Winchester, 19th September, 1864; admitted hospital, with stump as shown, Philadelphia, 12th March ; reamputated by Acting Assistant Surgeon Jas. Tyson, 22d March, 1865. Recovered. Contributed by the operator. 2740. The stump of the left leg, nine months after amputation in the middle third. The cicatrix is firm, but there are b. 24. several fistulous openings in the skin above from which pus has escaped. The bones of the leg are carious, the cancellated structures being much broken down. The soft parts were very unhealthy, abundantly discharging'pus. 1$. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 503 Private H. S. D. "H," 126th New York, 30: ankle fractured by grape, Gettysburg, 2d July; leg amputated by Acting Assistant Suro-eon S. R. Skillern, Philadelphia, 11th July, 1863; amputated in the lowest third of the thigh by Acting Assistant Surgeon R. J. Levis, 24th April, 1864. Recovered. Contributed by the operator. 2739. The stump of the left leg, after amputation in the lowest third. The soft tissues are softened and have sloughed b. 25. on the anterior surface, exposing the tibia for a distance of six inches. The fibula remains covered. Contributed by Assistant Surgeon Geo. A. Mursick, U. S. Vols. 2748. The soft tissues of the stump of the left leg, nineteen months after amputation in the lowest third. The specimen b. 26. presents numerous cicatrices and fistulous openings, as if of sinuses leading to dead bone. Private W. M., "I," 72d Pennsylvania,24: left foot, Antietam, 17th September ; leg amputated, 27th September, 1862; thigh amputated in the lowest third by Acting Assistant Surgeon R. J.Levis, Philadelphia, 28th April, 1864; discharged, 3d September, 1864. Contributed by the operator. See 4172, XV. A. B. f. 50. 2165. A stump, after a modification of Syme's amputation at the ankle. The flaps were taken from the dorsum of the b. 27. foot in consequence of the laceration of the tissues. The extremity presents an ulcerated surface of the extent of a quarter of a dollar, and the tissues are so delicate from the character of the covering that reamputation was required Private G. L., "C," 3d U. S. Artillery, 19: wounded by shell and amputated in the field, 24 th September, 1863; amputated at the junction of the upper thirds, Washington, 29th March, 1864. Recovered. Contributed by Surgeon John A. Lidell, U. S. Vols. See class XVI. D. 3211. A PirogofT stump, reamputated fifteen days after.ward for secondary haemorrhage. The parts do not seem to have b. 28. been very well adapted, and the cut surfaces of the tibia and calcis are each softened by suppuration. Captain J. F. D., C. S., U. S. Vols.: wounded and amputated, by PirogofFs method, 25th August; reamputated in the lowest third of the leg by Surgeon D. W. Bliss, U. S. Vols., for secondary haemorrhage, Washington, 10th September; on leave, 25th November, 1864. Contributed by the operator. See class XVI. D. 2774. The soft tissues of the stump of the arm, apparently reamputated in the upper third for necrosis of the humerus. b. 29. The amputation seems to have been by flap, and the stump is well formed and fairly united, except where a fistulous opening exists at the extremity. Contributor and history unknown. See 656, VI. A. B. f. 32. AJt For Injuries not caused by Gunshot. At a. After excisions. . Primary Conditions. < b. After amputations. ( c. Other operations. 1713. Two incisor teeth, with their alveolar process removed in an operation for the relief of double bare-lip. The c. 1. specimen, in its unnatural position, was attached to the root of the nose. A copy of a photograph of the case before the operation, taken at the Museum, stands with the specimen. C. W., (colored,) 22: successfully operated upon by Brevet Lieutenant Colonel R. Reyburn, Surgeon, U. S. Vols., Wash- ington, 6th November, 1866. Contributed by the operator. 504 CATALOGUE OF THE SURGICAL SECTION, ETC. XXI. B( a. Afti r excisions. . Secondary Conditions. < b. After amputations. ( c. Other operations. b. After Amputations. 1813. The integument, from the stump of the left forearm eleven months after circular amputation in the upper third for b. 1. fracture of radius and ulna by street cars. The stump is well rounded and the cicatrix firm. Private T. H., 44th Company, 2d Battalion, Veteran Reserve Corps, 45: while intoxicated fell from the first-story window of the guard-house, comminuting the humerus into the elbow joint, 2d July; amputated, by the circular method, at the junction of the upper thirds, by Assistant Surgeon W. F. Norris, U. S. Army, the same day; returned to duty, 18th August, 1865. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 3181, VIII. B. A. d. 1. 144 2. A wet preparation of the left foot, exhibiting amputation in the metatarsus after frost-bite. The stump is ill-shaped b. 2. and useless. Amputation in the lowest third of the leg was probably performed. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 1441, XXIII. B. D. 2, from the same case. 2777. The stumps of the toes of one foot, which were amputated after having been frozen. Granulations where the b. 3. cicatrix had sloughed are seen in the specimen. The second operation was by Lisfranc's method. Private G. W., "H," 114th Pennsylvania: frozen on picket, 1st February- amputated, Washington, 5th May; reamputated by Acting Assistant Surgeon R. M. Giroin, Philadelphia. Contributed by the operator. See classes XVI. D.; XXIII. B. D. \J t For Disease. 207. The left hand, showing well-rounded stumps of all the fingers amputated at the first joints several years C. 1. previously for scrofulous disease, according to the patient's account. The thumb nail is enlarged, contracted laterally and curved upon itself like a talon. F. McK., (mulatto,) 27: died with tuberculosis, Washington, 4th April, 1866. Contributed by Dr. S. S. Bond. XXII. INJURIES OF SOFT TISSUES, NOT INCLUDING THE VISCERA. A. Gunshot. A. Primary Conditions. ( £ ^meat- I c. Other tissues. | B. Secondary Conditions. / £ x$£ment- c. Other tissues. B. Not caused by Gunshot. -a. Primary Conditions. Jj. Secondary Conditions. f a. Integument. , „ 7S m ^ UpPG1.third- A Hue °f **>™»*™ -circles a space of four by'six'inches, in the c u^f which the tissue is destroyed to the joint, which is disorganized. Private O. C. C, "C," 65th New York: admitted hospital, Washington, llth May; amputated by Actimr Assist*^ q„r™ H. Craft, 16th September, 1864 ; discharged the service, 27th May, 1865. 8 Abblbtant burSeon Contributed by the operator. A.B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 519 945. A wet preparation of the left upper extremity, after amputation in the middle third of the humerus for gunshot B. 9. fracture of the radius followed by hospital gangrene. The ulcer is about three inches in diameter. Private H. L., "G," 8th Pennsylvania Reserves: a returned prisoner from Richmond; amputated by Acting Assistant Surgeon Crane, Annapolis. Contributed by the operator. lOOl. A wet preparation of the left thigh, exhibiting the ravages of hospital gangrene following a flesh wound by shell. B. 10. Private S. D. T., "A," 16th New Hampshire, 42: Fredericksburg, 13th December, 1862; abscess opened five inches above the wound, becoming the seat of gangrene, 12th February ; died, 28th February, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. lOOO. Awet preparation of the stump of the right thigh, destroyed by hospital gangrene. Almost complete cicatrization B. 11. had occurred when the disease appeared. The femur, whose extremity is wounded, is stripped for three inches, and great excavations extend halfway to the hip. Private I. W., "D," 1st New York Artillery, 31: Fredericksburg, 13th December; admitted hospital with amputated thigh, Washington, 26th December, 1862 ; gangrene attacked the wound, 15th February; died, 21st March, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 3459. A wet preparation of the left leg, exhibiting the posterior portion occupied by several immense and deep phagedenic B. 12. ulcers. Contributor and history unknown. 3456. A wet preparation of the left leg, exhibiting the ravages of hospital gangrene in the lowest third. An extensive B. 13. ulcer six inches in length, which exposes the tibia, occupies nearly the entire circumference. Contributor and history unknown. 1854. A wet preparation of the greater portion of the right leg, exhibiting a huge excavating ulcer of hospital gangrene, B. 14. which has destroyed nearly all the soft tissues on the posterior portion of the upper third. Contributed by Surgeon B. A. Vanderkieft, U. S. Vols. 3463. A wet preparation of the greater portion of the left leg, with the anterior half exhibiting extensive phagedenic B. 15. ulceration. Contributor and history unknown. 3455. A wet preparation of the right leg, with the bones exposed and the outer half destroyed by hospital gangrene. B. 16. Contributor and history unknown. 3132. A wet preparation of the lower thirds of the left leg, amputated for hospital gangrene following a flesh wound. B. 17. The ulceration occupies the outer and lower half of the limb, and has destroyed by necrosis a large superficial region of the fibula. Private C. F. B., "E," 187th Pennsylvania, 30: admitted hospital, Washington, 30th June; amputated, 27th August; died, exhausted, 13th October, 1864. Contributed by Acting Assistant Surgeon J. P. Arthur. 3665. A wet preparation of the greater portion of the left leg, amputated below the knee for hospital gangrene following B. 18. a flesh wound by a conoidal ball. A very large amount of the soft tissue is destroyed, and the tibia is more or less denuded of periosteum for the length of five inches. Private H. B., "E," 10thNew Jersey, 21: Spottsylvania, 14thMay; admitted hospital, Philadelphia, 27th May; sloughing commenced, 13th July; amputated by Acting Assistant Surgeon G. W. Webb, 12th August; died, 23d August, 1864. Contributed by Acting Assistant Surgeon W. W. Shapley. 3 133. A wet preparation of the left leg, showing contusion of the tibia iu the middle third and destruction of tissue by B. 19. hospital gangrene. The middle third of the tibia is necrosed, and the disease extends up the shaft of the bone on its posterior surface to near its head. At the time of death the gangrene had ceased and granulation commenced in the borders. Two openings by ulceration occurred in the lowest third shortly before death. Private N. H., " F," 7th New York, 37 : Cold Harbor, 3d June; admitted hospital, Baltimore, llth ; gangrene, 18th June— 8th August; died, exhausted, 26th August, 1864. Contributed by Acting Assistant Surgeon Andrew McLetchie. 3457. A wet preparation of the right lower extremity below the knee, showing upon the middle of the posterior surface B. 20. a large phagedenic ulcer, the probable cause of death or amputation. Contributor and history unknown. 3280. A wet preparation of the left foot and leg, exhibiting the loss of a very large portion of the soft tissues by hospital B. 21. gangrene, probably following a flesh wound. Private M. M., "D," 15th New York Heavy Artillery, 44: admitted hospital, Washington, 24th August; thigh amputated in the lowest third, 6th October; died, 7th October, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. 520 CATALOGUE OF THE SURGICAL SECTION XXIII 3637. A wet preparation of the lower portion of the right leg and tarsus, showing hospital gangrene following contusion B. 22. of the bones involving the joint. The ulcer occupies a space of three by four inches, where it has destroyed the soft parts and where the bones are superficially diseased. Private C. B., "D," 9th New Hampshire, 19: Spottsylvania, 19th May; admitted hospital, Philadelphia, llth June ; ampu- tated in the middle third, 19th August; died of pyaemia, 28th August, 1864. Contributed by Acting Assistant Surgeon Lampen. 3246. A wet preparation of the left foot, showing the soft tissues on the inner side greatly destroyed by hospital gangrene. B. 23. Superficial ulcerations appear at various places over the dorsum of the foot. Amputation appears to have been performed just above the ankle. Contributor and history unknown. 2635. A wet preparation of the left foot, showing the destruction of a metatarsal stump by hospital gangrene. The B. 24. disorganization of the tissues is very complete. Private J. C, "D," 88th Pennsylvania: toes amputated in the field, Cold Harbor, 3d June; admitted hospital, Washington, llth; gangrene appeared, 20th; amputated in the middle third of the leg by Acting Assistant Surgeon H. M. Dean, 22d June; discharged, 3d August, 1864. Contributed by Acting Assistant Surgeon E. L. Bliss. 3661. A wet preparation of the right foot, after amputation just above the malleoli. The tarso-metatarsal articulation of B. 25. the great toe was fractured by shell. Phagedenic ulceration followed, involving the whole dorsum of the foot, from which, in the specimen, a huge slough is about separating. This may be regarded a fair type of hospital gangrene. Private J. W., " E," 5th New Jersey, 27 : Petersburg, 18th June; admitted hospital, Philadelphia, 30th June ; amputated for gangrene and secondary haemorrhage by Acting Assistant Surgeon F. H. Getchell, 26th July; died, exhausted, 19th August, 1864. Contributed by the operator. 3127. A wet preparation of the left foot, exhibiting profound destruction of the anterior and inner portion by hospital B. 26. gangrene following primary amputation through the metatarsal bone of the great toe. In the specimen the calcaneum is sawn through and the leg bones do not appear, as if Pirogoff's operation had been performed. The history, however, states that amputation was performed in the lowest third of the leg. Private G. W. P., "C," 2d Pennsylvania Heavy Artillery: admitted hospital, Washington, 1st August; amputated by Surgeon N. R. Mosely, U. S. Vols., 14th; died, 25th August, 1864. Contributed by Acting Assistant Surgeon W. Guthrie Winder. See class XVI. D. 3664. A wet preparation of the greater portion of the left foot, showing the ravages of hospital gangrene following fracture B. 27. of the second toe. All the toes, except the great one, are missing and the metatarsals protrude. The slough, with no line of demarcation, extends nearly to the ankle. Private P. F., "B," 170th New York, 42: Petersburg, 17th June; admitted hospital, Philadelphia, 2d July; sloughing commenced, 4th July ; amputated at the junction of the lower thirds by Acting Assistant Surgeon G. W. Miller, 10tb August, 1864. Contributed by Acting Assistant Surgeon W. W. Shapley. 2872. A wet preparation of the left hand, from which the last two fingers and the fifth metacarpal bone have been B. 28. removed. Amputation was performed in the middle third for a gangrenous condition that followed the wound. Caries invaded the carpus and an opening for pus is seen in the integument near the joint. Extensive sinuses extended up the forearm. Private J. W., "C," 2d Pennsylvania Heavy Artillery, 22: Petersburg, 17th June; fingers amputated in the field, 19th; admitted hospital, Washington, 30th June; amputated by Acting Assistant Surgeon H. Craft, 16th July; died of pyaemia, 10th August, 1864. Contributed by the operator. For other illustrations, see 1951, I. A. A. c. 9; 3631, I. A. B. b. 43; 3451, I. A. B. b. 57; 557, II. C. A. 2; 1806, VI. A. B. g. 2; 3918, VII. A. b. d. 20; 1750, VII. A. B. d. 77; 2129, VII. A. B. f. 34; 820, VII. A. B. f. 78; 3187, VIII. A.B.d.29; 3625, VIII. A. B f. 9; 3621, VIII. A. B. g. 2; 3255, IX. A. B. f. 2 ; 1913, IX. A. B. f. 3; 2768, IX. A. B. f. 4; 1294, IX. A. B. f. 21; 2337, IX. A. B. f. 37 ; 2477, IX. A. B. f. 48 ; 3720, IX. A. B. f. 62; 3301, IX. A. B. f. 65; 2921, IX A. B. f. 67 ; 3371, IX. A. B. f. 74 ; 1928, IX. A. B. f. 78; 752, IX. A. B. f. 86; 3005, X. A. B. e. 1; 3346, XIII. A. B.'a. 1'; 379, XIII. A. B. d. 56; 1665, XIII. A. B. g. 25; 2676, XIII. A. B. g. 67; 536, XIll. A. B. e. 29; 2656, XIV. a! a e' 70; 1974, XIV. A. B.c. 6; 1940, XIV. A. B. c. 19 ; 2801, XIV. A. B. e. 1; 638, XIV. A. B. f. 43 ; 3809, XIV. A B f 46- 2898, XIV. A. B.f. 97; 1732, XIV. A. B. f. 100; 3829, XV. A. A. d. II; 3003, XV. A. B. a. 13; 3891, XV. A B V 17■ 1249, XV. A. B.b. 23; 3735, XV. A. B. b. 47; 2633, XV. A. B. b. 57; 3269, XV. A. B. c. 4 ; 3337, XV. A B c*9- 2108' B.C. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 521 XV. A. B. c. 18; 38, XV. A. b. d. 4; 3436, XV. A. b. d. 58; 3723, XV. A. b. d. 62; 3319, XV. A. b. d. 66; 3468, XV. A. B. d. 71 ; 1582, XV. A. B. d. 78; 858, XV. A. B. d. 104; 4329, XV. A. B. f. 4; 2923, XV. A. B. f. 11; 3320, XV. A. B. f. 23; 3773, XV. A. B. f. 25; 3125, XV. A. B. f. 26; 3883, XV. A. B. f. 37 ; 3129, XV. A. B. g. 9; 2620, XV. A. B. g. 28; 3601, XV. A. B. g. 36; 4242, XV. B. B. f. 1; 1915, XV. B. B. g. 1; 3338, XVI. A. B. b. 1; 3351, XVI. A. B. b. 5; 3007, XVI. A. B. e. 4; 4216, XVI. A. B. f. 85; 2205, XVI. A. B. f. 117; 2415, XVI. A. B. f. 134; 791, XVI. A. b. f. 136; 1702, XVI. A. B. f. 167; 1706, XVI. A. B. h. 1; 2660, XVII. A. B. a. 1; 888, XVIII. II. A. B. a. 23; 2568, XVIII. II. A. B. b. 6; 2616, XVIII. II. A B. c. 3; 873, XVIII. II. A. B. c. 11; 2907, XVIII. II. A. B. c. 14; 4089, XVIII. II. C. A. a. 1; 3498, XVIII. II. C. B. b. 1; 4340, XVIII. II. C. B. b. 2; 1714, XIX. A. B. a. 17; 1066, XXI. A. B. a. 3; 3965, XXII. A. B. b. 5; 2218, XXII. A. B. c. 3; 937, XXV. A. B. b. 158; 2540, XXV. A. B. b. 173. iu. Dry Gangrene. 1760. A wet preparation of the lower half of the right femur with a portion of the soft tissues, after amputation for C. 1. gangrene. A carbine ball passed through the internal lateral portion of the lowest third of the thigh and cut the popliteal artery, which was found, after amputation, filled, above and below the wound, with dark grumous blood. Sergeant G. W. G., "H," 12th Illinois Cavalry, 29: Mitchell's Ford, Va., llth October; admitted hospital, Washington, with diminished sensibility and heat and with discoloration, 13th ; thigh amputated, 29th October; died, 5th December, 1863. Contributed by Acting Assistant Surgeon J. Walsh. For other illustrations, see 3050, XIV. A. B. f. 134; 2236, XV. A. A. d. 28; 2034, XVI. A. B. f. 115; 2114, XVIII. II. A. B. a. 10; 1491, XVIII. II. A. b. a. 26; 1698, XVIII. II. A. b. a. 27; 3971, XVIII. II. A. B. b. 41. B, Not following Gunshot. A. Erysipelas. JJ. Hospital Gangrene. \u. Gangrene. D. Frost-bite. Jli. Reptiles and Insects. £ . Others. A. Erysipelas. 2111. A wet preparation of the left foot, after amputation in the lowest third of the leg for erysipelas involving the A. 1. ankle. The foot is immensely swollen, and the ankle joint, which has been laid open, exhibits erosion by suppuration. Governor T. H. H.: amputated by Surgeon D. W. Bliss, U. S. Vols., Washington. Contributed by the operator. O. Gangrene. 1002. A wet preparation of the middle finger of the left hand, apparently disarticulated at the metacarpal joint for C. 1. gangrene, as seen in the discolored soft tissues. Contributed by Acting Assistant Surgeon George F. Shrady. 1763. A wet preparation of the right thumb, amputated in the metacarpal bone for gangrene following a bite by a comrade. C. 2. Private J. McM., "D," llth U. S. Infantry: bitten in a quarrel, 18th October; admitted hospital, Washington, 4th November; amputated, 6th November, 1863. Recovered. Contributed by Acting Assistant Surgeon W. H. Combs. 66 522 CATALOGUE OF THE SURGICAL SECTION XXIII. 1692. A wet preparation of the thumb of the right hand, amputated through the metacarpal bone for gangrene, probably C. 3. due to the obliteration of the interosseous artery. Private S. M., "A," 122d Ohio, 28: flesh wound of forearm and laceration of interosseous artery, Winchester, 15th June; admitted hospital, Baltimore, 23d; secondary haemorrhage arrested by compression, 25th June; thumb removed for suddenly occurring gangrene, 7th July, 1863. Recovered. Contributed by Surgeon C. W. Jones, U. S. Vols. See 4506, XXVII. B. B. d. 87. For other illustrations, see 1921, XV. C. 3; 2163, XXIII. B. D. 1. _L). Frost-Bite. 2163. A dry specimen of dry gangrene of all the D. 1. toes of both feet following frost-bite. On the left foot the disease extended to the metatarsals. See figure 148. Hospital Steward R. S., 69th Pennsylvania, 49: Stevensburg, 1st January; admitted hospital, Washing- ton, 1st February, 1864, disarticulated; discharged the service, 27th January, 1865. Contributed by Surgeon R. B. Bontecou, U. S. Vols. See class XXIII. B c. 1441. A wet preparation of the right foot, where D. 2. the toes have sloughed after frost-bite and imperfect cicatrization has followed. The first and third metatarsals protrude. Amputation appears to have been performed just above the ankle. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See 1442, XXI. B. B. b. 2, from the same case. FIO. 148. Dry gangrene of both feet after frost-bite. Spec. 2153 939. A wet preparation of two feet, exhibiting the effects of frost-bite. All the toes of the right foot are wanting, D. 3. leaving a well-rounded, completely healed stump, possibly the result of spontaneous amputation. Of the left foot, the second and third phalanges are wanting. The stumps, which are not those of an operation, show granulations not completely cicatrized. G. A., (mulatto,) 38: admitted hospital, with pneumonia, Washington, 9th March; died, 14th March, 1866. Contributed by Dr. S. S. Bond. 1955. A wet preparation of the greater portion of the left foot, with the toes lost and the metatarsals protruding, after D. 4. extensive sloughing following frost-bite received in transportation while debilitated by chronic diarrhoea. Private J. H., " D," 6th Maryland: admitted hospital, unable to endure amputation, Washington, 19th November; died, 7th December, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. 3683. A wet preparation of both feet, illustrating sphacelus from frost-bite, followed by amputation above the malleoli. D. 5. On the left foot the line of demarcation extends over the dorsum about one inch above the head of the first metatarsal to near the base of the fourth metatarsal and thence back nearly to the external malleolus, and on the plantar surface it nearly followed the tarso-metatarsal line. The first metatarsal is denuded and the tendons of the third and fourth exposed. On the right foot the line of demarcation crosses the dorsal surface one inch and the plantar one and a half inches above the metatarso-phalangeal articulation. Private J. W., "E," 7th New York, 60: exposed about 20th—23d January; readmitted hospital, after desertion, Wash- ington, 30th January ; line of demarcation formed, 7th February ; tissues appeared, 8th; amputated by Assistant Surgeon H. Allen, U. S. Army, 10th; died of tetanus, llth February, 1865. Contributed by the operator. 4711. Four small sequestra, after severe frost-bite followed by amputation of both forearms and both legs, (a.) Three- D. 6. sixteenths by three-eighths of an inch is from the stump of the left ulna, (b.) Three-fourths by nearly one inch superficially and one-eighth of an inch thick, with its surface blackened, is from the right patella, (c.) Triangular six by nine-sixteenths is from the left patella, (d.) Three-eighths of an inch in length, from the stump of the right tibia. B. F. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 523 Private B. F., " H," 2d Minnesota Cavalry, 26 : exposed, 11th—17th December, to a snow storm between Forts Wadsworth and Ridgely, in which both hands and forearms were frozen to the middle thirds, both feet and legs to the upper thirds, both knees over and around the patellae and both alae and the tip of the nose; admitted Post Hospital, Fort Ridgely, 24th December, 1865; gangrenous parts of the nose came away, 6th January; refused amputation until the line of demarcation reached the bones; both forearms amputated in the middle thirds, without cutting any blood vessels, by dissecting up the soft tissues and sawing through the bones, by Acting Assistant Surgeon Alfred Muller, 13th ; leg amputated in the upper thirds in like manner, 16th January; this procedure was necessary from the extreme weakness of the patient; sequestrum d came away, 17th April ; a, 22d April; sequestra b and c separated the middle of the same month. The knees healed rapidly, with anchylosis of the patellae. The conical stumps of the four limbs were covered with solid cicatrices and the patient entirely recovered. Discharged by muster-out of his company, 28th April; relieved from treatment, 19th June, 1866. Contributed by the operator. See classes VIBI. B. B. g.; XIV. B. B. k.; XV. B. B. g. 847. The second phalanx of the ring finger, disarticulated for frost-bite. The bone had been previously amputated D. 7. through the shaft near its head. P. S., (colored,) 20: amputated about six weeks after injury by Brevet Lieutenant Colonel Robert Reyburn, Surgeon, U. S. Vols., Washington, 9th January, 1867. Eloped one week afterward, doing well. Contributed by the operator. See class X. B. B. e. 869. Parts of the second phalanx of the second toe and of the metacarpal bone of the great toe, removed for frost bite. D. 8. The extremities are carious after gangrene. The amputations were made through the continuity of the bones. S. C, (colored,) 45: admitted hospital, Washington, 8th January; amputated by Brevet Lieutenant Colonel R Reyburn, Surgeon, U. S. Vols., 28th January, 1867. Contributed by the operator. See class XVII. B. B. e. For other illustrations see 2777, XXI. B. B. b. 3; 2417, XXV. B. B. b. 5. Jjj. Reptiles and Insects. 3743. A wet preparation of the great toe, disarticulated at the metatarsal articulation for ulceration of its extremity E. 1. following the burrowing of the chigoe (jigger). From the case of a Negro at Freedman's Village, a returned colonist from the Island of Avache, West Indies. Contributed by Acting Assistant Surgeon T. N. Calkins. 3742. The extremity of the right foot, amputated at the metatarso-phalangeal articulation for an extensive ulcer occupying B. 2. the second toe, caused by the chigoe (j'gg'er)- The diseased surfaces represent a triangle, nearly three inches in length on each of its sides and half an inch in depth. The disease was in progress sixteen months before amputation. The case of a Negro girl at the Freedman's Village, near Washington, a returned colonist from the Island of Avache, West Indies. Contributed by Acting Assistant Surgeon T. N. Calkins. 3699. A wet preparation of the left foot and the lowest third of the leg, after amputation for extensive chigoe ulcer on E. 3. the outer malleolus. The lesion is about four inches in diameter and has existed sixteen months. From a Negro, aged twenty years, a returned colonist from the Island of Avache, West Indies. Contributed by Acting Assistant Surgeon T. N. Calkins. 3741. A wet preparation of the left foot and lowest third of the leg, after amputation for ulceration following the E. 4. burrowing of chigoe. The ulcer is situated over the tendo-Achillis, is about three inches in diameter by three-fourths of an inch iu depth, and is sixteen months old. From a Negro, aged twenty-one, a returned colonist from the Island of Avache, West Indies. Contributed by Acting Assistant Surgeon T. N. Calkins. r . Others. 870. The lower half of the left leg, amputated for an extensive and long-existing indolent ulcer. The ulcer rests on the F. 1. inner and lower portion of the leg, and embraces a surface of two inches in its smallest and ten inches in its greatest diameter and was the seat of vicarious menstruation. It was very painful, and contraction of the posterior muscles of the leg had induced a condition approximating talipes equinus. 524 CATALOGUE OF THE SURGICAL SECTION, ETC. XXIII. A. N., (mulatto woman,) 25: cause unknown; existed four years; in hospital two years ; at her earnest solicitation, amputated by Brevet Lieutenant Colonel R. Reyburn, Surgeon, U. S. Vols., Washington, 2d January, 1867. Recovered. Contributed by the operator. 896. The left great toe, disarticulated at the metatarso-phalangeal articulation for ulceration following an ingrowing F. 2. nail. The ulcer presents a surface one and a half inches in diameter and is excavated three-fourths of an inch. The nail is greatly distorted. F. D., (colored,) 22: amputated by Brevet Lieutenant Colonel Robert Reyburn, Surgeon, U. S. Vols., Washington, 14th November, 1866. Contributed by the operator. 1084. The left upper extremity, amputated in the highest third of the arm for disease following an old burn. An ulcer F. 3. at the inner aspect of the bend of the elbow covers a length of six inches with an average width of five inches. The brachial artery is occluded, and the diseased surface steadily increased, possibly on account of deficient vascular supply. The ulcer, which had existed for four years resisting all treatment, was very painful, and had involved the olecranon in superficial necrosis. At the time of operation the constitutional condition was bad and abscesses existed in the axilla. A portion of the ulcerated tissue was included in the flap. S. G., (colored woman,) 34: burned at the age of eight years; ulcer broke out at tho age of thirty; admitted hospital, Washington, 27th January; amputated by Brevet Lieutenant Colonel R. Reyburn, Surgeon, U. S. Vols., 20th February, 1867. Contributed by the operator. XXIV. TUMORS NOT INVOLVING BONE. A. Malignant. A. Operated Upon. JJ. Not Operated Upon, a. Scirrhous. b. Encephaloid. c. Epithelial. d. Alveolar and compound. a. Scirrhous. b. Encephaloid. c. Epithelial. d. Alveolar and compound. B. Doubtful. A. Operated Upon. JJ. Not Operated Upon. c. Innocent. A. Operated Upon. B. Not Operated Upon. a. Hypertrophies. b. Cysts. C. Lipomata. d. Others. f a. Hypertrophies. j b. Cysts. j c. Lipomata. I d. Others. XXIV. TUMORS. A Malignant f a. Scirrhous. A. Operated Upon. £ I35S"1' i Epithelial. d. Alveolar and compound. a. Scirrhous. 3689. Scirrhus of the mammary gland, removed by Dr. Alfred Ball from Miss A. B., in 1860. Had not returned three a. 1. years after the operation. The specimen is flattened, with a superficial diameter of four inches and a thickness of nearly two. Contributed by Surgeon H. Culbertson, U. S. Vols. b. Encephaloid. 1572. The right thumb, disarticulated at the carpus for an apparently malignant disease of great volume. b. 1. Case of Private H. H., " A," 108th U. S. Colored Troops : particulars unknown. Contributed by Surgeon W. Watson, U. S. Vols. See class X. C. 2257. The first finger of the left hand, exhibiting a fungus haematodes, for which amputation through the head of the b. 2. metacarpal bone was performed. The tumor is spherical, about an inch in diameter. The disease commenced as a spindle-shaped tumor, which, on incision, yielded only blood and increased rapidly, bleeding copiously on irritation. Private A. A. L., "H," 1st Connecticut Cavalry, 21: tumor first appeared, December, 1863; admitted hospital, Baltimore, 7th March, 1864. Healed after amputation. Contributed by Acting Assistant Surgeon J. J. Neff. See class X. C. c. Epithelial. 99. Epithelioma, one and a half by two inches, removed from the flexor surface of the right forearm directly over the C. 1. median nerve. When recent, the tumor was quite vascular, of a bluish red color, nodulated, with several of the nodules ulcerated and loose. First noticed as a small wart eight years before removal. Grew slowly for seven years and then rapidly increased under the stimulus of caustic applications. J. S., 52: removed, by an oval incision, by Dr. Charles M. Ford, 13th April, 1865. Contributed by the operator. 528 CATALOGUE OF THE SURGICAL SECTION XXIV. B. Doubtful. | A. Operated Upon. I Jj. Not Operated Upon. A. Operated Upon. 2003. A fibrous tumor, two inches in diameter, involving the right parotid gland, which is believed to have been removed A. 1. entire in the extirpation of this body. Private M. S., "D," 66th Ohio: admitted hospital, near Alexandria, 6th August; removed by Surgeon D. P. Smith, U. S. Vols., 22d October, 1863 ; transferred to Veteran Reserve Corps, 1st February, 1864. Contributed by the operator. 1840. An oblate double-lobed tumor, two by three and a half inches after hardening in alcohol, which was removed from A. 2. the breast of a substitute by an elliptical incision, including the nipple. Received, without history, from Acting Assistant Surgeon Stillwell. 676. A fibro-cartilaginous tumor, two by three inches, removed from the right nipple by oval incisions. A 3. Private L. R., 3d New York Provisional Cavalry : tumor one inch in diameter, noticed November, 1863; excised by Surgeon J. M. Homiston, 3d New York Provisional Cavalry, 25th January, 1865; wound healed by the first intention ; no return of the disease, 16th August, 1865. Contributed by the operator. 2804. A flattened tumor, four and a half inches in its greatest diameter in its hardened condition in alcohol, removed A. 4. from the anterior and right [left] side of the neck, where it lay upon the bodies of the cervical vertebrae. In its recent state the tumor was the size of a child's head a year old. "The trachea and oesophagus lay on the right side of the neck, embedded among the enlarged glands. The carotid artery on the left side was greatly dislocated, being pushed backwards and outwards so as to be seen and felt pulsating behind the line of the left ear." Mr. S., (civilian,) 57: near Murfreesboro', Tenn.; tumor of thirty years' growth, increasing more rapidly the last fifteen years ; '' pale and feeble, had been unable to take nourishment and his breathing had become very much impeded for several days;" the large tumor and several smaller ones removed, at the patient's urgent request, by Surgeon I. Moses, U. S. Vols.; " lost very little blood, but did not seem to bear the chloroform well; in fact it was necessary to get up the influence several times; respiration actually ceased for some seconds during the operation. He seemed to rally well." » * # "He lost strength and died eight hours after the operation, 10th March, 1863." Contributed by the operator. 3119. A somewhat flattened fibrous tumor, about three inches in diameter when recent, of twenty-five years' standing, A. 5. removed from the inner aspect of the right thigh just above the knee. During the last three years only it occasioned some pain. M. S., (colored woman,) 50: removed by Brevet Lieutenant Colonel R. Reyburn, Surgeon, U. S. Vols., Washington, 20th March, 1867. Contributed by the operator. JJ. Not Operated Upon. 3317. A wet preparation of integument, understood to be from the abdominal parietes, with an egg-shaped tumor nearly B. 1. two inches in length attached. Contributor and history unknown. C. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 529 \jt Innocent. !a. Hypertrophies. b. Cysts. c. Lipomata. d. Others. a. Hypertrophies. 1823. An enlarged tonsil, excised by Assistant Surgeon T. C. Brainerd, U. S. Army. a. 1. Contributed by the operator. 2608. An oblong flattened tumor, two and one-fourth inches in length by two in breadth and one in thickness, being an a. 2. enlarged lymphatic gland removed from the outer margin of the sterno-cleido-mastoid muscle near its centre. The growth was of fourteen years. During the last two years it increased rapidly, as the patient thought, from the irritation of the knapsack straps which pressed just below the gland. Private B. H., "D," 28th Massachusetts: removed, Philadelphia, 15th October, 1863. Contributed by Acting Assistant Surgeon D. Kennedy. 4038. An oblong neuroma, one inch in length, dissected off the median nerve after a flesh wound. a. 3. Private B. K., "A," 1st Delaware Cavalry: Edward's Ferry, Va., 15th February; extirpated, with temporary relief, by Acting Assistant Surgeon H. E. Woodbury, Washington, 3d April; ulnar nerve "separated," 7th; amputated in the arm by Surgeon D. W. Bliss, U. S. Vols., 10th; died from pyaemia, 28th April, 1865. Contributed by Surgeon D. W. Bliss, U. S. Vols. See 4095, XXI. A. B. b. 17; 4056, XXIV. C. A. a. 5. 2864. An ovid tumor, an inch and a quarter by an inch in size, connected with the external cutaneous nerve of the a. 4. left thigh, which caused great inconvenience and suffering. A similar one was removed from the internal saphenous nerve. Sergeant----A., "I," 12th Veteran Reserve Corps : successfully removed by Assistant Surgeon Alex. Ingram, U. S. Army, Washington, 13th April, 1864. Contributed by the operator. 4056. A wet preparation of portions of the median and ulnar nerves, with adjacent soft tissues, after amputation for a. 5. neuralgia following a flesh wound of the right forearm. Upon each of the nerves a slight neuromatous enlargement is noticeable. Private B. E. K., "A," 1st Delaware Cavalry: flesh wound near the elbow, Edward's Ferry, Va., 15th February ; neuroma removed from the ulnar nerve, Washington, 3d April; ulnar cut through, 7th; amputated in the forearm by Surgeon D. W. Bliss, U. S. Vols., 10th ; died of pyaemia, 28th April, 1865. Contributed by the operator. See 4095, XXI. A. b. b. 17; 4038, XXIV. C. A. a. 3. For other illustrations, see 3654, XX. C. A. 3; 2157, XXV. C. B. 1. b. Cysts. 3762. A wet preparation or polypus nasi, removed from the left nostril by twisting the pedicle which was attached to b. 1. the vomer. "The size upon removal was two and a half inches in length and one and a half in breadth, much resembling a large oyster. Incapsulated, containing a glucose matter, having on the extreme surface three fibrous spots the size of a lint seed." Private H. C. B., "H," 1st Rhode Island Light Artillery: removed in the field by Assistant Surgeon Fred. Wolf, U. S. Vols., February, 1865. Recovered. Contributed by the operator. c. Lipomata. 1194. A flattened fatty tumor, an inch and one-iourth in its superficial diameter. c. 1. Contributor and history unknown. 67 530 CATALOGUE OF THE SURGICAL SECTION, ETC. XXIV. 3692. A flattened adipose tumor, three inches in length by one and a halt in width and half an inch in thickness, c. 2. removed by enucleation after a simple incision from over the outer border of the trapezius opposite the fifth cervical vertebra. Mrs. D----: cause unknown. Recovered. Contributed by Surgeon H. Culbertson, U. S. Vols. 3688. An oblong, flattened, adipose tumor, somewhat lobulated, measuring three by three and a half inches, removed C. 3. by enucleation from over the left scapula of J. P. in the fall of 1859. Contributed by Surgeon H. Culbertson, U. S. Vols. 2603. A flattened fatty tumor, three inches in its greater diameter by an inch and one-fourth in thickness, which weighed c. 4. eight ounces when recent. It was removed from between the inferior angles of the scapulae by dissecting out tbe sac after a vertical incision of two inches through the skin. Private J. C, "F," 148th Pennsylvania, 47 : removed, Philadelphia, 18th November, 1863. Healed by the first intention. Contributed by Acting Assistant Surgeon C. B. King. 3256. A flattened, ovid, adipose tumor of three by three and a half inches, removed from over the spine of the right c. 5. scapula, where it followed a contusion. Sergeant H. A. B., "H," 58th Massachusetts, 20 : contused, Petersburg, 4th July; admitted hospital, Washington, 1st August; removed by Acting Assistant Surgeon A. Wansure, 22d September; returned to duty, 9th December, 1864. Contributed by the operator. 4180. A lobulated fatty tumor, of four years' growth, three and a half inches in its greatest length and two and a half C. 6. inches at its widest portion, removed from the acromial region. It lay beneath the skin in contact with but not attached to the deltoid muscle. Healed by the first intention. Removed from a laundress employed at Stanton Hospital, Washington, by Surgeon B. B. Wilson, U. S. Vols., February, 1866. Contributed by the operator. d. Others. For illustrations, see 91, XX. C. A. 5; 4210, XXVI. B. a. 19. f a. Hypertrophies. B. Not operated upon. < £ £f^mata. L d. Others. b. Cysts. 3124. A wet preparation of a multilocular cystic tumor of the right thyroid body, two by four inches in its greater b. 1. diameters. The left side was normal. Private A. F., "C," 2d Veteran Reserve Corps, 43: died from apoplexy, Washington, 25th August, 1864. Contributed by Acting Assistant Surgeon H. M. Dean. d. Others. For illustrations, see 2632, VII. C. 2. XXV. CASTS. A. After Gunshot. A., Injuries. JJ. Operations. a. Head and neck. b. Upper extremities. C. Trunk. d. Lower extremities. f a. Excisions ! b. Amputations. j c. Illustrating plastic operations. I. d. Other operations. B. Not after Gunshot. A. Injuries. JJ. Operations. a. Head and neck. b. Upper extremities. c. Trunk. I d. Lower extremities. 1 a. Excisions. b. Amputations. c. Illustrating plastic operations d. Other operations. c, Of Disease and Mal- formation. A. Operated Upon. Jj. Without Operation. XXV. CASTS. IJLi After Gunshot. f a. Head and neck. A. Injuries. J b- UpP^r extremities. L d. Lower extremities, a. Head and Neck. 1567. A cast, designed to exhibit the effect of paralysis of the seventh pair of nerves on the left side from gunshot a. 1. injury of the face. The lesion is so slight that it is not clearly shown. Private J. C. D., "E," 71st Pennsylvania, 19: Gettysburg, 3d July, 1863; discharged the service, 2d July, 1864. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 1816. A cast of the face, showing paralysis of the left side following a wound by a conoidal ball which entered beneath a. 2. tEe left orbit near the infra-orbital foramen, fractured the lower portion of the malar bone and emerged below the left mastoid process. The cicatrix of the wound of entrance, slightly depressed, is very noticeable. The expression is characteristic. The wound remained painful and the saliva mingled with the discharge of the posterior wound. Private W. S., "D," 7th Wisconsin: Gettysburg, 1st July, 1863; transferred West for muster-out, 30th September, 1864. Cast made in Philadelphia. Received from Turner's Lane Hospital. 1401. A cast of the faee, with the left angle of the mouth extended by a wound from a fragment of shell. The wound a. 3. curves outward and backward towards the ear, and the posterior portion has united as far forward as the last molar tooth. From this point to the angle of the mouth the edges have cicatrized separately, the inferior edge being thickened and rolled outward, while the upper edge is turned in and adherent to the superior maxilla. Private J. C. J., "A," 61st Pennsylvania, 18: Spottsylvania, llth May, 1864; cast made in Pittsburg; discharged the service, 20th April, 1865. Contributed by Surgeon James Bryan, U. S. Vols. 1554. A cast of the head, showing deformity resulting from gunshot wound of the face. A conoidal ball entered one a. 4. inch below the internal angle of the left eye and passed across to the right side of the neck, fracturing the hard palate and inferior maxilla. The cicatrix of the wound of entrance is small and depressed. The right side of the face is much tumefied, the swelling occupying the malar region and angle of the lower jaw. The right corner of the mouth is depressed and slightly open. Private J. A. S., " C," 98th Pennsylvania, 24: Second Fredericksburg, 3d May; transferred to Veteran Reserve Corps, 4th November, 1863. Cast made in Philadelphia. Contributed by Acting Assistant Surgeons C. Carter and C. B. King. See 4518, XXVII. B. B. d. 112. b. Upper Extremities. 1817. A cast of the left hand in a semi-flexed position. There is nothing noticeable in the specimen beyond a depression b. 1. between the metacarpals of the thumb and index finger. The history describes a wound of the ulnar nerve above the elbow which resulted in atrophy and partial loss of use of the hypothenar interosseus, two ulnar lumbricales, adductor pollicis and the ulnar head of the flexor brevis pollicis. Private S. D. B., "B," 144th Pennsylvania. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 534 CATALOGUE OF THE SURGICAL SECTION XXV. 4379. A cast of the left hand and forearm, apparently representing a dislocation of the ulna at the carpus. The history, b. 2. however, describes an excision of the ulna, but at what point the specimen does not show. Private J. R., "M," 10th New York Cavalry, 19: Gettysburg, 3d July, 1863; discharged from hospital, 15th March, 1864. Contributed by Acting Assistant Surgeon G. F. Shrady. See class XXV. A. i». a. 1357. A cast of the left hand and forearm, six months after fracture of the lowest third ot the forearm. The hand is b. 3. turned toward the radial side, as though anchylosed after dislocation. Private G W. Van V., "H," 128th New York: Cane River, La., 23d April; transferred to Veteran Reserve Corps, 20th October, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1390. A cast of the left forearm and hand, eighteen months after gunshot fracture ot the radius in the lowest third. b. 4. There is a pitted cicatrix, as if of the wound of entrance, but none for the escape of the missile. The dorsal surface is swollen and the wrist appears anchylosed. Sergeant P. B. D., "L," 6th Pennsylvania Cavalry, 25: Brandy Station, 9th June, 1863; cast made in Philadelphia; transferred to Veteran Reserve Corps, 25th March, 1865. Contributed by Acting Assistant Surgeon C. B. King. 175. A cast of the right elbow and forearm. The elbow is reported fractured by a conoidal ball. The joint is much b. 5. swollen and on the outer surface presents four nipple-like prominences, evidently the mouths of sinuses leading to necrosed bone within. It seems impossible that recovery could occur without an operation, but the history ceases abruptly. Private O. B., "F," 20th Maine, 26: Poplar Grove, Va., 30th September, 1864 ; discharged the service, Washington, 2d June, 1865. Contributed by Surgeon J. C. McKee, U. S. Army. 1434. A cast of portions of the right arm and forearm, showing a wound and probable fracture of the humerus above the b. 6. elbow. There is an oblique cicatrix on the anterior face and a slight prominence, as if from a consolidated fracture. Private P. F., "G," 42d New York, 25: Chancellorsville, 2d May, 1863 ; discharged, 2d July, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 308. A cast of the right thorax, fifteen months after fracture of the clavicle in the middle third. There are two cicatrices, b. 7. an inch and a half apart, in the long axis of the bone, between which the united bone is enlarged to the size of half a walnut. Private J. Q., "E," 9th New York Cavalry: Winchester, 8th June, 1863; cast made in New York; discharged, 1st October, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. See 4332, IV. B. B. b. 1. 1654. A rude plaster cast of the right hand and lower half of the forearm, representing an anchylosed wrist nine months b. 8. after injury. A conoidal ball struck the inner border of the right hand and the first, third and fourth metacarpal bones. The hand became much swollen and abscesses discharged through six openings in the hand, wrist and forearm, controlled by injections of permanganates and bandaging. Private M. W., " K," 86th Indiana, 21: Mission Ridge, 25th November; admitted hospital, Nashville, 2d December, 1863; wristfirmly anchylosed with limited motion of fingers, March ; cast taken, 5th August, 1864. Contributed by Acting Assistant Surgeon H. C. May. 1774. An indifferent plaster cast of the left shoulder, which is depressed, after fracture by a bullet that entered over the b. 9. superior border of the acromion, passed downward and inward, "fracturing the glenoid cavity and head of the humerus," and escaped two inches from the elbow. Private P. D., "D," 8th New Jersey, 29: Petersburg, 9th December; admitted hospital, Baltimore, 26th December, 1864. Healed about six weeks after admission. Contributed by Acting Assistant Surgeon B. B. Miles. c. Trunk. 3403. A cast of the anterior thorax, showing a granulating wound, as if by shell, three inches in diameter near the c. 1. middle. The cast represents it very florid and vascular. The integument ceases with thickened edges at its border. The history is very imperfect. Private M. T., " H," 10th U. S. Infantry : Gettysburg, 2d July ; admitted hospital, New York, 26th September, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. A. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 535 2279. A cast of the abdomen, showing abdominal hernia after gunshot. The ball struck three inches to the left of the c. 2. umbilicus. The wound healed rapidly leaving no cicatrix, but was followed by a tumor, three inches in its trans- verse diameter and half au inch in prominence, in consequence of the weakening of the abdominal walls. Private W. W. W., " D," 7th New York Artillery, 38: Wilderness, 5th May, 1864 ; cast made in Albany; discharged, 31st March, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. d. Lower Extremities. 4051. A cast of the outer portion of the left hip, after a gunshot fracture below the trochanter major. There is a nipple- d. 1. shaped prominence in the superior portion. A broad cicatrix, resembling the scar of a burn, is crossed at right angles by a narrower similar one. The history is exceedingly imperfect. Private P. R., " A," 10th New York, 22 : Cold Harbor, 3d June, 1864. Cast made in Washington. Contributed by Assistant Surgeon J. C. McKee, U. S. Army. 1418. A cast of the left thigh, two and a half years after gunshot fracture of the femur. There are several cicatrices, d. 2. two on the posterior and anterior faces appearing to be of the wounds of entrance and exit, and the others of subsequent abscesses. The ultimate result was union with three inches shortening, without ability to support much weight. Private G. B., company and regiment unknown, 21: Second Bull Run, 28th August; treated by Buck's apparatus; discharged, 1st December, 1862; wound healed, July, 1863; enlisted, 132d Company Veteran Reserve Corps, llth March, 1864[; abscesses and sloughing occurred during 1864 ; healed, 20th January; discharged, 15th February, 1865. Cast made at Frederick. Contributed by Acting Assistant Surgeon T. O. Cornish. 36. A cast of the right leg, made four and a half years after the injury and showing the result of a shell bruise ou the d. 3. anterior surface of the middle third. A prominence extends over the tibia, as though caused by the effusion of callus, and the summit is crowned by an indolent ulcer. The wound never received nor required active treatment, has caused no pain for a long time, and does not interfere with the daily outdoor occupation of the subject. The man is some- what lame from a loss of a portion of the heel in the same battle. Private J. H. L., 1st Virginia Battalion (Rebel): First Bull Run, 21st July, 1861. Cast made in Washington, winter of 1865-6. Contributed by Hospital Steward E. F. Schafhirt, U. S. Army. 3111. A cast of the left foot, showing the healed wounds of entrance and exit of a bullet that passed transversely through d. 4. the metatarsals causing slight lameness. Private P. H., " I," 26th Pennsylvania: Second Bull Run, 29th August, 1862. Cast made in Philadelphia. Contributed by.Assistant Surgeon C. H. Alden, U. S. Army. 933. A cast of the right foot, showing the great toe strongly flexed, the result of a bullet entering below and anteriorly d. 5. to the outer malleolus and escaping in the sole near the base of the great toe. The other toes are also flexed, but not to the same degree nor in the same manner. Private J. H. M., "B," 52d New York: Spottsylvania, 12th May, 1864. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 561. A cast of the left foot and ankle. The ankle is immensely swollen as the result of gunshot directly through the d. 6. malleoli. Contributor and history unknown. 1356. A cast of the left thigh, fifteen months after fracture in the middle third, showing union with shortening and d. 7. distortion. The history affords no particulars of treatment. Private J. H. G., "E," 14th New York Heavy Artillery, 46: Walnut Grove, Va., 1st June, 1864; discharged the service, Albany, 2d October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 536 CATALOGUE OF THE SURGICAL SECTION XXV. B. ia. Excisions. b. Amputations c. Illustrating i d. Other operati Illustrating plastic operations. d. Other operations. a. Excisions. 4378. A cast of the right hand and forearm, showing the result of primary excision of two and three-fourths inches of a. 1. the shaft of the radius for gunshot fracture. There is a depressed cicatrix about two inches above the carpal articu- lation. The hand is inclined to the radial side and the forearm is somewhat atrophied. Corporal P. W., "C," 6th New Hampshire, 21: Wilderness, 12th May, 1864; excision apparatus furnished, 10th July, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4365. A cast of the right forearm, three months after primary excision of three inches from the middle third of the ulna. a. 2. There is some depression near the middle of the wound, but little deformity. Private C. O'N., "F," 10th New York, 35: Wilderness, 10th May; cast made in New York; discharged the service, llth August, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2761. A cast of the left forearm, six months after an excision of a portion of the radius in the lowest third. A broad a. 3. oblique cicatrix extends over the dorsal surface, the line at the point of injury is depressed and union has probably not occurred. Private W. H. G., " C," 91st New York, 18: South Side R. R., 31st March ; cast made in Albany; discharged the service, 3d October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 2386. A cast of the left forearm, ten months after fracture of the ulna at the lowest third. A cicatrix, nearly two inches a. 4. long by one-fourth of an inch deep, marks where fragments have been removed and where it is probable union has not occurred. The muscular portion of the lower half of the forearm atrophied. Private T. C, "A," 131st New York, 45: Port Hudson, La., 27th May, 1863; admitted hospital, New York, 4th January; discharged the service, 9th April 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4360. A cast of the left forearm, one year after excision of four inches from the upper third of the ulna. The cicatrix a. 5. is not depressed. The wound of entrance is observable on the radial side. There is some atrophy, and the history reports the arm shortened three and a half inches. The elbow is intact. Sergeant A. R., "B," 6th New York Cavalry, 16: Smithfield, Va., 29th August, 1864 ; transferred to the Veteran Reserve Corps, 21st August, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 3238. A cast of a very successful primary excision of the elbow. The olecranon was shattered and the heads of the a. 6. ulna and radius were removed with the condyles of the humerus. Recovery occurred with only the impairment of extreme flexion. The specimen represents the arm nearly flexed without deformity. Private W. S. D., "G," 60th Georgia, (Rebel,) 18: Monocaey, 9th July; excised by Surgeon Graves, Rebel Army; admitted hospital, Frederick, 10th July; transferred to Baltimore, 7th November, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 3949, VII. A. B. d. 8. 2630. A cast of the right elbow partially flexed, after primary excision of two and a half inches of the shaft of the a. 7. humerus from the lowest third, involving the joint. The cicatrix is six inches in length. There is shortening and probably anchylosis as represented. Captain J. C, "F," 91st New York, 62: Port Hudson, La., 27th May; excised, New Orleans, 31st May; granted leave ot absence, 1st July, 1863. Cast probably made in Albany. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 2570. A cast of the left elbow, after removal of the bony articulation following the passage ot a bullet through the joint. a. 8. The arm is semi-flexed in the specimen, and that amount of motion is attainable in it. Private J. H., 2d North Carolina, (Rebel,) 40: Gettysburg, 2d July, 1863; transferred to Baltimore, 5th May, 1864. Contributed by Acting Assistant Surgeon J. C. Shimer. See 3912, VII. A. B. d. 59. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 537 4026. A cast of the right elbow, nearly three years after the excision of a number of fragments. An irregular transverse a. 9. cicatrix extends across the dorsal surface just below the articulation. The joint is anchylosed and in a semi-flexed position, but is perfectly strong and otherwise useful. Private E. T. P., "E," 2d New Hampshire: Gettysburg, 2d July; excised, Baltimore, October, 1863; transferred to Veteran Reserve Corps, 8th March, 1864 ; cast made at Army Medical Museum, where subject was on duty, July, 1866. Contributed by Hospital Steward E. F. Schafhirt, U. S. Army. 2431. A plaster cast, showing the result of the primary removal of a portion of the left humerus six months after fracture. a. 10. Upon the outer surface of the arm, near the junction of the upper and middle thirds, is a small nipple-like protuberance, as if of granulations enclosing a sinus. No cicatrix of incision is apparent, and the operation probably consisted in the removal of fragments. The arm is nearly normal in appearance, but slightly atrophied. Corporal E. M. B., "H," 8th New York Cavalry, 19: Five Forks, Va., 1st April; admitted hospital, Albany, llth July; transferred, 28th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 289. A cast of the right thorax and arm, showing the result sixteen months after primary excision of three inches of a. 11. the shaft of the humerus at the junction of the upper thirds. The cicatrix, an inch and a half in length, is three- fourths of an inch deep. The arm is somewhat atrophied at that point and osseous union does not appear to have occurred. Private A. J., "F," 112th New York, 24: Cold Harbor, 3d June, 1864; cast made in Albany; discharged, 21st October, 1864. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 2433. A cast of the left thorax and arm, ten months after a primary excision of three inches of the upper third of the a. 12. shaft of the humerus. The bullet appears to have entered posteriorly two inches below the summit of the shoulder, and to have passed out anteriorly just above the outer fold of the axilla. The incision is six inches in length and the cicatrix broad and irregular. The arm is somewhat atrophied at the junction of the upper thirds. It is not known whether union occurred. First Sergeant J. H. P., "F," 142d New York, 23: Darbytown Road, Va., 27th October, 1864; cast made in Albany; discharged the service, 22d September, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1805. A cast showing the result of excision of three inches of the shaft of the right humerus fractured by gunshot. a. 13. The cicatrix of the incision through the soft parts is on the middle of the posterior surface of the arm and is four inches in length. The arm is slightly curved, the concavity being in front and within, and is smaller in the centre, the muscles about the shoulder and elbow retaining their fulness, which give the limb a somewhat dumb-bell-shaped appearance. It is doubtful whether union has occurred. Private C. A. F., " K," 60th New York, 21: wounded and excised, Atlanta, Ga., 25th July, 1864 ; cast made in Albany, July, 1865; mustered out of service, 31st August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4381. A cast showing the result of fracture of the left elbow and primary excision of three and a half inches of the a. 14. humerus at the lowest third. There is a deep irregular cicatrix on the outer side of the elbow. The arm is shortened one and three-fourths inches. The functions of the hand and forearm are well performed. Sergeant G. C. G., "F," 32d Massachusetts : Cold Harbor, 30th May, 1864; excision-apparatus applied, llth August, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2845. A cast of the right arm, showing the result of primary excision in the upper part of the humerus. The head and a. 15. about four inches of the shaft appear to have been removed. A broad, nearly straight cicatrix on the posterior surface of the arm embraces the wound of exit. A small cicatrix on the anterior surface involves the wound of entrance. The comminuted bone has evidently been removed through enlargement of the wounds caused by the missiles. There appears to be no bony union at the seat of the operation. The shoulder is moderately full. Private S. C. A., "B," 93d New York: Spottsylvania, 10th May; cast made in Albany; discharged the service, 30th May, 1864. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1480. A cast of the left arm, four months after an excision of four inches of the shaft of the humerus, including fragments, a. 16. for fracture by a conoidal ball. The incision was straight and five inches in length, commencing two inches below the acromion. The cast represents the cicatrix broad and somewhat irregular, with what appears a sinus at the lower extremity. The arm is shortened one inch. Sergeant J. S. P., " G," 14th Virginia Cavalry, 25: Monocaey, 9th July; excised by Acting Assistant Surgeon J. Dunott, 12th July; transferred to Baltimore, 10th December, 1864. Contributed by Acting Assistant Surgeon T. E. Mitchell. See 3937, VI. A. A. c. 11. 08 538 CATALOGUE OF THE SURGICAL SECTION XXV. 2346. An indifferent plaster cast of the right arm, fifteen months after primary excision of five inches of the upper a. 17. portion of the humerus. The arm is reported shortened only half an inch. It is much atrophied at the point of operation. The incision is a straight one down its anterior face. The use of the forearm remains. Private E. H. C, "A," 75th New York: Port Hudson, La., 27th May, 1863 ; recovered and remained on duty as hospital attendant in the regiment; admitted hospital for slight bruise, Frederick, 29th August, 1864. Contributed by Acting Assistant Surgeon E. R. Ould. 4363. A cast of the right thorax and arm, after excision of three inches from the upper shaft of the humerus by a U-shaped a. 18. incision, base upward. The deltoid is destroyed and the parts are much atrophied. The functions of the forearm remain unimpaired. Private E. C. M., "D," 13th New Hampshire, 43: Chapin's Farm, Va., 30th September, 1864 ; admitted hospital, New York, 20th April, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 384. A cast of the right thorax and arm, eleven months after the excision of four inches from the upper extremity of a. 19. the humerus. The cicatrix is six inches in length, is parallel with the long axis of the arm, and has split the deltoid. The position whence the head of the humerus was removed is marked by a decided depression. Corporal R. F., " C," 7th New York Heavy Artillery, 27 : Cold Harbor, 8th June; excised, 18th June, 1864; cast taken in Albany; discharged, 16th May, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 3233. A cast of the right thorax and arm, showing the result of a primary excision of the head of the humerus nearly a. 20. a year after the injury. The wound of incision was, for six inches, parallel to the biceps tendon, joined by a smaller one from the wound of injury, making the whole Y-shaped. The cicatrix is about three inches in length and quite deep. Necrosed fragments were removed from time to time. The upper extremity of the humerus is not drawn under the coracoid process and the arm is three-fourths of an inch shorter than its fellow. Private D. N., Knapp's Pennsylvania Battery, 23 : Wahatchie Valley, Tenn., 28th October ; excised by Surgeon McMahon, 64th Ohio, Chattanooga, 30th October, 1863 ; cast made in New York; transferred to Veteran Reserve Corps, 20th October, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4203. A cast of the left shoulder, about one year after a primary excision of the head of the humerus. There are two a. 21. large circular cicatrices on the anterior face of the upper portion of the arm, which is somewhat flattened but not otherwise deformed. Private T. D., " K," 123d New York, 20: Peach Tree Creek, Ga , 20th July, 1864 ; cast made in Albany; discharged the service, 29th July, 1865. Contributed by Acting Assistant Surgeon J. H. Armsby, U. S. Vols. 1370. A cast of the right arm, five months after primary excision of the head and three inches of the shaft through a a. 22. straight excision. There is a depiession marked, as if with ulceration, just below the clavicle, aud the shoulder is somewhat flattened. Ligamentous union exists between the extremity of the bone and the glenoid cavity. Free backward and forward motion but none laterally exists. Private J. S. K., "H," 8th New York Cavalry, 19: Shepherdstown, Va., 25th August; admitted hospital, Frederick, 29th August, 1864 ; discharged, 3d February, 1865. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 674, XXV. A. B. a. 23. 674. A cast of the right arm, five months after primary excision of the head and three inches of the shaft of the humerus a. 23. by a straight excision through the deltoid. The cicatrix is deeply depressed and no bony union has been made. The history represents ligamentous union to have occurred between the end of the bone and the glenoid cavity. The arm is shortened about an inch. There is a cicatrix, as if of a bullet wound, near the extremity of the clavicle. There is no lateral motion in the arm, but the forearm moves freely. Private J. S. K., " H," 8th New York Cavalry, 19: Shepherdstown, 25th August, 1864; discharged the service, Frederick, 3d February. 1865. Contributed by Acting Assistant Surgeon T. O. Cornish. See 1370, XXV. A. B. a. 22. 4356. A cast of the right shoulder, one year after a primary excision of the head of the humerus through a longitudinal a. 24. incision of four inches splitting the deltoid. The upper portion of the shaft was also removed. The arm is contracted and without control. Private P. C, " H," 13th New Jersey, 43 : Atlanta, 30th July, 1864 ; cast made in New York; discharged the service, 20th September, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 539 4326. A cast of the left thorax and arm, about ten months after a primary excision of the head and five inches of the a. 25. shaft of the humerus. The incision is on the anterior face and is four inches in length. The shoulder has lost none of its prominence and, except in the line of the cicatrix, the wounded limb is well rounded. Corporal J. H. J., " B," 143d New York, 31: Peach Tree Creek, Ga., 20th July, 1864 ; cast taken in New York; discharged the service, 18th June, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1778. A cast of the left shoulder, after excision of the head and about two and a half inches of the shaft. Two a. 26. cicatrices, one over the second rib and one on the posterior part of the arm, represent the wounds of entrance and exit. The cicatrix of the operation is straight, three and a half inches in length on the anterior face of the arm and parallel with it. The shoulder presents its usual prominence. Private E. V., 120th New York: Chancellorsville, 3d May, 1863. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2530. A cast of the right leg, fifteen months after primary resection of one and a half inches of the tibia in the upper a. 27. third. The limb is much wasted, and ossific union does not appear to have occurred. The knee was anchylosed when discharged. Private P. R., "K," 9th Connecticut: Madisonville, 5th January, 1864; excised by Surgeon Thompson, 12th Maine, the next day; discharged the service, 17th May, 1865; apparatus for resection furnished, 29th June, 1865. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 2552. A plaster cast of the left leg, fourteen months after removal from the upper third of four inches of the tibia. a. 28. The cicatrix is well united and depressed from one-fourth to half an inch below the ordinary level. The limb is well rounded, but the bone does not appear to have been replaced. A cast of four inches of the tibia is attached, but, being apparently normal, cannot fairly represent the excised portion which was comminuted by a conoidal ball. Private D. N. G., "D," 102d New York, 21: wounded and excised, Dallas, Ga., 27th May, 1864; cast made at Albany, summer of 1865; discharged the service, 18th August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 2414. A cast of the left foot, three months after excision of the os calcis for fracture by a conoidal ball five months a. 29. previously. There is little diminution of bulk,' and, at the time represented, with a pad in the shoe the subject could walk without a cane. Sergeant T. C. B., "C," 81st Pennsylvania, 16: Fredericksburg, 13th December, 1862 ; excised by Assistant Surgeon C. R. Greenleaf, U. S. Army, Philadelphia, 16th May; cast made, 16th August, 1862. Contributed by the operator. 3139. A cast of the left foot much swollen, (and with apparent dislocation at the inner malleolus,) showing a cicatrix on a. 30. the outer side of the calcaneum, where the foot was wounded and whence a portion of the bone was removed. Private T. I., "H," llth Pennsylvania Reserves : Antietam, 17th September, 1862; a lateral portion, embracing the diseased part, was removed by Assistant Surgeon C. H. Alden, U. S. Army, Philadelphia, 5th November, 1863. Contributed by Acting Assistant Surgeon C. B. King. 4699. A plaster cast of the left arm, showing the cicatrix and general condition of the limb three years after a primary a. 31. excision of the upper third of the humerus. There is shortening but no atrophy of the limb and the cicatrix is firm and sound. The limb is quite useful. Private J. T. R., "C," 6th New York Cavalry, 22: Culpeper, Va., llth October, 1863; primarily excised by Surgeon D. W. Bliss, U. S. Vols., Washington. When the cast was made, October, 1866, this man was an Orderly at the Museum. Taken and contributed by Hospital Steward E. F. Schafhirt, U. S. Army. See 1738, V. A. A. c. 43. For other illustrations, see 4379, XXV. A. A. b. 2; 2786, XXV. A. B. b. 16. b. Amputations. 2524. A cast of the right hand, showing the middle finger amputated at the first phalangeal articulation. The stump b. 1. is a little puffy. Private W. A. B., "B," 2d New York Artillery, 42: Cold Harbor, 3d June; amputated, 4th June, 1864; cast made in Albany; discharged 26th May, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1508. A cast of the left hand, from which the index finger has been primarily removed. The cicatrix is smooth and well b. 2. healed. Private A. A. R., "C," 140th Pennsylvania, 21: Spottsylvania, 12th May; transferred to Veteran Reserve Corps, 8th October, 1864. Cast made in Pittsburgh. Contributed by Surgeon James Bryan, U. S. Vols. 540 CATALOGUE OF THE SURGICAL SECTION XXV. 1826. A cast in wax of the left hand, from which the second finger has been removed at the metacarpal articulation. b. 3. The wound has healed very smoothly. Cast made at Pittsburgh. Contributed by Surgeon James Bryan, U. S. Vols. 2436. A cast of the stump of the right hand, one year after amputation of the first and second fingers through the second b. 4. phalanges. The stumps are well covered. Private C. C.,- " F," 7th New York Heavy Artillery, 28 : Spottsylvania, 19th May ; amputated, 23d May, 1864 ; cast made in Albany ; deserted from hospital, 31st August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 307. A cast of the left hand, four months after amputation of the first two fingers through the first phalanges. The b. 5. flaps, which were made from the palmar surfaces, are somewhat baggy. Private B. B. C, "G," 2d New York Cavalry, 23: Fort Blakely, Ala., 31st March ; amputated, 4th April; cast made in Albany; discharged, 17th August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 3825. A cast of the left hand, from which the fourth finger has been amputated for gangrene after fracture. The cicatrix b. 6. is very smooth, and the usefulness of the member seems little impaired. Private A. La R., "H," 98th New York, 23: James River, 15th June; amputated, 8th July, 1864; on duty, 138th Company, 2d Battalion, Veteran Reserve Corps, 9th June, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1566. A cast of the left hand, with the first three fingers primarily amputated through the first phalanges for fracture by b. 7. a bullet. The cicatrices are well healed. Private W. M. S., "K," 121st New York, 29: Spottsylvania, 10th May, 1864; cast made in Albany; discharged, 24th August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 2955. A cast of the left hand, eleven months after primary amputation of the first three fingers at the metacarpal articulation. b. 8. The cicatrix is transverse and the flap made from the palm is well coapted. Private C. R., "B," 2d New York Artillery, 33: Petersburg, 30th June, 1864; cast made in Albany; discharged, 12th June, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4027. A cast of the left hand, three months after reamputation through the first phalangeal joint of the index and the b. 9. first phalanges of the middle and ring fingers for gangrene attacking primary amputation. Private E. S., " H," 119th New York, 21: Lost Mountain, Ga., 16th June; primary amputation through second phalangeal articulations; cast made in New York; healed, 19th September, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4380. A cast of the left hand, from which the first three fingers have been primarily amputated and in which the b. 10. metacarpus was fractured. The stump after the amputation is well rounded. The cicatrix of the metacarpus, which is irregular, is depressed. The palm is somewhat puffy. Private P. C, "D," 88th New York, 30: Wilderness, 12th May, 1864; cast made in New York ; discharged, 5th June, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2954. A cast of the left hand, eight months after primary amputation of the second finger through the head of the b. 11. metacarpal bone for fracture by a bullet. The hand, as represented, appears very useful. Private H. L., "I," 44th New York, 26: Wilderness, 5th May, 1864; cast made in Albany; transferred to Veteran Reserve Corps, 20th January, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4177. A cast of the right hand, from which the thumb has been amputated through the metacarpal articulation and the b. 12. third finger and part of the corresponding metacarpal bone removed. Contributor and history unknown. 591. A cast of the right hand, ten months after primary amputation of the third finger through the middle of the b. 13. metacarpal and of the fourth just above the carpo-metacarpal articulation. The cicatrix is somewhat irregular but firm. Private W. R., "A," 115th New York, 24: Second Fair Oaks, 27th October, 1864 ; cast made in Albany; discharged, 7th August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. A. B. OF THE UNITED STATES ARMY MEDICAL MUSKUM. 541 2960. A cast of the left hand, with the little finger and the corresponding metacarpal bone amputated at the carpal b. 14. articulation. The metacarpus is swollen to thrice its usual thickness. Private P. H. S., " H," 43d New York, 21: Wilderness, 6th May; amputated, 22d September, 1864; cast made in Albany; transferred to Veteran Reserve Corps, 21st February, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4362. A cast of tbe left band, six months after removal of the fourth metacarpal bone and the corresponding finger for b. 15. gunshot. The hand is swollen, especially in the palm, the fingers are puffy and partly flexed and the wrist anchylosed. Corporal J. H. C, "F," 107th New York: Chancellorsville, 3d May; cast made in New York; discharged the service, 22d November, 1863. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2786. A cast of the left forearm and thumb and forefinger, after primary removal of two inches of the distal extremity b. 16. of the ulna with the fractured bones of the carpus and metacarpus and three outer fingers. Several of the inner carpal bones were those fractured. The remaining portions furnish a very useful member. The line of incision is on the inner and palrriar surface. Major C. W. H., 7th New York Artillery, 21 : Cold Harbor, 3d June; operation by Surgeon J. E. Pomfret, 7th New York Artillery, 4th June, 1864. Cast made in Albany. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See 1133, XXV. A. B. b. 17; 4628, XXVI. A. 2. 59. See class XXV. A. B. a. 1133. A duplicate of specimen 2786, XXV. A. B. b. 16, taken at an earlier period. b. 17. Contributed by Acting Assistant Surgeon Geo. K. Smith. 3112. A cast of the stump of the right forearm, nine months after primary amputation two inches above the carpus for b. 18. fracture of the hand. The operation was circular or the flaps have sloughed. The cicatrix is wide and irregular and the integument scanty, presenting a broad granulating surface. Private J. A.,. "H," 115th New York, 51: Chapin's Farm, 29th September, 1864; cast made in Albany; discharged the service, 29th April, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 686. A cast of the stump of the right forearm, after a circular amputation in the lowest third. The cicatrix is firm but b. 19. tense over the extremity. Private J. L. A., "H," 62d Pennsylvania, 29: Spottsylvania, 12th May, 1864. Artificial limb furnished. Contributed by Surgeon James Bryan, U. S. Vols. 4013. A cast of the stump of the right forearm, four months after primary circular amputation in the lowest third. The b. 20. posterior portion has retracted sufficiently to make the bones, though covered, quite prominent. Private E. E., "I," 3d New York Light Artillery, 23: Newbern, N. C, 2d February; cast made in New York; discharged, 16th June, 1864. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 247. A cast of the stump of the left forearm, alter a primary circular amputation in the lowest third. The extremity is b. 21. very well formed and apparently firm. Private M. T., "I," 198th Pennsylvania: South Side R. R., 1st October, 1864; amputated the same day; cast made in Washington. , Contributed by Acting Assistant Surgeon C. H. King. 2628. A cast of the stump of the left forearm, two months after a primary circular amputation in the middle third. b. 22. Integumentary flaps were probably made. Corporal J. W., "I," 34th Massachusetts, 23: wounded and amputated, Winchester, 19th September; admitted hospital, Frederick, 12th October; discharged the service, 30th November, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 4012. A cast of the stump of the left forearm, six months after primary circular amputation in the middle third. The b. 23. stump is full and somewhat puffy. Private S. E. C, " G," 6th New York Heavy Artillery, 21: Petersburg, 22d July, 1864; amputated by Surgeon Porter, 6th New York Heavy Artillery, the same day; cast made in New York; discharged, 23d February, 1865. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 542 CATALOGUE OF THE SURGICAL SECTION XXV. 4035. A cast of the stump of the right forearm, six months after primary circular amputation in the middle third. The b. 24. cicatrix is nearly linear and transverse, and the bony extremities are sufficiently covered by the well-formed flaps. Private J. D., "H," 83d New York, 22: Spottsylvania, 8th May; cast made in New York; artificial limb furnished, 30th September; discharged the service, 3d November, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4181. A cast of the stump of the right forearm, eighteen months after primary amputation, by the circular method, in the b. 25. middle third. The cicatrix, somewhat puckered, is firm. On the palmar surface are two cicatrices oyer the course of the radial and ulnar nerves, from which two inches of each were excised for pain in the stump, but without permanent relief. Corporal R. J., "H," 13th Invalid Corps, 38: Antietam, 17th September, 1862; discharged, 15th March, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 1570. A cast of the stump of the left forearm, after a primary circular amputation in the upper third. The cicatrix is b. 26. irregular and retracted in the centre, and the soft parts appear swollen. First Sergeant J. W. W., " D," 34th Massachusetts, 26 : Cedar Creek, 13th October, 1864 ; amputated by Surgeon R. R. Clark, 34th Massachusetts, the same day; discharged the service, 13th February, 1865. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1802. A cast of the stump of the right forearm, after primary amputation in the middle third. The operation appears to b. 27. have been by skin flaps and circular section of muscle. The cicatrix is singularly smooth and the stump is well formed. Private J. K., 2d New Jersey: Fort Wool, Va., 21st August, 1861. Cast made in Albany. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 992. A cast of the stump of the left forearm, after amputation by skin flaps and circular section of the muscle. The b. 28. stump is well formed, with the remains of a granulating surface at the inner angle of the cicatrix and the points, as if of old ulcers on the outer surface. Private E. E. G., "D," 2d Michigan, 31: Petersburg, 17th June; amputated by Acting Assistant Surgeon John Morris, Washington, 13th July, 1864. Contributed by Surgeon J. C. McKee, U. S. Army. 44. A cast of the left forearm, after a primary amputation, as if by flaps, in the lowest third. The cicatrix is transverse. b. 29. The bones are quite prominent under the integument. Private C. D., Macon Artillery (Rebel): captured, after amputation by a Rebel Surgeon for fracture of the metacarpus. Contributed by Surgeon J. C. McKee, U. S. Army. 1447. A plaster cast of the stump of the right forearm, one year after primary amputation by antero-posterior flaps. b. 30. The muscular covering is not large and the skin is tense. The limb is very small. The cast is mounted upside down. Private S. C. J., "C," 12th Iowa, 32: wounded, 22d September, 1864; discharged, 25th September, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 3152. A cast of the left forearm, eight months after primary antero-posterior amputation in the upper third. The cicatrix b. 31. is puckered and gathered in, as though the amputation was circular. The cast is mounted with the palmar surface up. Private F. C, "H," 66th New York, 19: Gettysburg, 2d July, 1863; cast made in New York; discharged the service, 22d March, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. 8. Army. 241. A cast of the stump of the right forearm, six months after primary amputation, as if by the flap method, in the b. 32. upper third. The posterior portion of the stump is full and the cicatrix seems firm. Sergeant J. W., 13th New York Battery, 34: Atlanta, 20th July, 1864; cast made in Albany; discharged the service, 14th February, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4173. A cast of the stump of the left forearm, after amputation, by skin flap and circular section of the muscles, in the b. 33. lowest third. The stump is a little baggy, and traces of an old ulcer show a few inches from the extremity. Private A. M, "K," 6th New York Heavy Artillery, 23: Petersburg, 24th June; amputated by Acting Assistant Surgeon J. P. Arthur, Washington, 2d July, 1864. Contributed by Surgeon J. C. McKee, U. S. Army. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 543 3202. A cast of the stump of the left forearm, after amputation, by skin flaps and circular section of muscle, in the middle b. 34. third. "Stump entirely healed fifteen days after the operation."' The cast, which is not a good one, conveys the impression that the forearm is greatly swollen, as if by erysipelas, and presents two pouting ulcers, as though the mouths of sinuses leading to necrosed bone. Private J. B , "C," 8th Ohio, 28: amputated in Washington by Acting Assistant Surgeon A. Ansell, 1st July, 1864. Contributed by the operator. 4143. A cast of the stump of the left forearm, after gangrene following amputation in the upper third by antero-posterior b. 35. flaps. The cicatrix is contracted to simulate a circular amputation. There is decided hyperostitis on the ulnar portion. Private J. C, "I," 2d New York, 2) : Spottsylvania, 19th May; discharged, 20th December, 1864. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2959. A cast of the stump of the right forearm, five months after circular amputation in the lowest third. The skin b. 36. was divided into flaps. The stump is firm and well united. Private T. K., "H," 39th New York, 18: Spottsylvania, 10th May; cast made in New York; discharged the service, 3d November, 1864. Artificial limb furnished. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 1859. A cast of the stump of the right forearm, after amputation just above the wrist, as if by antero-posterior flaps. The b. 37. stump is well formed and the cicatrix firm. Contributor and history unknown. 935. A cast of a conical stump of the right forearm, as if after amputation in the lowest third. Both bones may be b. 38. traced beneath the skin, which is tightly drawn over the extremity. Captain W., 2d North Carolina (Rebel). Contributor and history unknown. 1523. A cast of the left forearm, after an antero-posterior or flap amputationin the middle third. The stump is excellently b. 39. rounded and the cicatrix is healed, excepting in small points of ulceration near the outer angle. Contributor and history unknown. 4031. A cast of the stump of the left forearm, after amputation at the junction of the upper thirds. The operation b. 40. appears to have been circular. The cicatrix is small and the soft tissues sufficient. Private W. M., 5th Maine Battery: Chancellorsville, 3d May, 1863. Cast made in New York. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1585. A cast of the stump of the left forearm, after a circular amputation in the upper third. The stump is too full and b. 41. is baggy for several inches, as though softened by disease. Private G. S., "I," 21st New York. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1403. A cast of the stump of the left arm, after a circular amputation in the lowest third. The skin has been divided b. 42. into bilateral flaps. The cicatrix is deeply depressed in the centre but appears firm. Private E. McK., "D," 2d Massachusetts Cavalry, 30: Smithfield, Va., 13th September; amputated by Surgeon James Willard, 1st Potomac Home Brigade, Sandy Hook, Va., 14th September 1864. Cast made in New York. Furnished with an artificial limb. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 3479. A cast of the stump of the left arm, after primary amputation in the lowest third. The stump has the appearance b. 43. of being well healed with slightly superfluous integument after circular amputation. Private W. H. B., "H," 38th Wisconsin: wrist, Southside R. R., 30th October, 1864. Contributed by Acting Assistant Surgeon A. M. Sherman. 568. A cast of the right arm, after primary circular amputation in the middle third. The stump is well rounded, but b. 44. presents a large granular surface at the extremity, as though caused by the sloughing of the integument. Corporal M. L , "A," 66th New York: Ream's Station, Va., 25th August; amputated by Surgeon J. W. Wishart, 140th Pennsylvania, 26th August, 1864. Contributed by Surgeon J. C. McKee, U. S. Army. 362. A cast of the stump of the left arm, two months after a primary circular amputation in the middle third. The outer b. 45. half of the stump appears to have united by the first intention. Private O. J. E., " D," 114th New York, 18: Winchester, 19th September; amputated by Dr. Harman; discharged the service, Frederick, 27th November, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 544 CATALOGUE OF THE SURGICAL SECTION XXV. 593. A cast of the left thorax and stump of the arm, after a primary amputation in the middle third. A shell completely b. 46. shattered the bone and cut off the soft tissue so smoothly that, it is reported, no further section of them was required. The flap is sufficient, the cicatrix being a little indrawn on the thoracic side. Corporal W. D. J., "C," 3d New York Artillery, 23: Newbern, N. C, 9th January, 1866. Cast taken in Albany. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 215. A cast of the stump of the right arm, nine months after a primary circular amputation in the middle third. The b. 47. stump is well formed with a small cicatrix. Private T. H., "D," 14th New York State Militia, 22: Gettysburg, 3d July, 1863; cast made in New York; discharged the service, 9th April, 1864. Artificial limb furnished. Contributed by Assistant Surgeon J. W. 8. Gouley, U. S. Army. 1363. A cast of the right thorax and stump of the arm, eight months after primary amputation in the middle third. b. 48. The operation was apparently circular and the flaps have retracted to a certain extent, leaving the extremity quite irregular but covered with integument. Private S. W., "C," 9th New York Artillery, 20: Cedar Creek, 19th October, 1864; admitted hospital, Albany, 28th June; discharged the service, 19th August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 2729. A cast of the stump of the right arm,two months after primary amputation, by the circular method, at the junction b. 49. of the upper thirds. The cast is quite rough, but it exhibits extensive irregularities at the extremity, as though due to retraction of superfluous flaps. Private M. P., "E," 153d New York: Cedar Creek, 19th September; admitted hospital, Frederick, 27th September; discharged the service, 28th November, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 3490. A cast of the right thorax and stump of the arm, after primary circular amputation at the junction of the upper b. 50. thirds. The posterior and internal portion of the flap has retracted very much, leaving a deeply depressed cicatrix. Private A. S., " H," 91st New York, 18 : Petersburg, 31st March, 1865. Cast made in Albany. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1657. A cast of the stump of the left arm, ten months after primary circular amputation in the upper third. The cicatrix b. 51. is very smooth, with the integument fairly drawn over the extremity. Sergeant H. M. P., "B," 10th Vermont, 22: Locust Grove, 27th November; amputated by Assistant Surgeon Fugner, 14th New Jersey, 29th November, 1863; cast made in New York; discharged the service, 23d September, 1864. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 3177. A cast of the stump of the left arm, four months after circular amputation in the upper third. The stump is well b. 52. rounded and the cicatrix, which is small, is directly over the extremity. Sergeant J. D., "E," 6th Pennsylvania Cavalry, 26: Smithfield, Va., 25th August; amputated, 29th August; admitted hospital, Frederick, 13th September; discharged, 16th December, 1864. Artificial limb furnished. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1466. A cast of the stump of the right arm, after primary amputation, as if by the circular method, in the upper third. b. 53. The cicatrix extends transversely and appears to embrace a part of the skin over the chest. The skin has puckered itself into several unsightly prominences. Color Sergeant W. B., " I," 66th New York: Gettysburg, 3d July, 1863. Contributed by Surgeon I. I. Hayes, U. S. Vols. 4322. A cast of the stump of the right arm, eleven months after primary amputation in the middle third by skin flaps and b. 54. circular section of the muscles. The soft parts are beautifully coapted in a linear cicatrix transversely across the extremity, and the whole stump is well rounded. Private H. B. T., "F," 137th New York, 18 : Lost Mountain, Ga., 16th June'; admitted hospital, New York, 12th October, 1864 ; discharged, 25th May, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 416. A cast of the left arm, after a primary amputation in the middle third. The operation appears to have been by b. 55. skin flaps and circular section of the muscles. The inner half is somewhat retracted, and the centre of the cicatrix presents the appearance of continued ulceration, as though from necrosed bone. Private L. C. E., "I," 2d U. S. Infantry: Weldon R. R., Va., 21st August; admitted hospital, Washington, 28th August, 1864. Contributed by Acting Assistant Surgeon Noble. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 545 2854. A cast of the right thorax and stump of the arm, ten months after primary amputation, as if by lateral flaps, in the b. 56. lowest third. The cicatrix is deepest on the inner side, which is somewhat retracted. Sergeant C. C. C, " G," 115th New York, 21: Chapin's Farm, Va., 29th September, 1864; cast made in Albany; discharged, 29th July, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 357. A cast of the stump of the left arm, after primary flap amputation in the lowest third. The stump is a little b. 57. baggy, but the flaps are well coapted. Private W. M., "K," 1st New York Engineers: Fort Wagner, S. C, 26th August, 1863. Cast made in New York. Artificial limb furnished. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 3783. A cast of the stump of the right arm, after a primary antero-posterior flap amputation in the lowest third. Much b. 58. of the wound appears to have healed by the first intention. The inner angle of the cicatrix is irregular and retracted. Private C. D. L., " I," 3d U. S. Colored Troops: Fort Wagner, S. C, 2d October, 1863. Cast made in New York. Artificial limb furnished. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4321. A cast of the stump of the left arm, after primary amputation, by bilateral flaps, in the lowest third. On the b. 59. anterior border, near its centre, the cicatrix appears to have delayed in its healing. Midway to the shoulder is the cicatrix of an abscess. Private M. O'C, "H," 164th New York, 29: Salisbury, N. C, 25th November, 1864. Cast made in New York. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 525. A cast showing the result of primary amputation of the right arm four inches above the elbow six months after b. 60. injury. The method of operation was by antero-posterior flaps. A linear depressed cicatrix traverses the face of the stump. Atrophy of the muscles of the arm has occurred, especially at the lower part. Private E. T., " M," 24th New York Cavalry : Dinwiddie C. H., Va., 31st March; admitted hospital, Albany, 28th June ; transferred, 28th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1361. A cast of the stump of the right [left] arm, four months after a primary flap amputation in the middle third. From b. 61. the cast the method appears to have been circular. The cicatrix is irregularly stellate and gathered in the centre. Sergeant H. L. R., "F," 109th New York, 35: Petersburg, 30th July; discharged the service, 3d November, 1864. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1485. A cast of the stump of the left arm, one year after a primary antero-posterior flap amputation at the junction of b. 62. the upper thirds. The cicatrix is curved, and retraction of the anterior flap has left the central portion to heal by granulation. Private J. T., " F," 2d New York Cavalry, 20: Cane River, La., 1st May; excised, New Orleans, 7th May, 1864; cast made in New York; discharged the service, 16th May, 1865. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 911. A cast of the stump of the right arm, after primary flap amputation at the junction of the upper thirds. The b. 63. extremity is slightly irregular but appears well healed. Private T. M., "E," 108th New York: Antietam, 17th September, 1862. Artificial limb furnished. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 2379. A cast of the stump of the left arm, four months after a primary flap amputation at the junction of the upper b. 64. thirds. The extremity is a little irregular, as though due to the internal retraction of the soft tissues. Corporal W. A. S., "B," 15th New York, 19: Winchester, 19th September; admitted hospital, Frederick, 21st December, 1864 ; discharged the service, 28th January, 1865. Artificial limb furnished. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 3014. A cast of the stump of the left arm, one year after primary antero-posterior flap amputation at the junction of the b. 65. upper thirds. There has been some retraction of the inner portion of the flap, leaving the cicatrix stellate at the extremity of the stump. Private W. G., " E," 169th New York, 22: Petersburg, 30th June; admitted hospital, Albany, 20th October, 1864; trans- ferred, 28th August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 09 546 CATALOGUE OF THE S-URGICAL SECTION XXV. 1388. A cast of the stump of the left arm, after primary amputation at the junction of the upper and middle thirds by b. 66. antero-posterior flaps. The stump is entirely cicatrized, the posterior part being full and slightly bagging while the anterior flap is lifted by the bone. The cicatrix is but slightly depressed and there is but little puckering. Private H. G. G., "F," 7th Wisconsin, 16: Petersburg, 16th June; amputated in the field, 18th; admitted hospital, New York, 24th June ; discharged the service, 6th December, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 96. A cast of the stump of the left arm, twenty-two months after a primary flap amputation at the junction of the b. 67. upper thirds. The stump is excellently well formed. Corporal G. D., "K," 1st U. S. Colored Troops, 18: Petersburg, 15th June, 1864; amputated by Surgeon J. R. Weist, 1st U. S. Colored Troops. Cast taken and contributed by Hospital Steward E. F. Schafhirt, U. S. Army. 2978. A cast of the stump of the left arm, ten months after primary amputation in the upper third. The cicatrix is b. 68. nearly linear and curved slightly upward. The inner (lower) flap is the longer. The soft parts are full and plump with no puckering or tension at any point. Private P. McC, "A," 43d New York, 18: wounded and amputated, Cold Harbor, Va., 3d June, 1864; cast made in Albany; transferred to Veteran Reserve Corps, 10th May, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 566. A cast of the right thorax and shoulder, fifteen months after a primary amputation in the upper third of the arm. b. 69. The cicatrix, which is curved downward, passes transversely directly across the face of the stump and is broad and apparently tense. Tbe extremity of the bone drawn upward is prominent under the integument. Private E. O'B., "H," 96th New York, 22: Petersburg, 18th June, 1864; cast made in Albany; transferred to New York Harbor, 30th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1541. A cast showing the result of primary amputation of the left arm near the shoulder joint by a modification of b. 70. antero-posterior flaps, seven months after the operation. The posterior flap is long, loose and baggy. The cicatrix commences an inch below the acromion process and curves downward and forward to a point half an inch below the anterior border of the axilla. The head of the humerus is drawn forward by the pectoral muscle. Private T. C, "C," 58th Massachusetts, 26: Spottsylvania, 12th May, 1864; amputated the same day; cast made in New York; discharged the service, 1st January, 1865. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 442. A cast of the left arm, after amputation in the lowest third. The operation appears to have been by the circular b. 71. method. The skin has contracted from the extremity, leaving a granulating surface of several square inches. Private J. V., "B," 4th Ohio, 44: Ream's Station, Va., 25th August; amputated by Acting Assistant Surgeon Belton, Washington, 12th October, 1864. Contributed by Assistant Surgeon Sherman. 4251. A cast of the stump of the left arm, one year after circular amputation in the middle third for fracture of the b. 72. elbow, Retraction of the inner flap has carried the cicatrix to the inside of the arm. Private J. O'R., "H," 1st Vermont Cavalry, 41: Gettysburg, 3d July -, amputated, 9th July, 1863; cast made in New York ; discharged the service, 22d August, 1S64. Artificial limb furnished. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 3090. A cast of the right thorax and stump of the arm, fourteen months after amputation in the lowest third. The b. 73. operation has been circular and retraction has left a conical stump with integument covering the extremity. The arm is somewhat atrophied. Private A. E., " G," 3d New York, 26: Drury's Bluff, 14th May; admitted hospital, Albany, 30th July, 1864 ; discharged, 29th July, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4187. A cast of the stump of the right arm, after an antero-posterior flap amputation in the upper third. The stump is b. 74. excellently full, but the cicatrix, which is linear and nearly transverse, is somewhat depressed. Private T J., "D," 48th New York: Fort Wagner, S. C, 18th July; amputated, 24th July, 1863; cast made in New York. Artificial limb furnished, May, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4 376. A cast of the stump of the right arm, nine months after amputation by antero-posterior flap amputation at the b. 75. junction of the upper thirds. The stump is well formed. Private J. G. C, "E," 51st New York, 20: Weldon R. R., 1st September; amputated by a Rebel Surgeon, 1st October, lt61; cast made in New York; discharged the service, 8th July, 1865. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 5 17 2850. A cast of the stump of the right arm, after amputation in the upper part of the middle third by antero-posterior b. 76. skin flaps with circular sections of muscle. The stump is rounded and full with no apparent bony prominence. Private F. J. S., " H," 74th Pennsylvania: cast made at Frederick. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1958. A cast of the stump of the right arm, two months after amputation in the middle third, as if by flap of the skin b. 77. and circular of the muscles. The stump is sufficient and well healed, excepting near the inner angle, where a point of ulceration appears to remain. Private M. D., "E," 160th New York, 28: Winchester, 19th September; amputated by Acting Assistant Surgeon E. R. Ould, Frederick, 15th October; admitted hospital, New York, 21st December, 1864; discharged the service, 6th July, 1865. Artificial limb furnished. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1575. A cast of the stump of the left arm, after amputation at the junction of the upper thirds by lateral flaps of the b. 78. skin and circular section of the muscles. Private W. H. H. T., "K," 128th New York, 24: Winchester, 19th September; admitted hospital, Frederick, ]2th November; amputated by Acting Assistant Surgeon W. B. McCausland, 6th December; stump entirely healed, 30th December, 1864. Contributed by the operator. See 3913, VI. A. B. d. 31. 4705. A cast showing the result of a primary amputation at the shoulder joint, for laceration by a fragment of shell, b. 79. three months after injury. Sergeant W. G. S., "D,"----New York Vols.: Fort Steedman, Va , 22d March; admitted hospital, Washington, 28th March; discharged the service, 6th July, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. 383. A cast showing the result of a secondary amputation at the right shoulder joint, the patient having died of phthisis b. 80. fifty-four days afterward. A part of the shaft of the humerus, fractured by gunshot, had been excised previously. There is great emaciation, causing remarkable prominence of the anterior border and head of the scapula. The cicatrix is nearly linear, extending downward from the acromion process into the deep hollow underneath. Private C. G., " C," 169th New York, 32: Cold Harbor, 4th June ; two inches of the shaft excised the same day; admitted hospital, Albany, 27th September, 1864 ; disarticulated, 12th January ; died from phthisis, 3d March, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 5.50. A cast of the right shoulder, showing the result of amputation at the shoulder joint for necrosis of the humerus b. 81. following gunshot injury. Resection of the joint was first attempted, but the bone being found extensively diseased the limb was removed. The mode of operation was by flap from the deltoid, the anterior and lower part of the incision passing through the opening made by the ball. The incisions have cicatrized, the point of the shoulder is well rounded and sufficiently prominent, and there is no hollow under the acromion. Private J. S., "B," 108th New York: Cold Harbor, 8th June; admitted hospital, Washington, 9th; excised by Surgeon J. C. McKee, U. S. Army, 13th June, 1864. Contributed by the operator. 4167. A cast of the stump, after successful disarticulation of the left femur. The incision, which is parallel with the b. 82. long axis of the body, has united with a deep cicatrix. At the very centre appear some granulations, but they are understood to be superficial. Private G. L., "C," 6th Maryland, 30: Wilderness, 5th May; remained on the field a prisoner until 13th May; admitted hospital, Alexandria, 14th June, 1864; disarticulated by Surgeon E. Bentley, U. S. Vols., 12th October, 1865. Recovered. Contributed by the operator. See 4386, XII. A. B. e. 8. 2338. A cast of the stump of the left thigh, five months after primary circular amputation just below the trochanter b. 83. minor. The cicatrix is irregular and appears tender, but is not so described in the history. The muscular flaps are abundant. First Sergeant A. B., "A," 102d New York: wounded and amputated on the field, Kenesaw Mountain, Ga., 27th June; cast made in New York ; discharged the service, 27th November, 1864. He wears an artificial limb " with entire satisfaction." Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 3022. A cast of a thigh stump, one year after circular amputation in the upper fifth. The cicatrix is formed by granu- b. 84. lation over a surface of three-fourths by two and a half inches, owing to the retraction of the integument. The muscular cushions are sufficient. Furnished with an artificial limb and " walks splendidly." Corporal J. C, "I," 104th New York: femur fractured in the middle third, Gettysburg, 1st July ; amputated by Surgeon Chase, 5th July; admitted hospital, New York, 14th October, 1863; cast made in New York, summer of 1864; discharged the service, 3d November, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 548 CATALOGUE OF THE SURGICAL SECTION XXV. 586. A cast of a conical stump, one year after primary amputation of the right thigh at the junction of the upper thirds, b. 85. apparently by the circular method. The soft tissues have well retracted, leaving a very moderate covering over the extremity of the bone, but with a firm cicatrix. PrivateH. H., "B," 123d New York, 27: right leg, Kenesaw Mountain, Ga., 19th June; amputated, 20th June, 1864; cast taken at Albany, summer of 1865; discharged the service, 4th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1464. A cast of the stump of the right thigh, taken an unknown period after amputation, by the circular method, at the b. 86. junction of the upper thirds. The cicatrix presents a surface of one by two and a half inches which has granulated. Private C. W., "B," 97th New York: Cold Harbor, 3d June; amputated, 4th June, 1864. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 288. A cast of the stump of the thigh, one year after primary amputation, by the circular method, in the middle third. b. 87. The stump is sufficient, but deeply puckered in the centre. Private C. H. G., "C," 16th Massachusetts, 34: wounded and amputated near Fair Oaks, 16th June, 1862; cast made in New York, summer of 1863; discharged, llth July, 1863. Artificial limb furnished, 26th May, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4366. A cast of the stump of the right thigh, one year after primary circular amputation in the middle third. The b. 88. stump is slightly conical and irregular on the posterior surface and for some months was excoriated and tender. Sergeant J. K., "I," 76th New York, 30: Gettysburg, 2d July, 1863; cast made in New York; discharged the service, 6th July, 1864. Artificial limb furnished, 6th August, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4377. A cast of the stump of the left thigh, nine months after primary circular amputation in the middle third. The b. 89. cicatrix is small and firm, the stump well rounded, and the operation appears in every respect successful. Private J. H., "B," 79th New York: Blue Springs, Tenn., 10th October, 1863; cast made in New York; discharged the service, 4th June, 1864. Artificial limb furnished, 13th May, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 141 7. A cast of the stump of the left femur, about fifteen months after primary amputation in the middle third. The b. 90. stump is quite well formed, but is slightly pitted in the centre. Private W. M. W., "D," 111th New York, 24: Gettysburg, 2d July; stump healed, 1st October, 1863; cast made in New York ; discharged, 3d November, 1864. Artificial limb furnished, llth October, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4298. A cast of the stump of the left thigh, one year after a primary circular amputation in the middle third. The b. 91. muscular flap is scanty and the integument tightly drawn over the bone, but the stump appears healthy and firm. Private F. F. M., "F," 100th New York, 19: leg comminuted by grape shot, Fort Wagner, S. C, 18th July; amputated by a Rebel Surgeon, 19th July, 1863; cast made in New York, 30th July, 1864. Artificial limb furnished, 22d July, 1864. Contributed by Acting Assistant Surgeon Geo. F- Shrady. 4367. A cast of the stump of the right thigh, after a primary circular amputation at the junction of the lower thirds. b. 92. When the wound had nearly healed, sloughing occurred, which renders the stump somewhat conoidal and the cicatrix tense and irregular. Private A. A. H., l'E," 9th New York Cavalry, 26: Stevensburg, Va., llth October, 1863; amputated by Dr. W. F. Streeter; admitted hospital, New York, 13th May; discharged the service, 23d August, 1864. Artificial limb furnished, 17th August, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1787. A cast of the stump of the left thigh, eighteen months after circular amputation at the junction of the lower b. 93. thirds. The general shape of the stump is good, but the cicatrix is irregular and the integument appears tightly drawn over the bone. Private C. B., "C," 39th New York, 26: knee fractured, Bristoe Station, Va., 14th October; thigh amputated by Acting Assistant Surgeon N. S. Barnes, Alexandria, 16th October, 1863; sequestrum, five inches in length, removed, 20th February, 1804; discharged, with an artificial limb, 20th September, 1865. Contributed by Surgeon----Bond. See 3027, XIII. A. B. g. 42; 2344, XIV. A. A. e. 34. 1589. A cast of the stump of the right thigh, after primary circular amputation in the lowest third. The stump is much b. 94. puckered but appears sufficient and well healed. Private R. M. F., "I," 24th Michigan: Gettysburg, 1st July; amputated by Acting Assistant Surgeon D. Burpee. Cast made in Philadelphia. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See 2624, XIII. A. b. f. 36. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 549 3221. A cast of the stump of the right thigh, four months after primary antero-posterior flap amputation in the upper b. 95. third. The traces of a small abscess at the inner side of the anterior flap, which did not communicate with the bone, may be seen. The wound has united well, leaving an excellently rounded stump. The cast is mounted at right angles to its true position. Private J. F., "K," 1st U. S. Cavalry, 20: wounded and amputated, Newtown, Va., 10th August; admitted hospital, Frederick, 12th November ; cast made at Frederick ; transferred to New York, well, December, 1864. Contributed by Acting Assistant Surgeon Ould. 1373. A plaster cast of the stump of the right thigh, nine months after primary amputation, by long posterior flap, in the b. 96. upper third. The stump is well rounded and the cicatrix on the anterior surface firm. Private A. T., "H," 94th New York, 18: Fredericksburg, 13th December; amputated by Surgeon Avery, 94th New York, 14th December, 1862; cast made in New York; discharged the service, 12th November, 1863. Artificial limb furnished, 26th August, 1863. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4325. A cast of the stump of the left thigh, six months after antero-posterior flap amputation in the upper third. The b. 97. stump is well formed. Private S. D. W., "E," 55th Pennsylvania, 21: Petersburg, 18th June; amputated, 20th June; cast made in New York ; discharged the service, 20th December, 1864. Artificial limb furnished, 21st November, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 391. A plaster cast of a conical thigh stump, taken one year after primary amputation in the upper third by flaps. The b. 98. muscles have retracted nearly an inch, leaving the bone covered with a delicate cicatrix and without support. Private W. H. H., "K," 14th New York Artillery, 19: Weldon R. R., 18th August; amputated, 20th August, 1864; cast taken at Albany, summer of 1865 ; transferred to New York Harbor, October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 390. A cast of a badly formed irregularly conical stump, one year after (primary) (lateral) flap amputation in the upper b. 99. third of the right thigh. The stump is somewhat baggy on the under surface and the bone is poorly covered, although the cicatrix appears firm. Private C. McD., "I," 117th New York, 16: wounded and amputated before Petersburg, 4th July, 1864; cast taken, Albany, summer of 1865; transferred to New York, 30th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 2400. A cast of a thigh stump, about one year after amputation in the upper third. The operation was primary and b. 100. probably by the antero-posterior flap method. Gangrene attacked the stump, which did not heal for seven months. The cicatrix appears firm but contracted. The stump, the cushions of which are sufficient, is very available for an artificial limb. Private J. C, "H," 25th New York, 19: Fair Oaks, Va., 1st June, 1862; cast made in New York, summer of 1863; discharged the service, 25th June, 1863. Artificial limb furnished, 4th May, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 2910. A cast of the stump of the right leg, eight months after primary.amputation, by the antero-posterior flap, at the b. 101. junction of the upper thirds. Union is said to have occurred by the first intention. The tibia is somewhat prominent beneath the skin, but the stump is a good one. Private W. McG., "E," 3d Rhode Island, 48: Morris Island, S. C, 2d February; amputated the same day by Surgeon M. S. Kittinger, 100th New York ; cast made in New York; discharged the service, 14th October, 1864. Artificial limb furnished, llth October, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4320. A cast of the stump of the right thigh, after flap amputation in the middle third. There are traces of an abscess b. 102. that existed at the upper angle for several months and from which necrosed bone was removed. The shape and size of the flap are excellent. Sergeant P. R., " M," 3d Rhode Island Artillery, 29: torpedo carried away right leg, and thigh amputated by Surgeon S W. Gross, U. S. Vols., Morris Island, S. C, llth September, 1863; cast made in New York; discharged the service, 24th June, 1864. Artificial limb furnished, 28th May, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1514. A cast of the stump of the left thigh, nine months after a primary flap amputation in the middle third. The stump b. 103. is full and well formed. Sergeant J. W., " D," 17th Pennsylvania Cavalry : wounded and amputated, Smithfield, Va., 29th August, 1864. Cast made in Frederick. Artificial limb furnished, 31st May, 1865. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 550 CATALOGUE OF THE SURGICAL SECTION XXV. 574. A cast of a thigh stump, five months after primary antero-posterior flap amputation in the middle third. The b. 104. extremity has healed by granulation, leaving the lips somewhat puckered, and on the outer side the cicatrix appears to extend five inches up the limb. Private N. W., "B," 10th New York Artillery, 26: right thigh fractured and amputated, Bermuda Hundred, Va., 2d April; cast taken, Albany, September; discharged the service, 21st October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 3513. A cast of a thigh stump, about nine months after primary amputation in the middle third. The stump, which b. 105. appears to have been made by lateral flaps, has cicatrized evenly and firmly, leaving at the lower angle but a single point of continued ulceration. The soft tissues have, however, retracted considerably, so that the last three inches present an abrupt cone. Private J. W., " H," 77th New York, 34: left thigh wounded and amputated, Cedar Creek, 19th October, 1864; cast taken in Albany, summer of 1865; discharged the service, llth August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 2299. A cast of the stump of the left thigh, about one year after primary amputation in the middle third. The operation b. 106. was by the antero-posterior flaps. The stump is somewhat pointed and pinched, and at the outer angle is so deeply indrawn as to suggest that sloughing may have occurred. Private A. C, " G," 48th New York, 21: knee fractured, Port Royal, S. C, 18th June; amputated, 22d July, 1862; cast made in New York, summer of 1863 ; discharged, 8th July, 1863. Artificial limb furnished, 5th December, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 3708. A cast of the stump of the left femur, about one year after primary amputation in the middle third. The operation b. 107. has been by antero-posterior flaps, and a broad cicatrix of granulation has been left at the inner angle. Private F. S., "B," 14th New York: wounded and amputated, Williamsburg, 5th May, 1862; cast made in New York, summer of 1863; discharged, 8th July, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4314. A cast of the stump of the right thigh, nine months after primary amputation by anterior flaps. The cicatrix is b. 108. somewhat irregular but is healthy-looking. Private P. McA., "A," 1st U. S. Artillery: Bayou Teche, La., 12th April, 1863; cast made in New York. Artificial limb furnished, 5th February, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1838. A cast of the stump of the right thigh, six months after primary amputation, by antero-posterior flaps, at the b. 109. junction of the lower thirds. The stump is well rounded and firm. On the posterior surface an extended cicatrix shows where union was for a time delayed. Private W. K. S., "A," 5th Connecticut: Chancellorsville, 3d May; cast made in New York, fall of 1863; discharged the service, 16th November. Artificial limb furnished, 7th July, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2670. A cast of the stump of the left thigh, eleven months after amputation at the junction of the lower thirds by antero- b. 110. posterior flaps. The stump is well rounded and the cicatrix firm. Private E. J., "A," 1st U. S. Artillery, 27: knee fractured and amputated, Port Hudson, 28th May, 1863 ; cast made in New York ; discharged, with an artificial limb, spring of 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 3018. A cast of the stump of the left thigh, after amputation, by antero-posterior flap, in the lowest third. The stump is b. 111. , abundant and was healed in less than two months. Private R. T. W., "A," 76th Pennsylvania, 33: knee fractured, Pocotaligo, S. C, 22d October; amputated by Surgeon R. B. Bontecou, U. S. Vols., Beaufort, S C, 24th October; " sent North, quite well," 28th December, 1862; cast made in New York, fall of 1863; discharged the service, 8th January, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See 2031, XIV. A. A. e. 25. 367. A cast of the stump of the right thigh, one year after primary amputation, by long anterior flap, in the lowest b. 112. third. The cast is mounted upside down, the better to show the cicatrix on the posterior surface, which is transverse and firm. Private T. P., "G," 20th Indiana: before Richmond, 25th June; amputated, 26th June, 1862; cast made in New York ■ recovered, 8th July, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. A. ft OF THE UNITED STATES ARMY MEDICAL MUSEUM. 551 4368. A cast of the stump of the right thigh, eight months after primary flap amputation in the lowest third. The stump b. 113. is excellently shaped and the cicatrix small and firm. Private R. W. G., " F," 14th New York State Militia, 31: Gettysburg, 2d July, 1863; cast made in New York; discharged the service, 30th March, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1478. A cast of the stump of the right thigh, amputated primarily, by antero-rectangular flaps, in the lowest third. The b. 114. lower and outer angle of the cicatrix simulates the marks of ulceration. Private G. M., "A," 40th New York, 32: Gettysburg, 2d July, 1863; cast made in New York, January, 1864. Artificial limb furnished, 26th January, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2382. A cast of a moderately well-formed stump, eleven months after flap amputation in the lowest third of the right b. 115. thigh. The original flap not having been long enough, the bone was shortened five days after the operation. There is no superfluous soft tissue. At the most dependent portion ulceration has continued longest. PrivateS. B., "K," 16th New York Heavy Artillery, 18: knee fractured and thigh amputated, Chapin's Farm, Va., 7th October, 1864 ; cast taken in Albany in the fall; discharged the service, 2d October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4361. A cast of a well-rounded stump of the right thigh, about fifteen months after primary amputation, by posterior b. 116. flap, in the lowest third. Private H. D., "D," 1st Louisiana, 23: knee, Port Hudson, La., 14th June; amputated, 16th June, 1863; cast made in New York ; discharged the service, 24th September, 1864 ; artificial limb furnished, 26th August, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 3765. A cast of a stump in the lowest third of the right thigh, eight months after primary amputation by antero-posterior b. 117. flaps. The lips of the cicatrix are very deep and, especially at the outer angle, the union is not good. Private V. L., "A," 81st New York, 25 : right leg, Cold Harbor, 3d June ; amputated, 5th June, 1864; cast taken in Albany, winter 1864-5; discharged the service, 10th March, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See 2373, XIII. A. B. g. 45. 2361. A cast of the stump of the right thigh, one year after primary circular amputation in the middle third. The b. 118. stump is puckered and, over the bone, appears to be insufficient. Private C. M. S., " M," 1st New York Artillery, 19: wounded and amputated, Chancellorsville, 1st May, 1863; cast made in New York ; discharged, 15th April, 1864. Artificial limb furnished, 24th March, 1861. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1423. A cast of the stump of the left thigh, after a circular amputation in the middle third. The specimen exhibits a b. 119. granulating surface of three inches in diameter following the arrest of sloughing. Private L. D., "A," 9th West Virginia, 18: knee, Halltown, Va., 26th August; amputated by Acting Assistant Surgeon T. J. Dunott, Frederick, 29th August, 1864. Artificial limb furnished, fall of 1865. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 1261. A cast of the stump of the left thigh, five months after primary amputation, by flap of the skin and circular of b. 120, muscles, in the lowest third. The stump is well rounded, with some cicatricial irregularity at the posterior portion, and, by the appearance of the cast, but very newly healed. Private C. A. D., "H," 21st New York Cavalry, 21: knee, Winchester, 25lh July; amputated by Acting Assistant Surgeon W. S. Adams, Frederick, 28th July; discharged, 17th December, 1864. Artificial limb furnished. Contributed by the operator. 1574. A cast of a well-healed, somewhat conical thigh stump, after primary amputation, by skin flaps and circular b. 121. section of muscle, in the lowest third for pistol ball fracture of the right knee. Much of the wound healed by first intention. There is a moderate indrawing of the cicatrix on the anterior face above the extremity. Private W. R. "H " 2d U. S. Cavalry, 22: wounded, 14th September; amputated by Acting Assistant Surgeon W. B. McCausland, Frederick, 15th September, 1864. Recovered. Contributed by the operator. See 3914, XIV. A. A. e. 6. 4034. A cast of a well-healed stump, abruptly conical but sufficient in size, three months after primary amputation in b. 122. the lowest third of the femur. The operation was by skin flap and circular of muscle, and the greater part of the wound healed by first intention. The left radius was also fractured and healed readily. Private J. B., "F," 151st New York, 28: knee fractured, Monocaey, 9th July; amputated by Acting Assistant Surgeon A. R. Gray, Frederick, 10th July; discharged the service, 26th September, 1864. Contributed by the operator. 552 CATALOGUE OF THE SURGICAL SECTION XXV. 2306. A cast of the stump of the left thigh, three months after amputation in the lowest third, by flap of the skin b. 123. and circular of the muscles, for fracture of the knee. The greater part of the wound healed by first intention. Extension apparatus to prevent retraction was applied in the earlier part of the treatment, and the stump presents itself fully and uniformly rounded. Private J. W. L., "C," 14th New Jersey: Frederick Junction, 9th July; amputated, 10th July; cast made at Frederick ; furloughed, 7th October, 1864. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 3924, XIV. A. A. e. 16. 3216. A cast of the stump of the right thigh, four months after primary amputation in the lowest third. The operation b. 124. was probably by skin flaps and circular section of the soft tissues. The cicatrix is small and the stump well rounded. Sergeant N. F., "H," 37th Ohio, 27: Chattanooga, Tenn., 25th November, 1863; amputated by Dr. Weidebach; discharged the service, 1st October, 1864. Artificial limb furnished, 12th August, 1864. Contributed by Surgeon C. W. Horner, U. S. Vols. 183 7. A cast of the stump of the upper third of the right thigh, several months after a circular amputation. The b. 125. cicatrix is more nearly transverse than is common in such cases and the stump appears a firm one. Sergeant I. J., "A," 1st New Jersey Cavalry: Dinwiddie C. H., 3d March; admitted hospital, Washington, 4th April, 1865. Contributed by Acting Assistant Surgeon G. K. Smith. 919. A cast of a thigh stump at the junction of the upper thirds. A circular amputation has been performed and the b. 126. flaps brought together laterally. An irregular cicatrix, deep in the upper part, extends six inches in length on its anterior face. Private F. O'B., " A," 4th New York : no history, except discharged, with an artificial limb, llth June, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 3222. A cast of a stump of the left thigh, after posterior flap amputation in the middle third. A deep, nearly straight b. 127. cicatrix extends across the upper part of the face of the stump, puckered at the inner angle. Private D. P., " B," 9th New York Artillery, 26: Cold Harbor, 3d June, 1864; date of amputation unknown; cast made at Albany, summer of 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 115. A cast of the stump of the right thigh, probably middle third, after amputation by the posterior flap. The cicatrix b. 128. is deep and irregular and situated on the anterior surface above the extremity. Private T. G., " G," 36th New York: cast made in New York; discharged, 3d July, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4317. A cast of a thigh stump in the middle third, after amputation by antero-posterior flaps. The cicatrix, of ten b. 129. inches, embraces the whole of the incision, extends to points on the side three inches above the extremity of the specimen, appears moderately firm and presents two cicatricial spurs of an inch each in the lower flap. Private J. M., "K," 145th New York : near Murfreesboro', 12th October, 1863; admitted hospital, New York, 7th January ; discharged, 27th February, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2399. A cast of the stump of the right thigh, about one year after amputation at the junction of the lower thirds. The b. 130. stump is conical and the bone, although well covered by integument, protrudes from the muscular flaps. Private L. McG, "B," 97th Pennsylvania, 16: Deep Bottom, Va., 16th August, 1864; cast made in New York, fall of 1865. Artificial limb furnished, 28th March, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2990. A plastic cast of the stump of the left thigh, showing protrusion of necrosed bone and a large granulating b. 131. surface, as if after sloughing or extensive retraction following a flap amputation in the lowest third. Private E. R., "G," 12th Wisconsin: when and where wounded and amputated unknown; reamputated by Surgeon H. Culbertson, U. S. Vols., Madison, Wisconsin, 18th June, 1864. Recovered. Contributed by the operator. See 3698, XIII. A. B. f. 17. 1436. A cast of the stump of the right thigh in its lowest third, apparently mounted upside down, after a primary long b. 132. anterior flap amputation. The limb is much emaciated, but the stump appears consolidated. Lieutenant M. J. G., " H," 9th New York: Antietam, 17th September, 1862. Cast made in Albany. Contributed by Assistant Surgeon J. H. Armsby, U. 8. Vols. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 553 4306. A cast of a thigh stump in the lowest third, apparently amputated by lateral flaps. The stump is well rounded b. 133. and the cicatrix appears firm, but at the extremity and at the lower angle it is irregular and somewhat puckered. Private A. S., " G," 4th New Hampshire: on picket near Charleston, 1st September, 1863. Received, without history, from the Central Park Hospital, New York. 1836. A cast of a stump of the right thigh, six months after circular amputation in the lowest third. The stump is b. 134. generally well rounded, but at the centre of the extremity it is deeply drawn in, as if after long-continued suppuration. Corporal J. McL. (or McS.), " C," 20th Indiana, 31: White Oak Swamp, 28th June; amputated, New Yoik Harbor, 6th December, 1862. Cast made in New York, May, 1863. Artificial limb furnished, 20th June, 1865. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 1493. A cast of a stump, as of the right thigh in the lowest third. The operation was by posterior flap, which slightly b. X35. retracted from the anterior portion, leaving a deep cicatrix transversely across the stump a little above its face. Contributor and history unknown. 170. A cast of a stump, apparently of the right thigh in the upper third after reamputation for diseased bone. The b. 136. operation appears to have been by the circular method, and the cicatrix is somewhat depressed but apparently firm in the centre. Sergeant D. M., "B,"2d Pennsylvania Reserves: Mechanicsville, 22d June; amputated in the lowest third, 30th June, 1862; reamputated, 25th September, 1863. Cast made in Philadelphia. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 4300. A cast of the stump of the right thigh, thirteen months after circular amputation in the upper third. The flaps b. 137. at one time retracted, leaving three-fourths of an inch of the femur necrosed, which became detached. The specimen shows the integument tightly drawn over the bone. Sergeant C. K., "D," 20th New York State Militia, 29: Gettysburg, 1st July; amputated by Surgeon Laughlin, 20th New York State Militia, 7th July, 1863; cast made in New York; discharged, 9th August, 1864. Artificial limb furnished, 24th August, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1256. A cast of the stump of the left thigh, after circular amputation in the upper third. The stump is expanded, as b. 138. if from hyperostosis of the femur, but the cicatrices are firm and smooth. A protuberance at one point may indicate an undue prominence of the bone, but the history furnishes no special clue. Private J. H., "H," 5th New Jersey, 30: knee, Williamsburg, 5th May; amputated, 25th May, 1862; cast made in New York, summer of 1863; discharged the service, 7th July, 1863. Artificial limb furnished, 10th March, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 2859. A cast of the stump of the left thigh, one year after circular amputation in the middle third. The specimen presents b. 139. the appearance of a scantiness of flap over the extremity, but the cicatrix looks firm. Private J. E. C, "E," 16th Connecticut, 22: knee, Antietam, 17th September; amputated by Surgeon Ellsworth, October, 1862; cast made in New York, fall of 1863 ; discharged the service, October, 1863. Artificial limb furnished, 7th October, 1863. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 278. A cast of a thigh stump, nine months after amputation in the middle third, apparently by the circular method. The b. 140. bone is sufficiently covered, and the cicatrix, which is somewhat puckered, appears firm, except at the extremity, which bears the aspect of possible ulceration. Private A. H , " D," 6th New York Cavalry, 31: Jerusalem Church, Va., 22d July; amputated three inches above the left ankle, for gangrene, 2d September, 1864; reamputated in the thigh for necrosis of the tibia, 1st January; cast taken in Albany in the fall; transferred to New York, 28th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4324. A cast of the stump of the left thigh, eight months after a second amputation, by the circular method, in the middle b. 141. third. The appearance of the cast is that the integument is closely drawn over the bone, but that the stump is well healed. Private M. H., "K," 76th New York, 24: South Mountain, 14th September; amputated above the knee, 18th September, 1862; two and a half inches of femur removed shortly afterward; reamputated, 12th September, 1863; cast made in New York; discharged the service, 24th June, 1864. Artificial limb furnished, 28th May, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 70 554 CATALOGUE OF THE SURGICAL SECTION XXV. 4185. A cast of the stump of the right thigh, ten months after a second circular amputation at the junction of the lower b. 142. thirds. The cicatrix on the direct face of the stump is much contracted and appears firm. Private T. S., " F," 137th New York, 19: amputated in the lowest third, by circular method, Gettysburg, 3d July; reamputated for retraction of integument and necrosis by Dr. Wood, New York, 7th November, 1863; cast made in New York ; discharged the service, 14th September, 1864. Artificial limb furnished, 1st August, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1392. A cast of the stump of the right thigh, nearly one year after a second amputation by the flap method in the upper b. 143. third. The stump is irregular in its folds but apparently firm, and although very short, " he could use his artificial limb without much trouble." Private A. McM., "B," 36th New York, 23: grape shot, lowest third, 30th June ; circular amputation in the middle third, 3d July ; reamputated by flap, 17th July, 1862; cast made in New York; discharged the service, 3d July, 1863. Artificial limb furnished, 25th May, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. • 2283. A cast of a badly healed stump, five months after (apparently flap) amputation in the middle third of the left thigh. b. 144. The inferior portion is baggy, and loss of substance over the bone has induced a deep and poorly healed cicatrix at that point. Corporal H. S., "H," 64th New York, 31: Hatcher's Run, 25th March; amputated, 12th April; cast taken in Albany, September; discharged, 26th September, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See 171, XIII. A. B. g. 75. 5. A cast of a well-formed stump, nine months after flap amputation in the middle third of the right thigh. The b. 145. cicatrix, extending over the face and superior portion, is about four inches in length and quite firm. Sergeant W.T., "B," 106thNew York, 26: knee crushed, Winchester, 19th September; amputated, 25th November, 1864 ; cast taken in Albany, summer of 1865; discharged the service, 6th August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 417. A cast of a very well-rounded stump of the right thigh in the middle third, as if amputated with the posterior flap. b. 146. The inner angle of the cicatrix is well marked and the extremity presents a cupped appearance. The cast was probably made about a year after the operation. Private A. Van V., "A," 134th New York, 19: Gettysburg, 3d July, 1863; amputated in the middle third, 8th July, 1864 ; admitted hospital, Albany, 16th October, 1864; discharged the service, llth August, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 3195. A cast of the right thigh, showing a well-rounded stump, as if made with an anterior flap, but imperfectly healed b. 147. at the extremity. Two amputations were performed on this limb, and it is difficult to decide which the cast represents. The history claims it for the first, but its location appears to correspond with the second. Private C. M., "G," 64th New York, 26 : knee fractured, Hatcher's Run, 25th March; amputated in the lowest third, 30th March ; admitted hospital, Albany, 5th August; amputated five inches higher by Assistant Surgeon J. H. Armsby, U. S. Vols., 26th September ; transferred to Albany City Hospital, 27th November, 1865. Cast made at Albany. Contributed by the operator. See 2853, XIII. A. B. f. 37. 4358. A cast of the stump of the left thigh, thirteen months after a second antero-posterior flap amputation in the middle b. 148. third. The posterior flap is somewhat retracted, making the cicatrix deep and the face of the stump irregular. Sergeant J. A., "F," 54th New York: Gettysburg, 3d July; amputated lowest third, 8th; reamputated for sloughing and necrosis, 2d August, 1863. Cast made in New York. Artificial limb furnished, 10th September, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1067. A cast of the stump of the right thigh, nearly three years after amputation at the junction of the lower thirds by b. 149. long internal (posterior) and short external (anterior) flaps. The stump is conical, but the bone is well covered. Sergeant J. G. W., "I," 27th New York, 25: tibia and fibula fractured, Bull Run, 21st July; amputated for sloughing and necrosis, while on furlough, by Dr. Stebbins, Friendship, N. Y., 5th November, 1861; stump healed in ten weeks; cast made in New York; discharged, 5th September, 1864. Artificial limb furnished, 5th September, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 1129. A cast of the stump of the right thigh, sixteen months after antero-posterior flap amputation at the junction of the b. 150. lower thirds. One point at the centre of the cicatrix presents an appearance of delayed ulceration. Private O. P. R., "H," 10th Pennsylvania: Gaines' Mill, 27th June; amputated by Surgeon Daniel McRuer, U. S. Vols., 23d July, 1862. Furnished with an artificial limb, 12th February, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See 2377, XXV. A. B. b. 151. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM? 555 2377. A cast of the stump of the right thigh, after amputation, by the antero-posterior flap method, at the junction of the b. 151. lower thirds and the removal of necrosed bone. The stump is well rounded and, with the exception of two small nipple-like projections in the cicatrix, as if from obstinate ulceration, firm. There is obscurity as to the time the cast was made. Private O. P. R., "H," 10th Pennsylvania: Gaines' Mill, 27th June, 1862; amputated by Surgeon Daniel McRuer, U. S. Vols., 23d July, 1862. Furnished with an artificial limb, 12th February, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See 1129, XXV. A. B. b. 150. 1529. A cast of the stump of the right thigh, after a second amputation, apparently at the junction of the lower thirds. b. 152. Tbe operation appears to be by antero-posterior flaps, and the muscles to have been in a softened condition at the time the cast was made. Private F. W., "D," 4th Pennsylvania Cavalry: Upperville, Va., 21st June; amputated by Assistant Surgeon P. C. Davis, U. S. Army, Washington, 7th July; reamputated by Acting Assistant Surgeon C. B. King, Philadelphia, 5th October, 1863. Contributed by the second operator. See 2602, XIII. A. B. g. 80. 37. A cast of the stump of the right thigh, six months after amputation, by anterior flap, at the junction of the lower b. 153. thirds. The stump is well formed and the cicatrix, which runs transversely across its face, is small and firm. Corporal T. J. B , "K," 100th New York: Fort Wagner, S. C, 18th July; amputated for mortification by a Rebel Surgeon, 23d July, 1863. Cast made in New York Artificial limb furnished, 5th February, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 294. A cast of the stump of the left thigh, fifteen months after an antero-posterior amputation in the lowest third. The b. 154. cicatrix is broad and extends directly across the face of the stump. Near the centre is tho mark of delayed ulceration, whence a sequestrum was removed. Color Sergeant H. C, " C," 125th New York, 22: knee fractured, Wilderness, 5th May ; amputated in the lowest third by Surgeon E. Bentley, U. S. Vols., Alexandria, 17th May, 1864; sequestrum removed, Albany, 6th February; cast made in Albany; discharged the service, 22d September, 1865, Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See 602, XIII. A. B. f. 81; 666, XIII. A. B. g. 40. 2692. A cast of the stump of the left thigh, about eight weeks after amputation in the lowest third for fracture of the b. 155. knee. After the operation there was great sloughing of the flaps. The cast shows a loss of skin for two inches, but profuse and florid granulations cover the bone. Private H. P. McM., "C," 61st Georgia, (Rebel,) 23: Monocaey, 9th July ; amputated, Frederick, 25th July; transferred to Baltimore, 20th September, 1864. Contributed by Acting Assistant Surgeon T. E. Mitchell. See 3871, XIV. A. B. f. 59. 1562. A cast of the stump of the left thigh, taken after death by pyaemia six weeks after flap of the skin and circular b. 156. of the muscle amputation in the middle third. The limb is much flattened, the stump partially healed and granulating. Private N. D., "E," 102d Pennsylvania, 33: knee fractured, Winchester, 19th September; amputated by Acting Assistant Surgeon T. J. Dunott, Frederick, 28th September; died from pyaemia, 7th November, 1864. Contributed by the operator. See 3944, XIV. A. B. f. 9. 403. A cast of the stump of the left thigh, four weeks after amputation in the lowest third by a large anterior muscular b. 157. flap and a long and wide periosteum flap (after the method of Assistant Surgeon McGill). The stump is excellently rounded and the cicatrix firm and smooth, excepting a few superficial granulations near the angles. Farrier J. H. A., "I," 21st Pennsylvania Cavalry, 19: conoidal ball severed the popliteal artery and bruised the femur, Amelia C. H., Va., 5th April, 1865; amputated, with periosteum flaps, by Acting Assistant Surgeon H. M. McElderry, Baltimore, 16th February; discharged the service, 14th March, 1866. Contributed by Assistant Surgeon Geo. M. McGill, U. S. Army. See 477, XIV. A. B. f. 36; 483, XVI. A. B. f. 177. 937. A rough plaster cast of a thigh stump, evidently illustrating the effects of hospital gangrene. The femur protrudos b. 158. and the integument and a certain portion of the soft tissues have sloughed for eight inches on the anterior surface. Contributor and history unknown. See class XXIII. A. B. 556 CATALOGUE OF THE SURGICAL SECTION XXV. 2461. A cast of a stump, as if of the right thigh in the lowest third. The operation appears to have been by antero- b. 159. posterior flaps. There is a granulating surface, two inches broad by five long, over the face of the stump, as though following sloughing of the integument. Contributor and history unknown. 2828. A cast of the stump of the left femur, after amputation in the middle third. The cast is not a very well-defined b. 160. one, but it shows necrosis of the bone nearly to the trochanters. Major G. S. D., 2d New York Heavy Artillery: wounded and amputated before Petersburg, 20th June; died, 6th December, 1864. The cast was made at Albany after death. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See 1427, XIII. A. B. d. 20. 1358. A cast of the left knee, showing the stump of the leg after amputation, as if by posterior flap, in the upper third. b. 161. The stump is rather too baggy posteriorly, and the tibia is quite prominent under the skin. Private J. R. W., " C," 2d Vermout: Fredericksburg, 13th December, 1862. Cast made in New York. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 2458. A cast of the stump of the right knee, six months after disarticulation. Antero-posterior flaps were made. The b. 162. stump is well formed and firm and useful. Private W. N., "A," 71st Pennsylvania: ankle fractured and leg amputated in the middle third, White Oak Swamp, Va , 29th June; admitted hospital, Philadelphia, from Richmond, 30th July; a slender sequestrum removed from the tibia, 13th November, 1862; disarticulated by Acting Assistant Surgeon T. G. Morton, 27th August, 1863. Cast made, March, 1864. Contributed by Surgeon I. I. Hayes, U. S. Vols. See 2778, XV. A. B. f. 36; 66S, XV. A. B. g. 26. See class XIV. A. B. e. 4299. A cast of the stump of the left leg, seven months after circular amputation just below the knee. The integument b. 163. appears to have sloughed on the face of the stump, and the cast simulates the protrusion of the tibia. There is no warrant in the history, however, that the bone was exposed. Corporal T. W. D., " K," 30th Maine, 22: Pleasant Hill, La., 9th April; admitted hospital, with small indolent ulcer of stump, New York, 20th September; cast made in New York; discharged the service, 22d November, 1864. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 473. A cast of a stump which appears to have been made by a circular amputation just below the knee. The flaps b. 164. are full and the puckered cicatrix is small. Private J. J. M., "D," 76th Pennsylvania: Fort Wagner, S. C, llth July; amputated middle (?) third, 13th July, 1863; discharged the service, 17th January, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4375. A cast of the stump of the left leg, six months after primary circular amputation in the upper third. The stump b. 165. is so well formed that it represents one made by carefully adapted flaps. Corporal D. O. S., "F," 3d U. S. Infantry, 28: Gettysburg, 2d July, 1863; cast made in New York; discharged the service, 8th January, 1864. Artificial limb furnished, 27th February, 1865. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1528. A plaster cast of the right leg, about seventeen months after amputation in the upper third. The bones are well b. 166. covered, but the posterior flap appears redundant in its lower portion while the cicatrix is irregular and depressed. Private A. O., "D," 83d New York, 28: wounded and amputated, Wilderness, 5th May, 1864; cast made, Albany, fall of 1865; transferred to New York, 28th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1856. A cast of the stump of the left thigh, primarily amputated, by the circular method, in the upper third, nine months b. 167. after the operation. Much of the wound healed by the first intention. Necrosis of the femur prevented complete union, and the stump shows what may be taken as a point of protrusion in the midst of its otherwise well- rounded shape. Private S. D. S., 7th New Hampshire, 30: Fort Wagner, 18th July, 1863. Cast made in New York, spring of 1864; discharged the service, 13th April, 1864. Artificial limb furnished, 4th April, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 1026. A cast of the stump of the left leg, ten months after primary circular amputation at the junction of the middle b. 168. and upper thirds. The stump is somewhat retracted posteriorly but appears firm. Private A. C, "A," 1st U. S. Artillery: Port Hudson, La., 27th May. Cast made in New York. Artificial limb furnished, 19th March, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 557 1425. A cast of the stump of the left leg, after primary amputation at the junction of the upper thirds. Directly posterior b. 169. to the bones the cicatrix is very deeply puckered. Private F. W., " G," 119th Pennsylvania, 21: Wilderness, 5th May, 1864. Cast made in Washington. Contributed by Assistant Surgeon J. C. McKee, U. S. Army. 1510. A cast of the stump of the left leg, six months after a primary circular amputation in the upper third. The b. 170. cicatrix is drawn to the posterior portion, indicating a deficiency of flap and inducing a prominence of the tibia. Private F. R., "I," 7th Connecticut: Fort Wagner, S. C, llth July, 1863. Cast made in New York. Artificial limb furnished, 4th January, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4372. A cast of the stump of the right leg, six months after primary circular amputation at the junction of the upper b. 171. thirds. The stump has healed well with a transverse cicatrix. Private W. R., "D," 82d New York, 41: Spottsylvania, 10th May; amputated by Surgeon----Plumb, 82d New York, llth May; cast made in New York; discharged the service, 10th November, 1864. Artificial limb furnished, 23d September, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4188. A cast of the stump of the right leg, after primary amputation,by the circular method, at the junction of the upper b. 172. thirds. The stump is well formed and smooth. Private J. G. S., "K," 7th New Hampshire, 20: Morris Island, S. C, 1st October, 1863. Artificial limb furnished, 25th April, 1864. Cast made in New York Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2540. A cast of a stump of the right leg, nine months after circular amputation in the middle third. The stump is not b. 173. well formed, being puffy on the outer side, flattened on the posterior surface and at the extremity cicatrized with irregularity and apparent liability to continued ulceration. This condition is due to protrusion of bone and gangrene. Private B. B., "B," 22d New York, 24: wounded and amputated, Antietam, 17th September; one inch of protruding bone removed tbe next week; gangrene for three weeks from 15th December, 1862; cast made in New York, spring of 1863; discharged the service, 6th May, 1863. Artificial limb furnished, 4th March, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See XXIII. A. B. 4318. A cast of the stump of the left leg, ten months after circular amputation in the middle third. Tho cicatrix presents b. 174. the curious marking of an equal-armed cross. Private G. W. S., "F," 76th New York, 20: amputated, Gettysburg, 5th July, 1863; cast made in New York ; discharged the service, 20th May, 1864. Artificial limb furnished, 5th June, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4370. A cast of the stump of the right leg, one year after circular amputation in the middle third. The fibula was b. 175. sliglitly longer than the tibia, and there were three operations performed for necrosis. The specimen shows broad cicatrization at the inner angle. Sergeant S. J. B., " H," 108th New York, 21: amputated, Gettysburg, 6th July, 1863; cast made in New York ; discharged the service, 15th July, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4308. A cast of the stump of the left leg, nine months after a primary circular amputation at the junction of the lower b. 176. thirds. The cast appears to represent a small ulcer at the extremity, but of it the history makes no mention. With that exception the stump is excellent. Private E. F. B., " B," 76th Pennsylvania: Fort Wagner, S. C, 5th October; amputated by a Rebel Surgeon, 6th October, 1863. Cast made in New York. Artificial limb furnished, 18th July, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 513. A cast of the stumps of both legs, nine months after primary circular amputation for shell fracture. The right leg b. 177. was amputated in the lowest third, where there is some deficiency of the posterior flap, but the cicatrix appears firm and the covering sufficient to be useful. The left leg was amputated below the knee, and the soft tissue is sufficient and well united. Private J. G. S., " D," 77th New York, 23 : wounded, and amputated by Surgeon----Kelly, 95th Pennsylvania, Wilderness, 6th May; admitted hospital, Washington, 25th May ; discharged the service, 3d November, 1864. Cast made in New York, winter of 1864-5. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 558 CATALOGUE OF THE SURGICAL SECTION XXV. 517. A cast of the stump of the right leg, after primary amputation just above tho malleoli. The integument, which b. 178. appears to have been somewhat superfluous, has cicatrized in numerous folds. Private W. E., "B," 20th Massachusetts: Spottsylvania, 10th May, 1864. Cast made in Washington. Contributed by Assistant Surgeon J. C. McKee, U. S. Army. 3092. A cast of the stump of the right leg, one month after primary amputation, by lateral flaps, in the upper third. The b. 179. stump does not appear to have been quite healed at its extremity when the cast was taken, but it is well rounded and shapely. Private J. B., "G,"5th New York Heavy Artillery, 20: Cedar Creek, 19th October; admitted hospital, Frederick, 12th November; cast made in Frederick; transferred to Baltimore, 17th November, 1864. Artificial limb furnished, 8th June, 1865. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 4374. A cast of the left leg, eight months after primary amputation, by posterior flaps, in the upper third. The stump b. 180. healed by the first intention, leaving a sinus extending to a small necrosed fragment of tibia which was afterward removed. The stump seems excellent. Corporal N. W. D., "E," 61st New York, 21: Gettysburg, 2d July, 1863; cast made in New York; discharged the service, 2d March, 1864. Artificial limb furnished, 18th February, 1864 Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2341. A cast of the stump of the right leg, three months after primary amputation in the upper third for destruction of b. 181. the middle by a shell. An abundant posterior flap was formed from the calf muscles, and union has Occurred by a firm cicatrix on the anterior face. Private R. F., "D," 151st New York: Frederick Junction, 9th July; admitted hospital and amputated, Frederick, 10th July; furloughed with healed stump and perfect motion of knee, 7th October, 1864. Artificial limb furnished, 27th June, 1865. Contributed by Acting Assistant Surgeon G. M. Paullin. 3081. A cast of a stump of the left leg, ten months after amputation in the upper third. The operation appears to have b. 182. yielded an anterior skin flap and muscular tissue from the posterior surface. The stump is too short for the convenient adaptation of an artificial limb, but when flexed appears well suited as a support. Private G. T., "I," 7th New York Artillery, 22: wounded in the ankle and amputated before Petersburg, 16th June, 1864 ; cast made, Albany, spring of 1865 ; transferred to New York, 6th May, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4304. A cast of the stump of the right leg, thirteen months after amputation, by antero-posterior flaps, in the upper third. b. 183. Hospital gangrene nearly destroyed the posterior flap one month after the operation. The stump is puckered, but the cicatrix seems firm. The left leg and thigh were wounded by two balls at the same time. Private G. G., "A," 67th Ohio, 20: Fort Wagner, S. C, 18th July, 1863; cast made in New York ; discharged the service, 23d August, 1864. Artificial limb furnished, 12th August, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4371. A cast of the stump of the right leg, one year after primary amputation, by posterior flap, in the upper third. The b. 184. wound has united well and the stump presents an excellent appearance. Corporal J. H. W., "E," 1st Louisiana, 25: Port Hudson, La., 14th June, 1863; cast made in New York; discharged the service, 9th August, 1864. Artificial limb furnished, 27th August, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1420. A cast of the stump of the right leg, after primary amputation, by posterior flap, in the upper third. The cicatrix b. 185. is firm, but the lips of the stump protrude greatly. First Sergeant W. B., "B," 2d U. S. Colored Troops: wounded and amputated, 9th April, 1863. Artificial limb furnished, 22d January, 1865. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4373. A cast of the stump of the left leg, fifteen months after primary amputation, by antero-posterior flap, at the junc- b. 186. tion of the upper thirds. The cicatrix extends transversely across the face of the stump, which is very well formed. Private B. F. F , " H," 7th New Hampshire, 21 : Fort Wagner, S. C, 18th July ; amputated by Assistant Surgeon James F. Weeds, U. S. Army, 19th July, 1863; cast made in New York; discharged the service, 7th October, 1864. Artificial limb furnished, 1st September, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2460. A cast of the stump of the right leg, four months after a primary flap amputation in the middle third. The stump, b. 187. which has healed well, is sufficient and uniformly rounded. Private J. R., "B," 49th New York, 40: Charlestown, Va., 21st August; cast made in Frederick; discharged the service, 19th December, 1864. Artificial limb furnished, April, 1865. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 559 3292. A cast of the stump of the left leg, six months after primary amputation in the middle third. The posterior flap b. 188. has retracted somewhat, but the union seems good. Sergeant I. T. S., "I," 150th New York, 20: Savannah, Ga., 13th December, 1854; admitted hospital, Albany, 9th May, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4307. A cast of the stump of the left leg, ten months after primary amputation, as it is said, by the posterior flap, at the b. 189. middle third. The cast presents the appearance of a circular amputation. Private C. W., "E," 45th New York, 20: Gettysburg, 1st July; amputated by Surgeon Beach, 2d July, 1863. Cast made in New York. Artificial limb furnished, 16th May, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1451. A cast of the stump of the right leg, about six months after flap amputation in the middle third. The stump is b. 190. very smooth and well rounded. At the outer angle and on the anterior face are two points which appear to represent where ulceration has occurred, but which are healed. Private F. S., "D," 10th U. S. Infantry, 27: Gettysburg, 2d July; amputated by Assistant Surgeon C. Bacon, U. S. Army, 3d July, 1863. Recovered. Cast made in New York, winter of 1863-64. Artificial limb furnished, 27th January, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 3512. A plaster cast of a stump, about nine months after amputation, by posterior flap, in the middle third of the left leg b. 191. for wound in the foot. The flap appears to have drawn away at one time from the anterior portion, leaving a large and irregular cicatrix and somewhat puckered stump. Sergeant C. H. N., "H," 169th New York, 21 : wounded and amputated, Fort Fisher, N. C, 16th January; cast made in Albany in the fall; discharged, 3d November, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S Vols. 1145. A cast of a stump of the right leg, seven months after it^s amputation in the middle third. The cicatrix, which is b. 192. firm, is on the posterior surface and slightly drawn in. Sergeant T. F., "I," 14th New York Heavy Artillery, 21 : wounded and amputated, Fort Steedman, Va., 25th March ; cast made in Albany, in the fall: discharged the service, 7th November, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4312. A cast of the stump of the left leg, about one year after amputation, by posterior flap, in the middle third. On b. 193. the anterior face of the limb is a cicatrix, as if after a sloughing ulcer. Private T. D., " I," 70th New York, 21: foot, Fair Oaks, 1st June ; amputated in the lowest third, 2d June, 1862; reamputated for gangrene; cast made in New York; discharged the service, llth July, 1863. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4323. A cast of the stump of the right leg, fifteen months after a primary antero-posterior flap amputation of the lower b. 194. thirds. The specimen presents the appearance of a superfluity of the posterior inferior flap. On the anterior superior portion the cicatrix is deep. Private B. M., "A," 108th New York, 18: ankle, Gettysburg, 3d July; amputated by Surgeon Munson, 108th New York, 4th ; necrosed fragments from extremity of tibia, 24th July, 1863; an indolent ulcer, with hardened edges, existed in the centre of the cicatrix for many months ; discharged, with stump in good condition, 3d November, 1864. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2443. A cast of the stump of the left thigh, about six weeks after primary antero-posterior flap amputation at the junction b. 195. of the lower thirds. There was some retraction of the anterior flap, but the wound was united with little puckering. Private E. N., "F," 3d New Jersey Cavalry: wounded and amputated, Martinsburg, Va., 24th August; admitted hospital, Frederick, 4th September. Cast made in Frederick, October, 1864. Contributed by Acting Assistant Surgeon McCausland. 1524. A cast of the stump of the right leg, one year after amputation in the lowest third by antero-posterior flaps. The b. 196. stump is well formed, smooth and serviceable. Private J. W. C, " C," 82d New York, 20 : ankle fractured and amputated, Cold Harbor, 3d June, 1863 ; cast made in New York; discharged the service, 30th June, 1865. Artificial limb furnished, 4th November, 1864. Contributed by .Acting Assistant Surgeon Geo. F. Shrady. 4315. A cast of the stump of the left leg, nine months after primary antero-posterior amputation in the lowest third. The b. 197. stump is well formed. Corporal W. G. R., "F," 4th New Hampshire, 20: ankle fractured by torpedo, and amputated by Surgeon S. W. Gross, U. S. Vols., Morris Island, S. C, 8th September; cast made in New York; discharged the service, 1st June, 1864. Artificial limb furnished, 13th May, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 560 CATALOGUE OF THE SURGICAL SECTION XXV. 4309. A cast of the stump of the right leg, six months after primary antero-posterior flap amputation in the lowest third b. 198. for shell fracture of the foot. The stump is a very excellent one. Private J. W., "C," 14th New York: amputated by Surgeon Farley, Gettysburg, 1st July, 1863. Cast made in New York. Artificial limb furnished, 25th January, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 524. A cast of the stump of the right leg, two months after a primary antero-posterior amputation in the lowest third b. 199. The stump is well formed and apparently sound. Private J. F. C, "G," 7th Maine, 30: Cedar Creek, 19th October, 1864; amputated by Surgeon Armstrong, 106th New York; cast made in Frederick; discharged the service, 8th March, 1865. Artificial limb furnished, 31st January, 1865. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 4302. A cast of the stump of the left leg, five months after primary amputation in the lowest third. The operation b. 200. appears to have been by lateral flaps. The stump is well formed and seems serviceable. Private J. C, " B," 10th New York, 21: Morton's Ford, Va., 6th February ; cast made in New York; discharged the service, 10th July, 1864. Artificial limb furnished, llth August, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1775. A cast of the stump of the right leg, apparently after a circular amputation in the upper third. The cicatrix is b. 201. irregular, and there appears loss of substance, as if by sloughing. Private J. I., "A," 1st Pennsylvania Artillery: Fredericksburg, 13th December, 1862; cast made in New York; discharged, llth July, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4200. A cast of the stump of the left leg, ten months after a circular amputation in the upper third. The face of the b. 202. cicatrix is somewhat roughened but the stump appears sufficient. Private P. E., "K," 13th Massachusetts: Antietam, 17th September, 1862; cast made in New York; discharged the service, 25th July, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 2456. A cast of the stump of the right leg, about one year after amputation, by the circular method, at the junction of b. 203. the upper thirds. The stump is sufficient and well rounded and the cicatrix small and apparently firm. Private M. M., "F," 76th New York: Gettysburg, 1st July, 1863; cast made in New York, summer of 1864; discharged the service, 26th September, 1864. Artificial limb furnished, 16th January, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 2711. A cast of the stump of the right leg, an unknown period after circular amputation at the point of election. The b. 204. stump is flattened on the posterior surface, is irregular and cicatrized, with deep lips at the extremity. Artificial limb furnished, 18th July, 1863. Private W. D., "A," 5th U. S. Artillery, 29. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4364. A cast of the stump of the left leg, nine months after circular amputation in the lowest third. A small sloughing b. 205. ulcer remained on the extremity for some months where the cast shows traces of delayed granulation. Sergeant W. S., "I," 64th New York: ankle, Gettysburg, 2d July; cast made in New York. Artificial limb furnished, 10th March, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 2714. A cast of the stump of the right leg, after circular amputation, according to the history, (but by appearance long b. 206. posterior flap in the lowest third.) Private T. E., " I," 105th New York. " Artificial limb worn with comfort." Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 3239. A cast of the stump of the left leg, eight months after circular amputation in the lowest third. The stump, which b. 207. is excellently rounded, healed slowly from an attack of gangrene which yielded to bromine. The cicatrix of an ulcer is observable on the anterior face two inches from the extremity. Captain J. W. B., "C," 29th U. S. Colored Troops: tarsus lacerated, Petersburg, 3d July, 1864; cast made in Albany, March; discharged, 9th March, 1865. Contributed by Assistant Surgeon J. H. .Armsby, U. S. Vols. 2746. A cast of the left leg, after amputation, as if by the posterior flap, in the upper third. The cicatrices resemble b. 208. those following a circular amputation. The integument appears tightly drawn over the bone on the anterior surface. Private J. W., "A," 8th Connecticut: Antietam, 17th September, 1862. Further history unknown. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. A.B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 561 1966. A cast of the stump of the left leg, after amputation by the posterior flap in the upper third. The flap is sufficient b. 209. and the cicatrix firm. Private H. B., "H," 40th New York: Second Bull Run, 30th August, 1862; discharged the service, 7th July, 1863. Cast made in New York. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 3646. A cast of the stump of the right leg, after amputation, by long posterior flap, in the upper third. The cicatrix, b. 210. which is thrown on the anterior surface above the extremity, is firm and tolerably smooth. Private J. O'L., "I," 8th U. S. Infantry. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 2303. A cast of the stump of the left leg, made nearly two years after amputation by flaps. The stump is well rounded b. 211. and useful. The cicatrix is somewhat drawn but firm. Private S T., "K," 22d New York, 22: South Mountain, 14th September, 1862. Cast made when a member of 2d Battalion, Veteran Reserve Corps, New York, summer of 18B4. Artificial limb furnished, 6th June, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4305. A cast of the stump of the right leg, after amputation, by antero-posterior flap, near the junction of the lower b. 212. thirds. The cicatrix is on the anterior face above the extremity. Private J. S., "K," 93d Pennsylvania: Fair Oaks, 3d June; amputated, 4th June, 1864. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady 4359. A cast of the stump of the left leg, nine months after antero-posterior amputation at the junction of the lower b. 213. thirds. The stump is a good one. Private F. A. G., "B," 75th New York: Baton Rouge, La., 2d July, 1863. Cast made in New York. Artificial limb furnished, 6th April, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4316. A cast of the stump of the left leg, eight months after a circular amputation in the upper third. The flaps, which b. 214. are sufficient, have united with transverse cicatrization. Private H. T., "K," 6th Maine, 24: foot, Second Fredericksburg, 3d May; amputated, New York Harbor, September, 1863; cast made in New York; discharged the service, 14th May, 1864. Artificial limb furnished, April, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4303. A cast of the stump of the left leg, eight months after antero-posterior flap amputation in the upper third. The b. 215. stump is excellently well rounded and apparently firmly united. Private G. W. M., " K," 126th New York, 20: Gettysburg, 2d July; amputated for gangrene, 10th September, 1863; cast made in New York; discharged the service, 3d May, 1864. Artificial limb furnished, 4th March, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 3173. A cast of the stump of the right leg, after circular amputation in the upper third The flaps are sufficient and b. 216. the cicatrix firm. Private M. B., " B,"----Maine Artillery: wounded and amputated in the lowest third, Cold Harbor, 30th May; reamputated for sloughing by Acting Assistant Surgeon A. Ansell, Washington, 6th July; perfectly healed, 20th August, 1864. Cast made in Washington. Contributed by Assistant Surgeon J. C. McKee, U. S. Army. 4313. A cast of the stump of the right leg, three months after amputation, by the posterior flap, in the upper third. The b. 217. stump is very good. Corporal H. B., "G," 162d New York, 30: Pleasant Hill, 8th April; amputated by Surgeon F. Bacon, U. S. Vols., New Orleans, 13th May ; cast made in New York ; discharged, 15th August, 1864. Artificial limb furnished. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 1502. A cast of the left leg, taken nearly two years after flap amputation in the upper third. The extremity of the tibia b. 218. shows prominently beneath the skin. The posterior outer aDgle appears somewhat puffy. The cicatrix is a little drawn. Private P. O'R., " F," 7th New York Heavy Artillery, 40: leg shattered, Wilderness, 6th May; amputated, 5th June, 1864 ; cast made in Albany, spring of 1865 ; transferred to New York, 23d May, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 2517. A cast of the right leg, fifteen months after amputation in the middle third. The stump is well formed and firm. b. 219. There is a cicatrized point on the anterior surface one inch above the extremity. Private V. K., "H," 147th New York, 24: ankle shattered, Petersburg, 18th June; amputated, 2d July, 1864 ; cast made in Albany, fall of 1^65; discharged, 27th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 71 562 CATALOGUE OF THE SURGICAL SECTION XXV. 277. A cast of a stump of the left leg, twenty-one months after a circular amputation in the middle third. The stump b. 220. is irregular and somewhat deficient on the posterior surface, due to hospital gangrene and necrosis, which kept it open for a year and gave escape to fragments of bone. Private T. C, " K," 42d Illinois, 32: ankle, Murfreesboro', 1st January; amputated by Surgeon ---- Fitch, 15th January, 1863; cast made in New York, fall of 1864 ; discharged the service, 21st October, 1864. Artificial limb furnished, 10th October, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. See class XXIII. A. B. 1596. A cast of the stump of the right leg, about nine months after a flap amputation in the middle third. The anterior b. 221. flap appears a little scanty, straining the cicatrix and causing a small space of granulation over the extremity. Otherwise the stump is sound. Private C. Z., "E," 8th Pennsjlvania, 19: ankle, Fredericksburg, 13th December; amputated, 21st December, 1862. Cast made in New York, fall of 1863. Artificial limb furnished, 7th October, 1863. Contributed by Actirg Assistant Surgeon Geo. F. Shrady. 268. A cast of the stump of the left leg, sixteen months after an apparently circular amputation in the middle third. b. 222. The stump, which is smooth and appears to be firm, slopes upward to the rear. Private I. M. O., " B," llth New Hampshire, 23: Fredericksburg, 13th December; amputated in the krwest third, 19th December, 1862; reamputated, 2d January, 1863; cast made in New Yoik, spring of 1864; discharged, 3d May, 1864. Artificial limb furnished, 16th May, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4310. A cast of the stump of the left leg, nine months after circular amputation at the junction of the lower thirds. The b. 223. stump is somewhat puckered and depressed, owing to the subsequent removal of a piece of necrosed bone from the tibia. Private L.S., " G," 1st Louisiana, 43: Opelousas, La., 3d November; amputated, November, 1863; cast made in New York; discharged the service, 6th August, 1H64. Artificial limb furnished. Contributed by Acting Assistant Geo. F. Shrady. 455. A cast of an excellently rounded and well-formed stump, after amputation, by lateral flaps of the soft tissues and, b. 224. by periosteum flaps, at the junction of the lower thirds of the right leg fifteen months after fracture of the ankle. There is a cicatrix from ulceration following the retention of a knot of ligature at the inner angle, but the general firmness and health of the stump is unimpaired. Private J. G., "C," 15th West Virginia. 23: Winchester, 24th July, 1864; amputated by Assistant Surgeon G. M. McGill, U. S. Army, Baltimore, 12th October, 1865; transferred, with good stump, to Fort McHenry, 20th February, 1866. Contributed by the operator. See 2415, XVI. A. B. f. 134. 4319. A cast of the stump of the right leg, sixteen months after circular amputation at the junction of the lower thirds. b. 225. The cicatrix is somewhat depressed in the centre, but the stump appears useful. Private S. L., "F," 4th Vermont, 21: Fredericksburg, 13th December, 1862; amputated by Surgeon ---- Wilder, New York, 12th January, 1863; discharged the service, 5th April, 1864. Artificial limb furnished, 16th March, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 4301. A cast of the stump of the right leg, four months after reamputation, by the flap method, in the middle third. The b. 226. stump is beautifully rounded, much of it having healed by the first intention. Private F. F., "C," 5th New York Heavy Artillery, 17: Snicker's Gap, Va., 18th July; circular amputation lowest third by Surgeon Miller, (Rebel,) 20th August; admitted hospital, Frederick, 12th October; hospital gangrene, 8th—15th November; transferred to New York, 20th December, 1864 ; reamputated for necrosis of stump after gangrene, by Acting Assistant Surgeon Geo. F. Shrady, 30th March. Artificial limb furnished, 20th July, 1865. Contributed by the operator. 1025. A cast of the left leg, six months after a flap amputation in the lowest third. The ends of the bone appear rounded b. 227. and are sufficiently covered. The cicatrix is slightly but not injuriously drawn on the posterior surface. Private G. M., " E," 97th New York, 30: Hatcher's Run, 7th February; amputated, 15th March; cast made in Albany, in the fall; discharged the service, 13th October, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 1311. A cast of the stump of the left leg, six months after reamputation, by flaps, in the lowest third. The stump is b. 228. beautifully rounded and firm, and union is said to have occurred by the first intention, but the extremity shows two small lines of cicatrization. Private L. A. F., "C," 54th Massachusetts, (colored,) 22: foot, Fort Wagner, S. C, 18th July; amputated by Acting Assistant Surgeon W. C. Mulford, 23d July; reamputated for bony protrusion, 20th November, 1863; cast made in New York. Artificial limb furnished, 13th May, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 563 4369. A cast of a Syme's stump of the left ankle, six months after primary amputation. The stump is excellent. b. 229. Private E. R. C, "C," 52d New York, 38: Spottsylvania, 19th May; cast made in New York; discharged the service, 3d November, 1864. Wears an artificial limb. "Can walk with ease and do any kind of work," 19th February, 1866. Contributed by Brevet Lieutenant Colonel J. J. Milhau, Surgeon, U. S. Army. See class XVI. D. 726. A cast of a well-formed Syme's stump, nine months after amputation. The specimen presents every appearance b. 230. of being useful. Private I. T. M., " D," 100th New York: Fort Wagner, S. C, 18th July ; amputated, September, 1863 ; cast made in New York; discharged the service, 4th June, 1864. Artificial limb furnished, 28th April, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See class XVI. D. 2857. Two plaster casts, being the stumps of both legs, seven months after primary amputation for shell fracture of b. 231. both feet. The right foot was amputated by Chopart's method, the left ankle by Syme's with lateral flaps. Both stumps are excellent. Private H. W. C, " H," 100th New York, 30: Drury's Bluff, Va., 13th May; cast made in New York; discharged, 19th December, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See class XVI. D. 1530. A cast of a well-healed Chopart's stump in the left foot, made about one year after primary amputation. The b. 232. cicatrix is well up on the anterior face, is smoothly united and firm. Private T. H., "F," 67th Ohio: Folly Island, S. C, 22d June, 1863; cast made in New York, summer of 1864; discharged the service, 9th August, 1864. Artificial limb furnished, 16th April, 1861. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See class XVI. D. 2298. A plaster cast of a well-formed, serviceable Pirogoff stump of the b. 233. left ankle. See figure 149. Lieutenant W. C. W., "B," 5th Michigan Cavalry: Five Forks, Va., 1st April; amputated by Surgeon St. Clair, 5th Michigan Cavalry, the same day; admitted hospital, Washington, 16th ; attacked with pyaemia, 28th April; proved well, 26th June, 1865. Contributed by the patient. See 4628, XXVI. A. 2, 75. See class XVI. D. 4218. A cast in wax of the left leg, showing a well-formed and service- b. 234. able Pirogoff stump, taken one year after the operation. The limb is shortened three-fourths of an inch. With Hudson's apparatus he was able to walk without any irritation of the stump. Private H. B., "C," 4th U. S. Artillery: foot wounded by shell and amputated on the field, operator unknown, White Oak Swamp, Va., 30th June; admitted hospital, New York, consolidated and in the condition re-pre- sented by the cast, 28th October, 1862; discharged the service, 7th July, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See class XVI. D. 3732. A cast of the stump of the right leg, three months after amputation b. 235. by PirogofFs method. The cicatrix appears firm, but the stump is a little irregular and does not present the appearance of being able to sustain decided weight. Private O. L., "E," 2d New Hampshire: wounded and amputated by Surgeon Jas. M. Merrow, 2d New Hampshire, before Petersburg, 10th June; cast made in Washington, September, 1864; discharged the service, 16th June, 1865. Contributed by Acting Assistant Surgeon L. C. Dodge. See class XVI. D. A cast of a well-united stump, after a Hey's amputation in the left foot. Received, without history, from Frederick. See class XVI. D. FIG. 149. Successful Pirogoff' htump. Spec. 2298. 3197. b. 236. 564 CATALOGUE OF THE SURGICAL SECTION XXV. 266. A cast of the right foot, after amputation of the first three toes, with the heads of the corresponding metatarsal b. 237. bones, by an oblique incision. The flap taken from the sole has united firmly. The foot is swollen in the metatarsus and somewhat everted, as though indifferent for locomotion, Private J. W. Q., "I," 27th Pennsylvania: amputated, for fracture by a city passenger car, by Acting Assistant Surgeon C. B. King, Philadelphia, 15th October, 1863. Contributed by the operator. 1593. A cast of the right foot, from which the great toe has been amputated at the first phalanx and the others at the b. 238. metatarsal articulation. The stumps are well rounded and the cicatrices appear firm, but the foot is puffy and swollen, as if by erysipelas. The history speaks of only the loss of the last two toes. Private W. S., "C,"2d New York Cavalry, 19: Alexandria, La., 6th May; fourth and fifth toes amputated, 8th July; admitted hospital, Albany, 13th December, 1864. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4700. A plaster cast of the stump of the left leg, twenty-six months after amputation at the junction of the lower thirds. b. 239. Private C. F. B., "F," 1st Connecticut Cavalry: Petersburg, 20th June; amputated by Surgeon A. F. Sheldon, U. S. Vols., Washington, 3d July, 1864; gangrene followed and several sequestra came away ; furnished an artificial limb, April, 1865; healed, July, 1865 ; cast taken at the Army Medical Museum, by Hospital Steward E. F. Schafhirt, U. S. Army, 24th September, 1866, when the limb had become so atrophied as to necessitate his procuring a new leg. Contributed by the operator. See 2765, XVI. A. B. f. 23. c. Illustrating Plastic Operations. 349. A cast of the head and face, deformed as a result of gunshot wound of the chin and centre of the lower jaw five c. 1. months previously. The lower lip is cleft in the centre and drawn downward and backward by a stellate cicatrix which occupies the place of the chin and of the anterior half of the body of the lower jaw on each side, including the symphysis. The angles of the mouth are drawn downward and inward, making the shape of the oral aperture triangular. The anterior surface of the neck, the cicatrized portion of the chin and the mouth are nearly on the same plane. A duplicate of this specimen in wax, without a number, is mounted by the side of it. Private J. S., " B," 1st New York Mounted Rifles, 29 : Iudiantown, N. C, 12th July ; cast taken just previous to a plastic operation, New York, 25th December, 1863. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See 560, XXV. A. B. c. 2. See class II. A. B. c. 560. A cast of the lower part of the face, showing the result of a plastic operation performed eight months previously c. 2. for the relief of the deformity shown in the preceding specimen, 349. The cicatricial tissue has been removed and the lower lip brought back to its normal position. The scar of tho incisions made for this purpose forms a Y inverted. The prominence of the chin is not restored, but there is no depression and it curves forward from the plane of the anterior surface of the neck. Private J. S., "B," 1st New York Mounted Rifles, 29: Indiantown, N. C, 12th July; operated upon, New York, 26th December, 1863. Cast taken and discharged the service, 1st September, 1864. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. See 349, XXV. A. n. c. 1. See class II. A. B. c. 265. A cast of the face, deformed by cicatrices at the right side of the mouth, resulting from wound by a fragment of c. 3. shell. The right half of the under lip is drawn in beneath and behind the upper, being adherent to the body of the inferior maxilla. The upper lip is shortened by a band of cicatricial tissue which occupies the vermilion border and arches down across the right angle of the mouth, from which point it sends branches downward and outward, one of the latter extending nearly to the right angle of the lower jaw. The mouth could neither be freely opened nor entirely closed and there was constant escape of saliva. The cast represents the condition just before a plastic operation for its relief by Dr. Gurdon Buck. Private E. H., " C," 6th Vermont, 22: Winchester, 19th September, 1864. Cast taken in New York, 28th February, 1865. Contributed by Dr. Gurdon Buck. See 485, XXV. A. B. c. 4; 4004, XXV. A. B. c. 5 ; 4005, XXV. A. B. c. 6. 485. A cast of the face, showing the result of a plastic operation for the relief of the deformity shown in specimen 265, C. 4. XXV. A. B. c. 3, two months after operation. The right half of the lower lip and the symmetry of the mouth are in a great measure restored. The new portion of tbe lower lip has been obtained by sliding from the right cheek the red border having been made from the mucous membrane of the mouth. The greater part of the cicatricial tissue has been A. B OF THE UNITED STATES ARMY MEDICAL MUSEUM. 565 removed, and the scars of three lines of incision are seen; one from the centre of the lower lip downward, nearly to the os hyoides, a second from the angle of the mouth to the right angle of the inferior maxilla, and the third, joining the first, from half an inch below the centre of the lower lip outward, nearly parallel with the second, to a point just above the middle of the right side of the lower jaw, where it turns downward at a right angle crossing the body of the bone. Private E. H., " C," 6th Vermont, 22 : Winchester, 19th September, 1864 ; operated upon by Dr. Gurdon Buck, New York, 28th February; cast taken, 1st May, 1865. Contributed by the operator. See 265, XXV. A. b. c. 3; 4004, XXV. A. B. c. 5; 4004, XXV. A. B. c. 6. 4004. A cast of the lower portion of the face, prior to a second reparative operation. The cast, taken some months c. 5. afterward, represents substantially the same condition as 485, XXV. A. B. c. 4; the mouth tolerably symmetrical as to the lips, but much drawn to the right side. Private E. H., "C," 6th Vermont, 22: Winchester, 19th September, 1864; operated upon by Dr. Gurdon Buck, New York, 28th February, 1865. Cast taken, 8th January, 1866. Contributed by the operator. See 265, XXV. A. B. c 3; 485, XXV. A. B. c. 4; 4005, XXV. A. B. c. 6. 4005. A cast of the lower portion of the face, four months after a second plastic operation for the relief of cicatrices c. 6. following a severe shell wound of the right lower jaw. By the first operation much of the original cicatricial tissue was removed and the mouth made more symmetrical, although contracted and drawn to the right side. By this operation the mouth has been enlarged to the left so as to be more serviceable and shapely. Private E. H., " C," 6th Vermont, 22: Winchester, 19th September, 1864; first operation by Dr. Gurdon Buck, New York, 28th February, 1865 ; second operation by the same Surgeon, 9th January, 1866. Cast made, May, 1866. Contributed by the operator. See 265, XXV. A. B. c. 3; 485, XXV. A. B. c. 4; 4004, XXV. A. B. c. 5. 2693. A cast of the face, representing great deformity after shell fracture of the inferior maxilla. The upper half of the c. 7. right ramus and the left ramus with the angle supporting two molar teeth are all that remain of the lower jaw. The chin has lost its prominence by retraction. A cicatrix extends from the middle of the right zygoma to the angle of the mouth, where it is adherent to the alveolar margin of the upper jaw, from which the teeth have been carried away. By this adhesion the upper lip is drawn up and greatly lengthened to the right. The lower lip, having been detached by two lacerations at the right angle, has dropped below its proper level, is curved backward and outward upon itself and is adherent. The separation between the two angles is a finger's breadth; it exposes the end of the tongue and permits the constant escape of saliva. Over the left chin deep and irregular cicatrices bind down the integument. In the original, but not fairly represented in the specimen, was a free, callous, thick border of skin stretching'from the adherent right angle of the mouth to the left angle of the jaw. This supported the tongue and was evidently the lacerated edge from which the lower lip had been torn. All the upper teeth are gone between the last right molar and the left canine The tongue is limited as to protrusion by adhesions on the right side. Mastication was impracticable, but deglutition was unimpaired. Articulation was very defective. Private W. S., "I," ---- New York Heavy Artillery, 20: Petersburg, 25th March; cicatrized in September; admitted New York City Hospital, 26th October, 1865, where the cast was taken. Contributed by Dr. Gurdon Buck. See 2694, XXV. A. B. c. 8. See class II. A. B. c. 2694. A cast of the face, representing the result of a plastic operation for the relief of the deformity represented in c. 8. 2693, XXV. A. b. c. 7. The right cheek has been loosened, the right extremity of each lip has been detached from its cicatricial fastening, the angle has been formed anew, and a complete mouth, though much smaller and somewhat protuberant, has been made. The operation was as follows: a horizontal incision along the cicatricial line, crossing the chin to a point below the left angle of the mouth, detached the lower lip. Its entire thickness wiih its lining mucous membrane was divided. The new angle was formed by paring away the border, at a point on the margin of the upper lip equidistant with the left angle from the median line. Corresponding treatment was applied to the lower lip and the cut surfaces were brought into accurate apposition. The adherent right extremity of the upper lip was dissected up from its alveolar adhesions and an incision was carried upward along the upper margin of the cicatrix, crossing the cheek as high as the zygoma. The skin and subjacent tissue were freely detached toward the temple. Another incision from the termination of the one detaching the lower lip below the left angle of the mouth was carried across the chin to tbe right, a finger's breadth below the callous border described in 2693, and was continued over the cheek, below and close to the cicatrix, as far as the zygoma. A third incision, from the origin of the last one, was carried perpendicularly two inches downward upon the neck. The integument in the angle between these and that below the incision across the right cheek was extensively detached from the parts beneath. An upper and lower flap, including the entiie right cheek and nearly the whole chin, were thus formed. They were separated by the cicatrix crossing the cheek, 566 CATALOGUE OF THE SURGICAL SECTION XXV. which was covered up by paring their edges and adjusting them over it. The parts were supported by closely placed sutures, four of which were twisted. No adhesive straps were used. The operation was performed under ether. The reconstructed mouth permitted the saliva to be retained, afforded some improvement in articulation and added greatly to the appearance. Private W. S., "I," ----New York Heavy Artillery, 20: Petersburg, 25th March; operated upon by Dr. Gurdon Buck, New York, 7th November; healed and returned home, 12th December, 1865. Contributed by the operator. See 2693, XXV. A. B. c. 7. See class II. A. B. c. d. Other Operations. 3075. A cast of the left thigh and leg. A number of cicatrices attest the removal of a bullet from the head of the tibia d. 1. and free incisions to relieve cellulitis. Private P. L., "F,"2d U. S. Infantry, 37: bullet entered head of tibia, not involving the articulation, Chancellors- ville, 3d May; removed by Acting Assistant Surgeon Sylvester Teats, New York, September; cellulitis and pyaemic symptoms treated by free incisions, bandages and stimulants, November, 1863; discharged with joint slightly flexed and anchylosed, 4th February, 1865. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. 4033. Two casts, representing a dislocation of tbe head of the left femur into the ischiatic notch from disorganization d. 2. by an abscess and its reduction. The first shows the condition of the hip eight months after the luxation, and the second the condition of the reduced parts. Lieutenant Colonel W. A. B., 3d Kentucky, 24: twice wounded, Rocky Face Ridge, Ga., 9th May, 1864; one ball entered five inches above the left anterior superior spinous process and did not emerge; the second entered between the seventh and eighth ribs on the right side and emerged two inches nearer the spine and four inches below that point; two attacks of erysipelas, covering the body, and one of dysentery occurred during the summer; a very large abscess was opened in the left iliac region in August; the head of the femur was dislocated while turning in bed, October ; three weeks afterward an attempt at reduction under ether failed ; an attempt under chloroform failed at Louisville, February, 1865; successfully reduced, by manipulation under chloroform, by Professor Lewis A. Sayre, New York, June, 1865. The limb was supported in its proper position by an instrument devised for the purpose, and by its aid walking was practicable in a few months. See interesting illustrated MS. history. Contributed by the operator. B, Not after Gunshot. !a. Head and neck. c." UPPnek.eXtreD,iti('S" d. Lower extremities. a. Head and Neck. 1419. A plaster cast of a varicose aneurism of the right side of the neck of thirty years' standing. This man was a. 1. wounded, by a small narrow chisel, on the anterior face of the cartilaginous meatus behind the tragus, the direction apparently having been downward, inward and forward. There was little haemorrhage, but the neck became prodigiously swollen, the tumefaction remaining for six or eight months. The cast represents a (pulsating) tumor three inches in its long (vertical) diameter covered by and attached to an attenuated integument; behind this is another tumor merging imperceptibly into the former, lifting the tragus and lobule, and traceable into a greatly distended external jugular vein, fully an inch and a quarter in width, which, running forward, makes a sharp turn backward in the middle of the neck and increased in size, dips downward behind the sterno-cleido-mastoid to empty itself into a conspicuously swollen subclavian vein The temporal veins were much dilated, while the veins of the upper extremity are but little affected. To the finger the first- mentioned tumor gave evidence of possessing a firm capsule on its outer and posterior side. To the ear was given a strong- thrill and a loud humming bruit which swelled and subsided with the cardiac systole and diastole. The thrill was met with at the begining but not in the course of the jugular. It is presumed the instrument penetrated the temporo-maxillary vein B. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 567 and the external carotid at or below its division into internal maxillary and temporal. The internal jugular is probably, and both venae innominatae are possibly distended. The cast was made by Prof. Christopher Johnston, M. D., of Baltimore from whose account the foregoing history has been compiled. Private G. MacP., 38th Massachusetts: discharged the service, Baltimore, December, 1862. This man, obviously fifty years of age, was accepted as a recruit by a Massachusetts Surgeon. Contributed by Acting Assistant Surgeon T. F. Murdoch. See class XVIII. II. B. B. a. b. Upper Extremities. 2957. A cast of the left elbow, showing an old ununited fracture of the olecranon process. The depression caused by its b. 1. retraction by the triceps is very perceptible. Contributor and history unknown. 3215. A cast of the right arm, showing the result of an old fracture and exostosis. Fracture appears to have occurred b. 2. in the upper third and the lower fragment to have been drawn inward. A considerable and irregular prominence below the axilla points out the new-bone formation. The history is too obscure to be satisfactory Private P. T., 15th New York Cavalry. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. d. Lower Extremities. 3241. A cast of the left knee, showing a long-existing dislocation outward of the patella. Flexion and extension were d. 1. nearly as efficient as in the sound limb, and the only inconvenience was that which followed long-continued exertion. Private C. C. H., "D," 2d Eastern Shore, Maryland, 25: luxated by a fall twenty-one years previously. Cast made in Baltimore. Contributed by Acting Assistant Surgeon Henry McElderry. 1394. A cast of the right knee partially flexed, showing a long-existing dislocation outward of the patella. "During d. 2. extension the position of the patella was almost natural, but during flexion the dislocation was complete." The only inconvenience was lameness from long-continued motion, as in marchino-. Private J. M., " A," 192d Ohio, 19 : caused by a fall in childhood. Cast made in Baltimore. Contributed by Acting Assistant Surgeon B. B. Miles. B. Excisions. . b. Amputations. Operations. ^ c. Illustrating plastic operations. d. Other operations. Amputations. 1597. A plaster cast of the shoulder, showing results of amputation of the left arm just below the shoulder joint for b. 1. fracture, with laceration of the soft parts, caused by a fall from the cars. Covering for the stump has been obtained from the outer and posterior surface of the arm, making a rectangular flap which is applied to the axilla and side of the chest. A stellate cicatrix with some corrugation occupies the centre of the anterior border of the flap corresponding to the anterior border of the axilla. The shoulder is full and prominent. Private J. D., "D," 145th New York, 40: fell from the cars between Washington and Philadelphia, 28th October; amputated by Surgeon R. S. Kenderdine, U. S. Vols., Philadelphia, 29th October, 1863. Cast made in New York snrinsr of 1864. ' h Contributed by Acting Assistant Surgeon Geo. F. Shrady. 208. A cast of the stump of the right leg, amputated, by the circular method, in the upper third for injury by machinery b. 2. at the age of eleven. The muscles of the stump appear to have grown equally with the rest of the thigh. J. R., mechanic, employed by Government: entered service with an artificial leg, in the calf of which he was shot. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 45©. A cast of the stump of the right leg, after amputation in the lowest third, by the method of periosteum flaps for b. 3. disease in a tuberculous subject following a sprain of the ankle. The stump is very excellently rounded ' c , .PrTt\?"*IL" "B'" H6th U- S" C°l0red Tr°°pS' 22: Spl'ained a"kle> Ju,y: date of amputation not given ; transferred to lort McHenry, perfectly well, 20th February, 1866. Contributed by Assistant Surgeon G. M. McGill, U. S. Army. 568 CATALOGUE OF THE SURGICAL SECTION XXV. 918. A cast of the left foot, showing an oblique amputation from within outward through the metatarsals for gangrene b. 4. following frost-bite. The stump is well healed. Private W. T., " F," 93d New York, 47: frost-bitten while on furlough, and amputated by a civil practitioner, November, 1864; cast made in Albany; discharged, 25th May, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See class XXIII. B. D. 2417. Two casts of the stumps of both feet, after amputation for frost-bite. The right foot was amputated at the b. 5. metatarso-phalangeal articulation, and the stump healed smoothly and firmly. In the left foot the amputation was through the phalanges, the fourth one entirely escaping. Private A. C, "H," 125th New York, 33: admitted hospital, with----fever, Albany, 23d September, 1864; feet frozen while on furlough and amputated by a civil practitioner; cast made in Albany; discharged the service, 1st January, 1865. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. See class XXIII. B. D. 4701. A plaster cast of the stump of the left leg, after death two months after amputation in the upper third. The b. 6. stump was well rounded and healed, but the tissues are fearfully atrophied. J. T. M., (colored.) 13 : right foot and left leg frozen, 22d January; toes of right foot and left leg amputated by Acting Assistant Surgeon A. R. Abbott, 28th January; died from tuberculosis, 28th March, 1866. Contributed by Dr. S. S. Bond. See 260, XXI. A. B. b. 22. See class XXIII. B. i> 4128. A plaster cast of the stump of the right foot, taken nearly fourteen months after amputation by Chopart's method. b. 7. The stump is well formed and firm, but it is so sensitive on pressure, for one and a half inches above the cicatrix, that the man desired it might be reamputated above the ankle. Private C. O. F. C, " G," 1st Oregon: frozen by exposure on a march between Owyhee and Malheur rivers, Idaho, December, 1865; this operation and amputation of left leg performed by Dr. Aman, Auburn, Baker Co., Oregon, 17th January, 1866; transferred East, to receive artificial limbs, and admitted Post Hospital, Washington, 2d February, 1867. Cast made by Hospital Steward E. F. Schafhirt, U. S. Army, 5th April, 1867. See 4191, XXV. B B. b. 8. See class XXIII. B. D. 4191. A plaster cast of the stump of the left leg, after amputation in the middle third for frost-bite. The operation b. 8. appears to have been by posterior flaps. The cicatrix failed to heal for more than a year after the operation, from the retention of a ligature, after the removal of which it became firm. The right foot was amputated by Chopart's method. Private C. O. F. C, " G," 1st Oregon : frozen on a march between Owyhee and Malheur rivers, Idaho, December, 1865; both amputations by Dr. Aman, Auburn, Baker Co., Oregon, 17th January, 1866; transferred East to receive artifical limbs, and admitted Post Hospital, Washington, 2d February, 1867. Cast by Hospital Steward E. T. Schafhirt, U. S. Army, 5th April, 1867. See 4128, XXV. B. B. b. 7. Sec class XXIII. B. D. (j, Of Disease and Malformation. I ^' °Perated UP IB. Without Operation. -A_. qperated Upon. 1220. Two casts of cartilaginous bodies, removed successfully from the knee joints of a man fortythree years old. The A. 1. swellings were first observed at the age of seventeen aud increased so as to materially interfere with locomotion. Each was removed by being brought to the outside of the knee, and being maintained there, the skin was drawn to- one side in order that the wound of the capsule might not be parallel with that of the surface, where it was extracted through a straight incision. The wounds were united by tbe ethereal solution of gun-cotton, and recovery without the slightest iufla lam- A. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 569 mation occurred. The operations occurred ten days apart. The specimens were composed of fibrous and osseous tissue in about equal proportions and weighed, respectively, 283 and 257 grains. They were rather more than two inches broad and one inch wide The operator was Dr. Stedman, of Boston. Contributed by Prof. J. B. L. Jackson. See class XIV. C. 4252. A cast of the head, showing deformity resulting from loss of the right superior maxillary, the right ala of the nose A. 2. and a part of the cheek and upper lip, resulting from gangrene probably caused by excessive and improper use of mercury. The margin of the opening consists, below, of the border of the lower lip, which is drawn upward and to the right, its extremity being adherent to the right malar bone; from this point to a point half an inch below the inner canthus of the right eye it is formed by the cicatrized margin of the cheek, and internally by the ridge and left ala of the nose and the left half of the upper lip. The right eye is destroyed and sunken, and the cartilaginous portions of the septum nasi is wanting. The palate bones and velum palati remain in situ. The right nasal fossa is freely opened and the lower turbinate bones are exposed. This deformity was subsequently remedied by a plastic operation. See specimens 4253, 4254, following. The necrosed superior maxilla is shown in specimen 557, II. C. a. 2. Private C. B., "B," " Purnell Legion," Maryland Volunteers, 20: admitted hospital, convalescing from typhoid fever, Frederick, 3d August; discharged the service, 23d December, 1862. Cast taken in Frederick, 26th March, 1863. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 557, II. C. A. 2; 4253, XXV. C. A. 3; 4254, XXV. C. A. 4. See class XXV. C. B. 4253. A plaster cast of the lower part of the face, showing the result of a plastic operation performed four weeks A. 3. previously for the closure of the mouth and partial relief of the deformity shown in the preceding specimen (4252, XXV. C. A. 2). The outer fourth of the lower lip has been turned upon itself, forming a part of the upper lip, and the tissue of the right cheek has been glided forward to replace it. The cicatrix of an incision is shown extending from the right corner of the mouth nearly to the angle of the lower jaw. The right corner of the mouth is pouting and forms a semi- circle rather than an angle. This cast shows the condition of the man, 23d April, 1863. Private C. B., "B," "Purnell Legion," Maryland Volunteers, 20: admitted hospital, convalescing from typhoid fever, Frederick, 3d August, 1862. Operation by Dr Gurdon Buck. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 557, II. C. A. 2 ; 4252, XXV. C. A. 2; 4254, XXV. C. A. 4. 4254. A cast showing the final result of plastic operations for the relief of the deformity shown in the two preceding A. 4. specimens (4252, 4253). The opening in the cheek and the right ala of the nose has been filled by a flap from the forehead. There is a notch in the border of the upper lip, and the right half of the lower lip is still somewhat pouting, the angle of the mouth not being sharply defined. The new part of the nose is slightly hypertrophied and flattened. All the incisions have cicatrized, and in their contraction have drawn the lower part of the face a little to the right. This cast was taken in June, 1864, seven months after the last and thirteen months after the first operation. This man was heard of as in good health. April, 1867. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. See 557, II. C. A. 2; 4252, XXV. C. a. 2; 4253, XXV. C. a. 3. 484. A plaster cast of an enormous enlargement of the prepuce and scrotum by elephantiasis. A. 5. I. N., (colored,) 25: born in Georgia ; tumor of eight years' growth ; weight seventy pounds ; circumference five feet; successfully removed, at Colored Hospital, New York, by J. S. Thebaud, M. D. Obtained by order of the Surgeon General. To be written out after pamphlet. Jj. Without Operation. 2157. A plaster cast of the anterior portion of the neck, deformed by enlargement of the thyroid gland. Both lobes of B. 1. the gland are hypertrophied, the right more than the left, and the tumor thus formed measures six inches from right to left, three inches from above downward, and is one and a half inches in depth at the most prominent point. The surface is smooth and regular. Private J. M., "A," 36th Michigan, 41: admitted hospital, with gunshot wound of right wrist, Baltimore, 15th May, 1864. When admitted the tumor had been noticed a little more than a month. Contributed by Assistant Surgeon D. C. Peters, U. S. Army. See class XXIV. C. B. a. 2526. A cast of the lower two-thirds of the left thigh and upper two-thirds of the leg, exhibiting very extensive varicose B. 2. veins, especially of the patellar plexus, arising without assignable cause one year before the preparation of the cast. Private W. H. A., "C," 4th Delaware: cast taken while awaiting discharge, Philadelphia, 3d May, 1864. Contributed by Acting Assistant Surgeons Charles Carter and W. W. Keen, jr. See class XVIII. III. C. B. b. 72 570 CATALOGUE OF THE SURGICAL SECTION, ETC. XXV. 4355. A cast of both feet, showing malformation. The great toe in each foot is everted and upon it rest the adjoining toes. B. 3. At the metatarsal articulation of the left great toe is a large bunion (?). The case illustrates the criminality that at one time during the war permitted deformed recruits to be accepted in certain districts. Private S. H. W., 2d Connecticut Battery: transferred to Invalid Corps, 27th January, 1864. Contributed by Acting Assistant Surgeon Geo. F. Shrady. 193. An indifferent plaster cast of the left foot, marked as a case of talipes equinus. The instep appears shortened, but B. 4. the cast does not present any marked deformity. Contributor and history unknown. For other illustrations, see 4252, XXV. C. A. 2. XXVI. PHOTOGRAPHS, DRAWINGS AND MAPS. 1X» The Army Medical Museum Surgical Series of Photographs. Bj A. Photographs. • Representing Cases. \ _D. Drawings. C f A. Photographa. • Representing Specimens. <{ J3# Drawings. D. Maps and Plan, XXVI. PHOTOGRAPHS, DRAWINGS AND MAPS. A The Army Medical Museum Series of Photographs. [These represent surgical cases or specimens in the Museum, and were executed by order of the Surgeon General. They are printed from negatives of ten by twelve inches, are mounted on cards of twelve by fourteen inches, and have a history attached to each case. They are bound in volumes of fifty each.] Museum Seriks—Volume I. 4627. 1. Conoidal ball embedded in cranium. See 1108, I. A. B. d. 21. A. 1. 2. Gunshot perforation of right femur. See 76, XIV. A. b. f. 151. 3. Successful amputation at hip joint. See 1148, XII. A. a. d. 1. 4. Gunshot fracture of shaft of femur. See 1907, XIII. A. B. b. 52. 5. Attempts at reparation after gunshot fracture of femur. See 1938, XIII. A. B. b. 157. 6. Excision of humerus and piece of shell. See 1738, V. A. a. c. 43. 7. Cylindrical sequestrum of femur. See 1853, XIII. A. B. g. 76. 8. Sabre cut of occipital. See 1672, I. B a. d. 4. 9. Fracture of cranium by a shell explosion. See 2871, I. A. B. a. 3. 10. Contusion of outer and fracture of inner plate of os frontis from gunshot. See 2313, I. A. a. c. 11. 11. Excised head of humerus. Typical case for excisiun. See 1206, V. A. B. c. 25. 12. Round ball in femur. See 59, XIV. A. B. f. 150. 13. Gunshot fracture upper fourth of femur. Excision of the head of the femur. See 71, XII. A. a. c. J. 14. Gunshot fracture upper fourth of femur. Amputation at the hip joint. Sec 710, XII. A. B. e. 9. 15. Bayonet fracture of skull. See 2179, I. B. a. b. 1. 16. Knee joint. Round ball in head of tibia. See 1481, XIV. A. B. f. 88. 17. Excision of humerus. See 2479, V. A. B. c. 64. 18. Capt. Stolpe.—Gunshot wound of thoracic and abdominal cavities. See Surgical Drawings. 19. Right femur with split conoidal ball. See 1788, XIII. A. B. a. 22. 20. Three lumbar vertebrae and ball. See 2762, III. A. B. a. 7. 21. Profile view of skull from Bull Run. Fracture by canister shot. Fracture of bones of orbit by contre-coup. See 1318, I. A. C. a. 9. 22. Section of skull with five trephine holes. See 2000, I. A. A. b. 11. 23. Skull cap with split conoidal ball. See 3543, I. A. B. b. 17. 24. Three dorsal vertebra? and ball. See 2939, III. A. B. b. 19. 25. Vertebrae with knife-blade traversing vertebral canal. See 1160, HI. B. B. b. 3. 26. Depressed gunshot fracture of left parietal. See 224, I. A. a. c. 22. 27. Exfoliations of parietals after trephining. See 3452, I. A. a. d. 6; 3451, I. A. B. b. 57. 28. a & B. Exfoliation of superior maxillary and plastic operation. See 557, II. C. A. 2. 29. Amputation at hip joint.— Beverly case. See 81, XII. A. B. e. 7. 30. Gunshot fracture of ribs. See 845, IV. A. B. b. 35. 31. Gunshot fracture of middle third of left femur partially consolidated. See 1643, XIll. A. B. b. 76. 32. Shell wound of the face. See classes II. A. a. c; II. C. B. 33. Gunshot fracture tibia and fibula.—Port Hudson. See 3604, XV. A. B. d. 91. 34. Gunshot fracture right parietal. See 1257, I. A. a. c. 21. 35. Lower half of left femur, with ball, and fracture partly united. See 3267, XIII. A. B. b. 36. 36. Partly consolidated fracture of upper third of femur. Sec 1161, XIII. A. B. b. 181. 37. Excised head and shaft of humerus, with ball. See 3289, V. A. B. c. 127. 38. United gunshot fracture of right femur below trochanters. See 1042, XIll. A. B. b. 188. 39. Gunshot fracture of clavicle. Transverse gunshot fracture. See 1210, IV. A. B. b. 1. 40. Sequestrum from tibia. See 1915, XV. B. B. g. 1. 41. Recovery after excision of head of left femur. 42. Necrosed humerus. See 2749, VII. A. B. b. 31. 574 CATALOGUE OF THE SURGICAL SECTION XXVI. 4627. 43. Tibia and fibula comminuted by an unexploded 12-pdr. shell.—Case of Gen. Sickles. See 1335, XV. A. A. d. 29. A. 1. 44. Snyder.—Fracture of skull.—Judiciary Square. See class I. A. B. b. 45. Schellinger.—Consolidated gunshot fracture right femur.—Judiciary Square. See class XIII. A. B. b. 46. Durst.—United gunshot fracture right femur. See class XIII. A. B. b. 47. Burns.—United gunshot fracture of femur. See class XIII. A. B. b. 48. Delap.—United gunshot fracture of femur. See class XIII. A. B. b. 49. O'Connor.—United gunshot fracture of femur. See class XIII. A. B. b. 50. Commissary Clerk.—United gunshot fracture of femur. See class XIII. A. B. b. Museum Series—Volume II. 4628. 51. Excision of head of right humerus.—Sergeant Winser. See class V. A. B. c. A 2. 52. Necrosis and scrofulous caries of right tibia. See 3310, XV. C. 10. 53. Gunshot fracture of neck and trochanters of right femur. Dr. Mursick's successful excision. See 3375, XII. A. B. d. 13 54. Excision of right elbow. Judiciary Square. See class VII. A. B. d. 55. Sergeant Hanlon.—Consolidated comminuted gunshot fracture left femur. See class XIII. A. B. e. 56. Excision of head and four inches of shaft of left humerus. See 1931, V. A. a. c. 40. 57. Perforating gunshot fracture of trochanters of left femur. See 565, XII. A. B. a. 12. 58. Gunshot wounds of head, arm and abdomen —Case of Private Bemis. Sec classes I. A. B. b.; VI. A. B. b. 59. Resection of ulna, carpus and metacarpus. See 2786, XXV. A. B. b. 16; class IX. A. B. d. 60. Fracture of the sphenoid bone by a sword. See 1612, I. B. A. a. 1. 61. Thigh stump, from which a cylindrical sequestrum has been extracted. See 252, XIII. A. B. g. 57. 62. Gunshot fracture of the head of the left humerus, successfully treated without excision. See class V. A. B. b. 63. Recovery, without amputation, after gunshot wound of right knee joint. See class XIV. A. B. b. 64. Recovery, without amputation, after a gunshot wound through the left knee joint. See class XIV. A. B. b. 65. Recovery, after a penetrating gunshot wound of the abdomen with fracture of the ilium. See classes XI. A. B. b.; XX. A. B. a. 66. Successful excision of the head of the left humerus. See 4278, V. A. A. c. 2. 67. United gunshot fracture, through the trochanters, of the left femur.—Case of Private Wetzel. See class XIII. A. B. b. 68. United gunshot fracture of the middle third of the right femur.—Case of Private Green. See class XIII. A. B. b. 69. United gunshot fracture of the upper third of the right femur.—Case of Private Norwood. See class XIII. A. B. b. 70. Model of a modification of the ordinary two-horse ambulance. 71. Consolidated gunshot fracture of the shaft of the right femur.—Case of Private Shelter. See class XIII. A. B. b. 72. United gunshot fracture of the shaft of the left femur.—Case of Sergeant Rider. See class XIII. A. B. b. 73. United gunshot fracture of the upper third of the right femur.—Case of Corporal Smith. See class XIII. A. B. b. 74. Aorta, Cava and Branches, showing a ligation of the common iliac artery. See 3597, XVIII. II. B. B. b. 1. 75. Successful Pirogoff amputation. See 2298, XXV. A. B. b. 233. 76. Consolidated gunshot fracture of the upper third of the right femur.—Case of Private Crossley. See class XIII. A. B. b. 77. Consolidated gunshot fracture of the middle third of the right femur.—Case of Private Hutchinson. See class XIV. A. B. b. 78. Recovery, without amputation, after a gunshot fracture of the left tibia involving the knee joint.—Case of Lieut. Robinson. See class XIV. A. B. b. 79. Gunshot wound of the face, with great destruction of soft parts.—Case of Private Harvey. See class II. A. A. b- 80. Gunshot fracture of the lower jaw.—Case of Private Lauersdorf. See class II. A. B. b. 81. Recovery, after a penetrating gunshot wound of the abdomen.—Case of Lieut. Deichler. See class XX. A. B. a. 82. Necrosis of left tibia. See 4337, XV. A. B. g. 37. 83. United gunshot fracture of the upper third of the left femur.—Case of Private G. Bauer. See class XIII. A. B. b. 84. United gunshot fracture of the shaft of the right femur.—Case of Sergeant W. Brown. See class XIll. A. B. b. 85. Case of union of a simple fracture of the thigh without shortening or deformity.—Case of Lieut. Starkweather, XIII. B. b. c. 86. Gunshot fracture of left scapula. See 178, IV. A. B. b. 28. 87. Button of bone removed from cranium for fracture by a stone. See 1452, I. B. c. c. 1. 88. Fragment of shell removed from bladder by Lithotomy. See 88, XX. A. B. b. 1. 89. United gunshot fracture of upper third of right femur.—Case of Lieutenant Reeder. See clasi XIII. A. B. b. 90. Gunshot fracture of right femur, partially united with great deformity.—Case of Private Frederick. See class XII. A. B. b. 91. Consolidated gunshot fracture of upper third of left femur.—Case of Capt. Lewis. See class XIII. A. B. b. 92. United gunshot fracture of lower third of right femur. See 1354, XIII. A. B. b. 82. 93. Gunshot perforation of the ilium.—Case of General Barnum. See class XI. A. B. c. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 575 4628. 94. Gunshot fracture of the vitreous table, with contusion only of the outer table of the skull. See 156y I. A. a. c. 6- A. 2. 95. Bones of the right knee, exhibiting attempts at repair after a gunshot fracture of the head of the tibia. See 3006, XV. A. B. d. 57. 96. Right femur. Ununited gunshot fracture of upper third, seven months after the injury. See 1325, XIII. A. B. b. 141. 97. Perforating gunshot wound of the abdomen. See class XX. A. B. a. and Surgical Drawings. 98. Shell wound of gluteal and lumbar regions. See Surgical Drawings. 99. Hyperostosis of extremities of right tibia and fibula amputated at place of election. See 2778, XV. A. B. f. 36. 100. Seven heads of humeri excised for gunshot injury. See 1999, V. A. B. c. 28; 2592, V. A. b. c. 33; 2599, V. A. B.C. 35; 2830, V. A. B.C. 56; 2363, V. A. B.c. 63; 2944, V. A. B. c 105; 1875, V. A. B. c. 113. Museum Series—Volume III. 4629. 101. Group of officers who had undergone amputation for gunshot injury. A. 3. 102. Enchondromatous tumor of the neck. 103. Excised head of humerus. See 1767, V. A. A. c. 27. 104. Excision of the right knee joint. See 1956, XIV. A. B. d. 4. 105. Perforating wound of the abdomen. Artificial anus. See class XX. A. b. a.See Surgical Series of Drawings. 106. Excision of shaft of femur.—Joslyu. 107. Excision of shaft of femur with apparatus.—Joslyn. 108. Rucker ambulance. 109. Hospital steamer Joseph K. Barnes. 110. Recovery after excision of the head of the left femur. See 1192, XII. A. B. d. 14. 111. United gunshot fracture of the upper third of the right femur.—Private William Rigney, 21st New York Cavalry. See class XIII. A. B. b. 112. Excision of the entire left humerus.—Private J. E. F. Cleghorn, 1st New Jersey Cavalry. See 4629, XXVI. A. 3, 148. See classes V. A. a. c; VI. A. B. c. 113. Amputation at the hip joint.—Private Lewis Francis, 14th New York Militia. See class XII. A. B. e. 114. United gunshot fracture of the middle third of the left femur.—Private Miller, 116th Pennsylvania. See class XIII. A. B. b. 115. United gunshot fracture of the upper third of the right fomur.—Private L. Felter, 1st Massachusetts. See class XIII. A. B. b. 116. United gunshot fracture of the middle third of the right femur.—Corporal S. Boice, 5th Michigan. See class XIII. A. B. b. 117. United gunshot fracture of the upper third of the left femur.—Private Peter Riley, 10th New York Heavy Artillery. See class XIII. A. B. b. 118. United gunshot fracture of the upper third of the left femur.—Private Charles B. Hodsdon, 7th Maine. See class XIII. A. B. b. 119. United gunshot fracture of the upper third of the right femur.—Private John Hamilton, 1st Delaware. See class XIII. A. B. b. 120. Gunshot fracture of left os innominatum.—Sergeant G. E. Corson, 17th U. S. Infantry. See class XI. A. B. b. 121. Three heads of humeri, excised for gunshot injury. See 994, V. A. B. c. 19; 10, V. A. B. c. 37; 451, V. A. B. c. 49. 122. Three heads of humeri, excised for gunshot injury. See 2516, V. A. A. c. 14; 1715, V. A. A. c. 31 ; 2625, V. A. B. c. 110. 123. Three heads of humeri, excised for gunshot injury. See 3954, V. A. a. c. 8; 2595, V. A. B. c. 31; 1180, V. A. B. c. 90. 124. Two heads of humeri, excised for gunshot injury. See 3405, V. A. A. c. 19; 387, V. A. B. c. 115. 125. Four heads of humeri, excised for gunshot injury. See 1683, V. A. B. c. 2; 2002, V. A. B. c. 47; 2180, V. A. B. c. 48; 3691, V. A. B. c. 58. 126. Two heads of humeri, excised for gunshot injury. See 2260, V. A. A. c. 37; 620, V. A. B. c. 102. 127. Two excised elbow joints. See 3615, VII. A. b. d. 24; 3466, VII. A. B. d. 46. 128. United gunshot fracture of the middle third of tho right femur.—Private Charles Quail, 4th Vermont. See class XIII. A. B. b. 129. United gunshot fracture of the upper third of the right femur.—Corporal Erastus Worthen, 2d Vermont Cavalry. See class XIII. A. B. b. 130. United gunshot fracture of the middle third of the right femur.—Private W. T. Gilbert, 6th Vermont. See class XIII. A. B. b. 131. United gunshot fracture of the upper third of the right femur.—Sergeant Rufus M. Pray, 3d Vermont See class XIII. A. B. b. 132. Double amputation of both thighs.—Private Columbus G. Rush, 21st Georgia (Rebel). See class XIV. A. a. e. 133. The same, with artificial limbs. 576 CATALOGUE OF THE SURGICAL SECTION XXVI. 4629. 134. Amputation of thigh.—Captain Charles T. Greene, A. A. G. See class XIV. A. A. e. A. 3. 135. Successful blepheroplastic operation.—Lieutenant Adam Miller, 2d Massachusetts. See class II. A. C a. 136. Exarticulated femur, left side. (Same case as 137.) See 4336, XII. A. B. e. 8. 137. Successful secondary amputation at the left hip joint. See 4386, XII. A. B. e. 8. 138. Recovery after penetrating gunshot wound of the abdomen. Adjutant J. E. Mallette, 81st New York. See class XXVII. B'. B'. 139. United gunshot fracture of the upper third of the right femur.—Private George Rouse, 7th New York. 140. United gunshot fractureof the upper third of the left femur. Private S. T. Pridgen, 18th North Carolina (Rebel). 141. United gunshot fracture of the middle third of the right femur.—Private Charles Last, 125th Illinois. 142. United gunshot fracture of the middle third of the left femur.—Captain R. T. Shillinglaur. 143. Successful intermediate excision of the head and a portion of the shaft of the left humerus for gunshot fracture- Private Stephen C. Foster, 56th Massachusetts. See class V. A. A. c. 144. Successful primary excision of the head and three inches of the shaft of the right humerus for gunshot fracture.— Sergeant Jacob P. Yakey, 125th New York. See class V. A. a. c. 145. Successful primary excision of the head and three inches of the shaft of the right humerus.—Private Adolph Zirsse, 16th Michigan. See class V. A. a. c. 146. Successful intermediate excision of the head and three inches of the shaft of the right humerus.—Private Samuel T. Tineker, 14th Indiana. See class V. A. B. c. 147. Successful primary excision of the head and three inches of the shaft of the right humerus.—Sergeant John B. Yost, 4th Pennsylvania Cavalry. See class V. A. A. c. 14H. Excision of the entire left humerus (companion to No. 112).—J. E. F. Cleghorn, 1st New Jersey Cavalry. 149. Successful excision of four inches of the shaft of the right humerus.—Private John Kelly. See class VI. A. a. c. 150. Successful excision of three inches of the shaft of the left humerus.—Private John Lemmel, 5th Wisconsin. Museum Series—Volume IV 4719. 151. United gunshot fracture of both femurs.—Sergeant William Shakspeare. See class XIII. A. B. b. A. 4. 152. Excision of the shaft of the left femur.—Henry A. Wiggins, 31st Massachusetts. See class XIII. A. A. c 153. Consolidated fracture of the left femur—.H. C. Gumbert. See class XIII. A. B. b. 154. Double amputation, one at the knee joint and one at the thigh.—Charies N. Lapham, 1st Vermont Cavalry. See classes XIV. A. a. d.; XIV. A. a. e. 155. Same, with artificial limbs.—Charles N. Lapham, 1st Vermont Cavalry. 156. Gunshot injury, involving the right hip joint.—Lieutenant Colonel James C. Strong, 38th New York, Brevet Brigadier General U. S. Vols. See class XII. A. B. a. 157. Consolidated gunshot fracture of the left femur.—Private A. F. Dinsmore, "E," 3d Michigan. See class XIII. A. B. d. 158. Consolidated gunshot fracture of the right femur.—P. Sweeny, " C," 3d New York. See class XIII. A. B. b. 159. Amputation at the hip joint. See 107, XIII. A. B. g. 33; 3734, XIV. A. B. f. 197. 160. Amputation at the middle third of the right thigh.—Private Charles Meyer, 5th Connecticut Cavalry. See class XIV. A. A. e. 161. Consolidated gunshot fracture of the upper third of the left femur.—Private James C. Houston, "G," 25th Ohio. See class XIII. A. B. b. 162. Osteomyelitis of the right femur. See 1007, XIII. A. B. f. 79. 163. Round ball lodged in the medullary cavity of the femur. See 1076, XIll. A. B. d. 72. 164. Osteomyelitis of the right femur. See 2890, XIII. A. B. f. 56. 165. Osteomyelitis of the left femur. See 3518, XIII. A. B. f. 65. 166. Penetrating wound of the ascending colon with compound fracture of the right radius.—Brevet Major General Ed. W. Hinks, U. S. Vols. 167—170. Illustrating plastic operations, by Surgeon J. C. McKee, U. S. Army, after severe gunshot injury to the lower jaw.—Private Rowland Ward, 4th New York Heavy Artillery. 171. Two femurs disarticulated. See 3098, XII. A. B. e. 2; 22*y XII. A. B. e. 3. 172. Two femurs disarticulated. Sec 2273, XII. A. a. d. 2; 3080, XII. A. a. d. 4. 173. Two femurs disarticulated. See 1020, XII. A. B. e. 1 ; 4237, XII. A. B. e. 6. 174. Two femurs disarticulated. See 84, XII. A. B. e. 5; 81, XII. A. B. e. 7. 175. Two femurs disarticulated. See 1148, XII. A. a. d. 1 ; 710, XII. A. B. e. 9. 176. Excision of the head of the right humerus.—Major Morrison. 177. Wound of the right hip.—Private Henry Reens, "I," 30th Massachusetts. 178. Unhealed fracture of the right femur, patient erect.—Private George Raoss. 171). Unhealed fracture of the right femur, patient lying down.—Private George Raoss. 180. Stump after amputation of the upper part of the right thigh for disease of the femur. 181. Fistula in perineo, from injury. B. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 577 B i Photographs and Drawings representing Surgical Cases | A. Photographs. JJ. Drawings. A. Photographs. 4640. A volume of seventeen photographs of surgical cases from several U. S. Army General Hospitals, which have A. 1. been enlarged on negatives of ten by twelve inches at the Army Medical Museum, by order of the Surgeon General. 4641. A volume of seventeen photographs of surgical cases from several U. S. Army General Hospitals, which have A. 2. been enlarged on negatives often by twelve inches at the Army Medical Museum, by order of the Surgeon General. 4632. A volume of sixty-six photographs of surgical cases from Harewood U. S. Army General Hospital, Washington. A. 3. These are printed from negatives of six by eight inches, and are accompanied by histories. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 4638. A volume of sixty-five photographs of surgical cases from Harewood U. S. Army General Hospital, Washington. A. 4. These are printed from negatives of six by eight inches, and are accompanied by histories. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 4639. A volume of fifty-eight photographs of surgical cases from Harewood U. S. Army General Hospital, Washington. A. 5. These are printed from negatives of six by eight inches, and are accompanied by histories. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 4634. A volume of thirty-seven photographs of surgical cases from Lincoln U. S. Army General Hospital, Washington. A. 6. These are printed from negatives of six by eight inches, and are accompanied by histories. Contributed by Surgeon J. C. McKee, U. S. Army. 4633. A volume of thirty-eight photographs of surgical cases from Lincoln U. S. Army General Hospital, Washington. A. 7. These are printed from negatives of six by six inches, and are accompanied by histories. Contributed by Surgeon J. C. McKee, U. S. Army. 4636. A volume of thirteen photographs of surgical cases from York (Penna.) U. S. Army General Hospital. These A. 8. are printed from negatives of six by eight inches, and are accompanied by histories. Contributed by Lieutenant Colonel John M. Cuyler, Medical Inspector, U. S. Army. 4642. A volume of thirty photographs of surgical cases printed from negatives of six by eight inches. A. 9. Contributed by individual surgeons. 4643. A volume of twenty photographs of surgical cases printed from negatives of six by eight inches. A. 10. Contributed by individual surgeons. 4646. A volume of three hundred and sixty-four card photographs of surgical cases from Harewood U. S. Army General A. 11. Hospital, Washington. Contributed by Surgeon R. B. Bontecou, U. S. Vols. 4637. An album of one hundred card photographs of surgical cases, with memoranda, from Ira Harris U. S. Army A. 12. General Hospital, Albany, New York. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4635. An album of fifty card photographs of surgical cases, with memoranda, from Ira Harris U. S. Army General A. 13. Hospital, Albany, New York. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. 4644. A volume of three hundred card photographs of surgical cases. A. 14. Contributed by individual surgeons. 4645. A volume of two hundred and fifty card photographs of surgical cases A. 15. Contributed by individual surgeons. 73 578 CATALOGUE OF THE SURGICAL SECTION XXVI. 4656. A large photograph of an enchondroma of the right scapula. It extended from just outside the vertebral column A. 16. and parallel to it over the right shoulder, involving two-thirds of the clavicle and the upper six inches of the humerus. It was of almost bony haidnets, of very irregular outline and firm attachment at the base. The skin was movable, excepting a small inflamed spot on the outside where there was some tendency to ulceration. The measurements were: circumference of the base forty-five inches; antero-posterior circumference, including the axilla, thirty-nine inches; antero- posterior, transverse and vertical diameters, each fourteen inches. Weight after death, three months later, thirty-one pounds. --------, farmer, 26, Salem, Conn.: general health always good; tumor grew slowly for seven and rapidly for three years; photographs and measurements made, Boston, December, 1863; died from exhaustion following sloughing of the veins, March, 1864. Autopsy showed the tumor pure enchondroma. For particulars, see Boston Medical and Surgical Journal, Vol. LXX, No. 9, p. 169, 31st March, 1864. Contributed by Professor J. B. S. Jackson. 4655. Seven photographs, mounted together, representing the superior maxilla removed for disease, and the condition of A. 17. the patient before and after two plastic operations for relief of the deformity. Private C. B.: operated upon by Dr. Gurdon Buck, of New York. Contributed by the operator. For complete history, see 4252-4, XXV. C. A. 2, 3, 4. 3444. A large photograph, exhibiting the cicatrix of a sabre wound diagonally across the zygomatic region of the right A. 18. cheek. This is an interesting specimen of a very rare class. Major General A. A., U. S. Vols. : the wound was received at the battle of Debreczin, in the Hungarian Revolution, early in 1849. Photographed at the Army Medical Museum, 1866. 4210. Two photographs, representing a colored man before and after tbe removal of an immense tumor from the left parotid A. 19. region. The operation was performed by Surgeon E. Bentley, U. S. Vols., in the spring of 1866, and was entirely successful. Photographed at the Army Medical Museum. B. Dk; 4649. A portfolio of fifty-six drawings of surgical cases, executed on sheets of fifteen by eighteen inches by Hospital B. 1. Steward Stauch, U. S. Army, by order of the Surgeon General. 4647. A volume of thirty drawings of surgical cases, on sheets nine by twelve inches, accompanied with histories. B. 2. Contributed by Surgeon D. L. Young, 21st Ohio. 4648. A volume of twenty-three drawings of surgical cases, from Armory Square U. S. Army General Hospital, Washington, B. 3. on sheets of six by eight inches. Contributed by Surgeon D. W. Bliss, U. S. Vols. 4650. B. 4. A portfolio of thirty-two drawings of surgical cases, executed, by order of the Surgeon General, by Hospital Stewards Baumgras, Schultze and Faber. 4652. B. 5. A portfolio of fourteen drawings of surgical cases, executed, by order of the Surgeon General, by Hospital Steward Pohlers, U. S. Army. 4653. B. 6. A portfolio of thirty-six drawings of surgical cases, executed by various artists. D. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 579 \J, Photographs and Drawings representing Specimens. ^ { ' ° °SiaP ! JJ. Drawings. A. Photographs. 4630. A volume of forty-nine photographs of surgical specimens from U. S. Army General Hospital, Frederick, Md. A. 1. These are printed from negatives of six by seven inches. Contributed by Assistant Surgeon R. F. Weir, U. S. Army. 4631. An album of one hundred gard photographs of surgical specimens from the museum of the Albany, New York, A. 2. Medical College. Contributed by Assistant Surgeon J. H. Armsby, U. S. Vols. D, Maps and Plans. 465 1. A portfolio of fourteen maps of battle-fields, showing the locations of the hospitals and the lines of battle. D. 1. Druwn by Hospital Steward Augustus Pohlers. U. S. Army, by order of the Surgeon General. XXVII. WEAPONS AND PROJECTILES. A, Weap ons. -ex. Designed for Offence. ! JJ. Means of Defence. ; a. For indirect injury ( b. For direct injury. BPr< Projectiles for Fire- arms. A. Artillery. JJ. Small Arms. \j. Other Varieties I a. Types unused. <; b. Types after use. L c. Removed by operation. f a. Types unused. ! b. Types after use. j c. After flesh wounds. L d. After contact with bone. a. Types unused. b. Types after use. c. Removed by operation. B7 List of C ases where the course of the projectile or its tiene of lodgement is remarkable. B . List of Cases illustrating: the value of the Nelaton Probe. B . B . List of Cases where an unusual foreign body has been introduced. c, Missiles Other than J ^. TyPeB and Uninjured Specimens for Firearms. j t JJ. Removed by Operation. XXVII. WEAPONS AND PROJECTILES. A, Weapons. A-n • j S a. For indirect injury. . Designed. ^ b. For direct injury. a. For Indirect Injury. 4617. An Indian bow three and a half feet long, made of hickory. It is nearly straight when relaxed. a. 1. Contributor and history unknown. 4616. An Indian war-bow of the Yankton or Sissiton, Upper Sioux. It is made of hickory, is three and a half feet a. 2. long and possesses a double curve. It is stained reddish, is wrapped with red worsted near the middle, and each end is ornamented with a blue ribbon. It is bound near one extremity, where it has been split, with some tendinous material. Made by an Indian prisoner at Fort Ridgely. Contributed by Acting Assistant Surgeon Alfred Muller. 1833. A section of a Springfield rifle musket, cut so as to display the grooves. a. 3. Contributed by Brigadier General Geo. D. Ramsay, Chief of Ordnance, U. S. Army. b. For Direct Injury. 4611. A series of twenty-nine bayonets, of American and foreign manufacture, each with a distinguishing number. This b. 1. interesting collection was prepared by the kindness of Brigadier General George D. Ramsay, Chief of Ordnance, U. S. Army. 1. Triangular bayonet for French rifled musket, calibre .70, marked 1853. 2. Triangular bayonet for Prussian rifled musket, calibre .69, "Mehlis." 3. Triangular bayonet for French rifled musket, calibre .70. This is one-half inch longer than No. 1. 4. Triangular bayonet for Dresden rifled musket, calibre .58. 5. Triangular bayonet for Prussian rifled" musket, calibre .71, "Suhl." 6. Triangular bayonet for Enfield rifled musket, calibre .577. 7. Triangular bayonet for Austrian rifled musket, calibre .54 to .59, made at the Springfield Armory. 8. Triangular bayonet for Austrian rifled musket, calibre .69, made at the Springfield Armory. 9. Triangular bayonet for Springfield rifled musket, calibre .58. 10. Triangular bayonet for Sharp's rifle, calibre .52. 11. Quadrangular bayonet for Austrian rifled musket, calibre 54 to .59. 12. Sword bayonet, with leather scabbard, for short Dresden rifle, calibre .58. 13. Sword bayonet, with leather scabbard, for light French rifle, calibre .58. 14. Sword bayonet, with steel scabbard, for Austrian rifle, calibre .62. 15. Sword bayonet, without scabbard, for Garibaldi rifle, calibre .71. 16. Sword bayonet, with steel scabbard, for Vincennes rifle, calibre .71. 17. Sword bayonet, with leather scabbard, for United States rifle, calibre .58. 18. Sword bayonet, with leather scabbard, for Remington rifle, calibre .54. 19. Sword bayonet, with leather scabbard, for Sharp's rifle, calibre .52. 20. Triangular bayonet for Belgian rifled musket, calibre .70 21. Triangular bayonet for Prussian rifled musket, calibre .71, "Suhl." 22. Quadrangular bayonet for Austrian rifled musket, calibre .69. 23. Triangular bayonet for French rifled musket, calibre .69. 24. Triangular bayonet for English Tower rifled musket, calibre .71. 584 CATALOGUE OF THE SURGICAL SECTION XXVII. 25. Triangular bayonet for United States smooth-bore flint-lock musket, model of 1822, calibre .69. 26. Triangular bayonet for United States smooth-bore percussion musket, model of 1842, calibre .69. 27. Triangular bayonet for United States smooth-bore percussion musket, model of 1842, calibre .69. 28. Triangular bayonet for French rifled musket, calibre .70. 29. Triangular bayonet for United States musket, old pattern, date and calibre not given. Contributed by U. S. Ordnance Department. 4613. Lance used in the earlier part of the war by 6th Pennsylvania Cavalry. The steel head is triangular and six inches b. 2. in length. The wooden shaft of yellow pine, ornamented at the upper extremity with a red pennon, is eight and a half feet long, and the base, tipped with brass, is loaded with lead for several inches. Contributed by Captain J. G. Benton, Ordnance Department, U. S. Army. 4612. Lance used by Col. Rankin's Michigan regiment. The steel head is ten inches in length, excluding its shaft, and b. 3. is double-edged. The wooden shaft is eight and a half feet long and ornamented at its upper extremity with a red pennon. The base, tipped with brass, is loaded with lead for several inches. Contributed by Captain J. G. Benton, Ordnance Department, U. S. Army. 4619. A Sioux war-spear, principally used upon the bodies of the wounded to discover if they are still alive. The iron b. 4. head is six inches long by two broad at the base, and is bound by iron wire to a handle of light wood four feet long. This handle is ornamented at intervals with plumage of birds, nearly all of which in this specimen is worn off. One of these spears belongs to each band and is held by the medicine-man, being inherited from father to son. It is only removed from the cloth in which it is wrapped during war-time. It is said no new ones are fabricated. Contributed by Acting Assistant Surgeon Alfred Muller. 4618. A pike, with an iron lance head, twelve inches in length, with a hook at its base four inches long. The shaft is b. 5. oak, seven feet in length. Used by the Rebels in Fort Wagner, S. C. Contributed by Acting Assistant Surgeon H. K. Neff. 4658. A Baltimore pike. The iron blade is double-edged, eleven inches long and two inches broad, and is firmly set in b. 6. an oaken handle two inches in diameter and six feet in length. The specimen is one of seven thousand that were manufactured for the Baltimore rebels, with which to oppose the national troops in April, 1861, but were seized before distribution. Contributed by Brevet Major D. C. Peters, Assistant Surgeon, U. S. Army. 4659. A duplicate of the preceding (4658, XXVII. A. a. b. 6). b. 7. Contributed by Brevet Major D. C. Peters, Assistant Surgeon, U. S. Army. 4665. A bayonet, broken off three inches from the base. b. 8. Contributor and history unknown. For other illustrations, see 1160, III. B. B. b. 3. JJ. Means of Defence. 4654. An iron breastplate, eighteen inches in its extreme length and nine inches in its extreme breadth, designed to B. 1. protect the right thorax and abdomen, being a symmetrical half of a defensive cuirass. Its thickness is about one- sixteenth of an inch, and its weight is forty-five ounces. It is perforated below the centre and at its inferior border. as if by rifle balls. Taken from the body of a Rebel officer, killed at Gettysburg, 3d July, 1863. B. A OF THE UNITED STATES ARMY MEDICAL MUSEUM. 585 B, Projectiles for Firearms. A. • . , .„ C a. Types unused. Artillery. ^ b. Types after use. ( c. Removed by opi peration. [For this 4609. a. 1. 2736. a. 2. 4581. a. 3. 1132. a. 4. 3115. a. 5. 3203. a. 6. 4584. a. 7. 4595. a. 8. 4583. a. 9. 4588. a. 10. 4589. a. 11. 4592. a. 12. 4585. a. 13. 4586. a. 14. 4594. a. 15. 4582. a. 16. 4590. a. 17. a. Types Unused. interesting group of specimens, the Museum is indebted to Brigadier General George D. Ramsay, Chief of Ordnance, U. S. Army. ] Friction tubes for firing cannon. From U. S. Ordnance Department. A series of fourteen cartridges for field guns, from 10 to 24-pounders. From U. S. Ordnance Department. A cartridge for shot in 6-pounder and 12-pounder gun, each with sabot. From U. S. Ordnance Department. A series of five cartridges and sabots for shell in howitzers and guns. From U. 8. Ordnance Department. A series of six cartridges, with sabots for spherical case in howitzers and guns. From U. S. Ordnance Department. A series of six cartridges, with sabots for canister in howitzers and guns. From U. S. Ordnance Department. A 6-pounder and a 12-pounder solid shot, strapped. From U. S. Ordnance Department. A 6-pounder shell, unfilled and without plug. From U. S. Ordnance Department. A series of five shell, strapped, for howitzers and guns. From U. S. Ordnance Department. A 3-inch shell, Dyer's pattern. From U. S. Ordnance Department. Two 3-inch shell: one, time fuze ; the other, percussion, Hotchkiss' patent. From U. S. Ordnance Department. Two percussion shell: one, 3-inch; the other, 20-pounder, Schenkl's patent. From U. S. Ordnance Department. Two 10-pounder Parrott shell: one, time fuze; the other, percussion. From U. 8. Ordnance Department. Two 20-pounder Parrott shell: one, time fuze ; the other, percussion. From U. S. Ordnance Department. A 12-pounder spherical case shot sawn in half, showing the bullets and composition. From U. S. Ordnance Department. A series of six spherical case shot, strapped for howitzers and guns. From U. S. Ordnance Department. A 3-inch case shot, Hotchkiss' patent. From U. S. Ordnance Department. 74 58(5 CATALOGUE OF THE SURGICAL SECTION XXVII. 4591. a. 18. 4587. a. 19. 4598. a. 20. 4597. a. 21. 4596. a. 22. 4606. a. 23. 4608. a. 24. Two case shot: one, 3-inch; the other, 20-pounder, combination fuze, Schenkl's patent. From U. S. Ordnance Department. Two Parrott case shot: one, 10-pounder percussion; the other, 20-pounder time fuze. From U. S. Ordnance Department. A series of four canister, filled, for howitzers. From U. S. Ordnance Department. A series of four canister, filled, for field gun?. From U. S. Ordnance Department. One stand of grape for 24-pounder seige or garrison gun 5".82 bore From U. S. Ordnance Department. A series of paper fuzes of from ten to thirty seconds. From U. S. Ordnance Department. Bormann's metallic time fuzes. From U. S. Ordnance Department. b. Types After Use. 2418. An iron grape shot one inch in diameter, exhumed at Yorktown, Va., 20th January, 1864, and supposed to have b 1. been thrown by the allies in the Revolutionary seige. Contributed by Hospital Steward Geo. E. Fuller, U. S. Army. 519. A cylindrical fragment of a Schenkl shell, three inches in length and two and a half inches in its greatest width, b. 2. representing the anterior portion after explosion. Contributor and history unknown. 4458. A fragment of a 20-pounder shell from the field of Antietam. The specimen, which is taken from near the apex, b 3. measures three and a half inches in each of its two longer diameters and weighs twenty-three ounces. It illustrates the manner in which such missiles break up. Contributed by Assistant Surgeon B. Howard, U. S. Army. 4660. A collection of fragments of shell, showing the manner in which such missiles explode b "! 1. Seven pieces of cast iron, with a thickness of three-fourths of an inch, weighing from eight to twenty-four ounces, apparently from elongated shell. _ 2. Five fragments from near the apices of heavy cylindrical shell, (from field guns, calibre undeterm.ned,) weigh.ng from twenty-one to fifty-eight and a half ounces. 3. A longitudinal fragment of a 10-pounder shell, weighing thirty-eight and a half ounces. 4. The bases of two elongated shell, as if 30-pounders, Hotchkiss' patent. 5 The bases of two elongated case shot, as if 30-pounders. 6. Four fragments of large field shell, weighing from eleven and a half to forty-five and a half ounces. Contributed by Major G. W. Sabine, 1st Maine Artillery. 4661. Five fragments of elongated 100-pounder shell. The smallest weighs twenty-six ounces, the largest embraces b. 5. one-third of the projectile. Contributed by Major G. W. Sabine, 1st Maine Artillery. 4662. Two unexploded shell thrown by the Rebels : one, 10-pounder; the other, 20-pounder, from rifled guns. b. 6. Contributor and history unknown. 4663. An unexploded shell, resembling a 30-pounder of the Hotchkiss patent. b. 7. Contributor and history unknown. 4664. An unexploded elongated 10-pounder shell from a rifled gun. b. 8. Contributor and history unknown. 4692. The base, and a large portion of the body of an exploded 30-pounder case shot. b. 9. yet retained by the composition on the inner surface. Contributor and history unknown. A number of leaden bullets are B. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 587 c. Removed by Operation. 3294. A conoidal leaden shell two inches in length, one and a half inches in calibre and weighing, unloaded, nine and c. 1. three-fourths ounces. This missile was cut out of a horse killed, while the rider was reconnoitering with General Kearny, on the first day of the Second Bull Run. No report was heard in the direction whence it came. The con- tributor subsequently learned, while a prisoner at Chantilly, that such missiles were fired by the Rebels from globe-sighted rifled guns of considerable thickness, to pick off officers at long range. The specimen is very unique. Contributed by Dr. Gerald D. O'Farrell, late Assistant Surgeon, 63d Pennsylvania. 4516. Three and one-fourth inches of fine iron wire, possibly from case shot, removed in two C. 2. pieces from the right eye. ^^ Private S. F., "F," 1st Pennsylvania Artillery, 22: Gettysburg, 2d July, 1863. Re- moved on the field by Regimental Surgeon. Wound healed with loss of vision. See figure 150. Contributed by Assistant Surgeon C. H. Alden, U. S. Army. See class II. A. C. a. 3172. A spherical leaden bullet, quite perfect, as if from spherical case, which was found, c. 3. after death, lying beneath the sterno-cleido-mastoid and against the left common carotid. Private J. H. V., "B," 6th New York Heavy Artillery: wound involving ball of left eye, 18th June; admitted hospital, Washington, 30th June; died of pneumonia, 24th July, 18G4. ' eye. Spec. 4516. Contributed by Acting Assistant Surgeon H. M. Dean. 809. A spherical leaden ball from case shot, somewhat grooved at one portion with a bony fragment embedded. c. 4. Private J. B., "C," 8th Ohio: entered one inch below the right angle of the mouth, probably, Chancellorsville, 3d May; cut out one inch in front of the angle of the jaw by Acting Assistant Surgeon B. F. Craig, Washington, 22d May ; returned to duty, November, 1863. Contributed by the operator. 4509. An iron ball, as if from spherical case, which entered at the inner third of the clavicle, fractured that bone and C. 5. lodged for ten months under the pectoral muscle near the axilla. Private G. B., "G," 1st New York Artillery: Gettysburg, 2d July, 1863; extracted, Philadelphia, 3d May, 1804. Contributed by Acting Assistant Surgeon C. B. King. See B'. 4492. A round iron bullet from spherical case, which entered near the anterior superior spinous process of the left ilium c. 6. and was removed six weeks afterward from near the fourth lumbar vertebra. Corporal R. P., "H," 5th New York Cavalry: wouuded, 13th September; removed, 1st November, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. 4489. A round iron ball from spherical case, removed from the right nates four months after injury. Entered four inches c. 7. posterior to the left anterior superior spinous process and passed through the rectum. Private I. M. D. C, "G," 3d Michigan: Chancellorsville, 3d May; large abscess over right ischium opened, Washington, 4th June; specimen removed, 12th September, 1863; discharged the service, 2d July, 1864. Contributed by Surgeon D. W. Bliss, U. S. Vols. See class XX. A. B. a. 3199. A round iron ball from spherical case, which entered the posterior border of the tibialis anticus above the middle c. 8. of the left leg, and was removed four inches below. Private E. M., "C," 12th New Jersey, 24: Gettysburg, 2d July; removed, Baltimore, 13th July, 1863. Recovered. Contributed by Surgeon C. W. Jones U. S. Vols. 1498. A badly cast iron ball from spherical case. c. 9. Private T. H., "B," 36th Ohio: wounded, 19th April; admitted hospital, with leg amputated in the upper third for shell fracture, and with a healed apparently flesh wound of right thigh, Frederick, 12th November; bullet removed by opening abscess, and consolidated fracture at junction of upper thirds with one inch shortening discovered, 5th December, 1864. Recovered. Contributed by Acting Assistant Surgeon W. S. Adams. See B'. 4456. An iron grape shot, one and one-fourth inches in diameter, weighing two and a half ounces, which entered c. 10. immediately over the femoral artery, at the battle of Pittsburgh Landing, lodged near the tuber ischii, and was removed by Surgeon J. T. Hodgen, U. S. Vols, 17th April, 1862. Contributed by the operator. 588 CATALOGUE OF THE SURGICAL SECTION XXVII. 4538. A grape shot, nearly two inches in diameter, weighing thirteen ounces, which fractured the second and third ribs, C. 11. and passed under the muscles of the breast into the left axilla between the artery and nerves and the bone. Unknown: Savage's Station, 29th June, 1862. The missile was removed eight hours afterward. The patient was doing well ten days afterward. Contributed by Acting Assistant Surgeon P. Middleton. See B'. 4513. A fragment of shell, one-half inch square, which remained almost a year near the spine of the left scapula. C. 12. Sergeant H. S., " F." 90th Pennsylvania: near Chancellorsville, 30th April, 1863; removed, Philadelphia, 13th April, 1864. Contributed by Acting Assistant Surgeon Charles Carter. See B'. 4280. A small triangular fragment of shell, which transversely fractured the right ulna at the middle, rent it into c. 13. longitudinal spiculae and lodged one and a half inches from the elbow, where its presence was detected by the Nelaton probe. The case is remarkable from the metallic lustre being furnished by cast iron. Lieutenant E. A. E., llth U. S. Infantry, 1st June, 1864. Contributed by Assistant Surgeon J. Sim Smith, U. S. Army. See B". 2345. A small triangular cast-iron fragment, apparently from the base of a cylindrical shell, which inflicted a crucial c. 14. wound in the temporal region three-fourths of an inch from the external angle of the right orbit. Private----G., "F," 41st New York: John's Island, S. C, llth February, 18G4; extracted on the field and recovered in six weeks with no lesion of vision. Contributed by Surgeon Samuel Brillantowski, 41st New York. 57. A triangular fragment of shell, one and a half inches in its longest side, weighing one and a half ounces, which c. 15. entered at the junction of the posterior and middle portions of the deltoid, cutting the muscular fibres but not injuring the joint. It was extracted from the integument in front of the head of the humerus. First Lieutenant J. S. P., "A," 57th New York: Chancellorsville, 3d May; extracted Chester, Penna.; unable to raise the arm, and discharged for disability, 7th November, 1863. Contributed by Surgeon T. Hewson Bache, U. S. Vols. 4503. A fragment of the base of a shell, one and three-fourths by one and one-fourth inches, weighing one and one-fourth o. 16. ounces, removed from the right side eight months after injury. Its presence does not seem to have been suspected for a long time. Private J. V., (or W.,) "A," 45th New York, 22: conoidal ball entered to the right of the second lumbar vertebra and passed around between the skin and connective tissue, Gettysburg, 1st July; cut out two inches to the right of the umbilicus 12th July, 1863; specimen removed by Surgeon C. W. Jones, U. S. Vols., Baltimore, 2d March, 1863. Contributed by the operator. See B'. 4459. A fragment of spherical case, showing a section of the orifice for the fuze, and weighing two and two thirds c. 17. . ounces, extracted from the sacrum on the field. Private C. A. N., "H," 13th Massachusetts: Antietam, 17th September; died, Chambersburg, early in October, 1862. Contributed by Surgeon E. McDonnell, U. S. Vols. 4460. A fragment of a cylindrical shell, three and a half inches in length, one and one-fourth inches in average width c. 18. and three-fourths of an inch thick, weighing eight and a half ounces, extracted from the glutfei. Private G. M. B., ----New York: Second Bull Run, 30th August; removed by Dr. W. I. C. Duhamel, 31st August, 1862. The subject walked two miles with the missile embedded. Contributed by the operator. 4457. A fragment from the apex of a 20-pounder shell. One border is a section drawn longitudinally through the centre, c. 19. showing a diameter of more than three and a half inches. The other border is at nearly right angles three inches below the apex. The walls are an inch and one-fourth thick, and the specimen weighs thirty-two and one-half ounces. A soldier, attempting to crack nuts upon the unexploded missile on the field of Antietam, received this fragment. It frightfully lacerated his perineum, made an incision of two inches in the membranous portion of the urethra and upturned the left os ischii. The specimen was found between the ramus ischii and the adductors of the thigh. Contributed by Surgeon E. McDonnell, U. S. Vols. See class XXVII. B. A. c. For other illustrations, see 1497, I. A. B. b. 13; 1137, I. A. B. d. 7; 3739, III. A. A. b. 13; 1738, V. A. A. c. 43; 3136, VI. A. a. b. 9; 286), VI. A. a. b. 10; 3208, VII. A. B. f. 29; 3178, IX. A. A. e. 3; 4009, XIII. A. a. b. 5; 1509, XIII. A. a. b. 11; 4179, XIII. A. a. d. 6; 4120, XIII. A. a. d. 16; 3485, XIII. A. B. b. 116; 1076, XIII. A. B. d. 72; 2045, XIV. A. a. e. 68 ; 4121, XIV. A a. e. 71 ; 709, XIV. A. B. b. 80 ; 576, XIV. A. B. f. 154 ; 4028, XV. A. a. d. 6; 157, XVI. A. B. b. 13. B. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 589 B. Small Arms f a. Types unused. I b. Types after use. ] c. After flesh wounds. L d. After contact with bone. a. Types Unused. [For the majority of the specimens in this subdivision, the Museum is indebted to the kindness of Brigadier General George D. Ramsay, Chief of Ordnance, U. S. Army.] 4607. Percussion caps for Colt's pistols and primers for Sharp's arms. a. 1. From U. S. Ordnance Department. 4625. Maynard's primers for small arms. a. 2. From U. S. Ordnance Department. 4605. Elongated bullets for Colt's pistols ; army, cal. .44; navy, cal. .36; pocket, cal. .31. a. 3. From U. S. Ordnance Department. 4599. Round bullets for smooth-bore musket, cal. .69, and buckshot. a. 4. From U. S. Ordnance Department. 4600. Cartridges with elongated bullet for smooth-bore musket, cal. .69, Mefford's. a. 5. From U. S. Ordnance Department. 4604. a. 6. Elongated bullets for U. S. rifled muskets, cals. .69, .58, .54. From U. S. Ordnance Department. 4602. a. 7. Elongated bullets. Williams' patent, for rifled piece, cal. .69. From U. S. Ordnance Department. 4603. a. 8. Cartridges with Shaler's elongated sectional bullet, for rifled piece, cal. .574. From U. S. Ordnance Department. 4601. Cartridges with Gardiner's elongated shell bullet, for rifled musket, cal. .58, and elongated bullet for Sharp's a. 9. carbine, cal. .52. From U. S. Ordnance Department. 4620. A series of twenty-four sets of small-arm cartridges, exhibiting the weight of each missile, calibre of the piece for a. 10. which it is designed and the weight of the charge. Contributed by Captain J. G. Benton, U. S. Ordnance Department. 4621. A series of eighty bullets and cartridges for small arms, embracing spherical, elongated and explosive balls, with a. 11. the weight of each missile, the calibre of the piece for which it is designed and the weight of the charge. From U. S. Ordnance Department. b. Types After Ustu. 46 IO. A conoidal ball, with a copper spade-shaped attach- b. 1. ment, twice its own length, fastened within the cup and designed to render the flight more accurate. Be- lieved to be of a pattern rejected by the Ordnance Department about 1860. Rumor asserts that this projectile was thrown into the prison camp at Johnson's Island with a message attached. It is slightly compressed at the base. Its true history is unknown. See figure 151. Contributed by Corporal Samuel Willis, 1st V. R. C. Fig. 151. Bullet with guiding (?) attachment; actual size. Spec. 4610. 590 CATALOGUE OF THE SURGICAL SECTION XXVII. c. After Flesh Wounds. — 4183. A very minute but completely formed conoidal pistol ball, weighing twenty-eight grains, which ||p c. 1. entered the median line midway between the umbilicus and eusiform cartilage, perforated the intestine FiQ 152 gma and was found lvinff on the left psoas muscle. Death was caused by haemorrhage en route to hospital, pistol ball which J to r caused death. A full-sized figure is attached. See figure 152. Spec. 4183. Private C. B., "L," 8th New York Cavalry. Contributed by Assistant Surgeon H. Allen, U. S. Army. 1480. A small conoidal pistol ball, which passed through the middle third of the right thigh in front of the femur. c. 2. Private G. S. S., "E," 8th Illinois Cavalry: Barber's Cross Roads, Va., 5th November; admitted hospital, Alexandria, 17th November, 1862. Contributed by Acting Assistant Surgeon J. B. Bellangee. 3074. A conoidal carbine ball, very slightly contused at the apex, extracted from beneath the integument on the inner c. 3. side of the left knee, Washington, 27th June, 1863. History unknown. Contributed by Surgeon John A. Lidell, U. S. Vols. 1586. A spherical leaden ball, with no disfigurement, except where the forceps appears to have held it, which lodged in c. 4. the belly of the gastrocnemius. Sergeant G. W. F., " K," 63d Pennsylvania: Second Fredericksburg, 3d May; extracted by Assistant Surgeon E. F. Bates, U S. Vols., Washington, 14th May, 1863. Contributed by the operator. 1368. A spherical musket ball, with a slight indentation, from the posterior and inner portion of the upper third of the c. 5. thigh. Ball entered the middle third, and patient cla'med to have cut out a conoidal ball on the field which entered the same orifice. Private J. L., "E," 2d New Jersey, 27: Gaines' Mill, 27th June; removed by Acting Assistant Surgeon E. Hartsborne, Philadelphia, 21st August, 1862; " opacity of cornea from purulent ophthalmia following introduction of pus from wound in the eye;" discharged, 2d January, 1863. Contributed by the operator. 1598. A spherical leaden ball scarcely marked by contact. Extracted one inch below the middle third of the clavicle, c. 6. having entered one inch below the right coracoid process. Private H. S., "C," 5th New Jersey: Second Fredericksburg, 3d May; extracted by Assistant Surgeon E. F. Bates, U. S. Vols, Washington, 14th May; returned to duty, 29th October, 1863. Contributed by Surgeon O. A. Judson, U. S. Vols. 1580. A round ball, very slightly disfigured, which entered the left foot and was extracted, six months after the ii'jury, c. 7. below the external malleolus. Private J. F., " C," 9th Pennsylvania Reserves : Second Malvern Hill, 31st July, 1832. Contributed by Surgeon John A. Lidell, U. S. Vols. 1405. A round ball, very slightly indented, extracted from the deltoid muscle of the right arm. c. 8. Contributed by Surgeon C. F. H. Campbell, U. S. Vols. 630. A spherical ball, slightly flattened at one point, which entered and was extracted from the left leg, Chancellors- c. 9. ville, 3d May, 1863. Contributed by Surgeon Samuel Brillantowski, 41st New York. 3020. A round ball, not materially disfigured, which entered between the left trochanter major aud the anterior superior c. 10. spinous process of the ilium at the battle of Pittsburgh Landing, Tennessee, 7th April, and was removed from the perineum, 14th April, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 4463. A round ball, very slightly contused, which penetrated the root of the lung. c. 11. Private H. I. R.: entered two inches below the right acromion, passed between the second and third ribs arid through the root of the right lung, lodging against the vertebra above the diaphragm, Cedar Mountain, 9th August; died, Alexandria, 17th August, 1862. The right lung was completely collapsed and one hundred and twenty ounces of bloody fluid was found in the pleural sac. Contributed by Acting Assistant Surgeon J. Robertson. 4407. A round ball, not roughened and but slightly misshapen. It entered the outer part of the thigh and was removed c. 12. from the origin of the gracilis. From the battle of Pittsburgh Landing. Contributed by Surgeon J. T. Hodgen, U. S. Vols. B.B. OF THE UNITED STATES ARMY MEDICAL MUSEUM 591 4488. A round ball, slightly flattened on one side, removed from near the superior border of the scapula, where it had c. 13. been embedded for neariy fourteen months, having entered below the anterior convexity of the clavicle. Private H. M., "E," 9th New York, 20: Roanoke Island, N. C, 8th February, 1862: admitted hospital with typhoid fever, Washington, 8th February, 1863 ; extracted, 28th April; term of service expired, 4th May, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. See B'. 4484. A round bail, somewhat flattened on one side, from the shoulder. c. 14. Contributed by Acting Assistant Surgeon C. W. Horner. 4482. A round ball with a small fragment scraped off and turned back. °- 15- ----C, "B," llth Pennsylvania Reserves: Peninsula, 30th June, 1862; removed from fleshy part of the upper third right leg, by Acting Assistant Surgeon George F. French, Alexandria, 9th January, 1863. Contributed by the operator. 2971. A spherical leaden ball somewhat flattened. It entered at the gluteal fold and was extracted by a counter c. 16. opening from above the inner condyle of the right femur. Private S. N., "F," 119th Pennsylvania: Chancellorsville, 3d May; extracted, Washington, 14th May, 1863; discharged, Philadelphia, 30th June, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See B'. 4542. A spherical ball, slightly grooved at its greatest circumference on one side, which entered the trapezius muscle of c. 17. the right side near the fifth dorsal vertebra, passed upward and forward, passed through the axillary space, followed the long head of the triceps and lodged at the internal condyle of the humerus upon the course of the ulnar nerve, producing numbness of the little and ring fingers. Private W. A. G., "D," 1st Pennsylvania Cavalry: Cedar Mountain, 9th August; admitted hospital, Alexandria, 13th; extracted by Acting Assistant Surgeon W. Leon Hammond, 21st August, 1862. Contributed by Surgeon J. E. Summers, U. S Army. See B'. 4534. A spherical bullet, somewhat grooved in one portion, which entered in front of the inferior angle of the left scapula C. 18. and passed obliquely downward and backward to within two inches of the spine and two inches below the point of entrance. Private C. B., "B," 149th Pennsylvania: Gettysburg, 1st July; ball removed on the field; returned to dutv, 21st October, 1863. Contributed by Acting Assistant Surgeon George Hutton. 4467. A round ball, partly flattened on one side, extracted from the side of the last lumbar vertebra. C. 19. Private T. B., "C," 14th Indiana: entered the lower outer surface of the crest of the ilium, Antietam, 17th September; extracted, Philadelphia, 6th October, 1862. Contributed by Acting Assistant Surgeon W. Sargent. 4462. A round bullet, somewhat flattened and expanded on one side. c. 20. Private J. M., '-D," 69th Pennsylvania: ball entered below the spine of the right scapula, Antietam, 17th September; fell out, Philadelphia, 3d November, 1862. Contributed by Acting Assistant Surgeon W. Lehman Wells. 4529. A round ball, triangularly shaped, which produced a superficial w-ound of one and a half inches in the palmar C. 21. surface of the right hand near the ball of the thumb. The ball was picked up, having been nearly spent. It probably was a ricochet shot. Sergeant M. R., "A," 27th Pennsylvania: Gettysburg, 1st July; returned to duty, well, llth Sep- tember, 1863. Contributed by Assistant Surgeon C. H. Alden, U. S. Army. 4553. A round ball, flattened on one side, but chiefly remarkable as an illustration of the manner c. 22. in which missiles may traverse the body. See figure 153. Private A. J. D., "I," 13th Indiana, 19: ball lodged in left thigh below and in front of tho trochanter, Gauley River, 2d November, 1862; experienced some pain and tenderness over the lower portion of the abdomen with difficult micturition for a few days; extracted from the right thigh five inches above the patella, by Surgeon John Neill, U. S. Vols., Philadelphia, 14th April, 1863. Contributed by the operator. See B'. Fig. 153. Flattened round ball which passed subcutane- ously from one thigh to the other. Spec. 4553. 592 CATALOGUE OF THE SURGICAL SECTION XXVII. 4526. A piece of lead, battered, as if a portion of a bullet. Entered the right side of the neck, at the border of the c. 23. trapezius, two inches above the acromio-clavicular articulation, passed superficially and was removed above the middle of the clavicle. Another wound was received at the same time. Private D. D., "C," 151st Pennsylvania: Gettysburg, 1st July ; removed, 3d July; returned to duty well, 16th August, 1863. Contributed by Acting Assistant Surgeon Charles Carter. See 4527, XXVII. B. B. c. 59. 4522. An elongated ball for a smooth-bore musket, nearly normal in shape. Entered five inches to the left of the spine, c. 24. one inch above the crest of the ilium, and passed superficially to a point one and a half inches to the right of the spine. Corporal E B. V., "E," 20th New York State Militia: Gettysburg, 1st July ; duty, llth September, 1863. Contributed by Assistant Surgeon C. H. Alden, U. S. Army. See B'. 1443. An elongated ball for a smooth-bore piece, removed from the dorsal muscles. c. 25. Contributed by Acting Assistant Surgeon C. W. Horner. 3153. An elongated ball for a smooth-bore piece, somewhat blunted at the extremity, which entered the left cheek over c. 26. the canine fossa and passed backward eight inches from tbe point of entrance and one and a half from the surface, the location of which was determined by the Nelaton probe and extracted by Surgeon Flandrau, 146th New York, in the field, 20th May, 1864. Contributed by Assistant Surgeon J. Sim Smith, U. S. Army. See B". 671. An elongated ball for a smooth-bore, removed after death from behind the urinary bladder. It is slightly compressed c. 27. at the base. Corporal M. M., " G," 8th Ohio, 23: entered to the left of the spine, between the fourth and fifth sacral vertebrae, Gettysburg, 3d July; secondary hemorrhage from the lateral sacral and small branches of the internal iliac; died in Baltimore, about 15th July, 1863. Contributed by Surgeon L. Quick, U. S. Vols. 4622. An elongated bullet for a smooth-bore piece. The missile is somewhat battered laterally and slightly notched c. 28. near the apex. It entered at the cartilage opposite the llth rib on the left side and was extracted at a corresponding point on the right side without having penetrated the abdominal cavity. Private T. L., "H," 15th New Jersey; Second Fredericksburg, 3d May; admitted hospital, Washington, 7th; extracted, llth May; transferred to Small Pox Hospital, 7th June, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. See B'. 1095. An elongated ball, for a smooth-bore musket, slightly compressed at the base and moderately bruised near the c. 29. apex, which was detected by Nelaton's probe and extracted from the thigh twenty months after the wound. Sergeant U. P., "I," 9th Iowa: Vicksburg, 22d May, 1863; healed in two months and gave no trouble till after a forced march, when an abscess appeared near the great trochanter, October, 1864; the bullet extracted through a curved sinus, 15th January; returned to duty, 22d March, 1865. Contributed by Assistant Surgeon B. E. Fryer, U. S. Army. See B'. See B". 4485. A small round ball, as if from a squirrel rifle, extracted from the palm of the hand. c. 30. Contributed by Acting Assistant Surgeou C. W. Horner. 3293. A small spherical ball, from a pigeon rifle, which perforated the bladder and lodged in the right groin, whence it o. 31. worked its way out through an abscess. Private M. J., "F," 25th Wisconsin : Atlanta, 22d July; came away, llth September; died, 23d September, 1864, Contributed by Surgeon George F. French, U. S. Vols. Sec B". 2559. An elongated rifle ball, slightly indented at the apex, extracted from the right thigh. c. 32. Private J. G., " I," 5th Maine Heavy Artillery: Spottsylvania, 19th May; extracted by Surgeon N. R. Mosely. U. S. Vols., Washington, 22d May; returned to duty from Baltimore, 29th September, 1864. Contributed by the operator. B.B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 593 4521. An elongated rifle ball, slightly compressed at the base c. 33. Corporal C. L., "C," 27th Pennsylvania: flesh wound upper part of the right thigh, Gettysburg, 1st July; returned to duty, llth September, 1863. Contributed by Acting Assistant Surgeon Charles Carter. 1131. An elongated rifle ball, somewhat compressed at the extremity, extracted, through the orifice of entrance in the c. 34. left axilla, from beneath the pectoralis major. Private J. G., " G," 8th Ohio, 28th Gettysburg: removed by Surgeon L. Quick, U. S. Vols., Baltimore. Contributed by the operator. 4535. An elongated rifle ball, slightly grooved near the apex, which passed through the deltoid and was cut out, four c. 35. months afterward, beneath the spine of the scapula. Private W. E. F., 1st Maryland Artillery: Antietam, 17th September, 1862. Removed to Philadelphia. Contributed by Acting Assistant Surgeon E. B. Van Dyke. See B'. 4151. An elongated rifle ball, disfigured a very little, with an ordinary military coat button inverted, together with the c. 36. cloth to which it was sewn. The missile entered two inches below the level of the nipples, passed through the great lobe of the liver and lodged beneath the diaphragm. Private J. M. M., " C," 1st Maine Cavalry: Brandy Station, 12th October; died of pericarditis and pleurisy, Washington, 20th October, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. See B'. B'. 4500. A conoidal ball, without alteration of form, which passed through the upper part of the left calf and lodged in the c. 37. popliteal space of the right. Private Van R. B., "C," 102d New York, 22: Gettysburg, 3d July; extracted, Baltimore, 17th July, 1863. Returned to duty. Contributed by Surgeon C. W. Jones, U. S. Vols. 4476. A conoidal ball, normal in shape, which entered the outer side of the right thigh in the middle third and was cut c. 38. out on the inner side, having'passed under the femur. Private P. M.: Second Bull Run, 30th August, 1862; extracted by Acting Assistant Surgeon J. B. Bellangee, Alexandria. Contributed by the operator. 176. A conoidal ball, normal in shape, which entered near the right patella and was extracted through the wound from c. 39. the quadriceps. Private A. B., "B," 16th New York: Chancellorsville, 2d May; extracted, Washington, llth May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4624. A conoidal ball, very slightly compressed at the cupped portion, removed from the thigh. C. 40. Private G. W. R., "F," 105th Pennsylvania: Second Bull Run, 29th August; admitted hospital, with a flesh wound, through which the probe passed from the anterior edge of the vastus externus, a little below the union of the upper thirds of the femur, to its posterior border, Washington, 2d September; missile extracted from an abscess beneath the inner edge of the sartorius, a little below the apex of Scarpa's triangle, 15th October, 1862. The wound on the inner part of the thigh healed last. Contributed by Surgeon D. W. Bliss, U. S. Vols. 4006. A heavy conoidal ball, calibre .69, which bears no mark of contusion. It entered the right thyroid foramen, passed c. 41. through the bladder and emerged through the left greater ischiatic notch cutting the pyriformus. It was cut from the glutaei in the embalmed body of Captain K., 12th Massachusetts. Contributed by Acting Assistant Surgeon F. Schafhirt. 3146. A heavy conoidal ball, with very trivial derangement of form, which entered the gluteal muscles, passed along c. 42. the perineum and was extracted from the root of the penis by Acting Assistant Surgeon W. I. C. Duhamel, after Second Bull Run. Contributed by the operator. See B'. 4514. c. 43. A conoidal ball, very slightly scratched at the apex, removed three months after lodgement in the left leg. Private J. G., "K," 69th Pennsylvania: entered posterior surface left leg one inch below the knee, Robertson's Tavern, Va., 26th November, 1863; extracted from the lower posterior third, Philadelphia, 23d February, 1864. Contributed by Acting Assistant Surgeon Guy G. Hutton. 75 594 CATALOGUE OF THE SURGICAL SECTION XXVII. 3097. A heavy conoidal ball, calibre .71, which entered the right hip and was found outside of the ilium, cutting the C. 44. gluteal artery. The base is slightly compressed and the apex a little flattened. From a Rebel, who died after Pittsburgh Landing. Contributed by Surgeon J. T. Hodgen, U- S. Vols. 1448. A conoidal ball, not disfigured, which entered the anterior portion of the right shoulder and was extracted from C. 45. near the inferior angle of the scapula. Sergeant H. G., "K," 5th United States Cavalry, 28: Beverly Ford, Va., 9th June; extracted----; admitted hospital, Philadelphia, 23d June; subclavian ligated in its third part, for a traumatic aneurism which burst, 17th August, 1863; died the same day. Contributed by Acting Assistant Surgeon Isaac Norris, jr. See 2609, XVIII. II. A. B. b. 7. 4532. A conoidal ball, with a slight oblique groove near the apex, which entered, posteriorly, the middle third of the arm, c. 46. passed up to the shoulder and was removed, by incision, from the back, over the seventh rib, two inches from the spine. Private C. B., "D," llth U. S. Infantry: Gettysburg, 3d July; extracted, Philadelphia, July; returned to duty, 12th September, 1863. Contributed by Acting Assistant Surgeon D. Burpee. See B'. 4657. A conoidal ball, of unusual slenderness, which entered between the third and fourth ribs, four inches to the right c. 47. of the sternum, and was extracted near the inferior angle of the scapula. The two lower thirds on one side are compressed and bear markings, as if of the texture of coarse cloth. Corporal S. M. E., " K," 10th Pennsylvania: Fredericksburg, 13th December, 1862; extracted, Washington, 19th January, 1863. Contributed by Surgeon O. A. Judson, U. S. Vols. 4502. A conoidal ball, slightly compressed at the apex and the base, removed, at a depth of one and a half inches, from c. 48. the left glutsei muscles. The missile was, probably, nearly spent. Lieutenant Colonel D. L. S., 2d Delaware: Gettysburg, 2d July; removed, Baltimore, 4th July, 1863. Contributed by Surgeon C. W. Jones, U. S. Vols. 4501. A conoidal ball, longitudinally flattened on one side. c. 49. Musician W. H., "I," 81st Pennsylvania, 17: ball entered outside of thigh and lodged beneath the biceps flexor cruris, Boonsboro', Md., 8th July; removed through wound of entrance, Baltimore, 28th July, 1863. Returned to duty. Contributed by Surgeon C. W. Jones, U. S. Vols. 4504. A conoidal ball, slightly blunted at the apex, which entered the posterior portion of the left forearm, two inches c. 50. above the wrist, passed between the bones of the forearm and was extracted from the anterior surface near the junction of the radius and carpus. Sergeant S. M. B., 2d Michigan: Gettysburg, 2d July; removed, Baltimore, 4th July, 1863. Contributed by Surgeon C. W. Jones, U. S. Vols. 4515. A conoidal ball, slightly flattened at the base, cut out after superficial lodgement in the back. C. 51. Private J. W., "A," 67th Pennsylvania: Winchester, Va., 15th June, 1863. Contributed by Acting Assistant Surgeon G. Hutton. 4528. A conoidal ball, slightly compressed at the base, which entered the lower part of the neck to the left of the c. 52. vertebrte, and was removed at the inferior angle of the right scapula. Private B. L., "C," 116th Pennsylvania: Fredericksburg, 13th December, 1862; returned to duty, 1st December, 1863. Contributed by Assistant Surgeon C. H. Alden, U. S. Army. 1088. A conoidal ball, a little roughened at the apex and compressed at one side of the base, which entered below the c. 53. clavicle, penetrated the lung and emerged at the posterior border of the axilla. Contributed by Surgeon J. H. Brinton, U. S. Vols. 4530. A conoidal "ball, obliquely flattened on one side of the body, as if from contact with a stone. Entered the lumbar c. 54. region three inches to the left of the spine and lodged in the walls of the chest, six inches distant. Private D. F., ,:C," 27th Pennsylvania: Gettysburg, 1st July; removed, 4th July; returned to duty well, 12th August, 1863. Contributed by Assistant Surgeon C. H. Alden, U. S. Army. See B'. B.B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 595 4491. A conoidal ball, slightly compressed at the base. It entered the left side of the neck at the middle of the sterno- c. 55. cleido-mastoideus and lodged three-fourths of an inch to the left of the spine of the third dorsal vertebra. Private G. G. L , "C," 6th Maine, 21: Rappahannock Station, 7th November; extracted, Washington, 10th November, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. See B'. 4520. A conoidal ball, somewhat compressed at the base and flattened on the body over a small surface. The missile c. 56. apparently ricochetted from a rock. Corporal J. O., "H," 20th New York State Militia: entered two inches above the left trochanter major and, passing superficially, emerged near the centre of Poupart's ligament and dropped into the boot, Gettysburg, 2d July; returned to duty, 11th September, 1863. Contributed by Assistant Surgeon C. H. Alden, U. S. Army. See B'. 4574. A heavy conoidal ball, somewhat compressed laterally, obliquely grooved in the body and a little ragged at tbe c. 57. base. Entered the outer part of the upper third of the left thigh and removed from the posterior portiou above thu wound of entrance. Sergeant J. S. H., " G," 61st New York, 21: White Oak Swamp, 30th June; removed, Philadelphia, 6th August, 1862 transferred North, 22d April, 1863. Contributed by Acting Assistant Surgeon Ed. Hartshorne. y?^\ 4$5y ^ 3028. A conoidal ball, beaten into nearly a triangular pyramid with very sharp edges, extracted from /," c. 58. the anterior portion of the lowest third of the left thigh. It probably ricochetted from a stone before wounding^ See figure 154. Private E. A., "D," 12th U. S. Infantry: Gettysburg, 2d July; extracted, 3d; transferred to General Hospital, 24th July, 1863. Contributed by Assistant Surgeon E. de W. Breneman, U. S. Army. 4527. The greater part of a battered conoidal ball, containing in its folds a number of hairs, which conoidal ball C. 59. entered one and a half inches behind the right ear and was extracted from the cheek bv incision wounding by ricochet. Spec. on the buccal surface immediately below Steno's duct. Another wound was received at the same 3028. time, not improbably from a fragment of the same bullet split before striking the soldier. Private D. D., "C," 151st Pennsylvania: Gettysburg, 1st July; extracted, Philadelphia, 17th July; returned to duty, well, 16th August, 1863. Contributed by Acting Assistant Surgeon Charles Carter. See 4526, XXVII. B. B. c. 23. See B'. 4561. A conoidal bullet, considered to be a specimen of the explosive ball. About the middle of c. 60. the body the missile has been divided, and the broken fragment is thrown forward, being attached at the apex. See figure 155. The missile was fired from the Rebel General Hill's corps, at the battle of the Wilderness, and exploded in the muscular tissue of the thigh of a Private of the 120th New York. It was extracted by enlarging the wound of entrance. Contributed by Assistant Surgeon J. T. Calhoun, U. S. Army. Fio. 155. Explosive ball. Spec. 4561. 4539. A piece of iron wire, three-fourths of an inch long, and a fragment of thin metal, as if from C. 61. a metallic cartridge, reported to be parts of an explosive ball. Corporal H. R., " G," 10th New York : ball entered the right groin on a level with the symphysis pubis and passed out through the glutaeus maximus, Second Bull Run, 30th August; admitted hospital, Alexandria, 3d September; tetanus appeared, 6th; died, 8th September, 1862. The sciatic nerve was lacerated and mortified at the seat of wound, and the neurilemma was inflamed, ecchymosed and softened to the popliteal region. Contributed by Acting Assistant Surgeon Geo. F. French. 4417. A conoidal ball and eight inches of one-sixteenth-inch iron wire. The ball is c. 62. laterally compressed, the anterior portion bent upon itself as a hook, and the whole tied into the wire by a loop about an inch from one end. The wire formed the bail of a small tin pail, made from a cup and carried on the right side. The bullet tore the handle from the pail and entered the body about two inches above and in front of the anterior superior spinous process of the ilium, and passed under the abdominal muscles without opening the cavity. The short end of the wire protruded an inch to the left of and below the umbilicus and was removed with the bullet firmly attached, as seen iu the speci- men. See figure 156. Fio. 156. Bullet and wire, success fully extracted from abdominal parietes. Keduced. Spec. 4417. 596 CATALOGUE OF THE SURGICAL SECTION XXVII. Private R. H. S., "C," 90th Pennsylvania: Second Bull Run, 30th August; admitted hospital, near Alexandria, 9th September, 1862; returned to duty, January, 1863. Contributed by Surgeon H. A. Ducachet, U. S. Vols. See classes XX. A. B. b.; XXVII. B'. B'. 3400. A fragment of iron ramrod, three-fourths of an inch in length, which entered the anterior surface of the thigh and c. 63. penetrated to the biceps femoris, detected by the Nelaton probe. From a soldier of the Ninth Corps, 16th May, 1864. Contributed by Assistant Surgeon J. Sim Smith, U. S. Army. See B'. B'. See B". 246. Nearly an entire tompion, removed from below and behind the head of the humerus, into which it was thrown by c. 64. the accidental discharge of the man's piece. A conoidal ball passed through the soft parts at the same time. The joint was not opened, nor any important blood vessel torn. --------, 18th Connecticut: removed by Surgeon D. W. Stewart, U. S. Vols., Martinsburg, 27th January, 1863. Died from erysipelas. Contributed by the operator. See B'. B'. 4552. An elongated smooth-bore ball, much battered at the apex and compressed at the base, extracted, after death, from c. 65. the lower portion of the pectineus. Entered the left thigh near the centre of the rectus, passed upward, inward and backward, carrying in portions of clothing. It injured neither the bone nor vessels. Private J. F. N. W., "B," 102d New York: Cedar Mountain, 9th August; walked three miles after being wounded ; admitted hospital, with limb swollen and discolored, Alexandria, 12th; died of pyaemia, 15th August, 1862. Contributed by Surgeon J. E. Summers, U. S. Army. 293. A conoidal ball, with the merest contusion of the rings at one point, which entered one inch externally to the nipple c. 66. between the sixth and seventh ribs, passed through the left lung, diaphragm, spleen and left kidney, and lodged near the body of the first lumbar vertebra. Private J. J. P., " B," 5th Wisconsin: Chancellorsville, 3d May ; admitted hospital, Washington, 8th; died, 10th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 2654. A solid conoidal ball, a little compressed at the base, with very minute longitudinal scratchings, which entered the c. 67. upper part of the left thigh internally, passed over the femoral vessels and was extracted externally. Second Lieutenant B. H. C, " G," 15th Alabama (Rebel): Gettysburg, 2d July; extracted by Assistant Surgeon E. de W. Breneman, U. S. Army, Philadelphia, 5th; died of pyaemia, 26th July, 1863. Contributed by the operator. 2326. A conoidal ball, misshapen and disfigured on one side, but preserving its general contour, which was extracted c. 68. from the popliteal space. It entered the left leg near the knee after ricochetting from the ground. Private----B., "B," 134th New York: extracted, four weeks after injury, by Surgeon S. D. Freeman, U. S. Vols., Baltimore. Contributed by Acting Assistant Surgeon A. T. Pick. 4523. A conoidal ball, distorted and roughened on one side, which entered behind the plantar surface of the metatarsal c. 69. articulation of the left great toe, and removed on the field. Probably ricochetted. Sergeant A. S., " G," 27th Pennsylvania: Gettysburg, 1st July; returned to duty, 3d October, 1863. Contributed by Acting Assistant Surgeon Geo. Hutton. 4507. A conoidal ball, flattened obliquely toward the point and apex on one side, giving it an apparent curvature. It c. 70. entered behind the great trochanter of the left femur and was cut out at a depth of two inches from tbe upper border of the left nates. Private G. F., "F," 50th New York: Fredericksburg, 13th December, 1862 ; extracted, 3d March, 1863. Recovered. Contributed by Acting Assistant Surgeon Geo. F. French. 2691. A conoidal ball, somewhat indented at the apex and compressed at the base, extracted two days after a flesh c. 71. wound of the left hip at Gettysburg. Private J. R., "D," 10th U. S. Infantry. Contributed by Assistant Surgeon E. de W. Breneman, U. S. Army. 4519. A portion of a conoidal ball, curiously distorted by being compressed longitudinally and bent on its short axis. c. 72. It entered two and a half inches to the left of the spine at the level of the fifth cervical vertebra and lodged on the right side two and three-fourths inches from the spine, which was not injured. Possibly ricochetted. Private B. S., "K," 2d U. S. Infantry: Gettysburg, 2d July ; removed, Philadelphia, 29th October, 1863. Contributed by Acting Assistant Surgeon P. Middleton. B. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 597 4472. A heavy conoidal ball, obliquely and irregularly flattened in the body. It is reported to have ricochetted and c. 73. entered the front of the thigh near the femoral artery, and to have been extracted from the gluteus maximus four inches higher up. The bone was not fractured, but a long strip of trowsers was carried in. Private A. W., "A," 16th Michigan: Gaines' Mill, 27th June; captured; paroled, 25th July; admitted hospital, Philadel- pbia, 30th July, 1862. Contributed by Surgeon P. B. Goddard, U. 8. Vols. 4693. A conoidal ball, somewhat blunted at the apex and apparently the anterior half of a sectional bullet, extracted c. 74. from the thigh. Private E. P. M., "K," 5th Alabama (Rebel): admitted hospital, Washington, 17th July; extracted, 17th September, 1864. Contributed by Acting Assistant Surgeon S. B. Hoppin. 4695. A slightly disfigured buckshot, extracted from the fleshy part of the upper third of the left leg. c. 75. Private----C, " B," llth Pennsylvania Reserves : Peninsula, 30th June, 1862; extracted by Assistant Surgeon G. F. French, U. S. Vols., Alexandria, 9th January, 1863. Contributed by the operator. For other illustrations, see 1855, XIX. A. B. a. 18; 2808, XIX. A. B. a. 24; 3736, XIX. A. b. a. 29; 1231, XX. A. a. a. 8; 2884, XX. A. B. a. 3; 1926, XX. A. B. a. 16; 2013, XXII. A. b. a. 8; 1879, XXII. A. B. c. 1. d. After Contact with Bone. 4566. A buckshot, very moderately misshapen, extracted from the knee. d. 1. Private W. C. F., "E," llth Pennsylvania: Fredericksburg, 13th December; admitted hospital, Alexandria, 20th December, 1862; extracted by Acting Assistant Surgeon Geo. F. French; died, 3d January, 1863. Contributed by the operator. 1364. A flattened buckshot, which entered the outer side of the left foot, opposite the fifth, and lodged on the dorsal d. 2. surface between the second and third metatarsals. Corporal W. H. B., "F," 28th New York: Chancellorsville, 3d May; extracted by Acting Assistant Surgeon R. E. Price, Washington, 14th May, 1863. Contributed by the operator. 4471. A somewhat flattened buckshot, from a comminuted fracture of the second, third and fourth metatarsal bones. d. 3. Private L. D., "A," 35th North Carolina (Rebel): Fredericksburg, 13th December; extracted, 26th December, 1862. Contributed by Surgeon O. A. Judson, U. S. Vols. 2723. A buckshot, completely flattened, removed with a favorable result. Character of injury not reported. d. 4. Private M. C, "I," 20th New York State Militia: wounded, 29th August; removed by Acting Assistant Surgeon E. B. Van Dyke, Philadelphia, 7th September, 1863. Contributed by the operator. 4416. A buckshot, flattened against the humerus without fracture of the bone. d. 5. Contributed by Surgeon C. W. Jones, U. S. Vols. 4473. A triangular portion of lead, being a buckshot flattened against the frontal bone, which produced d. 6. a depression of the external and possibly fracture of the internal table. See figure 157'. Private J. W., "H," 63d Pennsylvania: Second Bull Run, 29th August; admitted hospital, with a flesh wound over right frontal protuberance and a slight recognizable depression of external table, Philadelphia, 3d September; no foreign substance detected; suffered a convulsion, 9th September; suffered Fa?tfl5It Bdr>k two other convulsions ; wound soon healed; two weeks afterward specimen observed and removed ; entirely frontal bone. well, 1st November, 1862. Spcc- 4m Contributed by Surgeon John Neill, U. S. Vols. See class I. A. A. e. See B\ 1759. A buckshot flattened, as if nearly completely divided by a knife and then beaten with a hammer. It did not d. 7. cause fracture. Contributed by Assistant Surgeon W. Moss, U. S. Vols. 598 CATALOGUE OF THE SURGICAL SECTION XXVII. 4568. Two buckshot in three fragments, each flattened, from wounds of the brain which were jf*^fo ^s, d. 8. survived twelve days. One shot entered the external angle of the left eye, perforated the orbital flpy JLy :., I'1 plate of the frontal bone and lodged in the anterior inferior portion of the anterior lobe, where nip 1^7 ^w it was surrounded bv a small abscess. A second shot entered over the left zygoma, halfway between the Fig 158 Flattened external ear and the outer canthus, denuded the zygoma of a portion of periosteum, glanced upward and buckshot which backward, penetrated the squamous portion of the temporal bone, passed through the middle and posterior penetrated^ the lobes and lodged in the posterior superior portion of the posterior lobe of the left hemisphere. The brain 4568. substance was disorganized to the depth of half an inch along the course of the wound A third shot entered the left antrum and was not removed. See figure 158. Private B. G. S., "F," 9th Kentucky Cavalry: wounded, 12th July; died of meningitis, 24th July, 1863. Contributed by Surgeon A. M. Wilder, U. S. Vols. See class I. C. B. b. See B'. 3099. A small pistol ball, slightly indented at the base, which entered behind the surgical neck of the right humerus d. 9. while the arm was raised, passed through the axillary space, entered the cavity of the chest between the fifth and sixth ribs, fractured the fifth rib and divided the fifth costal artery, passed through the middle and lower lobes of the right lung, wounded the inferior vena cava, perforated the centre of the diaphragm and lodged under the skin at the lower border of the left tenth rib near its junction with the ninth in front. The orifice was blackened with powder. There were two other bullet wounds and one contusion. C. J. (colored): killed, Rolla, Mo., 29th October, 1863. Contributed by Surgeon H. Culbertson, U. S. Vols. See B'. 4531. A small conoidal ball, as if from a pistol or carbine, obliquely flattened on one side of the body. Entered d. 10. anteriorly near the middle of the leg. Removed posteriorly, four inches lower down. Private W. C, "M," 8th New York Cavalry: Beverly Ford, Va., 9th June; extracted, Philadelphia, June, 1863; discharged, 21st January, 1864. Contributed by Acting Assistant Surgeon Charles Carter. 4297. A much-flattened and battered fragment of a carbine ball, which entered the right scapula from behind, perforated d. 11. the lung and was extracted from under the integument near the middle third of the clavicle. From a soldier of the 4th New York Cavalry, near Mount Jackson, Va., 13th June, 1862. Contributed by Surgeon Samuel Brillantowski, 41st New York. 3140. A longitudinal half of a conoidal carbine ball, which entered the glutaei and fractured the left femur at the d. 12. trochanter major, and was extracted nine and a half months afterward from beneath the vastus externus about six inches below the trochanter. The missile is covered with shallow, close-set, parallel, longitudinal grooves. Sergeant L. P. W., "B," 22d Virginia (Rebel): Falling Waters, Md., 14th July ; admitted hospital, Frederick, 16th July, 1863 ; missile extracted by Acting Assistant Surgeon W. S. Adams, 23d March; escaped, well, 1st May, 1864. Contributed by the operator. See class XIll. A. B. b. See B'. 1085. A round ball of small calibre, from the lung. It is slightly roughened at one point, probably from contact with d. 13. a rib. Contributed by Acting Assistant Surgeon C. W. Horner. 4294. A spherical ball, slightly notched at one portion by fracture of the middle third of the right humerus. d. 14. Private D. E., "E," 3d Vermont: Second Fredericksburg, 2d May; removed by Surgeon O. A. Judson, U. S. Vols., Washington, 13th May, 1863. Contributed by the operator. 2981. A round ball, extracted from the condyle of the femur by the use of the screw, the mark of which instrument is d. 15. plainly recognizable. It is very slightly roughened. Contributed by Surgeon J. H. Brinton, U. S. Vols. 4433. A round ball, very moderately contused, extracted from the front of the tibia. d. 16. Contributed by Acting Assistant Surgeon J. H. Peabody. 2726. A spherical ball, with a concave impression over a small segment caused by contact with the shaft of a large bone. d. 17. The history illustrates the importance of removing foreign bodies whenever practicable. Private J. C, "I," 1st Ohio Artillery, 29: anterior middle of the lowest third of the right thigh, Second Bull Run 29th August; symptoms of pyaemia occurred, and ball extracted from against the femur, beneath the semi-m'embrauosus, at the junction of the lower thirds, Washington, 29th November, 1862. Recovered rapidly. Contributed by Acting Assistant Surgeon Samuel T. Brown. B.B. OF THE UNITED STATES ARMY MKDICAL MUSEUM. 599 295. A spherical leaden ball, somewhat flattened at two places with a bony fragment embedded. Entered one and a d. 18. half inches behind the left acromion, penetrated the left scapula, passed across the back beneath the right scapula and down the right arm to near the middle of the external aspect of the deltoid. Private L. M., " A," 3d (Indiana ?) Maryland Cavalry: Antietam, 17th September, 1862; extracted by Assistant Surgeon E. F. Bates, U. S. Vols., Washington, 15th February, 1863. Contributed by the operator. See B'. 4408. A round ball, roughened over a small section with bony particles impacted, which entered at the inner angle of d. 19. the right eye and lodged at the angle of the left inferior maxilla, whence it wns extracted. Private T. T., "K," 12th Ohio: Second Bull Run, 27th August, 1862. Recovered with loss of right eye. Contributed by Surgeon J. E. Summers, U. S. Army. 1288. A spherical leaden bullet, with a deep groove containing a fragment of the temporal bone embedded in it. d. 20. First Sergeant G. C, "A," llth New Jersey, 26: penetrated the right temporal bone and lodged behind the sella turcica, Chancellorsville, 3d May; admitted hospital, paralysed on the left side, 7th; died, llth May, 1863. Contributed by Acting Assistant Surgeon J. E. Smith. Si e class I. A. B. d. 3295. A spherical ball, oblately flattened, removed from the middle third of the right leg. d. 21. Corporal F. U., " E," 120th New York: Chancellorsville, 3d May; removed by Surgeon O. A. Judson, U. S. Vols., 13th May, 1863. Contributed by the operator. 2432. An elongated ball, somewhat grooved at the apex, extracted ten weeks after injury. The missile entered at the d. 22. surgical neck of the humerus, while the arm was extended in the act of firing, and could not be traced. Private T. M., "A," 109th Pennsylvania: shoulder joint opened, Cedar Mountain, 9th August; head and upper portion of humerus excised by Surgeon D. W. Bliss, U. S. Vols., Washington, 19th August; bullet extracted from an inch and a half below the spine of the scapula, October, 1862. Recovered. Contributed by the operator. See 190, V. A. B. c. 22. See B'. 4405. A round ball, roughened on one side, which entered at the external and lodged at the internal malleolus, Pittsburgh d. 23. Landing, 7th April; amputated, 19th April, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 4395. A round ball, which entered in front below the head of the tibia and was extracted from the calf, Fort Donelson, d. 24. 23d April, 1862. A shallow groove, half an inch wide, exists on one side, adjoining which the missile is flattened to a similar extent. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 978. A round ball, semi-spherically flattened by fracturing the forearm. On the rounded border of the line of contact is d. 25. an impress, as if of the texture of the cloth made while heated. Contributed by Surgeon A. Hard, 8th Illinois Cavalry. 4570. A spherical bullet, somewhat flattened on each and roughened upon one side. Entered between the third dorsal d. 26. vertebra and the inner border of the scapula, struck the superior angle of the scapula, passed upward around the inner aspect of the trapezius and finally lodged behind the posterior belly of the omo-hyoid, lying upon the brachial plexus. Private J. B., "H," 2d Massachusetts: Cedar Mountain, 9th August; admitted hospital, Alexandria, 13th; extracted by Acting Assistant Surgeon W. Leon Hammond, 24th; transferred to another hospital, 30th August, 1862. Contributed by Surgeon J. E. Summers, U. S. Army. See B'. 4517. A round ball, somewhat flattened and decidedly roughened atone border. The missile entered at the bridge of d. 27. the nose and lodged, superficially, half an inch anterior to the lobe of the left ear. Private G. H., 3d Company, 1st Battalion, Invalid Corps: accidentally, near Philadelphia, autumn of 1863. Contributed by Acting Assistant Surgeon Charles Carter. 3576. A spherical ball, with nearly one-fourth cleanly cut and turned over, as if by contact with a bony spine. d. 28. Possibly the case of Private J. L., 16th Connecticut: left knee, Antietam, 17th September; thigh amputated, 7th October; died from secondary haemorrhage, 16th October, 1862. Contributed by Surgeon E. McDonnell, U. S. Vols. 600 CATALOGUE OF THE SURGICAL SECTION XXVII. 4432. A round ball, deeply grooved and roughened on one side by the fracture of a lumbar vertebra. d. 29. Contributed by Assistant Surgeon G. L. Porter, U. S. Army. 4419. A round ball, flattened on one side and roughened over the balance of the surface, which entered two inches d. 30. below the superior spinous process of the ilium, two lines toward the median line, Second Bull Run, 30th August; extracted from behind the neck of the femur, Washington, 13th October, 1862. The ball shows the application of the screw. The soldier walked a mile after being shot. Contributed by Surgeon Charles Page, U. S. Army. 4565. A spherical ball, irregularly flattened on one side, in which is embedded a fragment of an iron nail, as though d. 31. from the heel of the shoe. Private L. B., " K," 5th Vermont: Savage Station, 29th June; a prisoner, without treatment, until 22d July; admitted hospital, Philadelphia, 26th July; extracted from against the bone near the centre of the plantar surface of the foot, by Acting Assistant Surgeon W. F. Atlee, 25th August; discharged, 27th November, 1862. Contributed by the operator. See B'. B'. 2813. A spherical bullet, flattened and halfway split, with ragged edges, removed from the right and near the fifth d. 32. lumbar vertebra, about four inches from the surface. Private W. A. D., "H," llth New Jersey: Chancellorsville, 3d May: removed, Washington, 12th; did well until 29th; died, delirious, with no evidence of paralysis except torpor of the bladder, 30th May, 1863. Autopsy objected to. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4435. A round ball, grooved in one side to the depth of a quarter of an inch, with a fragment d. 33. bent outwardly to the same extent, extracted from the superior maxilla of a Rebel. It had penetrated the brain through the opposite temple, passed behind the eye, under the nose and through the maxilla. See figure 159. Antietam, 17th September; extracted, Frederick, 22d ; died, from meningitis suddenly supervening, 23d September, 1862. Contributed by Acting Assistant Surgeon J. H. Bartholf. See class I. A. C. c. See B'. 3117. The greater part of a round ball, which the portion removed has left slightly concave at the line of section. d. 34. Entered the right calf, Pittsburgh Landing, 7th April, and removed from the popliteal space by enlarging the original opening, 21st April, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 4564. A spherical ball, somewhat flattened and smoothly split near the centre, with the smaller portion bent down at d. 35. right angles. Private A. B., " H," 100th New York : just above the condyle of the left humerus, Fair Oaks, 31st May; a prisoner until 22d July; admitted hospital, with typhoid fever, Philadelphia, 26th July; extracted, 23d August; returned to duty, 2d December, 1862. Contributed by Acting Assistant Surgeon W. F. Atlee. 1776. The half of a spherical leaden ball, with the flattened side slightly concave, as if by contact with the shaft of a d. 36. bone. Private A. J. D, "I," 13th Indiana, 19: probably Fredericksburg, 13th December, 1862; extracted from the thigh by Surgeon John Neill, U. S. Vols., 14th April, 1863. Contributed by the operator. 2697. A spherical leaden ball, split nearly in two and flattened into one plane on the cut surface. d. 37. Private H. M M., "D," 10th Maine: left hip, Cedar Mountain, 9th August, 1862; cut out near the trochanter. Philadelphia, 13th March; returned to duty, 29th June, 1863. Received from Philadelphia. 4424. A round ball, flattened to the diameter of an inch. See figure 160. d. 38. Private B. K., 2d Wisconsin, 24 : ball entered the left shoulder in the middle of a line drawn from the acromion to the anterior angle of the axilla and lodged in the humerus, whence it could not be extracted by the forceps, South Mountain, 14th September. An incision three inches long, continuous with the wound and parallel with the fibres of the deltoid, showed the bone not fractured but that the ball had punched a hole in the anterior wall and flattened in the medullary cavity against the posterior wall. The insertion of the capsular ligament was involved, but the joint was not opened. The opening in the bone was enlarged, and the ball extracted, Frederick, 21st September; returned to duty with free motion of arm, partly scapular, 1st November, 1862. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See B'. Fig. 159. Battered round ball, which passed through the brain into the face. Spec. 4435. Fig. 160. Flattened ball extracted from medullary canal of humerus. Spec. 44J4. B. B OF THE UNITED STATES ARMY MEDICAL MUSEUM 601 4479. A round ball, irregularly and roughly battered, which entered two inches above the right nipple and emerged three d. 39. inches below the inferior angle of the right scapula, comminuting the rib at the point of exit. Private S. McC, "D," 3d Pennsylvania Reserves: Second Bull Run, 28th August; extracted by Acting Assistant Surgeon G. F. French, Alexandria, 15th September; apparently well, with diminished respiration in lower right lobe, llth November, 1862. Contributed by the operator. See B'. 4477. A part of a round ball, which shattered the outer condyle and lodged beneath the patella, flattened, with smooth d. 40. curved edges. Private S. P. K., "I," 7th Ohio: Cedar Mountain, 9th August, 1862; thigh amputated, Alexandria. Recovered. Contributed by Acting Assistant Surgeon J. B. Bellangee. 4397. A round ball, from the palm of the hand, flattened on one surface. d. 41. Contributed by Surgeon L. Quick, U. S. Vols. 4468. A round ball, flattened on one side, and fragments of clothing removed from the wound. The condyle of the d. 42. humerus was fractured. A large abscess in the deep fascia resulted. Contributed by Assistant Surgeon A. W. Gill, U. S. Vols. 4182. A flattened distorted round ball, perforated by a fragment of bone from the forearm, which it embraces necrosed. d. 43. Contributed by Assistant Surgeon W. Webster, U. S. Army. 4571. A wafer-like fragment of a spherical ball, extracted after flattening against the left humerus. d. 44. Private J. S., "B," 2d Massachusetts: Cedar Mountain, 9th August; admitted hospital, Alexandria, 13th; extracted by Acting Assistant Surgeon W. Leon Hammond, 25th; transferred to another hospital, 30th August, 1862. Contributed by Surgeon J. E. Summers, U. S. Army. 4536. A spherical bullet, very much battered and jagged, extracted from between the ribs and scapula below the spine. d. 45. Private G. K., "I," 99th Pennsylvania: Chancellorsville, 3d May; extracted, Philadelphia, 15th July, 1863; transferred to another hospital, 17th March, 1864. Contributed by Acting Assistant Surgeon P. Middleton. 979. A round ball, contorted into an irregular and jagged triangular pyramid in fracturing a femur. d. 46. Contributed by Surgeon A. Hard, 8th Illinois Cavalry. 4554. A very greatly battered leaden bullet, which, probably, was originally spherical. It is now in the form of a d. 47. flattened hemisphere, with a thickened base of one and a quarter inches and a radius of three-fourths of an inch. PrivateP. R., " L," 4th U. S. Artillery: left malar bone shattered, Fredericksburg, 13th December, 1862; extracted from the superior maxillary, by Acting Assistant Surgeon Theo. Artaud, Baltimore, llth January, 1863. Healed with some depression. Contributed by the operator. 3229. An elongated smooth-bore ball, slightly blunted at the apex and compressed at the base after entering in front of d. 48. the head of the right humerus, Pittsburgh Landing, 6th April; removed from two inches above the clavicle, 20th .April, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 977. An elongated ball, from a smooth-bore musket, roughened longitudinally over a narrow longitudinal track. d. 49. Contributed by Surgeon A. Hard, 8th Illinois Cavalry. 4413. An elongated ball, from a smooth-bore piece, somewhat flattened at the apex and slightly roughened, retaining a d. 50. portion of a wooden plug in the cup, which entered near the lower angle of the left scapula, Pittsburgh Landing, 6th April, and was removed from the left side of the neck, 20th April, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 4441. An elongated smooth-bore bullet, flattened obliquely at the base, which probably was the extremity that struck. d. 51. Private H. W., "H," 20th Illinois: ball passed through right forearm while flexed and entered lowest third of arm, Atlanta, 21st July; extracted by Surgeon Geo. F. French, U. S. Vols., 6th September, 1864. Contributed by the operator. 3121. An elongated smooth-bore ball, with the anterior portion obliquely flattened, the extremity curled over and the d. 52. cup somewhat expanded. Private W. H. K., " E," 63d New York: Cold Harbor, 3d June; extracted from the upper third of the left thigh by Assistant Surgeon H. Allen, U. S. Army, Washington, 13th June, 1864. Contributed by the operator. 76 602 CATALOGUE OF THE SURGICAL SECTION XXVII. 4412. An elongated smooth-bore ball, compressed at the base and smoothly flattened upon itself at the apex, which d. 53. fractured a femur at the battle of Pittsburgh Landing. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 378. An elongated bullet, from a smooth-bore musket, with an irregular longitudinal groove down one side and a short d. 54. transverse notch at the apex, which entered half an inch to the right of the sixth dorsal vertebra, passed up beneath the scapula and transversely fractured the right clavicle just within the coraco-clavicular ligament, near which it lodged. Private C. B., "I," 28th New Jersey: Fredericksburg, 12th December, 1862 ; cut out by Surgeon John Neiil, U. S. Vols., Philadelphia, 22d February, 1863. Recovered, with no serious symptoms at any time. Contributed by the operator. See B'. 4421. A heavy elongated smooth-bore bullet, somewhat compressed laterally and at the base, near which it is roughened. d. 55. The marks of the forceps are to be seen near the apex. Sergeant L. R , " H," 26th Pennsylvania : ball entered middle of left scapula one inch below the spine, Gettysburg, 3d July; searched for unavailingly; discovered by a Nelaton probe and extracted, 27th September, 1863. Returned to duty. Contributed by Acting Assistant Surgeon W. W. Keen, jr. See B". 4475. An elongated ball, obliquely flattened with some expansion near the apex, which entered the side d. 56. of the left foot and buried itself deeply in the sole. The distortion appears to have been the result of rotation around its long axis at the instant of impact. The bullet was extracted by the use of sponge tents, without incision, and recovery followed. See figure 161. Private A. C, "F," 7th Virginia. Contributor unknown. FIG. 161. Elongat- 2932. A heavy elongated smooth-bore ball, compressed at the base, so that the wooden plug is enclosed distorted. ^Spel. d. 57. and battered, blunted and roughened at the anterior extremity, which entered three-fourths of an 4i~5- inch above the trochanter major and lodged beneath the integument and superficial fascia one and a half inches below Poupart's ligament. The thigh was abducted and shortened three-fourths of an inch Private A. E. F., " B," 6th Maine, 25: Rappahannock Station, 7th November; admitted hospital, Washington, 9th; ball extracted, llth; died, 25th November, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. 4486. An elongated smooth-bore ball, much roughened on one side. The incrustation on the missile exhibits, under the d. 58. microscope, spongy bone. Sergeant J. D. H., " C," 1st New York: entered two and a half inches to the right of the second lumbar vertebra, Second Bull Run, 30th August; extracted three inches from wound of entrance, by Acting Assistant Surgeon G. E. Fuller, Alexandria, 17th November; discharged, 29th December, 1862. Contributed by the operator. See class III. A. B. a. 4431. An elongated smooth-bore ball, with the apex driven back upon itself and roughened with expansion, and the d. 59. base compressed, after fracture of a lumbar vertebra. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 2348. An elongated ball, slightly disfigured at the apex, with three minute fragments of cancellated bone from the d. 60. knee joint. Contributed by Dr. David Prince, of Jacksonville, Illinois. 4404. An elongated smooth-bore ball, much compressed on the anterior half, with fragments of bone embedded in it and d. 61. a portiou of the cup driven backward over a wooden plug that is inserted in the base. Entered calf of the le°- and lodged at the base of the metatarsal bone of the fourth toe, Pittsburgh Landing, 7th April; amputated, 19th April, 1862. Contributed by Snrgeon J. T. Hodgen, U. S. Vols. 4426. An elongated smooth-bore ball, beaten back upon itself with some regularity by fracture of the patella, a fragment d. 62. of which is attached. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 1579. An elongated smooth-bore ball, notched at the apex and compressed at the base, which entered two inches above d. 63. the left nipple, passed through the thorax aud was extracted near the inferior angle of the left scapula. Private J. H., "I," 145th Pennsylvania, 35: Gettysburg, 2d July; removed by Surgeon L Quick U S Vol* Baltimore, 22d July, 1863. ' " ■TU1S" Contributed by the operator B. 13 OF THE UNITED STATES ARMY MEDICAL MUSEUM. 603 3170. An elongated smooth-bore ball, with the cupped portion compressed, folded upon itself and flared as horns at the d. 64. angles. It shattered the head of the tibia, apparently striking base first, Pittsburgh Landing, 7th April; died, 10th May, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 1676. A conoidal ball, compressed at the base, irregularly notched and encrusted with blood. In parts are plainly visible d. 65. the marks of the forceps. Private I. W., "C," llth Pennsylvania, 31: grazed the upper third of the femur, probably Wilderness, 6th May; extracted, Washington, 18th May, 1864. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 2858. An elongated rifle ball, somewhat scratched at the apex, which entered one and a half inches to the left of the d. 66. spine of the fourth lumbar vertebra and lodged one and a fourth inches above the crest of the right ilium. Private A. A., "A," 119th Pennsylvania, 22: Rappahannock Station, 7th November; extracted, Washington, 10th; died, 15th November, 1863. Contributed by Surgeon D. W. Bliss, U S. Vols. 282. An elongated rifle ball, somewhat blunted and grooved at the apex and in the body, which entered the left hip d. 67. and involved the sacrum. Private L. B., " G," 7th Maryland : Haymarket, Va., 19th October; admitted hospital, Washington, 24th October ; died, 2d November, 1863. Contributed by Assistant Surgeon H. Allen, U. S. Army. 3011. An elongated rifle ball, with the anterior portion somewhat blunted, which entered the middle third of the left d. 68. thigh, removed the periosteum from the femur, and was extracted from beneath the skin on the outer side of the quadriceps. Private H. C, "B," 1st "U. S. Chasseurs" (New York Volunteers): Chancellorsville, 3d May; extracted, Washington, llth May ; had no untoward symptom, and returned to duty, 29th August, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4396. A conoidal ball, flattened at the apex, containing a fragment of cloth in the cup. The missile entered at the d. 69. wrist and was extracted at the inner condyle of the humerus. Contributed by Assistant Surgeon S. A. Storrow, U. S. Army. 2226. An elongated rifle ball, with the apex somewhat blunted, which entered below the right internal malleolus, passed d. 70. through the os calcis and was extracted from beneath the integument below the outer malleolus. Private J. H. A., "A," 15th New Jersey: Chancellorsville, 3d May; extracted, Washington, llth May; died, 19th May, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4496. An elongated conoidal ball, found, after death, in the cavity of the thorax. It is notched at the apex and longitud- d. 71. inally grooved on one side of the body. Private E. R., "A," 8th Illinois Cavalry, 17: ball entered behind, near the fourth rib, between the spine and the scapula; admitted, hospital, Washington, 13th October; died, 14th October, 1863. Fourth rib was fractured; right lung collapsed but not wounded; left lung healthy. Contributed by Acting Assistant Surgeon A. M. Plant. 3953. An elongated rifle ball, somewhat blunted and roughened at the apex, removed from the dorsal region three inches d. 72. below the point of entrance. Private J. G. S., "C," 108th New York: Gettysburg, 2d July; extracted by Surgeon L. Quick, U. S. Vols., Baltimore, 22d July, 1863. Contributed by the operator. 2994. An elongated rifle ball, with one side laterally grooved thrice and containing fragments of bone. d. 73. Private J. W., "C," 1st Massachusetts Heavy Artillery: left hip, Spottsylvania, 19th May; extracted by Surgeon N. R. Mosely, U. S. Vols., Washington, 24th May; died, 1st June, 1864. Contributed by the operator. 2651. An elongated rifle ball, somewhat blunted and flattened upon one side, in which small fragments of bone are d. 74. embedded, with one and a half inches of brass wire hooked in the apex, removed after death. The missile struck the top of the sternum, fractured the head of the clavicle and the neck of the first rib, pierced the apex of the lung, fractured the angles of the second, third and fourth ribs, and lodged outside and against the fifth rib. Lieutenant H. H. W., "D," 6th Maine: Rappahannock Station, 7th November; admitted hospital, Washington, 9th; died, 13th November, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. See B'. B . 604 CATALOGUE OF THE SURGICAL SECTION XXVII. 4392. A conoidal ball, slightly compressed on one side of the base, found in the body of the fifth lumbar vertebra, d. 75. having fractured the tenth and twelfth ribs of the left side, at Pittsburgh Landing. Contributed by Surgeon J. T. Hodgen, U. S. Vols. 4410. A conoidal ball, slightly blunted at the apex and indented just above the grooves. d. 76. Landing, 7th April; obtained, 17th April, 1862. Contributed by Surgeon J. T. Hodgen, U. S. Vols. Knee wounded, Pittsburgh 3009. An elongated conoidal rifle ball, from which a smooth slice has been removed on one side. d. 77. Private T. McG., "M," 1st Vermont Cavalry: left femur, middle third, without fracture, Gettysburg, 3d July; extracted from cruraeus, by Surgeon S. D. Freeman, U. S. Vols., Baltimore, 15th September, 1863. Contributed by the operator. 4394. A conoidal ball, irregularly compressed in its body, extracted from the bladder, which it penetrated, after fracture d. 78. of the left pubes. A slight phosphatic deposit occurred in the cup. First Lieutenant P. (?), 35th Massachusetts: Antietam, 17th September: extracted, with several fragments of pubic bone, by operation, through the wound of entrance, by Assistant Surgeon G. M. McGill, U. S. Army, Ninth Corps Field Hospital, 21st September; progressed favorably for a few days, but is reported to have died from exhaustion the latter part of October, 1862. Contributed by the operator. See class XX. A. B. b. 1027. A conoidal ball, with two lateral grooves near the apex, removed after death from the d. 79. right anterior lobe of the cerebrum, where it remained eighty-two days without being suspected until a week before death. See figure 162. Private A. V., " A," 7th Wisconsin: entered over right eye, Gettysburg, 1st July : died, Baltimore, 20th September, 1863. Contributed by Surgeon L. Quick, U. S. Vols. See class I. A. B. d. See B'. FIG. 162. A bullet which remained eighty-two days iD the brain. Spec. 1027. 3217. d. 80. A conoidal ball, somewhat battered in the cup, extracted from between the right astragalus and scaphoid. Contributed by Surgeon C. F. H. Campbell, U. S. Vols. 4478. A conoidal ball, with a slight longitudinal groove on one side. d. 81. Corporal E. D., "K," 6th Pennsylvania: entered posterior part of the left calcaneum, pasred obliquely through it and lodged beneath the external malleolus, Fredericksburg, 13th December; cut out, Alexandria, 22d December, 1862. Contributed by Acting Assistant Surgeon J. B. Bellangee. 4393. A conoidal ball, compressed toward the apex, which entered at the umbilicus and lodged in the crest of the ilium. d. 82. Contributed by Surgeon J. H. Brinton, U. S. Vols. 4400. A conoidal ball, slightly rounded at the apex, with a deep longitudinal groove its entire d. 83. length. See figure 163. Private G. McM., " F," 25th New York: entered above the interclavicular notch of the sternum, Fredericksburg, 13th December, 1862; extracted near superior angle of scapula, Alexandria. Recovered. Contributed by Assistant Surgeon W. A. Conover, U. S. Vols. Fig. 163. Conoidal ball grooved by clavicle. Spec. 4400. 499. A conoidal ball, somewhat roughened on one side and slightly compressed at the base, removed from the middle d. 84. third of the right thigh. Private T. M, "B," 12th New Hampshire, 36: Gettysburg, 3d July; removed by Acting Assistant Surgeon R. H. Stirling, Baltimore, 18th July, 1863. Contributed by Surgeon-L. Quick, U. S. Vols. 1506. A conoidal ball, disfigured with numerous short lateral notches on one side, which fractured the left femur in the d. 85. middle third. Captain B. P. T., " F," 108th New York, 22: Chancellorsville, 3d May; extracted, Washington, 8th; died, 30th May, 1863. Contributed by Surgeon D. W. Bliss, U. S. Vols. 1556. A conoidal ball, roughly notched, with a succession of grooves on one side in which are a few bony fragments d. 86. taken from the base of the right cerebral hemisphere after death, eight days after injury. Sergeant G. C, "A," llth New Jersey: entered right temporal bone, Chancellorsville, 3d May; paralysis left side and immobility of the right pupil; died, Washington, llth May, 1863. No autopsy. Contributed by Assistant Surgeon W. Thomson, U. S. Army. JJ, ft OF THE UNITED STATES ARMY MEDICAL MUSEUM. 605 4506. A conoidal ball, obliquely flattened, to a slight extent, near the apex, removed from the right forearm. The d. 87. interosseous artery was injured. Private S. M., "A," 122d Ohio: Winchester, 15th June, 1863. Contributed by Surgeon C. W. Jones, U. S. Vols. See 1692, XXIII. B C. 3. 4436. A conoidal ball, from the fractured head of the tibia. A clean oblique cut has been made near the extremity of d. 88. the missile, from which a part of the fragment is wanting. Contributed by Acting Assistant Surgeon W. W. Keen, jr. 4399. A heavy conoidal ball, with the body obliquely flattened and two short lateral grooves near the apex. d. 89. Private J. P., "B," 105th Pennsylvania: entered the anterior thorax between the third and fourth ribs, on the left side, Fredericksburg, 13th December; extracted three inches below the superior angle of the left scapula near the spine, Alexandria, 21st December, 1862. Recovered, with pleural adhesions, and discharged. Contributed by Assistant Surgeon W. A. Conover, U. S. Vols. See B'. 232. A conoidal ball, with an oblique groove in the body, showing the rotary tendency, and slightly compressed at d. 90. the base, which entered the right thigh and lodged in the right side of the perineum at the depth of three inches. Wounded, Gettysburg, 2d July; extracted, 20th July, 1863. Contributor and further history unknown. 4401. An exceedingly battered conoidal ball, extracted from behind the angle of the jaw. The apex is flattened upon d. 91. the body, one side of which is torn into fragments that extend below the cup. Private A. B., "H," 19th Indiana: Antietam, 17th September, 1862; extracted by Acting Assistant Surgeon G. F. French, Alexandria. Contributed by Surgeon J. E. Summers, U. S. Vols. 520. A conoidal ball, laterally compressed and slightly curved upon itself. It entered on the side of the left thigh d. 92. directly over the great trochanter, around which it passed and behind which it lodged. It was detected by the Nelaton probe grazing a projecting point. Lieutenant----G., 83d Pennsylvania: 26th May, 1864. Contributed by Assistant Surgeon J. Sim Smith, U. S. Army. See B'. 2860. A conoidal ball, somewhat curved upon itself, with lateral roughenings on the convex side. d. 93. Private D. F., " C," 31st New York: left thigh, Chancellorsville, 3d May; extracted, Washington, 14th May; left the hospital on expiration of term, 8th June, 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army. 4549. A conoidal ball, equally compressed backward from the apex so as to present a protuberant front, somewhat grooved. d. 94. Entered the plantar surface of tbe left foot on the median line, passed upward, slightly fracturing the astragalus and lodging on the inner surface of the tibia three inches above the internal malleolus. * Private G. W. H., " C," 6th Louisiana, 25: Rappahannock Station, 7th November; extracted by Acting Assistant Surgeon D. W. C. Van Slyck, Washington, llth November, 1863. Recovered. Contributed by Surgeon D. W. Bliss, U. S. Vols See B'. 3240. A conoidal ball, split from the apex down to the body, with two deep oblique grooves to the base and with bony d. 95. fragments impacted. ----S., company and regiment unknown: lodged in right supra-spinous fossa, Chancellorsville, 3d May; extracted by Assistant Surgeon H. Allen, U. S. Army, Washington, 16th October, 1863. Recovered. Contributed by the operator. 4483. A conoidal ball, somewhat curved, with the apex obliquely flattened and a fragment rent d. 96. off. A spicula of bone is held in the base. See figure 164. Corporal W. N., " C," 142d Pennsylvania: entered one and a half inches above the outer third right clavicle, Fredericksburg, 13th December; admitted hospital, Alexandria, 19th; died, 31st December, 1862. The ball had passed longitudinally through the inferior lobe of the left lung, im- pinged on the body of one of the dorsal vertebrae and lodged under the greater curvature of the stomach. Contributed by Acting Assistant Surgeon Geo. F. French. 4525. A eonoidal ball, compressed at the base, with a broad, shallow, longitudinal groove in the d. 97. body, which entered the left forearm, posteriorly, two inches below the olecranon and embedded itself in the ulna. Fro. 164. A conoida ball much distorted against a vertebra. Spec. 4483. 606 CATALOGUE OF THE SURGICAL SECTION XXVII. Sergeant J. H. F., "A," 5th New Hampshire: Gettysburg, 2d July; extracted, Philadelphia, 10th July ; returned to duty for muster-out, 9th August, 1863. Contributed by Acting Assistant Surgeon C. B. King. 693. A conoidal ball, flattened from the apex backward, with the body curved over the base to a diameter of nearly an d. 98. inch and one-fourth, which entered the front of the knee below the patella while the joint was flexed, passed upward and inward through the inner condyle and was removed from below the integument. The joint being freely opened, no pus accumulated and the case did well. Corporal J. R., " D," 36th Ohio: Chickamauga, 19th September, 1863; ball removed by Dr. Finley, Murfreesboro'; doing well, January, 1864. Contributed by Surgeon I. Moses, U. S. Vols. See class XIV. A. B. b. 552. A conoidal ball, much contorted upon one side, with very broad oblique grooves, found resting on the trochanter d. 99. major of the right femur, which it had shattered. Contributed by Surgeon C. F. H. Campbell, U. S. Vols. 4555. A conoidal ball, roughly flattened, longitudinally, on one side, which entered the right gastrocnemius, passed d. 100. upward and lodged below the knee, between the tibia and fibula. Second Lieutenant E. G. B., "K," 15th Massachusetts, 28: Gettysburg, 2d July; removed through counter opening, Baltimore, 10th July, 1863. This officer was also wounded in the thigh and hip. Recovered. Contributed by Surgeon C. W. Jones, U. S. Vols. 4558. A conoidal ball, detected by Nelaton's probe and extracted after twenty months' lodgement in d. 101. the sternum. The missile is flattened upon itself from the apex to the second ring, with jagged borders. See figure 165. Private J. K., "G," 69th New York: bullet struck two inches to the left of the mesial line at the fourth rib and lodged in the lower portion of the body of the sternum, Malvern Hill, 1st July, 1862; discharged the service, spring of 1863; wound healed and reenlisted, February, 1864 ; wound reopened on exposure; bullet discovered and extracted by Surgeon Wm. O'Meagher, 69th New York, April, 1864. conoidal ball lodged Contributed by the operator. . *"'eDty m°nth,Vau J r sternum. Spec. 4558. See B'. See B". 4562. A conoidal ball, flattened upon itself in the middle of its body, with an oblique flattening at d. 102. one border. The missile is very heavy. The special feature of the specimen is that it was so distorted against the inferior maxilla without fracture of that bone. See figure 166. Contributed by Assistant Surgeon J. T. Calhoun, U. S. Army. 4434. A conoidal ball, obliquely blunted and roughened, extracted from the spine of the scapula. d. 103. Contributed by Assistant Surgeon J. B. Brinton, U. S. Army. Flo 166 A conoj»4v. Shippen, Edward-p. 122, 1124; p. 233, 1148; p. 321, 1120; p. 371, 1146 ; p. 413, 4121. TO THE SURGICAL SECTION. 659 Shrady, George P.—p. 81, 4332; p. 107, 1©©6; p. 152, 10©5; p. 197, 1058; p. 301, 10©7; p 331, 1©38; p. 404, 1©©3; p. 458, 4334; p. 464, 4©©4; p. 495, 4©64; p. 521, I©©2; p. 534, 4379, 4357, 3©8 ; p. 536, 4378, 4365, 4360; p. 537, 4381; p. 538, 4363, 3233, 4356; p. 539, 4326, 4778; p. 540, 438©; p. 541, 4362, 4©43, 4©42; p. 542, 4©35; p. 543, 4143, 4©31, 14©3; p. 544, 4657, 4322; p. 545, 4321, 1364, 1485; p. 546, 1388, 4541, 4187, 4376; p. 548, 4366, 4377, 4417, 4298, 4367; p. 549, 1373, 4325, 432©; p. 550, 4344, 1838; p. 551, 4368, 4478, 4361, 2361; p. 552, 4347, 2399; p. 553, 43©©, 2859, 4324; p. 554, 4185, 4358; p. 556, 4299, 4375; p. 557, 4372, 4188, 4348, 4370, 4308; p. 558, 4374, 43©4, 4371, 4373; p. 559, 43©7, 1454, 4342, 4323, 1524, 4315; p. 560, 4309, 43©2, 4364; p. 561, 4305, 4359, 4346, 4303, 4343; p. 562, 277, 1596, 434©, 4349, 43©4, 4311; p. 567, 1597 ; p. 570, 4355. Sickles, Daniel E.—p. 373, 1335. Sim, Thomas—p. 53, 3469; p. 61, 3171; p. 287, 1565; p. 304, 517; p. 307, 1429; p. 363, 347©; p. 386, 3476; p. 393, 3474; p. 435, 2415; p. 436, 3475; p. 456, 2797. SkiUern, S. R—p. 57, 611; p. 164, 2789, 279©. Sloan, J.—p. 158, 351; p. 210, 352. Smith, Andrew H—p. 110, 382; p. 437, 744 ; p 441, 785. Smith, Asa A.—p. 74, 3638; p. 76, 365©; p. 77, 3640, 3633; p. 127, 3722; p. 162, 3654; p. 209, 2755. Smith, David P.—p. 6, 20©©; p. 24, 3305; p. 100, 3303, 4999; p. 102. 20©2 ; p. 103, 33©2; p. 105, 1998 ; p. 108, 3304; p. 112, 3299; p. 155, 33©6; p. 157, 942; p. 160, 3298; p. 188, 3297; p. 198, 2916 ; p. 200, 2©©5; p. 207, 33©1; p. 246, 1192; p. 259, 2675; p. 312, 61©; p. 336, 556; p. 349, 3296; p. 364, 2001; p. 381, 1193; p. 423, 33©©; p. 500, 6©7; p. 508, 6©8; p. 528, 2©©3; p. 608, 3192, 2706 ; p. 613, 2728. Smith, Edward A.—p. 190, 2776; p. 517, 2743. Smith, George K.—p. 105, 4059; p. 240, 4243; p. 262, 4084, 406©; p. 269, 11©5; p. 272, 65 ; p. 273, 4158; p. 275, 763; p. 276, 213; p. 277, 4241, 1258; p. 278, 2285, 4241; p. 292, 4©57; p. 463, 4©85; p. 471, 4469; p. 473, 4©61; p. 478, 512; p. 541, 1133; p. 547, 47©5; p. 552, 1837; p. 627, 2453. Smith, J. B.—p. 309, 4©94. Smith, John E—p. 80, 4631; p. 599, 1288. Smith, Joseph R—p. 183, 4; p. 383, 555. Smith, Joseph Sim—p. 113, 3©78; p. 322, 3766; p. 588, 4280; p. 592, 3153; p. 596, 34©©; p. 605, 52©; p. 614, 4279; p. 615, 2241, 375. Smith, J. T— p. 424, 2497; p. 507, 4477. Smith, Thomas C—p. 495, 587. Smith, W. B.—p. 215, 231. Smoot, Samuel C—p. 52, 1414. Smull, W. G—p. 63, 4©8©; p. 478, 4184. SneUing, Frederick G—p. 393, 162©. Spencer, T. Rush—p. 308, 31©4. Sprague, P. P.—p. 149, 6©5 ; p. 479, 6©6; p. 480, 6©3. Sprague, HavUah M.—p. 131, 4634; p. 319, 4621; p 320, 1624, 1622, 1623; p. 339, 1626; p. 356, 1625; p. 414, 1629; p. 415, 1627 1628,; p. 433, 1633. Squier, Algernon M.—p. 312, 738; p. 443, 886; p. 444, 854. Squire, T. H—p. 71, 4472; p. 89, 2788; p. 253, 4©56; p. 275, 727; p. 276, 729; p. 322, 4©39; p. 329, 242; p. 335, 358©; p. 342, 287; p. 358, 274; p. 363, 735; p. 380, 281; p. 420, 275; p. 422, 47©2 ; p. 470, 1©55. Stanford, Robert L.—p. 28, 3358; p. 110, 3369; p. 129, 3363; p. 166, 337©; p. 189, 3365; p. 208, 3371, 3366; p. 355, 3372.; p. 360, 3368; p. 382, 3367; p. 420, 336©. Stanton, David—p. 138, 2434; p. 364, 2455. Stearns, H. P.—p. 151, 4©32; p. 423, 1©31; p. 511, 1©37 ; p. 512, 1034, 1©36. Stebbins, E. S.—p 167, 2836. Sternberg, George M.—p. 400, 34©8; p. 435, 3607. Stewart, D. W.—p. 596, 246. Stickney, A. L.—p. 34 3684 ; p. 40, 3685, 3571. StiUweU, T. Hunt—p. 16, 1724 ; p. 26, 1734 ; p. 40, 1725; p. 135, 1842; p. 242, 1843 ; p. 406, 1846; p. 442, 4844; p. 495, 4845; p. 528, 1840. Stone, Horatio—p. 130, 486. Stone, J. Brinton—p. 120, 2347 ; p. 277, 2©59 ; p. 279, 2©7©; p. 288, 44©7 ; p. 289, 2©56 ; p. 379, 2342 ; p. 387, 2©58; p. 437, 2©52 ; p. 637, 3137. Storrow, Samuel A.—p. 25, 496 ; p. 80, 437 ; p. 188, 615; p. 377, 624 ; p. 394, 79 ; p. 603, 4396. Storrs, Melancthon—p. 145, 4424. Strawn, B. P.—p. 374, 2©53. Streeter, H. S.—p. 23, 36©©. Strickland, D. H—p. 272, 1272; p. 378, 127©; p. 385, 1271. « 654 INDEX OF CONTRIBUTORS Stubbs,-----p. 240, 2106. Study, James M—p. 156, 3606. Stryer, Charles—p. 193, 511; p. 203, 3660. Summers, John E.—p. 103, 335; p. Ill, 336; p. 130, 45; p. 173, 322; p. 179, 32©; p. 218, 85©; p. 305, 7©6; p. 320, 48; p. 344, 4©; p. 345, 47; p. 350, 323; p. 351, 44; p. 353, 349, 39; p. 355, 42; p. 358, 664; p. 360, 2415; p. 377, 317; p. 392, 46; p. 414, 314; p. 438, 53; p. 591, 4542; p. 596, 4552; p. 599, 44©8, 457©; p. 601, 4574; p. 605, 44©4 ; p. 606, 4554; p. 608, 4464. Sweet, J.—p. 433, 4©97. Sweet, O. P.—p. 21, 29©4 ; p. 227, 2902. Sweet,-----p. 133, 821. Sweetland W. P.—p. 205, 17©9. T. Talbot, D. D.—p. 430, 4216. Taylor, A. B.—p. 447, 241©. Taylor, Lewis—p. 129, 3675; p. 181, 3674; p. 190, 3677; p. 210, 3673; p. 442, 3676; p. 460, 3679. Taylor, Robert R—p. 52, 4246; p. 305, 4247 ; p. 390, 4245; p. 400, 4243; p. 428. 4248; p. 501, 4244. Teal, W.—p. 456, 2444. Teats, Sylvester—p. 136, 4827; p. 139, 4338; p. 303, 2968, 3114, 1416; p. 304, 3193; p. 305, 3276; p. 307, 1557; p. 308, 476, 34©©; p. 309, 1581; p.397, 4329, 4335, 433©; p. 398, 4327, 4328, 4336; p. 400, 4334; p. 402, 4355; p. 405, 44©6; p. 459, 4339. Tewmey, J. R—p. 391, 4096. Thomain, Robert—p. 91, 1540; p. 164, 4549; p. 282, 1539; p. 288, 1543 ; p. 379, 4545; p. 386, 4542; p. 390, 4546; p. 426, 4548; p. 432, 1550, 4544; p. 491, 841; p. 494, 3©4©, 3©47, 3©©©. Thomas, Joseph—p. 257, 2966. Thomas, R. P.—p. 333, 227. Thompson, James—p. 439, 47©2; p. 442, 17©4. Thompson, J. G—p. 239, 3797; p. 391, 3273. Thomson, WilUam—p. 15, 3543; p. 20, 3566; p. 45, 1239; p. 48, 3535; p. 49, 3542; p. 57, 1647; p. 58, 3583; p. 60, 3524; p. 63, 353©; p. 64, 3523; p. 66, 3©©; p. 72, 49©4; p. 73, 168©; p. 74, 3585 p. 75, 3294; p. 76, 1©73; p. 80, 32©1; p. 94, 3551; p. 96, 3581; p. 98, 1683; p. 103, 3559 p. 114, 3595; p. 121, 3589; p. 122, 3550; p. 125, 1238, 3569; p. 131, 1©79; p. 134, 1254, 3552 p. 137, 1266; p. 138, 1786, 1639; p. 139, 1849; p. 144, 3519; p. 150, 3556, 1244; p. 166, 3567 p. 182, 4344; p. 183, 1252; p. 192, 3541; p. 194, 1784; p. 198, 1337; p. 225, 3532; p. 226, 1060, 3531, 1245; p. 227, 3568, 1246; p. 228, 1644, 3586, 2557; p. 235, 352©; p. 236, 3525; p. 237 1247; p. 239, 3582; p. 241, 1253; p. 242, 1248; p. 214, 4343, 3572; p. 245, 3593; p. 260, 354© p. 266, 4338,3526; p. 267, 1340; p. 269, 1643; p. 272, 3557, 3544; p. 274, 1342; p. 275, 2239 p. 277, 3577; p. 280, 1850; p. 286, 3548; p. 288, 3547; p. 289, 1679; p. 295, 1241; p. 296, 3573 p. 298, 3545; p. 302, 1265; p. 306, 1264; p. 308, 357©, 3598; p. 309, 4284, 4853; p. 320, 1677 p. 323, 1339, 3564; p. 326, 3537, 3587; p. 330, 3592; p. 331, 3528; p. 332, 3578; p. 334 3555, 3575; p. 339, 1243; p. 340, 3594; p. 343, 3539; p. 344, 1852, 3562; p. 346, 1255; p. 349 3561; p. 351, 3596; p. 354, 1©81; p. 355, 3563; p. 359, 356©; p. 362, 4©47; p. 363, 424© p. 370, 3546; p. 374, 359©; p. 375, 3588; p. 376, 3521; p. 378, 1249, 3549; p. 380, 3594; p. 394 3558; p. 401, 3574; p. 403, 2237; p. 417, 4682 ; p. 420, 224©; p. 425, 2534 ; p. 427, 1851 ; p. 428 1251; p. 430, 3565; p. 432, 125©; p. 436, 1222; p. 437, 3533; p. 439, 3522; p. 457, 3579; p. 462 2249; p. 465, 25©9; p. 466, 4242; p. 467, 2246 ; p. 468, 464©; p. 471, 3529, 3991; p. 472, 2250 p. 480, 1678; p. 482, 299; p. 487, 1773, 1646; p. 488, 1772, 1645; p. 489, 3527; p. 504, 1813, 1442; p. 510, 3538; p. 513, 3©4 ; p. 519, 1001, 1©©©; p. 522, 1444; p. 591,2974; p. 592, 4622 p. 593, 176; p. 596, 293; p. 600, 2813; p. 603, 1676, 3©11, 2226; p. 604, 1556; p. 605, 286© p. 609, 4277 ; p. 614, 273© ; p. 633, 4682. TUton, Henry R—p. 308, 2676; p. 354, 2677. Townsend, E. P.—p. Ill, 1944; p. 135, 1937; p 242, 1942; p. 270, 1946; p. 279, 1944, 1935; p. 298, 1947; p. 325, 4945; p. 326, 195©; p. 378, 1936, 1973; p. 388, 1943; p. 399, 1962. Townsend, T. B.—p. 469, 4089. Trautman, C. T.—p. 401, 333©. Trenor, John, jr.—p. 85, 37©5 ; p. 121, 37©1; p. 148, 37©© ; p. 328, 37©4 ; p. 418, 37©2 ; p. 489, 3703. Tryon, A. Walter—p. 15, 1723; p. 424, 649; p. 425, 650; p. 493, 4066. Turner, J. L.—p. 347, 4406. Tutt, C. Pendleton—p. 7, 2747. Twiford, W. H.—p. 394, 1149. Twining, S. D.—p. 172, 3323; p. 187, 3325, 3326; p. 200, 3327; p. 204, 3324; p. 402, 4111. Tyson, James—p 135, 4495; p. 501, 4197; p. 502, 4498. TO THE SURGICAL SECTION. 655 u. Unknown—p. 6, 4359; p. 10, 546; p. 11, 483, 2623; p. 15, 3091; p. 20, 3290; p. 23, 4049; p. 31, 2928; p. 34, 974 ; p. 38, 967; p. 39, 1©59; p. 40, 2166; p. 48, 2731; p. 53, 1195; p. 59, 4064, 2737 ; p. 62, 1694 ; p. 66, 3478 ; p. 72, 963, 2448 ; p. 85, 2689, 2986, 4476 ; p. 86, 2647, 2516 ; p. 87, 4461; p. 89, 3667, 3724; p. 92, 2531; p 97, 239; p. 98, 3391, 6©; p. 99, 4©23; p. 102, 976; p. 103,94, 283©; p 109, 2625; p. Ill, 455; p. 115, 580; p. 119, 2446, 2412, 2525, 1221, 3136; p. 120, 2861, 40©7, 2648, 3933, 4559, 1564, 2521; p. 121, 2642, 3156, 3448, 2961; p. 123, 2387; p. 124, 15©7, 4175; p. 126, 1861, 1896; p. 128, 1814; p. 132, 452©; p. 135, 3286; p. 136, 895, 656, 443; p. 137, 975; p. 143, 3135, 3©77; p. 144, 2668, 2634, 3196, 4©17, 2688, 2653; p. 146, 3©©8, 2863, 2727, 3122, 1578; p. 147, 4024, 4©25, 2248, 2732, 3©23, 2954 ; p. 148, 3764, 3498; p. 149, 3287, 3775, 3781; p. 150, 3778, 956, 183©, 264©, 4829, 1834, 4558; p. 151, 523, 159; p. 152, 3782, 2385; p. 160, 2811, 663; p. 161, 3992, 2646; p. 162, 3©82; p. 165, 298©, 2962; p. 166, 159©, 395©; p. 173, 3397; p. 179, 24©6, p. 180, 3©93, 4441, 265©; p. 182, 1835; p. 183, 2734; p. 185, 4857; p. 186, 3777, 2571; p. 187, 9©4; p. 190, 4997; p. 191, 496© ; p. 192, 3772, 3771; p. 197, 3178; p. 198, 3770; p. 199, 2953; p.201, 1777; p. 203, 1783; p. 206, 1953, 98; p. 216, 2703; p. 217, 1437; p. 227, 4353, 472; p. 234, 1461, 3951; p. 235, 211; p. 238, 548; p. 241, 9©8, 1967; p. 242, 116, 533 ; p. 243, 374, 141©; p. 244, 578; p. 253, 1367; p. 254, 15©9, 2671, 2614; p. 255 4479, 1397; p. 257, 1224, 2733, 2442; p. 259, 1101; p. 261, 1757, 1932: p. 262, 1571; p. 263, 1182; p. 264, 1821, 1965; p. 265, 38©; p. 267, 1961, 1©35; p. 268, 1895; p. 272, 1933; p 274, 1©09; p. 275, 1976; p 281, 798; p. 284, 1366; p. 285, 1427; p. 287, 229©; p. 290, 14©9, 4638, 4658 ; p. 294, 1897, 4224 ; p. 298, 31©; p. 301, 2992, 973, 3768; p. 302, 4174; p. 303, 4©11: p. 304, 3231 ; p. 307, 386©; p. 315, 3138; p. 316, 2459; p. 317, 3228; p. 319, 4416; p. 322, 3364; p. 323, 3489; p. 324, 355; p. 325, 2314; p. 326, 2553; p. 327, 356, 912; p. 328, 1948; p. 329, 1156, 1©1©; p. 330, 2451 ; p. 331, 1815, 354; p. 332, 3175; p. 333, 1957; p. 334, 759, 194©; p. 337, 2547 ; p. 345, 1939; p. 347, 3767; p. 349, 3662; p. 360, 2535; p. 369, 252©, 1445, 2549, 3149, 3274, 255©; p. 370, 4584; p. 371, 4441,4152; p. 372, 4456, 4153, 4145, 4119; p. 373, 454©; p. 374, 2196; p. 375, 3355, 1©3 ; p. 376, 1831, 3928, 1828; p. 377, 3774,3769, 3776, 1832; p. 378, 18©3; p. 379, 12©©, 1812, 1894,4894; p. 380, 4785, 4527; p. 381, 35©2, 3746; p. 382, 2551; p. 386, 22 ; p. 387, 3389; p. 390, 3723; p. 393, 366 ; p. 395, 47©3 ; p. 397, 128©, 1969; p. 399, 2©79, 3773; p. 400, 2695 ; p. 401, 1979, 26©4, 4996; p. 402, 1977, 4222; p. 404, 3852; p. 409, 887; p. 413, 4543; p. 414, 4©22; p. 415, 1219; p. 416, 257; p. 417, 2827; p. 418, 2339; p. 419, 1890, 18©1, 35©4, 1822, 1799, 2546; p. 420, 857, 1949; p. 421, 2983; p. 428, 13; p. 429, 2713, 2489; p. 447, 3142; p. 448, 354©; p. 454, 4©65, 3377; p. 457, 1877; p. 464, 897, 2384; p. 478, 96©; p. 479, 961, 2808; p. 480, 962; p. 488, 4389, 439©; p. 490, 1926; p. 491, 3242, 9©2; p. 494, 2253; p. 495, 327©, 24©2 ; p. 499, 3462 ; p. 500, 2162 ; p. 502, 1268, 4489 ; p. 503, 2774 ; p. 513, 3247 ; p. 518, 3763; p. 519, 3459, 3456, 3463, 3455, 3457; p. 520, 3246; p. 528, 3347; p. 529, 1194; p. 533, 4816; p. 535, 564; p. 543, 1859, 935, 1523; p. 553, 43©6, 4493; p. 555, 937; p. 556, 2461; p. 563, 3197; p 567, 2957; p. 570, 193; p. 583, 4617; p. 584, 4665, 4651; p. 586, 519, 4662, 4663, 4664,4692; p. 600, 2697; p. 602, 4475; p. 605, 232; p. 609, 3494, 4439; p. 611, 1563; p. 612, 447©; p. 633, 4683, 4686, 4689, 4696. V. Vanderkieft, Bernard A.-p. 5, 1223; p. 12, 117©; p. 13, 1169; p. 30, 1218, 1167: p. 31, 1466; p. 34. 742; p. 45, 1168; p. 59, 171©; p. 112, 1©44 ; p. 120, 723; p. 150, 698; p. 152, 44©2; p. 153, 402; p. 263, 7©2; p. 264, 311; p. 268, 1©43; p. 274, 4©39; p. 278, 724; p. 279, 722; p. 281, 1042; p. 294, 743 ; p. 302, 7©5; p. 303, 745, 714; p. 307, 1©41; p. 350, 44©4; p. 376, 721; p. 382, 44©1; p. 386, 44©©; p. 404, 4©4©; p. 422, 296, 303; p 433, 4403; p. 489, 2542; p. 519, 1854. Van Derveer, H. P.—p. 146, 2242. Van Dyke, Edward B.—p. 593, 4535; p. 597, 2723. Varian, WUliam-p. 79, 372 ; p. 99, 342; p. 121, 340; p. 128, 339; p. 156, 337; p. 159, 344; p. 184, 338; p. 185, 374. Von Tagen, C. H—p. 295, 234©: p. 420, 2324. w. Wagner, Clinton-p. 24, 924 ; p. 25, 922; p. 73, 3737; p. 99, 994; p. 105, 999; p. 114, 37©6; p. 129, 927; p. 153, 929; p. 157, 925; p. 159, 3743; p. 161, 998; p. 168, 996, 653; p. 181, 923; p. 186, 3742; p. 188 924; p. 189, 3747; p. 190, 934; p. 203, 993; p. 205, 995; p. 207, 372©; p. 208, 3719; p. 244, 3716; p. 247, 84; p. 248, 84; p. 274, 3719; p. 296, 3715; p. 327, 3711; p. 342, 37©9; p. 349, 3721; p. 384, 3707 ; p. 400, 3714 ; p. 469, 3597; p. 480, 3736. Wagner, L. P.-p. 94, 379©; p. 238, 3789; p. 240, 3792; p. 242, 3793; p. 268, 3788; p. 277, 3786; p. 278, 3787 ; p. 326, 3785 ; p. 329, 3791. Walsh, Joseph—p. 209, 3517; p. 239, 2399; p. 390, 3349; p. 434, 2895; p. 521, 1760. Wansure, A.-p. 530, 3256. 656 INDEX OF CONTRIBUTORS TO THE SURGICAL SECTION. Ward, S. B.—p. 322, 2656; p. 447, 2660; p. 495, 2©12. Wardner, Horace—p. 24, 33©8; p. 35, 33©7; p. 109, 33©9; p. 116, 3311; p. 175,177©; p. 266, 3313 ; p. 284, 3315; p. 371, 3314; p. 409, 331©; p. 415, 3312. Wamer,-----p. 418, 8©. Watson, Alexander—p 629, 4677. Watson, WilUam, Surgeon U. S. Vols.—p. 36, 2862 ; p. 95, 2©83 ; p. 114, 2©82 ; p. 360, 24©1; p. 405, 2©99 ; p. 440, 818; p. 471, 2©94; p. 491, 2©93; p. 527, 4572. Watson, WiUiam—p. 416, 4578; p. 439, 2649. Webb,-----p. 286, 436. Webster, Warren—p. 21, 236; p. 34, 235; p. 115, 2511; p. 129, 169; p. 279, 27; p. 341, 353; p. 372, 553; p. 461, 959; p. 464, 5©9; p. 468, 516; p. 601, 4482. Weeks, W. C—p. 563, 2298. Weine, Daniel—p. 136, 2215. Weir, Robert P.—p. 14, 3553; p. 21, 3859; p. 22, 3834; p. 45, 39©2 ; p. 50, 3845, 3979; p. 53, 557; p. 61, 3976; p 62, 3985 ; p. 79, 3844 ; p 86, 3954; p. 148, 39©1; p. 152, 3949 ; p. 153, 3948 ; p. 155, 838, 3948; p. 158, 3912; p. 163, 772; p. 173, 773; p. 199, 3815; p. 224, 882 ; p. 227, 3975; p. 235, 3931; p. 239, 3923; p. 240, 3946; p. 242, 3865 ; p. 243, 3849 ; p. 2 8, 3873 ; p. 265, 387©; p. 267, 3934; p. 269, 3892 ; p. 276, 110©; p. 280, 3885, 3841; p. 281, 3894; p. 287, 3855; p. 289; 3866; p. 294, 3824; p. 297, 3822; p. 299, 3993, 3858, 3848; p. 316, 3936, 3935; p. 317, 3924; p. 318, 3842; p. 320, 3938; p. 321, 3897; p. 322, 3857; p. 324, 3867; p. 337, 756; p. 342, 3814, 3977; p. 343, 3871, 3920; p. 344, 3911; p. 346, 3811, 39©8; p. 34-, 3947; p. 350, 3929; p. 353, 3905; p. 385, 3926; p. 393, 3893; p. 394, 789; p. 399, 1©97; p. 401, 3883; p. 403, 3833; p. 441, 2281; p. 453, 837; p. 458, 875; p. 460, 3973, 3981; p. 461, 3969; p. 462, 3986; p. 463, 3983; p. 466, 872; p. 481, 3978; p. 482, 4980; p. 510, 3965; p. 536, 3238; p. 538, 1379; p. 541, 2628 ; p. 542, 1579; p. 543, 1585, 362; p. 544, 2729, 3477; p. 545, 2379; p. 547, 2859, 4958; p. 549, 4544; p. 551, 4423; p. 552, 2396; p. 558, 3992, 2469; p. 560, 524; p. 567, 3215 ; p. 569, 4252, 4253, 4254; p. 579, 4630. WeUes, G—p. 352, 576. Wells, WUUam Lehman—p. 193, 3672 ; p. 591, 4462. WesterUng, R.—p. 154, 2588; p. 271, 3261. Whitaker, J. L.—p. 330, 2©57 ; p. 388, 2©51; p. 428, 2054; p. 431, 2050. Whitehead, W. E.—p. 392, 2©35 ; p. 433, 2©34. Wiesel, Daniel—p. 348, 569; p. 395, 296; p. 422, 479; p. 436, 4345; p. 439, 4385; p. 487, 2243; p. 199, 1©66. Wilder, Abraham M.—p. 89, 226© ; p. 598, 4568. Wilder, Burt G—p. 57, 3458 ; p. 67, 3459 ; p. 97, 695 ; p. 305, 4954 ; p. 453, 2639; p. 477, 697 ; p. 478, 696. Willard, James—p. 52, 1762. WiUiams, A. P.—p. 203, 332 ;-p. 511, 2218. WilUams, John W.—p. 39, 514; p. 87, 2933 ; p. 316, 2454. WUUains, P. O.—p. 277, 2946. Willis, Samuel—p. 589, 4619. Wilson, Benjamin B.—p. 11, 4178; p. 124, 38©7; p. 226, 4474; p. 309, 44©2; p. 397, 4526; p. 398, 2454; p. 405, 4337 ; p. 530, 448©. Wilson, John—p. 107, 633. Wilson, P.—p. 325, 2564 ; p. 408, 4779 ; p. 456, 2562. Winants, J. E.—p. 46, 2899; p. 154, 12©9. Winder, W. Guthrie—p. 192, 3©71; p. 518, 3279 ; p. 520, 3127. Winslow, George P.—p. 414, 2419; p. 416, 592. Winslow, J.—p. 107, 1189. Winston, J.—p. 158, 1178. Wishart, J. W.—p. 321, 228© ; p. 413, 828. Wolf, Frederick—p. 30, 1317, 1318; p. 31, 1319; p. 529, 3762; p. 609, 1587. Wolhaupter, D. P.—p. 132, 1312. Wood, C. S.—p. 169, 1412; p. 255, 1413; p. 284, 1171; p. 348, 1172; p. 425, 1173. Wood, James R.-p. 92, 1946; p. 94, 4947 ; p. 279, 1©48. Woodbury, Henry E.—p. 113, 4©84 ; p. 274, 42©2; p. 502, 4995. Woodward, Benjamin—p. 22, 2975; p. 151, 2947; p. 173, 2©76; p. 407, 2©77; p. 461, 2©48. Wright, Joseph P.—p. 173, 969 ; p. 260, 1788; p. 389, 968. Wyer, J. C—p. 331, 7©©; p. 455, 1742. Wynkoop, Atfred—p. 78, 245; p. 397, 258. Y. Yarrow, H. C—p. 379, 866. Young, D. L.—p. 578, 4647. Young, Oscar H— p. 112, 3608. Younglove, J.—p. 60, 3515. INDEX OF SPECIMENS II THE SURGICAL SECTION. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. 1 106 56 80 Ill 92 166 189 221 257 276 21 331 170 386 423 2 182 57 588 112 254 167 439 222 169 277 562 332 203 387 110 3 327 58 114 113 304 168 169 223 167 278 553 333 278 388 98 4 183 59 352 114 124 169 236 224 10 279 294 334 5 389 298 5 554 60 98 115 552 170 553 225 170 28© 402 335 103 390 549 6 311 61 440 116 242 171 309 226 435 281 397 336 111 391 549 7 386 62 433 117 386 172 227 227 333 282 603 337 156 392 9 8 125 63 264 118 290 173 204 228 307 283 275 338 184 393 7 9 245 64 192 119 92 174 207 229 151 284 380 339 128 394 282 1© 101 65 272 129 345 175 534 230 227 285 306 340 121 395 151 11 281 66 122 121 351 476 593 231 215 286 75 341 159 396 282 12 125 67 291 122 47 177 256 232 605 287 342 342 99 397 275 13 428 68 106 123 92 178 76 233 279 288 548 343 156 398 403 14 98 69 185 124 132 179 372 234 96 289 537 344 375 399 148 15 153 70 152 125 239 180 168 235 34 290 418 345 386 40© 244 16 171 71 233 126 260 181 153 236 21 291 259 346 407 401 172 17 104 72 153 127 358 182 163 237 335 292 326 347 113 402 427 18 133 73 129 128 312 183 11 238 268 293 596 348 406 403 555 19 245 74 374 129 127 184 286 239 97 294 555 349 564 404 615 20 406 75 288 130 36 185 106 24© 264 295 599 350 168 4©5 254 21 407 76 352 131 25 186 284 241 542 296 422 351 158 4 ©6 283 22 386 77 360 132 166 187 289 242 329 297 331 352 210 4©7 191 23 354 78 113 133 205 188 211 243 205 298 181 353 341 408 303 24 10 79 394 134 260 189 105 244 277 299 482 354 331 4 ©9 408 25 148 80 418 135 217 190 100 245 78 30© 66 355 324 41© 14 26 130 81 248 136 426 191 431 246 596 3©1 513 356 327 411 14 27 279 82 202 137 80 192 169 247 541 3©2 513 357 545 442 396 28 206 83 287 138 319 193 570 248 625 3©3 422 358 264 413 49 29 170 84 247 139 27 194 157 249 253 3©4 249 359 197 414 132 39 285 85 47 149 260 195 384 250 119 3©5 271 360 344 415 81 31 284 86 236 141 358 196 149 251 442 3©6 134 361 167 416 544 32 283 87 272 142 137 197 172 252 307 3©7 540 362 543 417 554 33 240 88 492 143 294 198 104 253 418 3©8 534 363 429 418 149 34 76 89 218 144 308 199 282 254 438 3©9 73 364 428 449 37 35 205 99 353 145 127 26© 361 255 269 31© 298 365 285 42© 405 36 535 94 494 146 127 2©1 361 256 355 311 264 366 393 421 225 37 555 92 254 147 356 2©2 159 257 416 312 134 367 550 422 5 38 383 93 92 148 63 203 395 258 397 313 371 368 172 423 302 39 353 94 103 149 67 204 395 259 86 314 414 369 284 424 441 49 344 95 13 150 67 205 173 260 502 315 87 37© 271 425 291 41 351 96 546 151 293 206 395 261 22 316 380 371 185 426 291 42 355 97 440 152 116 207 504 262 337 317 377 372 79 427 191 43 431 98 206 153 246 208 567 263 430 318 172 373 184 428 396 44 542 99 527 154 123 2©9 614 264 201 319 353 374 243 429 402 45 130 io© 144 155 111 24© 413 265 564 320 179 375 616 430 13 46 392 lOl 116 156 189 211 235 266 564 321 387 376 331 431 225 47 345 1©2 153 157 205 212 387 267 112 322 173 377 380 432 229 48 320 103 375 158 343 213 276 268 562 323 350 378 602 433 174 49 210 1©4 403 159 151 214 441 269 170 324 27 379 288 434 133 59 347 105 316 16© 129 215 544 270 388 325 99 380 265 435 154 51 344 106 307 161 26 216 27 271 145 326 430 381 129 436 286 52 285 167 305 162 353 217 207 272 188 327 154 382 110 437 199 53 438 108 304 163 130 218 191 273 129 328 245 383 547 438 216 54 439 109 306 164 283 219 130 274 358 329 244 384 538 439 425 55 424 HO 144 165 169 220 215 275 420 330 102 385 175 440 101 83 658 INDEX OF SPECIMENS Spec. Page. Spec. Page. Spec. Page Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. 4 11 115 519 586 597 42( 675 382 753 324 831 13 909 161 987 223 442 546 520 605 598 238 676 528 754 34 1 832 74 940 481 988 225 443 136 521 145 599 432 677 419 755 290 833 296 911 545 989 404 44 1 388 522 50 690 500 678 149 756 337 834 300 912 327 999 303 445 290 523 151 6©1 363 679 60 757 65 835 483 913 461 991 16 446 360 524 560 602 302 68© 274 758 235 836 483 914 365 992 542 447 393 525 545 6©3 480 681 279 759 334 837 453 915 362 993 203 448 337 526 143 ©Ot 132 682 119 76© 328 838 155 916 260 994 99 449 349 527 383 ©05 149 683 62 761 326 839 105 917 389 995 205 450 567 528 25 6©6 479 684 499 762 432 840 247 918 568 996 168 451 103 529 12 6©7 500 685 28 763 275 841 491 919 552 997 262 452 132 53© 139 6©8 508 686 541 764 325 842 153 92© 153 998 161 453 347 531 194 6©9 342 687 432 765 21 843 60 921 188 999 105 454 125 532 180 61© 312 688 120 766 419 844 283 922 25 4990 519 455 562 533 242 611 57 689 148 767 419 845 77 923 181 1091 519 456 615 534 24 612 94 69© 128 768 264 846 4-n 924 24 1©©2 521 457 354 535 457 613 7 694 422 769 276 847 523 925 157 1©©3 404 458 156 536 293 614 39 692 372 77© 434 848 30 926 361 1©©4 464 459 308 537 414 615 163 693 606 774 354 849 30 927 129 4©©5 152 46© 356 538 119 616 481 694 240 772 163 859 218 928 97 1006 107 461 402 539 188 617 77 695 97 773 173 851 71 929 336 10©7 301 462 279 540 421 618 278 696 478 774 18 852 509 930 442 1©©8 333 463 50 541 289 619 183 697 477 775 162 853 465 931 190 1©09 274 464 608 542 166 62© 108 698 150 776 273 854 444 932 193 1©10 329 465 234 543 198 621 502 699 75 777 346 855 462 933 535 ion 97 466 237 544 115 622 243 799 331 778 60 856 457 934 224 1012 224 467 363 545 234 623 120 791 340 779 267 857 420 935 543 i©13 19 468 328 546 10 624 377 792 263 780 162 858 394 936 334 1©14 39 469 345 547 304 625 6 7©3 302 781 443 859 183 937 555 4©15 125 47© 415 548 238 626 419 7©4 402 782 241 869 31 938 93 1©16 46 471 262 549 67 627 46 7©5 302 783 375 864 394 939 522 1©17 128 472 179 550 547 628 9 706 305 784 273 862 164 949 509 1©1S 378 473 556 551 518 629 336 7©7 328 785 441 863 288 941 610 1019 272 474 143 552 606 630 590 7©8 379 786 161 864 165 942 157 1929 247 475 256 553 372 631 126 7 ©9 331 787 110 865 17 943 440 1921 292 476 308 554 204 632 49 71© 248 788 275 866 379 944 509 1922 362 477 340 555 383 633 107 711 187 789 394 867 332 945 519 1923 98 478 143 556 336 634 385 712 34 790 340 868 467 946 174 1924 463 479 422 557 53 635 209 713 294 791 435 869 523 947 96 1025 562 480 369 558 377 636 76 714 303 792 287 870 523 948 418 1©26 556 481 384 559 207 637 357 715 303 793 345 871 466 949 186 1©27 604 482 296 56© 564 638 341 716 395 794 79 872 466 959 461 1028 617 483 440 561 535 639 152 717 66 795 400 873 466 951 493 1029 179 484 569 562 427 64© 73 718 502 796 66 874 465 952 13 1939 268 485 564 563 615 641 93 719 334 797 435 875 458 953 508 1931 423 486 130 564 50 642 102 72© 78 798 281 876 149 954 413 1932 151 487 203 565 235 643 291 721 376 799 375 877 75 955 192 1933 610 488 181 566 546 644 302 722 279 8©0 510 878 165 956 150 1934 512 489 338 567 377 645 188 723 120 8©1 341 879 182 957 39 1935 267 490 370 568 543 646 9 724 278 802 129 880 187 958 499 1936 512 491 122 569 348 647 125 725 302 803 275 881 455 959 499 1937 511 492 125 570 351 648 477 726 563 804 110 882 224 969 478 I©38 331 493 418 574 116 649 424 727 275 805 208 883 23 961 479 1939 274 494 164 572 619 650 425 728 92 806 62 884 152 962 480 194© 404 495 218 573 616 651 161 729 276 807 171 885 158 963 72 1041 307 496 25 574 550 652 379 730 149 808 325 886 443 964 275 1042 281 497 146 575 423 653 168 734 372 809 587 887 409 965 41 1©43 268 498 40 576 352 654 513 732 389 84© 433 888 457 966 39 1©44 112 499 604 577 346 655 293 733 426 841 96 889 303 967 38 1045 281 500 396 578 244 656 136 734 161 812 332 890 100 968 389 1046 92 501 132 579 74 657 276 735 363 813 350 891 502 969 173 1047 94 5©2 416 580 115 658 110 736 418 814 160 892 509 979 33 1048 279 5©3 511 581 395 659 276 737 276 815 374 893 304 974 33 1049 339 504 453 582 108 66© 302 738 312 816 349 894 464 972 36 1950 153 505 40 583 381 661 358 739 47 817 440 895 136 973 301 1051 305 5©6 420 584 408 662 8 74© 259 818 440 896 524 974 34 1©52 453 5©7 463 585 386 663 160 741 437 819 224 897 464 975 137 1©53 358 5©8 460 586 548 664 610 742 61 820 169 898 460 976 102 1054 359 509 464 587 495 665 373 743 243 821 133 899 509 977 601 4055 470 540 491 588 98 666 305 744 438 822 361 990 510 978 599 £©56 253 511 193 589 388 667 191 745 95 823 186 991 61 979 601 £©57 406 197 39 220 495 97 448 285 512 478 59© 383 668 404 746 299 824 291 9©2 491 989 427 £©58 513 557 591 540 669 303 747 263 825 362 903 493 981 426 1059 514 39 592 240 67© 362 748 396 826 478 904 187 982 393 £669 515 481 593 544 671 592 749 159 827 79 995 211 983 328 1961 516 468 594 156 672 179 75© 68 828 413 906 464 984 130 1962 517 558 595 359 673 253 751 376 829 116 997 168 985 226 1963 518 380 1 596 426 674 538 752 209 830 29 998 241 986 298 £©64 IN THE SURGICAL SECTION. 65S jSJ 2551 382 2629 338 2797 479 2785 75 2863 146 2318 216 2396 273 2474 424 2552 539 263© 536 2798 187 2786 541 2864 529 23£9 46 2397 202 2475 385 2553 326 2634 613 2799 357 2787 174 2865 434 2326 184 2398 241 2476 207 2554 209 2632 175 2719 437 2788 89 2866 349 2321 36 2399 552 2477 205 2555 357 2633 381 2711 560 2789 164 2867 370 2*22 127 2496 549 2478 158 2556 167 2634 144 2712 104 2799 164 2868 171 2323 92 2464 96 : 2479 104 2557 228 2635 520 27£3 429 2791 388 2869 223 2321 420 2462 186' 2486 184 2558 395 2636 478 27£4 560 2792 74 2876 12 2325 168 2493 407'2484 464 2559 592 2637 112 2745 432 2793 384 2879 12 2326 596 24©4 383! 2482 48 2566 488 2638 163 278© 385 2794 191 2872 520 2327 107 2495 88, 2483 157 2561 325 2639 453 27£7 266 2795 326 2873 165 2328 41 i 2496 179 2484 481 2562 456 2646 150 27£8 328 2796 621 2874 389 2329 206! 2467 359! 2485 383 2563 298 2641 22 27£9 109 2797 456 2875 135 2336 58! 2498 359! 2486 265 2564 92 2642 121 2729 298 2798 407 2876 35 233£ 191 24©9 1202487 32 2565 19 2643 611 272£ 468 2799 264 2877 134 2332 627 244© 282 | 2488 236 2566 168 2644 254 2722 162 2899 329 2878 202 2333 282 2411 71 1 2489 429 2567 495 2645 610 2723 597 2891 336 2879 319 2334 609 2412 119 249© 285 2568 459 2646 161 2724 107 2892 289 2880 401 2335 216 2413 179 2491 218 2569 619 2647 86 5725 621 2893 287 2881 197 2336 216 2414 539 | 2492 36 2576 536 2648 120 2726 598 2894 528 2882 301 2337 204 2415 435 2493 242 2571 186 2649 439 2727 146 2895 341 2883 465 2338 547 2446 121 ! 2494 398 2572 429 2656 180 2728 613 2896 206 2881 489 2339 418 2447 568: 2495 025 2573 113 2651 603 2729 544 2897 385 2885 300 2346 295 2448 586 2496 360 2574 27 2652 344 2739 614 2898 479 2886 135 2341 558 2449 414 1 2497 424 2575 390 2653 144 273fl 48 2899 77 2887 95 2342 379 2426 107 i 2498 339 2576 455 2654 596 2732 147 2819 186 2888 387 2343 455 2424 423 2499 354 2577 280 ; 2655 438 2733 257 2811 160 2889 171 2341 318 2422 443 256© 338 2578 159 2656 322 2734 183 2812 459 289© 299 "'345 588 2423 75 25©4 154 2579 03 2657 354 2735 (ill 2813 600 2891 28 2346 538 2424 479 25©2 150 2589 206 2658 358 2736 585 2814 303 2892 134 2347 120 2425 489 2593 202 2581 337 2659 353 2737 59 2845 105 2893 170 2348 602 2426 128'25©4 33,7 2582 156 2666 447 2738 312 2816 281 2894 136 2349 362 2427 6:;9 25©5 133 2583 159 2661 355 2739 503 2817 131 2895 434 2350 192 2428 439 2506 10 2584 342 2662 425 2749 502 28£8 352 2896 204 2351 199 2429 4;i6 2567 49 2585 385 2663 428 274£ 517 2819 240 2897 401 2352 216 243© 489 , 25©8 i84 2586 188 2664 428 2742 136 2829 354 2898 347 2353 616 2434 537 35©9 465 2587 386 2665 20 2743 517 2821 349 2899 46 2354 435 2432 599 25£9 180 2588 154 2666 18 2744 8 2822 113 2999 21 2355 109 2433 537 : 25££ 115 2589 621 2667 133 2745 512 2823 115 2961 21 2356 162 2434 138 | 251 2 489 2590 99 2668 144 2746 500 2824 286 2992 227 2357 389 2435 100 2513 483 2594 202 2669 Oil 2747 7 2825 621 2993 » 2358 518 2436 540 25£4 025 1 2592 101 2676 550 2748 503 2826 431 29©4 17 2359 627 2437 283 2515 217 2593 159 267£ 254 2749 151 2827 417 29© 5 31 2366 111 2438 108 12519 80 2594 385 2672 501 2759 376 2828 550 2996 151 2361 551 2439 306 12517 561 2595 101 2673 37 2751 616 2829 423 2997 466 2362 396 2446 49'2518 123 2596 103 2674 459 2752 163 2836 103 2968 305 2363 104 2444 470 25£9 369 2597 300 2675 259 2753 189 2834 339 2999 204 2364 448 2442 257 1 252© 369 2598 188 2676 308 2754 601 2832 342 2919 549 2365 216 2443 559 2521 120 2599 101 2677 354 2755 209 2833 430 2911 273 2366 627 2444 6^9 2522 135 266© 152 2678 016 2755 295 2834 518 2912 155 2367 77 2445 360 ! 2523 8 266£ 183 2679 19 2757 399 2835 455 2913 156 2368 205 2446 119; 2524 539 2662 309 2680 15 2758 9 2836 167 2914 76 2369 40 2447 05 ' 2525 119 2663 530 2681 17 2759 338 2837 351 29£5 134 237© 261 2448 72 2526 509 2664 401 2682 17 2766 355 2838 85 291© 198 2371 288 2449 356 2527 383 2665 217 2683 20 2761 536 2839 273 29 £7 113 2372 216 2456 218 2528 236 2666 115 2681 208 2762 60 284© 93 29£8 299 2373 306 2454 330 2529 495 2667 458 2685 625 2763 428 2841 414 29£9 493 2374 234 2452 305 2539 539 2668 529 2686 266 2764 286 2842 318 2929 9 2375 23 2453 627 253£ 92 2669 459 2687 464 2765 424 2843 58 292 £ 207 2376 311 2451 398 2532 65 2616 511 2688 144 2766 66 2844 479 2922 343 2377 555 2455 364 2533 4-27 2611 464 2689 85 2767 172 2845 537 2923 398 2378 627 2456 560 2534 202 2612 25 269© 22 2768 200 2846 22 2924 389 2 379 545 2457 025 2535 360 2613 454 2691 596 2769 189 2847 147 2925 77 2386 316 2458 55612536 501 2614 457 2692 555 2779 105 2848 280 2926 309 2381 357 2459 316 j 2537 501 2615 500 2693 565 2771 614 2849 88 2927 3,58 2 382 551 2466 558 2538 343 26L6 465 2694 565 2772 188 285© 547 2928 31 2383 24 2464 556 2539 16 2617 288 2695 400 2773 199 2854 615 2929 201 2384 464 2462 101 2549 557 2618 245 2696 91 2774 503 2852 20(3 2939 294 2385 152 2463 129 2541 95 2619 10 2697 600 2775 439 2853 297 2931 358 2386 536 2464 434 2542 226 2626 404 2698 295 2776 190 2854 545 2932 602 2387 123 2465 157 2543 633 2621 627 2699 288 2777 504 2855 621 2933 87 2388 285 2466 99 2514 126 2622 105 2799 188 2778 400 2856 319 2934 4J6 2389 216 2467 263 2545 454 2623 11 27©1 202 2779 409 2857 563 2935 189 2390 216 2468 110 2546 419 | 2624 297 27©2 17 2789 189 2858 603 2936 128 662 INDEX OF Spec. Page. | Spec. Page. Spec. Page. Spec. Page. 2936 128 3644 545 3992 558 3179 603 2937 107 3615 306 3993 180 317£ 61 2938 208 3646 359 3994 107 3172 587 2939 64 3617 494 3995 409 3£73 561 2946 382 3©18 550 3996 409 3174 609 294 £ 351 3019 37 3997 597 3175 332 2942 349 302© 590 3998 247 3£76 395 2943 201 3©21 237 3999 598 3£77 544 2944 109 3922 547 3199 308 3£78 197 2945 293 3923 147 3191 291 3£79 460 2946 277 ; 3624 332 3192 429 3189 209 2947 282 3925 391 3£93 190 3181 194 2948 276 3926 158 3194 308 3182 137 2949 275 3627 306 3 £95 462 3183 364 2959 107 3628 595 319© 258 3184 97 2954 147 3629 265 3£67 403 3485 63 2952 115 3©3© 64 3198 400 3486 510 2953 199 3©31 627 3£99 263 3487 189 2954 540 3©32 347 3119 96 3488 329 2955 540 3933 104 3111 535 3189 274 2956 382 3©34 282 3112 541 3199 64 2957 567 3935 421 3££3 131 3191 609 2958 382 393© 627 3144 303 3£92 608 2959 543 3937 333 3115 585 3£93 304 296© 541 3938 106 3116 182 3 £94 193 2964 121 3©39 155 3117 26 3195 554 2962 165 3949 24 3118 473 3£96 144 2963 340 3941 340 3119 528 3£97 563 2964 9 3942 157 3129 637 3£98 148 2965 300 3943 339 3121 601 3£99 587 2966 257 3944 340 3122 146 3299 349 2967 495 3945 421 3123 488 3291 80 2968 303 3946 335 3124 530 3292 543 2969 416 3647 100 3425 399 3293 585 2979 35 3648 101 3426 438 3294 440 297£ 591 3949 245 3127 520 3295 243 2972 298 3959 350 3128 306 3296 48 2973 88 3654 16 3 £29 403 3267 376 2974 130 3652 104 3£36 14 3268 164 2975 167 3653 392 3£3£ 14 3269 171 2976 616 3954 422 3£32 519 3249 215 2977 229 3955 254 3133 519 32££ 503 2978 546 3956 113 3131 147 32£2 227 2979 312 3957 352 3135 143 3213 359 2989 165 3958 286 3136 119 32 £4 199 2984 598 3959 341 3137 637 32£5 567 2982 443 3966 350 3138 315 32£6 552 2983 421 3961 627 3139 539 32£7 604 2984 73 3662 357 3149 598 32£8 316 2985 185 3663 339 3444 310 3219 146 2986 85 3664 358 3442 447 3229 25 2987 199 3665 394 3443 236 3221 40 2988 517 3666 338 3144 91 3222 552 2989 45 3667 273 3145 98 3223 137 2996 552 3668 421 3146 593 3224 549 2994 310 3669 434 3147 600 3225 255 2992 301 3979 360 3448 121 3226 310 2993 139 3971 192 3449 369 3227 147 2994 603 3972 403 3459 17 3228 317 2995 260 3973 518 3454 621 3229 601 2996 87 3974 590 3452 542 3239 04 2997 138 3975 566 3453 592 3231 304 2998 16 3976 613 3454 610 3232 237 2999 62 3677 143 3455 398 3233 538 3996 494 3678 113 315© 121 3234 145 36© £ 225 3679 365 3£57 185 3235 246 30©2 263 3989 234 3£58 371 3236 617 3©©3 375 3981 558 3159 67 3237 342 3©04 390 3982 102 3169 192 3238 53(5 3©©5 217 3983 611 3161 104 3239 560 366© 389 3984 299 3162 101 3249 605 3667 421 3985 185 3£63 265 3211 567 3668 146 3986 186 3161 37(3 3242 491 3669 604 3687 202 3£65 298 3243 510 3646 494 3688 146 3£66 372 3241 321 36 ££ 603 3689 74 3£67 216 3245 370 3612 121 3999 546 3£68 207 3246 520 3613 271 3991 15 3 £69 637 3247 513 SPECIMENS Spec. Page. Spec. Page. Spec. Page. Spec. Page. 3248 169 3326 187 3494 161 3482 327 3249 637 3327 200 3495 87 3483 124 3259 396 3328 391 3496 7 3484 129 3251 30 3329 210 3497 513 3485 274 3252 461 3339 401 3498 225 3486 19 3253 203 3331 112 3499 460 3487 105 3254 28 3332 427 3419 455 3488 239 3255 200 3333 61 3411 397 3489 323 3256 530 C334 120 3412 184 3499 544 3257 27 3335 268 3443 17 3494 218 3258 436 3336 378 3414 350 3492 * 3259 404 3337 382 3415 10 3493 360 3266 333 3338 417 3446 281 3494 160 3261 271 3339 259 3447 344 3495 127 3262 108 3349 399 3448 162 3496 428 3263 397 C341 435 3449 240 3497 184 3264 19 3342 300 3429 182 3498 469 3265 103 3343 264 3424 481 3499 297 3266 219 3344 376 3422 637 3599 63 3267 265 3345 285 3423 353 3591 419 3268 279 3346 258 3424 345 3562 381 3269 381 3347 330 3425 357 3563 437 3279 495 3348 479 3426 328 3564 292 3274 160 3349 61 3427 391 3565 86 3272 343 3359 47 3428 431 3566 149 3273 391 3354 417 3429 430 3567 19 3274 369 3352 436 3439 352 3568 16 3275 637 3353 126 3431 331 3569 293 3276 305 3354 170 3432 437 3546 448 3277 87 3355 375 3433 259 3511 143 3278 404 3356 428 3434 337 3512 559 3279 518 3357 280 3435 166 3513 550 3289 519 3358 28 3436 389 3514 502 3284 637 3359 423 3437 208 3515 60 3282 469 C066 420 3438 339 35£6 31 3283 405 3361 397 3439 271 3517 209 3284 401 3362 23 3449 38 3518 300 3285 424 3363 129 3441 330 35£9 144 3286 135 3364 322 3442 329 3529 235 3287 149 3365 189 3443 350 352 £ 376 3288 40(5 3366 208 3444 578 3522 439 3289 111 e->3©'3' 382 3445 402 3523 64 3299 20 3368 360 3446 471 3524 60 3294 75 3369 110 3447 501 3525 236 3292 559 3379 166 3448 501 3526 266 3293 592 3374 208 3449 62 3527 489 3294 587 3372 355 3459 114 3528 331 3295 599 3373 28 3454 20 3529 471 3296 349 3374 46 3452 11 3539 63 3297 188 3375 246 3453 37 3534 226 3298 160 3376 75 3454 456 3532 225 3299 112 3377 454 3455 519 3533 437 3399 423 3378 490 3456 519 3534 425 3394 207 3379 490 3457 519 3535 48 3392 103 3389 325 3458 57 3536 436 3393 100 3384 76 3459 519 3537 32(5 3393 108 3382 384 3466 73 3538 510 3395 24 3383 163 3464 492 3539 343 3396 155 3384 518 3462 499 3549 260 3367 35 3385 114 3463 519 3544 192 3368 24 3386 86 3464 461 3542 49 3369 109 3387 408 3465 106 3543 15 3349 409 3388 479 3466 15(5 3544 272 3344 116 3389 387 3467 49 3545 298 3342 415 3399 239 3468 391 3546 370 3343 26(5 3391 98 3469 53 3547 288 3344 371 3392 379 3479 363 3518 286 3315 284 3393 380 347£ 60 3549 378 3316 387 3394 281 3472 330 3559 122 3317 528 3395 384 3473 72 3551 94 33£8 398 3396 289 3471 393 3552 134 33£9 390 3397 173 3475 436 3553 14 3329 399 3398 326 3476 386 3554 128 3321 50 3399 354 3477 390 3555 334 3322 202 3199 59(5 3478 66 3556 150 3323 172 3491 223 3479 543 3557 272 3321 204 3492 131 3489 629 3558 394 3325 187 3493 534 3484 161 3559 103 IN THE SURGICAL SECTION. Spec. Page Spic. Page. Spec. Pege. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. 3566 359 3638 74 3746 244 3794 456 3872 270 3959 166 4928 371 4466 347 356£ 349 3639 8 3747 189 3795 628 3873 258 3951 234 4929 321 4467 91 3562 344 3646 77 3718 150 3796 64 3874 271 3952 122 4939 253 4468 164 3563 355 3641 210 3719 208 3797 239 3875 289 3953 603 4934 543 ££69 147 3564 323 3642 333 3726 207 3798 86 3876 324 3954 80 4932 371 4116 257 3565 430 3643 324 3721 349 3799 334 3877 270 3955 268 4933 566 4111 180 3566 20 3644 432 3722 127 3899 263 3878 39.- 3956 261 4934 551 4112 317 3567 16(5 3645 461 3723 390 3891 101 3879 124 3957 305 4935 542 41£3 414 3568 227 3646 561 3724 89 3892 86 3889 296 3958 467 4936 2:: 4444 91 3569 125 3647 384 3725 41 3893 160 3884 279 3959 456 4937 432 4445 90 3579 308 3648 266 3726 238 3894 111 3882 265 3969 462 4938 529 4446 313 3571 40 3649 166 3727 137 3895 90 3883 401 3961 470 4939 322 4447 321 3572 244 3656 76 3728 338 3896 235 3884 270 3962 501 4949 342 4418 122 3573 296 3651 162 3729 20 3867 124 3885 280 3963 457 4911 283 4419 372 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N^ »^ rf£to >^ t^ N^^ »^ «^ N«B> »^> »«Ste tfte ri±» l«^ N^te riiite »^ t^te #te l^te |«ite )«ito ^^ W^W«£©©«^©w£w«N©©»^©2l&M»M©©GB^©W*WtSN©©<»^^ Ci Ci Ci oi Oi **■ co »b »u **■ Ci ci X X X X X —' M — to to © jo Oi Ci Ci Oi C< CO k- Ci CO K, Ci Ci CO CO Ci Ci Oi Ci M ^1 -o ^1 X CO X X gg^^^^g^^^g^H^^^^gg^^eglieiilggggligiilgligliiiliiiiiiigiiiiiig^ ©««*© Ci Ci Ci Ci Ci Ci Ci *■ Ci Ci Ci c; c: Oi Ol Cl Ci ■^J JO Chapter II. organs of circulation. Section 1. HEART. iA_t Congenital Anomalies. No. 3 19. Heart, the apex of which is bifurcated by a fissure an inch deep, in the line of the inter-ventricular septum. A. 1. J. O'S., citizen. Died, January 5th, 1864, of pneumonia. Autopsy: Hepatization of the lungs; heart as described ; weight twelve ounces; contained a large, moderately firm, light yellow fibrin clot. Contributed by Assistant Surgeon C. J. Kipp, U. S. Vols., Hospital No. 1, Nashville, Tenn. No. 787. Heart, the apex of which is distinctly bifurcated, from a colored man who died of pleurisy, consecutive to A. 2. Blight's disease. There was fluid in both pleural cavities; the left lung coated with lymph; kidneys fatty ; weight of each six ounces. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 596. A small heart in which the foramen ovale remains open; the opening passes obliquely through the inter- A. 3. auricular septum, a valve-like fold of the endocardium existing on each side, by which, undoubtedly, it was kept well closed during life. Private M. S., "A," 17th Wisconsin. Admitted, July 22d, 1865. He had been sick over six months with camp dysentery and was greatly emaciated. Died, August 1 st. Autopsy: Petechiae on arms, legs and chest; old adhesions of right lung; heart small, and as above described; kidneys large and fatty; lower part of ileum darkly injected; the mucous membrane coated with whitish false membrane; colon thickened, with ulcers in the caput coli and sigmoid flexure. Contributed by Acting Assistant Surgeon W. C. Miner, Slough Hospital, Alexandria, Va. 131 Atrophy. No. 403. A small heart which weighed five and a half ounces ; from a full-sized adult. B. 1. Private H. N., 10th Massachusetts Battery, age 33. Admitted, July 30th, 1864, laboring under chronic diarrhoea, anaemia, debility, pain in the lower extremities, and severe cough. September 1st, hectic set in. Died, September 15th. Autopsy: Height, five feet nine inches; very much emaciated; weight, about one hundred and sixty pounds; no post mortem rigidity; body covered with fine purpuric spots; lower lobe of right lung considerably congested, and on section muco-pus exuded from many of the small bronchial tubes; left lung adherent, on section of its lower lobe a large amount of frothy sanguinous fluid exuded, in upper lobes several carnified spots about three-quarters of an inch in diameter; heart as described ; liver small and very much congested ; kidneys congested ; several small ulcers in rectum ; at the sigmoid flexure of colon an oval ulcer meas- uring two and three-quarters by two inches, its long diameter being across the intestinal canal; its margin was very jagged and abrupt; the coecum and about three feet of the lower portion of the ileum were very much congested. Contributed by Acting Assistant Surgeon H. M. Dean, Lincoln Hospital, Washington, D. C. \J, Hypertrophy. No. 338. Heart considerably enlarged, weighing at the time of its removal ftvm the body seventeen and a quarter C. 1. ounces. Private E. G., "F," 69th New York. Admitted, June llth, 1864, for a gunshot wound of the right ankle received at Cold Harbor, Va. Died, June 28th of pyaemia. This man was thirty-seven years of age, and weighed about one hundred and fifty-five pounds. He is not known to have had any symptoms due to the enlargement of his heart. Contributed by Acting Assistant Surgeon H. M. Dean, Lincoln Hospital, Washington, D. C. 14 CATALOGUE OF THE MEDICAL SECTION CLap. II. No. 506. Hypertrophied heart, weight twenty-four and a quarter ounces ; walls of left ventricle an inch in thickness ; C. 2. right ventricle nearly normal; valves healthy. J. G, colored woman, age 50. Admitted to L'Ouverture Hospital, March 8th, 1865, suffering from general dropsy ; lower extremities enormously swollen ; increased area of cardiac dullness ; heart's impulse diminished ; pulsations of heart's apex felt in the fifth intercostal space, four and a half or five inches to the left of the median line. Patient said she had suffered nothing in the region of the heart, until two or three weeks before her admission, with the exception of occasional difficulty of breathing, when going up stairs or taking active exercise. She also complained of pain in the lower part of the abdomen, and great pain in urinating. Subsequently to her admission she suffered nightly from paroxysms of dyspnoea, accompanied at times by syncope. She complained frequently of a distressing sense of constriction in the praecordial region. Died, March 21st. Autopsy: Pericardium contained five ounces of serum ; heart as above described ; about six drachms of well-washed fibrin were intimately interwoven witb the columnae carneae about the apex of the left ventricle; about a pint of serum in each pleural cavity; both lungs congested, the left more so than the right; abdominal cavity contained about four pints of serum ; left kidney was congested and softened ; fibrous tumors of uterus. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospitals, Alexandria, Va. 507, chap. V., sec. 5, B. 3, fibrous tumors of uterus, is also from this case. JJf Diseases of the Valves. No. 840. Aortic valves, slightly cribriform at their edges. D. 1. E. S., citizen, born in Switzerland, age 29. Admitted, February 6th, 1866 ; bad been sick three weeks; was emaciated; thin, yellowish stools tinged with blood; some tormina. Died, March 15th. Autopsy: Middle stature, fair skin, light hair, emaciated ; cavity of thorax dry; heart contained a small black clot; no fluid blood found in the body; aortic valves sieve-like near their upper border; spleen slightly enlarged; gall bladder small, contained half an ounce of thick bile ; stomach pale ; it and the jejunum contained six ounces of light green fluid; mucous membrane of ileum much congested and of a bright red color, with enlargement of solitary follicles and slight thickening of Peyer's patches; an ulcerated patch, an inch long and half an inch wide, near the caecum ; also a few soft patches; mucous membrane of large intestine congested throughout, of a dark red color aud much thickened, especially in the rectum; there were small ulcerated patches two inches from the anus, and follicular ulcers throughout; mesenteric glands enlarged. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. 838, chap. IV., sec. 3, I. 24, enlarged solitary follicles of ileum; 839, chap. IV., sec. 3, I. 25, small follicular ulcers of colon, are from this case. No. 842. Aortic valves slightly cribriform at their edges. D. 2. Private J. G., "H,"' 9th U. S. Colored. Admitted, July 22d, 1865. Diagnosis—dysentery. Transferred to my ward, August 10th. Stated he had been attacked about the first of the month, while on duty with his regiment. Since entering hospital, had been in a tent, lying in his blanket on the ground. Present condition: very weak, thin; gums dark red, ulcerated and spongy ; teeth loose; legs oedematous ; dispirited; appetite poor; no dysentery at present. 20th, doing well, walks about, but legs oedematous, and some ulcers linger on gums and cheek. 25th, patient apparently gaining ; good appetite and spirits; mouth nearly well; was transferred to another ward. Subsequent history not known- Died, September 13th. Autopsy: Cadaver slender; some emaciation; some oedema of legs; right cavity of thorax contained two pints of bloody serum ; lower lobe of right lung hepatized, portions sink in water; pericardium contained four ounces of clear serum; heart flaccid, aortic valves attenuated and cribriform on the edges; liver tough; gall bladder full of healthy bile; kidneys fatty; bowels pale, otherwise normal; mesentery thickened, covered with a layer of yellowish lymph, about an ounce of which floated with two ounces of serum in the pelvic cavity. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. No. 52. Tricuspid valves, with some of the surrounding heart tissue attached. The valves present irregular masses D. 3. of calcareous matter. Private J. E., Purnell Legion. Died, October 17th 18G2, having suffered for about twenty hours with violent palpitation of the heart. Autopsy : Heart hypertrophied and dilated; a large quantity of adipose tissue on its surface ; tricuspid valve as described; considerable quantity of fibrin in right ventricle. Contributed by Acting Assistant Surgeon G. W. Fry, Patterson Park Hospital, Baltimore, Md. No. 579. Portion of heart, showing thickened and calcareous transformation of mitral valves. D. 4. Private H L., "F," 52d New York, age 22, born in Germany. Admitted, February 10th, 1865. General appearance good, but complains of being unable to lie down from a feeling of suffocatiun ; area of cardiac dullness increased in size ; urine was albuminous, and loaded with urates ; slight anasarca of lower extremities. The anasarca gradually increased and in March became general. On the 23d of March, a tendency to sloughing made its appearance on SeC. 1. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 15 the dorsum of the foot, and subsequently involved other portions of the lower extremities. The patient now became delirious, jaundice set in, and he died on tbe 3d of April. Autopsy: Right ventricle considerably dilated; mitral valve as described ; spleen hard and large ; general anasarca, with ascites, but no dropsy of the pericardium. Contributed by Acting Assistant Surgeon E. R. Fell, Mower Hospital, Philadelphia, Pa. No. 461. Portion of heart, dissected to show the mitral and aortic valves which are roughened by fibrinous vegetations. D. 5. Private C. W., "D," 8th New York Heavy Artillery, age 20. Admitted, August 28th, 1H04, with gunshot wound of head. Died, December 24th, from the consequences of the wound. No heart symptoms recorded. Contributed by Acting Assistant Surgeon H. M. Dean, Lincoln Hospital, Washington, D. C. No. 599. Heart, with bulky fibrinous deposits in mitral valves; calcareous transformation of aortic valves ; left auricle D. 6. and right ventricle greatly dilated, with thin walls ; left ventricle with somewhat thickened walls. Sergeant W. H., " C," 12th Pennsylvania Cavalry. Discharged the service at Harper's Ferry, Va., but stopped in Baltimore, and died in a private house, July 7th, 1865. Was brought to hospital for burial. Autopsy. Legs and feet oedematous; right iliac region and posterior parts of body presenting dark blue discolorations; face yellow ; heart as described; it contained about eleven ounces of blood and clots; some effusion in pericardium ; liver much enlarged; kidneys fatty and granular. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Jarvis Hospital, Baltimore, Md. No- 327. A small portion of aorta, with semi-lunar valves and a part of the inter-ventricular septum; the semi-lunar D. 7. valves present small calcareous concretions; the aorta atheromatous. K., a contract nurse. Died during the winter of 1863-'4. No history. Contributed by Acting Assistant Surgeon E. Storror, Satterlee Hospital, Philadelphia, Pa. No. 472. Portion of heart, showing aortic valves, ulcerated and beset with fibrinous deposits; left ventricle greatly D. 8. thickened. Private E. M. D., 5th Massachusetts Battery, age 20, medium stature. Admitted, October 5th, 1804; had a short time previously suffered from articular rheumatism ; was anaemic ; tongue furred ; pulse rapid and irregular; a peculiar turgescence of the face and look of anxiety; anasarca; dyspnoea and rapid tumultuous action of tbe heart; more comfortable sitting than reclining. 7th, dyspnoea greatly increased; imperfect vision ; roaring in ears ; lips livid; p. m., died. Autopsy: Body not emaciated ; face livid ; right lung bound to walls of chest anteriorly by pleuritic adhesions; both lungs greatly congested; right pleural cavity contained a small quantity of fluid; two ounces of fluid in pericardium ; heart greatly dilated, but no marked thickening of its walls; its right side and the great veins filled with venous blood ; the left side of the heart also filled with dark-colored blood, and large flakes of fibrin were entangled among the muscular columns ; small firm excresences adherent to the edge of the mitral valve, and very large ones on the aortic valves; endocardium appeared red and injected; nutmeg liver; spleen bound down in left hypochondrium by recent adhesions. Contributed by Acting Assistant Surgeon O. P. Sweet, Carver Hospital, Washington, D. C. No. 518. Part of aorta and left ventricle, dissected so as to show the aortic valves, which are beset with fibroid D. 9. vegetations in which calcareous masses are embedded; the heart, as received at the Museum, was enlarged; the walls of left ventricle, thickened. History—(Acting Assistant Surgeon H. Lowenthal) : 1st Lieutenant I. F., " H," 143d Pennsylvania. Admitted, February 2d, 1865, with pneumonia. He was anxious; excited ; pulse 80; appetite poor; bowels regular; there was acute pain in the left side; had palpitations of the heart for some time previously; slight crepitant rale on both sides ; the sounds of the heart weak, but clearly audible; the second sound followed by a murmur which lasted through the pause; the area of cardiac dulness somewhat increased. 13th, respiration difficult; sleeplessness; pains over the heart; no appetite; pulse 80, but weak. 14th, dyspnoea increased ; at 9 a. m., great dyspnoea and prostration; died at 10 a. m. Contributed by Surgeon W. L. Faxon, 32d Massachusetts, Depot field hospital, City Point, Va. No. 310. Heart, with left ventricle laid open to show the aortic valves which are the seat of small calcareous deposits, D. 10. that also involve the adjacent parts of the aorta. No history. Contributed by Surgeon C. W. Horner, U. S. Vols., Hospital No. 1, Nashville, Tenn. 311 and 312, chap. II., sec. 2, B. 2 and 3, atheromatous aorta, are also from this case. No. 336. Heart with the left ventricle laid open so as to expose the aortic valves, which are somewhat thickened, D. 11. roughened, one of them with a considerable quantity of adherent fibrin. Sergeant W. L. B., "H," 3d Pennsylvania Artillery. Admitted, January 22d, 1864, with intermittent fever; had subsequently pleuro-pneumonia. Died, March 6th. Autopsy: Both lungs in the third stage of pneumonia; pleuritic adhesions on both sides ; effusion into the left pleura; four ounces of fluid in pericardium ; the aortic valves as described; liver enlarged ; spleen large and soft; left kidney much larger than right. Contributed by Acting Assistant Surgeon B. B. Miles, Jarvis Hospital, Baltimore, Md. 16 CATALOGUE OF THE MEDICAL SECTION Cliap. II. No. 346. Heart somewhat hypertrophied, with the left ventricle laid open so as to exhibit the aortic valves, partly D. 12. destroyed by an ulceration, which extends deeply into the substance of the heart just below one of the valves. A probe introduced into this ulcer, passes readily into the right auricle. The right auricle and ventricle are laid open, and the fistulous orifice is readily seen in the auricle, just above the auriculo-ventricular valve. Private J. A. B., "D," 89th Ohio, age 22. Admitted, May 10th, 1863, for scrofulous ophthalmia, with enlargement of cervical glands. Died, suddenly, August 8th. Contributed by Assistant Surgeon C. J. Kipp, U. S. Vols., Hospital No. 1, Nashville, Tenn. No. 716. A portion of aorta, with semi-lunar valves and part of left ventricle. The aorta atheromatous ; beneath one D. 13. of the valves, an ulcer, which involves the edge of the valve. W. L., age 54. Admitted, January 5th, 1866. Diagnosis—typhoid fever. Died, January 17th. Autopsy: Heart large, w i th abundant adipose tissue, wei ghed fifteen ounces; the walls of left ventricle one and a quarter inches thick; aortic valves as described; white clots in all the cavities; pericardium contained two ounces of fluid; both lungs adherent; left lung contained tubercles, some of them cretefied, and a cavity the size of a pigeon's egg; liver and spleen large ; left kidney lobulated; some congestion of small intestine, and several invaginations ; solitary follicles of caecum and colon slightly enlarged. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 801. Heart cavities laid open, showing ulceration of aortic valves hypertrophy and dilitation ot the left ventricle. D. 14. History—(Acting Assistant Surgeon L. Heard): H. R., colored, age 28. Admitted to L'Ouverture Hospital, Alexandria, Va., December 29th, 1865, with articular rhumatism affecting the knees, elbows, and wrists. Subsequently, symptoms of heart disease set in; patient became dropsical, and died April —, 1866. Autopsy: A large colored man : height, six feet: weight, about one hundred and eighty pounds; red hepatization of the lower part of left lung; pericardium contained twenty-three ounces of fluid; heart and pericardium weighed fifty-two ounces; weight of heart, after removing the pericardium and clots, thirty-five and a half ounces ; liver fatty, somewhat cirrhosed; right kidney, eight ounces, had a cicatrix-like depression on its outer edge ; left kidney lobulated; oedema of face and limbs; effusion into abdominal cavity. Contributed by Surgeon E. Bentley, U. S. Vols. 802, chap. V., sec. I, A. 5, cicatrix-like depression on kidney and lobulated kidney, is also in this c/ise. No. 212. Heart laid open so as to exhibit the aortic valves, which are the seat of calcareous deposits. The surface D. 15. of heart and pericardium roughened by lymph. No history. Contributed by Assistant Surgeon C. A. McCall, U. S. Army, Mount Pleasant Hospital, Washington, D. C. E. Pericarditis. No. 544. Heart, with an opaque, thickened patch of irregular form, about two lines in thickness and about an inch in E. 1. diameter on the anterior surface of its right ventricle. History—(Acting Assistant Surgeon S. D. Twining): G. W. V., Recruit, 16th U. S. Colored. Admitted, April 5th, 1865, from Camp Casey; had been sick for some time, suffered from rheumatic pain in limbs, hips and back; tenderness over the cervical vertebrae, and acute pains in moving the head; a tumor between the fifth and sixth costal cartilages, which appeared to pulsate; in the region of this tumor, and extending to the praecordial region, more or less pain, increased by pressure and deep inspiration ; patient lay quietly on his back, indisposed to move; pulse natural tongue furred; breathing quiet; appetite fair; slept poorly. 10th, a slight chill; has been feverish for two days; pulse 90 and small. 27 th pain in neck and back of head ; tenderness on pressure along the whole length of the spine; head drawn forward and to the left side, the least motion causing pain. May 4th, pulse 110, strong; breathing labored ; inspiration slow and slightly stertorous ; expiration explosive; tongue more thickly coated; speaks with difficulty and in a whisper; pain in chest, back, neck and back part of head; acute pain on percussion over chest and on pressure over the tumor. 8th, patient lies quiet; breathes quietly; eyes wide open; takes food when given slowly; has to be aroused to answer questions; shows his tongue readily; pulse 100 and strong; p. m., pulse 120, hard and resisting. 9th, pulse 120, softer; speaks with difficulty and inawhisper; is in a half-comatose state at night. 10th, pulse 80, small; swallows with difficulty; will not show his tongue ; p. m., pulse 100 small; cannot be aroused ; died at 8.30 p. m. Autopsy thirty-eight hours after death: A small man, quite emaciated; no rigor; a small tumor between the fifth and sixth costal cartilages of right side, extending laterally from the median line, about two and a half inches more on the sixth cartilage than on the fifth ; some effusion about the base of the brain with thickening of pia mater between crura cerebri and over pons varolii; tubercular deposit extending over internal surface of basilar process of occipital bone and the declivity of the sphenoid • arachnoid injected minutely; ventricles distended with rather dark serum, in which floated some flakes of yellow lymph • superior and external surfaces of lateral ventricles, including descending cornua, lined irregularly with yellow lymph; near the-central tendon of the omo-hyoid was a large cheesy lympahatic gland of the size of a flattened lemon; anterior surface of the third, fourth and fifth cervical vertebrae carious and involved in a large tubercular abscess under the longus colli; a Sec. 1. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 17 mass of softened tubercle lay on the right arches of the second and third cervical vertebrae; the bones carious on both sides ; another mass of softened tubercle, included the odontoid process with the bodies of the first and second vertebrae, and, reaching upwards, joined the deposit on the basilar process of the occipital bone; a puruloid deposit of softened tubercle of the size of a walnut lay at the junction of the fourth left rib with its cartilage and reached down through the intercostal space to the rib below; the upper and internal portion of this was softened and the fourth rib was separated from its cartilage; a somewhat similar 'mass lay on the right side, also extending through to the pleural surface; it was half an inch from the median line, between the fifth and sixth costal cartilages, filling the entire intercostal space, and reaching outward two and a half inches; (this was the tumor that had appeared to pulsate;) old adhesions around base of right lung, dirty yellow tubercular deposits iu its middle lobe ; left pleural cavity contained some dark serum, left lung externally coated with lymph, internally crepitant; a line of softened tubercular deposits extended along both sides of the vertebrae in the thorax, especially on the right, behind and within the ganglia of the sympathetic nerve; some of the vertebrae carious, with ribs loosened ; pericardium contained some clear serum; heart contracted and small, on the anterior face of the right ventricle a square white patch ; liver soft, of a dirty yellowish brown, with hard white tubercles; kidneys pale, left one with a white cheesy deposit, size of a chestnut; spleen softened; of a peculiar yellow or umber color, on section a few spots of yellow deposit; in median line of sacrum, a soft tubercular abscess; extensive tubercular deposit in prostate and vesiculae seminales. Contributed by Acting Assistant Surgeon W. C. Miner, L'Ouverture Hospital, Alexandria, Va. 543, chap. V., sec. 4, C. 4, tubercular prostate; 540, chap. VI., sec. 2, No. 5, tubercular caries of cervical vertebra;, cheesy masses involving base of brain; 54], chap. VI., sec. 2, No. 6, tubercular caries of bony bridges of cervical vertebral; 542, chap. VI., sec. 2, No. 7, tubercular caries of sternum and ribs, are also from this case. No. 54. Heart, coated with an irregular layer of lymph. B. 2. Private O. L. S., "A," 36th New York. Admitted, October 29th, 1862. Had acute rheumatism, implicating the heart, several months previously. Has now great dyspnoea, praecordial pain, palpitation of heart, headache, vertigo, cough, oedema of eye-lids, feet and hands, enormous distension of abdomen, area of cardiac dullness increased. Died, November 9th. Autopsy: General oedema; pericardium lined by a layer of lymph and greatly distended with serum in which particles of lymph floated; heart as described ; lungs congested. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 68. Heart and pericardium, coated with an irregular layer of lymph. E. 3. Corporal W. H., "E," 5th Pennsylvania Reserves. Admitted, July 1st, 1862, with a gunshot wound, for which the right arm was removed at the shoulder joint. Died, October 4th. Autopsy: No emaciation; oedema of the lower extremities ; adhesions at the upper and back part of right lung; the lower part of the lung, together with the corresponding costal pleura and the diaphragm, covered with a thick layer of croupous lymph ; the lung almost entirely collapsed; the heart pushed over to the left of the median line; the pleural cavity contained a quart or more of thick pus ; left lung with recent pleuritic adhesions, and the pleural cavity containing over a pint of clear serum; tissue of the lungs healthy; pericardium, containing about six ounces of liquid, partially adherent to the surface of the heart, which was roughened with pseudo-membranous lymph; incipient cirrhosis of the liver; the left external iliac and femoral veins distended with a fibrinous clot, closely adherent to the walls of the veins, and apparently undergoing degradation in several places into granular puruloid matter. Contributed by Acting Assistant Surgeon Joseph Leidy, Satterlee Hospital, Philadelphia, Pa. No. 67. Heart, the outer surface of which is covered with a thick irregular layer of lymph. E. 4. No history. Contributed by Surgeon J. W. Bloom, 7th Michigan. No. 211. Heart and pericardium, pericardium slit up anteriorly and considerably thickened ; its inner surface and the E. 5. outer surface of the heart, coated with an irregular, roughened layer of croupous lymph. No history. Contributor unknown. No. 214. Heart, coated with an irregular layer of lymph. E. 6. Sergeant W. P. T., "H," 1st Connecticut Cavalry, age 24. Admitted, December 2d, 1863, suffering from diphtheria ; was convalescing, when acute rheumatism set in with swelling of the knees and elbows. Had attacks of rheumatism frequently before. He was convalescing and had been sitting up a week, when, on December 22d, he suddenly complained of a sharp, cutting pain in the hypogastric region; pain in the region of the heart. He died half an hour afterwards. Autopsy: Heart as described; pericardium distended with serum. Contributed by Acting Assistant Surgeon B. B. Miles, Jarvis Hospital, Baltimore, Md. No. 332. Heart and pericardium, the latter slit open; the opposing surfaces plastered with pseudo-membranous lymph. E. 7. Private J. N. P., "E," 124th New York. Had chronic rheumatism since December, 1862. Admitted, June 18th, 1863, with slight rheumatic pains in limbs. 22d, was attacked with pleuro-pneumonia, with pericarditis. Died, July 1st. 3* 18 CATALOGUE OF THE MEDICAL SECTION Chap. II. Autopsy: Right lung adherent firmly, lower part hepatized, coated with thick pseudo-membrane; a large quantity of serum was in the thoracic cavity; lower part of left lung also hepatized; heart as described; the lymph was of a greyish white color, and in some places of a pulpy consistence ; it was readily peeled off. Contributed by Acting Assistant Surgeon G. B. Boyd, Mower Hospital, Philadelphia, Pa. No. 347. Heart and pericardium, coated with pseudo-membranous lymph. E. 8. C. C. S., 1st Maine Artillery, age 18. Admitted, January 26th, 1864, with severe bronchitis consecutive to measles. He did well and was beginning to sit up, when pneumonia set in accompanied by pericarditis. Died, March 2d. Autopsy: Pericardium contained sixteen ounces of liquid, and was lined with pseudo-membranous lymph, which also coated the heart in irregular masses; lower portions of both lungs hepatized ; considerable enlargement of the mesenteric glands. Contributed by Surgeon E. Bentle}', U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 441. -Heart, coated with pseudo-membranous lymph. E. 9. Private D. P., "E," 144th New York, age 22. Admitted, August 27th, 1864, laboring under typhoid pneu- monia, which had commenced on the 8th. He improved under treatment and was recovering appetite and spirits, when, on the afternoon of the llth, he was seized suddenly with violent pain in the right side, retching, oppressed respiration and feeble pulse. Died, on the morning of the 13th. Autopsy: Solidification of the left lung, except at its upper portion; the pleural cavity contained two quarts of pus; right lung cougested, coated with lymph; the pleural cavity containing ten ounces of serum; pericardium distended with a sero- purulent fluid, lined with tough lymph, with which the heart was also coated; liver considerably enlarged. Contributed by Assistant Surgeon C. Bacon, jr., U. S. Army, Annapolis Junction Hospital, Md. No. 655. Heart, coated on the external surface with large quantities of tough lymph; the tissues around the base of E. 10. the heart consolidated into a solid mass. Private H. W. T.," H," 30th Connecticut (Colored). Admitted, April 27th, 1863, much debilitated; complained of pain in the left side, extending to the left shoulder, and down the left arm; sleeps badly, dreams and starts. Died, August 24th. Contributed by Acting Assistant Surgeon L. D. Wilcoxson, Knight Hospital, New Haven, Conn. No. 454. Heart, the pericardium of which is everywhere completely adherent to the surface of the organ. E. 11. Sergeant P. T. B., " M," 1st Michigan Cavalry. Admitted, October 29th, 1864, with pleurisy. Died, November 22d. Autopsy: Right lung completely adherent, with thick layers of lymph inclosing, in places, small quantities of fluid; left lung coated with fibrinous deposit, and partly compressed against the mediastinum by a large quantity of pale reddish liquid; heart completely adherent to pericardium; nutmeg liver; spleen enlarged. Contributed by Acting Assistant Surgeon W. C. Miner, General Hospital, Alexandria, Va., Third Division. -E . Tubercle. No. 662. Heart, on the surface of which, are numerous tubercles about the size of peas. The heart was firmly P. 1. adherent to pericardium ; the tubercles are connected with the cardiac layer of the pericardium, and do not involve the muscular substance of the heart. D. Q., colored, age 20. Admitted to L'Ouverture Hospital, Alexandria, Va., May 19th, 1865, convalescent from measles. Died, November 14th. Autopsy: Old and extensive adhesions of the right lung; left lung coated with lymph, as was also the diaphragm; both lungs filled with yellow tubercle; heart as described ; spleen filled with large tubercles ; other organs normal. Contributed by Surgeon E. Bentley, U. S. Vols., Slough Hospital, Alexandria, Va. 663, chap. IV., sec. 7, G. 9, tubercles of spleen, is also from this case. U« Epithelioma. No. 741. Heart, with a tumor the size of a pigeon's egg in the wall of the right ventricle. Microscopical examination G. 1. showed the tumor to consist of large flat cells, closely resembling oval epithelium, but slightly smaller in size, and with longer nuclei; concentric epithelial bodies, similar to those so frequently observed in epithelioma, were abundant. S. H., colored, age 40. Admitted, November, 16th, 1865, with syphilis. Died, January 28th, 1866. Autopsy eighteen hours after death: A well-formed dark mulatto man; height, five feet six inches; weight, about one hundred and thirty pounds; rigor mortis well marked; some emaciation; phymosis; scrotum and penis oedematous; suppurating buboes SeC. 1. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 19 in the groins; firm pleuritic adhesions at all points on right side; slight on left side; heart weighed eleven ounces, flabby, with an abundance of adipose tissue on its surface ; all the valves slightly thickened; anterior wall of right ventricle contained the tumor described; pericardium contained eight ounces of clear serum; nutmeg liver; kidneys fatty ; Peyer's patches presented the shaven-beard appearance. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 740, chap. V., sec. 4, A. 1, phymosis and buboes, is also from this case. Jtli Heart clots. No. 344. Heart, the several cavities of which contain large clots of well-washed fibrin. (Death polypi.) H. 1. No history. No. 499. Heart, laid open to expose its cavities; a tough fibrinous coagulum in the right auricle and ventricle, H. 2. extending into the pulmonary artery. The cut extremity of the clot in the artery shows the fibrin to be arranged in concentric layers; the left ventricle also contains a white coagulum. Private J. W., "H," 22d Veteran Reserves, age 46. Died suddenly at Camp Randall, Madison, Wis. The heart was found enlarged and slightly fatty, with the clots above described, but no other morbid condition was observed. Contributed by Surgeon Howard Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis. No. 638. A heart, containing fibrinous clots in all its cavities; the clots of left ventricle extended into the aorta and H. 3. are long and ramifying; those of the pulmonary artery similar, but not so long. History—(Acting Assistant Surgeon T. H. Bishop): Private W. K., " M," 1st Connecticut Cavalry, age 50. Admitted, July 20th, 1865, by transfer from Readville, Mass., laboring under consumption, with paralysis of the lower extremities. Died, September 24th. Autopsy : Moderate emaciation; much pigment in lungs; in apex of left, a large cavity filled with pus; tubercles and small cavities throughout the lungs ; heart soft and fatty; its cavities filled with fibrinous clots, which ramified into all the arteries, and extended as high as the brain; on removing the heart, they were drawn out of the vessels like pieces of tape ; some serum in pericardium ; liver soft, yellow and fatty ; kidneys small and fatty; brain soft; some effusion of serum in the ventricles ; arachnoid somewhat opaque. Contributed by Surgeon P. A. Jewett, U. S. Vols., Knight Hospital, New Haven, Conn. No. 783. Heart, which presents in the left ventricle, entangled among the columnae carneae, a number of rounded cysts, H. 4. which, when fresh, were of a yellowish color, and contained in the interior a fluid resembling pus ; microscopical examination showed that the cyst wall consisted of coagulated fibrin, and was not organically connected with the endocardium; the fluid in the interior of the cysts contained granules, and decomposing red and white corpuscles, especially the latter; one similar cyst was found in the right ventricle. J. A., colored, age 50. Admitted, April 1st, 1866. Had syphilis of over a year's standing; penis gangrenous; general anasarca; constant cough; profuse rusty expectoration; valvular murmurs of a sawing or rasping character heard very distinctly; great general debility; no appetite; urine albuminous, and normal in quantity. Died, April 8th. Autopsy thirty hours after death : A well-formed dark mulatto man; height, five feet eight inches ; weight, about one hundred and thirty pounds; rigor mortis well marked; no emaciation; anasarca of lower extremities; buboes in both groins ; penis partly destroyed; six ounces of serum iu posterior fossae of cranium; lower lobe of right lung partially hepatized ; upper lobes oedematous; two ounces of fluid in right pleural cavity; left lung, collapsed, contained patches of hepatization; six ounces of fluid in left pleural cavity; pericardium contained twenty ounces of serum ; heart large, fatty, its surface coated with croupous lymph ; no clots; left ventricle contained the cysts described ; nutmeg liver; kidneys fatty; an old peritoneal adhesion involved a portion of the ileum. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 784, chap. IV., sec. 4, C. 1, old adhesions of ileum, is also from this case. No. 852. Heart, in the left ventricle of which, attached to the interventricular septum, was a mass of fibrin, the size of H. 5. a hen's egg, which had softened in the centre into a pus-like fluid ; a portion of the walls of this abscess-like cavity, attached to the endocardium, still remains in situ. D. P. O., age 51, native of Somersetshire, England, citizen employed Admitted, September 4th, 1866, suffering from dry gangrene of the first, second, and third toes of the left foot, accompanied by severe pain, on pressure, in left popliteal space and along calf of leg. There was considerable oedema of both legs; respiration somewhat hurried and labored; heart sounds weakened, but otherwise normal. The patient did not complain of pain about the region of his heart at any time during his illness. The attack began two weeks previous to his admission with pain and numbness of the left foot and leg. The gangrenous slough slowly separated at the metatarso-phalangeal articulation, but the ulcer showed no disposition to cicatrize; on the contrary, the oSdema began to creep slowly up the thigh, and general anasarca resulted. The heart sounds continued regular, but gradually grew weaker; the lips were purplish and the extremities congested; the patient became partially comatose, and died, October 4th. 20 CATALOGUE OF THE MEDICAL SECTION Chap. II. Autopsy: Bloodvessels of brain generally congested; slight serous effusion in subarachnoid sac over the superior surfaces of the hemispheres; each pleural sac contained about one and a half pints of straw-colored serum ; the lower lobes of both lungs and isolated spots in their upper lobes, were consolidated and of a dark purplish color; these portions sank in water; heart hypertrophied and as described ; the endocardium in the neighborhood of cyst was ecchymosed to some extent; the peri- cardium healthy, and its sac contained no fluid ; calcareous degeneration of the left coronary arteries; slight calcareous deposit at the base of one of the leaflets of the aortic valve; slight atheromatous deposits on the walls of the ascending aorta; both sides of heart were filled with black clots, and the OTgan, including clots, weighed twenty-four and a half ounces; liver congested, otherwise normal; the gall bladder contained eight gall stones, varying in size from that of a pea to that of a small marble ; one of these was found covered with mucus embedded in the cystic duct; spleen small; left kidney contained two small cysts, filled with a jelly-like substance of a urinous order; the veins throughout the body were distended with blood ; the lower portion of the left femoral, the left popliteal, and a part of the left posterior tibial arteries were completely occluded by emboli; the coats of these arteries, as well as those of the system generally, contained calcareous deposits, in some cases to a very marked extent. Contributed by Assistant Surgeon H. McElderry, U. S. Army, West Point, New York. 853, chap. II., sec. 2, A. 1, emboli in left popliteal artery and vein; 853£, chap. IV., sec. 5, I. 6, biliary calculi, are also from this case. Section 2. ARTERIES. A. Emboli. No. 853. Left popliteal artery and vein, occluded by emboli. A. 1. Sec 852, chap. II., sec. 1, H. 5, for history. B i Atheroma. No. B. 789. 1. No. B. 311. 2. Atheromatous aorta, with some calcareous deposit near the iliac bifurcation. See 790, chap. I., sec. 4, A. 1, for history. Arch and a part of the descending aorta; numerous atheromatous patches and calcareous deposits in many places. No. 312. The remainder of the descending aorta and a part of the common iliacs of the same patient. The disease has B. 3. advanced to a higher degree in this portion. To many of the roughened patches fibrinous clots, derived from the blood, adhere. See 310, chap II., sec. 1, D. 10, for history. No. 392. Arch of aorta in an advanced stage of atheromatous disease, with calcareous plates, from the body of a large, B. 4. muscular, and active man, who died suddenly from an attack of acute laryngitis. All the arteries were care- fully examined, but the only part found diseased, except the arch of the aorta, was a small portion of the right anterior tibial. Contributed by Surgeon B. B. Breed, U. S. Vols., Gratiot Street Prison Hospital, St. Louis, Mo. No. 722. Lower portion of abdominal aorta, with iliacs attached, showing a number of patches of calcareous atheroma. B. 5. L. W., a dark mulatto man, very old. Admitted, January 13th, 1866. Died, January 24th. Diagnosis—old age and diarrhoea. Autopsy: Pericardium firmly adherent to heart; aortic and mitral valves atheromatous; aorta and its branches with athero- matous patches; liver lobulated, with a cyst containing a clot of blood on the anterior edge near the gall bladder; mucous membrane of intestines congested. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 723, chap. IV., sec. 5, A. 2, lobulated liver, is also from this case. SeC. 2. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 21 Ui Aneurism of the aorta. No. 546. Heart, with a small aneurism of the aorta just above the semilunar valves; the sac has burst, and the blood C. 1. worked its way between the middle and outer coats posteriorly to a point just above the left auricle, being prevented from communicating with the inside of the pericardium by adhesions of the latter membrane to the heart, and by large deposits of effused lymph; the lymph, being soft in texture, was torn when the pericardium was stripped off, thus making a communication between the sac of the aneurism and the outside of the heart; the sac would have contained about two ounces of fluid; the pericardium was firmly attached to nearly the whole surface of the heart and had to be torn off; mitral valves somewhat thickened and rough; aortic valves large but healthy; aorta slightly atheromatous ; pulmonary and tricuspid valves healthy. History—(Acting Assistant Surgeon David L. Haight) : PrivateJ.Z., "I," 98th Pennsylvania Veterans, age 54. Admitted, December 16th, 1864, suffering from chronic diarrhoea of one month's standing, and some cough. His diarrhoea yielded to treatment, and he was furloughed, returning about April 1st, 1865. At that time he stated that his diarrhoea was quite well, but that he suffered much pain in the region of the heart, running back to the angle of the scapula. He was somewhat short of breath and anaemic, with a dry, hacking cough; the action of the heart very strong and rapid, and a murmur was distinctly heard with its first sound. He stated that he had suffered from trouble in the region of the heart for two years, during which time, however, he had been able to do and had done duty in the field, carrying his knapsack. He re-enlisted as a veteran a short time before his admission. He continued to suffer pain in the region of the heart; had a short, dry cough, and some dyspnoea, but was up and about the ward every day, and able to go up and down stairs. On the morning of May 9th, he was suddenly seized with a sort of spasm; his breathing became labored and spasmodic, and the action of the heart intermittent; this lasted for about half an hour, when he quietly expired. Autopsy: Heart as described; the apices of both lungs contained calcareous deposits and other indications of obsolete tubercle; colon, with somewhat enlarged solitary follicles, presenting an areola and central spot of black pigment. Contributed by Assistant Surgeon W. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. 547, chap. IV., sec. 3, L. 2, enlarged solitary follicles of colon, is also from this case. No. 558. Small aneurism of the aorta, just above the semilunar valves; the sac has ulcerated through into the C. 2. pulmonary artery and the pericardium ; probes are passed through the orifices. Private W. C, "A," 1st Maryland Veterans, age 22. Occupation, prior to enlistment, seaman. Was in apparently good health, and doing guard duty, when he suddenly fell insensible, and expired in a few minutes. Autopsy: Great venous congestion in brain and lungs, with distension of the large venous trunks of the neck; pericardium distended with blood, escaped from the ruptured aneurism. Contributed by Assistant Surgeon A. Ansell, 1st Maryland Veterans, Arlington, Va. No. 502. A dried preparation, showing the heart and the aorta to its bifurcation. There are two aneurismal dilatations, C. 3. one in the arch about the size of an orange, the other of larger size in the abdominal aorta; the first involves the great vessels of the neck. The cceliac axis, superior and inferior mesenteric and renal arteries, are given off from the second. Private C. W., "G," 1st Missouri Artillery, age 32. Admitted, October 27th, 1863. He had not been able to do duty for four or five months; first had what was thought to be rheumatism, for which he was sent to hospital at Nashville, Tenn., and thence to Louisville. On admission he complained of severe pain in the epigastric region, with a constant throbbing and beating sensation there. Immediately below the ensiform cartilage was a pulsating tumor of an oval form, less in size than a hen's egg. On auscultation, a bellows murmur was heard over the tumor. A soft bellows murmur was also heard over the apex of the heart, growing louder towards the base over the root of the left lung. There was bronchial respiration with pectoriloquy at a limited spot underneath the clavicle. He had some cough. November 15th, the pain in the region of the tumor still continues very severe; he has also pain in the back immediately posterior to the tumor, and is compelled to remain constantly in a recumbent position; feels easiest when lying with his head bent down between his knees; bowels costive. He remained in this condition until December 6th, when he was suddenly seized with severe convulsions, accompanied by total loss of consciousness. The convulsions continued until his death, December 7th. Autopsy: A cavity in the apex of left lung, which also contained a number of tubercles ; old pleuritic adhesions; aorta as described ; the bodies of the last dorsal and first lumbar vertebrae were extensively eroded by the pressure of the tumor. Contributed by Surgeon A. T. Watson, U. S. Vols , Clay Hospital, Louisville, Ky. No. 545. Aneurism of the abdominal aorta. Death took place by rupture of the sac into the cavity of the abdomen. C. 4. History—(Acting Assistant Surgeon D. L. Daggett): Private G. B., "C," 7th Connecticut, age 29. Admitted, June 29th, 1863, from Hilton Head, S. C, with a pulsating tumor apparently about three inches in diameter, just above and to the left of the umbilicus; the peculiar aneurismal bruit was heard with the stethoscope. The patient first noticed this swelling after extra efforts in lifting heavy boxes at Hilton Head some months before. There was not much pain, but he was feeble, sleepless, and without appetite. This condition remained unchanged for some time. Death took place very suddenly, August 17th. Contributed by Surgeon P. A. Jewett, U. S. Vols., Knight Hospital, New Haven, Conn. 22 CATALOGUE OF THE MEDICAL SECTION Chap. II. No. 533. Heart and arch of the aorta; a large aneurismal sac involving the aorta from its origin to just beyond the C. 5. subclavian ; by pressure the sac has produced atrophy of the sternum and projects as a tumor through the centre of that bone. C. 6. A colored plaster cast of the same specimen. No history. Contributed by J. T. Young, M. D., Providence Hospital, Washington, D. C. No. 862. Aneurism of aorta, involving lower surface of middle of arch; the aneurism has ruptured into the oesophagus C. 7. and burrowed anteriorly between the arterial coats. R. M., late Ordnance Sergeant, age 40. Admitted, December 5th, 1866, with general ill health, the most prominent symptom being almost complete aphonia; there was neither cough nor expectoration. January 13th, 1867, was seized with haemorrhage to the extent of forty-eight ounces, the blood being mixed with the food taken the preceding day; during the day several recurrences took place, the blood thrown up being crimson in color. Died the same day. Autopsy: Lungs slightly'adherent from old pleuritis ; bronchi filled with blood; aneurism of arch of aorta as above described; stomach and intestines distended with blood. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Post Hospital, Washington, D. C. JJi Aneurism of the other arteries. No. 503. Abdominal aorta and its branches; the superior mesenteric artery is dilated into a spherical aneurismal tumor D. 1. the size of a small orange. The tumor was recognized by its position and pulsation during the life of the patient, who died of another disease. Contributed by Surgeon M. Goldsmith, U. S. Vols., Louisville, Ky. Section 3. LYMPHATIC GLANDS. lA-i Bronchial glands. No. 19. Bronchial lymphatic glands, filled with calcareous concretions. A. 1. Private C. D., "E," 29th New York, age 22. Died, September 21st, 1862, of Chickahominy diarrhoea. Autopsy: Body extremely emaciated; skin much ecchymosed. especially over the region of the liver; old adhesions of right lung; recent congestion of both lungs, which were black in section, but everywhere pervious to air; in both, a few calcified, dry, chalky tubercles about the size of peas; the black bronchial glands contained calcified deposits; granular roughness on the right cardiac auricle, and an attachment between the front of the right ventricle and the pericardium; liver dull brown, with slate-colored patch below and slate-colored spots in section about the size of a dime ; in both lobes there were several tumors the size of shell-barks, white and firm; these, beneath the microscope, exhibited a fibro-plastic character ; spleen larger than usual and black in section ; lymphatic glands at the bead of the pancreas enlarged, and contained dry, chalky deposits ; mesenteric giands somewhat enlarged ; stomach with characters of gastritis and ecchymosed spots in the middle portion extending from the small curvature downward in front and behind; inflammation of the duodenum and jejunum extending in a less degree into the commencement of the ileum, which at the lower part appeared entirely free; there were fifty conspicuous Peyer's patches, besides a number of solitary follicles about a line in diameter ; all of them contained black pigment; intense inflammation in the coecum, and six small patches, rather less violent, along the course of the colon ; the intervening space, with slight inflammation, is healthy; testes hard and irregular, the right one being much enlarged, both presenting tubercular masses, the right presenting an accumulation of a bloody, pus-like liquid upon the surface of the gland below the tunica albuginea. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. 17 and 18, chap. V., sec. 4, B. 1 and 2, tubercles of the testicle, are also from this case. No. 694. Heart and part of trachea, bronchi and bronchial glands attached; the heart is covered with lymph ; bronchial A. 2. glands enlarged ; on section cheesy, with deposits of black pigment, forming an irregular lobulated mass the size of a child's head. S. W., colored, age 21. Admitted, January 6th, 1866. Died, January 9th. Autopsy six hours after death : A well-formed, muscular negro ; height, five feet six inches ; weight, about one hundred and fifty pounds; scars upon the legs; some emaciation; rigor mortis well marked; dura mater congested; membranes of SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 23 brain congested ; extravasation of blood beneath the pia mater over the substance of the middle lobe of right hemisphere; substance of brain congested ; half a drachm of fluid in each lateral ventricle; pineal gland enlarged ; four ounces of bloody serum in posterior fossae of cranium ; both lungs studded with miliary tubercles ; twenty-eight ounces of dark yellow serum in right pleural cavity; upper portion of lower lobe of left lung hepatized; twelve ounces of serum in left pleural cavity ; pericardium contained nineteen ounces of bloody serum ; membrane thickened and covered with lymph; heart large, its external surface covered with a thick layer of lymph ; bronchial glands tubercular and very much enlarged ; tubercles of liver, organ congested ; spleen lobulated on the edges, and filled with large tubercles; tubercles in both kidneys; mucous coat of ileum thickened ; one of Peyer's patches near the ileoccecal valve, much thickened and slightly ulcerated; numerous follicular ulcers incoecum; mesenteric glands enlarged; ensiform cartilage bifid. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 695, chap. IV., sec 5, E. 4, tubercles ofliver; 696, chap. IV., sec. 7, G. 10, tubercles of spleen, are also from this case. No. 747. Trachea and bronchi, with bronchial glands enlarged to the size of goose eggs, some of them softened into A. 3. abscesses. R. A., colored, age 26. Admitted, February 7th, 1866, with cough ; pain, on pressure, in right side, over ribs and sternum ; dullness on percussion over apices of both lungs ; tongue dry and brown. 16th, pulse quite feeble "and quick ; patient lay with his mouth open. Died, February 19th. Autopsy twenty-four hours after death : A well-formed negro man; height, five feet eight inches; weight, about one hundred and thirty pounds; rigor mortis well marked in lower extremities, none in upper; membrane of brain considerably congested; half an ounce of fluid in each lateral ventricle : pineal gland enlarged ; an ounce of fluid in posterior fossae of cranium ; posterior portion of left lung congested, upper portion contained some tubercle; a vomica of considerable size at the root of right lung, which was congested throughout, and filled with gray tubercle; pericardium contained four ounces of fluid; bronchial glands as described; heart large, dark and congested, small washed clots in all the cavities; nutmeg liver, with tubercles ; tubercles of spleen ; kidneys fatty ; small intestine much congested, with deposit of black pigment throughout. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 737. Enlarged bronchial glands. A. 4. See 735, chap. I., sec. 2, B. 2, for history. B. Mesenteric Glands. No. 381. A number of enlarged mesenteric glands. B. 1. Private M. H., "A," 142d Ohio National Guard, age 21. Admitted, July 28th, 1864, with camp fever; delirious, with slight cough ; some diarrhoea, though the passages were not frequent; pulse 96. 30th, pulse 140. 31st, 112; during this night he became rapidly worse, respiration labored, pulse weak; countenance of a dusky hue. Died, August 1st. Autopsy six hours after death. Rigor mortis marked; lungs much engorged posteriorly; liver engorged, enlarged and softened ; spleen softened; coats of stomach in the region of the greater curvature much softened ; Peyer's patches and solitary glands thickened and ulcerated ; the ulcers becoming more prominent in the lower portion of the ileum ; the mesentery was greatly thickened and its glands enlarged, some to the size of a large peach-stone. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. 376 to 380, chap. IV., sec. 3, E. 13 to 17, ileum with Peyer's patches and solitary glands enlarged and ulcerated, are also from this case. No. 25. A number of mesenteric glands, varying in size from that of a pea to that of a large chestnut. The patient B. 2. died of diarrhoea. Contributed by Hospital Steward A. J. Schafhirt. No. 552. Several feet of the ileum, with mesentery attached, showing enlarged mesenteric glands. B. 3. Sergeant G. H. B., "B," 31st U. S. Colored, age, 22. Admitted, January 2d, 1865, by transfer from another hospital, unaccompanied by any medical descriptive list. He presented all the signs of tubercular phthisis, and labored also under severe diarrhoea. Shortly after entering the hospital his stomach became irritable and rejected all food. He became emaciated, and died April llth. Autopsy: Great emaciation; the upper lobes of both lungs filled with tubercle; the right lung had three cavities, large enough to contain three or four drachms of fluid ; old adhesions in right pleura ; left pleural cavity filled with serum ; ileum presented numerous ulcers, similar to the specimen; colon ulcerated ; mesenteric glands enlarged. Contributed by Acting Assistant Surgeon D. L. Daggett, Knight Hospital, New Haven, Conn. 551, chap. IV., sec. 3, M. 4, tubercular ulcers of ileum, is also from this case. 24 CATALOGUE OF THE MEDICAL SECTION Chap. II. No. 432. Tubercular enlargement of the mesenteric glands. The piece consists of the duodenum, with pancreas B. 4. attached. A mass of greatly enlarged mesenteric glands is suspended anteriorly in connection with the duodenum, and the head of the pancreas; posteriorly may be seen a portion of the abdominal aorta, adjoining which is a mass of enlarged lymphatic glands. Z. T., rebel deserter, age about 40. Admitted, December 2d, 1864. Had enlisted some three years previously in the rebel service, from Lynchburg, Va. Had deserted and entered the United States service as a teamster. Four years ago he had measles, followed by a tedious cough, with expectoration. Two years ago he was injured by a wagon wheel passing over the abdomen. At the time of admission was much emaciated, with sallow countenance and tender abdomen; dullness on percussion, and moist rales over both lungs ; great dysphagia, nausea, and vomiting. Died, exhausted, December 5th. Autopsy: Height, five feet eight and one-half inches ; rigor mortis marked ; body much emaciated ; countenance of a light bronze hue; mucous membrane of pharynx excoriated; mucous membrane of larynx and trachea roughened, apparently from minute ulceration; both lungs studded with tubercles from the size of a small pea down to that of a pin-head ; right side of the heart contained a large black clot, left side a small amount of black blood ; mesenteric glands very much enlarged and softened ; the intestines full of tubercular ulcers. Contributed by Acting Assistant Surgeon H. M. Dean, Lincoln Hospital, Washington, D. C. 426, chap. III., sec. 1, A. 1, superficial ulceration of larynx; 427, chap, III., sec. 2, D. 4, tubercles of lungs; 428 to 431, chap. IV., sec. 3, M. 37 to 40, tubercular ulceration of the intestines, are also from this case. No. 269. Enlarged mesenteric glands. B. 5. History—(Acting Assistant Surgeon Alfred Still^): Private B. W., "I," 61st Ohio. Admitted, December 18th, 1862; had just had typhoid fever, after previously suffering from dysentery; was greatly emaciated; complained of general rheumatic (scorbutic) muscular pains, and had chronic diarrhoea and oedema of the extremities. His condition gradually improved until towards the end of December, when the diarrhoea became more troublesome, and his stomach with difficulty retained any food. At this time his cough attracted attention, and on examination a large portion of the left lung was found solidified ; blood and pus were mingled with his sputa; irritability of stomach and diarrhoea increased, and emaciation advanced rapidly. January 15th, 1863, crackling was heard at the summit of the left lung. From the 22d, great tenderness of the abdomen, under the least pressure, was manifested, and the vomiting continued. Died, January 27th by gradually progressive asthenia. Autopsy, January 27th : Age about 20; emaciation extreme; adhesions over all left lung; upper lobe, with diffused tubercle, and a large cavity in the apex, containing muco-purulent matter and blood ; a few small tubercles in the lower lobe; heart with a white clot in the right side, but normal; liver enlarged, brown on the surface, in section mingled brown and ochre yellow from fatty degeneration; stomach redder than natural; spleen enlarged, not flabby, dark red in section; with the marks of an old inflammation on the convex surface ; glands of the mesentery and mesocolon, all very much enlarged, and filled with tubercular matter ; Peyer's patches all completely ulcerated away ; the bases of many of the ulcers extending to the peritoneum ; besides these there was a multitude of ulcers in the ileum about the size of three-cent pieces, which were suspected to have had their origin in solitary glands ; at the edges of many of the ulcers, were small, white, opaque tubercles, from which it was suspected the ulcers had their commencement; the colon, throughout, presented a number of ulcers, from the size of a three-cent piece to that of a quarter of a dollar ; the mucous membrane of the ccecum was highly inflamed, and elsewhere in the colon streaks of inflammation were observed. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia. 262 to 266, chap. IV., sec. 3, I. 63 to 67, ulcerated ileum; 267 and 268, chap. IV., sec. 3, I. 68 and 69, ulcerated colon, are also from this case. No. 497. Enlarged and softened mesenteric glands. B. 6. Private M. W., "F.," 7th Wisconsin. Admitted to Post Hospital, Camp Randall, Wis., with measles. Transferred to Harvey Hospital, June llth, 1864. Diagnosis—tabes mesenterica. Died, July 28th. Contributed by Surgeon H. Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis. 496, chap. IV., sec. 3, E. 59, follicular ulceration of ileum, is also from this case. No. 730. Part of duodenum, with pancreas attached, showing enlarged lymphatic glands around the head of the B. 7. pancreas. Private C. S., "B," 45th U. S. Colored, age 18. Admitted, November 25th, 1865, suffering from scrofula. On admission the patient was very feeble and considerably emaciated ; suppurating abscesses iu neck and axilla. Died, January 31st, 1866. Autopsy: Tubercles in both lungs ; in the apex of left lung a large cavity, which communicated with a fistulous opening through the parietes of the chest into the axilla; tubercles of the peritoneum ; tubercles of the spleen; the mesenteric glands greatly enlarged. Contributed by Surgeon R. B. Bontecou, U. S. Vols., Harewood Hospital, Washington, D. C. 727. chap. IV., sec. 4, E. 9, tubercles of mesentery; 728, chap IV., sec. 4, E. 10, tubercular peritonitis; 729, chap. IV., sec. 7, G. 13, tubercles of the spleen, are also from this case. SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 25 \J, Peripheral glands. No. 582. A portion of left femoral artery and vein from just below Poupart's ligament, showing the adjacent lymphatic C. 1. glands greatly enlarged. Private J. R., "E," 23d U. S. Colored. Died, «!uly 2d, 1865—general scrofula. Autopsy: Body emaciated; right knee swollen, with fluctuation above and across the knee joint, and crepitation on motion of the patella; the joint was filled with flaky pus, and communicated with a large abscess above the knee, beneath the vasti muscles; the bone was covered with a soft albumen-like curd, similar in substance to the flakes in the pus; parts of the femur and tbe head of the tibia were denuded; both lungs adherent and filled with miliary tubercles; the lower lobe of the right lung hepatized; spleen contained a few scattered tubercles; mesenteric glands enormously enlarged; liver adherent to diaphragm, stomach, and colon; cheesy deposits of the size of almonds were found on the surfaces of these organs, especially at the points of adhesion ; scattered bands of adhesion connected the knuckles of the small intestine ; peritoneum contained much black pigment, and, scattered here and there, tubercles; there was great enlargement of the lymphatic glands in the neighborhood of the saphenous opening of the left side; no intestinal ulceration. Contributed by Acting Assistant Surgeon W. C. Miner, L'Ouverture Hospital, Alexandria, Va. 581, chap. IV., sec. 4, E. 7, large tubercles of peritoneum, with adhesions; 580, chap. VI., sec. 2, No. 13, scrofulous ulceration of knee joint, are also from this case. No. 686. Encephaloid tumor, involving the lymphatic glands of the left supra-clavicular region, weighing one pound C. 2. and three-sixteenths. Private P. F., "H," 150th Illinois, age 51. The tumor was first observed about ten months before death; it grew very rapidly during the last three months. The abdominal tumor was first observed three months before death. Died, December 17th, 1865. Autopsy: Lower extremities, left forearm and hand, swollen from dropsical effusion; body greatly emaciated, and of the peculiar hue regarded as characteristic of the cancerous cachexia; the primary tumor occupied all the supra-clavicular region, as high as the occipital bone, and extended downwards to the pleura surrounding the phrenic nerve and brachial plexus of nerves ; it also compressed the large bloodvessels of the neck and the trachea ; it was invested by a sac ; it was situated beneath the skin, superficial fascia, platysma myoid, omo-hyoid and sterno-cleido-mastoid muscles ; the apex of the left lung was inflamed and adherent to the pleura; the secondary tumor was located in the mesentery, and was found to occupy the epigastric, the umbilical, a part of the left hypochondriac, the left lumbar, and the left iliac regions; it was adherent posteriorly to the lumbar muscles and spinal column ; the stomach, liver, spleen, and pancreas were pushed upwards, but were not involved in the disease; the bowels were pushed to the right of the tumor. Both tumors were composed, microscopically, chiefly of large polygonal cells, with one or more large oval nuclei. Contributed by Surgeon Howard Culbertson, U. S. Vols. 687, chap. IV., sec. 4, F. 2, encephaloid cancer of omentum, is also from this case. No. 824. A lobulated melanotic tumor, weighing thirteen ounces, removed from Scarpa's space over the left thigh, C. 3. apparently consisting of diseased lymphatic glands. No. 826. A spindle-shaped tumor, five inches long, weighing two and a half ounces, which was situated over the left C. 4. clavicle and upper portion of the sternum of same patient—probably diseased lymphatic glands. R. B., colored, age 60. Admitted, June 21st, 1866. Diagnosis—remittent fever. Died, July 7th. Autopsy eight hours after death: An old, gray-haired African ; flat chest; slight rigor mortis ; some little emaciation ; height, five feet six and a half inches ; weight, about one hundred and fifty pounds ; an indurated dry ulcer on the inside of the left great toe ; hard, prominent tumors, from the size of a pea to that of a walnut, over front of chest; a tumor over the left clavicle; a hard tumor in the belly of the pronator radii teres muscle of the right forearm; a large tumor on the left thigh in Scarpa's space; in removing it the femoral vessels were exposed, but were not adherent; the tumor over the clavicle had pressed on the sternum and clavicle so that the inner portion of the latter, and the upper third of the former, were black and carious; a black coagulum, about the size of a walnut, in the right corpus striatum ; about au ounce of fluid in subarachnoid cavity; cartilages of ribs ossified; each pleural cavity contained an ounce of straw-colored fluid; lower lobe of each lung presented large melanotic tumors ; a few scattered through the upper lobes ; a black tumor on the right cardiac auricle ; five ounces of straw-colored fluid in the pericardium; liver, spleen, and pancreas contained black melanotic masses; kidneys fatty, a melanotic tumor in the pelvis of right kidney ; three or four small black tumors on the parietes of stomach; melanotic ulcers and patches all through the intestines; two black tumors in walls of bladder. Microscopical examination : The specimen was received in alcohol; the melanotic masses were soft, and their character could be made out with difficulty; the nodules appeared to be composed of irregular, more or less, polygonal cells, about Tifoirth iuch in diameter, with large oval nuclei, containing brownish-black pigment granules ; there was, however, an immense amount of pigment in free granules, whether derived exclusively from broken-up cells or not, cannot be positively stated. From Freedman's Hospital, Washington, D. C. Autopsy by Assistant Surgeon Edwin Bentley, U. S. Army. 827 and 828, chap. III., sec. 2, H. 1 and 2, melanotic tumors in lungs; 829, chap. IV., sec 5, F. 11, melanotic tumors in liver; 830, chap. IV., sec. 6, A. 1, melanotic nodules in pancreas; 831, chap. V., sec. 1, E. 1, melanotic tumor in pelvis of right kidney, 825, chap. VI., sec. 1, No. 4, melanotic tumor in pronator radii teres, are also from this case. 4* 26 CATALOGUE OF THE MEDICAL SECTION, ETC. Chap. II. JJ« Bronchocele. No. 210. The thyroid gland, enlarged into an irregular V-shaped body, the right leg of the V being over three inches D- 1- in length and one and a half inches in diameter, and the left over four inches in length and two in diameter; the superior thyroid arteries enlarged, especially on the left side, where the artery attains nearly the size of the common carotid. The essential conditions present, are ordinary cystic disease of the thyroid, involving alike the isthmus and lobes. The walls of some of the cysts are the seat of calcareous deposits. No history. Contributor unknown. No. 595. Oval, lobulated, cystic tumor, two inches in length by an inch and a quarter in breadth, removed by extirpation D. 2. from the left side of the neck, close to the outer edge of the thyroid gland ; the cyst has walls of strong fibrous tissue, nearly a quarter of an inch thick, in which much calcareous matter is deposited ; in its interior is one large cavity into which several smaller cavities open; it was supplied by a branch of the enlarged superior thyroid artery. The thyroid gland was not enlarged. The patient recovered from the operation. Contributed by Surgeon G. B. Parker, U. S. Vols. Chapter III. respiratory organs. Section 1. AIR PASSAGES. NO. OF SPECIMENS. Li Ulceration of larynx and trachea.............................................. 2 > i Abscess of larynx .............................................»•............ 2 • (Edema of glottis and epiglottis............................................... G '« Diphtheria................................................................. 21 j • Foreigu bodies in air passages................................................ 1 Section 2. LUNGS AND PLEURAE. li Pneumonia and pleuro-pneumonia ■ ........................................... 9 > • Pysemic foci............................................................... 2 i Pleurisy......................... ........................................ 7 ', Tubercles in lungs........................................................... 8 11 Tubercular vomicee.......................................................... 9 ■ Tubercular pleurisy......................................................... 5 , Cicatrices on surface of lungs................................................. 4 .i Cancer of lungs....................................................... --- 2 Chapter III. respiratory organs. A. Section 1. AIR PASSAGES. Ulceration of larynx and trachea. No. 426. Larynx and part of trachea, with thyroid body attached ; the under surface of the epiglottis and the mucous A. 1. membrane of the larynx and trachea present a number of superficial ulcers. See 432, chap. II., sec. 3, B. 4, for history. No. 6. Anterior half of larynx, with posterior third of tongue attached: situated on the right side, below the rima A. 2. glottidis, is a deep phagedenic ulcer, which has dissected between the cricoid and thyroid cartilages; the perichondrium of the cricoid is destroyed, and the cartilage itself, at the bottom of the ulcer, is of bone-like hardness from calcareous deposits. (Probably scorbutic. See remarks to No. 1, chap. TV., sec. 1, A. 1.) Contributed by Acting Assistant Surgeon R. K. Browne, Marine Hospital, New Orleans, La. B, Abscess of larynx. No. 467. Larynx and trachea, with enlarged bronchial glands attached, laid open posteriorly, the incision passing B. 1. through the middle of an abscess-cavity ; the cricoid cartilage is necrosed and lies free in the cavity. Private C. C, "C," 5th Pennsylvania Heavy Artillery. Admitted, October9th, 1864, with chronic diarrhoea, from which he so far recovered as to be able to do duty about the hospital. About November 1st he was seized with fever, cough, and pain in the right lung, and numerous small abscesses formed over various parts of the chest and abdomen. December 10th, difficulty of breathing, dry cough, and pain at the upper end of the sternum. Died, suffocated, December 24th. No tenderness of the larynx on pressure, nor any disease of that organ was detected, although the attention of his attendants was directed to it during life. Autopsy: The abscess described had not opened either into the larynx or oesophagus; from its size and position it was, undoubtedly, the cause of death; bronchial glands enlarged, especially on the right side, one of them, at the root of the right lung, containing pus and calcareous matter; lower lobe of right lung filled with miliary tubercles, with which intercurrent pneumonia was associated ; the posterior part of this lobe coated with pleuritic lymph ; heart contained a firm white clot on each side; liver large and pale; spleen rather small, with a number of minute tubercles; colon, otherwise normal, presented patches of pigmentary deposits ; kidneys small and granular. Contributed by Acting Assistant Surgeon W. C. Miner, General Hospital, Alexandria, Va., Third Division. No. 494. Larynx, presenting an abscess on the right side posteriorly; the right half of the thyroid cartilage and a B. 2. part of the cricoid have been removed to show its cavity. Private W. C, "C," 1st Wisconsin Heavy Artillery. The abscess above described obstructed respiration and required tracheotomy, December 25th, 1864. Before the operation was completed, the patient had ceased to breathe. The trachea was however opened and a silver catheter introduced; artificial respiration commenced and he gradually recovered. He was doing well on the evening of the same day, when he rose to use the chamber, and expired before he could be got to bed ; artificial respiration was again resorted to, but in vain. Autopsy: Abscess as described; heart large and dilated; walls of right ventricle fatty; the ventricle contained a large fibrinous clot, which extended through the auricular-ventricular opening. Contributed by Surgeon H. Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis. 30 CATALOGUE OF THE MEDICAL SECTION Chap. III. \J, (Edema of glottis and epiglottis. No. 301. A portion of tongue, with larynx and part of trachea laid open from behind; there is considerable oedematous C. 1. tumefaction of mucous membrane of epiglottis and submucous tissue. Corporal S. D., "H," 24th Veteran Reserve Corps, age 22. Admitted, March 29th, 1864, convalescent from typhoid fever, and complaining of sore throat. 31st, 6 a. m., he was suddenly seized with difficulty of breathing, and expired asphyxiated. Contributed by Surgeon T. R. Spencer, U. S. Vols., General Hospital, Alexandria, Va., Second Division. No. 302. Larynx and trachea, laid open from behind, with well-marked oedema of epiglottis ; mucous membrane of C. 2. larynx and trachea apparently healthy. Private H. S., "C," 1st Michigan Calvary. Admitted, February 4th, 1864, with chronic diarrhoea. 22d, was suddenly seized with difficulty of breathing in the morning, and died at 4 p. m. the same day. Contributed by Assistant Surgeon W. T. Okie, U. S. Army, Taylor Hospital, Louisville, Ky. No. 519. Larynx and part of trachea laid open, showing epiglottis and mucous membrane of orifice of glottis much C. 3. thickened ; laryngotomy had been performed, the incision passing perpendicularly through crico-thyroid membrane and cricoid cartilage, in the median line. Private W. S., "F," 140th Indiana. Admitted, February 3d, 1S65, convalescent from acute bronchitis. He continued to improve till the 12th, when sore throat, enlargement of tonsils and swelling of cervical glands supervened, not, however, sufficiently severe to cause uneasiness until the 17th, when great dyspnoea, due to oedema of glottis, suddenly seized him; the finger introduced into the throat readily distinguished the swollen lips of the glottis and enlarged and thickened epiglottis. Some hours later, the lips became blue, respiration labored, pulse feeble and rapid, and laryngotomy was determined upon. After the operation, the patient took two or three stertorous inspirations, coughed out a few drops of blood, and died. Autopsy: Trachea and bronchi in a state of acute inflammation; mucous membrane intensely red and much thickened throughout; lining membrane of larynx pale; taucous membrane of vocal folds and orifice of glottis very much thickened and oedematous, so as completely to close the glottidean entrance; no false membrane nor other exudation at any part of air passages. Duration of case about seven hours. Contributed by Assistant Surgeon William F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. No. SYO. Larynx and epiglottis, with mucous membrane around orifice of glottis thickened from inflammatory oedema. C. 4. No diphtheritic formation. Recruit H. F. W. Died of acute laryngitis, February 13th, 1864. No history. Contributed by Surgeon John Neill, U. S: Vols., Hospital corner of Broad and Cherry streets, Philadelphia, Pa. No. 650. Larynx, with portions of tongue and trachea attached; orifice of glottis closed by oedema; epiglottis greatly C. 5. swollen. History—(Acting Assistant Surgeon M. K. Gleason) : D. R. Z., " C," 7th South Carolina, (Rebel,) age 30. Admitted, April 9th, 1864; teeth firmly set together; loud croupy breathing; pain over laryngeal region; dusky countenance; lips blue ; breathing quick and labored; loud rale over larynx; sonorous and subcrepitant rales over both lungs; epiglottis, tonsils and surrounding parts very much swollen; tracheotomy performed one hour after admission; inserted quill tube through aperture in trachea, and patient breathed freely with markea improvement until two o'clock next night, when he had a severe chill, and rapidly sank. Died, 8 a. m., April 10th. Autopsy : Epiglottis and tonsils thickened and enlarged ; folds of glottis swollen, producing almost complete closure; lungs normal. Contributed by Surgeon William Watson, U. S. Vols., Post Hospital, Rock Island, 111. No. 652. Larynx and part of trachea, showing great thickening of epiglottis, like what is usually described as oedema C. 6. of glottis ; an incision into epiglottis discovered pus in connective tissue of that part. History—(Acting Assistant Surgeon M. K. Gleason): Private M. E., "G," 2d Arkansas Cavalry, age 26. September 25th, 1864, suddenly attacked, high febrile excitement, followed by intense headache, with pain in back and limbs, lasting all night. 26th, throat very sore; cervical glands enlarged; aphonia; difficult deglutition, with much pain. Admitted to hospital 27th ; much pain in head and throat, especially during paroxysms of coughing; great dyspnoea; florid suffused, anxious countenance; injected conjunctivae; respiration loud, thirty per minute; dry and croupy cough ; expectoration scanty, clear and viscid ; sitting posture preferred, head thrown slightly back ; throat swollen and glands enlarged ; pulse 120, hard and full; tongue coated; papillae raised; skin dry and hot; bowels costive; throat tender to touch. Died, suddenly, September 28th, after attempting to rise from bed. Autopsy: Parotid and submaxillary glands enlarged ; mucous membranes engorged ; epiglottis swollen, and, on puncture, exuded pus ; three drachms of sero-purulent fluid in pouches of larynx; chink of glottis firmly closed. Contributed by Surgeon William Watson, U. S. Vols., Post Hospital, Rock Island, 111. SeC. 1. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 31 D. Diphtheria. No. 11. Larynx, laid open posteriorly, coated with a thin diphtheritic layer. D. 1. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 528. Larynx, with part of tongue and tonsils attached; tonsils somewhat coated with diptheritic membrane; epiglottis D. 2. oedematous; an incision made by the operation of laryngotomy in the circo-thyroid space. Private D. S., "K," 1st Vermont Cavalry, age 19. Admitted, December 23d, 1864, with general lassitude, chilliness, pains in limbs, anorexia, surface and conjunctivae deeply tinged with icterus ; not confined to bed. 28th, complained of sore throat, which was much inflamed, the inflammation involving both tonsils, and extending upward along the anterior palatine arch to soft palate and posterior roof of mouth. 30th, tongue, tonsils, and palate greatly swollen, highly inflamed, and obstructing the passage of solid food. 31st, has passed a restless night from dyspnoea; pulse full and quick ; articulation very imperfect. January 1st, 1865, no better; dyspnoea increasing; membranous exudation of some consistence depending from uvula, which, on being partially detached, left a clean, red, highly-inflamed surface. 2d, complained of cold extremities ; coughed up a thickened glairy mucus, mixed with blood and particles of membrane of a very offensive odor; dyspnoea increasing; 2, p. m., seized with dyspnoea, resulting in asphyxia and death; before tracheotomy could be performed, respiration ceased ; larynx, however, opened, and artificial respiration kept up for twenty minutes, without success. Contributed by Assistant Surgeon R. F. Weir, U. S. Army, General Hospital, Frederick, Md. Larynx and part of trachea, laid open posteriorly, lined by thin diphtheritic membrane. Contributed by Acting Assistant Surgeon H. Rowe. Larynx, lined with pseudo-membrane. No history. Contributed by Acting Assistant Surgeon B. B. Miles, Annapolis Hospital, Md. Larynx and trachea, lined throughout by pseudo-membrane. Contributed by Assistant Surgeon H. Allen, U. S. Army, Lincoln Hospital, Washington, D. C. Larynx, lined by pseudo-membrane, which occupies its entire length, and lies free in the cavity in the form of a tube. Contributed by Acting Assistant Surgeon B. B. Miles, Annapolis Hospital, Md. No. 440. Larynx and part of trachea, lined by thick pseudo-membrane. D. 7. History—(Acting Assistant Surgeon E. G. Derby): Private C. W., "A," 44th New York, age 19. Admitted, October 21st, 1864, from Field Hospital, suffering with chronic diarrhoea and syphilis. November 1st, com- plained of sore throat. 2d, throat worse, covered with pseudo-membrane; dysphagia. During the 3d and 4th, he continued about the same. 5th, began to sink. Died, November 6th. Autopsy—(Acting Assistant Surgeon T. Bowen): No emaciation ; encephalon normal; sides of uvula coated with pseudo- membrane ; epiglottis oedematous, its under surface, larynx, and trachea lined with pseudo-membrane; pericardium contained an ounce of fluid ; right pleural cavity contained three ounces of serum with shreds of floating lymph ; lower part of upper lobe of right lung carnified. Contributed by Surgeon Edwin Bentley, U. S. Vols., General Hospitals, Alexandria, Va. No. 14. Larynx and part of trachea, laid open posteriorly, lined throughout by thick diphtheritic membrane, which is D. 8. loosened and turned up at its edges. Sergeant G. W. B., "I," 14th Connecticut. Admitted, July 15th, 1863, from battle of Gettysburg, wounded through both hips; had suffered from chronic diarrhoea six months before he was wounded; was very much exhausted, and wounds in an unhealthy state; the diarrhoea was checked, but wounds did not assume a healthy character. August 12th, complained of sore throat; uvula and tonsils very much congested. 14th, diphtheritic patches on the throat, and large flakes removed by local applications. Died, August 15th. Contributed by Assistant Surgeon DeWitt C. Peters, U. S. Army, Jarvis Hospital, Baltimore, Md. No. 410. Larynx and trachea, lined by a thick pseudo-membranous layer. D. 9. History—(Acting Assistant Surgeon S. Graham) : Private J. F., "C," 7th New York. Admitted, August 17th, 1864, with a gunshot wound. When admitted, there were indications of diphtheria, which became fully developed on the 24th—throat became swollen, white film formed about tonsils, and great difficulty of swallowing set in, so that food was rejected through the nostrils ; respiration difficult, but no cough. Died of suffocation, August 30th. Contributed by Surgeon N. R. Moseley, U. S. Vols., Emory Hospital, Washington, D. C. No. 15. D. 3. No. 9. D. *. No. io. D. 5. No. S. D. 6. 32 CATALOGUE OF THE MEDICAL SECTION Chap. III. No. 12. Posterior fourth of tongue, larynx and trachea; air passages laid open posteriorly; a dipththeritic layer, D. 10. loosened into shreds, lines the larynx, trachea, and bronchi. Private J. L. B. "I," 7th Maine. Died, September 23d, 1862. Autopsy: Age about thirty years; body not wasted ; fauces, pharynx to the commencement of oesophagus, larynx, trachea, and bronchi, inflamed and lined by pseudo-membrane; tissue of lungs healthy, but bronchial tubes filled with mucus ; effusion of blood in interlobular connective tissue; apex of right lung tied by an old pleuritic adhesion; stomach exhibited evidences of gastritis, more or less inflamed throughout; mucous membranes of duodenum, jejunum, and ileum slightly reddened and stained with bile ; large intestine exceedingly contracted, and nearly uniformly pink throughout. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 13. Larynx and trachea, laid open posteriorly; a diphtheritic membrane extends throughout into the bronchi, in D. 11. the form of a hollow tube. Patient had typhoid fever, which left him with chronic diarrhoea. He then had measles, and was quite sick for two or three weeks. On admission, was very feeble and much emaciated; tongue furred. He improved under treatment, and became able to leave his bed most of the day. March llth, 1863, he complained of sore throat; on examination, diphtheritic exudation was already manifest, but he still swallowed easily. 12th, difficulty in swallowing; after a certain amount had passed, all fluid returned by the nose. 13th, breathing quite laborious; tonsils much swollen, membrane upon each nearly closing the fauces; surrounding parts covered with pseudo-membrane; towards evening symptoms of suffocation appeared; dyspnoea constantly increased. Died, March 14th. Contributed by Assistant Surgeon H. B. Buck, U. S. Vols., Columbian Hospital, Washington, D. C. No. 585. Larynx and trachea, with soft palate and part of tongue attached; the mucous membrane coated with thick D. 12. pseudo-membrane. No. 586. A portion of lung of same patient, showing pseudo-membranous casts in smaller bifurcations of bronchi. D. 13. Acting Assistant Surgeon J. T. St. J., age 25. Admitted from City Point, Va., March 3d, 1865, with diph- theria, and partial paralysis of left arm. Died, March 6th. Autopsy : Air passages as above described; white clot in left side of heart, mixed clot in right side; pia mater congested ; slight redness of Peyer's patches ; spots like ecchymosis in mucous membrane of stomach ; bladder contained some albuminous urine. Contributed by Assistant Surgeon G. M. McGill, U. S, Army, National Hospital, Baltimore, Md. No. 411. Larynx, trachea, and bronchial tubes laid open, incompletely lined by pseudo-membrane; left bronchial D. 14. tube and its principal bifurcations occupied by a complete tubular cast of pseudo-membrane; the lumen of the right bronchial tube is free. Private J. V., "E," 46th New York, age 19. Admittod with amputation of left little finger, result of gunshot wound re- ceived before Petersburg, Va., October 12th, 1864, Symptoms of tonsillitis appeared, and diphtheria was recognised on the 22d. Died, October 26th. Air passages and lungs received in fresh condition at' the Museum. On the left side the diphtheritic process was found to extend to the minutest bronchi, but not to the air vesicles; right lung not involved ; diphtheritic layer in traehea composed of granular fibrin, in which were embedded innumerable ciliated epithelial cells, with multitudes of oval and rounded elements, apparently from the deeper layer of the tracheal epithelium; on stripping off portions of the pseudo-membranous layer, the mucous membrane was found to be deprived of all the more superficial parts of its epithelium. Contributed by Assistant Surgeon C. A. McCall, U, S. Army, Mount Pleasant Hospital, Washington, D. C. No. 7. Anterior half of larynx, with soft palate and posterior third of tongue attached; coated by a diphtheritic D. 15. layer, involving posterior surface of soft palate, under surface of epiglottis and larynx, most luxuriant atrima glottidis. Private D. G. H., " D," 13th New Hampshire. Died, March 4th, 1862. Contributed by Surgeon J. Bryant, U.S. Vols., Lincoln Hospital, Washington, D. C. No. 529. Larynx, with soft palate attached; palate coated with pseudo-membrane, which also lines larynx. D. 16. Private T. B., "C," 106th New York, age 24. Admitted, July 10th, 1864. Femur fractured at Monocaey Junction, July 9th, by conoidal ball. Amputation 10th. 15th, four ounces secondary haemorrhage. 17th, sloughing of stump. 19th, complains of difficult respiration ; pulse weak. 21st, respiration impeded ; crepitant ronchus over left lung; percussion dull. Died, July 22d. Autopsy: Body emaciated ; both lungs congested and infiltrated with serum ; air passages as described. Contributed by Assistant Surgeon R. F. Weir, U. S. Army, General Hospital, Frederick, Md. No. 515. Larynx, laid open from behind, with tongue and tonsils; epiglottis much thickened ; larynx lined by a thick D. 17. psuedo-membrane, which extends to tonsils and upon sides of tongue. Private E. C. M., "H," 9th New York Cavalry, age 22. Admitted, February llth, 1865, from Augur Hospital, Alexandria, Va., suffering with acute pharyngitis and tonsillitis, with exudation upon the tonsils, accompanied by Sec. 1. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 33 fever. Disease at first appeared to yield partially to treatment, but later developed a distinct diphtheritic character; false membrane appearing on walls of pharynx and gradually extending. About a week after admission, stomach became irritable, and for two days prior to death, nothing was retained except a little water from ice melting in mouth. Fever sthenic till two days before death, when system began to suffer from imperfect aeration of blood ; from that time the purple hue of skin became increasingly marked ; in last two days, very little urine voided, but no uiaemia observed, mind being perfectly clear till death. Died, February 24th. Autopsy : Tonsils and larynx coated with pseudo-membrane; trachea lined throughout with firm false membrane, extending into ramifications of left bronchus; right bronchi not lined with membrane, but greatly inflamed; lungs healthy, closely adherent to thorax and diaphragm by old adhesions; a firm, well-washed clot in each ventricle of heart, right larger and more firmly attached than left. Contributed by Assistant Surgeon H. Allen, U. S. Army, Mount Pleasant Hospital, Washington, D. C. No. 591. Larynx, with soft palate attached; tonsils greatly enlarged, somewhat coated with pseudo-membrane; D. 18. larynx and trachea lined with same, which, however, is not shown in specimen, it being prepared to exhibit the condition of the tonsils. Sergeant J. W. S., " D," 1st Maine Veterans, age 24. Admitted, October 24th, 1864, with a gunshot wound of right thigh, fracturing femur just below trochanter major, received October 19th, at Cedar Creek, Va. He became greatly emaciated and broken down, but, after several months, fracture united, and he then rapidly improved; was able to sit up in the ward, and became quite fat, several sinuses, however, still discharging a considerable amount of pus. May 24th, 1865, complained of sore throat, but there were no traces of diphtheritic exudation; 10 p. m., the nurse was wakened by the patient's groans and efforts to breathe. When seen, a few minutes after, he was breathing stertorously; tonsils much swollen; fauces and posterior nares covered with diphtheritic membrane; about 12 p. m., tracheotomy was performed by Acting Assistant Surgeon F. P. Foster, and gave considerable temporary relief; but he soon relapsed, and grew gradually worse. Died, May 25th, at 4 a. m. Autopsy: Tonsils greatly enlarged; larynx and posterior nares covered with diphtheritic membrane, which extended a considerable distance down the trachea. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Jarvis Hospital, Baltimore, Md. No. 446. Lower part of nose, with vomer and parts of superior maxillary bones attached; the nasal mucous membrane D. 19. coated with pseudo-membrane ; communicating ulcer between nostrils, in cartilaginous septum. Private C. O. G., "H," 4th Vermont, age 31. Admitted, October 25th, 1864, with amputation of right leg for a gunshot wound received at Cedar Creek, Va., October 19th. When admitted, stump was healing favorably, and patient in good physical condition, but suffering greatly from nostalgia. 30th, diarrhoea, and tendency to sloughing in stump. November 20th, stump healthy, nearly healed, diarrhoea occasionally troubling. 22d, complains of sore throat; slight diphtheritic deposit on one tonsil; patient believed disease would be fatal. 24th, false membrane extending, involving nostrils. Died, November 26th. Autopsy: Pseudo-membrane coated nostrils, palate, larynx, and upper part of trachea. Contributed by Acting Assistant Surgeon G. W. Fay, Patterson Park Hospital, Baltimore, Md. No. 391. Pseudo-membranous cast of lower part of trachea and larger bronchial tubes. D. 20. Private A. C. W., "F," 83d Pennsylvania. Admitted, July 7th, 1864, complaining of sore throat; fauces covered with pseudo-membrane; patient had walked to hospital and seemed to be in good condition. The cast, which constitutes the specimen, was ejected on the 9th, after a hard spell of coughing; patient at first seemed comfortable and likely to do well, but soon began to sink, suffering from dyspnoea, and died thirty-three hours after ejecting the cast. Contributed by Surgeon W. L. Faxon, 32d Massachusetts, 5th Corps Field Hospital, White House, Va. No. 572. Larynx and part of trachea, lined with pseudo-membrane; from a child who died of diphtheria. D. 21. Contributed by Dr. Samuel C. Smoot, Washington, D. C. E. Foreign bodies in air passages. No. 290. Larynx, trachea, and part of right lung air passages, laid open from before, and exhibiting a large lumbricoid E. 1. worm, lying extended iu larynx, trachea, and right bronchus; worm finding its way into air passages from oesophagus. Patient choked to death, January 20th, 1864. Contributed by Acting Assistant Surgeon S. B. Ward, General Hospital, Alexandria, Va., Third Division. 5* 34 CATALOGUE OF THE MEDICAL SECTION Chap. III. Section 2. LUNGS AND PLEURAE. ]\.i Pneumonia and pleuro-pneumonia. No. 92. Perpendicular section of left lung, with pleuritic adhesions of the surface and partial hepatization of the A. 1. lower lobe. Private T. K., "A," 126th New York. Admitted, December, 12th, 1862, with diarrhoea. On the 18th was moving about; in the evening, ate his supper: the same night became delirious. Died, December 19th. Autopsy : Body not emaciated ; age about 28 ; upon the body, especially the thighs, a number of irregular spots of purpura from the size of a flea-bite to that of a dime; blood very liquid and poured forth from incisions in the skin and all the internal organs ; recent pleuritic adhesions on both sides ; left lung crepitant, but engorged with a bloody liquid ; upper lobe of right lung hepatized ; lower lobes congested; liver soft, Indian red in color, and large; spleen large, flabby, and in section dark Indian red, its convex surface with the marks of former inflammations ; small intestine pink ; the Peyer's patches thickened and mostly bright red ; the lower glands a line in thickness, and contained a white deposit; mesenteric glands somewhat e nlarged ; mucous membrane of large intestine, dirty slate color, with streaks of inflammation here and there ; at the extremity of the appendix vermiformis several irregular growths of connective tissue hardened by calcareous deposits; some atheroma of aorta. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. 88 to 90, chap. IV., sec. 3, F. 1 to 3, thickened Peyer's patches; 91, chap. IV. sec. 4, D. 2, connective tissue growths on appendix vermiformis, are also from this case. No. 343. Left lung, coated with freshly formed pseudo-membranous lymph ; a part of the lower lobe hepatized. A. 2. Private J. M., "B," 116th Pennsylvania, age 20. Admitted, March 26th, 1864, with pleuro-pneumonia, in a dying condition. Had previously suffered from measles. Died, March 28th. Autopsy: A pint of serum in the cavity of the left pleura ; left lung as described. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 348. Right lung, the surface of which is coated with an irregular layer of pseudo-membranous lymph; strong A. 3. adhesions between the costal and pulmonary pleurae at the posterior part; lower lobe of the lung hepatized. Private A. R., 5th New York Artillery, age 19. Admitted, March 22, 1864, in the second stage of pneumonia, with great dyspnoea, excessive pain in right side, livid, anxious countenance, and characteristic sputa. Died, March 27th. Autopsy: Right lung as described: thickening and adhesions of pleura; slight pleuritis on left side; pericardium coated with lymph, but no fluid in its cavity; some of Peyer's glands enlarged. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 444. Section of right lung, from the convex surface of which the adherent pleura has been partly reflected back- A. 4. wards, to show the adhesions; the lung, when received at the Museum, was in a state of gray hepatization. Private M. H., " D," 14th Indiana, age 25. Admitted, October 25th, 1864, with pneumonia. Died, October 29th. Autopsy: Body emaciated; back of a deep purple color, ecchymosed spots on the sides; pleuritic adhesions on the left side: left lung congested; right lung adherent throughout and in a state of gray hepatization; four bird-shot were found encysted in tbe lower part of the costal pleura; there was, however, no visible external wound, and they had probably entered long previously ; a fibrinous clot in the right ventricule and pulmonary artery ; liver was large and presented several bird-shot similarly encysted on the under surface of the right lobe; spleen enlarged and softened. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 65. Lower lobe of left lung, in the most depending portion of which is a large irregular abscess; the pleural A. 5. surface of the lung covered with a thick layer of lymph ; no tubercles present. At the time of the formation of these abscesses, the patient was convalescing from typhoid fever. Contributed by Surgeon C. Page, U. S. Army, Judiciary Square Hospital, Washington, D. C. No. 341. Partly collapsed left lung, in the lower portion of the upper lobe of which is a large cavity, lined by a firm A. 6. membrane ; the rest of the tissue of the lung collapsed ; no tubercles. History—(Acting Assistant Surgeon R. A. F. Penrose): Private M. M., "B," 3d Michigan, age 2(1. Ad- mitted, December 12th, 1862, with epilepsy; having had, since April, 1862, while in the regiment, five or six "fits;" none iu this hospital; was pale, weak and emaciated. 16th, went to bed complaining of a severe cold aud sore throat; skin hot; pulse 145. 17th, slight dullness on percussion, and crepitant rale indistinctly heard over lower lobe of left lung. 18th, pain in left hide. 20th, pulse 108 ; tongue clean ; very much better ; expectoration becoming white, though still preserving a pneumonic SeC. 2. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 35 character, which had existed since the 16th; lung dull on percussion. 26th, became suddenly worse; pulse 145; very feeble; respirations sixty per minute; universal dullness on percussion and enormous expectoration of matter of the color and consistency of custard. Died, February 1st, 1863. Autopsy: No emaciation ; dilatation of right ventricle of heart; its walls two lines thick; its cavity contained a large white clot; pericardium contained about a gill of liquid ; left lung, attached by its anterior border to the front of the chest, completely collapsed, though the upper lobe was still pervious to air; the back part of the pleural cavity lined with a thick pseudo-membrane, and contained several quarts of pus ; an abscess-cavity, lined with the same kind of membrane, and holding about half a pint of pus, iu the lower lobe of the lung ; bronchial mucous membrane was inflamed, but there appeared to be no inflammation of the remaining lung tissue; liver large, light brown aud flabby ; spleen large, soft, dull red, flabby; mucous membrane of the ileum inflamed, its general redness accompanied with one patch of intense redness about eighteen inches long, with several large ecchymosed spots ; moderate inflammation of colon. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 681. Left lung, with an abscess-cavity the size of a hen's egg in the posterior part of its lower lobe. A. 7. H. J., colored, age 15. Admitted, October 20th, 1865. Died, December 29th. Diagnosis—anasarca and diarrhoea. Autopsy twelve hours after death : Height, five feet four inches ; weight, about one hundred pounds ; emaciation extreme ; rigor mortis partial; one drachm of fluid in each lateral ventricle ; four ounces of fluid in posterior fossae of cranium ; right lung adherent to pleura costalis by a few fibrinous bands; gray hepatization of its lower lobe; posterior portion of upper lobe congested; anterior portion emphysematous; no effusion in pleural cavity; left lung adherent to pleura costalis; abscess as described; no tubercles; pericardium contained four ounces of clear serum; heart small and dark; nutmeg liver; spleen congested; right kidney, nine and a half ounces in weight, very large, granular, and fatty; left kidney weighed ten ounces and in same condition as right; congestion of mucous membrane of stomach, duodenum and jejunum; mucous coat of ileum thickened; its villi hypertrophied; ulceration of its solitary follicles ; mucous coat of caecum and colon thickened with ulceration of the solitary follicles. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 680 to 683, chap. IV., see. 3, I. 42 to 45, ulceration of solitary follicles of ileum and colon; 685, chap. V. sec. 1, B. 4, Bright's disease of kidneys, are also from this case. No. 345. Section of lower lobe of right lung, presenting on its surface a number of small abscesses; the tissue of the A. 8. lung, when received, was in a state of red hepatization; pleura thickened and roughened. Private J. B. T., "H," 6th Michigan Cavalry, age 32. Admitted, February 13th, 1864, with pleuro-pneumonia consecutive to measles. Died, February 29th. Autopsy: Lung as described ; fatty degeneration of kidneys. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 874. Right lung, presenting an abscess about an inch in diameter in lower anterior portion of middle lobe. A. 9. See 873, chap. I, sec. 1, D. 7, for history. B, Py&mic foci. No. SO1?. Portions of lower lobe of left lung containing a number of small pyaemic foci, about the size of peas. B. 1. E. G., colored, age 13. Admitted, January 21st, 1866. Diagnosis—scrofula. February 23d, two abscesses in groin. April 29th, diarrhoea. May 6th, cough. Died, May 14th. Autopsy four hours after death: A well-formed mulatto boy; weight, about ninety pounds; height, four feet nine inches ; extremely emaciated; no rigor mortis; two abscesses in left groin below Poupart's ligament; considerable effusion beneath arachnoid; two drachms of fluid in each lateral ventricle; substance of brain congested, but firm; four ounces of serum iu posterior fossae of cranium ; left lung contained a number of dark, hard, pyaemic foci; one and a half ounces of clear serum in pericardium ; heart flabby, white clots in all the cavities ; liver firmly adherent at all points, externally covered with a thick layer of lymph ; stomach and intestines agglutinated together into one conglomerate mass by chronic peritonitis. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bund. 806, chap. IV., sec. 4, C. 3, intestines bound together by peritonitis, is also from this case. No. 848. Upper and middle lobes of right lung, fused together anteriorly, containing numerous metastatic foci, from B. 2. the size of a pea to that of an acorn. C. W., colored. Admitted, June 23d, 1866. Diagnosis—typhoid fever. Died, July 1st. Autopsy eighteen hours after death: Rigor mortis very strong ; African; well developed ; curly hair; right hand slightly swollen, and cuticle loosened by action of poultices ; middle finger of right hand suppurating and discharging by three circular openings 36 CATALOGUE OF THE MEDICAL SECTION Cliap. III. on the back of the hand; height, five feet six and three-quarter inches; weight, about one hundred and thirty-five pounds ; inferior edge of lower lobe of left lung consolidated ; lymph on lower external surface; metastatic foci interspersed throughout both lungs; weight of right, twenty-five and a half ounces; of left, tweuty-four aud a half ounces; no abnormal fluid in cavity of chest; heart enlarged; fibrin clots in all the cavities; left ventricle enlarged and thickened ; spleen very black and soft; metastatic abscesses in kidneys; bone, periosteum, tendons, &c, of right hand sound; a number of small, circum- scribed abscesses full of pus, three of which had opened, on the back of the hand. From Freedman's Hospital, Washington, D. C. Autopsy by Assistant Surgeon E. Bentley, U. S. Army. c. Pleurisy, No. 342. Right lung partially collapsed ; its lower lobe thickly coated with pseudo-membranous lymph, with occasional C. 1. patches over the rest of the surface. Private J. H. McM., " K," 5th Pennsylvania Cavalry, age 19. Admitted, March llth, 1864, with pleurisy consecutive to measles. Died, March 23d. Autopsy: Right lung partly collapsed; its tissue somewhat friable; its surface bright crimson; coated with lymph, as described; larynx and trachea filled with tenacious mucus ; the mucous membrane inflamed. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 526. Left lung, the anterior portion coated with pseudo-membrane, by which it adhered to the anterior parietes C. 2. of the chest; the posterior portion of the lung but slightly altered ; this unaltered portion corresponded to the seat of a considerable serous effusion, by which the lung was compressed. Private B. B., 5th Maryland. Died, February 9th, 1865. Contributed by Acting Assistant Surgeon W. C. Miner, General Hospital, Alexandria, Va., Third Division. No. 340. Right lung, collapsed and coated by a thin layer of pasty lymph. C. 3. Private R. W., " G," 9th Michigan Cavalry, age 22. Admitted, April 18th, 1864. Died, April 25th. Autopsy: Right lung as described; cavity of chest filled with serum ; left lung with miliary tubercles in its upper portion, lower portion hepatized; heart flabby and containing large heart clots; effusion in pericardium ; mucous membrane of intestines inflamed ; kidneys enlarged. Contributed by Acting Assistant Surgeon B. B. Miles, Jarvis Hospital, Baltimore, Md. No. 339. Left lung, collapsed and coated with thick pseudo-membranous lymph. The patient had been under treatment C. 4. for chronic pleurisy. There was a considerable quantity of purulent fluid in the cavity of the chest. Contributed by Acting Assistant Surgeon T. Cunningham, Sherburne Barracks, Washington, D. C. No. 433. Right lung collapsed, its convex surface thickly coated by pseudo-membranous lymph. C. 5. Corporal E. C, " D," 150th Pennsylvania, age 24. Admitted, October 30th, 1864, with chronic diarrhoea. Was extremely emaciated, with frequent pulse, and five or six loose dejections daily. November llth, attention was drawn to a dry cough at night, with frequency of respiration. Died, November 18th. Autopsy: Right pleural cavity contained one gallon of sero-purulent fluid; lung compressed as described; fifth, sixth, and seventh ribs, denuded of periosteum, were bathed in pus ; on the upper surface of the liver was a large abscess, communicating with the pleural cavity by an opening in the diaphragm three by four inches in diameter; mucous membrane of lower part of ileum coated with pseudo-membrane and presented a number of small follicular ulcers; Peyer's patches slightly thickened ; colon presented a number of follicular ulcers, the edges of many of which were covered with pseudo-membrane ; mesenteric glands enlarged. Contributed by Surgeon T. R. Crosby, U. S. Vols, Columbian College Hospital, Washington, D. C. 436 and 437, chap. IV, sec. 3, L. 45 and AG, follicular ulcers ofceccum and colon; 435, chap. IV., sec. 5, C. 2, abscess of liver; 434, chap. VI., sec. 2, No. 4, seventh rib denuded of periosteum, are also from this case. No. 334. Right lung, with trachea, bronchus and portion of thickened pleura attached; the lung is collapsed to the C. 6. size of a fist, and coated with a thin layer of lymph. T. K., " B," 14th New York Militia. Died, December 17th, 1862. Autopsy: No emaciation ; right lung as described ; cavity of pleura contained about a gallon and a half of pus ; left lunc somewhat inflamed, especially along the anterior border; its bronchial mucous membrane inflamed, and the bronchioles filled with muco-pus; liver indented by the purulent accumulation of right pleura, and the interlobular vessels much congested; small intestine rather brighter pink than natural, with several patches of moderate inflammation accompanied by ecchymosis; caecum inflamed, rose red, with a multitude of ecchymoses about the size of pin-heads ; several irregular small patches of moderate inflammation, accompanied by ecchymosis, in colon. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. Sec. 2. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 37 No. 521. Portions of the ribs of the left side, with a part of the lung adherent anteriorly ; posteriorly, the lung, which C. 7. is coated with pseudo-membrane and somewhat collapsed, is separated from the pleura costalis, which is similarly coated. A glass rod is passed through the orifice between the six and seventh ribs, by which the pus was evacuated. Private G. F. B., "F," 14th New York Heavy Artillery, age 18. Admitted, December 28th, 1864. Diagnosis—pneumonia. Towards the close of January, 1865, he became convalescent. February 20th, was attacked with pain in the side attended by fever and cough. 21st, fever worse ; pains more severe ; friction sound over the heart. 22d, headache and slight oedema of the limbs. 23d, pulse accelerated ; dyspnoea; cough and expectoration of glairy mucus. 25th, pain much increased, marked dullness in percussion over the left side. 27th, pain somewhat diminished, but very weak. March 6th, an abscess pointed between the sixth and seventh ribs ; it was opened March 8th, and discharged two quarts of pus. Died, March 12th. Autopsy—(Acting Assistant Surgeon Ensign): Left lung, collapsed, adherent anteriorly; posteriorly, the chest full of purulent liquid, which had discharged anteriorly as described; between the fourth and fifth ribs, the pus had found its way through the intercostal muscles, but had not penetrated the skin; the pericardium contained some purulent fluid, and both pericardium and heart were coated with tough layers of yellow lymph Contributed by Surgeon N R. Mosely, U. S. Vols., Emory Hospital, Washington, D. C. D. Tubercles in the lungs. No. 667. Section of lower lobe of right lung, containing miliary tubercles (gray granulations). D. 1. Private J. D., 31st U. S. Colored. Admitted, September 16th, 1865. Had suffered from consumption several months. Was weak, unable to sit up, and coughed frequently. October 29th, was attacked with pleurisy. November 3d, pulse 110, weak, irregular; night sweats. 9th, feet oedematous. Died, November 14th. Autopsy: Large effusion of serum in right pleural cavity; adhesions of both lungs; five ounces of serum in pericardium ; large tubercular masses in upper lobes of both lungs; in lower lobes gray granulations; tubercles on the surface of the spleen, and scattered through its substance. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospitals, Alexandria, Va. No. 404. Section of lower lobe of left lung, stuffed with numerous crude tubercles. When received, the tubercles D. 2. were of a bright yellow color, but not materially softened. History—(Acting Assistant Surgeon David L. Haight): Private M. C, 1st Michigan Cavalry. Admitted, June 27th, 1864, immediately after a haemorrhage from the lungs. During the two days following his admission he had several attacks of pulmonary haemorrhage, losing, in all, over two quarts of blood. He was in good condition, weighing one hundred and eighty pounds, and stated that he had had no cough. His mother had died of consumption. A short time after admission the physical signs of phthisis were recognized. The disease ran a rapid course, and he died August 27th. He had lost fifty or sixty pounds during his illness. Autopsy: Both lungs adherent and infiltrated with yellow tubercles; the left lung more diseased than the right, with a small cavity at its apex. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. No. 405. Section of upper and middle lobes of right lung, presenting a number of moderate-sized, discrete, cheesy D. 3. tubercles. The patient had low fever and delirium, an abscess over the parotid, and cold abscesses of the subcutaneous tissue at various points. He was apparently convalescing, though still suffering from diarrhoea, when erysipelas set in, and he died. Autopsy : Tubercles of the lungs and ulceration of the colon. Contributed by Acting Assistant Surgeon D. L. Haight, Douglas Hospital, Washington, D. C. 406, chap. IV., sec. 3, L. 38, follicular ulceration of the colon, is also from this case. No. 427. Section of upper lobe of left lung, infiltrated with cheesy tubercles. D. 4. See 432, chap. II., sec. 3, B. 4, for history. No. 492. Right lung with two lobes ; a few tubercles at its apex. D. 5. Private J. H., 7th New York Cavalry. Admitted, January 31st, 1865. Died, February 8th, 1865, of phthisis, consecutive to camp fever. Autopsy: Right lung as described; left lung contained a number of large vomicae; ileum of a grayish slate-color, the villi hypertrophied; at the apex of each villus a black point from deposit of pigment; Peyer's patches had been ulcerated away, and were in every stage of cicatrization, the ulcers being smooth, the gut around them puckered; colon cream colored, the solitary follicles black with pigment, and a minute depression on each. Contributed by Acting Assistant Surgeon W. C. Miner, General Hospital, Alexandria, Va., Third Division. 489 to 491, chap. IV., sec. 3, H. 5 to 7, cicatrizing ulcers of ileum, are also from this case. 38 CATALOGUE OF THE MEDICAL SECTION Chap. III. No. 607. Section of upper lobe of right lung, containing numerous tubercles, pleural surface covered with old D. 6. adhesions. This specimen illustrates well the manner in which tubercular masses of the lungs enlarge ; each tubercular mass of any size on the face of the section being, as a rule, surrounded by a number of smaller outlying tubercles. J. M., colored, age 25; height, five feet ten inches; weight, about one hundred and forty pounds. Died, August 25th, 1865, having been admitted several months previously. Autopsy nine hours after death: Rigor mortis marked; about three ounces of serum in pericardium; small calcareous formations on free edges of aortic valves; lungs firmly adherent, with yellow tubercles, as in specimen ; a cicatrix-like depression the size of a half-dime on lower lobe of right lung ; minute hard tubercles in spleen. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward A. J. Schafhirt. No. 691. Transverse section of lower lobe of left lung, infiltrated with masses of yellow tubercle, D. 7. L. C, colored woman, age unknown. Admitted, December, 2 id, 1865, with consumption and anasarca, 26th, diarrhoea. Died, January 20th, 1866. Autopsy twenty-six hours after death: Mulatto; height, five feet one inch; weight, one hundred and ten pounds; no rigor mortis; right lung congested and filled with gray tubercle, weight twenty-two ounces ; about one pint of serum in right pleural cavity; upper lobe of left lung contained numerous tubercles and vomicae, rest of lung solidified with tubercle, organ adherent at all points, weight thirty ounces ; one pint of fluid in left pleural cavity; four ounces of fluid in pericardium; heart contained fibrinous clots in all its cavities; anterior surface of liver covered with lymph ; organ studded with miliary tubercles ; spleen large, filled with tubercles, anterior surface covered with lymph; omentum filled with tubercles; abdominal cavity distended with fluid; duodenum showed a few solitary follicles ulcerated; jejunum contained similar ulcerations, occurring more frequently; in ileum the ulcerations were very numerous, each Peyer's patch containing a number of distinct ulcers, the spaces between which were slightly thickened; numerous follicular ulcers in caecum, and the whole tract of the large intestine showed, here and there, ulceration of the solitary follicles, From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 692, chap. IV., sec. 3, M. 1, tubercular ulceration of ileum; 693, chap. IV., sec. 4, E. 1, tubercles of omentum, are also from this case. No. 773. Right lung, infiltrated with large masses of cheesy tubercle. D. 8. J. T., age 13. Admitted, January 22d, 1866, with feet and legs frost-bitten to the knees. Mortification of left leg took place, with line of demarcation half way to the knee. Amputation performed at upper third of leg, January 28th. Toes of right foot had sloughed off; bones removed by nippers. February 23d, symptoms of consumption recognized. Died, March 28th. Autopsy ten hours after death: A dark mulatto boy; height, four feet six inches ; weight, about fifty pounds ; much emaciated ; rigor mortis well marked; lower lobe of right lung firmly adherent to pleura costalis and diaphragm; lobes, firmly adherent to each other, contained large masses of cheesy tubercle; anterior portion of lower lobe a mass of tubercle, containing a cavity the size of a walnut; posterior portion hepatized; weight, twenty-four ounces; left lung, slightly adherent to pleura costalis, contained much tubercle, weight ten ounces; no fluid in cavities; pleura costalis dotted with numerous tubercles; pericardium contained four ounces of serum; heart fatty, all its cavities contained white fibrinous clots; bronchial glands much enlarged, and filled with tubercle; liver covered with lymph superiorly, and filled with tubercle; spleen large, firmly adherent to diaphragm, and almost one mass of tubercle; tubercular ulcers throughout the small intestine, particularly in the lower part of ileum, where Peyer's patches were ulcerated through to the peritoneal coat; caecum and upper portion of large intestine exhibited healed ulcers; a number of large ulcers in rectum, covered with pseudo-membrane; kidneys, each three and a half ounces, and congested ; remainder of urino-genitals normal; head not examined. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 771, chap. IV., sec. 3, M. 43, tubercular ulcers of ileum; 772, chap. IV., sec. 3, M. 44, ulceration of rectum, are also from this case. Jl/i Tubercular Vomicae. No. 469. Section of left lung, witli numerous small, irregular, tubercular abscesses, especially in the upper lobe. E. 1. Private L. K., 2d Battalion, Veteran Reserves, blacksmith, age 60. Admitted, September 8th, 1864, with emaciation; dullness on percussion over the upper part of left lung; cavernous respiration over the upper lobe of the left lung; moist cough aud copious muco-purulent expectoration; appetite good; bowels regular; pulse 90 to 110. Patient said that for the previous ten or twelve years he had been unable to work at his trade on account of ill health. Had been in service a year, but had done little duty. Lied, December 8th. Autopsy : Great emaciation ; extensive pleuritic adhesions, especially on the left side ; lungs full of pigment, and as above described ; arch of aorta somewhat dilated, and slightly atheromatous ; spleen small, with minute tubercles on its peritoneal surface. Contributed by Surgeon Thomas R. Crosby, U. S. Vols., Columbian College Hospital, Washington, D. C. 47(1, chap. III., sec 2, G. 2, cicatrix-like depression on lung; 471, chap. IV., sec. 7, G. 2, tubercles of spleen, are also from this case. SeC. 2. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 39 No. 16. Portion of the upper lobe of the right lung, with several communicating tubercular cavities, the longest the size of a walnut; the intervening lung tissue infiltrated with tubercle. Private J. J., " B," 107th New York, age 46. Admitted, October 18th, 1862. Had been suffering from phthisis one month, but there had been no haemorrhages. Was much emaciated. Died, November 28th. Autopsy: Cavities in both lungs, with tubercular infiltration. Contributed by Acting Assistant Surgeon S. R. Skillern, Summit House Hospital, Philadelphia, Pa. No. 213. Upper portion of the left lung, with abundant deposit of tubercles ; near the apex of the upper lobe is a cavity, E. 3. with tough walls, the size of an orange. Private T. T., "E," 1st Connecticut Cavalry, age 23. Admitted, July 25th, 1863, with phthisis pulmonalis. August 18th, severe diarrhoea set in. Died, August 20th. Autopsy: Body greatly emaciated ; two small vomicae in the right lung, which was filled with tubercles on the left side; numerous pleuritic adhesions and the cavity described. Contributed by Assistant Surgeon De Witt C Peters, U. S. Army, Jarvis Hospital, Baltimore, Md. No. 309. Portion of the upper lobe of left lung, presenting at its lower part a tubercular cavity about the size of an E. 4. English walnut. Private J. C, "H," llth Kentucky Cavalry, age 53. Admitted, April 18th, 1864. Died, May 2d, of phthisis pulmonalis. He was a paroled prisoner, Autopsy: Tubercles in both lungs, with the cavity described; effusion of a turbid bloody serum iu left pleural cavity; adhesions of the right pleurae; effusion in the pericardium; spleen soft; kidneys fatty. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Jarvis Hospital, Baltimore, Md. No. 611. A portion of left lung, presenting a tubercular abscess, the size of an egg, in the posterior upper portion of E. 5. lower lobe. This abscess burst into the pleural cavity during life. In the autopsy, pus was found iu the cavity of the pleura, with adhesions around a part of the orifice of the abscess. P. W., colored woman, age 60. Admitted, September 18th, 1865, greatly emaciated, and in a dying condition. Died, September 19th. Autopsy eighteen hours after death: No rigor; emaciation extreme ; weight, about one hundred pounds ; height, five feet three inches; much effusion beneath arachnoid ; vessels of pia mater distended with dark blood ; two ounces of serum collected in posterior fossae of cranium; about one drachm of serum in each of the lateral ventricles : brain soft; both cardiac ventricles contained hard yellow clots adherent, and black coagula; hard white tubercles scattered through right lung, its upper lobe engorged with blood, a puckered cicatrix-like depression on the anterior surface of the upper lobe: right pleural cavity contained four ounces of pinkish serum; left lung engorged with blood, and filled with softened tubercular masses about the size of hazel-nuts; abscess cavity as described; left pleural cavity contained about six ounces of bloody pus; spleen small and firm; in ileum numerous ulcers with long diameter transverse to the gut, and small white tubercles on the peritoneal surface, opposite each ulcer ; in middle of ileum the large ulcer described in No. 612 ; solitary follicles of ileum marked by a small speck of pigmentary matter in each ; in caecum and colon the solitary follicles appeared as small black spots with a pin-point puncture in each; scattered here and there in colon were a few superficial ulcers, the size of five-cent pieces, with edces apparently healing; a cystic tumor of the left ovary, about the size of an orange, filled with fat and black hair. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward A. J. Schafhirt. 612, chap. IV., sec. 3, M. 7, tubercular ulcer of ileum; 613, chap. V., sec. 5, C. 4, cyst of ovary containing fat and hair, are also from this case. No. 480. Upper lobe of right lung, the cut surface of which shows a large number of minute tubercles; at the top of E. 6. the lobe is a cavity the size of an orange, with distinct firm walls. Private J. H., "E," 104th Pennsylvania. Admitted, January 10th, 1865, with phthisis and distressing diarrhoea, muco-purulent expectoration, and great prostration. Died, February 6th. Autopsy: Tubercles in both lungs, with a cavity in the right as described ; pleuritic adhesions on right side; ulceration in the bowels; enlargement of mesenteric glands. Contributed by Surgeon Thomas R. Crosby, U. S. Vols , Columbian College Hospital, Washington, D. C. 481, chap. Ill , sec. 2, G. 1, cicatrix-like depression on lung; 482 and 487, chap. IV., sec. 3. M. 28 to 33, tubercular ulceration of the intestines, are also from this case. No. 633. Upper lobe of right lung, at the apex of which is a cavity the size of an orange, communicating freely with jj, 7. the bronchial tubes ; a number of whalebones have been passed through the bronchial tubes into the cavity. P. L., colored, age 60. Admitted, October 14th, 1865. Died, October 24th, at 5 a. m Autopsy nine hours after death: Rigor mortis partial; height, five feet two and a half inches; weight, about one hundred pounds; emaciation extreme; slight adhesions of left lung to diaphragm and pericardium; cavity in superior lobe; some tubercles present throughout the lung, but not extensive ; right lung firmly adherent to walls of chest and diaphragm; cavity in upper lobe as described; substance of lung filled with cheesy tubercle; heart soft, flabby, pale and fat; a large white clot in aorta; aorta dilated one and a half inches in diameter; liver adherent to diaphragm; small quantity of tubercular deposit iu the mesenteric glands, and on the adjoining peritoneal surface; tubercular ulceration; thickened mucous membrane and venous congestion in lower portion of ileum. From Freedman's Hospital, Washington, D C. Autopsy by Hospital Steward S. S Bond. 40 CATALOGUE OF THE MEDICAL SECTION Chap. III. No. 665. Upper lobe of right lung, in which is a large cavity occupying the greater part of the lobe; through the E. 8. cavity run isolated bands of lung tissue, which have been elevated on whalebones. J. M., colored, age 19. Admitted, September 19th, 1865, with phthisis. Died, November llth. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospitals, Alexandria, Va. No. 744. Left lung, containing tubercle and coated with lymph, with an abscess the size of a pigeon's egg in the E. 9. posterior portion of lower lobe. P., colored, two and a half years of age. Died, February 19th, 1866. Autopsy about twenty-four hours after death: Considerable emaciation ; no rigor mortis; left lung firmly adherent to pleura costalis ; its lower lobe contained the abscess described ; the whole lung contained much tubercle; pericardium contained about an ounce of serum ; heart large, dark, ecchymosed on its anterior surface; a few minute tubercles on anterior surface of liver; spleen large, contained numerous large tubercles. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 745, chnp. IV., sec. 7, G. 14, tubercles of spleen, is also from tliis case. F. Tubercular pleurisy, No. 675. Transverse section through the left side of the thorax, embracing the fifth and sixth ribs; the lung has a few F. 1. tubercles scattered through it; the costal and pulmonary pleurae are adherent throughout with delicate fibrous adhesions. Negro man. Died, December 22d, 1865. Autopsy two hours after death: Much emaciation; rigor mortis very slight; a well-formed man; height, five feet seven inches; weight, about one hundred pounds ; right lung, firmly adherent to pleura costalis and pericardium, filled with vomicae and tubercles; left lung, with scattered tubercles, also adherent; ensiform cartilage bifid ; pericardium contained four ounces of bloody serum; heart dark and flabby, the walls of all its cavities extremely thin; liver firmly adherent to diaphragm; left kidney lobulated, with several deposits of tubercle on its upper anterior surface; mucous membrane of stomach and small intestine congested; mucous coat of colon thickened and ulcerated. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 676, chap. VI., sec. 2, No. 1, bifid ensiform cartilage, is also from this case. No. 624. Section through right side of the chest, embracing a portion of lung with the fourth, fifth aud sixth ribs; the F. 2. lung contains a number of tubercles and is firmly adherent to the walls of the chest by a thick layer of lymph, which has undergone tubercular transformation. No. 625. Section through the chest on left side of same case, embracing fourth and fifth ribs, the lung containing F. 3. tubercles; both pleurae pulmonalis and costalis about one-fourth of an inch thick, adherent in most places with lymph which has undergone tubercular transformation. A mulatto of middle age, greatly emaciated, presenting the rational symptoms of consumption. Died, September, 1865. Contributed by Acting Assistant Surgeon W. C. Miner, L'Ouverture Hospital, Alexandria, Va. 626. chap. IV., sec. 4, E. 18, tubercles of the liver; 627, chap. IV., sec. 7, G. 8, tubercles of the spleen, are also from this case. No. 567. Sternum, with costal cartilage attached; posteriorly a part of the left lung and the heart; on the left side the F. 4. lung is adherent to the anterior wall of the chest by a mass of cheesy tubercle, which fills the anterior mediastinum and coats the front of the left lung ; the part of the lower lobe of the left lung through which the section is made is converted into an irregular tubercular mass. R. H., colored. Died, July 7th, 1865. Autopsy six hours after death: Body quite warm and soft; no rigor mortis ; anterior mediastinum filled with a yellowish white cheesy deposit of tubercle; a similar layer coated the anterior and outer surface of the left lung; the cheesy mass invaded the anterior inferior angle of the left lung and the diaphragm ; the diaphragm was separated from the lung through a part of its extent by a diaphanous layer of cartilaginous toughness, composed of transforming muscular tissue, in which, however, muscular fibres could still be recognised ; the tubercular masses had pushed the heart to the right, so that the apex was at the left edge of the sternum between the fifth and sixth costal cartilages; pleural cavity contained no fluid, beiug almost every- where adherent; right lung normal, without adhesions; pericardium contained a little fluid, with some adhesions to the heart; spleen rather small, with tubercles about the size of peas. Contributed by Acting Assistant Surgeon W. C. Miner, L'Ouverture Hospital, Alexandria, Va. 569, chap. IV., sec. 7, G. 4, tubcrcuhs of spleen; 568, chap. VI., sec. 1, No. 2, inflammatory thickening of diaphragm, are also from this case. SeC. 2. OF THE UNITED STATES ARMY MEDICAL MUSEUM 41 No. 688. Right side of thorax, from third to eighth ribs, inclusive; at the upper section, which passes just above the F. 5. third rib, the lung is firmly adherent on every side by tough masses of cheesy lymph ; at the lower section, which passes just below the eighth rib, the lung is compressed to a thin layer, not more than half an inch iu thickness ; the thoracic cavity is lined with a layer of cheesy lymph, which, on the costal pleura is more than three-quarters of an inch iu thickness; on the pulmonary pleura somewhat thinner; the cavity between the compressed lung and walls of the chest was occupied in the fresh specimen by a purulent fluid, in which floated a large coagulum of tough yellow lymph, which is still preserved in the specimen, although considerably shrunken by the action of the alcohol; this section also passes through the right lobe of the liver, which is firmly adherent to the diaphragm ; the diaphragm is much thickened, and converted into a thick, whitish, lardaceous mass, of cartilaginous firmness. J. J., colored, age 22. Admitted, September 20th, 1865. Diagnosis—phthisis pulmonalis. Died, December 28th. Autopsy twenty-four hours after death : A well-formed, dark mulatto man; height, five feet nine inches; weight, about one hundred and thirty pounds ; rigor mortis partial; slight emaciation; vesicular eruption over body ; left lung firmly adherent to costal pleura and diaphragm; weight sixteen ounces; somewhat congested; contained a small amount of tubercle; about two ounces of serum in left pleural cavity; right lung adherent as described; pericardium contained six ounces of clear serum ; all the valves of heart thickened, white fibrinous clots in all the cavities; abdominal viscera agglutinated together by firm peritoneal adhesions. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 689, chap. IV., sec. 4, E. 15, adhesions from tubercular peritonitis, is also from this case. G, Cicatrices on surface of lungs. No. 481. Upper lobe of left lung, presenting on its convex surface a large and much puckered cicatrix-like depression. Gr. 1. See 480, chap. III., sec. 2, E. 6, for history. No. 470. Section of lower lobe of right lung, on the convex surface of which is a large cicatrix-like depression ; the G. 2. upper and middle lobes of this lung contained tubercular deposits and small abscesses, which, however, were not so marked as in the left lung. See 469, chap. III., sec. 2, E. I, for history. No. 514. Portion of the apex of the right lung, showing a puckered cicatrix. On cutting into the tissue from behind, Gr. 3. a mass of fibroid tissue was found extending, irregularly, some distance into the substance of the lung. Private C. W. C, "C," 40th Indiana, age 31. Admitted, October llth, 1864. Died, October 23d. Contributed by Acting Assistant Surgeon Herburt, Hospital No. 8, Nashville, Tenn. No. 736. Upper lobe of right lung, containing much tubercle and a remarkable branched depression, resembling a Or. 4. cicatrix. See 735, chap. I., sec. 2, B. 2, for history. H, Cancer of the lungs. No. 827. Lower lobe of the left lung, presenting a number of rounded melanotic nodules, chiefly in its lower part. H. 1. At the point where the bronchus enters the lobe are two large oval melauotic nodules, the larger over an inch in long diameter, each enveloped in a distinct membrane. No. 828. A portion of the lower lobe of the right lung of same patient, presenting a lobulated melanotic mass, about H. 2. the size of a hen's egg, at its inferior angle. See 824, chap. II., sec. 3, C 3, for history. G* Chapter IV. digestive organs. Section 1. MOUTH, PHARYNX AND (ESOPHAGUS. NO. OF SPECIMENS. JL» Scorbutic ulcers............................................................ 5 31 Imperforate oesophagus................... ................................. 1 J1 Stricture of oesophagus...................................................... 1 Section 2. STOMACH. Ai Concentric atrophy of stomach.............................................. 2 3. Inflammation and ulceration of stomach......................................... 7 J • Cancer of stomach.......................................................... 8 Section 3. INTESTINAL, CANAL,. 1_» Diverticula of small intestine................................................ G 31 Invaginations of small intestine .............................................. 7 J, Anomalies of position with strangulation...................................... 2 J, Fever. Cases in which enlargement of solitary follicles of small intestine is the prominent lesion....................................................... 41 Li Fever. Cases in which thickening and ulceration of Peyer's patches is the prominent lesion....................................................... 61 ! , Fever. Pulpy thickening and sloughing of Peyer's patches...................... 17 T, Fever. Perforations and peritonitis.......................................... 21 lt Fever. Granulation and cicatrization of the ulcerated Peyer's patches............ 13 , Fever and dysentery. Lesions of both ileum and colon.......................... 89 ^.1 Concentric atrophy of colon................................................. 1 J1 Ulceration of colon. Dysentery, including cases commonly designated camp diarrhoea- 116 lLi Tubercular ulceration of intestines • • • •................................ ...... 45 \ t Parasites in intestinal canal................................................. 11 Chapter IV. DIGESTIVE ORGANS-Continued. Section 4. PERITONEUM AND OMENTUM. i NO. OF SPECIMENS. tli Atrophy of omentum...................................................... 1 D i Abscess................................................................... 1 U i Peritoneal adhesions........................................................ 8 L/i Connective tissue growths.................................................. 2 Hi, Tubercle................................................................ 18 |j • Cancer.................................................................. 4 Section 5. LIVER. Ljl» Anomalies of form.......................................................... 2 D i Cirrhosis..........•....................................................... 5 0 • Abscess................................................................... 6 Ui Metastatic foci............................................................. 4 Cj • Tubercle.................................................................. 8 L i Cancer................................................................... 11 \J% Cysts..................................................................... 2 lL» Diseases of gall-bladder.................................................... 2 Li Biliary calculi.............................................................. 6 Section 6. PANCREAS. \, Cancer.................................................................. 1 Section 7. SPLEEN. jLi Anomalies of form........................................................... 4 L) • Atrophy.................................................................. 2 J i Hypertrophy.....................................................,........ 5 J, Diseases of capsule......................................................... 4 JJ i Metastatic foci............................................................. 3 J ■ Tumors.................................................................. j "1 Ti Tubercle....................................................,............. jg Chapter IV. digestive organs. Section 1. MOUTH, PHARYNX AND (ESOPHAGUS. A, Scorbutic ulcers. No. 1. A. 1. An inch and three-fourths of inferior maxillary bone, taken at symphysis, with soft parts attached; gum and periosteum dissected by a scorbutic ulceration, which separates them from the bone anteriorly and posteriorly to the distance of half an inch below alveolar process. . From a patient who died in Marine Hospital, New Orleans, in 1H62; one of a number of fatal cases in same hospital, in which gangrenous ulceration of mouth and throat occurred in debilitated and anaemic (scorbutic) men. Contributed by Acting Assistant Surgeon E. K. Browne, Marine Hospital, New Orleans, La. For specimens from similar cases, see 6, chap. III., sec. 1, A. 2, ulceration of larynx; 2, chap. IV., sec. 1, A. 2, ulceration of gums; 3, chap. IV., sec. 1, A. 3, ulceration of tonsils; 4, chap. IV., sec. 1, A. 4, ulceration of tonsils; 5, chap. IV., sec. 1, A. 5, ulceration of tonsils. No. 2. Eight lateral half of inferior maxillary bone, with part of tongue attached ; a scorbutic ulcer between molars A. 2. and tongue has denuded the bone of periosteum. See remarks on 1, chap. IV., sec. 1, A. 1. Contributed by Acting Assistant Surgeon E. K. Browne, Marine Hospital, New Orleans, La. No. 3. Larynx, posterior third of tongue, half-arches and tonsils, with scorbutic ulceration of tonsils, especially on A. 3. right side. See remarks on 1, chap. IV, see. 1, A. 1. Contributed by Acting Assistant Surgeon E. K. Browne, Marine Hospital, New Orleans, La. No. 4. Larynx, posterior third of tongue, half-arches and tonsils ; both tonsils the seats of foul, irregular and A. 4. gangrenous ulceration. See remarks on 1, chap. IV., sec. 1, A. 1, Contributed by Acting Assistant Surgeon E. K. Browne, Marine Hospital, New Orleans, La. No. 5. Larynx, posterior third of tongue and half-arches, with ulceration of tonsils, especially on right side, where A. 5. the tonsil is foul and gangrenous ; mucous follicles at root of tongue much enlarged, with gaping orifices. See remarks on 1, chap. IV., sec. 1, A. 1. Contributed by Acting Assistant Surgeon E. K. Browne, Marine Hospital, New Orleans, La. B. Imperforate oesophagus. No. 812. Cul-de-sac, from a case of imperforate oesophagus, in which upper portion of tube terminated on a level with B. 1. bifurcation of trachea ; lower portion of oesophagus communicated above with posterior surface of bifurcation of trachea. The child lived to be eleven days old; was able to swallow small quantities of liquid, which produced gurgling sound in passing through trachea Died, September 16th, 1866. Contributed by Surgeon Charles H. Laub, U. S. Army, Soldier's Home, Washington, D. C. c, Stricture of oesophagus. No. 493. Larynx and trachea, with part of oesophagus and arch of aorta attached; considerable thickening of coats of C. 1. oesophagus, extending from two inches below larynx to level of bifurcation of trachea; a stricture is thus formed, barely permitting passage to a small flexible probe ; small fistulous orifice leading off from upper part of stricture to the right. From the body of a pauper who died in 1856. Cause of disease appears to have been caries of cervical vertebra, the inflam- mation extending to oesophagus, which was adherent to vertebrae posteriorly, and anteriorly to trachea On opening stricture, in preparing specimen, a quantity of coffee-grounds were found in the passage. Contributed by Surgeon H. Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis. 46 CATALOGUE OF THE MEDICAL SECTION Chap. IV. A. Section 2. STOMACH. Concentric atrophy of stomach. No. 63. Stomach, contracted to a tube about an inch in diameter in pyloric half, and about two inches in diameter at A. 1. largest part of greater curvature. Private C. C, "K," 104th Pennsylvania, American, age 30. Admitted, August 9th, 1862, with chronic diarrhoea, contracted in Army of the Potomac. Died, August 22d. Autopsy: Body exceedingly emaciated; considerable ecchymosis diffused over an extent of about six inches around scrobiculus cordis ; a suppurating sinus, about four inches long, between scalp, temporal fascia and frontal bone, extending from front of ear to side of forehead; bone not necrosed, and sinus appeared to have resulted from contusion ; stomach, in pyloric half, contracted to an inch in diameter, and in a corresponding degree in cardiac half; small intestine moderately contracted; transverse colon distended with air; inflammation of mucous membrane of ileum and colon, and in descending portion of latter a number of blackish ulcers ; intestinal glands contained deposit of black pigment. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. 64, chap. IV., sec. 3, L. 13, follicular ulcers of colon, is also from this case. No. 7S6. Stomach, contracted to the capacity of three ounces. A. 2. E. P., age 26. Admitted, April 10th, 1866, with intense pain over front of thorax, constant cough, feeble pulse, and patient very weak. Died, April 13th. Autopsy six hours after death : A well-formed negro man; height, five feet three inches ; weight, one hundred and twenty pounds; rigor mortis partial; slight emaciation; posterior portion of right lung congested ; organ composed of but two lobes imperfectly marked ; left lung covered with croupous lymph ; posterior portion of lower lobe slightly oedematous; one of the bronchial glands converted into a cyst, filled with a pyoid fluid; bronchi filled with frothy mucus ; large white fibrinous clots in all the cavities of heart; slight atheroma of aorta; two ounces of fluid in pericardium ; liver nutmeg ; spleen small; kidneys fatty; stomach as described; mucous membrane of small intestine congested, with much pigmentary deposit ; Peyer's patches presenting the shaven-beard appearance. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. B, Inflammation and ulceration of stomach. No. 363. Portion of greater curvature of stomach, thickened with conspicuous rugae, and coated with pseudo-membrane. B. 1. Private L. H. J., 1st Connecticut Light Battery, age 22. Eeceived an injury from limber of gun in fall of 1863; subsequently suffered from pain in epigastric and left hypochondriac regions, distress, fainting, nausea and vomiting after eating. Admitted to Second Division, Beaufort Hospital, April 3d, 1864, and transferred to First Division May 17th, with dyspepsia and diarrhoea. Died of chronic diarrhoea, July 17th. Contributed by Assistant Surgeon C. T. Eeber, U. S. Vols., General Hospital, Beaufort, S. C, First Division. No. 653. Part of greater curvature of stomach, thickened and with numerous minute follicular ulcers. B. 2. Private T. E., (Eebel.) Admitted, July 6th, 1864, and died, August 26th, 1864, of chronic gastritis, compli- cating chronic diarrhoea. Contributed by Surgeon William Watson, U. S. Vols., Post Hospital, Eock Island, 111. No. 272. Portion of stomach, with numerous small ulcers of solitary follicles distributed over lesser curvature. B. 3. Private C. B. D., " B," 17th United States Infantry. Admitted, August 10th, 1862, from the Army of the Potomac. Diagnosis—"typhus." Autopsy: Body well made; age, about 22; moderately emaciated; skin of trunk discolored by diffused ecchymosis ; two ecchymosed spots near base of heart; stomach with some inflammation of mucous membrane near pylorus, and some small ulcers, about a line in diameter, along lesser curvature; inflammation of ileum in patches; solitary glands enlarged; a few of Peyer's glands slightly thickened, but none ulcerated ; mucous membrane of colon somewhat slate-colored, with patches of inflammation, a number of ecchymoses about half an inch in diameter, and, in descending colon, some small, stellate, blackened ulcers. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. 273 to 276, chap. IV., sec. 3, D. 16 to 19, enlarged solitary follicles and thickened Peyer's patches, are also from this case. SeC. 2. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 47 No. 478. Portion of greater curvature of stomach, showing a number of minute ulcers. B. 4. History—(Assistant Surgeon G. H. Baker, 20th Maine) : Sergeant A. S., "A," 107th Pennsylvania, age 32. Admitted from Division Hospital at the front, January 17th, 1865, in a state of collapse. About ten days before, he passed suddenly a pint or more of blood ; has since had bloody and muco-purulent stools at short intervals; superficial veins on right side of abdomen and thorax much enlarged; decubitus on right side, with feet drawn up and head elevated; evacua- tions small and frequent, of a dark grumous character and foetid smell. Died, January 24th. Autopsy : Height, five feet ten inches ; complete adhesion of both lungs, with deposits of tubercle in apices of both; a large abscess in under portion of liver, containing about a quart of pus ; no adhesion of liver to abdominal parietes; stomach as in specimen ; slight thickening of Peyer's patches; colon thickened and ulcerated. Contributed by Surgeon W. L. Faxon, 32d Massachusetts, Depot Hospital, 5th Army Corps, City Point, Va. No. 768. Portion of stomach, taken near pyloric orifice, presenting a cyst about the size of a pea, with thick walls; B. 5. it contained pus. (See Microscopical Section, Part First, VII. G. c. 1.) J. W., colored, age 23. Admitted, January 10th, 1866. Died, March 26th. Autopsy thirty hours after death : A well-formed mulatto man ; height, five feet eleven inches; weight, about one hundred and eighty pounds ; oedema of abdomen ; slight oedema of lower extremities ; rigor mortis partial; left lung contained much miliary tubercle; posterior portion congested; four ounces of fluid in left pleural cavity; lower lobe of right lung firmly adherent, its posterior portion slightly congested; lung filled with miliary tubercle; sixteen ounces of fluid in right pleural cavity; bronchial glands tubercular; tricuspid valve slightly thickened; walls of left ventricle one and a quarter inches in thickness; aortic and mitral valves slightly thickened ; aorta atheromatous; fibrinous clots in all the cardiac cavities, organ somewhat fatty; pericardium contained eight ounces of serum ; liver filled with miliary tubercles ; spleen very large, weight fifty-four ounces, filled with miliary tubercle; omentum congested and filled with tubercle; mesenteric glands enlarged and tubercular; abdominal cavity contained four pints of serum; stomach with cyst as described ; solitary follicles in lower part of ileum much enlarged; Peyer's patches thickened; caecum with numerous sloughing ulcers; remainder of large intestine contained much pigmentary deposit, but not ulcerated ; kidneys fatty. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 767, chap. IV., sec 7, G. 15, large tubercular spleen; 769, chap. IV., sec. 3, L. 71, sloughing ulcers of ccecum, are also from this case. No. 634. Part of stomach, including pyloric orifice and commencement of duodenum, about three and a half inches B. 6. from pylorus ; mucous membrane of greater curvature of stomach presents an oval ulcer about half an inch in diameter, with perpendicular edges, penetrating to muscular coat; a few minute follicular ulcers in duodenum. See 637, chap. I., sec. 1, E. 6, for history. No. 498. Part of stomach and duodenum; small oval ulcer has perforated stomach near pyloric valve; similar ulcer B. 7. has perforated duodenum, just below valve. D. B. L., mechanic, age 35. Died of peritonitis consequent upon the perforations, shortly after eating a hearty meal. Contributed by Surgeon H. Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis. \J, Cancer of stomach. No. 66. Lobulated carcinomatous mass surrounding lower three inches of oesophagus, involving, also, diaphragm C. 1. and cardiac orifice of stomach. No history. Contributed by Acting Assistant Surgeon H. W. Ducachet, Fairfax Seminary Hospital, Va. No. 291. Portion of greater curvature of stomach, presenting at its centre a flat, cauliflower-like, carcinomatous tumor, C. 2. two and a half inches in diameter. History—(Acting Assistant Surgeon H. M. Dean) : P. S., "H," 2d Pennsylvania Cavalry, age 45. Admitted, February 13th, 1804, with cancer of liver and stomach. Had been in the army about seventeen years. Was wounded at> Buena Vista, Chapultepec, Antietam, and at Gettysburg. Enjoyed good health until December, 1863. There was tenderness on pressure over region of liver, which was much enlarged; patient anaemic; had slight anasarca of lower extremities. 29th, had a very severe spell of vomiting. March llth, anasarca general; thighs swollen to twice their original dimensions; scrotum and prepuce much distended. Subsequently, effusion took place into abdominal cavity; vomiting continued ; with these exceptions, he remained about the same until death. Died, March 30th. Autopsy—(Acting Assistant Surgeon W. M. James): Height, five feet ten inches ; body emaciated; general anasarca; each pleural cavity contained about one pint of serum; several hard deposits of cancerous- matter on surfaces of both lungs and scattered through their tissue, from the size of a pin-head to that of a pea; pericardium contained two and a half ounces of 48 CATALOGUE OF THE MEDICAL SECTION Chap. IV. serum; adipose tissue covering heart infiltrated with serum; aortic valves contained calcareous deposits; alike deposit in free margin of mitral valve; calcareous deposits in descending aorta and iliacs; abdomen contained five quarts of serum; liver full of cancerous growths; measured eleven and a half by nine by five inches, and weighed eight and three-quarter pounds, extending from middle of sixth rib, on right side, and upper margin of eighth, on left side, downwards to within an inch of umbilicus; its upper surface adherent to diaphragm by elevated cancer nodules, varying in diameter from a half inch to one and a half; firmly adherent below to transverse colon, stomach, and duodenum ; cancerous tumor, an inch and a quarter long by three-quarters of an inch wide, near centre of pancreas, of firm consistence, whitish centrally, pinkish toward margins; below this tumor another, similar in character and dimensions, also firmly connected with pancreatic tissue; stomach as described. Microscopical examination showed a well-developed fibrous stroma, in the meshes of which numerous large nucleated cells were embedded; stroma, at periphery of lobules, continuous with connective tissue of liver. Contributed by Assistant Surgeon J. C. McKee, Lincoln Hospital, Washington, D. C. 292 to 294, chap. IV., sec. 5, F. 3 to 5, sections of cancerous liver, arc also from this case. No. 813. Stomach, presenting cancerous thickening extending from pyloric orifice about three inches towards greater C. 3. curvature; surface of cancerous growth nodulated, in some places ulcerated. W. M. Admitted to Soldier's Home, July 16th. 1866, and to hospital, August 2d, suffering from an obscure abdominal affection, with obstinate vomiting. Died, August 28th. Autopsy: Deposit of fat around base of heart, slight atheroma of aorta just above valves; pylorus found in hypogastrium, just above summit of bladder, which was empty, the stomach enormously distended by its contents, and as described ; left lobe of liver, spleen, pancreas, lesser curvature of stomach and diaphragm inter-adherent; no perforation was found. Contributed by Surgeon C. H. Laub, U. S. Army, Soldier's Home, Washington, D. C. No. 69. Pyloric extremity of stomach, with a small portion of duodenum, exhibiting a group of mulberry-like C. 4. carcinomatous growths on mucous membrane of stomach near pylorus. Private M. B., "C," 1st U. S. Cavalry, age 32; height, five feet eight inches. Had suffered from chronic diarrhoea for six months. When he came under my charge, shortly before death, his complexion was sallow ; there was extreme emaciation; no appetite; great thirst; occasional vomiting; pain in epigastrium; fugitive pains in abdomen; tenderness on pressure over colon; slight tympanites; frequent dark fluid, but generally painless passages; slight cough; fine mucous rale on right side in mammary region; feeble action of heart and wandering intellect. Died, April llth, 1863. Autopsy: A small portion of anterior part of upper lobe of left lung carnified; hypostasis and friability posteriorly in lower lobe of right lung; lung pigment abundant; pleura somewhat thickened, and presented numerous white specks resembling miliary tubercles; two ounces of serum in pericardium ; heart flabby; small dark clots in both ventricles ; mesenteric glands much enlarged, nearly pure white on section, internally softened; stomach as described; colon much thickened, whitish on section, with follicular ulcers and scattered pseudo-membranous patches throughout its whole extent. Contributed by Assistant Surgeon Geo. M. McGill, U. S. Army, Camp Allen, Falmouth, Va. 70, chap. IV., sec. 3, L. 54, follicular ulcers of colon, is also from this case. No. 40. Pyloric extremity of stomach, the orifice surrounded by an irregular carcinomatous mass, the size of a C. 5. small orange. No history. Contributed by Surgeon J. H. Baxter, U. S. Vols., Campbell Hospital, Washington, D. C. No. 537. Plyoric extremity of stomach, thickened into irregular cancerous nodules ; a number of lymphatic glands, C. 6. converted into large medullary masses are attached. Private T. E., " G," 64th New York, age 55. Admitted, February 8th, 1865, from City Point, Va., with evident induration and enlargement of liver. At various times, complained of pain over region of liver; general health and appetite good. Died suddenly, March 13th. Autopsy : Outer layer of peritoneum thickened ; omentum highly injected ; liver enormously enlarged, crowding intestine downwards, lungs and heart upwards, and stomach far over to left side; organ filled with numerous hard spherical nodules of a dirty yellow color, some flattened and others concave externally, varying in size from one-eighth of an inch to three inches in diameter, and occupying nearly the whole parenchyma; organ adherent to diaphragm, stomach, spleen, and transverse colon; stomach as described; small encysted tumor adherent to diaphragm and pericardium. Contributed by Surgeon Thomas Sim, U. S. Vols., Patterson Park Hospital, Baltimore, Md. 538 and 539, chap. IV., sec, 5, F. 7 and 8, medullary cancer of liver, are also from this case. No. 719. Pyloric extremity of stomach thickened into an irregular cancerous mass, extending about four inches from C. 7. the pylorus; inner surface irregularly nodulated and in some places ulcerated; no adhesion. The growth is chiefly composed of narrow spindle-shaped cells. W. G., age 57. Admitted, November 27th, 1805. Died, January 29th, 1866. Autopsy forty-eight hours utter death. A well-formed dark mulatto ; height, six feet; weight, about one hundred and fifty pounds, some emaciation ; rigor mortis partial; osteophytes in pacchionian granulations ; right lung contained much pigment; middle lobe hepatized; lower lobe congested; left lung adherent to pleura costalis; its lower lobe congested ; two ounces of serum in left pleural cavity ; valves of heart thickened ; aorta dilated and atheromatous; five ounces of fluid in pericardium ; SeC. 3. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 49 a cyst of some size on under surface of left lobe of liver at anterior edge of longitudinal fissure, filled with dark-colored blood, and a smaller cyst on same surface; right kidney contained a black calculus, the size of a small pea; left kidney contained a few small cysts ; stomach filled with a fluid resembling coffee-grounds ; pyloric portion as described ; intestines throughout contained much black pigment; solitary follicles enlarged in lower portion of ileum; ensiform cartilage bifid. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 488. Pyloric portion of stomach laid open, showing cancerous thickening, extending several inches from pylorus; Gr. 8. thickness amounting at maximum to over an inch; gastric surface of mucous growth irregularly nodulated and in some places ulcerated. Private J. B , " D," 2d United States Artillery. Admitted, May 4th, 1864, from Harewood Hospital, Washington, D. C Had enjoyed good health up to April 20th; was then taken sick, while on picket, with severe pain in right hip and groin, gradually passing into back, right leg, knee, and ankle; had severe cough, spitting some blood, night sweats, and burning in hands and feet. Entered Harewood Hospital April 22d. When he entered Satterlee Hospital he had intense pain in back and legs, with anorexia, constipation, and great debility. 24th, increased pain in limbs, and great dyspnoea. 30th, sonorous and sibilant rales heard over both lungs, front and back; pulse 140; respiration 32. June 3d, dullness on percussion in right sub- clavicular regiou and axillary space; oedema of feet and ankles. 10th, dyspnoea increasing; pain in chest. 12th, weaker; chest pain increased; decubitus on right side. Died, June 14th. Diagnosis during life—chronic rheumatism and acute phthisis. Autopsy twenty-four hours after death: Body emaciated; oedema of feet and ankles; large amount of purulent serum in right pleural sac, less in left; small round masses resembling tubercles scattered through upper and middle lobes of both lungs, and covering pulmonary pleura; large amount of false membrane on surface of right lung ; much serum in pericardium; mitral valves thickened at margin; much serum in peritoneum; large number of round yellow masses on surface of liver, extending half an inch into its structure; stomach as described. Contributed by Acting Assistant Surgeon C. P. Tutt, Satterlee Hospital, Philadelphia, Pa. Section 3. INTESTINAL, CANAL,. A. Di iverticula of small intestine. No. 654. Piece of duodenum, upper portion, taken about six inches from stomach; about the middle of the piece, or A. 1. ten inches from stomach, is a diverticulum, forming a conical pouch, terminating in a fibrinous cord about one and a half inches from the bowel; the cord attached to inner surface of umbilicus. From a colored girl, age 18, native of Virginia. Admitted, August 29th, 1865, with typhoid fever. Died, October 27th, of perforation of bowels. Contributed by Acting Assistant Surgeon W. C. Miner, L'Ouverture Hospital, Alexandria, Va. No. 670. Piece from middle portion of duodenum, presenting a true diverticulum about two inches long, communicatiiii; A. 2. with intestine by a small constricted orifice. J. F., dark mulatto, age 71; height, five feet five inches. Died, Novembor 28th, 1865, of euteric lover. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 442. Piece of ileum, taken about one and a half feet from ileo-caecal valve, presenting a diverticulum about three A. 3. inches long. Private J. L. K. "H," 2d Tennessee, age 33. Died, May 17th, 1864, after an operation for strangulated hernia. Contributed by Acting Assistant Surgeon B. B. Miles, Jarvis Hospital, Baltimore, Md. No. 532. Piece of ileum, with a diverticulum about two inches long. A. 4. No history. Contributed by Assistant Surgeon E. F. Weir, U. S Army, General Hospital, Frederick, Md. No. 548. Portion of ileum, presenting a large obtusely-formed diverticulum, one and a half inches long; a process of A. 5. mesentery extended from the normal mesenteric attachment to apex of diverticulum. From a patient who died of chronic dysentery. Contributed by Assistant Surgeon B. E. Fryer, U. S. Army, Brown Hospital, Louisville, Ky. 7* 50 CATALOGUE OF THE MEDICAL SECTION Chap. IV. No. 549. Portion of ileum, with diverticulum, about three inches long and one in diameter, near the extremity of which A. 6. is a constriction, the diverticulum terminating in a small globular dilatation ; a process of mesentery extended from normal mesenteric attachment to apex of diverticulum. From a patient who died of chronic dysentery. Contributed by Assistant Surgeon B. E. Fryer, U. S. Army, Brown Hospital, Louisville, Ky. B. Invaginations of small intestine. No. 24. Portion of small intestine, with two invaginations at different points ; no evidences of peritoneal inflammation. B. 1. Contributed by Assistant Surgeon H. B. Chapin, U. S. Vols. Nos. 3© Two pieces of the small intestine of the same patient, each with a well-marked invagination; no peritoneal and inflammation. 31. Private J. W. C. "G," 49th New York, age 30. Died, October, 15th, 1862, of chronic diarrhoea. B. 2 and 3. Autopsy: Body much emaciated; small intestine presented four intussusceptions; mucous membrane con- tinuously inflamed, except in duodenum and commencement of jejunum; black pigment in solitary and Peyer's glands ; large intestine extremely contracted, being not more than one inch in diameter throughout, except at caecum and about four inches of ascending portion; mucous membrane of colon inflamed throughout. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 39. Piece of small intestine, with two invaginations; no evidences of peritoneal inflammation. B. 4. From a patient who died of chronic diarrhoea. Contributed by Acting Assistant Surgeon E. Coues, Mount Pleasant Hospital, Washington, D. C. No. 44. Portion of jejunum, with a well-marked invagination; no evidences of peritoneal inflammation. B. 5. History—(Acting Assistant Surgeon W. L. Hammond): Private A. S., "A," United States Engineers. Admitted, January 10th, 1864, from the Army of the Potomac, with chronic diarrhoea. He was extremely emaciated; without appetite; stools foetid and scanty; no vomiting. Died, January 15th. Autopsy: Ulceration of mucous membrane in small and large intestines; disease of mesenteric glands; enlargement of spleen; jejunum with invaginations as described. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 45. Piece of jejunum, presenting a well-marked invagination, without any evidence of the existence of inflam- B. 6. matory action. No history. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Jarvis Hospital, Baltimore, Md. No. 350. Portion of small intestine, about three feet long, in which are four well-marked invaginations; no peritoneal B. 7. inflammation. No history. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. c. Anomalies of position with strangulation. No. 505. Piece of mesentery, in which an opening has been formed, through which several feet of the lower part of C. 1. the ileum passed, and subsequently became strangulated. When received at the Museum, the cavity of the strangulated intestine was found to be full of clotted blood, the laminae of the portion of mesentery belonging to the strangulated gut separated by haemorrhagic extravasations, and the whole peritoneal surface of the piece dark from" the gorged condition of the vessels. Private C. C, "A," 8th Wisconsin. Died after an attack resembling ileus, which lasted thirty-six hours. The symptoms were great pain, obstinate vomiting, early prostration, constipation, and great distension of the abdomen. Contributed by Surgeon H. Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis. No. 522. Diaphragmatic hernia, in which stomach and a large portion of greater omentum, have passed through C. 2. oesophageal opening of diaphragm into thoracic cavity; stomach and omentum greatly congested; stomach filled with blood. Sergeant L. McB., "A," 14th Veteran Eeserves. Admitted at 11 p. m., March 8th, 1865, with symptoms of strangulation SeC. 3. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 51 o*f bowels ; vomiting frequent; pulse quick and feeble ; countenance anxious and expressive of severe pain. He said he had never had hernia to his knowledge, and no external appearance of hernia could be detected. His symptoms increased in violence till death, 11 a, m., March 10th. Autopsy : The diaphragmatic hernia described ; left lung partly collapsed. Contributed by Acting Assistant Surgeon I. J. Moxley, Augur Hospital, near Alexandria, Va. See 1789, XX. A. B. a. 22, Surgical Section, for another illustration. AJ, Fever. Cases in which enlargement of solitary follicles of small intestines is the prominent lesion. Nos. 84 84, portion of ileum, showing some thickening of Peyer's patches and enlargement of solitary follicles. and. 85, from farther down the same ileum, exhibits similar conditions. 85. Private J. L., "A," 26th Pennsylvania, age 40, German. Admitted, December 12th, 1862. Diagnosis— D. 1 and 2. diarrhoea. Died, January 22d, 1863. Diagnosis—phthisis pulmonalis. Autopsy: Body emaciated; right lung with old adhesions; apex contained a tubercle the size of a large pea, and several smaller ulcerated cavities; left lung with a few tubercles size of pepper grains in apex and scattered at back part of upper lobe; pericardium contained about a teacupful of liquid; heart flabby, with large white coagulum in right ventricle; spleen soft, flabby, and reddened and roughened on surface; solitary and Peyer's glands of ileum slightly enlarged and opaque; mucous membrane of colon soft, grayish, with a few red streaks of inflammation and a few ecchymosed spots. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 87. Portion of ileum, with solitary follicles somewhat enlarged. D. 3. Private S. S. S., " K," 132d Pennsylvania, age 21, American. Admitted, December 16th, 1862. Diagnosis— typhoid fever. Died, January 9th, 1863. Autopsy: Body very much emaciated; skin ecchymosed on trunk and extremities; mucous membrane of ileum slightly inflamed ; Peyer's and solitary glands white and slightly enlarged; mucous membrane of colon intensely inflamed throughout, softened, and everywhere covered with a thin, broken layer of white pseudo-membrane, tightly adherent and composed of pyoid corpuscles ; there was also a multitude of ecchymosed spots not larger than flea-bites. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. Nos. 93 Successive portions of ileum, with enlargement of solitary follicles, and slight thickening of Peyer's patches. to No. 98 is from just above the ileo-caecal valve. 98. Corporal G. S., "H,"9th Wisconsin. Admitted, December 18th, 1862, from the Army of the Potomac. D. 4 to 9. Diagnosis—chronic diarrhoea. Died, December 24th. Autopsy: Age, about 30 years; body rather emaciated; abdomen presented a number of faint spots of purpura; lobular pneumonia in lower lobes of both lungs, the inflamed portions numerous, from the size of a marble to that of a walnut, and in a state of gray hepatization; bronchitis; stomach exceedingly contracted; liver apparently sound ; gall-bladder enormous and distended with green bile; spleen small but healthy; pancreas and kidneys sound; inflammation of small intestine increasing in descent; Peyer's glands darkened with inflammation; solitary glands looked like yellow mustard seeds sprinkled on a red ground; large intestine streaked and spotted with ash-color and dark red on a more uniform red ground ; also, some spots of ecchymosis. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. NOS. 107 Successive portions of ileum, with solitary follicles enlarged to the size of small shot; each piece exhibits an and apparently healthy Peyer's patch. 108. Private L. A. W., "E,'' 20th Michigan. Admitted, December 13th, 1862, from the Army of the Potomac. D. 10 & 11. Diagnosis—diarrhoea. Died, December 26th. Autopsy : Age about 22 years ; body rather emaciated ; spots of purpura on trunk ; recent pleurisy on both sides, most marked on right; pneumonia in lower lobes of both lungs; bronchitis; liver and spleen enlarged; moderate congestion diffused throughout ileum and colon; enlargement of solitary glands in lower part of ileum; Peyer's glands reddened ; slight enlargement of solitary follicles of large intestine. Contributed by Acting Assistant Surgeou J. Leidy, Satterlee Hospital, Philadelphia, Pa. 109, chap. IV., sec. 7, C. 3, enlarged spleen, is also from this case. No. 153. Lower portion of ileum and ileo-caecal valve with pin-head enlargement of solitary follicles. D. 12. Private M. L. C, "I," 85th New York. Admitted, August 19th, 1862. Diagnosis—typhoid fever. Died suddenly, November 18th. Autopsy: Extensive inflammation of ileum and caecum; solitary follicles enlarged; mesenteric glands enlarged; liver and kidneys fatty. Contributed by Surgeon A. C. Bournonville, U. S. Vols., Hospital at Fifth and Button wood streets, Philadelphia, Pa. 52 CATALOGUE OF THE MEDICAL SECTION Chap. IV. Nos. 237 Two successive portions of ileum, with pin-head enlargement of solitary follicles; each presents a slightly and thickened Peyer's patch. 238. Private J. B., "F," 7th Maine. Admitted, August 10th, 1862. Diagnosis—diarrhoea. Died, October 8th. D. 13 & 14. Autopsy: Age about 27; much emaciated ; skin slightly ecchymosed; liver dull brownish-purple, in sections brown; spleen flabby, remarkably bloodless, in sections bright lake red; gall-bladder large and distended; continuous inflammation throughout small intestine, commencing feebly in duodenum and gradually increasing in intensity in the descent; ileum of a deep maroon color, without any destruction of epithelium; Peyer's glands normal; solitary glands numerous and slightly thickened ; intense inflammation of ascending colon; transverse colon nearly free ; a moderate degree of injection here and there, accompanied by ecchymosis in descending colon, sigmoid flexure and rectum; pigment in some solitary follicles of colon. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 270. Portion of ileum, with pin-head enlargement of solitary follicles, and slight thickening of Peyer's patches. D. 15. Private D. C, 61st New York. Admitted, July 10th, 1862, from the Army of the Potomac, then on the Peninsula. Diagnosis—typhoid fever. Died, August 24th. Autopsy : Organs generally healthy, except that the solitary glands were thickened, and both they and Peyer's glands of a black color, resembling the bluish-black of tattooing; surrounding parts of mucous membrane pale and devoid of anything like congestion ; there was slight thickening of Peyer's glands. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. Nos. 273 Successive portions of ileum, with pin-head enlargement of solitary follicles, and some slight thickening of to 276. Peyer's glands D. 16 to 19. See 272, chap. IV., sec. 2, B. 3, for history. No. 328. Portion of ileum, taken from just above ileo-caecal valve, presenting pin-head enlargement of solitary follicles. D. 20. Private D. C. S., "B," 2d East Tennessee Mounted Infantry, age 24. Was captured at Eogersville, East Tennessee, November 6th, 1863; was confined at Belle Isle; was in hospital there some weeks. April 29th, 1864, was paroled; arrived at Annapolis, Maryland, May 2d. June 7th transferred to this hospital with chronic diarrhoea. 21st, growing weaker; had effusion in pleural, pericardial, and abdominal cavities ; respiration exceedingly laborious ; could only lie on right side; breathing very difficult; remains up but a few minutes at a time; face, left arm, and hand greatly swollen; appetite craving. 26th, effusion decreasing; less dyspnoea; very rapid and small pulse ; irregular action of heart. 27th, considerable abdominal pain on pressure in right lumbar region : appetite decreasing, weakness increasing. Died, July 12th. Autopsy: Eight lung adherent to walls of chest, and pushed into upper part of cavity by dirty yellow serum ; some similar serum in left pleural cavity; peritoneum contained several ounces of similar serum; small intestine distended with gas ; thin solitary follicles, somewhat enlarged ; colon very thin, with enlarged solitary follicles; rectum contracted; spleen greatly enlarged, but firm. Contributed by Assistant Surgeon C. Bacon, jr., U. S. Army, Annapolis Junction Hospital,. Md. No. 717. Portion of ileum, taken from near ileo-caecal valve; solitary follicles enlarged, with a point of ulceration D. 21. in each; a number of follicles in Peyer's patches enlarged and ulcerated; the remainder of each patch apparently normal; specimen presented shaven-beard appearance when fresh. B. B., dark mulatto, age 18. Admitted, December 1st, 1865, with phthisis. Died, January 22d, 1866. Autopsy thirty-six hours after death: Height, five feet four inches; weight, about eighty pounds ; extreme emaciation; no rigor mortis ; bed sores on hips, partially healed ; both lungs adherent, filled with tubercles, and large cavities in upper lobes ; bronchial glands much enlarged; large heart-clots in all its cavities ; Peyer's patches presented many small elevations, resembling pimples, the summit of each elevation ulcerated, remainder of patch presenting shaven-beard appearance ; solitary follicles enlarged and ulcerated at apices ; solitary follicles of caecum enlarged ; colon contained much pigment; liver slate- colored ; kidneys somewhat fatty. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. Nos. 718 Successive poitions of ileum, the last taken just above ileo-caecal valve, with progressively enlarged solitary to follicles, the largest the size of a small shot; when freoh, Peyer's patches, which are slightly thickened, 750. presented the shaven-beard appearance. D. 22 to 24. C. G., colored. Admitted, February 20th, 1866, with pain in abdomen, diarrhoea, and tumefied abdomen. Died, February 22d. Autopsy eighteen hours after death: Negro; height, five feet seven inches ; weight, about one hundred and fifty pounds; age, about 20; rigor mortis well marked; no emaciation; membranes of brain congested; lower lobe of left lung in a state of gray hepatization, with slight pleuritic adhesions; three ounces of serum in pericardium ; heart fatty, all its cavities contained firm, white, fibrinous clots; nutmeg liver; gall-bladder full; spleen with a small supernumerary spleen the size of a pigeon's egg; kidneys fatty; intestines distended throughout with flatus ; solitary follicles of lower part of ileum enlarged ; Peyer's patches presented shaven-beard appearance. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S Bond. SeC. 3. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 53 No. 756. Portion of ileum, taken at ileo-caecal valve, with pin-head enlargement of solitary follicles, and slight D. 25. thickening of the Peyer's patch above the valve. G. A., colored, age 38; teamster. Admitted, March 9th, 1866, with intense pain in forehead and in right hypochondrium, extending up the back to right scapula; tongue coated with thick brown fur ; no appetite ; bowels constipated. Died, March 14th. Autopsy thirteen hours after death: Mulatto; toes of right foot and second and third phalanges of toes of left foot absent; (See Surgical Section, 939, XXIII. B. D. 3); height, five feet eight inches; weight, one hundred and fifty pounds; rigor mortis well marked ; membranes of brain congested; slight effusion beneath arachnoid; red hepatization of right lung, which was covered with lymph and slightly adherent; lobes firmly inter-adherent; left lung congested, covered with lymph, posterior portion hepatized; pericardium coated with lymph; contained ten ounces of serum; heart with fibrinous clots in all its cavities; nutmeg liver; gall-bladder full; mucous membrane of stomach congested; mucous membrane of small intestine thickened and congested; solitary follicles in lower portion of ileum congested; Peyer's patches slightly thickened and presented shaven-beard appearance ; horse-shoe kidney. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 757, chap. V., sec. 1, A. 8, horse-shoe kidney, is also from this case. No. 762. Portion of ileum, with pin-head enlargement of solitary follicles and very slightly thickened Peyer's patches. D. 26. E. E., colored, age 19. Admitted, February 8th, 1866. Diagnosis—phthisis. Died, March 10th. Autopsy: Negro; height, five feet eight inches; weight, one hundred and fifty pounds; no emaciation; membranes of brain congested ; slight effusion of serum beneath arachnoid; both lungs contained tubercles and were congested posteriorly ; right lung presented a few small vomicae in its upper lobe; two ounces serum in each pleural cavity; bronchial glands tubercular; pericardium contained eighteen ounces of pus-like serum, with much flaky lymph floating freely therein ; patches of lymph adherent to both surfaces of pericardium; white clots in all the cavities of the heart; nutmeg liver with small tubercles scattered through its substance; gall-bladder contained two drachms of viscid bile; spleen large and filled with tubercles; kidneys somewhat fatty; Peyer's patches presented shaven-beard appearance throughout ileum; solitary follicles enlarged, particularly in lower portion of ileum near ileo-caecal valve ; colon presented a few healed ulcers, its solitary follicles enlarged. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 763, chap. IV., sec. 5, E. 6, tubercles of liver, is also from this case. No. 781. Portion of ileum, taken near ileo-c£ecal valve, showing moderate thickening of Peyer's patches, which D. 27. presented shaven-beard appearance when fresh; solitary follicles enlarged to size of pin-head, and projecting from the surface. W. C, colored, age 24. Admitted, April 4th, 1866, with great dyspnoea; extreme pain over left side of thorax; tongue coated a deep brown; pulse 105. Died, April 6th. Autopsy nine hours after death: Stout negro: height, five feet four inches; weight, one hundred and fifty pounds; rigor mortis well marked ; slight congestion of membranes of brain ; right lung firmly adherent at all points, lower lobe congested, a few patches of red hepatization in middle lobe; left lung slightly adherent posteriorly, lower lobe somewhat congested; eight ounces serum in each pleural cavity; heart fatty, aortic and mitral valves slightly thickened, walls of left ventricle thick, large fibrinous clots in all the cavities of heart; fourteen ounces serum in pericardium, both surfaces of which were covered with croupous lymph; liver fatty ; gall-bladder full; small intestine congested throughout in lower ileum : Peyer's patches somewhat thickened; solitary follicles enlarged; colon contained much pigmentary deposit. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. Nos. 192 Two successive portions of ileum, presenting thickening and ulceration of Peyer's patches ; solitary glands, and enlarged to little tumors one or two lines in diameter, stud the whole surface of mucous membrane, many of 193. them presenting, at their apices, minute points of ulceration. D. 28 & 29. The patient died of camp fever during the summer of 1863. Contributed by Assistant Surgeon W. A. Bradley, U. S. Army, Finley Hospital, Washington, D. C. No. 208. Portion of ileum, presenting a single much-thickened and ulcerated Peyer's patch; solitary follicles enlarged D. 30. to polypoid tumors, size of small shot. The patient died of camp fever, December, 1862. Contributed by Surgeon H. Bryant, U.S. Vols., Cliffburne Hospital, Washington, D. C. Nos. 165 Six successive portions of ileum, with solitary follicles enlarged to size of small shot; Peyer's patches to thickened and ulcerated. 170. The patient was admitted in a moribund condition in the spring of 1863. He was said to have suffered from D. 31 to 36. camp fever. Died twenty-four hours after admission. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. 54 CATALOGUE OF THE MEDICAL SECTION Chap. IV. Nos. 280 Four successive portions of ileum, with enlargement and thickening of Peyer's patches; solitary follicles to enlarged to size of small shot and projecting as polypoid tumors from surface of mucous membrane; at the 283. apices of many of these tumors are one or more small points of ulceration. D. 37 to 40. The diagnosis was "typhus." Contributed by Surgeon J. H. Bryant, U. S. Vols., Lincoln Hospital, Washington, D. C. See plate opposite. No. 565. Portion of ileum, taken just above ileo-caecal valve, showing a much thickened Peyer's patch, and solitary D. 41. follicles enlarged to size of small peas ; villi are hypertrophied, giving to piece a peculiar velvety aspect. H. E., negro. Died, June 24th, 1865, of fever. Besides the alterations in ileum, the mesenteric glands were much enlarged, and spleen large and hard. Contributed by Acting Assistant Surgeon W. C. Miner, L'Ouverture Hospital, Alexandria, Va. E. Fever. Cases in which thickening and ulceration of Peyer's patches is the prominent lesion. No. 202. Portion of ileum, from just above ileo-caecal valve, with an extensive Peyer's patch, partly injected ; the E. 1. individual follicles of the patch, considerably enlarged and with semi-transparent contents, can be distinctly recognized either by transmitted or reflected light. Private E. W., " D," 1st Vermont. Died, February 15th, 1864, of pneumonia consecutive to measles. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. Nos. 228 Successive portions of ileum, presenting thickening of Peyer's patches, and of some of the solitary glands. to Private T. E., "D," 14th United States Infantry, age 18, American. Admitted, August 10th, 1862. Diag- 231. nosis—typhoid fever. Died, August 18th. E. 2 to 5. Autopsy: Body not much wasted: heart and inner surface of pericardium roughened with old pseudo- membrane, but no adhesion of apposed surfaces; pneumonic engorgement of right lung; liver large; gall-bladder nearly empty; stomach distended with air, its mucous membrane presented a large reddened patch on lower part of left extremity; whitish inflamed condensation about the size of a nutmeg at upper end of spleen ; adjacent gastro-splenic omentum also inflamed; mucous membrane of ileum inflamed in patches, one of which was two feet long, its lower portion being about six inches from ileo-c-pcal valve ; there were thirty-two Peyer's patches varying from half an inch to three inches in length, a large one dotted with black pigment, but otherwise healthy, being on each fold of ileo-caecal valve; the next patch above also appeared healthy, but the remainder, except the first two, were much thickened and generally inflamed, though none were ulcerated; where not reddened by inflammation, they appeared opaque white; solitary glands generally invisible in jejunum, and few in ileum; but where obvious in the latter, were quite prominent and red with inflammation ; colon much contracted ; mucous membrane generally of a slate-color, with small patches of inflammation; its solitary glands black. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. Nos. 171 Seven successive portions of ileum, showing the most gradual transitions between tho slightest thickening to of Peyer's patches in the first pieces and the large ulcerated patches just above ileo-caecal valve in the last; 177. villi hypertrophied. E. 6 to 12. Private G. B., "G," 6th Pennsylvania Cavalry. Admitted, April 26th, 1863, with typhoid pneumonia. Died, May 2d. Contributed by Surgeon C. Page, U. S. Army, Judiciary Square Hospital, Washington, D. C. NOS. 376 Successive portions of ileum, the last taken just above ileo-caecal valve, presenting from above downards the to most gradual enlargement of Peyer's patches; the thickened patches have abrupt edges and are in many 3SO. instances slightly constricted at the base, like flat " sessile fungi;" the summits are more or less ulcerated in E. 13 to 17. last three pieces; many solitary follicles are also diseased, forming oval elevations ulcerated on summits, similar in character to the thickened Peyer's patches, but smaller in size. See 381, chap. II., sec. 3, B. 1,for history. Nos. 112 Successive portions of ileum, No. 113 embracing ileo-caecal valve; each piece presents a large thickened and Peyer's patch, with a few ulcerated points; the patch in No. 113 more than five inches long; in this piece 113. there are also several ulcers of the solitary follicles. E 18 & 19. Private B. A., "H," 1st Ohio, age 28. Admitted, December 23d, 1862, suffering from typhoid fever with intercurrent erysipelas of face and head. Died, December 26th. Autopsy: Body fat; discolored on left side of head and neck from erysipelas; brain healthy, but pia mater more than usually injected on leftside; more liquid than normal in subarachnoid space; lungs and heart healthy ; liver, stomach, pancreas and kidneys healthy; spleen enlarged seven by five by two and a half inches; diffused inflammation of moderate character throughout ileum and colon ; intestinal glands healthy except in lower three feet of ileum, in which Peyer's patches were much thickened and ulcerated; there were also some ulcers connected with the solitary follicles. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. ] 14, chap. IV., sec. 7, C. 5, enlarged spleen, is also from this case. SeC. 3. OP THE UNITED STATES AEMY MEDICAL MUSEUM. 55 Nos. 185 Five successive portions of ileum, presenting considerable thickening and ulceration of Peyer's patches and to some solitary follicles. 189. The patient was a soldier who died of fever during the summer of 1863. The ileum, towards its lower E. 20 to 24. portion, presented patches of most intense congestion ; Peyer's patches progressively thickened and ulcerated ; their ulcerated surface stained of a greenish color by altered biliary matter. Contributed by Assistant Surgeon W. A. Bradley, U. S. Army, Finley Hospital, Washington, D. C. Nos. 398 398, portion of ileum, about the middle, presenting a somewhat thickened but not ulcerated Peyer's patch; and solitary follicles somewhat enlarged. 399, portion of ileum taken from just above ileo-caecal valve of same 399. patient, showing a Peyer's patch eight inches long, considerably thickened, with a number of minute ulcers E. 25 & 26. at its upper extremity ; this piece also presents a few enlarged solitary follicles. Private A. W., "A," 20th Maine. Admitted, August 21st, 1864, with decided typhoid symptoms; pulse about 120 ; tongue dry, with a brown fur; diarrhoea; about five or six alvine dejections per diem, with pain in the right side, and slight dyspnoea, but little emaciation. He continued in this state without any marked change uutil the 23d, when his diarrhoea nearly disappeared, but the lung symptoms increased in intensity; there was now severe pain in right side of chest, dullness on percussion, and slight crepitant rale; subsequently his diarrhoea returned, but not so severely as before; tongue continued dark colored and dry, and he sank without any marked change of symptoms, except occasional delirium. Died, August 27th. Autopsy: No emaciation ; rigor mortis marked; right lung congested, its middle lobe in a state of red hepatization; left lung in a state of hypostatic congestion posteriorly, otherwise normal; pericardium contained two ounces of fluid ; a large partly-washed fibrinous clot in right side of heart; liver enlarged and pale ; gall-bladder distended with viscid bile ; spleen enlarged and soft; stomach dilated with gas, and flabby ; about pyloric orifice red and congested; small intestine healthy to about middle of ileum, below which Peyer's patches, and mucous membrane in their vicinity, were thickened and congested; solitary follicles enlarged and prominent, and between the last Peyer's patch and ileo-caecal valve were a few small ulcers; mucous membrane of ascending and transverse colon somewhat congested, solitary follicles being stained with black pigment; mucous membrane of descending colon more deeply congested with occasional large black spots ; no ulcers. Contributed by Acting Assistant Surgeon O. P. Sweet, Carver Hospital, Washington, D. C. Two successive portions of ileum, showing thickening and ulceration of Peyer's patches and a few solitary follicles. From a female patient in private practice, who died of enteric fever prior to the breaking out of the rebellion. Contributed by Acting Assistant Surgeon Fred. Schafhirt. Two successive portions of ileum, with characteristic thickening and ulceration of Peyer's patches, and some solitary follicles. The specimens were received during the fall of 1863, without history or memorandum. Three successive portions of ileum, with thickened and ulcerated Peyer's patches Private A. S., "C," 73d Ohio. Admitted, December 18th, 1862. Died, January 30th, 1863. Autopsy : Age about 24 : body emaciated ; slight bronchial inflammation ; right side of heart contained a large white clot; spleen flabby and unnaturally red; liver pale brown with rather darker brown intra- lobular spots; gall-bladder distended with muddy greenish bile; pancreas exceedingly hard; stomach and upper portion of small intestine apparently healthy; lower five feet of ileum with Peyer's patches successively and gradually enlarged, those within the last foot dark red, and surrounding mucous membrane inflamed; the most diseased was that contiguous to ileo-caecal valve, which presented several small ulcers; colon greatly distended, its mucous membrane unnaturally red ; lymphatic glands of mesentery and meso-colon bluish black ; in section, this color formed a circle just within periphery of glands ; microscopically, it presented the appearance of exceedingly fine particles, apparently not crystalline, and recalled to mind the black deposits of intestinal glands of Chickahominy diarrhoea. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. See plate opposite. Nos. 242 Two successive portions of ileum, with thickening and ulceration of Peyer's patches. and Private G. F., " B," 2dth New York, German. Admitted, July 26th, 1862. Diagnosis—chronic dysentery. 243. Died, August 9th. E. 34 & 35. Autopsy : Body much emaciated ; right lung presented old pleuritic adhesions throughout; heart pale and flabby with opaque white patches on right ventricle about the size of a dime; similar but quite small patches on both auricles, together with some roughness of corresponding portion of pericardium; mucous membrane of ileum inflamed, and Peyer's patches, except the upper ones, thickened, and in several instances presented small ulcerations; mesenteric glands tumefied; mucous membrane of colon inflamed, especially towards each extremity. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. Nos. 277 and 278. E. 27 & 28. Nos. 204 and 205. E.29 &30. Nos. 99 to 101. E. 31 to 33. 56 CATALOGUE OF THE MEDICAL SECTION Chap. IV. Nos. 315 Two successive portions of ileum, with thickening and ulceration of Peyer's patches. and Private D. S. K., "C," 140th Pennsylvania, age 24, butcher. Admitted, July llth, 1863, with a flesh 316. wound of right hand received at Gettysburg; this wound granulated favorably. About the 25th he began to E. 36 & 37. suffer from langour and debility, but did not complain until the 29th, when he presented a furred tongue and diarrhoea (two or three passages daily). August 9th, fever increasing; patient sleepless. 10th, slight cough with sonorous and sibilant rales; tenderness in right iliac fossa, llth, rose-colored spots on abdomen and chest; tongue dry; general abdominal tenderness; debility increasing. 15th, some delirium; mucous, sonorous and sibilant rales on right side. 18th, five or six passages, subsultus tendinum, stupor, from which, however, he can be aroused. Afternoonj gradually increasing dysphagia ; wound of hand sloughing ; abdomen tender, but no tympanites. Died, August 19th. Autopsy seventeen hours after death: Eigor mortis slightly marked ; abdomen flat; jejunum normal; ileum congested; Peyer's patches thickened, a few near caecum ulcerated ; lungs congested, especially on right side, but no hepatization. Contributed by Acting Assistant Surgeon W. L. Wells, McClellan Hospital, Philadelphia, Pa. No. 190. Portion of ileum, including ileo-caecal valve; -Peyer's patches and some solitary follicles, considerably E. 38. thickened and ulcerated. From a patient who died of fever during the summer of 1863. Contributed by Medical Cadet .Elliot Coues, Mount Pleasant Hospital, Washington, D. C. No. 207. Portion of ileum, taken from just above ileo-caecal valve, presenting an irregular ulceration of the last Peyer's E. 39. patch ; solitary follicles enlarged. The patient died suddenly from oedema of glottis. It is said that he had suffered neither from diarrhoea nor typhoid fever. The facts of the case are however not sufficiently known to be convincing, especially when it is considered that oedema of the glottis is a not unfrequent termination of the diarrhoea which follows camp fever, as is shown by several other specimens in the Museum. Private H. F. W., " D," 33d Massachusetts. Admitted, February 9th, 1863. Diagnosis—pneumonia. From the first there was great dyspnoea and complete aphonia. Died by asphyxia, February 15th. No diarrhoea nor any abdominal symptoms observed while in hospital; prior history unknown. Autopsy: Both lungs much congested; glottis and epiglottis oedematous to such an extent as to close orifice; mucous membrane of larynx and trachea inflamed, in larynx ulcerated ; ileum presented numerous ulcers, similar to specimen: mucous membrane of colon softened and tumid. Contributed by Medical Cadet Elliot Coues, Mount Pleasant Hospital, Washington, D. C. No. 75. Portion of ileum, with two thickened and ulcerated Peyer's patches and several small ulcers of solitary E. 40. follicles with elevated and thickened edges. The patient had suffered from symptoms of typhoid fever, but without diarrhoea; the ileum, nevertheless, was found ulcerated after the usual manner. The most prominent complications of the disease had been the urgent head symptoms ; the brain, however, was not examined. Contributed by Surgeon C. Page, U. S. Army, General Hospital, Alexandria, Va., First Division. No. 150. Portion of ileum, taken from just above ileo-caecal valve, with enlargement and ulceration of solitary follicles E. 41. and Peyer's patches. Private E. B. D., "B," 27th Connecticut. Had been suffering since latter part of January, 1863, from a rather severe attack of bronchitis, for which he was treated in his quarters. Admitted to hospital, March 9th. Diagnosis— bronchitis. Pulse 108 ; tongue clean and moist; cough ; white frothy sputa ; substernal soreness ; stools rather infrequent, but loose and watery, llth, pulse 108; respirations 20; tongue furred and a little tinged with brown; one passage, watery and thin, daily. 14th, three loose passages; pulse 108; respirations 20; tongue furred and a little moist, except at tip, which was red and inclined to dryness ; abdomen tender over whole course of colon. 15th, pulse 112; respirations 24; tongue becoming dry; two loose passages in preceding twenty-four hours. 16th, pulse 120; respirations 28; lips dark in patches; tongue dry and dark; very restless during night; cough loud and dry, some rusty sputa; abdomen tender all over; is stupid and cannot answer sensibly. 18th, pulse 88; respirations 24. Died, March 20th. No rose-colored spots were at any time observed, and there was no tympanites. Autopsy : Lower portion of ileum presented from twenty to twenty-five indurated Peyer's patches, some half a dozen of which were ulcerated; ileo-caecal valve thickened with an indurated slightly ulcerated patch on caecal surface; neighboring parts of ileum and colon much congested; mesenteric glands enlarged. Contributed by Surgeon W. O. McDonald, 27th Connecticut, Army of the Potomac. Nos. 424 424, portion of ileum with a thickened Peyer's patch, somewhat more than three inches long, in which and may be seen several small points of ulceration. 425, portion of ileum from just above ileo-caecal valve, of 425. same patient, presenting a large thickened and ulcerated Peyer's patch, with thickening and ulceration of E. 42 & 43. solitary follicles. (See Microscopical Section, Part First, VII. H. c. 8 and 9.) Private D. E., "A," 32d Massachusetts, age 20. Admitted, from City Point, Va., August30th, 1864. Had had diarrhoea, and at times slight rigors, for the two weeks previous; was considerably emaciated, with severe diarrhoea and SeC. 3. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 57 pain in both hypochondriac regions; at times involuntary evacuations from bowels, with constant anorexia; tongue coated in centre with dark dry fur. September 4th, pleurisy on right side; pulse greatly increased in rapidity; intense pain iu right side ; slight cough; hurried respiration. 5th, delirium, with great prostration. Died, September 6th. Autopsy: Right lung somewhat congested ; pleura pulmonalis completely covered with croupous lymph ; no fluid in pleural cavity; left lung greatly congested but otherwise healthy, pleuritic adhesions; right side of heart contained a large fibrinous clot; liver enlarged, softened, and beset with adhesions; spleen attached to walls of abdomen by recent adhesions, its surface covered with lymph, and it enlarged, soft, and of a brown color; mesenteric glands enlarged; stomach red and congested at cardiac extremity, mucous membrane at pyloric end thickened and softened; both stomach and intestines were inflated with gas; small intestine healthy, except ileum, mucous membrane of which was red and congested; Peyer's patches thickened, and in lower part both Peyer's patches and solitary follieles enlarged and ulcerated ; near ileo-caecal valve the ulcers were more numerous and stained with greenish yellow pigment; a large ulcer on ileo-caecal valve ; mucous membrane of ascending colon congested ; transverse and descending colon slightly congested ; and solitary follicles stained with black pigment. Contributed by Acting Assistant Surgeon O. P. Sweet, Carver Hospital, Washington, D. C. Nos. 79 79, portion of upper part oi ileum, presenting a thickened Peyer's patch. 80, portion of same ileum, and somewhat lower down, presenting two thickened and ulcerated Peyer's patches, and two smaller ulcers of 80. solitary follicles. E. 44 & 45. Private J. L., "G," 4th Vermont. Admitted, November 23d, 1863, moribund, and died the same day. He came from the Army of the Potomac. Autopsy: Ileum as in the specimens ; toes and anterior portion of metatarsi of both feet gangrenous. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. Nos. 407 407, piece from middle of ileum, with a large, slightly thickened Peyer's patch, the seat of six ulcers of and small size with thickened edges. 408, from just above ileo-caecal valve of same ileum, with an ulcerated 408. Peyer's patch and slight prominence of solitary follicles. (See Microscopical Section, Part First, VII. H. C. E. 46&47. 10 and 11.) Private L. W., "C," 7th West Virginia Cavalry, age 19. Admitted from the Army of West Virginia, August 21st, 1864. He was considerably emaciated, and had been sick for some time with fever, diarrhoea and vomiting. When admitted he appeared exhausted ; pulse frequent and feeble; slight diarrhoea and incessant vomiting; under treatment, the vomiting disappeared and diarrhoea greatly improved ; but he remained in a typhoid condition and died August 25th. Autopsy : Hypostatic congestion of posterior parts of lungs ; a large fibrinous clot in right side of heart; ileum presented patches of congestion with enlargement of solitary follicles ; there were numerous ulcers of Peyer's patches; which, however, presented the peculiarity that three, four, or more small oval ulcers, a few lines in diameter, were seated in each patch, the remaining portions of which were nearly normal; solitary follicles of colon were the seats of pigment deposits. Contributed by Acting Assistant Surgeon O. P. Sweet, Carver Hospital, Washington, D. C. No. 160. Portion of ileum, with a large, somewhat thickened Peyer's patch, presenting several points of ulceration. E. 48. H. V., " D," 171st Pennsylvania, age 19, American. Admitted, July 8th, 1863. Diagnosis—acute diarrhoea. Died, July J6th. Diagnosis—typhoid pneumonia. Autopsy: Upper lobe of right lung highly congested, especially at apex, but floited on water; middle lobe somewhat congested, presenting evidences of bronchitis posteriorly; lower lobe intensely engorged with venous blood, which poured out in large quantities on section; lung of a dark red or purple color, in some places approaching to black; parenchyma dense, entire lobe approaching a condition of splenization; upper lobe of left lung less congested ; bronchial secretion abundant on section; on posterior part of lower lobe a transudation of blood had taken place to a great extent in cellular tissue beneath pleura ; this lobe in a state of lobular splenization; right lung weighed twenty-four and a half ounces; left, twenty- one and a half ounces; small intestine apparently healthy to within three feet of ileo-caecal valve, from which point the mucous membrane became greatly congested and softened, and Peyer's patches thickened ; the first ulcer was observed at this place, and was small, of a darker color than the surrounding membrane, and superficial; the specimen was taken about two feet below this point; five lumbricoid worms were found in the stomach. Contributed by Assistant Surgeon H. Allen, U. S. Army, Lincoln Hospital, Washington, D. C. No. 421. Portion of ileum, taken from near its middle, with a large Peyer's patch in which are five small ulcers ; very E. 49. many Peyer's patches of this ileum were in a similar condition. Private S. H., "B," 10th United States Infantry. Admitted, July 2d, 1864, with fever. Died, July 27th. Autopsy : Body extremely emaciated; ileum inflamed, with ulcers as described ; ulcers also in colon. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. Nos. 60 60, portion of ileum, from about its middle, with two thickened Peyer's patches, presenting a well-marked and ulceration in each. 61, portion of same ileum, taken lower down, with five thickened Peyer's patches, all 61. ulcerated. E. 50 & 51. Private M. K., "I," 32d New York, age 24, Irish. Admitted, August 10th, 1862. Diagnosis—typhoid fever. Died, August llth. Autopsy : Body presented a vigorous appearance, with but slight emaciation ; right lung exhibited old pleuritic adhesions ; 58 CATALOGUE OF THE MEDICAL SECTION Chap. IV. liver cirrhosed, much enlarged, of a yellowish brown, and coarsely granular, the granules being about the size of pepper-corns; spleen enlarged, being nine by five and a half by two and a half inches, but of natural color and consistence; mucous membrane of ileum reddened, and its lower Peyer's patches much thickened and ulcerated. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. 62, chap. IV., sec. 7, C. 2, enlarged spleen, is also from this case. No. 201. Portion of ileum, presenting several well-marked ulcers of Peyer's patches, with thickened edges. E. 52. Private M. W. K., "A," 67th Pennsylvania, age 23, American. Admitted, February 3d, 1864. Diagnosis- chronic diarrhoea. Died, February 8th. Contributed by Assistant Surgeon H. Allen, U. S. Army, Lincoln Hospital, Washington, D. C. No. 226. Piece of upper portion of ileum, presenting three ulcers of Peyer's patches, of considerable size, with thick- E. 53. ened edges. The patient died of camp fever, July 17th, 1862. Contributed by Acting Assistant Surgeon A. F. Delaney, Alexandria, Va. No. 271. Portion of ileum, with ulceration of Peyer's patches. E. 54. The patient died of fever in the fall of 1863. Contributed by Surgeon T. E. Crosby, U. S. Vols., Columbian College Hospital, Washington, D. C. No. 352. Portion of ileum, taken just above ileo-caecal valve; one large and one small ulcer inupper part of the some- E. 55. what thickened Peyer's patch in lower part of piece; above, several small rounded ulcers, four to six lines in diameter, most of them exposing the transverse muscle at their bases, and with abrupt thickened edges. Private W. D., " I," 109th New York, age 21. Admitted, May 14th, 1864, from the field, with flesh-wound of upper third of left forearm, which leadily healed. Furloughed on the 18th for thirty days; re-admitted June 18th. From that date to July 28th he performed the duties of hospital attendant, still being disqualified for duty in the field in consequence of wound. July 28th, was seized with symptoms of typhoid fever—severe pain in head, rapid pulse, (100 per minute,) tongue covered with dark fur, and nocturnal delirium. August 1st, subsultus tendinum and some dyspnoea. 3d, slight diarrhoea, at no time troublesome. 5th, worse; delirium, jactitation, flushed face ; diarrhoea slight. These symptoms continued till death, August 7th. Autopsy: Body considerably emaciated ; lungs congested ; pericardium contained one ounce of fluid ; liver congested ; gall- bladder filled with viscid bile; spleen dark colored, slightly enlarged and congested ; mesenteric glands enlarged ; mucous mem- brane of stomach light colored, thickened, and softened ; mucous membrane of small intestine soft and somewhat thickened down to lower portion of ileum, where, at different points some distance from each other, there were numerous ulcers; near ileo- caecal valve mucous membrane was greatly thickened and congested; very large ulcers, extending down to muscular coat and surrounded by red areolae, were found at this point; mucous membrane of colon greatly congested ; solitary follicles slightly enlarged. Contributed by Acting Assistant Surgeon O. P. Sweet, Carver Hospital, Washington, D. C. No. 239. Portion of ileum, presenting ulcers of Peyer's patches with thickened edges. E. 56. Private G. Y. Admitted, August 10th, 1862. Diagnosis—typhoid fever. Died, August 13th. Was delirious from time of admission. Autopsy : Body, apparently between 35 and 40 years of age, much emaciated ; abdomen and thorax exhibited about a dozen rose-colored spots ; mucous membrane of small intestine inflamed throughout, slightly so at upper part, in a decided manner in lower part of ileum ; Peyer's patches ulcerated, especially lower ones, which were entirely distroyed, ulceration exposing muscular coat; mucous membrane of ileum near caecum of a livid purple; Peyer's patches and a portion of surrounding mucous and sub-mucous tissue completely destroyed, leaving patches of exposed transverse muscular fibres, enclosed by thickened ridges of mucous membrane ; mucous membrane of colon slightly inflamed and of a slate-color. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 420. Portion of ileum, taken just above ileo-caecal valve, with several large ulcers of Peyer's patches, which E. 57. penetrate in some places to transverse muscle, in others to peritoneum ; some solitary follicles enlarged and ulcerated. Private G. W., "H," 2d Maine Battery. Admitted, July 25th, 1864, in the advanced stage of camp fever. He was nearly speechless; soon became comatose, and remained so till death. Died, July 27th. Autopsy: Body extremely emaciated; besides lesion of small intestine, there was ulceration of large intestine ; fatty liver, and distended gall-bladder. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 196. Piece of lower portion of ileum, with several ulcerations extending deeply into muscular layer; when fresh, E. 58. the specimen was exceedingly vascular and presented well-marked pigment deposit in solitary follicles. The patient died of fever in the fall of 1863. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C No. 496. Portion of ileum, from just above ileo-caecal valve, showing numerous small oval ulcers of solitary follicles, E. 59. and a Peyer's patch which is the seat of a number of ulcers. See 497, chap. II, sec. 3, B. 6, for history. SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 59 No. 191. Lower portion of ileum, including ileo-caecal valve, with considerably thickened mucous membrane and E. 60. small punched-out follicular ulcers, about size of pin-heads ; near ileo-caecal valve are several irregular ulcers of Peyer's patches, lower one of which involves a portion of ileo-caecal valve. Sergeant W. A. S., "F," 14th Iowa, age 24. Admitted, October 19th, 1862. Diagnosis—typhoid fever. Died, December 28th. Contributed by Acting Assistant Surgeon B. B. Miles, General Hospital, Annapolis, Md. No. 702. Portion of ileum, with Peyer's patches thickened at the edges, in the centre destroyed by eroding ulcers E. 61. which penetrate to the muscular coat; pin-head enlargement of solitary follicles. History unknown. See Microscopical Section, Part First, VII. H. c. 12 and 13. F. Fever. Pulpy thickening and sloughiug of Peyer's patches. NOS. 88 Successive portions of ileum, in each of which is an enlarged and thickened Peyer's patch. 90 is especially to remarkable on account of great size and pultaceous character of thickening, and also presents several thickened 90. solitary follicles. F. 1 to 3. See 92, chap. III., sec. 2, A. I, for history. Nos. 102 Successive portions of ileum, showing various degrees of enlargement and ulceration of Peyer's patches; to the extensive sloughing patch on 105 is especially worthy of note. ' 105. Private J. R., "B,"67th Ohio. Admitted, October 27th, 1862. Died, January 27th, 1863. Diagnosis— F. 4 to 7. typhoid fever. Autopsy : Age about 22 ; no emaciation; back of body exhibited a purplish aspect from gravitation of blood into skin; a number of reddish spots visible on front of abdomen and chest; spleen enlarged and flabby; moderate enlarge- ment of lower Peyer's patches ; lowest solitary glands also enlarged, and a few with small ulcers at summits ; ileum presented a diffuse redness with a few ecchymosed spots; mucous membrane of large intestine grayish, with a few inflamed streaks. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. 106, chap. IV., sec. 7, C. 4, enlarged spleen, is also from this case. Nos. ISO Four successive portions of ileum, in each of which is a thickened ulcerated Peyer's patch; the thickening to in the specimens, when fresh, was grumous in consistency, blackish in color, tinged with a livid red, and 183. margins indistinctly defined ; several solitary follicles also ulcerated. F. 8. to 11. The patient died, May 27th, 1863. His disorder is described by the ward physician as an "obscure disease resembling typhus." Autopsy: Peyer's patches thickened and converted into irregular sloughs as described; mesenteric glands large and soft; lower lobe of right lung hepatized ; spleen extremely small. Contributed by Surgeon T. E. Crosby, U. S. Vols., Columbian College Hospital, Washington, D. C. Nos, 2 40 Successive portions of ileum. 240 presents three large superficial ulcers of Peyer's patches. 241 presents and a large, irregular, pulpy slough. 241. Private E. L. T., "E," 17th United States Infantry, age 23. Admitted, August 10th, 1862. Diagnosis— F. 12 & 13. typhoid fever. Died, August 16th. Autopsy: Several old pleuritic adhesions; lungs somewhat engorged with mucus ; spleen of usual size, color and consistence, but its convex surface roughened, apparently from an old inflammation; mucous membrane of ileum of a pinkish cream-color with patches of inflammation ; there were twenty-two Peyer's patches, varying in size from half an inch to one which was four inches in length; to the twelfth they were healthy, but with deposits of black pigment; the thirteenth was ulcerated, fourteenth appeared healthy, and remainder were all ulcerated, some even through to peritoneum; the last of series, near ileo-caecal valve, formed a blackish-brown irregular eschar about an inch and a quarter square and a fourth of an inch thick ; mucous membrane was inflamed in vicinity of ulcerated glands; solitary glands of ileum prominent, with deposit of black pigment. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. Nos. 559 Three successive pieces of ileum, showing thickened Peyer's patches, which are the seats of sloughing to ulcers ; ulcer just above ileo-caecal valve has perforated; all the pieces covered with pasty lymph on peritoneal 561. surface. F. 14 to 16. No history. Contributor unknown. 60 CATALOGUE OF THE MEDICAL SECTION Cliap. IV No. 468. Lower portion of ileum, with ileo-caecal valve and part of caecum, showing three ulcerated Peyer's patches, F. 17. surface of ulcers being covered by pultaceous sloughs; solitary follicles enlarged, many of them, especially near valve, ulcerated, ulcers presenting same character as those of Peyer's patches, but smaller; small sloughing ulcers on under surface of valve aud in caecum. Private A. J. C. Admitted, November 30th, 1864, by transfer from a hospital at City Poiut, Va., where he had been treated for camp fever contracted before Petersburg, Va.; pulse feeble, thread-like, about 100; skin hot and dry; tongue dry, red and gashed; teeth and gums coated with sordes ; muttering delirium ; tympanites; petechiae ; sudamina; tenderness in right iliac region ; epistaxis ; haemorrhage from bowels. Died, December 3d. Autopsy: Ileum presented enlarged solitary follicles and sloughing ulcers of Peyer's patches ; colon pale, but not ulcerated except in caecum; mesenteric glands greatly enlarged ; spleen softened ; nutmeg liver. Contributed by Acting Assistant Surgeon W. C. Miner, General Hospital, Alexandria, Va., Third Division. Sec plate opposite. G. Fever. Perforations and peritonitis. Nos. 374. Two successive portions of ileum, presenting several ulcers with thickened edges. In 371, one has and penetrated to peritoneal coat, on opposite surface of which is a patch of discolored lymph. In 375, an ulcer 375. has perforated, and some lymph adheres to peritoneum immediately around orifice, and the piece also presents Gr. 1 and 2. a small diverticulum; solitary follicles somewhat enlarged. Private W. H. M., "H," 147th New York, age 33. Admitted, August 20th, 1864, with fever and diarrhoea of four weeks' standing. Had about twelve passages daily, with tormina and tenesmus; was very much emaciated. Died, August 30th. Autopsy: Peyer's patches ulcerated ; one ulcer had perforated; peritoneum reddened, but no fluid in abdominal cavity. Contributed by Acting Assistant Surgeon D. L. Haight, Douglas Hospital, Washington, D. C. NOS. 369. 369, portion of ileum, with five irregular ulcers one-quarter to one-half an inch in diameter, with thickened to edges, penetrating nearly through muscular coat; solitary follicles slightly enlarged. 370, from lower down 373. same ileum, with three large ulcers of irregular oval shape, about an inch in diameter, thickened edges, and G. 3 to 7. penetrating deeply; perforations existing in all; perforation in upper ulcer quite minute, and ulcer presents, a little to left of actual opening, another point at which perforation was about to occur; the second ulcer presents an oval perforation nearly half an inch in length; a portion of necrosed peritoneal layer attached to one edge of perforation floats free in cavity of ulcer; just above actual perforation is an isolated point in which peritoneal layer is almost perforated; the third ulcer presents an oval perforation nearly an inch in long diameter; a portion of necrosed peritoneum, similar in shape to perforation but smaller in size, occupies its centre and is attached by shreds to edges of orifice; solitary follicles slightly prominent. 371, from lower down same ileum, with two large ulcers similar to those in 370, one has perforated; mucous membrane of this piece thickened, and a number of minute punched-out ulcers corresponding to solitary follicles; also a pouch-like diverticulum, in mucous membrane of which are sevei al follicular ulcers similar to those just described. 372, from lower down same ileum, with several ulcers of moderate size, similar to the larger ones of former pieces, one of them perforated; mucous membrane thickened and presents a number of follicular ulcers. 373, from just above ileo-cfecal valve of same patient; mucous membrane considerably thickened; numerous irregular ulcerations penetrate to muscular coat, one over two inches in long diameter; on the thickened mucous membrane, between the ulcers, are a number of solitary follicles considerably enlarged. Private M. H., "B," 5th New York Cavalry. Admitted from Camp Stoneman, Washington, D. C, August 12th, 1864, with fever; delirium; tympanites; abdomen tender; tongue furred; pulse rapid. Died, August 29th. Diarrhoea not noticed until within four days of death. Autopsy: Height, six feet two inches; not much emaciation; right lung filled with pigment; ileum as described, showed five perforations; solitary glands of caecum enlarged; peritoneal layers of lymph (recent) Contributed by Acting Assistant Surgeon H. M. Dean, Lincoln Hospital, Washington, D. C. No. 77. Portion of ileum, on mucous surface of which are several excavating ulcers; two of these have perforated into G. 8. peritoneal cavity; peritoneal surface of piece is coated with pseudo-membranous lymph. Lieutenant J. W. L., " B," 9th New York Cavalry. Admitted, September 21st, 1863, with stiffness and some swelling of back of neck, from blow from but of a rebel musket received at Braudy Station, Va., August 1st. Health good. September 30th, received thirty days' leave of absence. Eeturned, November llth. Had an attack of diarrhoea preceded by vomiting during absence, and seemed somewhat feeble. 18th, was up, seemed much better and expressed desire to rejoin regiment; at midnight was seized with violent pain, attributed at first to testicles, followed by abdominal tenderness. obstinate vomiting, feeble pulse, anxious countenance. Died, November 19. Autopsy: Peritoneal surface of intestines covered with opaque lymph; a little pus in abdominal cavity; ileum presented a number of typhoid ulcers and several perforations. Contributed by Surgeon H. W. Ducachet, U. S. Vols., Seminary Hospital, Georgetown, D. C. SeC. 3. OP THE UNITED STATES AEMY .MEDICAL MUSEUM 61 No. 479. Portion of ileum, taken several feet above the ileo-caecal valve, with two ulcerated Peyer's patches which G. 9. present a peculiar cribriform appearance ; near the bottom of piece is a deep oval ulcer, the long diameter of which is transverse to the gut; at the bottom of this ulcer are two oval perforations a short distance apart; peritoneal surface is coated with a thin film of pseudo-membrane; some solitary follicles ulcerated ; intestines, as received at Museum, presented several other perforations. The patient died of peritonitis consecutive to camp fever contracted before Petersburg, Va. Contributed by Surgeon W. L. Faxon, 22d Massachusetts, Depot Hospital, City Point, Va. No. 439. Portion of ileum presenting two deep typhoid ulcers, one of which has perforated ; peritoneal surface of piece G. 10. coated with pseudo-membrane. Private W. T. F., " C," 42d Massachusetts. Admitted, October 29th, 1864. Was taken sick about a week before with a decided chill followed by a hot skin and severe hoadache, with thirst and diarrhoea; two or three passages daily; no delirium, espistaxis, deafness, nor tympanites; is tow wakeful, with hot skin; pulse 120; headache, thirst, scanty urine, thickly coated dry tongue, and some bronchial irritation. November 6th, symptoms have abated; tongue cleaning. 12th, has continued to improve till this morning; respiration now hurried; pulse more frequent; febrile symptoms renewed; more cough; dark flushed cheeks; no physical signs of pneumonia. 15th, so much better as to desire to leave bed; expectorates rusty sputa. 16th, pulse feeble ; skin cool. 17th, bilious vomiting several times last night; complains of pain in epigastrium; is cold; prostrated; pulse feeble; no mental derangement; bowels have acted once or twice daily for last few days ; no tympanites ; vomiting continued, assuming character of coffee-grounds. Died, at 8 p. m., November 17th. Autopsy sixteen hours after death: Eigor mortis great; body not much emacia ted; omentum inflamed ; external surface of small intestine very much reddened and inflamed, and glued together with pasty yellow lymph ; abdominal cavity contained two pints of yellow turbid fluid, which had an unpleasant faecal odor ; perforation about one-eighth of an inch in diameter about middle of ileum; several enlarged and thickened Peyer's patches near perforation and in lower part of ileum; spleen enlarged and softened. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospitals, Alexandria, Va. No. 452. Portion of ileum, taken from just above ileo-caecal valve, presenting one large and several small ulcerations; G. 11. the small ulcers are oval and penetrate to the muscular coat; the large one is irregular with overhanging edges, and occupies the site of a Peyer's patch, which, however, is completely ulcerated away, leaving the muscular coat exposed; near the center of this ulcer is a small oval perforation; peritoneal surface of piece coated with pseudo- membranous lymph. Private E. J. W., " C," 179th New York. Admitted, November 30th, 1864. Died, December 5th, of peritonitis consecutive to fever. Contributed by Acting Assistant Surgeon W. C. Miner, General Hospital, Alexandria, Va., Third Division. No. 147. Portion of ileum, with perforating ulcer; pseudo-membranous patches on peritoneal surface. G. 12. Private E. W. W., 5th Maine Battery. Admitted, September 1st, 1862, with gunshot wound received at battle of Bull Eun. November 12th, furloughed, and while at home taken sick. Eeturned, February 6th, 1863, in a low, debilitated condition. March 18th, attacked by fever, with severe pain in left praecordial region. 24th, had chill, followed by sharp pain in lower part of abdomen; decubitus dorsal with knees drawu up ; extreme thirst; constipation ; nausea; vomiting; face pallid, contracted and anxious; pulse frequent and feeble ; tongue red at tip aud edges, with a whitish or yellowish fur in the centre; was conscious until within an hour of death. Died, March 25th. Autopsy: Small intestine deep red, almost black in portions, in others a brilliant red ; mucous membrane of ileum, for about five feet, showed patches of ulceration, and was perforated by a large ulcer eighteen inches from colon; a large amount of serum and pus in abdominal cavity. Contributed by Medical Cadet Abner Thorp, Columbian College Hospital, Washington, D. C. No. 810. Portion of ileum, with a number of typhoid ulcers penetrating to muscular coat; an oval perforation exists G. 13. in lowest ulcer of piece; villi hypertrophied. Private W. N. P., "C," 19th Wisconsin, age 18. Admitted, September 9th, 1864, from Army of Potomac, havino- been sick two weeks with typhoid fever. There was pain in left iliac region, which, by the 13th, extended over the whole abdomen, with tympanites; knees drawn towards abdomen; face pinched. Died, September 14th. Autopsy : Two quarts of yellowish fluid in peritoneal cavity; agglutination of intestines by false membrane ; Peyer's glands indurated at edges and ulcerated in centre; in lower part of bowel quite ulcerated away ; a perforation in the middle of one patch. Contributed by Acting Assistant Surgeon J. H. Butler, West Buildings Hospital, Baltimore, Md. Nos. 604 604, portion of ileum, taken just above ileo-caecal valve, showing thickening and ulceration of Peyer's to patches, and enlarged solitary follicles. 605, several knuckles of ileum, taken just above the previous piece, 606. with a small perforation; peritoneal surface of intestine coated with lymph. 606, portions of transverse colon G. 14 to 16. of same patient coated with a thick layer of lymph. W. W., colored, age 18. Height, five feet seven inches. Weight, about one hundred and fifty pounds. Admitted, August 20th, lo65, with fever. Died, August 24th. Autopsy twelve hours after death: Eigor mortis marked; no emaciation; membranes of brain congested; about three 62 CATALOGUE OF THE MEDICAL SECTION Chap. IV. ounces of serum beneath arachnoid; two ounces of serum in pericardium; a pint of sero-pus in abdominal cavity; all the viscera coated with yellow, pasty lymph; peritoneal surface of ileum beneath layer of lymph reddened, with a 'darker spot corresponding to situation of each Peyer's patch; mucous membrane of ileum inflamed, with thickening and ulceration of Peyer's patches ; a perforation in one patch; solitary follicles in lower part of ileum enlarged, the apex of each black with pigment; mesenteric glands enlarged. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward A. J. Schafhirt. Nos. 234 Three successive portions of ileum, presenting ulcerations with thickened edges corresponding to the sites to of Peyer's patches ; at bottom of largest ulcer in 235 is a perforation about a line in diameter. 236. T. J., nurse of ward " T." Died, October 30th, 1863. Diagnosis—peritonitis. G. 17 to 19. Autopsy: Age about 50; body well nourished ; capacity of chest much diminished by pressure of abdominal contents; acute peritonitis; peritoneum everywhere reddened and covered by thin, cream-colored pseudo- membrane ; abdominal cavity filled with sero-purulent fluid ; the pseudo-membrane was composed of a fibrinous substratum mixed with pus corpuscles; liver large, yellow-brown, rather soft and somewhat fatty; spleen flabby, bluish white on surface and with an old cicatrix-like mark, which, together with the subserous tissue, was spotted with black maculae; section of spleen bright Indian red and remarkably bloodless; tissue, for half a line from surface, was black, due to molecular pigment; granules of various sizes up to round masses of the size of blood corpuscles ; ileum and colon somewhat pinker than natural; upper Peyer's patches healthy, those of lower three feet of ileum ulcerated, ulcers occupying only a part of the gland extending to muscular and serous coats, and having edges a line in thickness; one ulcer had perforated the bowel, the hole being circular and about a line in diameter; blood contained, if anything, fewer white corpuscles than usual; thyroid body on one side enlarged to size of hen's egg. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. Nos. 307 Two successive portions of ileum; mucous membrane presents ulcerations of solitary follicles and Peyer's and patches ; peritoneal surface covered with croupous lymph. 308. Private J. E. E., " G," 2d Tennessee, age 22, paroled prisoner. Admitted, April 18th, 1864, with chronic G. 20 & 21. diarrhoea, and in the last stage of emaciation. Died, May 3d. Autopsy—(Acting Assistant Surgeon B. B. Miles): A large tubercular cavity in middle lobe of left lung ; two quarts of effusion in left pleura pushing heart to right side ; cavity in middle lobe of right lung, upper lobe consolidated by deposition of tubercular matter, extensive adhesions of right pleura ; heart pale and flabby; aortic valves thickened; spleen soft; gall-bladder empty ; general peritonitis, with effusion of pasty lymph involving, especially, lower part of ileum and caput coli; ulceration of solitary follicles of small intestine. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Jarvis Hospital, Baltimore, Md. 1L, Fever. Granulation and cicatrization of ulcerated Peyer's patches. Nos. 656 Successive portions of ileum. 657, taken from just above ileo-caecal valve, showing ulcers of Peyer's and patches, the bases of which are granulatory; some ulcers are filled with granulations nearly to the surface. 657. SC, dark mulatto woman, age 24. Admitted, October 28th, 1865. Had a large bed-sore over sacrum and H. 1. and 2. buttocks when admitted, another over trochanter major of right side. Had been ill of a fever a long time; no appetite ; tongue brown in centre ; skin dry and harsh ; pulse quick and feeble. Died, December 2d. Autopsy eleven hours after death: Height, five feet two inches; weight, about eighty pounds; rigor mortis well marked in lower extremities, partial in upper; the large bed-sores as described; lungs contained much pigment; right lung adherent; pericardium contained an ounce of clear serum; large, white fibrinous clots in both ventricles of heart extending into aorta and pulmonary artery; nutmeg liver; gall-bladder large and distended with bile ; spleen small, edges lobulated; kidneys fatty; granulating ulcers of Peyer's patches as in specimens ; anterior lip of os uteri showed a few small ulcers; similar ones in upper portion of vagina ; ovaries connected by adhesions with fallopian tubes and broad ligaments. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 658, chap. IV., sec. 5, H. 2, enlarged gall-bladder; 659, chap. V., spa. 5, A. 2, small ulcers of os uteri and vagina, adhesions of ovaries and uterus, are also from this case. Nos. 459 459, portion of ileum, taken just above ileo-caecal valve, with four typhoid ulcers, upper two completely and cicatrized, lower two partially so ; solitary follicles enlarged to size of pin-heads. (See Microscopical Section, 460. Part First, VII. H. c. 1.) 460, portion of colon of same patient, near sigmoid flexure; mucous membrane H. 3 & 4. much thickened, with irregular, jagged, eroding ulcers extending to muscular coat. Private J. E , "F," 10th Vermont, age 23. Admitted, August 27th, 1864, from field hospital, Sandy Hook, Md., in a low typhoid condition; dull and inattentive; complaining of abdominal pain, and with frequent mucous discharges from bowels. 30th, discharges still frequent; skin hot and dry; pulse 100, and intermitting ; much headache. September 1st, SeC. 3. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 63 somewhat better ; from this date improved in general condition, but diarrhoea continued. Febrile symptoms returned towards latter part of September, assuming a tertian form, diarrhoea still continuing. 29th, much better; tongue cleaning at edges; appetite returning; pulse frequent; diarrhoea constant. October 3d, dull; difficult to arouse ; tongue dry; involuntary dejec- tions, mixed with blood and pus. From this period he grew rapidly worse, and died October 14th. Autopsy: Great emaciation; cicatrizing ulcers of Peyer's patches; enlargement of solitary follicles of small intestine: extensive ulceration of colon. Contributed by Assistant Surgeon C. Bacon, jr., U. S. Army, General Hospital, Annapolis Junction, Md. Nos. 489 Successive portions of ileum, showing typhoid ulcers iu various stages of cicatrization ; villi enlarged, espe- to cially immediately around cicatrices, giving a plush-like surface to gut. (See Microscopical Section, Part First, 491. VII. H. c. 14.) H. 5 to 7. See 492, chap. III., sec. 2, D. 5, for history. Nos. 597 597, portion of ileum, with ileo-caecal valve and part of caecum ; ileum thickened with patches of pseudo- and membrane and a few minute ulcers near valve ; a Peyer's patch, two inches above valve, presents a large oval 598. cicatrix; caecum coated with patches of pseudo-membrane. 598, portion of colon, thickened, with follicular H. 8 and 9. ulcers and pseudo-membranous patches. Private W. H., "G," 8th New York Cavalry, age 18, American. Admitted, July 22d, 1865, with chronic diarrhoea. Died, July 27th. Autopsy: Sigmoid flexure of colon adherent to anterior walls of pelvis by semi-transparent bands ; part of ileum behind it also adherent; lower part of small intestine congested, with pseudo-membrartous patches on mucous surface, and a few small ulcers near valve; colon thickened, with follicular ulcers and patches of pseudo-membrane ; mesenteric glands enlarged. Contributed by Acting Assistant Surgeon W. C. Miner, Slough Hospital, Alexandria, Va. Nos. 510 510, from high up, 511 from near the middle, and 512 from low down in ileum, including ileo-caecal to valve; the pieces show pin-head enlargement of solitary follicles, with adherent shreds of mucous membrane 513. 511 presents a large oval cicatrix, corresponding in situation with a Peyer's patch. The ileum presented a H. 10 to 13. number of such cicatrices. 513, from descending colon, shows many follicular ulcers, with a few adherent shreds of mucous membrane. Private A. McG , "K." 40th Illinois. Admitted, November 20th, 18(54, with chronic diarrhoea, frequent, watery, sometimes bloody, and often involuntary stools; much emaciated ; countenance pale and anxious; pain ; tenesmus : retention of urine. Died, November 27th. Contributed by Acting Assistaut Surgeon H. C. May, Hospital No 8, Nashville, Tenn. I. Fever and dysentery Lesions of both ileum and colon. Nos. 385 385, piece taken from high up in the ileum; 386, from its middle; 387, from just above the ileo-caecal valve. to These pieces show progressive enlargement of the solitary follicles; Peyer's patches are but slightly thickened. 390. (See Microscopical Section, Part First, VII. H. c. 2 and 3.) 388, appendix vermiformis of same patient, I. 1 to 6. presenting a number of minute follicular ulcers. 389, portion of ascending colon of same patient, with enlarged solitary follicles and a few minute ulcers. 390, portion of transverse colon of same patient, with enlarged solitary follicles. Private F. D., "D," 100th Pennsylvania, age 18. Admitted to hospital at City Point, Va., June 26th, 1864, and transferred to Washington, July 3d. Diagnosis—diarrhoea Admitted to Carver Hospital, July 5th. Was considerably emaciated; tongue coated in the centre with thick gray fur; pulse rapid, but weak; had severe diarrhoea and anorexia, with inflammation of the left parotid gland, which was swollen and painful. 15th, the parotitis has terminated in suppuration; the abscess was opened to-day; the febrile symptoms continue, but there are distinct remissions during the forenoon of each day; persistent diarrhoea. 22d, patient has grown gradually worse; the integument over the parotid has sloughed ; diarrhoea continues; there is deafness and low delirium, especially at night; the remissions not so distinct the last two days. Died, July 22d, in the evening. Autopsy : Emaciation ; lungs congested ; heart pale and flabby ; spleen enlarged ; mucous membrane of stomach presented a number of red spots; Peyer's patches congested, but not thickened perceptibly, except, perhaps, the lowest; the solitary follicles of ileum enlarged to the size of pin-heads; several very minute ulcers in the ascending colon and in the vermiform appendix ; solitary follicles of colon enlarged. Contributed by Acting Assistant Surgeon O. P. Sweet, Carver Hospital, Washington, D. C. Nos. OOO 600, portion of ileum, with enlarged solitary follicles, and a patch of Peyer slightly thickened, with two and small ulcers near its middle. 601, lower portion of ileum, ileo-caecal valve, aud part of caecum of same 601. patient. Ileum, with enlarged solitary follicles; caecum slightly thickened, with extremely minute follicular I. 7 and 8. ulcers not much larger than pin-pricks. Private E. B., "G," 195th Ohio, age 18. Admitted, July 29th, 1865, with diarrhoea of three or four weeks' standing. He was feeble; pulse 80, weak and compressible; tongue moist, slightly coated, tip and edges clean. August 1st, 64 CATALOGUE OF THE MEDICAL SECTION Chap. IV. symptoms assumed a typhoid character; tongue black and dry; delirium set in. 2d, better. 3d, much better; tongue moist; had but four stools in twenty-four hours. 5th, still improving ; began to relish his food. 6th, died suddenly, having been up fifteen minutes before. Autopsy : Enlargement of solitary follicles throughout the ileum, with slight thickening of Peyer's patches, which presented, in many instances, one or more minute ulcers ; colon closely studded with minute follicular ulcers about the size of pin-pricks. Contributed by Acting Assistant Surgeon W. C. Miner, Slough Hospital, Alexandria, Va. Nos. 704 704, portion of ileum, taken from near the middle ; solitary follicles enlarged ; mucous membrane somewhat to thickened; when fresh, pigment deposits in extremities of villi. 705, portion of ileum of same patient, taken 706. at ileo-caecal valve, in the same condition as No. 704, the last Peyer's patch slightly thickened. 706, portion I. 9 to 11. of descending colon of same patient, much thickened; ulcerated, with pseudo-membrane adherent. Private W. A., " C," 2d TJ. S. Colored. Admitted, January 17th, 1866, with chronic dysentery, contracted while on duty with his regiment in Florida. Was in a dying condition, with profuse haemorrhage from bowels. Died, January 23d. Autopsy: Ileum as in specimen; colon, with greenish and brownish patches, thickened and ulcerated thoughout as in specimen. Contributed by Surgeon R. B. Bontecou, U. S. Vols., Harewood Hospital, Washington, D. C. Nos. 416 416, portion of ileum, taken from just above the ileo-caecal valve, the solitary follicles enlarged to the size to of pin-heads. 417, portion of transverse colon of same patient, quite thin, with a number of irregularly oval 418. ulcers. 418, portion of the descending colon of same patient, with numerous irregular ulcers which unite I. 12 to 14. with each other, forming large erosions, most of which involve the muscular coat and some penetrate it. Private G. V., "D," 126th Ohio. Admitted, July 4th, 1861, from field hospital, Army of the Potomac. He was very much emaciated and suffering from symptoms resembling typhoid fever; tongue covered with a thick, dry, brown fur; teeth coated with dark sordes; tympanites; petechiae on the abdomen and chest; tenderness over the right hypochondrium ; surface of the body dry, but there was little abnormal heat. The diarrhoea was quite severe but the stools feculent. After a few days the diarrhoea abated somewhat, the tongue appeared moist and there seemed to be a decided improvement. 25th, diarrhoea worse ; the tongue again dry and dark colored; delirium. Died, July 30th. Autopsy six hours after death: Body greatly emaciated; rigor mortis not marked; old pleuritic adhesions on both sides; pericardium contained two ounces of pinkish serum; liver enlarged and pale; the gall-bladder nearly filled with bile; spleen dark colored, enlarged, four by eight inches, and firm; stomach dilated and flabby, its mucous membrane thickened and softened; solitary follicles of jejunum slightly enlarged; solitary follicles of ileum as in specimen; colon distended and thin; in the ascending colon were a number of ulcers; in the transverse colon, which made a bend downwards towards the pubis, large ulcers with ragged edges, some of them extending through the muscular coat; these ulcers increased in size towards the sigmoid flexure. Contributed by Acting Assistant Surgeon O. P. Sweet, Carver Hospital, Washington, D. C. Nos. 145 145, piece of the lower portion of ileum, with well-marked enlargement of the solitary follicles, the villi and hypertrophied. 146, portion of transverse colon of same patient, presenting numerous irregular superficial 146. ulcers. I. 15 & 16. Private W. T. B., "E," 5th Illinois Cavalry, age 21. In the army two years. Had been sick for eight months. Admitted, October 10th, 1863, with intermittent fever, which was succeeded by an attack of dysentery of three or four days' duration; diarrhoea supervened with watery stools, followed in a week by another attack of dysentery. November 9th, stools small, shreddy, gelatinous and sometimes white; tenesmus very slight. Till November 1st his appetite had been rapacious, afterwards it entirely failed. Died, November 19th. Autopsy : Lungs healthy, but presenting extensive adhesions; mesenteric glands dark and slightly enlarged ; spleen rather large; in middle of jejunum a softened tract six inches long, of a deep livid red color, a similar tract a foot farther on; the entire ileum of a deep livid red, softened, except just above the caecum, where the bowel appears quite healthy; solitary glands as in the specimen; caecum dark red and softened; transverse colon comparatively healthy; from beginning of descending colon to anus the mucous membrane completely eroded, except here and there a few isolated elevated spots and patches ; but few of the ulcers involve the muscular coat; rectum deep red, the ulcers situated here filled with still deeper red adherent grumous clots. Contributed by Surgeon Geo. F. French, U. S. Vols., Hospital No. 3, Vicksburg, Miss. Nos. 197 197, 198 and 199, successive portions of ileum, exhibiting well-marked enlargement of the solitary to follicles; Peyer's glands unchanged. 200, portion of rectum of the same patient, presenting punched-o.it 200. ulcers of the solitary follicles, several of which have extended into oval excavations of moderate size ; patches I. 17 to 20. of pseudo-membrane scattered over the surface. Private H. M., "H," 134th New York. Admitted, November 12th, 1863. He had suffered from diarrhoea for six months ; was much prostrated and greatly emaciated ; tongue was dry ; discharges from the bowels frequent and profuse. Died, December 30th. Autopsy: Enlargement of the solitary follicles of ileum; thickening and ulceration of the colon and rectum. Contributed by Assistant Surgeon W. E. Whitehead, U. S. Army, Hospital No. 3, Murfreesboro', Tenn. Sec. 3. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 65 Nos. 395 395, portion of ileum, with ileo-caecal valve and part of the caecum; the solitary follicles in the ileum to are enlarged to the size of pin-heads, some of them presenting a dot-like point of ulceration at the apex; 397. mucous membrane of caecum thickened and sprinkled with points of pseudo-membrane; it also presents a few I. 21 to 23. scattered minute follicular ulcers. 396, a portion of the caecum, with the vermiform appendix of the same patient; a number of minute follicular ulcers in the mucous membrane of the caecum at the orifice of the appendix ; follicular ulcers of larger size scattered throughout the appendix. 397, portion of sigmoid flexure and rectum of same patient, with numerous punched-out but extremely small ulcers; the surface of the mucous membrane is frosted with points of pseudo-membrane. Private J. O., "K," 8th New York Heavy Artillery, age 16. Admitted, September 15th, 1864, laboring under chronic diarrhoea. He was very weak and much emaciated. Died, October 2d. Autopsy: Enlargement of solitary follicles of ileum ; pigment deposits in the solitary follicles of caecum; scattered follicular ulcers in caecum, the bases of many of them black with pigment; many follicular ulcers in transverse and descending colon and rectum; surface of mucous membrane throughout the colon more or less frosted with pseudo-membrane. Contributed by Acting Assistant Surgeon W. H. Combs, Emory Hospital, Washington, D. C. Nos. 838 838, a piece of ileum, with pin-head enlargement of solitary follicles and slight thickening of the Peyer's and patch. 839, a piece of the sigmoid flexure from same case, greatly thickened, with small follicular ulcers. 839. See No. 840, chap. II., sec. 1, D. 1,for history. I. 24 & 25. Nos. 126 126, portion of jejunum; 127, ileum of same patient; both with enlarged solitary follicles, which project to as pin-head-like tumors from the surface of the mucous membrane; in 127 are several small ulcers. 128, 128. portion of the ascending colon, near caecum, of same patient, with a few scattered follicular ulcers. I. 26 to 28. Private D. B. D., 2d Iowa Battery, age 22. July 4th, 1863, had au attack of dysentery, when he passed a moderate amount of blood, suffering considerably from tenesmus and tormina; small white mucous stools succeeded, numbering about fourteen daily; subsequently reduced in number to five or six. The stools were streaked with blood and were very offensive. About three weeks from commencement of the attack the symptoms assumed the characteristics of diarrhoea, which has not since ceased, although at times conjoined with mild dysenteric symptoms. Two weeks in August, patient was sick with intermittent fever, the diarrhoea continuing. Admitted, October 10th, in a very low typhoid condition, from which he never recovered. Died, November 21st. Autopsy : Old pleuritic adhesions of left lung ; spleen pale ; congenital anomaly of liver, the left lobe being longer than the right; patches of congestion in small intestine, especially in ileum; the solitary glands as in the specimen ; the enlarged glands were of the same color as the mucous membrane and delicately punctated in their centre; transverse and descending colon and rectum reddened and spotted with deep.mahogany-colored stains, here and there livid and dark-green tracts; there were a few small follicular ulcers in colon, and several large ragged ulcers extended transversely across the lower portion of rectum. Contributed by Surgeon Geo. F. French, U. S. Vols., Hospital No. 3, Vicksburg, Miss. Nos. 815 815 to 817, successive portions of ileum; Peyer's patches much thickened and ulcerated; solitary to follicles enlarged to rounded tumors nearly the size of peas, many of them ulcerated at the apices; villi greatly 821. hypertrophied. 818 caecum, 819 from the ascending, 820 from the transverse, and 821 from the I. 29 to 35. descending colon; the solitary follicles in all enlarged to tumors the size of peas, with ulcerated apices; the tumors are largest in the transverse ami descending colon. History—(Acting Assistant Surgeon G. P. Hanawalt): Private G. H., "B," 12th U. S. Infantry, age 25. Admitted, August 25th, 1866. Diagnosis—typhoid fever. Had been taken sick about August 1st, while a prisoner in the guard-house. On admission, he was found quite stupid, but could readily be aroused. In the afternoon of the 26th he became delirious, and during the night constant watching and restraint were required to keep him in bed. 27th, stupor. Died, August 28th. Autopsy: Arachnoid at the base of the brain opaque; some effusion of lymph just below the medulla oblongata in the posterior portion of the spinal cord; intestines as described in the specimen; other viscera healthy. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Post Hospital, Washington, D. C. Nos. 356 356, portion of ileum, with pin-head enlargement of solitary follicles, the Peyer's patches very slightly to thickened. 357, portion of ascending, 358 of transverse, and 359 of descending colon of the same 359. patient, somewhat thickened, and presenting numerous follicular ulcers, which, in the transverse colon especially, I. 36 to 39. have, in many instances, extended into large irregular but rather oval excavations, exposing the muscular coat; the descending colon, much thickened, is frosted with pseudo-membrane. Private W. B., "B," 56th Massachusetts. Admitted, July 5th, 1864, with fever, considerably emaciated, petechiae on abdomen, tongue thickly covered in its centre with a dark fur, pulse 120 and slight diarrhoea. About July 20th, was better; able to walk about the ward. 25th, after imprudence in diet, was attacked with severe diarrhoea; anorexia; tongue red and dry ; pulse 80. Died, August 2d, greatly emaciated. Autopsy: Eight pleural cavity entirely obliterated by old pleuritic adhesions; lungs contained much black pigment; large fibrinous clot in right side of heart; pericardium contained half an ounce of fluid ; gall-bladder nearly filled with bile; spleen 9* 66 CATALOGUE OF THE MEDICAL SECTION Chap. IV. pale and very firm; solitary follicles of ileum enlarged ; mucous membrane of colon thickened aud softened, thickness greatly increasing in descending colon, about sigmoid flexure and rectum ; mucous membrane was very thick and presented a peculiar spongy appearance ; follicular ulcers throughout colon, in transverse colon especially, have coalesced into large eroding excavations. Contributed by Acting Assistant Surgeon 0. P. Sweet, Carver Hospital, Washington, D. C. Nos. 854 854, portion of ileum, with a Peyer's patch somewhat thickened, and solitary follicles the size of pin- and heads. 855, portion of colon of same patient, with minute follicular ulcers. 855. Eecruit M. K. Was struck by lightening during a violent thunder-storm, while standing under or against a I. 40&41. poplar tree near his post, September 14th, 1866. The left side of his cap was torn open; the facing of the metal button of that side thrown off; the hair of his left temple and behind the ear singed and burnt; the left boot was torn widely open from the outside seam forwards and upwards, and the stocking within it torn, while the right boot was torn open by two small rips in front of the outside seam, and about an inch apart, one above the other. No other external marks. The coat was buttoned closely about him; none of its buttons, nor those of the vest nor pants, affected. Autopsy sixteen hours after death: A stout, muscular man; slight purplish stasis of back part of neck; partial rigor of arms; fixed rigidity of fingers and lower extremities; hair of left temple and behind ear singed away; a faint dull yellow or amber-colored line extended from halfway down left side of neck forward to sternal head of clavicle, then irregularly double down the left of median line of chest over sternum, more irregularly down the abdomen to the left of umbilicus, becoming indistinct just before reaching hair of pubes, which was burnt over middle of ramus of left side, and upon left side of scrotum; the yellow line became again distinct upon the inside of the left thigh, in a direction downwards and backwards, was lost over popliteal space, became again distinct on back of left calf by burnt hairs, continued to the outside and forwards in front of external malleolus, where it ended. A similar but fainter burnt line of hairs could be traced on back of right calf, passing also downwards, outwards, and forwards to terminate in front of external malleolus of that side; some blood oozed from left ear; there was very slight stasis at posterior part of back ; pupils widely dilated ; scalp quite free from blood ; no fracture of skull; opposite the left parietal protruberance, between fissures of Rolando and Sylvius, was a marked effusion of blood under the membrane; considerable serum in the lateral ventricles and spinal membranes; under the lines on the skin above described, there was no anatomical change observable ; old adhesions of left lung posteriorly ; heart large and fatty, filled with soft black blood on right side ; an opaque white spot on front of left ventricle ; stomach partly filled with food, with reddened rugae ; (he had taken supper about an hour before;) the partly digested food, of a yellowish cream-color, was found throughout the small intestines ; Peyer's patches near ileo-caec al valve reddened, somewhat thickened, and slightly honeycombed ; the solitary glands were somewhat enlarged, especially at lower end of ileum; colon contained normal yellow faeces ; its mucous membrane pre- sented a few minute ulcers; spleen black and friable, but without fluid blood; gall-bladder almost entirely empty ; urinary bladder half filled with urine. Contributed by Assistant Surgeon W. C. Miner, U. S. Army, Fort Columbus, New York Harbor. Nos. 680 680, portion of ileum, much thickened, with hypertrophied villi and ulceration of the solitary follicles. to 681, ileum and ileo-caecal valve from same case, thickened, and in the same condition as the last; some of 683 the solitary follicles enlarged, but not ulcerated. 682, caecum from same case, much thickened, with I. 42 to 45. minute follicular ulcers. 683, portion of colon from same case, in the same condition as the caecum. See 684, chap. III., sec. 2, A. 7, for history. Nos. 353 353, portion of ileum taken just above the ileo-caecal valve, showing a large thickened Peyer's patch; some of the solitary follicles slightly enlarged. 354, portion of ascending colon of the same patient, presenting numerous ulcers with abrupt edges, varying from the size of a pin-head to that of a five-cent piece. 355, I. 46 to 48. portion of transverse colon of the same patient, presenting a number of minute follicular ulcers. Private P. Q., "E," 111th New York, age 48. Admitted. July 5th, 1864. Had senile look; was consid- erably emaciated; pulse 80; tongue moist, but covered with a gray fur; anorexia; severe diarrhoea. He continued about the same till the 10th, when he began to improve, the diarrhoea being somewhat checked and his appetite better. 26th, was seized with severe pain in the right side, dullness on percussion and other evidences of pleurisy with effusion. The diarrhoea now became aggravated and the anorexia returned. Died, August 1st. Autopsy: Old pleuritic adhesions of left lung, lower lobe greatly congested; right pleural cavity about half full of fluid, some recent adhesions ; posterior portion of right lung in a state of hypostatic congestion; a partially washed clot in the right side of heart; about three ounces of fluid in pericardium ; liver enlarged, pale and fatty ; gall-bladder filled with viscid bile ; spleen enlarged and soft; cortical substance of kidneys very pale; mucous membrane of stomach thickened and congested; mucous membrane of small intestine congested ; in the lower three feet of the ileum, Peyer's patches were thickened, and presented a spongy appearance at their centres; in ascending colon there were several large ulcers with ragged edges, which contained a quantity of black pigment; mucous membrane thickened and softened; iu transverse colon Tess numerous aud smaller ulcers ; in descending colon these ulcers again became larger. Contributed by Acting Assistant Surgeon 0. P. Sweet, Carver Hospital, Washington, D. C. to 355. SeC. 3. OE THE UNITED STATES ARMY MEDICAL MUSEUM. 67 No. 707 707, portion of ileum, taken at ileo-caecal valve, slightly thickened, its villi hypertrophied ; Peyer's patches and and a few of the solitary follicles thickened and ulcerated. 708, portion of caecum of same patient, slightly 708. thickened, showing ulceration of a few of the solitary follicles ; before immersion in alcohol, each of the ulcers I. 49 & 50. appeared to be on the summit of a small tumefaction the size of a pea. Private J. W., "F," 2d U. S. Colored. Admitted, January 17th, 1866, in a moribund condition; tongue parched ; teeth and lips covered with sordes. Died, January 18th. Autopsy: Ileum and colon as in the specimen. Contributed by Surgeon R. B. Bontecou, U. S. Vols., Harewood Hospital, Washington, D. C. Nos. 232 232, a portion of ileum, presenting several irregular ulcers. 233, a portion of colon from the same and patient, presenting several large irregular ulcers invading the muscular coat. 233. Private P. G., " D," 1st New Jersey, age 24. Admitted, August 9th, 1862. Diagnosis—diarrhoea. Died, I. 51 & 52. August 31st. Diagnosis—dysentery. Autopsy: Body emaciated and in an unusually advanced state of decomposition; recent peritonitis; all the viscera agglutinated with pseudo-membrane, and the intervals occupied with an abundance of sero-.purulent liquid; inflamma- tion of mucous membrane of ileum and colon ; thickening of the upper Peyer's glands, and ulceration of the lower ones'; no less than three near the ileo-caecal valve presented perforations; a number of ulcers in the colon, and a large one had very nearly perforated; the solitary glands were thickened and contained black pigment. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. Nos. 698 698, portion of ileum, taken some little distance from the ileo-caecal valve, thickened and presenting and adherent pseudo-membrane. 699, portion of rectum, from the same patient, much thickened, with large 699. ulcers in mucous membrane, and patches of adherent pseudo-membrane; between the large ulcers are numerous I. 53 & 54. small follicular ulcers. Private J. C, "D," 2d U. S. Colored. Admitted, January llth, 1866. Diagnosis—typhoid fever. Died, January 12th. Autopsy forty hours after death: Negro; height, five feet six inches; weight, one hundred and thirty pounds; slightly emaciated ; rigor mortis well marked ; left lung contained at its base a small number of crude tubercles, upper lobe was slightly congested; upper lobe and posterior portion of inferior lobe of right lung slightly congested ; about three ounces of serum in each pleural cavity; pericardium contained about two ounces of clear yellow serum; heart large aud flabby, dark, on its surface numerous ecchymosed spots, large white fibrinous clots in all the cavities, ramifying through the pulmonary artery and aorta and their branches; aortic valves atheromatous; liver bronze-color ; gall-bladder filled with bile; kidneys fatty, the left kidney large ; omentum, contracted into a band, firm, dark, and congested ; mucous membrane of duodenum thickened, its solitary follicles slightly enlarged near the pylorus; slight thickening and congestion of the mucous membrane of the jejunum; ileum was covered with pseudo-membrane, particularly in its lower portion; in the upper portion Peyer's patches, slightly thickened, in the lower portion they presented a few points of commencing ulceration; mucous coat of colon covered with pseudo-membrane, with great thickening, and a number of large but superficial ulcers. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. Nos. 161 161, portion of ileum, presenting a thickened Peyer's patch, with two well-marked ulcerations. 162 to and 163, successive portions of the colon of the same patient, with numerous ulcerations and pseudo- 163. membranous patches. I. 55 to 57. Private C. S. P., "C," 1st Delaware Cavalry, age 29, American. Admitted, January 25th, 1863, with diarrhoea. Said he had been ship-wrecked on the coast of New Jersey, in the winter of 1852, had his feet frost-bitten, and had not been in good health since. He passed little urine at a time, but frequently, so that the quantity passed in twenty-four hours was nearly normal. 27th, had a slight chill last night; mouth somewhat dry; tongue slightly coated • and of a brownish color; pulse 100, easily compressible; eyes somewhat suffused; respiration natural. February 2d, pulse 100; complained of loss of sleep. 5th, pulse about the same ; skin continues dry ; less heat of surface than heretofore; still complains of want of sleep ; tongue moister and not so dark. 10th, pulse 95 ; tongue and mouth moist; skin more natural; slight moisture about the forehead and neck. 15th, pulse 90 ; tongue clean ; slight perspiration. 18th, still improving, pulse 90, fuller and softer; again complains of sleeplessness. March 1st, is able to sit up and walk several steps unsupported; moderate appetite. 7th, slight diarrhoea set in. 15th, discharges from the bowels very frequent since preceding night, consist- ing of thin mucus; complete prostration; refused nourishment. This diarrhoea continued unchecked until death, March 19th. Autopsy : Pericardium contained about four ounces of serum; stomach hanging perpendicularly, the pyloric end reaching two inches below the umbilicus; mucous membrane of lower portion of jejunum dark red and soft; ileum not so red as the jejunum, but presenting many ulcerated patches with raised edges; colon very much thickened and presented ulcers and pseudo-membranous patches as in the specimens; rectum in the same state as the colon; gall-bladder large and filled with bile; the left kidney greatly enlarged, perhaps six times its normal size, and presenting numerous cysts, filled with fluid, varying in size from a line to three-quarters of an inch in diameter ; the capsule was much thickened and firmly adherent; the right kidney about twice its usual size, and in other appearances resembling the left. Contributed by Surgeon Thos. Antisell, U. S. Vols., Harewood Hospital, Washington, D. C. 164, chap. V., sec. 1, C. 4, cysts of left kidney, is also from this case. 6« CATALOGUE OF THE MEDICAL SECTION Chap. IV. Nos. 700 700, portion of ileum, taken at ileo-caecal valve, showing thickening and ulceration of Peyer's patches, and with enlargement of some of the solitary follicles. 701, vermiform appendix and caecum of same patient, 701. showing a number of ulcers of some size and depth. I. 58. & 59. Unknown mulatto. Admitted, January 16th, 1866. Died, January 17tji. Autopsy thirty-six hours after death. Height, five feet seven inches; age, about twenty-two years; weight, one hundred and forty pounds; slight rigor mortis in lower extremities; umbilical hernia; both lungs filled with crude tubercle; numerous vomicae in their upper portion; left lung, posteriorly, firmly adherent; right lung adherent at its apex; pericardium contained twelve ounces of clear serum ; heart flabby, with large, firm, white clots in all the cavities; nutmeg liver; enlargement of the solitary follicles, with a few small ulcers and deposits of pigment in duodenum ; numerous ulcers throughout entire length of jejunum, many of which extended through the mucous and muscular coats, with small tubercles opposite them on the peritoneal coat; ileum with numerous ulcers of Peyer's patches and the solitary follicles; numerous ulcers in caecum, the remaining solitary follicles with deposits of black pigment; colon contained much pigment and a few small ulcers. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 324. Small portion of the ileum, with part of the caecum, both presenting numerous ragged ulcers. I. 60. History—(Assistant Surgeon T. W. Stull, 8th Illinois Cavalry): Private N. H. D., "A," 8th Illinois Cavalry. Admitted, June 18th, 1864. Had headache ; suffused and painful eyes ; pulse 100 and small; skin hot and dry; tongue coated with dark yellow fur, the edges livid; loss of appetite ; dull pain in hips and lower extremites; bowels loose. Says he has not felt well for several weeks ; was previously in good health. 19th, better; pulse 80. 24th, pulse 120 and full; vomited a little greenish glairy fluid in the morning; exacerbation of fever in the afternoon. 25th, skin moist and cool; pulse 96. 29th, seemed comfortable; pulse 102. 30tb, was suddenly seized previous evening with sharp pain in region of bladder and penis; urine suppressed; this morning the pain extended over the whole abdomen, which was very tender to the touch; countenance anxious; pulse 120 and small; lay on right side with thighs flexed; skin.moist and cool except over the abdomen; slight hiccough. July 1st, seems easier ; passed several ounces of urine in the morning ; pulse 104 ; bowels somewhat tympanitic; during the morning, however, was taken suddenly worse and the pain in the region of the bladder returned. Died, July 2d. Autopsy: There was a perforation of the ileum about four inches from the ileo-caecal valve, and very extensive inflammation of the peritoneum extending over the entire surface of that membrane, with extensive adhesions. Contributed by Surgeon A. Hard, 8th Illinois Cavalry, Washington, D. C. No. 86. Lower portion of ileum and part of caecum, the ileum presenting an ulcerated Peyer's patch, and ulceration I. 61. of several of the solitary follicles; the caecum, a number of small, irregular, excavating ulcers, with thickened overhanging edges. Private R. G., " E," 22d Massachusetts, age 25, English. Admitted, December 18th, 1862. Diagnosis—phthisis. Died, December 31st. Autopsy: Body not much emaciated; skin waxen; no spots of purpura; recent pleurisy, with pseudo-membranous attach- ment on both sides; tubercular deposits throughout both lungs, and several small cavities the size of filberts at their apices; bronchitis; enlargement of bronchial glands; heart soft, flabby, its cavities distended with currant-jelly-like clots; spleen of medium size with condensation and blackening of portions of its structure; mesenteric glands somewhat enlarged ; a few ecchymosed spots in the ileum; ulceration of the lower Peyer's glands; extensive ulceration of the mucous membrane of caecum ; a few small tubercles here and there in the walls of the much-contracted colon; small, irregular, ecchymosed patches in ascending and descending colon. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 76. Lower four inches of ileum, with part of caecum ; the ileum is thickened and ulcerated; the ulcers, about I. 62. twenty, extend through the sub-mucous connective tissue to the muscular coat; they vary from one to eight lines in long diameter: the edges are rounded, thickened and overhanging ; small follicular ulcers in the c£ecnm. Private G. F. S., " K," 144th New York. Admitted, July 20th, 1863. Diagnosis—chronic diarrhoea. About the 1st of August he passed into a typhoid condition, with low delirium. Died, August 21st. Autopsy: lower twenty inches of ileum inflamed and ulcerated as in the specimen. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Jarvis Hospital, Baltimore, Md. Nos. 262 262 to 266, successive portions of ileum, exhibiting large deep ulcerations, invading the muscular coat to and extending at many points quite to the peritoneum. There were many larger ulcerations in this ileum than 268. those here preserved, but the thin peritoneal coat lacerated so readily that it was impossible to keep them I. 63 to 69. intact. 267 and 268, portions of the colon of the same patient, exhibiting a number of large ulcers aud many smaller ones. See 269, chap. II., sec. 3, B. 5, for history. SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 6*J Nos. 619 619, piece from the upper part of the ileum, with along, somewhat thickened Peyer's patch. 620, piece to from the middle of ileum of same patient, with two thickened ulcerated Peyer's patches. 621, piece from 622. the ileo-caecal valve of same patient, with ulcerated and sloughing Peyer's patches, the solitary follicles I. 70 to 73. enlarged, the villi hypertrophied. (See Microscopical Section, Part First, VII. H. c. 7.) 622, portion of ascending colon of same patient, with considerable enlargement of the solitary follicles, the apices of some of them ulcerated. C. H., colored woman, age 18. Admitted, September 15th, 1H05, in a semi-comatose condition ; tongue coated with a thick yellowish fur; diarrhoea; skin moist and cool; pulse 130 and feeble; dullness on percussion over right lung; no tympanites. Died, September 19th. Autopsy twelve hours after death: Rigor mortis well marked ; height, five feet two inches; weight, about one hundred and twenty pounds; slight effusion beneath arachnoid; right lung firmly adherent and congested; left lung adherent by white bands, upper lobe congested ; a firm white clot in right ventricle; pericardium contained two ounces of serum ; kidneys fatty; on the anterior surface of left kidney, near the pelvis, a metastatic focus about tho size of a five-cent piece; duodenum and jejunum inflamed in patches; ileum inflamed throughout; in its upper third Peyer's patches were slightly thickened, presenting the "shaved-chin" appearance; in its middle the enlargement and thickening were more marked, and nearly all the patches presented one or more points of ulceration, which, in some, had coalesced, forming small ragged ulcers; in the lower third the thickening was very great, the whole of the surface of the patches being ulcerated or sloughing; throughout the whole length of small intestine the villi were much enlarged; solitary follicles of the colon were enlarged to the size of split peas, surrounded by a vivid red areola, some of them were ulcerated at the apex, with slough attached, others were surrounded by a narrow band of ulceration, having the enlarged follicle in the centre; a recent menstrual corpus luteum in right ovary; small cysts in upper part of cervix uteri. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward A. J. Schafhirt. 623, chap. V., sec. 5, A. 1, cysts of cervix uteri, is also from this case. Nos. 116 116 and 117, successive portions of ileum. 116 exhibits a considerable number of superficial ulcers; to in 117, superficial ulcers and pseudo-membranous patches. 118, colon of the same patient, greatly thickened 118. and irregularly covered with a pseudo-membranous layer. I. 74 to 76. Private T. S., "F," 42d New York, age 23. Admitted, September 12th, 1863, with chronic diarrhoea of about a month's duration; emaciation extreme; hair dry and long; eyes dim, but no ulceration of the cornea; abdomen much depressed; skin furfuraceous, of a dull yellowish slate-color; feet and toes persistently cold and bluish around the toes. October 13th, he began to sink rapidly, but afterwards partially recovered from a condition bordering upon death, and for several weeks improved so much that temporary hopes were entertained of his recovery. Died, November 19th. Autopsy six hours after death: Height, five feet nine inches; rigor mortis not marked; body much emaciated; lungs dry and collapsed, with much pigment; tubercles at apex of right lung; fibrin clots in both sides of heart; liver fatty; gall-bladder contained eight ounces of tarry bile; ileum and colon as in specimen. Contributed by Assistant Surgeon H. Allen, Lincoln Hospital, Washington, D. C. Nos. 317 317 to 319, successive portions of the upper part of ileum, presenting large irregular ulcers of Peyer's to glands, penetrating to the muscular coat. 320, portion of the colon of the same patient, somewhat thickened 320. and presenting numerous large irregular ulcerations, which penetrate to the muscular coat. A number of I. 77 to 80. enlarged mesenteric glands are attached to the peritoneal surface of the piece. Private J. R. R., "H," 82d New York. Admitted, December 14th 1802. Diagnosis—chronic diarrhoea and phthisis. Died, December 31st. Contributed by Acting Assistant Surgeon E. B. Vandyke, Christian Street Hospital, Philadelphia, Pa. Nos. 608 608, portion of ileum, taken ten inches above the ileo-caecal valve, showing a much-thickened Peyer's to patch, which presents a honeycomb appearance; there are also several oval ulcers which penetrate to the 610. muscular coat. (See Microscopical Section, Part First, VII. H. C. 5.) 609, portion of ascending colon I. 81 to 83. of the same patient, showing a number of oval ulcers, which penetrate to the muscular coat. 610, portion of descending colon of the same patient, with large ulcers penetrating to the muscular coat. C. F.. dark mulatto woman, age 26, nursing an infant three months old. Admitted, September 5th, 1865, with typhoid fever. Had been suffering from fever, headache, and pain in the abdomen for four weeks ; some emaciation; pulse 120 and feeble; skin hot and dry; tongue coated with thick yellow fur; anorexia and thirst; bowels moved once a day, faeces greenish; urine high-colored and burning; abdominal tenderness ; diarrhoea set in subsequently. Died, September 13th. Autopsy sixteen hours after death: Emaciation great; rigor mortis marked ; slight congestion iu lower lobes of lungs; duodenum inflamed; jejunum inflamed in patches ; ileum inflamed throughout; Peyer's patches enlarged and thickened gradually from above downwards ; in the lower third of the ileum the thickened patches each presented one or more points of ulceration ; near the valve some of the patches were entirely ulcerated away, exposing at the base the fibres of the muscular coat; on the valve, and for about four inches above it, the whole mucous surface was a mass of enlarged and thickened Peyer's patches, each presenting several points of ulceration; ascending colon inflamed with large, deep, transverse, oval ulcers, with 70 CATALOGUE OF THE MEDICAL SECTION Chap. IV. overhanging edges, some of them more than two inches in diameter; there were also a few enlarged solitary follicles the size of peas, some of which were ulcerated on the apex ; transverse colon presented a few small round ulcers penetrating to the muscular coat; descending colon inflamed in patches and having in the sigmoid flexure a group of small oval ulcers, and slightly enlarged solitary follicles, with specks of pigment on each ; a few small ulcers in the rectum. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward A. J. Schafhirt. Nos. 401 401, portion of ileum; 402, of descending colon, the mucous membrane of both coated with pseudo-mem- and brane ; in the colon small follicular ulcers. 402. Private M. K., "G," 2d New York Heavy Artillery, age 33. Admitted, August 21st, 1864, from field I. 84 & 85.. hospital, Army of the Potomac, greatly emaciated. Had severe diarrhoea, fifteen or twenty dejections during twenty-four hours; pulse weak and easily compressed ; tongue moist and thinly coated with gray fur. 25th, the faecal discharges very frequent and involuntary. Died, August 28th. Autopsy: Post-mortem rigidity great; body much emaciated ; large collection of sordes on teeth; right side of heart contained a fibrinous clot, left side filled with dark blood; pericardium contained two ounces of fluid; liver slightly enlarged and congested; gall-bladder filled with viscid bile; spleen dark colored, small and firm; mucous membrane of stomach congested and red, presenting signs of severe inflammation about the cardiac orifice ; in lower portion of the ileum the Peyer's glands congested, the congestion increasing toward the ileo-caecal valve ; mucous membrane of colon congested, thickened and rough with pseudo-membrane; small ulcers in lower part of the descending colon. Contributed by Acting Assistant Surgeon O. P. Sweet, Carver Hospital, Washington, D. C. Nos. 156 156, piece of the lower part of ileum, considerably thickened and presenting numerous superficial ulcers to and pseudo-membranous patches. 157 to 159, successive portions of the colon of the same patient, greatly 159. thickened, with numerous follicular ulcerations and pseudo-membranous patches. I. 86 to 89. Private W. S. C, " E," 20th Michigan, age 22. Admitted, January 2d, 1863, with chronic diarrhoea. Died March llth. Contributed by Surgeon Thomas Antisell, U. S. Vols., Harewood Hospital, Washington, D. C. K, Concentric atrophy of colon. No. 458. Piece of transverse colon very much contracted. K. 1. Private B. K., "G," 2d Connecticut Heavy Artillery, age 43, Irish. Admitted, October 23d, 1864, with gunshot wound of knee, for which amputation was performed November 7th. Died of secondary haemorrhage November llth. Autopsy : Lungs small; liver very large; stomach distended with air; colon and .rectum much contracted; the haemorrhage proceeded from the femoral artery, the ligature having sloughed away. Contributed by Surgeon Thos. Sim, U.S. Vols., Pattorson Park Hospital, Baltimore, Md. L. Ulceration of colon. Dysentery, including the cases commonly designated Camp Diarrhoea. No. 660. Portion of descending colon, on the mucous surface of which are a number of cysts the size of large peas ; L. 1. the colon is somewhat thickened. When received at the Museum the mucous surface was cream-colored; the cysts yellow at the apex, their bases and the tissues immediately surrounding them of a livid blue ; they con- tained a yellow, semi-transparent, jelly-like substance, which, microscopically, was faintly granular, with a number of small granular cells, similar to the cells of the solitary follicles; in the alcohol many of the cysts have collapsed, and present tho appearance of ulcers. Private T. B. C, "A," 19th Mississippi, (Rebel.) Admitted from Armory Square Hospital, August 17th, 1865, with pene- trating gunshot wound of chest, received at Petersburg, Va., November 5th, 1864. He died August 19th, 1865, from the consequences of the wound. He had diarrhoea from the time he was first brought under observation. Contributed by Assistant Surgeon W. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. No. 547. A piece of descending colon, showing abundant solitary follicles, which are somewhat enlarged. When L. 2. fresh, each follicle presented a central spot of black pigment, and was surrounded by an areola of pigment deposited in the adjoining follicles of Lieberkuhn. (See Microscopical Section, Part First, VII. I. C. 3.) See 546, chap. II., sec. 2, C. 1,for history. SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 71 No. 217. A portion of descending colon, the mucous membrane of which is considerably thickened, and presents L. 3. numerous well-marked follicular ulcers. Private A. W., "C," 23d New Jersey. Admitted from the Army of the Potomac, February 16th, 1863, in a dying condition. Had been taken sick early in December with fever, without chills, but accompanied by delirium. Diarrhoea set in during the fever and continued after it had disappeared. During the previous two or three weeks his bowels had been moved eight or ten times a day. He died on the day of his admission. Autopsy: Body much emaciated; mucous membrane of descending colon and sigmoid flexure thickened, softened, and with numerous ulcerations one-eighth to one-half an inch in diameter; mucous membrane of the rest of the colon thickened, softened, and of a greenish-gray color; caecum very much congested; Peyer's patches thickened, and patches of inflammation throughout the whole length of the small intestine; smaller curvature of the stomach congested; lungs, liver and kidneys apparently healthy; spleen adherent to liver. Contributed by Surgeon Chas. Page, U. S. Army, Judiciary Square Hospital, Washington, D. C. Nos. 218 Two successive portions of colon, presenting numerous follicular ulcers, some of which, in 219, have and coalesced into an irregular excavating ulcer of considerable size. 219. Private C. F., "B," 1st New York. Admitted, February 15th, 1863, with chronic diarrhoea. Had been L. 4 and 5. taken sick in the Army of the Potomac. Died, February 16th. Autopsy: Body much emaciated; right lung compressed against the anterior and upper part of the thorax by about two quarts of moderately thick, not offensive, pus; pleura costalis covered by a thick pseudo-membrane; mucous membrane of descending colon and sigmoid flexure thickened, softened, and presenting numerous follicular ulcers, with some of more considerable size; small intestine and stomach healthy; spleen very small. Contributed by Surgeon Chas. Page, U. S. Army, Judiciary Square Hospital, Washington, D. C. Nos. 220 Two successive portions of colon, the mucous membrane greatly thickened and presenting numerous follicular and ulcers. 220 is slightly coated with pseudo-membrane. 221. Private R. P., "C," 3d New Jersey. Admitted, February 15th, 1863, from the Army of the Potomac, in a L. 6 and 7. dying condition. Died, February 16th. Autopsy: Body emaciated ; mucous membrane of colon softened, thickened, purple in color, with numerous follicular ulcers; mucous membrane of lower part of ileum thickened and presenting a number of small ulcers, especially in its lower portion; the rest of the small intestine and the stomach healthy; spleen rather small. Contributed by Surgeon Chas. Page, U. S. Army, Judiciary Square Hospital, Washington, D. C. No. 227. Portion of colon, presenting numerous follicular ulcers ; some of them have extended into irregular, jagged L. 8. excavations. Private R. A. E., "H," 1st Vermont Cavalry, a paroled prisoner, age 26. Admitted, September 16th, 18(52, with chronic diarrhoea. Died, November 4th. Contributed by Acting Assistant Surgeon B. B. Miles, Annapolis Hospital, No. 1, Md. No. 419. Portion of colon, presenting numerous follicular ulcers, many of which are circular in form, with the diseased L. 9. follicle remaining in the centre. CorporalW. P., "H," 16th New York Cavalry. Admitted, July 13th, 1864, with diarrhoea. Died, July 24th. ' Autopsy: Great emaciation; lower lobe of right lung extensively inflamed, slight pleuritic adhesions; liver large and fatty ; spleen much enlarged and congested ; intussusceptions of ileum and numerous ulcers of the intestinal mucous membrane, extending from two feet above the ileo-caecal valve to the anus. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 438. Portion of transverse colon, presenting numerous follicular ulcers and slightly frosted with pseudo-membrane. L 10. Private R. B., " H," 6th Ohio Cavalry, age 47. Admitted to hospital, November 14th, 1864, in the advanced stage of chronic diarrhoea. Died, November 18th. Contributed by Surgeon N. R. Moseley, U. S. Vols., Emory Hospital, Washington, D. C. No. 834. Portion of colon, with extremely minute follicular ulcers. L. 11. Private A. D., "B," 2d Battery, U. S. Colored, age 25. Entered my ward, October 6th, 1865. Had had diarrhoea, with some blood and straining, for more than a month; was thin; just able to walk about; some tenderness in the right lumbar and left iliac regions ; five or six semi-solid stools daily, with muco-purulent matter and blood; occasionally pain and tenesmus ; anorexia ; pulse 93 and irritable. October gpth, was transferred to another ward apparently improved. Died, November 2d. Autopsy : Not much emaciated ; three inches above the ileo-caecal valve was an ulcerated patch, three inches long by three- fourths of an inch wide, red and raw, entirely through the mucous membrane; colon somewhat congested and presenting extremely minute follicular ulcers; kidneys about one-third larger than natural. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. 72 CATALOGUE OF THE MEDICAL SECTION Chap. IV. No. 837. Portion of sigmoid flexure, thickened and presenting a number of irregular ulcers of moderate size; some L. 12. adherent pseudo-membrane. Private J. T., " G," 118th U. S. Colored, age 40. Admitted, July 28th, 1866. Had diarrhoea some weeks while with his regiment; much fatigue duty and poor diet. He was thin, weak, dispirited, with seven to ten stools daily, and some abdominal tenderness. October 14th : Has been doing well until within a few days ; got his feet wet and ate heartily; diarrhoea came on with violence, and continued with some fever. Died, November 3d. Autopsy: Costal cartilages ossified; portal circle congested, especially the superior mesenteric veins; ileum contracted ! colon congested throughout; middle coat of sigmoid flexure and rectum two or three lines thick and white like cartilage; it presented a number of follicular ulcers. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. No. 64. A portion of descending colon, considerably thickened and presenting numerous follicular ulcers, varying in L. 13. size from mere points to three lines in diameter. See 63, chap. IV., sec. 2, A. 1, for history. See plate opposite. No. 144. Portion of descending colon, the mucous surface of which presents numerous follicular ulcers. L. 14. C. C. T., "C," 114th Illinois, age 32, pedler. Had had a tendency to diarrhoea during the previous seven years. Sometime before had haemoptysis. Lost a brother by phthisis. Was attacked in March with diarrhoea, which continued intermittently till September 20th, 1863. Dysentery set in, with from eight to fifty bloody stools daily. A typhoid state set in, and for a short time there was delirium. After two weeks the stools diminished in number (three to five daily) > after the first few days the stools became small, jelly-like and white. Throughout there was anorexia with great thirst and moderate oedema of lower extremities. Admitted, October 12th. November 1st, extremely emaciated ; respiration 18 a minute; pulse 120, weak and fluctuating; tongue smooth and rather dry; slight sordes which has existed for about a fortnight. Died, November 3d. Autopsy : Isolated calcified tubercles in the middle of the upper lobe of each lung, and pleuritic adhesions at both apices ; calcified tubercles in the mesenteric glands; dark mahogany-colored patches of inflammation here and there along the whole tract of ileum, becoming more diffuse and intense toward the caecum, where there is a greenish discoloration and softening of the mucous membrane; about three or four feet from the caecum, a few enlarged solitary follicles; mucous membrane of ileum near caecum intersected transversely by ragged elevated granulations and granular ulcerations, which increase in size and number as they approach the caecum; one or two of Peyer's patches are studded with minute ulcers; caecum and ascending colon, with numerous minute points of ulceration of a dark red color, penetrating the muscular coat; in the trans- verse colon numerous ulcers, many extending almost through the muscular coat; they are from the size of a pin-head to that of a pea; the descending colon and rectum, exhibited numerous elevated mahogany-colored patches of inflammation, and the rectum was roughened with superficial granular ulcerations and shreddy exudation of lymph; the mucous membrane of the colon was thickened, especially at its extremities. Contributed by Surgeon Geo. F. French, U. S. Vols., Hospital No. 3, Vicksburg, Miss. No. 203. Portion of the descending colon, thickened and presenting well-marked follicular ulcers, L. 15. Private S. G., "C," 122d New York. Admitted, February 15th, 1863, with diarrhoea. Died, April 3d. Contributed by Surgeon Chas. Page, U. S. Army, Judiciary Square Hospital, Washington, D. C. No. 206. A portion of colon, thickened and presenting numerous punched-out follicular ulcers; many of them have L. 16. extended into irregular burrowing excavations of considerable size. Contributor unknown. No. 279. A portion of colon, with its mucous membrane much thickened and numerous follicular ulcers, many of L. 17. them penetrating to the muscular coat; there are also small patches of adherent pseudo-membrane. F. W , "G," 72d Pennsylvania. Admitted, July 30th, 1862, with chronic dysentery. Died, August 3d. Autopsy: The mucous membrane of the ileum and the Peyer's glands inflamed and thickened, but not ulcerated; mucous membrane of colon inflamed, especially towards its two extremities ; its middle portion was mottled, red, gray and slate-color, its extremities dark red; throughout its entire extent there were innumerable ulcers about the size of peas, many of them extending to the muscular coat. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 285 A portion of colon, with mucous membrane greatiy thickened, and presenting numerous irregular deep L. 18. ulcers ; some adherent pseudo-membrane. The patient died of chronic diarrhoea during the summer of 1SG3. Contributed by Surgeon E. L. Welling, llth New Jersey, Field Hospital, Army of the Potomac. Nos. 286 Two successive portions of colon, with mucous membrane greatly thickened, and presenting numerous and follicular ulcers ; some adherent pseudo-membrane. The patient died of chronic diarrhoea in the field hospital, 287. Army of the Potomac. L. 19 &20. Contributed by Surgeon E. L. Welling, J 1th New Jersey, Field Hospital, Army of the Potomac. SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 73 Nos. 296 296, a portion of ascending colon, near the caecum ; 297, portion of the right extremity of the transverse and colon of the same patient; in both the mucous membrane is considerably thickened and presents follicular 297. ulcers, which are most numerous in 296. L. 21 & 22. Private D. B. J., " H," 145th Pennsylvania, age 29, Irish. Admitted, March 24th, 1804. Had suffered from chronic diarrhoea about four months, and was in a greatly exhausted condition. Died comatose, March 30th. Autopsy : Mucous membrane of colon thickened, softened and ulcerated ; tubercles in both lungs, especially in the upper lobe of the right, where there was also an abscess containing about an ounce of fluid; spleen contained numerous tubercles. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. 298, chap. IV., sec. 7, G. 1, tubercles of spleen, is also from this case. No. 616. Portion of colon, presenting follicular ulcers and superficial excavations. L. 23. History—(Acting Assistant Surgeon W. G. Smull): Private J. E. S., "C," 62d New York, American, age 45. Admitted, October 22d, 1864, with chronic diarrhoea and general exhaustion ; dejections frequent, slimy and partially faecal. Under treatment, he improved at first, but the diarrhoea returned at intervals; occasionally he manifested symptoms of mental aberration ; his appetite was capricious. February 23d, 1865, was attacked with convulsions. Died, February 24 th. Autopsy six hours after death : Body much emaciated ; rigor mortis slight; about two ounces of serum beneath arachnoid; much pigment in both lungs, the posterior part of lower lobe of left lung carnified: much serum in both pleural cavities ; pericardium contained a small quantity of serum; mucous membrane of transverse and descending colon, sigmoid flexure aud rectum thickened, presenting follicular ulcers and superficial excavations ; in the sigmoid flexure some whitish pseudo- membrane. Contributed by Assistant Surgeon G. M. McGill, U. S. Army, National Hospital, Baltimore, Md. Nos. 148 Successive portions of colon, with pin-head ulcers of the solitary follicles, the orifices of which are, for the and most part, surrounded by a permanent fringe of pseudo-membrane. 149. Private P. B., " D," 62d New York. Admitted, August 12th, 1862, with intermittent fever. Died, August L. 24 & 25. 26th. Diagnosis—diarrhoea and phthisis. Contributed by Acting Assistant Surgeon E. Hartshorne, Hospital Fifth and Buttonwood Streets, Philadelphia, Pa. Nos. 119 Successive portions—119 and 120 of ascending colon, 121 of transverse, 122 and 123 of descending to colon, all with thickened mucous membrane and deep follicular ulcers. 123. Private J. H. R., "H," 4th Iowa Cavalry. Had diarrhoea nine months previous to decease. It commenced L. 26 to 30. with an attack of dysentery, with frequent bloody stools, which, after the first day or two, greatly diminished in number, becoming mucous and gelatinous. At the end of five weeks the disease passed into diarrhoea, since which time diarrhoea and dysentery alternated. November 16th, pulse frequent and feeble; tongue dry, red and covered with a ragged white and yellow fur. Admitted, October 10th, 1863. Died, November 17th. Autopsy: A few calcareous tubercles and cicatrices in the apex of each lung; spleen the size of a small kidney; deep vascular congestion of the duodenum and jejunum ; intestines full of a yellowish-green fluid ; at the beginning of the ileum the inflam- mation deepened, was diffused and had gone ou to softening; the inflammation not continuous, but interrupted here and there by a healthy tract a few inches long; at the lower end of the ileum a few of Peyer's patches were a little prominent; the large intestine, with the exception of the caecum, thickened, cutting like cartilage ; caecum deep red, with softening of the mucous coat; the rest of the colon presented a whitish base, mottled and discolored with livid purple spots and stains; the whole colon thickly studded with small ulcers, with here and there a large one; the ulcers deep, and involved the submucous coat to which the thickening was limited ; there were also patches of adherent pseudo-membrane, especially in the lower part of the colon. Contributed by Surgeon Geo. F. French, U. S. Vols., Hospital No. 3, Vicksburg, Miss. Nos. 129 129, portion of transverse colon, considerably thickened, and presenting a number of follicular ulcers; to 130 and 131, successive portions of descending colon, with more numerous follicular ulcers; in 131 the 131. ulcers have, for the most part, extended into irregular erosions, which occupy the greatest portion of the surface L. 31 to 33. of the mucous membrane. Private W. G., 2d Iowa Battery, age 33, intemperate; was never hardy, but had been healthier since he entered the army; had been subject to ague for years; since entering the service had diarrhoea occasionally. July 5th, 1863, at "Big Black," had a mild attack of dysentery, but continued to walk about till October 10th, when he was admitted to hospital. In a short time improved and went into convalescent camp, but had a relapse of dysentery about the first of November. The stools were, at first, copious and bloody, but soon became small and gelatinous, continuing so till death, November 20th. Had no flatulence nor tormina ; appetite was moderately good throughout. Autopsy : Pneumonia of lower lobe of each lung ; pericardium contained much serum, and was roughened with soft yellow lymph; spleen soft and attached to the diaphragm at its upper end by a strong fibrous adhesion, and on its free surface slightly roughened with a few ragged, white, fibrous shreds, a glassy white cartilaginous patch, about an inch square, in the centre of 10* 74 CATALOGUE OF THE MEDICAL SECTION Chap. IV. its free surface: in small intestine a few small tracts of moderately diffuse inflammation, and somewhat softened; similar inflammation in caecum and ascending colon; ulcers sparse and not deep in transverse colon, increasing in number and size onward to the anus; mucous membrane of colon livid and dark; the ulcers had ragged, elevated and everted edges, and contained a dirty, yellowish-white flocculent lymph, which, when with difficulty removed, disclosed a very deep red, smooth base; in the lower half of the colon, and especially in the rectum, the mucous and muscular coats were greatly hypertrophied. Contributed by Surgeon Geo. F. French, U. S. Vols., Hospital No. 3, Vicksburg, Miss. Nos. 393 393, portion of ascending, 394, of transverse colon, with numerous follicular ulcers somewhat over a line and in diameter. The mucous membrane is thickened and presents in 394 some thin scanty patches of pseudo- 394. membrane. L. 34 &35. Private A. H. M., "G," 31st Maine. Admitted, September 9th, 1864, from the Army of the Potomac, with chronic diarrhoea and bronchitis. Was much emaciated and very weak; somewhat flighty; vomited occasion- ally ; the abdomen was flat, somewhat painful on pressure; the stools thin and frequent; tongue moist; pulse feeble and thready. Died, September 16th. Autopsy: Lungs much shrunken, with hypostatic engorgement; bronchi filled with frothy fluid; liver small and green; gall-bladder full of green bile; stomach contained three or four ounces of dark greenish fluid, its mucous membrane softened, small intestine normal; colon as in specimen. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. Nos. 178 178, portion of the sigmoid flexure; 179, portion of rectum of same patient. The mucous membrane in and both pieces is thickened and softened, presenting numerous ulcers of the solitary follicles, and is slightly coated 179. with pseudo-membrane. L. 36 & 37. The patient died of chronic diarrhoea in the spring of 1863, in the field hospital at Windmill Point, Va. Contributed by Surgeon E. L. Welling, llth New Jersey, Army of the Potomac. No. 4©6. A portion of descending colon, presenting numerous follicular ulcers in which the swollen solitary follicles L. 38. remain as prominent points in the centre of the ulcers, which extend circularly around them. (See Microscopical Section, Part First, VII. I. C. 6.) See 405, chap. III., sec. 2, D. 3, for history. Nos. 56 56, portion of ascending colon, somewhat thickened, with patches of pseudo-membrane adherent to the to surface; ulceration of the solitary follicles. 57, from further along the same colon, with more numerous and 59. better-marked follicular ulcerations. 58, from transverse colon of the same patient, presents fewer ulcerated L. 39 to 42. follicles, but the pseudo-membranous patches are more abundantly present. 59, from the descending colon of the same patient, in a similar condition to 58, but the ulcerated follicles less numerous; many of the solitary follicles in each of these pieces couverted into cysts about the size of peas. Private W. P., "D," 65th New York. Admitted, December 16th, 1862, supposed to be laboring under phthisis. He had suffered also from chronic diarrhoea. Died, February 1st 1863. Autopsy: Body extremely emaciated ; about a gill of liquid in the pericardium; heart somewhat enlarged; dilatation of the right ventricle, the walls of which were about two lines thick, and the cavity contained a large and recent white fibrinous clot; inferior anterior angle of left lung affected with pleuro-pueumonia, forming an indurated mass the size of an egg, adhering by recent pseudo-membrane to the neighboring pleura; the base of the lower lobe was affected with recent pleurisy, as indicated by engorgement of the subserous capillaries, and a band of pure white pseudo-membrane, about two lines wide, fringing the lower and anterior margin of the lung; inflammation of the tracheal and bronchial mucous membranes ; liver nearly uniformly brown ; gall-bladder empty; spleen small, indurated and attached throughout by old adhesions; stomach and small intestine distended with air; the lower fifteen inches of the ileum affected with pseudo-membranous inflammation ; Peyer's glands containing black deposits ; colon contracted, its mucous membrane exceedingly corrugated, inflamed, generally of a slate-color, with darker patches and spots of the same, and pseudo-membranous matter adherent from one end to the other; the pseudo-membranous matter adhered tightly, was fibro-granular in structure, and replaced the columnar epithelium, which appeared normal in the intervals of the pseudo-membranous shreds; the dark coloring was produced by the deposit of black globules about half the size of blood disks and smaller; many of the solitary follicles of the colon were ulcerated, and some of them converted into cysts. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. 55, chap. IV., sec. 7, D. 1, spleen with peritoneal adhesions, is also from this case. Nos. 154 Two successive portions of colon, greatly thickened, presenting numerous follicular ulcers and pseudo- and membrauous patches. 155. Private H. B. A., "G," 78th New York, age 30. Admitted, January llth, 1863, with chronic diarrhoea. L. 43 & 44. Died, January 20th. Contributed by Assistant Surgeon H. Allen, U. S. Army, Lincoln Hospital, Washington, D. C. SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 75 Nos. 436 436, appendix vermiformis and a portion of caecum, presenting numerous follicular ulcers ; 437, portion and of descending colon, presenting follicular ulcers, the edges of many of which are surrounded by a fringe-like 437. layer of pseudo-membrane. L. 45 & 46. See 433, chap. III., sec. 2, C. 5,f>r history. No. 462. Piece of colon, taken near the sigmoid flexure, the mucous membrane thickened; minute follicular ulcers L. 47. and pseudo-membranous frosting. Private J. F. B., "I," 8th New York Heavy Artillery. Admitted, September 9th, 1864, with chronic diarrhoea. He was much emaciated, and had from ten to fifteen stools daily; improved till October 17th, when, however, he had a relapse, and died October 22d. Contributed by Acting Assistant Surgeon R. B. Hitz, Douglas Hospital, Washington, D. C. No. 527. Portion of transverse colon, thickened; shreds of pseudo-membrane adherent; a number of follicular ulcers. L. 48. When first received at the Museum, many of the solitary follicles, converted into cysts, projected above the surface of the gut; the vesicles, however, subsequently collapsed, and the excavations thus left resemble the other ulcers. Private J. F., "B," 16th Pennsylvania Cavalry, age 23. Admitted, November 14th, 1864, with intermittent fever and chronic diarrhoea. Died, December 27th. Contributed by Surgeon N. R. Moseley, U. S. Vols., Emory Hospital, Washington, D. C. No. 78. A portion of transverse colon, with pseudo-membranous patches; scattered over the mucous surface are L. 49. numerous small punched-out follicular ulcers. Private B. A. S., "L," 31st South Carolina, (Rebel.) Admitted, October 26th, 1863, with chronic diarrhoea of five months' standing. Died, November 1st. Contributed by Assistant Surgeon W. H Gardner, U. S. Army, Point Lookout Hospital, Md. Nos. HO Two successive portions of descending colon, with irregular patches of pseudo-membrane on the mucous and surface; some of the solitary follicles present the characteristic pin-head and punched-out ulcerations. 111. Corporal R. S., "B," 6th Maine, age 40, American. Admitted, November 13th, 1862. Diagnosis—phthisis L. 50 & 51. pulmonalis. Died, December 29th. Diagnosis—chronic diarrhoea. Autopsy: Body exceedingly emaciated; lower extremities oedematous, especially the left; both lungs attached throughout by old pleuritic adhesions; right lung contained m its apex a cavity about the size of a walnut; left lung for the most part healthy, there being several condensed masses, indicating lobular pneumonia in the back part of the lower lobe; old adhesions on upper surface of liver, which was somewhat fatty in appearance, being yellowish-brown and soft; old adhesions on convex surface of spleen, which was small and in section pale; mesenteric glands enlarged, many of them to the size of a pigeon's egg, and filled with soft, pasty, tubercular matter; large intestine with moderate diffused inflammation, accompanied by small patches of greater intensity; these patches were covered with shreds of pseudo-membrane and desquamated epithelium; the lower part of the sigmoid flexure and rectum were intensely inflamed, accompanied by pseudo-membrane and desquamated epithelium ; the mucous membrane of the colon was exceedingly soft; some of the solitary follicles were ulcerated. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. Nos. 124 124, portion of transverse, and 125, of descending colon, with pseudo-membranous patches and a few and follicular ulcers, 125. Private B. F. L., " G," 93d Indiana, age 20. Had lung fever five years ago; said whenever he took cold L. 52 & 53. he had severe pain in left side after a full inspiration; had had a dry cough some time. August 1st, 1863, had a mild attack of diarrhoea, which in about two weeks gradually changed into dysentery, with tenesmus and bloody stools. When the dysentery was at its height, the stools varied in number from twenty to forty, soon diminishing, however, to eight or ten daily; in appearance sometimes gelatinous, sometimes mucous and white. About the middle of October his appetite, previously excellent, failed. November 1st, pulse 84; tongue pale in centre, red on edges with slight white fur at base; stools small and variably white, flocculent, gelatinous or shreddy. Admitted, October 10th. Died, November 21st. Autopsy: Strong pleuritic adhesions over anterior surface of left lung ; spleen about the size of a kidney, with an abnormal congenital fissure in its upper end; a few tracts of inflammation here and there through small intestine, with moderate softenino-; about the same degree of inflammation and softening in caecum; descending colon and rectum bright red; transverse colon dark and livid; for about sixteen inches above the anus, the bowel was almost bared of its mucous coat by ulcers which exposed the whitish muscular coat; some of the ulcers were ragged, others round or oval, and all limited to the mucous coat and filled with a dirty-white adherent lymph, causing them to appear raised above the surface. Contributed by Surgeon Geo. F. French, U. S. Vols., Hospital No. 3, Vicksburg, Miss. No. 70. A portion of the sigmoid flexure, thickened, with ulceration of the solitary follicles and scattered pseudo- L. 54. membranous patches. See 69, chap. IV., sec. 2, C. 4, for history. 76 CATALOGUE OF THE MEDICAL SECTION Chap. IV. No. 222. Portion of colon, thickened, presenting a few follicular ulcers and numerous pseudo-membranous patches. L. 55. Private D. W., "G," 27th New York. Admitted February 15th, 1863, from the Army of the Potomac. He stated that he had suffered more or less from diarrhoea ever since his enlistment in May, 1861, suffering always most after marching. About the 1st of December, 1862, he was confined to his bed and was not up afterward. Died, February 17th 1863. Autopsy: Hepatization of lower lobe of the left lung, with pleuritic adhesions; mucous-membrane of colon inflamed and thickened ; ulcers, especially in the caecum and sigmoid flexure; pseudo-membranous patches covered much of the surface of the mucous membrane. Contributed by Surgeon C. Page, U. S. Army, Judiciary Square Hospital, Washington, D C. No. 83. Appendix vermiformis, presenting several ulcers on the mucous surface. L. 56. G. D. K., American, age 26. Admitted, March 31st, 1863, with chronic diarrhoea of many months' standing. Died, April 14th. Autopsy: Numerous ulcers were found in the lower three feet of the ileum, and the upper portion of the colon, as well as in the appendix. Contributed by Assistant Surgeon P. S. Conner, U. S. Army, New Orleans, La. Nos. 132 Successive portions of colon, with numerous ulcers in the mucous membrane. 132 and 133 from the to ascending colon, 131 and 135 from the transverse, and 136 and 137 from the descending colon. The 137. ulcers are oval in shape and vary from the size of a three-cent piece to that of a quarter of a dollar : they are L. 57 to 62. deepest in the descending colon, but even in the transverse many penetrate quite through the muscular coat. Private W. B. T., ,; B," 95th Ohio, age 25. Had been in the army fifteen months ; diarrhoea much of the time. Admitted to field hospital, September 18th, 1863, with a severe attack of dysentery; stools bloody; tenesmus severe; almost constant pain over ascending colon ; in about a week the stools began to assume a gelatinous appearance; for four days after the commencement of the attack, the number of stools was twenty to forty, but subsequently they diminished in number to from three to five daily; they were sometimes of dark, jelly-like consistence, sometimes shreddy, flocculent or white. October 12th, transferred to Marine Hospital. October 18th, complained of severe pain in the right hypochondriac region, which in a few days subsided into a dull heavy ache; cold night-sweats were frequent ; slight sordes appeared a fortnight before death. November 1st, slight oedema of lower extremities; greatly emaciated; pulse rapid and tremulous; tongue parched and dry Died, November 2d. Autopsy: Abscess in the anterior superior part of right lobe of liver, containing twenty ounces of pus, which had the odor of sour milk; right lobe of liver glued with strong adhesions to diaphragm; left kidney fatty and considerably larger than right, it was of a livid green color, its pelvis contained a puruloid fluid; at upper part of ileum, for about twelve inches, extreme dark red discoloration and softening of the mucous coat; farther on the mucous membrane was here and there of a livid green; colon of a mottled greenish color, with here and there dark red spots and numerous ulcers; in the lower half of the colon the ulcers were very numerous, some had rough ragged borders, in others the borders were smooth ; the cavities of some were lined with a white, opaque, adherent lymph; in some places what were supposed to be cicatrices ; the ulcers, though very irregular, were mostly oval, and extended transversely across the bowel; close to the appendix vermiformis were two perforations through the caecum, one nearly the size of a dime, the other the size of a pea; faeculent matter had escaped into abdominal cavity, discoloring the wall of the abdomen contiguous to the caecum; there were extensive adhesions of the upper part of the caecum to the right iliac fossa, and around the point of perforation the intestine was glued to the wall of the cavity. Contributed by Surgeon Geo. F. French, U. S. Vols., Hospital No. 3, Vicksburg, Miss. Nos. 151 Two successive portions of the colon, with thickened mucous membrane ; in 151 a large, irregular ulcer and extending to the muscular coat; 152, several such. 152. Private L. Y., "B," 6th Ohio Cavalry, age 20, American. Admitted, August 17th, 1863, with chronic L. 63 & 64. diarrhoea. Had been sick four weeks ; was greatly emaciated; pulse feeble and irregular ; dejections bloody and frequent; pain along the whole course of the colon, but no tympanites. Died, August 26th. Contributed by Acting Assistant Surgeon S. Dorsey, Harewood Hospital, Washington, D. C. Nos. 71 Two successive portions of colon, with mucous membrane much thickened, surface irregularly eroded by to superficial ulcers, the scanty intervening portions thickened, giving to the whole a granulated appearance. 74. Private A. H., " G," 8th Maine. Admitted, November 16th, 1862, with chronic diarrhoea. Was very much L. 65 to 68. emaciated, and had been sick about two months. Had frequent copious evacuations, without fever or tenesmus; skin dry; urine scanty and high-colored ; pain during micturition; pain along track of colon: some little nausea, and a sinking sensation iu abdomen. Died, December 4th. Autopsy: Colon and rectum as in specimens. Contributed by Assistant Surgeon F. T. Dade, U. S. Vols., Hospital No. 3, Beaufort, S. C. No. 115. Portion of colon, considerably thickened, with several large superficial ulcers which invade the sub-mucous L. 69. connective tissue, but do not extend to the muscular coat; the largest is an irregular quadrilateral, nearly two inches in each direction. Private T. W. G., "H," 110th Pennsylvania, age 34. Admitted, October 17th, 1863, with chronic diarrhaea. Died, December 12th. Contributed by Acting Assistant Surgeon W. H. Combs, Emory Hospital, Washington, D. C. SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 77 No. 362. Portion of transverse colon, with numerous superficial ulcers. L. 70. Private L. W. K., "H," 48th Pennsylvania. Admitted, September 9th, 1864, with a hacking cough ; no expectoration; troublesome diarrhoea; much emaciated; had severe night-sweats; pulse about 90; had been sick several weeks. 27th, was suddenly seized with great dyspnoea which passed off in a few hours, but returned with violence on the morning of the 30th. Died, September 30th. Autopsy: Right lung congested; in left pleural cavity a large effusion of greenish-yellow sero-puruleut fluid, which completely compressed the lung against the vertebral column; both lung and costal pleura were covered with a thick layer of lymph; heart covered with a layer of fibrinous lymph, and considerable effusion of serum, in which shreds and flakes of lymph floated free, in the pericardium; liver adherent to the diaphragm, adhesions old and tough; spleen contracted and firm; a few ulcers in ileum; colon ulcerated and thickened throughout its entire extent ; right kidney, situated over the second lumbar vertebra, converted into a large cyst containing several ounces of a clear amber-colored liquid; a patulous ureter led from it and emptied into the bladder at its usual place; the urine was albuminous. Contributed by Assistant Surgeon W. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. 361, chap. V., sec. 1, A. 11, kidney converted into a cyst, is also from this case. No. 769. Caecum, with large sloughing ulcers; solitary follicles of ileum slightly enlarged. L. 71. See 768, chap. IV., sec. 2, B. 5, for history. Nos. 194 Two successive portions of colon, with many follicular ulcers, and a number of large, irregular, burrowing and ulcers, which invade the muscular coat, some penetrating even to the peritoneum. 195. Sergeant A. L. M., "E," 152d New York, age 24, American. Had suffered from chronic diarrhoea for some L. 72 & 73. time; was attacked by measles March 1st, 1863; dysentery followed. Admitted, March 6th. Died, April 1st. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. Nos. 288 Two successive portions of colon, with the mucous membrane thickened; follicular ulcers; the surface of and the mucous membrane coated with pseudo-membrane. In 288 is one, in 289 several large eroding ulcers, 289. which have destroyed the mucous coat and expose the transverse fibres of the muscular layer. L. 74 & 75. Private J. M., " I," 108th New York, age 24. Admitted, February 13th, 1863. Was taken sick at Acquia Creek, Va. When admitted was emaciated; feeble; pulse 110; tongue clean and red; stools frequent and liquid. 27th, somewhat better; pulse 95; tongue clean and moist; some appetite ; stools less frequent. March 2d, pulse. 85 ; skin moist, tongue clean but rather dry; bowels moved three times during the day; some tenderness in umbilical and left iliac regions. 12th, better; countenance more cheerful; abdominal tenderness disappeared ; still very feeble and much emaciated. 17th, worse; tympanites; abdominal tenderness, especially over the descending colon; tongue and skin dry. 18th, very weak; pulse 140; tongue and skin dry; thirst; considerable tympanites; whole abdomen tender; much pain in the epigastric region; two light-yellow stools iu the last twenty-four hours ; no tenesmus ; micturition painful. Died, March 25th. Autopsy: Pleuritic adhesions of the lower lobe of right lung; nutmeg liver; spleen somewhat indurated; stomach much contracted; lower part of small intestine with patches of inflammatory congestion; colon, with mucous membrane somewhat thickened, plastered over with pseudo-membraneous matter of a whitish color, and presented numerous large ulcerations similar to those in the specimens. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. No. 184. Portion of descending colon, the mucous membrane thickened, somewhat coated with pseudo-membrane, and L. 76. presenting numerous irregular ulcers of variable depth. Private A. W., "A," 9th Missouri Cavalry. Admitted November llth, 1862, with chronic diarrhoea of six months' duration. Died. February 1st, 1863. Autopsy: Mucous membrane of t'he entire colon and rectum thickened and ulcerated ; at points the muscular coat was penetrated. Contributed by Surgeon H. Culbertson, U. S. Vols., General Hospital, Rolla, Missouri. No. 400. A portion of colon, with a few follicular ulcers and a number of somewhat extensive erosions. L. 77. Private D. McD., "F," 39th Massachusetts. Admitted, September 9th 1864, from the Army of the Potomac. Had suffered from frequent attacks of diarrhoea; during the summer had also had intermittent fever. For three weeks prior to his admission, he had been in field hospital He was emaciated and feeble; conjunctiva yellow ; tongue furred; pulse 80; abdomen flat and tender, especially over the colon; slight cough. 29th, was seized with nausea, vomiting, and increased tenderness in the abdomen. Died, September 30th. Autopsy four hours after death: Rigor mortis well marked ; both lungs firmly adherent, their apices presented several dense fibrinous spots resembling cicatrices, and contained a number of cretified tubercles, some of which were quite hard, others of a cheesy consistence ; peritonitis ; the viscera coated with patches of yellow lymph, and slightly reddened ; the recto-vesical cul-de-sac filled with a thin yellowish pus; small intestine normal, except that a diverticulum existed; large intestine greatly thickened and presented extensive irregular ulcers. Contributed by Assistant Surgeon W. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. 7«S CATALOGUE OF THE MEDICAL SECTION Chap. IV. Nos. 383 383, portion of ascending, 381, of transverse colon; the mucous membrane in both thickened, presenting and numerous large excavating ulcers, occuping a large portion of its surface; detached shreds of mucous mem- 384. brane coated with lymph hang from the edges of the ulcers. L. 78 & 79. History—(Acting Assistant Surgeon A. G. Coleman): Private E. C, 2d Battalion Veteran Reserve Corps, age 60 Came to "Surgeon's call," August 6th, 1864, complaining of diarrhoea. Had had frequent attacks of diarrhoea for the previous six months ; debilitated; complexion sallow and pale; tongue furred; pulse quick and small; skin hot and dry; thirst, anorexia, foul breath, slight nausea and eructation, flatulence, griping pains and tenesmus; the stools were from ten to fifteen a day, consisting chiefly of thin frothy mucus mixed with blood. 20th, admitted to hospital. Died, August 2."th. Autopsy : Little emaciation; lungs dry, with abundant pigment; colon extensively ulcerated, as in specimen; gall-bladder distended with thick greenish bile. Contributed by Assistant Surgeon H. Allen, U. S. Army, Fairfax Seminary Hospital, Alexandria, Va. Nos. 367 367, portion of transverse, 368, of descending colon; in both, the mucous membrane is thickened and and presents numerous large irregular ulcers. 368. Private P. D., "B," 1st Maryland, age 22. Admitted, September 20th, 1861, with chronic diarrhoea. Died, L. 80&81. September 23d Autopsy: The whole colon was soft and ulcerated, the ulcers presenting a dark greenish base ; the mucous membrane between coated with pseudo-membrane in patches. Contributed by Surgeon N. R. Moseley, U. S. Vols., Emory Hospital, Washington, D. C. Nos. 422 422, portion of transverse, 423, of descending colon, presenting large eroding ulcers which penetrate in and 422 to the muscular coat, and several of them in 423 to the peritoneum, the mucous membrane much 423. thickened. L. 82 & 83. Private C. W. A., 7th Maine Battery, age 16. Admitted, July 4th, 1864, with chronic diarrhoea. He had been suffering for five weeks; was emaciated; much debilitated, and unable to walk; tongue whitish ; appetite impaired; thirst great; pulse 90 to 100; griping pains in the bowels, with tenesmus. 6th, the pains in the bowels have disappeared ; the stools diminished from ten to twelve to seven per day. 12th, anorexia. Died, July 17th, greatly emaciated. Autopsy : Colon as in the specimens; some ulceration in lower part of ileum. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 495. Portion of transverse colon, which is thickened and presents numerous excavating ulcers, which penetrate to L. 84. the muscular coat. Private U. P., " F," 25th Wioconsin, age 45. Admitted, July 12th, 1864. Diagnosis—chronic rheumatism. Died, August 1st. Diagnosis—inflammation of bowels. Contributed by Surgeon H. Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis No. 703. Portion of rectum, much thickened, ulcerated and coated with pseudo-membrane, which in many places hangs L. 85. in shreds. Private W. B., "H," 2d U. S. Colored. Admitted, January 13th, 1866, with dysentery of four weeks' standing, contracted while on duty with his regiment in Florida ; was not. much emaciated. Died, January 20th. Autopsy: Colon thickened and ulcerated throughout; the rectum as in specimen. Contributed by Surgeon R. B. Bontecou, U. S. Vols., Harewood Hospital, Washington, D. C. NOS. 364 364, portion of ascending, 365, of transverse, and 366, descending colon, near the rectum; mucous to membrane somewhat thickened and presents numerous excavating ulcers, many of which penetrate to the 366. muscular and some even to the peritoneal coat. These ulcers appear to have extended by burrowing in the L. 86 to 88. submucous connective tissue, beneath the follicular layer; as a consequence, the latter hangs out in more or less extensive shred-like fringes, which are especially remarkable in 366. Private P. B., 27th New York Battery. Admitted, September 9th, 1861, with chronic diarrhoea. Had been sick for a long time, did not know how long, but thought it more than two months; was extremely emaciated ; twenty to thirty passages of yellowish, thin, flocculent matter daily; pulse 100 and feeble. Died, September 17th. Autopsy: Mucous membrane of colon ulcerated as in the specimens; lower Peyer's patches presented the shaven-beard appearance ; solitary glands of ileum slightly prominent. Contributed by Acting Assistant Surgeon D. L. Haight, Douglas Hospital, Washington, D. C. No. 409. Portion of descending colon, showing large, irregular ulcers, which expose the mucous coat; sloughs of dead L. 89. mucous membrane hang in shreds from the edges of the ulcers. (See Microscopical Section, Part First, VII. I. c. 17.) Private W. H. B., "I," 26th Michigan. Admitted, August 30th, 1864, from field hospital, with acute dysentery; was not greatly emaciated ; had been ill but a few days ; rapid pulse; tongue covered with a dark, dry fur; anorexia; frequent stools, consisting mostly of mucus and blood; almost constant tenesmus. September 5th, great gastric uneasiness ; ten or fifteen SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 79 offensive stools during twenty-four hours; severe pain in the abdomen, and tenesmus. 8th, involuntary discharges of large quantities of bloody mucus ; raving delirium. Died, September 9th. Autopsy eight hours after death : Emaciation slight; rigor mortis well marked; slight adhesion of right lung: pericardium contained two ounces of fluid ; right side of heart contained a large fibrinous clot; liver enlarged, soft and pale; gall-bladder distended with bile; spleen enlarged and firm, of a dark slate-color; kidneys pale; mesenteric glands enlarged; mucous membrane of ileum congested, its solitary follicles enlarged ; sloughing ulcers in descending colon, the sloughs, of dark color and faetid odor, were separating, some having already been thrown off, leaving the circular fibres of the muscular coat in view; in the transverse and descending colon, the mucous membrane had nearly all sloughed away, aud in some places the slough appeared to extend nearly or quite through the muscular coat. Contributed by Acting Assistant Surgeon 0. P. Sweet, Carver Hospital, Washington, D. C. No. 849. Portion of colon, much thickened, with jagged and extensive ulcers, at the edges of which the mucous L. 90. membrane hangs in shreds ; some adherent pseudo-membrane in those portions of mucous membrane which are not destroyed. G. W., negro, age 50. Admitted to Freedman's Hospital, August 2d, 1866. Diagnosis—chronic diarrhoea. Died, August 4th. Autopsy six hours after death : Eigor mortis marked; no emaciation ; height, five feet two and a half inches ; weight, about one hundred and thirty-five pounds ; scattered tubercles in both lungs, with adhesions anteriorly, especially the right side; edges of tricuspid valves thickened ; walls of left ventricle hypertrophied ; fibrin clots in all the cavities of heart; colon thickened, extensively ulcerated, with elevated patches of pseudo-membrane; liver hard, rounded, and with amber-colored metastatic foci in the right lobe ; gall-bladder distended ; spleen very small; cortical substance of kidneys waxy. Contributed by Assistant Surgeon E. Bentley, U. S. Army, Washington, D. C. rVo. 673. Portion of transverse colon, thickened, and presenting numerous follicular ulcers with some adherent pseudo- L. 91. membrane. Private T. F., ''B," 1st Connecticut Heavy Artillery, age 30. Admitted, September 27th, 1865, with chronic diarrhoea; was somewhat emaciated; had been sick about a month; he had from six to eight thin dark-brown stools daily, with griping pain. November 10th, extreme emaciation, with oedema of ankles and hands- Died, December 1st, Autopsy : Colon thickened and with follicular ulcers, as in the specimen; gall-bladder moderately full of bile. Contributed by Surgeon E. Bentley, U. S. Vols., Slough Hospital, Alexandria, Va. No. 666. Portion of descending colon, much thickened and coated with patches of pseudo-membrane ; many minute L. 92. follicular ulcers. Private C. C, "K," 195th Ohio, age 19. Admitted, October 10th, 1865, with chronic dysentery; evacuations frequent, painful, and scanty. Died, October 15th. Autopsy: Old adhesions of both lungs; colon thickened and coated with pseudo-membrane, as iu the specimen. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va. NOS. 138 Successive portions of colon, exhibiting numerous superficial ulcers, with scattered pseudo-membranous to patches. 138 and 139 from the ascending, 140 and 111 from the transverse, and 142 and 143 from 143. tlie descending colon. The mucous membrane is considerably thickened, especially in the descending colon. L. 93 to 98. Private H. E., "C," 5th Minnesota. Taken sick in June with intermittent fever and diarrhoea, which, sometime in July, ran into dysentery. He rallied, and was able to walk about for a week or two, but suffered a relapse, and was admitted October 10th, 1863. There was considerable oedema of lower extremities, with copious bloody stools, attended with moderate febrile action and dry tongue; subsequently the stools became dark and slimy, varying from five to twelve a day; appetite at first good, but soon failed. Died, October 31st. Autopsy: Mesenteric glands enlarged; entire tract of large intestine eroded with ulcers, many of them superficial, but some penetrating to the muscular coat; mucous membrane thickened, especially in the csecum. Contributed by Surgeon George F. French, U. S. Vols , Hospital No. 3, Vicksburg, Miss. No. 524. Portion of colon, coated with pseudo-membrane, with a few superficial ulcers. t 99 Private L. K. S., "D," 14th Connecticut, age 35. Admitted, February 12th, 1865. Diagnosis—chronic diarrhoea. Had been sick for about six months; was received by transfer from Harewood Hospital, Washington, D. C, much emaciated and very feeble; had from four to eight thin stools daily. Died, March 15th. Autopsy nineteen hours after death : Slight rigor mortis; great emaciation; omentum a mere sheet of thin membrane, no fat anywhere; adhesion of free extremity of vermiform appendix to peritoneum, just under umbilicus; the sigmoid flexure in left hypochondrium; adhesions in vicinity of caput coli; left kidney found in front of the promontory of the sacrum, its hilum upon its upper anterior surface ; renal artery given off from bifurcation of aorta; spermatic arteries arose about an inch above bifurcation of aorta; spleen small and corrugated; liver small; the whole extent of mucous lining of intestine soft and thin; numerous roundish ulcerated patches in ascending colon. Contributed by Surgeon P. A. Jewett, U. S. Vols., Knight Hospital, New Haven, Conn. 525, chap. V., sec. 1, A. 10, anomalous position of kidney, is also from this case. 80 CATALOGUE OF THE MEDICAL SECTION Chap. IV. No. 360. Portion of descending colon, the surface of which is thickly covered with pseudo-membranous lymph. L. 100. When fresh the pseudo-membranous layer was of a bright yellow color, and the livid crimson mucous membrane could be seen in patches. (See Microscopical Section, Part First, VII. I. c. 22.) The patient was admitted September, 1864, in a dying condition, aud expired shortly after his admission. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Douglas Hospital, Washington, D. C. Nos. 223 Three successive portions of colon, with the mucous membrane greatly thickened and covered withapseudo- to membranous layer. In 224 and 225 there are many follicular ulcers, which, in three or four patches, have 225. extended into vast eroding excavations, the largest one and a half inches by one inch. L. 101 to 103. Private J. G. B., " F," 37th Mass-aehusetts. Had diarrhoea slightly for some months. December 27th, 1862, was attacked with measles and a severe cough, with cessation of the diarrhoea; while convalescing from this attack he suffered two relapses, on account of exposure, and entered hospital February 15th, 1863, quite weak, with some cough and a diarrhoea which had recently come on. His appetite was fair; tongue clean and moist; pulse 114. There was no special change until the 20th, when he began to sink, and died February 22d. Autopsy twenty-seven hours after death : Body emaciated ; rigor mortis slightly marked ; abdomen collapsed ; muscles pale; right lung exhibited scattered yellow tubercles in the upper and middle lobes, with muco-pus in the bronchial tubes ; left lung presented one cavity in the upper lobe as large as a hen's egg, with a number of smaller ones from the size of a pea to that of a hazel-nut; these cavities had yellow opaque walls about one line in thickness ; there were some yellow tubercles in this lung, and its lower edge was oedematous; bronchial glands hard, enlarged and filled with black pigment; heart small; liver showing a marked difference between the red and yellow portions, the latter being comparatively large and pale; stomach contained a thin mucus mixed with bile, but its mucous membrane and that of the duodenum and jejunum was normal; mesenteric glands small and pale; Peyer's glands normal; small intestine smeared over with thick adhesive mucus stained with greenish-yellow bile, which was darker in the lower part of the jejunum, but lighter through the ileum; one or two small ulcers near the ileo-caecal valve; colon contained thin yellow faeces ; throughout its whole length the mucous membrane was greatly thickened, with patches of pseudo-membrane; the descending colon and rectum presented numerous ulcers of various sizes from one-fourth of an inch to two inches in diameter, the membrane being softened, thickened and undermined lor some distance around the margin of the large ulcers. Contributed by Surgeon C. Page, U. S. Army, Judiciary Square Hospital, Washington, D. C. See plate opposite. No. 382. Fibrinous cast, fourteen inches long, from the rectum, composed of ordinary croupous lymph. L. 104. Private W. H. M., " B," 4th California, age 35. Attacked with diarrhoea while marching from Fort Mojave, Arizona Territory, to Drum Barracks, December llth, 1863. The attack was mild and he continued on foot for two days. The attack passed into dysentery, with bloody mucus in the faeces, on the third day; on the seventh day, retention of urine. On reaching Los Angelos, December 24th, he was suffering from retention of urine, frequent discharges of bloody mucus, with painful tenesmus, accompanied by prolapsus of the rectum. Admitted to Drum Barracks, December 28th. The cast was found in his bed, January 1st, 1864. Catheterism was continued up to January 18th, when he was able to void water without the instrument. February 3d, he was able to leave his bed and walk about, without assistance ; the diarrhoea subsequently returned, and the patient died April 25th. Contributed by Surgeon S. S. Todd, 4th California, Drum Barracks, California. No. 284. Portion of colon, with its mucous membrane greatly thickened, and numerous irregular deep ulcers, some L. 105. of them penetrating to the peritoneal coat. The patient died of diarrhoea during the winter of 1862. Contributed by Assistant Surgeon Warren Webster, U. S. Army, Douglas Hospital, Washington, D. C. No. 448. A portion of descending colon, presenting large, deep and irregular ulcers. L. 106. Private D. S., "F," 2d New York Heavy Artillery. Admitted from the Army of the Potomac, September 9th, 1864, with chronic diarrhoea; was much emaciated, and, in addition to the usual symptoms of the advanced stage of chronic diarrhoea, had jaundice and frequent bilious vomiting. The abdomen was flat and tender; there was stupor, low delirium and involuntary stools. Died, September 17th. Autopsy: Body emaciated; intensely jaundiced; mucous membrane of colon greatly thickened throughout and presented numerous large, irregular, ragged ulcers, most of which involved the muscular coat; at the caput coli a perforation the size of a dime; peritoneum roughened; colon adherent to the right lobe of the liver for an extent of two inches; liver contained numerous metastatic foci, from a quarter to half an inch in diameter, which were chiefly situated in the right lobe and on the course of the branches of the portal vein; many of them contained a small drop of yellow fluid in the centre, consisting, as seen under the microscope, of disorganized liver tissue, granular matter and fat globules, but no pus. Contributed by Assistant Surgeon Wm. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. 449, chap. IV., sec. 5, D. 3, metastatic foci in liter, is also from this case. No. 43. Portion of caecum, with large, irregular, superficial ulcers, one of which has perforated. The mucous L. 107. membrane hangs in shreds from the edges of several of the ulcers. Private W. F. E., " H," 6th Maine, age 24, American. Admitted, August 10th, 1862. Diagnosis—debility supposed to be convalescent from typhoid fever; had diarrhoea. Died, August 19th, suddenly, without symptoms of peritonitis! SeC. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 81 Autopsy: Body very much emaciated; skin of trunk somewhat ecchymosed; bed-sores on hips; about a gill of liquid in pericardium ; stomach contracted and empty, some of the rugae along its greater curvature highly injected ; mucous membrane of ileum inflamed in patches from a few inches to a foot or more in length; Peyer's glands thickened some of them reddened by inflammation, but none ulcerated; solitary glands inconspicuous; mucous membrane of colon slate-colored with small red inflamed patches : italso presents a number of large ulcers, extending to tbe muscular coat; one of these,within the cecum" had perforated; the perforation appears to have occurred just previous to death, as it had not given rise to peritonitis, except some injection of the peritoneum in the immediate vicinity of the aperture in the right iliac fossa. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. NO. 618. Portion of caecum, with ileo-caecal valve and lower part of ileum; a perforating ulcer in the caecum. L. 108. Private C. B. K., 10th Wisconsin Battery, age 32. Admitted, January 10th, 1865, with diarrhoea, extremely irritable stomach, and pain in the right iliac fossa. About the third day after admission low fever set in, with muttering delirium at night. Died, January 17th. Autopsy: Body emaciated; hepatization of lower lobes of both lungs; in right iliac region peritoneal adhesions, which gave way on traction, exhibiting a perforation in the csecum; escape of fecal matter into the abdominal cavity had been prevented by the adhesions; there was an abscess beneath the right iliac fascia containing about two ounces of dark-colored offensive pus; lower third of ileum and the colon presented inflammatory spots, with softening and ulceration of the mucous membrane; liver enlarged and congested. Contributed by Assistant Surgeon George M. McGill, U. S. Army, National Hospital, Baltimore, Md. No. 322. Portion of ascending colon, thickened, and presenting a number of ragged and irregular ulcers, two of which L. 109. have perforated. Private F. G., "K," 8th Illinois Cavalry, age 27, German. Admitted, May 6th, 1864. Had been under treatment in camp with diarrhoea, alternating with constipation; breath very offensive; obstinate diarrhoea supervened, with fever of an adynamic type. This state continued with anorexia and emaciation till May 18th, when hemorrhage from the bowels set in. Died, May 23d. Autopsy: Mucous membrane of small intestine softened and ulcerated in patches; mucous membrane of colon, from the caecum to the rectum, ragged with irregular ulcers, were several perforations. Contributed by Surgeon A. Hard, 8th Illinois Cavalry, Washington, D. C. NOS. 329 329, portion of ileum, taken from just above the ileo-caecal valve, presenting a few superficial ulcers. to 330, portion of transverse colon of same patient, presenting several ulcers, which penetrate to the muscular 331. coat. 331, portion of the descending colon of same patient, similar to the transverse colon; two of the L. 110 to 112. ulcers have perforated. Musician T. B., 2d Pennsylvania Heavy Artillery. Admitted, July 25th, 1864, with diarrhoea, in an extremely exhausted condition. Died, July 30th. Contributed by Assistant Surgeon H. Allen, U. S. Army, Fairfax Seminary Hospital, Alexandria, Va. NOS. 602 602, portion of transverse colon, thickened, and presenting on the mucous surface, a number of cysts and of about the size of peas, with a few ulcers corresponding to ruptured cysts. 603, a portion of descending 603. colon of the same patient, presenting a few smaller cysts, with several cicatrices of former ulcers. When L. 113 & 114. received at Ihe Museum, the colon was of a pale cream-color, with livid bluish discolorations around the cysts. The cysts contained a semi-transparent yellowish matter, resembling calves-foot jelly; with the microscope, a few delicate nucleated cells were observed embedded iu this material. Private T. K. "E," 28th Massachusetts, age 29, Irish. Admitted, April 18th, 1865, with gunshot fracture of thigh, received near Petersburg, Va., March 25th. May 10th was attacked with diarrhoea, with mucous stools, which continued till death. Died, July 30th, of erysipelas of the thigh, terminating in gangrene. (Amputation had not been performed.) Autopsy eight hours after death: Rigor mortis well marked; tubercles at the apices of both lungs ; left lung coated with recent lymph; small intestine normal ; colon as in specimen. Contributed by Acting Assistant Surgeon G. K. Smith, Armory Square Hospital, Washington, D. C. See Surgical Section, 1105, XIII. A. B. b. 77. N'OS. 465 465, portion of ileum, taken from near the middle, with enlargement of the solitary follicles and slight and thickening of Peyer's patches. 466, portion of the transverse colon of the same patient, presenting several 466. small ulcers; near the right edge of the piece, below the middle, are several ulcers in different stages of L. 115 & 116. cicatrization. (See Microscopical Section, Part First, VII. I. C. 15 and 16.) Private L. S., '"A," 186th New York. Admitted, December 1st, 1864. Diagnosis—typhoid fever. Said he has had diarrhoea several months. Died, December 10th. Autopsy: Ileum, with patches of congestion and enlarged solitary follicles, with slight thickening and pigment deposit in Peyer's patches; near the ileo-caecal valve some ulceration of the solitary follicles ; in the ileum, about three aud a half feet from ileo-caecal valve, an intestinal diverticulum two and a half inches long; colon ulcerated, especially at its extremities; in transverse colon several of the ulcers were cicatrizing. Contributed by Acting Assistant Surgeon W. C. Miner, General Hospital, Alexandria, Va., Third Division. 11* 82 CATALOGUE OP THE MEDICAL SECTION Chap. IV. M, Tubercular ulceration of intestines. No. 692. A portion of ileum, taken at the ileo-caecal valve, with tubercular ulceration of Peyer's patches and of some M. 1. of the solitary follicles ; on the peritoneal surface of the piece, especially opposite the ulcers, are several small tubercles. See 691, chap III., sec. 2, D. 7, for history. No. 774. Portion of ileum, with several small tubercular ulcers ; the villi around the edges of the ulcers hypertrophied ; M. 2. tubercular deposits on peritoneal surface opposite the ulcers. R. F., mulatto, age 33. Admitted, February 3d, 1866, with phthisis. Died, March 29th. Autopsy twenty hours after death: Height, six feet; weight, about one hundred and sixty pounds; rigor mortis well marked; no emaciation; membranes of brain slightly congested ; tubercles in both lungs, especially the right, which contained several vomicae and was coated with croupous lymph; lower lobe of left lung hepatized; six ounces fluid in right pleural cavity, four ounces in left; pericardium contained five ounces of serum; heart fatty; aorta atheromatous; liver and spleen contained a few miliary tubercles ; kidneys fatty; a number of large scooped tubercular ulcers in the ileum, with deposits of tubercle on the peritoneal surface opposite; a few tubercular ulcers in colon. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 776. Portion of ileum, from just above the ileo-caecal valve, with numerous tubercular ulcers on the mucous coat; M. 3. tubercular deposits on the peritoneal surface. A. G., mulatto woman, age 18. Admitted, July 5th, 1865. Diagnosis—jaundice. August 23d, acute pneumonia supervened. 26th, pain on pressure over whole abdomen; bowels constipated. 30th, diarrhoea, with typhoid symptoms. September 6th, weak ; pulse 110; headache; sleepless; bowels constipated. October 17th, coughing frequently; colliquative night-sweats. March 3d, 1866, diarrhoea; extreme emaciation; too weak to sit up; little appetite. Died, March 30th. Autopsy thirty-five hours after death: Height, five feet five inches; weight, one hundred and ten pounds; rigor mortis 'partial; extreme emaciation; bed-sores on buttocks; membranes of brain congested; both lungs contained many tubercles; large vomicae in left lung; left lung adherent; sixteen ounces of serum in right pleural cavity; bronchial glands enlarged and tubercular; pericardium contained six ounces of serum; heart somewhat fatty; nutmeg liver, containing many miliary tubercles; gall-bladder full of viscid bile ; spleen contained many crude tubercles ; mesenteric glands tubercular, very much enlarged, some the size of a hen's egg; tubercles in both kidneys; an ulcer near the pyloric orifice of stomach ; mucous coat thickened; a large number of tubercular ulcers throughout small intestine; opposite to each ulcer, on the peritoneal surface, numerous tubercles; mucous membrane of colon much thickened and presented numerous tubercular ulcers. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 551. Piece of ileum, taken from just above ileo-caecal valve, showing a number of tubercular ulcers. Ou the M. 4. peritoneal surface, opposite to the principal ulcer, can be seen several minute tubercles. See 552, chap. II., sec. 3, B. 3, for history. No. 674. Portion of ileum, taken from near tbe ileo-caecal valve, showing a Peyer's patch, which is moderately M. 5. thickened, and presents a considerable number of distinct tubercular ulcers. S. G., mulatto, age 31. Admitted, September 5th, 1865, with phthisis. Died, December 17th. Autopsy sixteen hours after death: Height, five feet three inches; weight, about one hundred and twenty pounds; some emaciation; rigor mortis well marked ; both lungs contained numerous tubercles, with vomicae in the upper lobes, upper portion of both adherent—these conditions being most decided on the right side; firm white clot in both ventricles of heart, extending into the greafr vessels; congestion of mucous membrane of stomach, duodenum and jejunum; Peyer's patches slightly thickened, with a number of separate ulcers in each patch, the extent of the lesion increasing iu the lower portion of the ileum ; colon distended with faeces, its mucous membrane ulcerated; liver and spleen small; kidneys fatty From Freedman's Hospital, Washington, D. C Autopsy by Hospital Steward S. S. Bond. No. 798. Portion of ileum, with small tubercular ulcerations of mucous membrane, and tubercles on peritoneal M. 6. surface opposite the ulcers. A negro woman. Died, May 16th, 1866. No history. Autopsy: Height, five feet; weight, one hundred pounds; slight emaciation; membranes of brain finely congested ; both lungs adherent, containing numerous tubercles; a cavity the size of an orange in upper lobe of right lung; two large cavities and several smaller in upper lobe of left lung; pericardium contained a pint of serum ; heart somewhat fatty; liver, extending Sec. 3. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 83 down to umbilicus, presented the nutmeg appearance, and extremely fatty; gall-bladder full of bile; numerous tubercular ulcers throughout both large and small intestine, with tubercular deposits on the peritoneal surface opposite the ulcers; fallopian tubes enlarged and contained a cheesy matter. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 799, chip. V., sec. 5, C. 1, fallopian tube.s distended and filled with cheesy mutter is also from this case. No. 612. Portion of ileum, taken from near its middle, showing a Peyer's patch, seven inches long, completely M. 7. destroyed by tubercular ulceration; on the peritoneal surface of the piece a number of tubercles can be observed, some of them the size of bird-shot. See 611, chap. III., sec. 2, E. 5, for history. No. 808. Portion of ileum, with tubercular ulceration of Peyer's patches; tubercular deposits on the peritoneum M. 8. opposite the ulcers. J. E., light mulatto, age 20. Admitted, May 3d, 1866. Died, May 4th. Autopsy twenty-eight hours after death: Height, six feet; weight, one hundred and fifty pounds ; rigor mortis partial; some emaciation; small flat osteophytes on inner surface of calvarium; membranes of brain congested; both lungs adherent, filled with tubercles; numerous vomicae in upper portions; four ounces fluid in each pleural cavity; liver fatty; gall-bladder contained half an ounce of bile ; spleen lobulated; kidneys fatty ; extensive tubercular ulceration of small and large intestines, with deposits of tubercle on peritoneal surface opposite the ulcers. From Freedman's Hospital, Washington, D, C. Autopsy by Hospital Steward D. S. Lamb. 809, chap. VI., sec. 2, No. 3, small flat osteophytes on inner surface of calvarium, is also from this case. No. 725. Portion of ileum and caecum, with tubercular ulcers; a few tubercles on the peritoneal surface of the ileum. M. 9. M. S., mulatto woman. Admitted, January 31st, 1866, with phthisis. Died, February llth. Autopsy thirty-six hours after death: Age, about 30; height, five feet five inches; weight, about one hundred and thirty pounds; not much emaciation ; rigor mortis well marked in lower extremities, very slight in upper ; bed- sore on right buttock; numerous osteophytes in Pacchionian granulations ; right lung firmly adherent and filled with tubercles; its upper lobe hepatized, middle lobe emphysematous, lower lobe congested; left lung firmly adherent; both lobes contained large vomicae ; whole lung filled with tubercle and hepatized ; left pleural cavity contained about a pint of serum ; pericardium contained six ounces of serum; abdominal cavity filled with serum; tubercular ulcers in small intestine and colon; liver fatty, firmly adherent at all points by fibrinous bands; gall-bladder contained half an ounce of yellow bile; kidneys fatty; right kidney somewhat lobulated and presenting a number of cysts. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 726, chap. V., sec. 1, C. 13, cysts of kidneys, is also from this case, Nos. 214 244 to 260, a series of pieces taken successively from high in the jejunum to near the ileo-caecal valve, to with numerous ulcers, most of which are associated with tubercles of the peritoneum, and have their long 261. diameter transverse to the length of the intestine. 261, portion of the colon of the same patient, thickened, M. 10to27. ulcerated, and presenting pseudo-membranous patches. Private A. Y., "K," 3d Vermont, age 23, American. Admitted, August 10th, 1862. Diagnosis—rheumatism Died, September 15th. Diagnosis—tuberculosis and diarrhoea. Autopsy: Body much emaciated, with an ecchymosed condition of the skin about the pit of the stomach; right lung with adhesions of an old pleurisy, tubercular deposit in its apex, and tubercular masses, from the size of a cherry-stone to that of a peach-stone, some of them softening in the centre, scattered through its substance ; left lung with old adhesions at its back part and containing about twenty tubercular masses from the size of a cherry-stone to that of a shell-bark; heart pale, devoid of fat; liver dull-brown; stomach moderately contracted; its mucous membrane presenting a few slightly injected patches; mesenteric glands much enlarged, with tubercular deposits; intestines contracted, with inflammation of the mucous membrane from the duodenum to the anus; there were patches of tubercles in the peritoneum beneath the position of every Peyer's gland; the tubercles were opaque, white, and about a line in diameter; the Peyer's glands were all ulcerated and surrounded by thick hardened edges; circumscribed peritonitis accompanied the patches of tubercles; similar patches, with ulcers of the mucous membrane, were exhibited high up in the jejunum; inflammation of the mucous membraue of the colon (most acute at the two extremities) was associated with a number of ulcers, patches of pseudo-membrane, desquamated epithelium, and blackened solitary glands. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. NOS. 482 482, piece of the upper part of jejunum, presenting three small tubercular ulcers. 483, piece from the to upper part of ileum of same patient, with a large oval tubercular ulcer, the long diameter of which is transverse 487. to the gut. 484, piece from the lower part of ileum of same patient, with a Peyer's patch, which is the seat M. 28to33. of three small tubercular ulcers. 485, piece of ileum, with ileo-caecal valve and part of the caecum of same patient; a transverse ulcer just above the valve; ulcers iu the caecum. 486, the vermiform appendix of same patient, deeply ulcerated. 487, piece of transverse colon of same patient, presenting several ulcers. See 480, chap. III., sec. 2, E. 6, for history. 84 CATALOGUE OF THE MEDICAL SECTION Chap. IV. Nos. 677 677, portion of ileum, presenting a somewhat thickened Peyer's patch, in which are a considerable number t© of minute ulcers. 678, portion of ileum of same patient, taken from near the ileo-caecal valve, with a part 679. of the caecum attached ; the large Peyer's patch just above the valve presents a considerable number of small M. 34 to 36. ulcers; some of the solitary follicles are also ulcerated; when fresh, the solitary follicles and the Peyer's patches were the seat of black pigment deposit; the ulcers in this piece and 677 are quite minute and have elevated edges. 679, portion of colon of same patient, somewhat thickened, in which the solitary follicles, which are slightly enlarged, were the seat of black pigment deposit. M. B., mulatto woman, age 36. Admitted, December 17th, 1865. Diagnosis—consumption and anasarca. Died, December 27th. Autopsy thirty hours after death : Height, five feet five inches; weight, about ninety pounds; great emaciation; rigor mortis well marked; membranes of brain congested; tubercles in both lungs; right lung firmly adherent, and with cavities in its upper lobe; left lung slightly adherent, its lower lobe in a state of gray hepatization; four ounces of fluid in right pleural cavity; three ounces of serum in left pleural cavity; pericardium contained two ounces of clear serum; white fibrinous clots in all the cavities of heart; kidneys fatty; duodenum slightly congested, with solitary follicles enlarged, and a few ulcers; enlargement and ulceration of solitary follicles of jejunum and ileum, with thickening of Peyer's patches, which presented the shaven- beard appearance, and numerous distinct pin-head ulcers with elevated edges ; solitary glands of colon filled with pigment, a few ulcerated; uterus about double its natural size. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. Nos. 428 428, piece of upper portion of jejnnum, presenting near its middle a large ulcer, the long diameter of which to is transverse to the length of the intestinal canal. On the peritoneal surface opposite the ulcer are a number 431. of small tubercles. 429, a piece taken from high up in the ileum of the same patient, with two similar ulcers. M. 37 to 40. 430, from just above the ileo-caecal valve, presents a slightly thickened Peyer's patch, in which are a number of small ulcers, and several small isolated ulcers connected with the solitary follicles. The villi throughout the small intestine were hypertrophied. 431, a portion of caecum with vermiform appendix. An irregular ragged ulceration surrounds the orifice of the appendix, the mucous membrane of which is ulcerated throughout; the caecum presents a number of large irregular ulcers. See 432, chap. II., sec. 3, B. 4, for history. Nos. 463 463, piece from upper portion of ileum, presenting near its centre a group of small, irregular ulcers; a and number of minute tubercles on the peritoneal surface opposite the ulcers. 464, rectum with part of the skin 464. surrounding the anus; the mucous membraue thickened aud presents numerous small follicular ulcers; in the M. 41 & 42. skin, close to the anus, two small fistulous orifices communicating with an abscess-cavity rather larger than a walnut, which is situated in the areolar tissue just outside of the sphincter ani. Private M. C, 2d Battalion Veteran Reserves. (Transferred to this Corps for amputation of left arm.) Admitted, August 25th, 1864, with diarrhoea; there was nausea, griping and eight to twelve feculent passages daily. Some weeks later he complained of cough and pain in upper part of left side of chest. There was dullness on percussion over the upper part of left lung, with rude respiration and slight mucous rale. The diarrhoea,.meanwhile, continued with five or six passages daily. He began to emaciate, became low spirited, lost appetite and took to his bed. About two weeks before his death, an abscess formed near the anus, which opened after a few days, discharging a thick dark pus. Died, December 13th. Autopsy: Great emaciation ; pericardium filled with serum mixed with lymph ; both lungs contained tubercles and vomicae, the upper part of the left lung being most exteusively diseased; liver aud kidneys fatty ; mesenteric glands enlarged; small intestine presented numerous ulcers similar to those in the specimen; mucous membrane of the colon thickened and presenting numerous ulcers ; vermiform appendix adherent to upper part of rectum, and the cavities of the two communicated through an ulceration; near the anus the abscess above described. Contributed by Acting Assistant Surgeon W. C. Miner, General Hospital, Alexandria, Va., Third Division. Nos. 771 771. A portion of ileum from just above the ileo-caecal valve, showing tubercular ulceration of the last and Peyer's patch and of several of the solitary follicles. 772, a portion of rectum, with patches of superficial 772. ulceration, covered with thick pseudo-membrane. M. 43 & 44. See 773, chap. III., sec. 2, D. 8, for history. No. 720. Portion of transverse colon, showing a number of minute follicular ulcers; near the middle of the piece is a M. 45. large tubercular ulcer, running obliquely to the axis of the gut; on the peritoneal surface opposite the uicer a considerable number of tubercules; a few minute ones scattered on other portions of the peritoneal surface. F. W., mulatto boy, age 14. Admitted, May 24th, 1865, suffering from scrofulous ophthalmia. Symptoms of phthisis first noticed about the middle of October. Died, February 4th, 1866, of profuse and sudden haemorrhage from the lungs. Autopsy twenty-two hours after death: Height, four feet nine inches; weight, about eighty pounds; some emaciation; rigor mortis well marked ; both lungs adherent, filled with tubercles and presenting a number of small vomicae, in upper lobe of left lung a large one; three ounces of serum in right, one ounce in left pleural cavity; bronchial glands very much enlarged ; heart somewhat fatty; eight ounces of fluid in pericardium; liver adherent, its anterior surface coated with lymph, on section fatty, congested, and contained some tubercle; spleen adherent aud filled with tubercle; mesenteric glands much enlarged; Sec. 3. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 85 two large tubercular ulcers in the ileum near the ileo-caecal valve; the rest of the small intestine normal; a few of the solitary follicles of caecum enlarged ; in ascending colon one large tubercular ulcer, involving the mucous and muscular coats; on the peritoneal surface opposite the ulcer were numerous tubercles; a similar uleer in the transverse colon, but much larger ; with these exceptions, the large intestine was normal; abdominal cavity filled with serum, and intestines slightly adherent to abdominal peritoneum. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 721, chap. IV., see. 4, E. 2, tubercles of the omentum, is also from this case. N. Parasites in intestinal canal. No. 411. A lumbricoid worm, vomited by Private G. C. H., "A," 8th New York Heavy Artillery. N. 1. Contributed by Acting Assistant Surgeon John Morris, Lincoln Hospital, Washington, D. C. No. 47. Taenia solium, about twenty-five feet long, with the head. N. 2. Private J. J. B., "F," 96th New York, age 29. First saw the joints in his stools about three months before admission; had, on an average, three stools daily, passing about ten joints, half an inch long, at each stool; very little emaciation; appetite variable; vomited, while in hospital, several lumbricoid worms. The specimen was voided after the use of turpentine and castor oil. Contributed by Acting Assistant Surgeon J. F. Kennedy, Seminary Hospital, Washington, D. C. No. 48. Taenia solium, nine separate individuals, each varying from two to five feet long, none of them with the head. N. 3. Private J. H. O., U. S. A., age 25, American. Stated that three years previously, while in Texas, lie first noticed segments of taenia in his evacuations; had passed, at various times, large quantities of worm, the longest segments about twenty five feet in length. Contributed by Assistant Steward J. F. Cramer, Judiciary Square Hospital, Washington, D. C. No. 49. The specimen consists of two portions taenia solium, one fifteen, the other one foot long. No history. N. 4. Contributed by Surgeon Geo. F. French, U. S. Vols., Hospital No. 3, Vicksburg, Miss. No. 413. Incomplete taenia solium, nine feet four, inches long. N". 5. Sergeant J. E. E., "E," 10th New Jersey, age 28. Anthelmintic—pumpkin seeds. Contributed by Acting Assistant Surgeon Wm. E. Sparrow, Alexandria, Va. ]\0. 115. An incomplete taenia solium, twenty-five feet in length—no head; passed by the officer who presented it, N. 6. in July, 1864. Anthelmintic—pumpkin seeds. Dr. W. first noticed the symptoms produced by the presence of the worm in 1855, while serving in the East with the British Foreign Legion. Symptoms were paleness of the face and lips; alternate loss and excess of appetite; vomiting in the morning; bloating of the abdomen, with sensations of contraction of the throat, and a peculiar feeling as if some foreign body were moving in the bowels. Anthelmintics had hitherto failed to afford permanent relief. Contributed by Acting Assistant Surgeon Iwanoff Willentski. General Hospital, Alexandria, Va., Second Division. No. 775. Fragment of taenia solium, four and a third feet long—no head; passed by Private J. E , "F," 1st U. S. If. 7. Veterans, age 30, who had been suffering for some time with symptoms of tapeworm, and hud passed numerous fragments. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Fort McHenry, Baltimore, Md. No. 814. Upper extremity of taenia solium, four feet long. For head of the specimen, see Microscopical Section, Part N. 8. First, XV. A. a. 1. Private A. V., " F," 3d Battalion, 16th U. S Infantry, German. In February, 1865, at Carthagena, Spain, was attacked with abdominal pains and passed about five feet of tapeworm. Was then 23 years old, aud had previously enjoyed good health. Had a similar attack iu London, in November, 1865, and again at Sibley Barracks, April 12th, 1866. July 9th, passed the specimen. Anthelmintic employed—pumpkin seeds. Contributed by Acting Assistant Surgeon A. I. Comfort, Sibley Barracks, Nashville, Tenn. No. 832. Taenia solium, six feet long, expelled from the bowels of a soldier of the 3d Battalion, 16th U. S. Infantry, N. 9. Sibley Barracks, Nashville, Tenn. The head and a few of the adjacent segments are preserved for microscopical examination. (See Microscopical Section, Part First, XV. A a. 1.) Contributed by Acting Assistant Surgeon A. I. Comfort, Sibley Barracks, Nashville, Tenn. 86 CATALOGUE OF THE MEDICAL SECTION Chap. IV. No. 50. Two pieces of taenia lata, measuring together about thirty-five feei—no head; passed by H. K., who had N. 10. been voiding segments of the worm for about a year. Contributed by Acting Assistant Surgeon J. E. Wilson, Jackson Hospital, Memphis, Tenn. No. 51. Several pieces of taenia lata, in all eighty feet long. N. 11. No history. Contributed by Medical Storekeeper H. Stevens, U. S. Army, Memphis, Tenn. Section 4. PERITONEUM AND OMENTUM. A. Atrophy of omentum. No. 734. Portion of transverse colon, from which hangs the greater omentum, condensed into an oval cord, about an A. 1. inch and a half in diameter and twelve inches long, terminating below in an irregular fringe. The patient died of ascites due to chronic peritonitis. Folds of small intestine found glued together by close adhesions ; thoracic viscera, liver, spleen and kidneys healthy, Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va. B. Abscess. No. 453. Portion of transverse colon, presenting two perforations communicating with a large irregular abscess-cavity B. 1. lying between colon, stomach and liver. Major J. L., 185th New York. Admitted, November 18th, 1864, from Division Hospital at front. Diagnosis— remittent fever. Stomach very irritable, with frequent vomiting, but no abdominal tenderness. 23d, swelling over left lobe of liver; not tender on pressure; subsided next day, and patient commenced vomiting large quantities of offensive greenish liquid; copious stools of a bloody slime mixed with pus. December 1st, a careful examination detected no abdominal tender- ness. Died, December 3d. Autopsy : Eight lung adherent to walls of chest; stomach filled with dark green fluid ; left lobe of liver adherent to trans- verse colon, stomach, and omentum; abscess-cavity of some size situated on under surface of liver near transverse fissure, between liver, colon aud stomach, which had discharged by two orifices into transverse colon and also into abdominal cavity ; intestines contained much thick viscid pus; pus also found in peritoneal sac. Contributed by Surgeon W. L. Faxon, 32d Massachusetts, Depot Hospital, 5th Army Corps, City Point, Va. c, Peritoneal adhesions. No. 784. Knuckles of ileum, presenting old and fully-formed adhesions. C. 1. See 783, chap. II., sec. 1, H. 4, for history. No. 715. Small portion of anterior edge of spleen and portion of left lobe of liver, attached to each other by well- C. 2. organized false membrane. Both organs were considerably enlarged. C. G., light mulatto, age 13. Admitted, October 13th, 1865, with acute diarrhoea, cough, and oedema of face and extremities. Died, January 17th, 1866. Autopsy sixteen hours after death: No rigor mortis; height, five feet; weight, about ninety pounds; emaciation extreme; two ounces of serum beneath arachnoid; abundant pigment and a large quantity of tubercle in both lungs; twelve ounces serum in right pleural cavity, four ounces in left; white clots iu all the cavities of the heart; liver weighed fifty-two ounces, and contained scattered tubercles; spleen lobulated, weighed twenty-two ounces ; liver and spleen adherent by their anterior edges as in specimen; abdominal cavity distended with serum. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. Ko. 806. Section through abdominal viscera, showing intestines bound together by well-developed adhesion,-!, C. 3. See 807, chap. III., sec. 2, B. 1,for history. SeC. 4. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 87 No. 651. Perpendicular section through abdominal viscera, showing intestines adherent to each other, and mesenteric C. 4. glands greatly enlarged, the whole forming a solid mass. History—(Acting Assistant Surgeon J.B.Young): Private W. E., "F," 3d Georgia Cavalry, (Eebel,) age 36. Admitted, November 29th, 1864. Diagnosis—scurvy. Had had diarrhoea, which disappeared before admission; complained of dyspnoea ; intercostal spaces prominent; abdomen distended. Died, January 3d, 1865. Autopsy: Miliary tubercles in both lungs; considerable effusion in both pleural cavities; abdomen distended with much serum; viscera inter-adherent by well-developed fibrous tissue. Contributed by Surgeon Wm. Watson, U. S. Vols , Post Hospital, Bock Island, 111. No. 731. Portions of left lobe of liver and of spleen adherent together; scattered tubercles in substance of liver and on C. 5. its under surface ; large tubercles stuff the spleen; convex surface of each organ coated with pseudo-membrane. A young colored girl who died about two weeks after delivery. Autopsy: Thoracic and abdominal viscera glued together by inflammation into a solid mass; lungs and spleen stuffed with cheesy tubercles; liver and kidneys presented a few tubercles scattered through their substance; the peritonitis was associated with tubercle on peritoneal surface of viscera, and was most developed in upper part of abdominal cavity. Contributed by Surgeon E. Bentley, U. S. Vols., Alexandria, Va. 732, chap. V., see. 1, D. 1, tubercles of kidneys; 733, chap. V., sec. 5, D. 3, womb two weeks after delivery, are also from this case. Nos. 562 562, perpendicular section through abdominal viscera, about three inches to the right of median line, and showing several knuckles of intestine closely adherent to each other, to liver, and to greater omentum. 563, 563. section through abdominal viscera, about three inches to left of median line, of same patient; on one side of C. 6 and 7. upper part of specimen is the spleen, which contains a number of tubercles ; on the other side, a portion of greater curvature of stomach; the greater omentum is much thickened, and between its posteiior surface and the small intestines a cavity exists, which was found filled with pus; except this cavity, all the abdominal viscera were adherent to each other. Private J. E., "D," 31st U. S. Colored. Admitted, April 5th, 1865, by transfer from David's Island, New York Harbor. Very weak; suffering from pain in abdomen; cough; anorexia; some fever; mind clear; abdomen swollen, quite hard at its upper part, and fluctuation, due to liquid effusion, at its lower part. Fever increased; patient became delirious in a few days ; moaned and screamed continually; refused food and medicine; had involuntary evacuation of urine and faeces. Died, April 10th. Autopsy: Abdominal viscera in the condition described ; no record of state of thoracic viscera. Contributed by Acting Assistant Surgeon W. B. Casey, Knight Hospital, New Haven, Conn. No. 553. Perpendicular section through liver, transverse colon and small intestine on right side, the several viscera C. 8. and omentum bound together by old adhesions. History—(Acting Assistant Surgeon L. Heard): Private J. N., "B," 23d U. S. Colored, age 20. Admitted, August 9th, 1864, from City Point, Va., with amputation of left arm in middle third for gunshot fracture received before Petersburg, Va., July 30th. December 22d, stump was healed and patient appeared in good condition. February 20th, 1865, intermittent fever set in. March 1st, chills and fever had disappeared; appetite improved; tongue slightly furred ; bowels regular; pulse 80 and of fair strength; abdomen slightly swollen, tense, and tender on pressure. 10th, patient about the same; able to walk about; had no cough. 25th, gradual loss of muscular strength; progressive emaciation ; otherwise the same. He continued to lose ground gradually; appetite failed ; pulse grew smaller, weaker and more frequent. Died, May 3d. Autopsy: Lower lobe of right lung coated with yellow lymph, a few tubercles the size of beans in its upper lobe, cheesy mass the size of a walnut in lower lobe; miliary tubercles in left lung; pericardium distended with serum ; nutmeg liver; fatty kidneys ; abdominal viscera inter-adherent, as in specimen. Contributed by Acting Assistant Surgeon W. C. Miner, L'Ouverture Hospital, Alexandria, Va. JJ. Connective tissue growths. No. 53. A spherical tumor, three-fourths of an inch in diameter, attached by a small peduncle one-half inch long to D. i_ peritoneal surface of ileum, and composed of connective tissue with irregular calcareous deposits, giving it a bone-like hardness. Private E.L., "F," 92d Illinois, age 21, American. Admitted, October 17th, 1863, with chronic diarrhoea. Died, November 13th. Autopsy: Great emaciation ; pleuritic adhesions on left side; a few hard calcareous tubercles in apex of left lung ; softened tubercles in upper lobe of right lung ; posterior parts of both lungs slightly congested ; heart cavities contained partly-washed clots; patches of congestion in stomach and small intestine; large deep ulcers with indurated and jagged edges in colon; mesenteric glands enlarged ; gall-bladder distended with thin yellow bile; tumor above described attached to ileum. Contributed by Assistant Surgeon C. J. Kipp, U. S. Vols., Hospital No. 1, Nashville, Tenn. 88 CATALOGUE OF THE MEDICAL SECTION Chap. IV. No. 91. Portion of csecum with appendix vermiformis; numerous tumefactions of connective tissue hardened by D. 2. calcareous deposits, at extremity of appendix. See 92, chap. III., sec. 2, A. 1, for history. E. Tubercle. No. 693. Portion of omentum, in which several tubercles, the size of millet seeds, are embedded. E. 1. See 691, chap. III., sec. 2, D. 7, for history. No. 721. Portion of omentum, containing a large number of minute tubercles. E. 2. See 720, chap. IV., sec. 3, M. 45, for history. No. 778. Portion of omentum, containing tubercular deposits. E. 3. J. A. S., mulatto woman, age 20. Admitted, February 6th, 1866. Diagnosis—consumption. Died, March 31st. Autopsy fifty-four hours after death: Height, five feet; weight, one hundred and ten pounds; rigor mortis in lower extremities, none in upper; some emaciation : small-pox pits upon face; right lung, firmly adherent at all points, infiltrated with tubercle, and contained numerous vomica ; left lung, covered with a thick coating of plastic lymph, contained much tubercle and a few small vomicae; eight ounces of serum in left pleural cavity; heart fatty; ten ounces of serum in pericardium ; nutmeg liver; some tubercle in spleen ; kidneys lobulated and fatty ; entire tract of small intestine exhibited large tubercular ulcers, with ragged irregular edges, penetrating to peritoneal coat, with tubercular deposits on peritoneal surface ; caecum showed a large number of small similar ulcers ; remainder of large intestine presented follicular ulcers throughout the whole tract, especially in ascending colon ; two pints of serum in abdominal cavity; tubercles of omentum; fibrous tumor in uterus. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 779, chap. V., sec. 1, A. 2, lobulated kidneys; 780, chap. V., sec. 5, B. 4, fibrous tumor of uteras, are also from this case. Nos. 612 642, some knuckles of ileum, with numerous small tubercles connected with peritoneal coat and peritoneal and surface of mesentery; there are also numerous peritoneal adhesions. 613, portion of omentum of same 643. patient, thickened, its fat atrophied, and presented numerous yellow tubercles. E. 4 and 5. M. A. S., mulatto, age 14. Admitted, September 4th, 1865. She had miscarried the day before admission, at third month of pregnancy; syphilitic cicatrices on external organs of generation; a pustular eruption over body; ring-worm eruptions on face. October 24th, much emaciated; too weak to sit up; appetite capricious, sometimes enormous, at others entirely wanting. Died, November 20th. Autopsy : Height, five feet one inch ; weight, about eighty pounds ; emaciation extreme; no rigor mortis ; tubercle the size of a pea on upper surface of right lobe of cerebellum, near medulla oblongata; both lungs somewhat adherent, lower lobes congested; much pigment in both lungs, and a few miliary tubercles : four ounces of serum iu left pleural cavity, two ounces in right; pericardium contained half an ounce of clear serum; heart small and fatty, small white clot in each ventricle, extending into pulmonary artery and aorta; liver small, fatty, and firmly adherent to diaphragm; a few tubercles in each kidney; spleen dotted with deposits of white tubercle the size of peas; deposits of white tubercle on under surface of diaphragm ; peritoneal surface of stomach covered with small tubercles, hanging like grapes, with narrow necks; intestines adherent to parietal peritoneum and to each other; a cavity, with walls of dirty-yellow lymph, was formed in lower portion of abdomen immediately over bladder, containing about a pint of fecal matter aud pus ; uterus enlarged and ulcerated internally and on posterior lip of os; ovaries and fallopian tubes, coated with the same dirty lymph which lined the cavity above described; a few small ulcers, with irregular edges and gray bases, at upper portion of vagina, adjoining os uteri. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 644, chap. V., sec. 1, D. 2, tubercles of kianeys; 645, chap. V., sec 5, A. 3, ulceration of mucous membrane of womb, are also from this case. No. 739. Portion of greater omentum containing numerous minute tubercles. E. 6. See 735, chap. I., sec. 2, B. 2, for history. No. 581. Section through diaphragm, liver, and stomach, which are mutually adherent; numerous oval, flattened E. 7. masses of cheesy tubercular matter, about the size of almonds, on diaphragm and surfaces of liver and spleen. See 582, chap. II., sec. 3, C. 1, for history. No. 636. Portion of peritoneum, taken from abdominal parietes to right of median line; the surface is the seat of E. 8. numerous tubercles, which have coalesced in many places into a thick, irregular layer. Sec 037, chap. I , sec. 1, E. 6, for history. Sec. 4. OF THE UNITED STATES AEMY MEDICAL MUSEUM. 89 Nos. 727 727, knuckle of small intestine with mesentery attached, showing tubercles of mesentery and a few peritoneal and adhesions. 728, several knuckles of intestine, taken lower down, with peritoneal adhesions and tubercles, 728. and innumerable shreds of false membrane, in which here aud there small tubercles are embedded. E. 9 & 10. See 730, chap. II., sec. 3, B. 7, for history. Nos. 751 751, a few knuckles of small intestine, presenting several pedunculated tubercles, some of which have to undergone cretefaction ; in the mesentary is a pultaceous, semi-cretified mass of tubercular matter the size of a 753. pigeon's egg ; hanging in the jar, is a similar semi-cretefied mass, from another portion of mesentery. 752, E. 11 to 13. portion of colon, with meso-colon attached, from the same patient; in the meso-colon, is a mass similar to those in 751; there are a number of delicate adhesions connected with side of colon. 753, womb and appendages of same patient, with numerous peritoneal adhesions connected with the ovaries; in these adhesions are several cretified masses similar to those above described. A. P., colored girl, age 15. Admitted, January 22d, 1866. Diagnosis—scrofulous abscess of hip. Died, March 9th. Autopsy six hours after death; Height, five feet three inches ; weight, about sixty pounds ; extreme emaciation ; rigor mortis partial; abscess, opening over right iliac region, not connected with hip joint; a similar one on left thigh, outer aspect, four inches below great trochanter; bed-sores over back and buttoeks ; hip joint healthy; slight congestion of posterior portion of right lung, which was somewhat adherent; left lung coated with lymph, posterior portion slightly congested ; four ounces of serum in each pleural cavity; right kidney contained a cyst filled with cheesy matter; mesenteric glands much enlarged ; peritoneal adhesions, in which and in mesentery and meso-colon were a number of collections of semi-solid tubercular matter, partly cretified ; an abscess in sheath of left psoas muscle, connected below with abscess on thigh, above with superficial caries of lower six dorsal and upper three lumbar vertebrae. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S Bond. 754, chap. V., sec. 5, E. 1, hymen; 755, chap. VI., sec. 2, No. 8, tubercular caries of vertebra;, are also from this case. No. 661. Several knuckles of intestine, beset with numerous thread-like adhesions, and presenting on the peritoneal E. 14. surfaces of intestines and mesentery a number of tubercles of different sizes. Private D. C, "H," 27th U. S. colored, age 21. Admitted, September 16th, 1 865, with phthisis. Died, October 15th. Autopsy: Right lung with old adhesions, tubercles and lobular pneumonia; left lung with old adhesions and a few tubercles. and at apex a deposit of calcified tubercular matter the size of a walnut; bronchial glands much enlarged; heart small and flabby; tubercles on peritonea] surface of liver ; small tubercle in spleen ; tubercles on peritoneum; tubercular peritonitis. Contributed by Surgeon E. Bentley, U. S. Vols., L'Ouverture Hospital, Alexandria, Va. No. 689. Several knuckles of intestine, with firm peritoneal adhesions, and numerous tubercular masses, the size E. 15. of peas, on peritoneum. See 688, chap. III., sec. 2, F. 5, for history. No. 635. From middle of ileum, showing a tubercular ulcer, an inch and a half in diameter, on the mucous surface ; E. 16. peritoneal surface covered with numerous tubercles, many of which hang like polypi by narrow necks from the surface. See 637, chap. I., sec. 1, E. 6, for history. No. 764. Portion of ileum, taken just above ileo-caecal, showing a number of tubercles on peritoneal surface. E. 17. W. C, mulatto, age 27. Admitted, November 28th, 1865, with contused wound of face; was on light duty in hospital until March 16th, 1866, when he was attacked with chills and fever, paroxysms returning every day until death. Died, November 19th. Autopsy twenty-four hours after death: Height, five feet eight inches ; weight, about one hundred and thirty pounds ; some emaciation; rigor mortis partial; both lungs contained miliary tubercles, congested posteriorly and coated with lymph ; two ounces of fluid in right pleural cavity; bronchial glands enlarged and tubercular; pericardium contained twelve ounces of serum; liver contained miliary tubercles; right lobe firmly adherent to diaphragm; spleen filled with tubercles; mucous coat of small intestine thickened and congested ; solitary follicles of ileum enlarged; numerous tubercles on peritoneal surface; thickening of mucous coat and pigment deposit throughout entire tract of colon; in lower colon a few healed ulcers. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 765, chap IV., sec. 5, E. 7, tubercles of liver, is also from this case. No. 626. Small section of upper posterior portion of right lobe of liver, embedded in the surface of which are a E. 18. number of cheesy tubercles, about the size of almonds, connected with the peritoneal coat. See 624, chap. III., sec. 2, F. 2, for history. 12* CATALOGUE OF THE MEDICAL SECTION Chap. IV. F, Cancer. No. 457. Section through liver, spleen, and stomach; anterior edge of left lobe of liver and lower edge of spleen F. 1. fused together by a cancerous growth ; upper surface of stomach connected with lower surface of liver by bands of pseudo-membrane. Private A. B., " K," 2d Connecticut Heavy Artillery, age 40. Admitted, October 5th, 1864. Diagnosis—phthisis. There was decided flattening of right side of chest, with dullness on percussion over right lung : some expectoration of a dark muco-purulent matter; trunk and lower extremities oedematous; appetite good; bowels costive; skin dry, but of natural temperature. Died, November llth. Autopsy eleven hours after death: Rigor mortis firm; no emaciation; a gelatinous tumor, the size of a large pea, embedded in right hemisphere, near posterior edge of corpus callosum; in inferior horn of each lateral ventricle was a cystic tumor, size of a nutmeg; heart pressed towards left side; firm adhesions of both pleurae; the left pleural cavity containing about four ounces of bloody serum, the right nearly obliterated by adhesions; in upper lobe of left lung and throughout right lung were numerous small cancer nodules; omentum the seat of a cancerous formation of considerable size, in the growth of which it had shrunken and become thickened, contracting adhesions with adjacent parts till it had formed an irregular mass, adherent to whole length of anterior edge of liver and anterior edge of spleen; the cancerous mass surrounded pyloric extremity of stomach, which however had contracted no adhesions to it, and was also connected closely with the colon; there were many peritoneal adhesions; stomach and intestines normal, as were also the liver, spleen, pancreas, and kidneys; no cancer nodules observed in any of these organs. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va. No. 687. Large encephaloid tumor of omentum; weight, three and a half pounds. F. 2. See 686, chap. II., sec. 3, C. 2, for history. Nos. 647 647, several knuckles of small intestine, the peritoneal surface of which presents adhesions and numerous and nodules of cancer about the size of peas. 648, piece of omentum from same patient, almost devoid of fat, 648. and containing a number of cancer nodules. F. 3 & 4. H. W., dark mulatto girl, age 18. Admitted, August 2d, 1865. Died, November 8th. Autopsy: Osteophytes in the Pacchionian granulations; four ounces of serum in pericardium; both lungs adherent, with a few cancer nodules scattered through their substance, and numerous similar nodules on pleural surfaces; four ounces of bloody serum in left pleural cavity; liver adherent to diaphragm, with cancer nodules scattered over its surface and through its substance, which was congested; spleen small, contained cancer nodules throughout its substance; omentum as in specimen; stomach, intestines, and mesentery bound by adhesions into one conglomerate mass, with cancer nodules embedded in the adhesions and on peritoneal surface; mesenteric glands very large; uterus ulcerated; both ovaries converted into carcinomatous masses, iu each of which was a cyst, the size of an orange, filled with a creamy fluid; that on the left side was firmly adherent to the intestines, and was ruptured in removing it from the body. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 646 chap. V., sec. 5, C. 5, cancer of uterus and ovaries, is also from this case. Section 5. LIVER. A, Anomalies of form. No. 672. Portion of liver, showing an unusually large pons hepatis. A. 1. S. S., colored, age 72. Died, November 29th, 1865, of valvular disease of heart. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 723. Liver, the upper surface of which has a number of deep grooves, giving it a lobulated appearance. A. 2. See 722, chap. II, sec. 2, B. 5, for history. SeC. 5. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 91 B. Cirrhosis. No. 209. Cirrhosed liver, small, nodulated; interlobular connective tissue well developed ; weight thirty-six ounces. B. 1, No history. Contributed by Acting Assistant Surgeon L. Wells, Seminary Hospital, Georgetown, D. C. No. 351. B. 2. Cirrhosed liver, seven and a half by six and one-fourth by three and a half inches; weight, fifty-one ounces. Corporal H. D., " K," 106th Pennsylvania. Died, July 14th, 1864, from gunshot wound of right shoulder, for which resection of head of humerus had been performed. Autopsy: Pleuritic adhesions of right lung; spleen enlarged and firm ; fibrinous clots in both ventricles of heart; liver small and cirrhosed. Contributed by Acting Assistant Surgeon H. M. Dean, Lincoln Hospital, Washington, D. C. No. 445. Antero-posterior section through right lobe of a cirrhosed liver ; interlobular tissue very much developed aud B- 3. surface of liver nodulated ; the organ has shrunken to about one third the normal size. No history. Contributed by Acting Assistant Surgeon Fred. Schafhirt. NOS. 450 450, central portion of liver, in a condition of well-marked cirrhosis. 451, small section of right lobe of and same liver, in a similar condition. 451. Private J. H. V., "D,"6th New York Heavy Artillery, age 37. Admitted, June 30th, 1864, with pneumonia. B. 4 and 5. Died, July 24th. Autopsy : Gray hepatization of lower part of right lung; fibrinous clot in right ventricle of heart; liver as in specimen. Contributed by Acting Assistant Surgeon H. M. Dean, Lincoln Hospital, Washington, D. C. c, Abscess. No. 333. Portion of right lobe of liver, presenting numerous large, irregular, communicating abscess-cavities. C. 1. Private D. O'K., "F," 6th Maine, age 45, Irish. Admitted, December 18th, 1862, with intermittent fever. Died, January 22d, 1863, of peritonitis. Autopsy : Body exceedingly emaciated; skin tinged with bile; heart and pericardial serum tinged with bile; ri°-ht auricle and ventricle each with a white opaque membranous patch on its surface the size of a quarter-dollar; lungs with old adhesions throughout, but otherwise healthy ; liver enormous, extending down front of abdomen so as to cover half the remaining contents, its surface dull-brown and coarse y nodulated, right lobe presented a large multilocular abscess, containing a pint or more of thick, greenish, yellow pus, left lobe contained a smaller similar abscess; gall-bladder very small, filled with bile resembling coal tar in color and consistence ; peritonitis; small and large intestines covered with thin, recent, pseudo-mem- branous matter; spleen small; ileum with mucous membrane considerably inflamed and blackened; colon exceedingly contracted, not more than three-fourths of au inch in diameter in the middle of its course, aud all appearance of sacculi obliterated, its mucous membrane greenish-black, With streaks of inflammatioti and a few ecchymosed spots; intestines contained a small quantity of brownish mucus, which was exceedingly foetid. Contributed by Acting Assistant Surgeon J. Leidy, Satterleo Hospital, Philadelphia, Pa. No. 435. Portion of liver, presenting on its upper surface an abscess the size of a child's head. C. 2. See 433, chap. III., sec. 2, C. 5, for history, No. 501. Portion of liver, with an abscess which has opened on its diaphragmatic surface and formed a cavity lined by C. 3. pseudo-membrane between diaphragm and liver; it discharged externally between tenth and eleventh ribs ; a portion of integument remains around external orifice; a portion of ascending colon and right kidney attached to piece show the general position of abscess. Private F. B , "H," 13th Wisconsin, age 19. Admitted, December 7th, 1864, with acute hepatitis. Died, January 14th, 1865. Contributed by Surgeon H. Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis. i)2 CATALOGUE OF THE MEDICAL SECTION Chap. IV. No. 668. Portion of right lobe of liver, showing two large abscess-cavities on its upper surface. C. 4. Private P. R., "I," 1st Veteran Reserve, age 41. Admitted, September 30th, 1865. He had suffered from chronic diarrhoea for several months, and was much emaciated; stools from six to ten, daily. October 18th, complained of violent pain, apparently in the kidneys. Died, October 21st. Autopsy: Hypostatic congestion of posterior parts of both lungs; four ounces of bloody serum in right pleural cavity; right lobe of liver, adherent to abdominal walls, presented three abscesses, each containing about four ounces of thick flaky pus; spleen very large and soft; colon ulcerated throughout, some ulcers very large and penetrating to muscular coat. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Post Hospital, Fort McHenry, Md. No. 669. Portion of right lobe of liver, in upper surface of which is a large abscess-cavity the size of a child's head. C. 5. History—(Medical Cadet H. C. Morrison): Private J. S. B., "H," 1st U. S. Vols., age 45. Admitted, November 2d, 1865. He stated that about two weeks before, he had a chill on each of two successive days, the chills preceded by a feeling of languor and disinclination for exertion, anorexia, etc. When admitted he was in a state of prostration and anxiety, with faltering voice; respiration 34 per minute ; pulse 84 and weak ; tongue dry, and slightly covered with a brown fur and with tip and edges red ; tympanites and tenderness in right iliac fossa; a pain in right side; bowels somewhat constipated. 4th, somewhat weaker; had slight diarrhoea; stools thin and slimy; troubled with a cough; expectoration slightly stained with blood; some pain in stomach. Died, November 4th. There was no jaundice during the progress of the case. Autopsy twelve hours after death: Rigor mortis well marked; much pigment in lungs and bronchial glands; lower lobe of right lung firmly adhereut to diaphragm; liver greatly enlarged, so that the diaphragm was pushed up to third rib; a large abscess in right lobe, containing forty ounces of thick flaky pus; remainder of liver showed no disease; spleen small and very soft; intestines congested in several places, and Peyer's glands somewhat thickened, but not ulcerated, nor could any ulcers be found elsewhere in the intestinal tract. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Fort McHenry, Baltimore, Md. No. 742. Central portion of liver, with abscess-cavities and lymph adherent to surface. C. 6. Private L. R., age 50, intemperate, German, formerly a wealthy merchant of Rio Janeiro, four years in the United States, and over two in the army. Admitted, November 25th, 1865, having been indisposed for several weeks; he was very weak and anaemic; of a pale yellowish waxy hue ; gums pale; skin flabby, dry and harsh; abdomen much swollen and pendulous; hepatic dullness extending upwards to right nipple, and but little below edge of ribs ; great uneasiness, fullness and weight in region of liver, pain and tenderness upon pressure when breathing deeply or coughing ; was unable to lie on right side; frequent, short and dry cough; thirst; anorexia; eructations of wind ; had had no passage from bowels for eight days 26th, felt easier, but had a sharp pain following each deep inspiration or cough. 28th, could lie on right side, pain and cough having much decreased; abdomen less hard but still distended ; no thirst; appetite poor; mind depressed; patient morose. December 2d, appetite improved; weakness increased; frequent hiccough; light and insuffi- cient sleep. 12th, weakness much increased; unable to get up without help; complained several times of feeling chilly; cheeks and eyelids oedematous; tongue dry; complete anorexia; very somnolent; a large tumor in right hypochondrium, extending downwards below line of naval, feeling rather soft and not distinctly limited, tender on pressure; integuments oedematous; stools consisted of small clay-colored lumps, mixed sometimes with a little blood and a few drops of a puriform fluid. 13th, tumor extended down into hypogastrium and was the seat of dull aching pain ; patient rapidly sinking. Died, December 14th. Autopsy : Extensive hypostatic congestion of dependent parts : abdominal integuments oedematous, and very fatty; extrem- ities emaciated; on opening peritoneal cavity a brownish pus poured out mixed with blood, the quantity of this fluid in the peritoneal cavity amounting to about sixteen pints ; mesentery, intestines and omentum coated with and adherent by abundant layers of organized lymph; transverse colon as low down as umbilicus; liver adherent; between liver and diapragm a large sac containing pus, elevating diaphragm as high as nipple; left lobe of liver enlarged, nearly reaching to spleen, fatty, and rather soft, and of yellowish color; on superior surface of right lobe was an unopened abscess, four and three-eighths inches in diameter, containing thick pus, close to which and separated only by a very thin wall, was a second abscess, with an opening the size of a half-dollar communicating with peritoneal cavity ; the pus of this abscess was of the same character as that found in the abdomen, the abscess four and five-eighths by five and three-fourths inches in diameter, irregular, and lined with a thick pseudo-membrane; spleen small and shrunken ; its coat wrinkled ; edges somewhat indented. Contributed by Surgeon S. Kneeland, U. S. Vols., Post .Hospital, Mobile, Ala. jl/i Metastatic foci. No. 117. Section of right lobe of liver, presenting a number of abscess-cavities, about the size of a walnut, which con- D. 1. tained true pus. Corporal G. McC, mulatto, " C," 31st U. S. Colored, age 36. Admitted, August 9th, 1864, with gunshot wound of left hand and another of hip; had enlisted about February 1st, 1864, and shortly afterwards was attacked with diarrhoea which continued with occasional intermission up to date of admission. Wounds healed kindly with simple dressings but diarrhoea continued and typhoid symptoms set in with obstinate hiccough. Died, October 8th. The condition of the intestinal mucous membrane was, unfortunately, not recorded. Contributed by Surgeon E. Bentley, U. 8. Vols., General Hospital, Alexandria, Va. SeC. 5. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 93 No. 295. Portion of liver, presenting a number of metastatic foci. D. 2. Musician J. P., 14th U. S. Infantry, age 16. Died, April llth, 1864, after an illness of eighteen days. He joined the regiment on the 24th of the previous month, having been exposed to the severities of a snowstorm, and sleeping in the snow on the road. From the 3d of April, the date of admission, he had colliquative diarrhoea accompanied by quotidian chills, but no nausea nor vomiting. Autopsy : Metastatic foci in liver; pericarditis ; extensive peritonitis; other organs apparently healthy. Contributed by Assistant Surgeon E. DeW. Breneman, U. S. Army, Army of the Potomac. No. 449. Section of right lobe of liver, containing numerous metastatic foci from a quarter to half an inch in diameter. D. 3. See 448, chap. IV., sec. 3, L. 106, for history. No. 850. Two portions of liver; the upper one presents on its superior surface, about two inches from anterior edge, D. 4. near attachment of suspensory ligament, an abscess-cavity about an inch in diameter; this had discharged into the peritoneal cavity between liver and diaphragm, the pus being limited by subsequent peritonitis ; an abscess-cavity of large size had thus formed, a part of the walls of which cover upper surface of piece. The lower portion is a section of right lobe of liver, with several metatastic foci. History—(Acting Assistant Surgeon W. H. Grafton): Sergeant S. C, "A," 12th United States Infantry. Admitted, November 22d, 1866, from Camp Augur. He complained of colic, to which he stated he had been subject periodically for several years; had previously been treated in this hospital for diarrhoea; was weak; anorexia complete; great pain in abdomen. 25th, had a spell of vomiting. December 3d, hepatic abscess diagnosed; had troublesome and painful cough. Hth, restless and feverish. 20th, tumor over region of liver, very prominent and painful; on being punctured, discharged slightly. 21st, a greater discharge of liver-colored matter was obtained. 26th, hectic fever appeared. From this time patient's strength gradually failed. Diarrhoea set in on the 31st; rigors aud exacerbation of fever at irregular intervals; opening was enlarged and gave exit to clots of coagulated blood and fibrinous matter. January 2d, 1867, gangrenous action set in at abscess-opening, and gradually spread. Died, January 7th. Autopsy: Viscera, except liver, healthy; liver presented the abscess described and numerous metastatic foci, varying in size from one-fourth to one inch in diameter, of yellow color, and consisting microscopically of granules and debris of liver tissue; matter from the abscess had burrowed its way under the integument four inches toward the right side, denuding the under surface of sixth rib of periosteum; there were firm adhesions to diaphragm and parts adjacent to opening. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Post Hospital, Washington, D. C. E, Tubercle. No. 628. Section of liver, showing a number of small cavities, the contents of which were cheesy, with moderately E. 1. firm cheesy walls. Private R. B., "C," llth Vermont, age 46, Irish. Admitted, September 12th, 1864, with fever; rapid pulse; dry, furred tongue; great dyspnoea and marked constitutional depression, with dullness on percussion and bronchial respiration over both lungs. Died, September 18th. Autopsy: Both lungs congested, and presented abundant tubercular deposits; tubercular abscesses in liver. Contributed by Assistant Surgeon H. S. Schell, U. S. Army, Cuyler Hospital, Germantown, Pa. No. 614. Left lobe of liver, presenting numerous tubercles in connection with its peritoneal coat and scattered through E. 2. its substance. S. M., colored girl, age 15. Admitted in September, 1865, with phthisis pulmonalis; very much emaciated; prostrated; pulse 115 and very feeble; tongue moist; tympanites, and tenderness on pressure over abdomen; night sweats. Died a few. days subsequently. Autopsy: Great emaciation; right lung firmly adherent; tubercles in both lungs, most abundant in right; pericardium distended with serum ; tubercles in liver, spleen, and kidneys. From Freedman's Hospital, Washington, D. C. Autopsy by Acting Assistant Surgeon W. Ellis. 615, chap. V., sec. 1, D. 3, tubercles of kidney, is also from this case. No. 690. Small section of right lobe of liver, showing two tubercles about the size of peas. E. 3. S. T., negro, age 27. Admitted, September 9th, 1865. Had a hard tumor on anterior border of trapezius muscle of right side; stiff neck; swimming of head; thick yellowish coating on tongue ; obstinate constipation. November 6th, unable to sit up on account of pain in head and neck. Died, November 9th. Autopsy five hours after death: Height, five feet ten inches; weight, one hundred and sixty pounds; no emaciation nor rigor mortis; venous congestion of cerebral membranes; about an ounce of fluid beneath arachnoid; medulla oblongata softened and bathed in pus, which rau out to the amount of three ounces on depressing the head; pericardium contained one 94 CATALOGUE OF THE MEDICAL SECTION Chap. IV. ounce of serum; left lung slightly adherent; liver weighed eighty ounces, very large, of bluish-purple color; contained several tubercles about the size of peas: spleen shrivelled, contained several yellow tubercles; Peyer's patches presented shaven-beard appearance. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond No. 695. Small section from right lobe of liver, showing numerous minute tubercles on cut surface and peritoneum. E. 4. See 694, chap. II., sec. 3, A. 2, for history. No. 738. Portion of left lobe of liver, with tubercles from the size of a pin's head to that of a pea. E. 5. See 7S5, chap. I., sec. 2, B. 2, for history. No. 763. Section of liver, with small tubercles scattered through its substance. E. 6. See 762, chap. IV., sec. 3, D. 20, for history. No. 765. Section of right lobe of liver, with miliary tubercles scattered through its substance. E. 7. See 764, chap. IV., sec. 4, E. 17, for history. No. 867. Irregular calculus, probably a cretefied tubercle, nearly an inch in diameter, composed chiefly of carbonate E. 8. of lime, from middle superior portion of right lobe of liver of a paroled prisoner, who died, March 25th, 1865, of cerebro-spinal meningitis. Contributed by Assistant Surgeon Geo. M. McGill, U. S. Army, Hicks Hospital, Baltimore, Md. F i Cancer. Nos. 215 Two sections of liver, 215 presenting a considerable number of large nodules of soft cancer; in 216, and which is the right extremity of right lobe, the central portion of a large medullary mass had softened into a 216. pus-like fluid, which escaped on making section, leaving irregular cavities in specimen. The tumors consisted . F. 1 & 2. chiefly of small polygonal and triangular, irregular nucleated cells; fibrous stroma scanty. History—(Acting Assistant Surgeon J. C. Nelson): Private T. S., 6th Rhode Island Battery. Admitted, July 30th, 1863; complained of pain and tenderness in hepatic region; coi junctiva and general surface of skin^jaundiced; suffered from nausea, vomiting, and slight diarrhoea; right hypochondrium and epigastrium tumefied; liver enlarged and nodulated. The patient stated that he had suffered no inconvenience until a few weeks before admission when he began to feel weight and pain in abdomen. August 9th, oedema of lower extremities had supervened, which, however, did not become extreme. 27th, comatose, with small pulse, slow respiration, and cold extremities. Died, August 29th. Autopsy: Liver weighed thirteen pounds, filled with cancerous tumors varying in size from that of a robin's egg to that of an orange, the interior of the largest softened into a pus-like fluid ; intestines somewhat contracted, with thickening of coats ; other viscera healthy. Contributed by Assistant Surgeon C. A. McCall, U. 8. Army, Mount Pleasant Hospital, Washington, D. C. Nos. 292 292, section of left lobe of liver, the hepatic tissue almost entirely replaced by cancerous masses. 293, to from left extremity of right lobe, from same patient, in a similar condition. 291, from right portion of 294. right lobe, from same patient, the quantity of hepatic tissue much larger, but filled with numerous tumors F. 3 to 5. varying in size from that of a pea to that of an egg. See 291, chap, IV., sec. 2, C. 2, for history. No. 321. Central portion of liver, in which are embedded a number of large medullary nodules ; a medullary tumor, F. 6. four inches in long diameter, oval, smooth, and nodulated, lies just below the portal vein. Rev. L. M., late Chaplain 12th Wisconsin; resigned chaplaincy about seven months before death on account of ill health; had suffered before resignation with chronic diarrhoea; when seen a few days before death, had dull pain in epigastric region; occasional vomiting; indigestion and emaciation ; enlarged area of hepatic dullness, extending to umbilical region; constipation ; sallow complexion ; taxis showed the liver to be enlarged, with nodules on its surface, and also a well- defined tumor in umbilical region. The patient stated that the disease had progressed rapidly within the last three months. Died, May 21st, 1864. Autopsy, May 22d: Liver enlarged on its anterior surface by several round and slightly elevated tumors, each about an inch and a quarter in diameter, with a few vessels ramifying over the surface; these bodies were a little harder than the liver structure, their centres were softened, and yielded, on scraping, a soft white matter, in which the microscope showed numerous cells, containing nuclei, and granules were seen ; on applying acetic acid, the cell walls were dissolved, the nuclei remaining unchanged ; the same disease was present in the pylorus, involving duodenum, a portion of upper part of mesentery and transverse colon; mesenteric glands not enlarged; stomach distended with a coffee-ground fluid. Contributed by Surgeon H. Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis. Sec. 5. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 95 Nos. 538 538, liver, filled with numerous large medullary masses; its weight, after having been some time in and alcohol, was nine pounds eight ounces. 539, a plaster cast of same liver, colored after nature. 539. See 537, chap. IV., sec. 2, C. 6, for history. F. 7 and 8. No. 697. Portion of left lobe of liver, containing several nodules of scirrhus cancer, the largest about the size of a plum. F. 9. J. S., light mulatto, age 41. Admitted, January 5th, 1866. Diagnosis—bilious diarrhoea. Died, January 7th. Autopsy forty-eight hours after death : Rigor mortis well marked ; height, five feet six inches; weight, about one hundred and twenty pounds; some emaciation ; membranes of brain slightly congested; extravasation of blood on upper portion of left middle lobe beneath pia mater; right lung contained much pigment; upper lobe hepatized ; contained a large vomica and much tubercle, posterior portion of lower lobe congested ; ten ounces of fluid in right pleural cavity; posterior portion of left lung congested ; contained much pigment and tubercle ; three ounces of fluid in left pleural cavity; pericardium contained three ounces of fluid; heart fatty, small white clots in all its cavities; liver adherent at all points, weight rixty-eight ounces, very fatty, and contained numerous masses of white matter throughout its whole substance, varying in size from a pea to a large plum, and composed chiefly of nucleated cells of irregular shape and moderate size; spleen adherent, very soft, dark, reddish brown; kidneys fatty; stomach and small intestine congested; Peyer's patches presented shaven-beard appearance ; caecum presented numerous follicular ulcers. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 571. Section of liver, with several melanotic masses, the largest the size of a walnut, from the same patient as F. 10. No. 396 in the Boston Medical Society's Museum. For history of case, see American Journal of Medical Science, for 1848. Contributed by Dr. J. B. S. Jackson, on behalf of Museum of Medical Society, Boston, Mass. No. 829. Section of fiver, presenting several melanotic nodules, the largest over three-fourths of an inch in diameter. F. 11. See 824, chap. II., sec. 3, C. 3, for history. G. Cysts. No. 639. Perpendicular section through right lobe of liver, showing a great number of cysts and sinuous passages, the G. 1. largest nearly a quarter of an inch in diameter; these are dilated gall-ducts, which, in the recent specimen, contained a yellowish serum-like fluid. History—(Acting Assistant Surgeon S. D. Twining): Private C. L., "G," 23d U. S. Colored, age 21. Admitted, October 20th, 1865. Diagnosis—intermittent fever. 21st, some fever, a decided chill in the afternoon. 22d. some fever during the day with feeble pulse, no chill. 23d, pulse 100. 24th, pulse 120, quick and full; skin hot and dry; slight muttering delirium; restless ; wakeful; respiration 60 per minute ; urine dark, with much sediment; bowels constipated. 25th, pulse quick and jerking; did not sleep; bowels constipated. 26th, sleepless; tongue dark brown and coated; respiration 62 per minute; delirium; bowels moved last night, stools thin and yellow ; abdominal tenderness ; tympanites; jaundice appearing. 27th, pulse 110 and weaker ; bowels constipated ; tongue dry and brown; slept a little toward morning. Died, October 28th. Autopsy: Effusion into ventricles of brain ; some serum in left thoracic cavity ; some thickening of Peyer's patches ; the rest of the intestines normal; liver large, right lobe completely honeycombed by dilated gall-ducts, which contained a serum- like liquid; left lobe normal, but stained with bile ; gall-bladder small, containing some viscid bile, the rugae of its mucous surface unusually prominent. Contributed by Surgeon E. Bentley, U. S. Vols., Slough Hospital, Alexandria, Va. f>io. 641. Portion of anterior edge of liver, with gall-bladder attached ; on anterior edge, between right lobe and gall- Gr. 2. bladder, is a cyst the size of a horsechestnut, which contained a yellowish semi-solid substance, in which the microscope showed, besides abundant granules, numerous echinococcus claws. J. A., light mulatto, age 51. Admitted, October 23d, 1865. Diagnosis—intermittent fever, general debility and incontinence of urine. Died, November llth. Autopsy four hours after death: Height, five feet ten inches ; weight, about one hundred and twenty pounds ; rigor mortis partial; no emaciation; two ounces of serum in pericardium; heart flabby; liver contained the cyst described; spleen small; calcareous deposits in mesenteric glands ; both kidneys enlarged; the right about the size of a child's head, its cavity distended with pus, giving off two ureters, which were enlarged and filled with pus; the left kidney about half as large as right, with its cavity and ureter also distended with pus; bladder much thickened and distended with pus; prostrate gland enlarged ; membranous portion of urethra, unfortunately, not examined. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. 640, chap. V., ser„ 3, A. 5, distended kidneys and bladder, double ureter on right side, is also from this case. 96 CATALOGUE OF THE MEDICAL SECTION Chap. IV. H. D iseases of gall-bladder. No. 37. Gall-bladder, considerably distended. H. 1. Private J. F., "L," 14th Pennsylvania Cavalry, age 52. Admitted, July 25th, 1863, with delirium tremens and diarrhoea. Died, August 3d. Autopsy: Abscess in lower lobe of right lung; liver hypertrophied; gall-bladder enormously enlarged (from six to eight inches long): ileum ulcerated and presented a perforation. Contributed by Assistant Surgeon De W. C. Peters, U. S. Army, Jarvis Hospital, Baltimore, Md. No. 658. Portion of liver, showing greatly enlarged gall-bladder, which projects two inches beyond anterior edge H. 2. of organ. See 656, chap. IV., sec. 3, H. 1, for history. I. Biliary calculi. No. 473. Oval biliary calculus, flesh-colored externally, internally a number of concentric layers, some about the same I. 1. color as external sur/ace, others lighter; weight, 3.3295 grammes; specific gravity, 1007.19; composition, cholesterin. From the gall-bladder of Private J.-D. H., "K," 33d Massachusetts, age 27. Died, November 28th, 1863, of pyaemia consecutive to an amputation for gunshot wound. Contributed by Assistant Surgeon C. J. Kipp, U. S. Vols., Hospital No. 1, Nashville, Tenn. No. 474. Three slate-colored biliary calculi, the largest about the third of an inch in diameter, of irregular polygonal I. 2. shape, composed chiefly of cholesterin. From the gall-bladder of Private N. J. O., 42d Alabama (Rebel), who died January 29th, 1864, from a gunshot wound. Contributed by Assistant Surgeon C. C. Byrne, U. S. Army, Field Hospital, Chattanooga, Tenn. No. 475. Fragments of biliary calculus the size of a hazel-nut, iron-rust color externally; grayish white and glistening I. 3. internally; composition chiefly cholesterin. Contributed by Acting Assistant Surgeon J. Leidy, Satterlee Hospital, Philadelphia, Pa. No. 476. A number of fragments of a biliary calculus passed by stool; in an attached phial is a small quanty of purified I. 4. cholesterin obtained from some of the fragments. From a medical man who has suffered from a number of attacks of hepatic cholic. Analysis, by Professor Wormley, Columbus, Ohio, of one of the calculi passed by this patient, gave the following: Cho- lesterin, 85.3 ; biliary resin, 3.7 ; coloring matter, 7.6 ; earthy salts, 3.4. Contributed by Surgeon J. Y. Cantwell, 82d Ohio. No. 477. Oval biliary calculus, three-fourths of an inch in diameter, from the gall-bladder of a dissecting-room cadaver; I- 5. it is brown and somewhat nodulated externally, and presents mottled yellowish and brownish concentric layers; composition chiefly cholesterin. No. 853^. Eleven biliary calculi, the largest the size of a hazel-nut, removed from the gall-bladder after death; the 1 6. calculi present irregular facets, and were composed chiefly of cholesterin. See 852, chap. II., sec. 1, H. 5, for history. Sec. 7. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 97 Section 6. PANCREAS. A i Cancer. No. 830. Portion of pancreas, presenting a number of melanotic nodules, the largest about the size of a pea. A. 1. See 824, chap. II., sec. 3, C. 3, for history. Section 7. SPLEEN. A, Anomalies of form. Xo» 306. Spleen presenting on its covered edge four deep fissures, giving it a iobulated character. A. 1. From an American 21 years of age. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. 305, chap. V., sec. 1, A. 1, lobulated kidney, is also from this case No. 534. Deeply lobulated spleen, with six supernumerary spleens attached ; the latter vary from one inch to less than A. 2. half an inch in diameter. Private n. P., "I," 146th New York, German, age 34. Died, April 21st, 1865, after resection of hip per- formed for gunshot fracture of left femur. See 3235, XII. A. B. d. 11, Surgical Section. Contributed by Assistant Surgeon W. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. No. 412. Two supplementary spleens, about the size of shell-barks ; found one just above, and the other just below A. 3. the true spleen. Private S. E. A., " G,'" 1st Maryland Heavy Artillery. Died, July 31st, 1864, of pyaemia consecutive to a gunshot wound received before Petersburg, Va. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 836. Spleen, somewhat enlarged, five inches long, with two supernumerary spleens, each about an inch and a half A. 4. in diameter. Private G. H., "E," 34th Indiana, age 30. Admitted, December 15th, 1865, with scurvy. Died, January 22d, 1S66. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. c, Hypertrophy. No. 26. Spleen of a patient who died of typhoid fever, macerated and washed to remove the pulp; many Malpighian C. 1. corpuscles of the size of small shot, can be observed ; the spleen was large and soft. Contributed by Assistant Surgeon J. W. S. Gouley, U. S. Army. No. 62. Enlarged spleen, nine by five and a half by two and a half inches. C. 2. See 60, chap. IV., sec. 3, E. 50, for history. No. 109. Enlarged spleen, seven and a half by five by three inches, with some peritoneal adhesions about its lower C. 3. part. See 107, chap. IV., sec. 3, D. 10, for history. No. 106. Enlarged spleen, seven by four by one and a half inches. C. 4. See 102, chap. IV., sec. 3, F. 4, for history. No. 114. Enlarged spleen, seven by five by two and a half inches. C 5. See 112, chap. IV., sec. 3, E. 18, for history. 13* 98 CATALOGUE OF THE MEDICAL SECTION Chap. IV. B, Atrophy, No. 746. Spleen, extremely small, weighing half an ounce. B. 1. H. N., colored, age 21. Admitted, December 16th, 1865. Diagnosis—pleurisy. Died, February, 26th, 1866. Autopsy forty hours after death: Height five feet ten inches, weight about one hundred and fifty pounds; rigor mortis partial; both lungs adherent posteriorly, coated anteriorly with thick yellow lymph, which also lined the pleura costalis; an ounce of serum in each pleural cavity; pericardium contained six ounces of clear serum; heart large and fatty, fibrinous clot in right auricle; liver large, its surface bronzed, reddish-brown on section; spleen very small; kidneys fatty; slight thickening of Peyer's patches in lower portion of ileum. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 712. Atrophied spleen, weighing about two ounces. B. 2. Private N. D., "C,"8th U. S. Colored, mulatto. Was attacked by scurvy two weeks after landing at Brazos, Texas. Had sore mouth, swelled legs, and a few sores on legs ; these symptoms were much improved by the use of the American aloe, till October 1st, when diarrhoea set in. November 1st, 1864, was admitted to my ward; he was weak, confined to bed, and had eight to twelve evacuations daily. 25th, seemed to be failing; discharges few; appetite poor; pains in back, hips, arms, wrists and neck; abdomen tender on slight touch, but bore pressure ; pulse 68; mouth and throat dry and bluish. Died, December 7th. Autopsy: Emaciation ; abdomen flat; extreme attenuation of pulmonary and aortic valves ; spleen weighed less than two ounces, of a red color; the last fifteen inches of ileum narrow, only three-fourths of an inch in diameter; mucous membrane thickened and red; caput coli pale; ascending colon slightly dilated; remainder of large intestine contracted to about an inch in diameter; mucous membrane of a bluish tinge, no signs of ulceration; mesenteric glands enlarged. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. D, Diseases of capsule. No. 55. Spleen, on the surface of which are the remains of numerous peritoneal adhesions. D. 1. See 56, chap. IV., sec. 3, L. 39, for history. No. 710. Spleen, slightly enlarged, with thickened capsule and peritoneal adhesions. D. 2. Private S. S., "D," 19th U. S. Colored. Landed at Brazos, Texas, in July, 1865, suffering from scurvy in a mild form, which gradually increased in intensity. August 10th, gums turgid, almost covering teeth, bled easily. During October these symptoms of scurvy disappeared. 29tb, admitted with chronic diarrhoea, which continued, checked at intervals, with occasional bloody stools ; poor appetite ; thirst. Died suddenly, November 27th. Autopsy: Aortic valves very much attenuated; abdomen contained four ounces of reddish serum; peritoneum thickened, completely adherent to abdominal parietes; liver, stomach, spleen, bowels, kidneys and bladder formed one semi-solid mass, the adhesions interspersed with white roundish tubercles one-eighth to one-fourth of an inch in diameter; gall-bladder contained half an ounce of bile ; kidneys enlarged one-third and flaccid ; mesenteric glands enlarged ; no ulceration of intestines. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. No. 782. Spleen, presenting several puckered cicatrices, especially on its convex surface. D. 3. B., mulatto. Died, April 8th, 1866. Autopsy : Anasarca; a number of osteophytes in pacchionian granulations; two ounces of serum in right pleural cavity, six ounces in left; pericardium adherent to heart, firm white clots in ventricles ; nutmeg liver; spleen light slate-color, with several cicatrix-like depressions ; kidneys fatty ; Peyer's patches thickened, one or two of them ulcerated • solitary follicles of ileum enlarged. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 581. Small portion of spleen, presenting on the surface a calcareous plate of irregular oval shape, and about half an D. 4. inch in transverse diameter. See 583, chap. I., sec. 1, E. 1, for history. SeC. 7. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 99 E, Metastatic foci. Nos. 325 Two perpendicular sections of spleen, which is lobulated, considerably enlarged, and irregularly infiltrated and with metastatic masses. When received at the Museum, the spleen was so soft as to be easily torn with the 326. finger, of a livid blood-color in part, partly bluish-black; the metastatic foci bright yellow, and consisting E. 1 and 2. entirely of granular matter, in which were embedded the partly disintegrated anatomical elements of normal splenic structure. Private N. I., " F," 6th Wisconsin. Admitted, April 21st, 1864, from field. Diagnosis—typho-malarial fever. He stated that he had been sick for about a week with fever, coming on with chills; when admitted, was much prostrated; bowels loose; tongue dry, coated and brown in color with red edges. A few days after admission he complained of a pain in the side; respiration was accelerated; there was some cough. About June 1st, he began to show symptoms of hectic; had fever at irregular intervals, and profuse sweats. Died, June 23d. Autopsy twenty-four hours after death : Body much emaciated ; rigor mortis moderate; left pleural cavity contained about a pint and a half of purulent fluid ; lung compressed against spinal column ; right pleural cavity contained about six ounces of serum ; lung healthy ; mucous membrane of stomach and of entire intestinal canal thickened and softened ; solitary glands of ileum enlarged and prominent, but not ulcerated ; the patches of Peyer presented the appearance of the "newly-shaved chin." Liver about one-third larger than normal, and contained a large number of metastatic foci, consisting, microscopically, of granules and d6bris of liver tissue; spleen as in specimens. Contributed by Assistant Surgeon G. A. Mursick, U. S. Vols., Stanton Hospital, Washington, D. C. No. 523. Spleen, incised transversely; at junction of upper and middle thirds of incision is a metastatic focus the E. 3. size of a small walnut. Private P. D., "A," 187th New York, intemperate. Admitted, February 20th, 1865. Died of pneumonia, Maich 4th. Autopsy: Spots of purpura scattered over lower extremities, the largest a quarter of an inch in diameter; lower lobes of both lungs hepatized, sinking in water, upper lobe little affected; on outer side of lower lobe of left lung, was a stellate, sunken cicatrix, beneath which was a collection of tubercular matter the size of a butternut; a large white clot in right ventricle of heart, a smaller one in left; spleen adherent to diaphragm and presented the metastatic focus above described ; weight of organ twelve ounces; ileum ulcerated; a small ulcer near middle of greater curvature of stomach; remainder of intestine healthy, except scattered patches of congestion; mesenteric glands enlarged. Contributed by Surgeon W. L. Faxon, 32d Massachusetts, Depot Hospital, City Point, Va. F, Tumors. No. 313. An oval tumor, the size of a walnut, consisting of layers of partially developed connective tissue, arranged F. 1. concentrically; the most central part of the growth is cretified; taken from the substance of the spleen, which was otherwise healthy. No history. Contributed by Surgeon C. W. Horner, U. S. Vols., Hospital No. 1, Nashville, Tenn. G, Tubercle. No. 298. Spleen, with a number of small tubercles, just beneath peritoneum. Gr. 1. See 296, chap. IV., sec. 3, L. 21, for history. No. 471. Spleen, with numerous very minute tubercles embedded in the peritoneal coat. G-. 2. See 469, chap. III., sec. 2, E. l,for history. No. 564. Spleen, laid open by a longitudinal incision, showing in interior and on external surface numerous tubercles. G-. 3. From a negro who died June llth, 1865, of phthisis pulmonalis, accompanied by diarrhoea. Autopsy: Tubercles and cavities in lungs ; tubercles in spleen; minute miliary tubercles in liver; tubercular ulcers of small intestine. Contributed by Acting Assistant Surgeon W. C. Miner, L'Ouverture Hospital, Alexandria, Va. No. 569. Section of small spleeen, showing a number of cheesy tubercles about the size of peas. G-. 4. See 567, chap. III., sec. 2, F. 4, for history. 100 CATALOGUE OF THE MEDICAL SECTION Chap. IV. No. 630. Spleen, weighing twenty ounces, filled with yellow tubercles, varying in size from a millet seed to a large Gr. 5. cherry. From a negro who died of phthisis, August 19th, 1863. He had tubercles of lungs ; tubercular ulceration of bowels, and tubercular enlargement of mesenteric glands. Contributed by Acting Assistant Surgeon W. C. Miner, Slough Hospital, Alexandria, Va. No. 631. A small spleen, weighing four ounces, containing quite a number of tubercles, which vary in size from a Gr. 6. millet seed to half an inch or more in diameter. M. P., dark mulatto, age 19. Admitted, August 31st, 1865, with phthisis. Died, October 31st. Autopsy thirty-six hours after death: No rigor mortis; height, five feet nine inches; weight, about one hundred and ten pounds; both lungs adherent, contained much tubercle; vomicae in upper lobe of right lung; three ounces of serum in left pleural cavity, sixteen ounces in right; five ounces of fluid in pericardium; small fibrinous clot in left cardiac ventricle; tubercles in liver; spleen as described, and of a bluish slate-color; no ulcerations of intestines. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 632. Spleen, weighing thirteen ounces, containing numerous tubercles the size of hazel-nuts. G. 7. Private T. S., "F," 8th U. S. Colored. Admitted, February 22d, 1864, for wounds received at the battle of Olustee, Fla. The wounds did well, but, about two weeks after admission, he had rigors which presented an intermittent type and yielded to quinine and stimulants; in about two weeks there was another chill, accompanied by night- sweats, which yielded to quinine and opium; he, however, became debilitated with anorexia, and died, May llth. His wounds had been healed for some time prior to his death. Autopsy: Heart small; tubercles in lungs, liver, and spleen; peritoneum studded with tubercles; two quarts of serum in abdominal cavity; transverse aud descending colon very small, about three-fourths of an inch in diameter, but otherwise normal; the small intestine distended with gas to an inch and a half or two inches in diameter, otherwise normal. Contributed by Assistant Surgeon E. D. Buckman, U. S. Vols., Hospital No. 6, Beaufort, S. C. No. 627. Spleen, containing numerous large, cheesy tubercles. Gr. 8. See 624, chap. III., sec. 2, F. 2, for history. No. 663. Section of spleen, with numbers of large cheesy tubercles embedded. G. 9. Sec 662, chap. II., sec. 1, F. l,for history. No. 696. Section of spleen, presenting numerous discrete tubercles, varying from mere points to the size of peas. G. 10. See 694, chap. II., sec. 3, A. 2, for history. No. 709. Spleen slightly enlarged; weight, when fresh, thirteen ounces; containing tubercles the size of peas. G. 11. Private S. W., "F," 29th U. S. Colored. Landed at Brazos, Texas, about July 1st, 1865; noticed scorbutic sore mouth two days afterwards. Admitted, July 16th; mouth very sore; legs swelled; under treatment improved very much, but about October 1st took cold by exposure to rain, and got rapidly worse. Transferred to my ward November 5th; had great tenderness on pressure over costal cartilages; considerable dullness on percussion over whole thorax; abdomen tender and slightly tumefied ; no appetite; micturition frequent; urine deep red ; slight expectoration; subdued cough ; pulse small and irritable ; no diarrhoea. Died suddenly, November 15th. Autopsy: Not much emaciated; abdominal cavity contained four pints of yellow serum; peritoneum and mesentery presented numerous miliary tubercles ; intestines contracted; liver high up under ribs, full size, light-red or yellowish in color; surface and substance presented many tubercles, two to six lines in diameter; spleen as in specimen, and of a carmine color; pleurae, lungs, pericardium, diaphragm, parietes of thorax, spleen and liver adherent in one mass; heart normal, but aortic valves thin ; interior of pericardium normal. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. No. 711. Spleen, considerably enlarged; weight, thirty-two ounces when fresh; filled with tubercles the size of peas. G. 12. Private J. D. S., "H," 38th U. S. Colored. Admitted, September 22d, 1865. Diagnosis—dysentery. Transferred to my ward, October 23d ; appearance emaciated ; epigastrium and left hypochondrium enlarged and protruded ; patient distressed and very weak; no diarrhoea. Died, October 26th. Autopsy: Thoracic viscera anaemic; aortic valves very thin, cribriform along the free borders; liver one-third larger than natural, deep-red color, with very minute tubercles externally and internally; spleen dark-red, and as in specimen; lower surface of diaphragm studded with tubercles similar to those iu spleen; no lesion noticed in bowels. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. o. 729. Tubercles of spleen. G. 13. See 730, chap. II., sec. 3, B. 7, for history. SeC. 7. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 101 No. 745. Spleen, enlarged, with a number of small tubercles; an opaque spot on lower part of its concave surface. G. 14. See 744, chap. III., sec. 2, E. 9, for history. No. 767. Spleen of great size; weight, fifty-four ounces; filled with miliary tubercles. G. 15. See 768, chap. IV., sec. 2, B. 5, for history. No. 835. Spleen, containing numerous tubercles about the size of peas; weight, wheu fresh, ten ounces. G 16. Private B. S., "K," 19th U. S. Colored, age 25, negro. Admitted, December 24th, 1865, much debilitated; had suffered from scurvy, the symptoms of which had abated; had some diarrhoea at times and dyspnoea after walking or taking a hearty meal. From February 10th, 1866, to his death, he had much dyspnoea, with hurried respiration and general distress. Died, February 18th. Autopsy: No emaciation; left lung adherent and partially filled with gray miliary tubercles ; pleura costalis converted into an uneven layer of compact tissue, yellowish, half an inch thick, with a gritty sound on cutting; a similar layer coated lower lobe of right lung ; in this thickened structure were lobular masses of yellow tubercles from the size of a pea to two inches long, one inch wide and three-fourths of an inch thick; right lung everywhere adherent; small masses of hard and soft tubercles in its upper and middle lobes; lower lobe converted into a jelly-like mass; pericardium contained eight ounces of serum; heart pale, hypertrophied, and white clots in all the cavities; liver large, of a light-yellow color; spleen reddish in color, with tubercles as in specimen; mesenteric glands enlarged and soft. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. Chapter V. urino-genital organs. Section 1. KIDNEYS. NO. OF SPECIMENS. .1 Anomalies of form and position.............................................. 11 11 Bright's disease........................................................... 8 i Cysts..................................................................... 15 '. Tubercle.................................................................. 3 11 Cancer.........................................................•......... 1 • Renal calculi.............................................................. 3 Section 2. SUPRARENAL CAPSULE. .i Tubercle................................................................. 1 Section 3. URINARY PASSAGES AND BLADDER. l. Dilatation from stricture of urethra or other obstructions........................ 7 >, Ulceration of mucous membrane of bladder.................................. 1 Section 4. MALE ORGANS OF GENERATION. Li Syphilitic ulceration........................................................ 2 > i Tubercles of testes................ ........................................ 3 1, Diseases of prostate........................................................ 4 Section 5. FEMALE ORGANS OF GENERATION, AND F i Fibrous tumors of uterus................................................... 4 /, Diseases of ovaries and fallopian tubes........................................ 5 '. Uterus after parturition ................................. .................. 3 11 Miscellaneous................................. ............................ 8 Chapter V. urino-genital organs. A. Section 1. KIDNEYS. Anomalies of form and position. No. 305. Right kidney, presenting on its anterior surface several deep depressions, marking out distinct lobules. A. 1. See 306, chap. IV., sec. 7, A. 1,for history. No. I7'79. Lobulated kidneys. A. 2. See 778, chap. IV., sec. 4, E. 3, for history. No. 803. Lobulated kidney, the arteries of which enter above by two trunks, one anteriorly and one posteriorly. This A. 3. kidney was situated at brim of pelvis and belonged to left side ; left renal artery originated in the normal position and ran down to the kidney ; left suprarenal capsule in its normal situation or a little above it; kidney and suprarenal capsule of right side normal in position; body otherwise normal in its anatomy, except that the left vertebral artery came off as a separate branch from arch of aorta. R. G., colored woman, age 24. Admitted to Freedman's Hospital, January 31st, 1866, with phthisis. Died, April, 1866. Contributed by Surgeon E. Bentley, U. S. Vols., Washington, D. C. No. '792. Left kidney, presenting on its surface a cicatrix-like depression. A. 4. See 790, chap. I., sec. 4, A. 1, for history. No. S02. Kidneys; the left, which is uppermost in the jar, lobulated, the right presenting a singular cicatrix-like A. 5. depression on its outer edge. See 801, chap. II., sec. 1, D. lb, for history. No. 23. Horse-shoe kidney; the two kidneys are joined together at their inferior extremities by an isthmus of kidney A. 6. tissue about an inch and a half in length; each kidney has its ureter and bloodvessels complete. Corporal I. W., "F," 55th Pennsylvania. Admitted, December 9th, 1862, with chronic diarrhoea. Died, December 25th. Contributed by Assistant Surgeon F. T. Dade, U. S. Vols , Hospital No. 3, Beaufort, S. C. No. 335. Two kidneys, united at their lower extremities by a narrow isthmus; each kidney is further noteworthy by A. 7. presenting two pelves, two ureters and two sets of bloodvessels. The ureters united within an inch and a half of bladder by their external surfaces, the canals, however, remaining distinct as far as bladder. Private "W. P., Hawkins' Rebel Cavalry. Died, January 20th, 1864, of a wound received at battle of Chickamauga. Contributed by Assistant Surgeon C. J. Kipp, U. S. Vols., Hospital No. 1, Nashville, Tenn. No. 75'S'. Horse-shoe kidney ; fusion has taken place at inferior extremity ; one ureter on each side. A. 8. See 756, chap. IV., sec. 3, D. 25, for history. No. 554. Double kidney on right side; left kidney is transferred to right side and is situated just below position of A. 9. right kidney, with which it is intimately fused; left suprarenal capsule preserves its normal position ; conform- ation of pelvis of right kidney approaches closely to normal; pelvis of left kidney divides into branches, corresponding to the several calyces; right ureter normal in position and relations; left ureter crosses in front of the great vessels and behind sigmoid flexure to left side of rectum, thence descending to its natural point of entrance into bladder; right renal artery crosses to kidney behind vena cava; left renal artery, about three and a half inches lower down, crosses to kidney in front of vena cava; besides this, a second renal artery is given off from bifurcation of aorta, and crosses in front of right common iliac to lower portion of left kidney ; the two renal veins run parallel with each other, both opening into right side of vena cava, the left two and a half inches further down than right; besides, the principal renal vein of left kidney, there is a branch rather larger than a quill, which empties into left common iiiac vein, and which proceeds from that part of left kidney which is supplied by the arterial branch above mentioned as given off from bifurcation of aorta; left spermatic vein empties into left suprarenal vein, which passes from the capsule behind aorta into vena cava; in addition to the above anomalies there is but one vesicula semiualis—namely, on left side. Lieutenant A. M. B., "A," 26th Virginia, (Rebel.) Died, April 20th, 1865, of a gunshot wound. (See Surgical Section, 4084, XIII. A. B. b. 3, and 4085, XVIII. II. A. B. b. 36.) Contributed by Acting Assistant Surgeon G. K. Smith, Armory Square Hospital, Washington, D. C. 14* 106 CATALOGUE OF THE MEDICAL SECTION Chap. V. No. 525. Left kidney, situated beneath bifurcation of aorta; aorta at bifurcation gives off three renal arteries, one of A. 10. which bifurcates so that four renal arteries enter substance of kidney—two at the pelvis, the others on its upper part. See 524, chap. IV., sec. 3, L. 99, for history. No. 361. Right kidney, converted into a cyst about the size of a small orange; the wall fibrous and about four lines A. 11. thick; it is connected by a patulous ureter to urinary bladder; two renal arteries the size of crow-quills proceed from aorta at point of bifurcation, and ramify upon walls of cyst; the cyst was found over second lumbar vertebra; left kidney apparently healthy, but the patient had had albumen in his urine. See 362, chap. IV., sec. 3, L. 70, for history. B, Bright's disease. No. 46. Anterior half of right kidney, cortical substance considerably thickened; surface of kidney, when fresh B. 1. was light yellow, mottled by the course of the congested blood vessels ; cortical substance on section was pale yellow, thickened and streaked by the congested veins ; pyramids natural. Microscopical examination showed a granular condition of epithelium of tubuli uriniferi; many cells contained fat globules; interlobular connective tissue hypertrophied. Private E. J., "B," 109th New York, age 22. American. Admitted, January 22d, 1864, with pneumonia. February 9th, a diphtheritic appearance of throat was recognised. Died, February llth. Autopsy: Fauces and larynx covered with a diphtheritic layer; lower lobes of both lungs hepatized; extensive adhesions between pulmonary and costal pleurae ; both kidneys as in specimen. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va., Third Division. No. 530. Left kidney, enlarged; weight, eleven ounces, when taken from body; when received at Museum, kidneys B. 2. were of a tawny yellow color, mottled on surface ; epithelium of tubuli uriniferi filled with oil drops; con- nective tissue cells of matrix multiplying. History—(Acting Assistant Surgeon D. L. Haight): Private J. E. W., " I," 10th New York Heavy Artillery. Admitted, December 24th, 1864: legs, face and eyelids oedematous. He stated that some three weeks previous to admission he had caught a severe cold by being exposed to dampness and lying on ground; within a day or two his legs began to swell, and they continued to do so until he came to hospital. He also stated that he had had syphilis, and at date of admission his body was covered with copper-colored spots ; his urine gave, by heat and nitric acid, an abundant deposit of albumen, and showed, microscopically, abundant casts filled with oil globules ; some blood also in urine. Died, March 1st, 1865. Autopsy: Tissues all oedematous; abdominal cavity contained about sixteen pints of fluid; right kidney weighed ten ounces; left, eleven ounces ; both in the condition above described. Contributed by Assistant Surgeon W. F. Norris, U. S. Army, Douglas Hospital, Washington, D. C. No. 766. Both kidneys, much enlarged; weight of each, eight ounces ; were of a yellowish-fawn color, mottled with B. 3. reddish streaks and spots of congestion, when fresh ; epithelium of tubuli uriniferi exceedingly granular, with numerous free oil drops. * • Corporal G. M., "K," 195th Ohio. Admitted, December 8th, 1865, suffering with acute rheumatism; had been under treatment at regimental hospital eight days; for two weeks previous to attack had been intoxicated most of the time; when admitted, his left lower extremity was very much swollen and painful; left elbow and wrist tender and painful; tongue dry and dark brown; stomach and bowels irritable; abdomen tympanitic; stools frequent, light-colored and watery; pulse 100 aud weak; skin dry ; mental faculties dull. 9th, vomited twice the previous night; passed no urine ; half an ounce of mucus and urine obtained by use of catheter. 10th, total suppression of urine; bowels moved twice in the night; stools more consistent, but light colored, llth, suppression of urine continued ; patient aroused with difficulty ; pulse scarcely perceptible. Died, mber llth. Autopsy: Surface sallow; no emaciation; old pleuritic adhesions at posterior portion and apex of right lung, a portion of its middle lobe hepatized, old cicatrices on anterior surface; heart large, otherwise normal; liver fawn-colored and enlarged ; spleen large; kidneys as described. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospitals, Alexandria, Va. No. 685. Kidneys, enlarged and fatty. Bright's disease. B. 4. See 684, chap. III., sec. 2, A. 7, for history. Nos. 20 20, left kidney, with pelvis distended into a single,iarge, multilocular cyst; tho medullary substance has and disappeared, and the cortical substance reduced to a layer about two lines in thickness. 21, section of right 21. kidney of same patient, enlarged and fatty. B. 5 and 6. Corporal J. H., '-C," 42d New York. Admitted, September 15th, 1862, with chronic diarrhcea. Died October 21st. No attention was drawn to the kidneys during life. Autopsy: Kidneys as described ; bladder small and contracted. Contributed by Medical Cadet Kingston, Douglas Hospital, Washington, D. C. Sec. 1. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 107 Nos. 863 863, left kidney, with lobulated cyst the size of a walnut at its lower end, the remainder in a state of and fatty degeneration. (See Microscopical Section, Part First, IX. A. C. 1 and 2.) 864, right kidney, presenting 864. a number of cysts half an inch in diameter. Much adipose tissue in pelves of both kidneys. B. 7 and 8. T. M., discharged, Irish, age 44. Admitted, August 6th, 1866, feeble; had been sick for the previous seven months; feet oedematous; urine highly albuminous ; he suffered from severe attacks of asthma. Died, January 23d, 1867, having been comatose the previous twenty-four hours. Autopsy : Heart enlarged ; aortic valves incompetent, and presented calcareous deposits ; left kidney weighed fourteen and a half ounces, three-fourths of it having undergone fatty degeneration, the remaining fourth having been converted into a lobulated cyst; right kidney weighed eight ounces, contained a number of large cysts; much adipose tissue in pelvis of each kidney; other viscera healthy. Contributed by Assistant Surgeon W. Thomson, U. S. Army, Post Hospital, Washington, D. C. c. Cysts, Nos. 2I7 27, anterior half, and 28, posterior half, of left kidney, which is considerably enlarged; weight, fourteen to ounces ; in its substance are innumerable cysts, varying in size from a pin-head to a chestnut. 29, right 29. kidney of same patient, laid open, larger than left; weight, twenty-four ounces ; filled with cysts, the largest of C. 1 to 3. which attains the size of an English walnut. Private A. A. E., 2d Vermont Sharpshooters. Died, December 26th, 1862, of chronic diarrhoea. No attention was drawn to kidneys during life. Autopsy: Extensive ulceration of colon; kidueys as described. Contributed by Surgeon J. S. Hildreth, U. S. Vols., Judiciary Square Hospital, Washington, D. C. No. 164. Left kidney, seven by five inches; filled with cysts of various sizes, from a line to three-fourths of an inch C. 4. in diameter, variously filled with yellow, bluish, greenish and brownish serum. Sec 161, chap. IV , sec. 3, I. 55, for history. Nos. 455 455, right kidney, presenting several small cysts on its surface ; pelvis of kidney much enlarged and ureter and distended to nearly half an inch in diameter. 456, left kidney of same patient, laid open, showing a number 456. of small cysts on its external surface; the section passes through several cysts of which the largest attains the C. 5 and 6. size of a shell-bark ; the ureter of this kidney was also distended. Private J. W. B., "F," 25th New York Cavalry, age 52. Admitted, December 6th, 1864, with acute bronchitis, and very feeble Died, December 18th. Autopsy: body well developed ; height five feet nine inches ; pleura slightly adherent; about three ounces of fluid in each pleural cavity; botli lungs much congested; fibrinous clot in left cardiac ventricle; bladder contained forty-six ounces of urine; ureters distended to about half an inch in diameter; kidneys as in specimens. Contributed by Acting Assistant Surgeon H. M. Dean, Lincoln Hospital, Washington, D. C. No. 500. Left kidney, presenting on its surface two cysts, the largest about the size of a walnut. C. 7. Private C. B. E., "A," 2d Vermont. Admitted, December 2d, 1864, and died, December 30th, of chronic diarrhoea. Autopsy: Lungs filled with tubercle, extensive pleuritic adhesions ; intestine ulcerated ; left kidney as above described. Contributed by Acting Assistant Surgeon B. B. Miles, Jarvis Hospital, Baltimore, Md. No. 504. Anterior superior portion of left kidney, presenting on surface two small cysts, the largest the size of a C. 8. large pea. Corporal N. T. G., " H," Cole's Maryland Cavalry. Admitted, January 23d, 18(54, with phthisis pulmonalis. Died the same day. Autopsy: Pleuree adherent; tubercles and vomicae in both lungs; ileum ulcerated; both kidneys presented a few small cysts on the surface. Contributed by Acting Assistant Surgeon B. B. Miles, Jarvis Hospital, Baltimore, Md. Nos. 508 508, right kidney, 509, left kidney, both containing numerous cysts, the largest about half an inch in :tlld diameter ; they were filled with a yellowish serum. 509. Private J. B. W., " B," 30th Maine, age 30. Admitted, March 15th, 1865, with typhoid fever. No symptoms C. 9 & 10. indicated disease of kidneys. Died, March 25th. Contributed by Assistant Surgeon Walter Ure, U. S. Vols., Depot Field Hospital, Winchester, Va. 108 CATALOGUE OF THE MEDICAL SECTION Chap. V. No. 671. Two kidneys, presenting numerous cysts of moderate size. C. 11. A. G., mulatto, age 89. Admitted, March 14th, 1865. Diagnosis—debility from old age. Incontinence of urine existed for a few days before death. Died, November 26th. Autopsy twenty-eight hours after death : Rigor mortis well marked ; some emaciation ; both lungs adherent, with abundant pigment; lower lobe of right lung in a state of gray hepatization; three ounces of senim in each pleural cavity, a large dark fibrinous clot in right; two ounces of serum in pericardium; a white clot in left ventricle extending through aorta into left carotid artery, from which it was drawn to the length of twenty inches ; aortic valves semi-cartilaginous in consistency, and aorta dilated to one and a half inches in diameter; liver adherent to diaphragm, capsule on anterior surface of right lobe thickened; spleen small and lobulated, its capsule thickened; kidneys contained cysts as in specimen; Peyer's patches presented the shaven-beard appearance; pigment in solitary follicles of colon. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 718. Left kidney, presenting on its anterior surface, adjoining pelvis, a cyst the size of a walnut; before having C. 12. shrunken by action of alcohol, the cyst was the size of a hen's egg, and contained transparent serum. W. H., mulatto, age about 50. Died suddenly, January 23d, 1866. Autopsy: Tubercles in both lungs with intercurrent pneumonia on right side ; enlarged bronchial glands; tubercles of liver ; larger sloughing ulcers in caecum and ascending and transverse colon ; left kidney as above ; right kidney normal. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 726. Somewhat lobulated right kidney, presenting on its surface a few cysts which, when fresh, contained a C. 13. serum-like liquid. See 725, chap. IV., sec. 3, M. 9, for history. Nos. 822 822, right kidney, 823, left kidney, presenting innumerable cysts, the largest the size of a hen's and egg, the smallest of extreme minuteness; in each kidney the renal artery, before approaching the pelvis, sends 823. off a small branch to upper portion of organ. C. 14 & 15. H. T., negro, age 23. Admitted to Freedman's Hospital, September 5th, 1865; tongue covered with a thick brown fur; frontal headache ; bowels costive; slight pain on pressure over right hypochondrium; incontinence of urine; patient dragged his leg after him when walking; arms and legs constantly trembled ; unable to stand up without support; mind wandering; partial deafness ; good appetite. Discharged, November 28th, apparently cured. Readmitted, April 14th, 1866, with general anasarca ; great dyspnoea and cough. Died, July 9th. Autopsy twenty-four hours after death: No rigor mortis; slight emaciation; lower extremities oedematous; height five feet seven and a quarter inches ; about two ounces of fluid in sub-arachnoid cavity; left pleural cavity contained sixty-four ounces of reddish-yellow serum ; lungs hepatized in patches ; heart fatty ; marks of former pericarditis on its surface ; patches of atheroma on first portion of arch of aorta; liver cirrhosed ; spleen soft; kidneys dark red and congested, full of cysts as above. Contributed by Assistant Surgeon E. Bentley, U. S. Army, Washington, D. C. D, Tubercle. No. 732. Right kidney, presenting several tubercles the size of peas. D. 1. See 731, chap. IV., sec. 4, C. 5, for history. No. 644. Portion of right kidney, showing several tubercular nodules the size of peas. D. 2. See 642, chap. IV., sec. 4, E. 4, for history. No. 615. Left kidney, with a few small tubercles embedded in its cortical substance. D. 3. See 614, chap. IV., sec. 5, E. 2, for history. E, Cancer. No. 831. Right kidney, the pelvis of which is occupied by a rounded melanotic nodule, about one and a half inches in E. 1. diameter. See 824, chap. II., sec. 3, C. 3, for history. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 109 D i Renal calculi. Small, soft calculus, chiefly composed of earthy phosphates with urates, from left kidney. Private S., 10th Alabama, (Rebel.) Died, March, 1864. Contributed by Surgeon Thomas H. Bache, U. S. Vols., West's Buildings Hospital, Baltimore, Md. A number of calculi, varying in size and shape, some of them mace-shaped; the largest weighs sixty-five grains, weight of all one hundred and twenty-three grains; composition chiefly oxalate of lime, mixed, however, with some phosphates. Private L. W., "E," 8th Iowa Cavalry. Admitted, February 6th, 1864, with chronic diarrhoea. Died, February 24th, of peritonitis. Autopsy: Pus in abdominal cavity; peritoneum coated with pseudo-membrane; mucous membrane of intestine similarly coated ; lower part of colon ulcerated: pelvis and calyces of left kidney contained eighteen concretions. Contributed by Surgeon J. W. Foye, U. S. Vols., Hospital No. 19, Nashville, Tenn. No. 594. Horse-shoe-shaped calculus, weighing 4.3815 grammes ; the nucleus, which forms about half the calculus, is F. 3. composed of oxalate of lime; the external layers, especially in the cornua, are composed of a mixture of oxalato of lime with urates and phosphates. Contributed by Acting Assistant Surgeon Bowen, Episcopal Hospital, Philadelphia, Pa. Section 2. SUPRARENAL CAPSULES. A, Tubercle. No. 841. Left suprarenal capsule, infiltrated with yellow tubercle. A. 1. Private J. G-, "A," 118th U. S. Colored, age 20. Admitted about August 10th, 1865. Symptoms of scurvy appeared while with his regiment about the middle of the previous July, and increased in intensity up to time of admission. When admitted, was weak, languid and dispirited; gums turgid, swollen, of a dark-purple color, and readily bled; teeth loose; tongue foul; voice husky; bowels loose. September 1st, symptoms of scurvy nearly disappeared ; diarrhoea not essentially different; three to eight stools a day. 25th, diarrhoea nearly disappeared ; patient on his legs, hopeful and with good appetite. October 1st, still improving; transferred to convalescent ward. 8th, somewhat delirious on rising in the morning ; respiration disordered ; dullness on percussion over lower lobe of right lung. Died, October 10th. Autopsy : Scorbutic ulcerations in mouth ; lower lobe of right lung hepatized, sinking in water ; suprarenal capsules large, with structure altered, apparently tubercular; liver hard, of a rusty-brown color, with scattered tubercles; mucous membrane of the last twelve inches of ileum, dark red and thickened; mucous membrane of ascending and transverse colon dark red; descending colon and rectum only an inch in diameter, with firm, white and thickened walls; mucous membrane mottled in dark patches. Contributed by Assistant Surgeon Ira Perry, 9th U. S. Colored, Post Hospital, Brownsville, Texas. Section 3. URINARY PASSAGES AND BLADDER. ill Dilatation from stricture of urethra or other obstructions. No. 536. Urinary organs; right kidney, with greatly dilated pelvis; pyramids encroached upon; kidney dilated into A. 1. a multilocular cyst, the walls of which are composed of the atrophied renal tissue; pelvis of left kidney greatly distended ; ureters dilated to size of forefinger ; muscular coat of bladder hypertrophied, the thickened bundles of muscles forming an areolar arrangement, through the meshes of which a number of herniae of mucous membrane have taken place forming oval cysts, the largest of which is over two inches, the smallest about a quarter of an inch in diameter; these cysts communicate with cavity of bladder by a comparatively narrow orifice. Private W. P., " G," 122d Ohio, age 43. Admitted, November 12th, 1864, in articulo mortis. He was greatly emaciated, and had constant involuntary evacuations of urine and faeces. Autopsy: Urinary organs as described; stricture of membranous portion of urethra, still permitting however the passage of urine. Contributed by Assistant Surgeon R. F. Weir, U. S. Army, General Hospital, Frederick, Md. Sec. 3. No. 592. F. 1. No. 593. F. 2. 110 CATALOGUE OF THE MEDICAL SECTION Chap. V. Nos. 576 576, left kidney, with pelvis and ureter enormously dilated; kidney contained numerous cysts. 577, to section of right kidney of same patient, in which it appears that the larger cysts are dilatations of calyces, the 578. smaller probably of tubuli uriniferi. 578, portion of bladder of same patient, with some inches of right ureter A. 2 and 4. attached; ureter irregularly dilated, in many places to thickness of thumb; bladder greatly thickened, and near insertion of ureter presents a cyst-like hernia of mucous membrane the size of a walnut. Private J. W. S., "A," 5th Massachusetts Cavalry. Admitted from Baltimore, September 12th, 1864. Micturition difficult; incontinence of urine, which also kept his clothes constantly wet; urine turbid aud ammoniacal; stricture near neck of bladder detected by use of bougie. He did not improve under treatment, and was about to be discharged the service, when, January 2d, 1865, he was seized with a severe chill followed by fever, with intense pain in epigastrium, nausea, vomiting, and partial suppression of urine. Died, January 12th. Contributed by Acting Assistant Surgeon A. S. Gibbs, Mower Hospital, Philadelphia, Pa. No. 640. Kidneys, ureters, and bladder; right kidney very greatly enlarged, with two pelves, each greatly distended; A. 5. from each pelvis proceeds a separate ureter, the two uniting about three inches from bladder, and distended to the thickness of a man's finger; left kidney also enlarged; pelvis distended; ureter the size of a finger; muscular coat of bladder more than half an inch in thickness; prostate slightly enlarged; vasa deferentia distended. See 641, chap. IV., see. 5, G. 2, for history. No. 759. Urinary organs; pelves of kidneys distended; ureters thicker than a man's thumb ; right ureter, just above A. 6. entrance into bladder, distended into a cyst the size of a child's head; left ureter, at a corresponding point, distended into a cyst the size of a man's head; bladder with muscular coat much thickened and disposed iu interlacing bands ; urethra free from stricture; prostate not materially enlarged. The patient, who was an old man, was admitted in March, 1866, suffering with retention of urine. Alarge tumor, supposed to be the enlarged gall-bladder, was felt in lower portion of abdomen ; after vain attempts to pass catheter into bladder, it was decided to puncture bladder through rectum; this was done and nearly two gallons of urine drawn off; the patient, however, did not rally, and died a few hours after the operation. Autopsy: Trocar had penetrated the large cyst on left side ; the efforts at catheterization had somewhat lacerated membranous portion of urethra ; the difficulty of catheterization had arisen from the- bladder being pushed up in pelvis by the enormous cyst-like distension of ureters; nature of obstructions by which the primary disease of the passages was induced could not be ascertained. Contributed by Dr. C. M. Ford, Providence Hospital, Washington, D. C. No. 796. Stricture of urethra, extending from membranous portion about two and a half inches forward ; canal very A. 7. small, but patulous up to time of death; bladder greatly distended, muscular coat hypertrophied; ureters distended to the thickness of a finger; pelves of kidneys considerably dilated. History—(Acting Assistant Surgeon L. Heard.) G. L., mulatto, age 75 ; height, five feet eight inches; weight, about one hundred and forty pounds. Admitted to L'Ouverture Hospital, April 8th, 1866; complained of pain in lower extremities, particularly in knees and ankles; no swelling whatever; able to go about the ward. About the 20th, a cold storm of rain and wind came on, and from some exposure he was suddenly taken with symptoms of inflammation of the lungs, with dulness on percussion over base of each lung posteriorly; pulse 100 and non-resisting; dyspnoea quite urgent; expectoration moderate and slightly colored. Died, April 26th. During the whole time the patient was in hospital, no complaint of difficulty in micturition was made. Autopsy sixteen hours after death : Rigor mortis slight; posterior part of middle and lower lobes of right lung in a state of red hepatization, as was also the posterior portion of lower lobe of left lung ; remaining portions crepitant; urinary organs as in specimen. Contributed by Surgeon E. Bentley, U. S. Vols., General Hospital, Alexandria, Va. B. Ulceration of mucous membrane of bladder. No. 42. Bladder, the mucous membrane of which presents a number of superficial ulcerations and is irregularly coated B. 1. with pseudo-membrane; there was a partial stricture in membranous portion of urethra, posteriorly, to which the mucous membrane was ulcerated for about two inches; there was also a perineal abscess involving the prostate glands. J. C, age 45. First seen November 26th, 1866, suffering from swelled testicle; pain in course of urethra; desire to urinate every few minutes. After eight days' treatment he had apparently recovered. Subsequently had. an attack of pneumonia Died, March 18th, 1867. Autopsy: Thoracic and abdominal viscera healthy, except slight adhesions in lower portion of abdominal cavity; membranous and prostatic portions of urethra dilated; mucous membrane ulcerated; abscess the size of an orange in perineum involving the prostate; it had not opened; bladder contained about ten ounces of turbid urine, in which floated numerous flakes of coagulated lymph; its walls were somewhat thickened; the lining membrane presented superficial ulcers, covered in patches with a coating of plastic lymph, .which, in some places, hung like shreds. Contributed by Dr. 8. S. Bond, Washington, D. C. Sec. 4. OF THE UNITED STATES ARMY MEDICAL MUSEUM. Ill Section 4. MALE ORGANS OF GENERATION. A. Syphilitic ulceration. No. 740. External organs of generation of a male negro; phymosis, oedema, suppurating buboes in groins. A. 1. See 741, chap. II., sec. 1, G. 1, for history. No. 797. External genitals; glans penis destroyed by phagedenic ulceration, with phagedenic superficial ulceration of A. 2. perineum and in the fold between scrotum and groin. T. M., mulatto, age 22. Admitted, April 7th, 1866. Died, May 7th. Autopsy twenty hours after death: Height, six feet one inch; weight, about one hundred and fifty pounds; rigor mortis well-marked; phagedenic ulceration of external genitals as in specimens; lower lobe of right lung in a state of red hepatization; three ounces of serum in right pleural cavity ; heart slightly fatty; ten ounces of serum in pericardium ; nutmeg liver ; capsule of spleen much thickened and firmly adherent to diaphragm ; kidneys fatty. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. B. Tubercles of testis. 17, right testicle, containing numerous tubercular masses, especially in its anterior inferior parts. 18, t testicle of same patient, with two large tubercular masses in its inferior portion. Nos. 17 and left testicle of same _ 18. See 19, chap. II., sec. 3, A. 1, for history B. land 2. No. 38. Testicle, laid open from before, a large tubercular mass in its superior portion, smaller masses along anterior B. 3. surface, between tunica albuginea and gland. The organ was removed by the operation of castration, May 6th, 1863; seven months previously it became enlarged, red, hard and painful; fistulous orifices opened and a foetid ichor was discharged. The patient recovered from the operation. Subsequent history unknown. Contributed by Assistant Surgeon C. C. Byrne, U. S. Army, Armory Square Hospital, Washington, D. C. c, Diseases of prostate. No. 791. Greatly enlarged prostate gland. C. 1. See 741, chap. II., sec. 1, G. 1,fcr history. No. 846. Bladder, with thickened rugous walls and prostate gland much enlarged; the enlargement affects chiefly the C. 2. third lobe, which projects into the cavity of bladder, forming a rounded tumor the size of an English walnut. C. P., negro, age 70. Admitted to Freedman's Hospital, September 12th, 1866 ; extremely feeble; palsied; poor appetite ; involuntary discharges from bowels ; incontinence of urine. Died, September 24th. Autopsy: Height, five feet nine and a half inches ; weight, one hundred and fourteen and a half pounds; talipes valgus ; both lungs, especially upper lobe of left, and upper and middle lobes of right, filled with tubercles; pericardium closely adherent to heart; insufficiency of aortic valves; pulmonary valves calcareous; liver cirrhosed, left lobe very small, right rounded and thickened ; spleen full of tubercle; right kidney contained in its cortex a fibrous mass about half an inch in diameter, the left contained a well-marked cyst; prostate gland as in specimen. Contributed by Assistant Surgeon E. Bentley, U. S. Army, Washington, D. C. No. 845. Posterior portion of bladder, with vesiculae seminales and prostate attached ; left lobe of prostate, enlarged C. 3. to size of a small walnut, has been split open and exhibits a mass of softened tubercle the size <>f a hazel-nut. B. S., negro, age 40. Admitted to Freedman's Hospital, July 4th, 1866, with an abscess of upper third of left thigh, involving hip and back. About September 1st abdominal dropsy appeared, affecting also the scrotum and penis; the effusion increased so much as to disturb respiration, when the patient was in the reclining posture. 10th, about five p. m. he had a congestive chill. Died, September llth. Autopsy: height, five feet six inches ; much emaciated ; abdomen distended; large bubo in left groin; scrotum, prepuce and lower limbs oedematous; lower lobes of lungs heptatized and adherent posteriorly; sixteen ounces of fluid in each pleural cavity ; bronchial glands enlarged, containing softened tubercle ; kidneys fatty ; tubercles in the lymphatic glands, which are involved in bubo; also in prostate, which presented on left side a mass of softened tubercle about the size of a hazel-nut. Contributed by Assistant Surgeon E. Bentley, U. S. Army, Washington, D. C. 112 CATALOGUE OF THE MEDICAL SECTION Chap. V. No. 543. Bladder, with prostate and vesiculae seminales attached; both prostate and vesicles filled with tubercular C. 4. deposits and considerably enlarged; central portion of mass had softened into a tubercular abscess, which discharged into posterior portion of urethra ; a probe has been introduced into orifice of abscess. See 544, chap. II., sec. 1, E. 1,for history. Section 5. FEMALE ORGANS OF GENERATION AND F, chap. III., sec. 2, F. 1, for history. No. 303. Calvarium, presenting on right side of sagittal suture, about two inches posterior to coronal suture, a perfora- 2. tion about one-eighth of an inch in diameter; on the inner side it is seen that the perforation leads to an irregular conical excavated fossa, on the inner surface of right parietal bone and corresponding in its position with one of the Pacchionian granulations; near the fossa is another of similar character, which, however, does not penetrate to an unusual depth. Contributed by Assistant Surgeon De Witt C. Peters, U. S. Army, Jarvis Hospital, Baltimore, Ml. No. 809. Calvarium with small flat osteophytes on its inner surface. 3. See 808, chap. IV., sec. 3, M. 8, for history. No. 434. Seventh rib, with its pulmonary side denuded of periosteum, and presenting on its surface several new fonna- 4. tions of bone; this condition was caused by the burrowing of pus from an abscess. See 433, chap. III., sec. 2, C. 5, for history. Nos. 540 540, portion of base of cranium, with cervical vertebrae attached; anteriorly the carious bodies of the to vertebne have been denuded by a burrowing abscess, which communicates by two passages through the anterior 512. occipito-atloid space with base of brain; posteriorly the spinal cord can be seen in situ; the dura mater spinalis 5 to 7. surrounded externally by a cheesy mass, which is most abundant in region of atlas and axis; basilar process of occipital bone, declivity of sphenoid and sella turcica are covered with a mass of tubercular matter, which is situated chiefly beneath the softened and altered dura mater. 541, bony bridges and spinous processes of second, third and fourth cervical vertebra', with soft tubercular deposits between external periosteum and bone, especially on right side; some newly formed bone on left. 512, lower part of sternum with cartilages and parts of ribs attached; on right side, at attach- ments of cartilages of fifth and sixth ribs to sternum, is a softened tubercular mass which involves substance of sternum on right side and sternal extremities of cartilages; a whale-bone has been passed into internal mammary artery to show its relations ; on left side, at junction of fourth rib with its cartilage, is a similar tubercular mass ; the extremity of the rib carious and detached from its cartilage; in the neighborhood of this mass, connected with the fascia, are several tubercular deposits about the size of pea<. See 544, chap. II., See. 1, E. 1, for hislory. 118 CATALOGUE OF THE MEDICAL SECTION Cliap. VI. No. 755. Tubercular caries of lower six dorsal and upper three lumbar vertebrae. 8. See 751, chap. IV., sec. 4, E. 11. for history. No. 573. Ninth, tenth, eleventh and twelfth dorsal, and first, second and third lumbar vertebrae; body of last dorsal 9. almost entirely destroyed by caries; bodies of eleventh dorsal and first lumbar nearly so; spine curved at an angle of one hundred degrees; large tubercular cavity in body of second lumbar ; bodies of remaining vertebrae of piece appear more or less worm-eaten on surface ; articular processes of last dorsal and first lumbar firmly united by bony anchylosis; similar anchyloses between ninth and tenth, and tenth and eleventh dorsals; the articulation between eleventh and twelfth still exists as such, though numerous processes aud outgrowths from neighborhood of articular surfaces of both bones exist; there is a large oval articular surface between spinous processes of second and third lumbar vertebrae. From a rebel deserter, employed as a teamster by the Qartermaster's Department, who died of phthisis pulmonalis. Autopsy : Tubercles of lungs ; abdominal cavity filled with pus; two psoas abscesses ; the one on right side had discharged into abdominal cavity ; that on left side had not opened and was filled with cheesy pus ; the abscess on right, partly filled with similar matter, communicating with the diseased vertebrae; anterior vertebral ligament and periosteum of bodies of several vertebrae, above and below curvature, were separated from bodies of vertebra by burrowing pus; the abscesses had already made their appearance iu groin. Contributed by Dr. N. S. Lincoln, Teamster's Hospital, Washington, D. C. No. 743. Sixth to tenth dorsal vertebrae, with parts of ribs attached ; masses of softened tubercular matter on each side 10. between sixth and seventh dorsal vertebrae; the bodies of these vertebrae carious ; spinal canal has been laid open, exposing the cord, which, however, does not appear to have suffered any actual compression. D. B., colored, age 23. Admitted to L'Ouverture Hospital, June 3d, 1865. with symptoms of dyspepsia; in a few weeks he seemed greatly relieved, was able to take free exercise in open air and to render some assistance iu ward; he, however, continued weak without any perceptible cause, and about September 1st, there was a manifest aversion to take exercise, with loss of muscular power and signs of inability to use lower extremities ; he was inclined to bend forward and had some pain in back, with tenderness on pressure over sixth and seventh dorsal vertebrae. About October 1st there was manifest paraplegia, loss of motion being far greater than of sensation; in a few weeks the limbs were completely paralyzed as respected motion; pain and tenderness in region of back above noticed increased ; appetite, however, good; pulse 80 aud of fair strength ; bowels constipated; urine passed involuntarily; bed-sores, about hips and sacrum, almost imperceptibly occurred. December 15th, anorexia ; pulse small and weak ; decided failure of vital powers. Died, December 29th. Autopsy: Head of peculiar shape, anterio posterior diameter being great as compared with lateral, which was very small; brain more than ordinarily hard ; medullary substance unusually white ; upper and middle lobes of right lung firmly adherent; a tubercular cavity in posterior part of middle lobe, the surrounding lung tissue hardened ; left pleural cavity contained ten ounces of yellowish serum ; lung firmly adherent at apex; deposition of yellowish lymph over unattached portion of upper lobe; tubercular cavity in posterior upper part of lower lobe; neighboring lung tissue hardened aud attached to sides of vertebrae ; considerable tubercular deposit on each side of bodies of sixth and seventh dorsal vertebrae, in the stage of softening bones, denuded and carious ; kidneys slightly fatty. Contributed by Surgeon E. Bentley, U. S. Vols., Alexandria, Va. No. 575. Pelvis, in which the sacrum is light and spongy, especially on left side, with irregular new formations of bone 11. on anterior surface; thin layers of new-formed bone coat the inner and outer surfaces of a large part of left ilium; the new-formed bone on inner surface of left ilium rises into an irregular exostosis of moderate size; a large abscess existed in specimen, as received at Museum, filled with cheesy pus, which anteriorly formed in front of sacrum and in hollow of left ilium a tumor of considerable size, the pus lying external to iliac periosteum; an irregular abscess-cavity posteriorly involving left half of sacrum and posterior half of outer surface of ilium ; this abscess-cavity was filled with cheesy pus, communicated with abscess within pelvis, and opened by several fistulous orifices through skin on upper part of left buttock. From a negro affected with scrofula, who had abscesses in various parts of body and phthisis pulmonalis. Contributed by Acting Assistant Surgeon W. C. Miner, L'Ouverture Hospital, Alexandria, Va. No. 811. Tubercular caries of lower two dorsal vertebrae, of lumbar vertebrae and of sacrum, involving ischium and 12. crest of ilium of left side. Private J. T., "F," 37th U. S. Colored, age 23. Admitted, February 20th, 1866, from Hicks Hospital, with severe pain much increased on pressure over lumbar region, with paraplegia, great constitutional debility and scrofulous cachexia. He stated that his sickness commenced while in hospital at Fortress Monroe, Va., with frost-bitten feet; he had pain in the back, increasing daily until he was unable to use his lower extremities. Au abscess formed and was opened shortly after his admission into this hospital; the opening continued to discharge profusely a quantity of very foetid and curdy pus; at times he was considerably troubled with incontinence of urine. About three weeks before his death another laro-e abscess formed lower down over sacro-lumbar junction; it was opened and discharged one and a half pints of foetid, curdy pus, followed by a quantity of yellow inspissated matter, in which little specks of necrosed bone were seen; carious bone was felt through both of these openings. He continued to grow weaker daily, and was found dead in his bed early in the morning, April 10th, after having eaten his supper as usual the night before. Autopsy: Emaciation; about three ounces of purulent fluid escaped from subarachnoid space upon opening dura mater; vessels of pia mater somewhat congested; surfaces of arachnoid and pia mater covered with a thick layer of yellowish pus ; anterior horn of left lateral ventricle contained about two drachms of pus ; third ventricle also contained a small quantity of SeC. 2. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 119 purulent matter; fourth ventricle full of pus; entire surface of spinal cord covered with pus; left lung adherent; both lungs and bronchial glands full of black pigment; heart somewhat enlarged, its cavities filled with whitish fibrinous clots; liver fatty; gall-bladder filled with greenish-yellow bile; mesenteric glands enlarged, some containing deposits of tubercular matter; about eight ounces of yellowish serum in peritoneal cavity; lumbar, sacral, coccygeal and lower dorsal vertebrae carious, as in specimen; lymphatic glands in inguinal and pelvic regions infiltrated with curdy pus; pus beneath sheaths of both psoas muscles, the greater portion of these muscles being destroyed ; carious abscesses of right fifth rib, and of left second and fourth, at cartilaginous junctions; sternum carious from fifth costal junction down; innominate bones studded with spots of caries. Contributed by Acting Assistant Surgeon H. McElderry, Post Hospital, Fort McHenry, Baltimore, Md. No. 580. Right knee joint, in which the articular surfaces of femur, tibia and patella have been destroyed by scrofulous 13. ulceration ; the bones for some distance beyond the articulation are coated by flat, irregular plates of new- formed bone. See 582, chap. II., sec. 3, C. 1, for history. No. 858. Lower part of right femur, patella and upper parts of bones of legs ; the articular extremities spongy, eroded, 14. presenting several cavities, the largest of which is in head of tibia, and is over an inch in length; anterior surface of patella and surfaces of tibia, fibula and femur, near articulation, roughened by irregular, new formations of bone. From a case of tubercular inflammation of joint in Freedman's Hospital. Contributed by Assistant Surgeon E. Bentley, U S. Army, Washington, D. C. No. 860. Small, irregular, new formations of bone about the upper edges of articular faces of scaphoid bone of left 15. foot and adjoining edges of astragalus and internal cuneiform bones; anchylosis of last two phalanges of little toe; supernumerary sesamoid bone between last two phalanges of great toe. From a negro man who died in the spring of 1866. From Freedman's Hospital, Washington, D. C Autopsy by Hospital Steward D. S. Lamb. No. 856. Right innominatum and femur, cotyloid ridge of acetabulum fringed by arthritic new formations of bone; 16. its concavity lined by porous new-formed bone; head of femur atrophied, its neck distorted; arthritic new formations on edges of patella and anterior surfaces of femoral condyles. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward A. M. Squier. No. 859. Left knee joint, articular surfaces much deformed, giving the leg a considerable bow inward ; edges of 17. articular surfaces of all the bones beset by arthritic new formations. From the body of a colored woman who died in the spring of 1866. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward S. S. Bond. No. 574. Portion of sacrum, showing caries in lower anterior portion, in connection with which a pelvic abscess had 18. existed. From a case of constitutional syphilis. No history. Contributed by Surgeon E. Griswold, U. S. Vols., Judiciary Square Hospital, Washington, D. C. No. 866. Section of au enchondromatous tumor of shoulder, of great size. (For description, see Boston Medical and 19. Surgical Journal, Vol. 70, page 169. See Surgical Section, 4656. XXVI. B. A. 16; Microscopical Section, Part First, XIV. A. a. 1.) Contributed by Dr. J. B. S. Jackson, Boston, Mass. No. 22. • Skull, with diplo6 greatly thickened, in some places nearly to half an inch; inner surface of cranium 20. irregularly roughened; rami of lower jaw soft and porous; in outer portion of falx major was a large osteophyte; several smaller ones near middle of falx. From the body of a white woman of unknown history, found in a dissecting room. Contributed by Acting Assistant Surgeon A. M. Squier. No. 872. Third to eleventh dorsal vertebrae, inclusive, with tubercular caries involving bodies of sixth to ninth dorsals, 21. inclusive ; the destruction of the osseous tissue is greatest in the bodies of the seventh and eighth. See 871, chap. I., sec. 5, 1, for history. Chapter VII. integument. SEVEN SPECIMENS. Chapter VII. integument. No. 323. Piece of integument from back of left arm, presenting several small carbuncles. 1- From a soldier of the Veteran Reserves, who was taken sick in May, 1864, with idiopathic erysipelas of the hand and forearm; he became comatose on the second day, and small carbuncles, similar to those in specimen, appeared over whole body ; he died on third day. Contributed by Acting Assistant Surgeon T. Cunyngham, Sherburne Barracks, Washington, D. C. No. 805. Foetus, at term, with whole scalp covered with an irregular, lobulated, luxuriant vascular fungus, which 2. extends somewhat upon the face, disfiguring features, and involves, though in a much slighter manner, the upper part of trunk and shoulders The mother was a healthy young mulatto woman. Contributed by Surgeon E. Bentley, U. S. Vols., L'Ouverture Hospital, Alexandria, Va. No. 629. Integument of front of thorax of a very dark mulatto, over which ramifies an iregular branching keloid 3. growth ; the integument between the branches of this new formation healthy, with enlarged sebaceous glands; a few hairs beset the growth. Microscopical examination showed the growth to be composed of tough connective tissue, with small papillae and thin epidermis ; vascularity scanty, and the whole tissue resembling an old scar from a burn. (See Microscopical Section, Part First, XIV. B. A. 3.) From a colored man who died of mania-a-potu, September 15th, 1865. From Freedman's Hospital, Washington, D. C. Autopsy by Hospital Steward A. J. Shaf hirt. No. 304. Plaster cast of part of left leg, with elephantiasis tuberosa, presenting a livid patch somewhat larger than the 4. hand, from which project innumerable smooth tubercles, varying from the size of a small shot to that of a large pea Private J. B. B., "E," 15th Kentucky. Admitted, June 24th, 1863, with leg as shown in specimen. He stated that he suffered from the disease nine years previously, but after a year it disappeared; it presented itself again about a month prior to admission, and had extended. The patient's general health and appearance were excellent; he suffered no pain while at rest, but the part "ached" when he attempted to walk ; said he had never had syphilis. Contributed by Assistant Surgeon C. C. Gray, U. S. Army, Hospital No. 8, Nashville, Tenn. No. 875. Two portions of skin, showing the eruption of small-pox on the 18th day ; the upper portion from over the 5. epigastrium, the lower, from the lower third of the leg. B. C, colored, age 21, not vaccinated. Admitted, June 8th, 1866, with confluent small-pox; eruption had appeared on 6th. He did well until the 19th or 20th day, when, in addition to severe furuncular inflammations on various parts of his body, pneumonia supervened. Died, June 24th. The pustules were drying on various parts of the body before pneumonia occurred. Contributed by Assistant Surgeon T. G. Mackenzie, U S Army, Kalorama Hospital, Washington D. C. No. 876. Three portions of skin, showing the eruption of small-pox on the 14th day ; the upper portion from lower 6. third of leg; the left lower one, from over thorax ; the right lower, from upper third of forearm. E. K. H., U. S. General Service, age 30, recently unsuccessfully vaccinated. Admitted, June 15th, 1866, with confluent small-pox ; the eruption had appeared on the 13th. He died in convulsions on the 27th. Contributed by Assistant Surgeon T. G. Mackenzie, U. S. Army, Kalorama Hospital, Washington, D. C. No. 877. Portion of skin from upper third of right forearm, showing the eruption of small-pox on the llth day. 7. D. S. colored, age 80, recently successfully vaccinated. Admitted, June 30th, 1*66, with discrete small-pox; he was much debilitated and had albuminous urine. Died comatose, July 8th. Contributed by Assistant Surgeon T. G. Mackenzie, U. S. Army, Kalorama Hospital, Washington, D. C. Chapter VIII. anomalies and monstrosities. THIRTEEN SPECIMENS. Chapter VIII. anomalies and monstrosities. No. 550. Hand, in which the metacarpal bone of thumb, much expanded laterally, presents two articular facets at its 1. phalangeal extremity, on outer one of which two thumb phalanges are situated, and on inner, three finger pha- langes; both finger and thumb phalanges of diminutive size. Contributed by Surgeon F. G. Snelling, U. S. Vols., Medical Director 18th Army Corps, Newbern, N. C. No. 724. Left foot, in which the last metatarsal bone, presents at its anterior extremity two articular heads, one of 2. which supports a toe composed of three phalanges; the outer one a toe composed of two phalanges. Contributor unknown. Nos. 516 516, middle and ring fingers of left hand, firmly united by their lateral margins throughout their whole and length, presenting a single nail of double width with an indentation corresponding to the division of the last 517. two fingers. 517, middle and ring fingers of right hand of same patient, dissected to show the bones; 3 and 4. phalanges of middle finger normal, but nail adheres to that of ring finger ; second phalanx of ring finger bifid; ulnar branch much the largest; third phalanx, which carries a nail of unusual breadth and is nearly an inch in transverse diameter at its base, has an articular surface uniting it with each branch of second phalanx. No history. Contributed by Medical Cadet Elliott Coues, Mount Pleasant Hospital, Washington, D. C. No. 868. Cast of left hand, with double thumb. 5. Private J. A. H., 15th Massachusetts Battery, age 43. Admitted, October 29th, 1864, with chronic rheum- atism. Returned to duty January 2d, 1865. Contributed by Surgeon J. C. McKee, Lincoln Hospital, Washington, D. C. Nos. 869 Casts of both hands, each with a sixth finger on the ulnar side. and Private T. H., "I," 98th New York. Admitted, September 6th, 1865, with chronic diarrhoea. Transferred 870. to hospital at David's Island, N. Y. Harbor, October 28th. 6 and 7. Contributed by Acting Assistant Surgeon J. H. Armsby, Ira Harris Hospital, Albany, N. Y. No. 714. Skeleton of a hemicephalus foetus at term; parietal bones, ascending portion of frontal, and squamous 8. portions of the two temporals wanting; frontal bone rounds off above orbits, and its anterior surface becomes continuous with orbital process; edges of temporal and occipital bones rounded off in like manner; iu the cup-shaped conical cavity was a rudimentary brain, covered superiorly by imperfectly developed integument. Contributor unknown. No. 804. Hemicephalus foetus at term. The mother was a young mulatto woman. 9. Contributed by Surgeon E. Bentley, U. S. Vols., Washington, D. C. No. 82. Hemicephalus foetus, which died a few minutes after birth at full term. 10. Contributed by Surgeon H. Culbertson, U. S. Vols., Harvey Hospital, Madison, Wis. No. 861. Monstrous foetus at full term ; lived fifteen minutes after birth; fourth child ; third pregnancy; other children 11. healthy and well formed. The following are the anatomical conditions:—thymus gland well developed; each lung consists of a single lobe; stomach large, with hour-glass contraction about the middle; liver lobated ; no gall-bladder; testes in abdominal cavity; small intestine terminates in a cul-de-sac on left side, largely distended with meconium ; no large intestine; pancreas and spleen normal; an irregular body, one inch iong, on left side, supposed to represent left kidney, but no ureters nor bladder could be made out; no pelvic cavity nor external opening of anus; double club forearm and hand; arrest of development in both thighs, which resemble stumps, the left being the largest. Contributed by Dr. F. Howard, Washington, D. C. NO. 847. Mole, with cavity containing a rudimentary foetus; the abnormal ovum forms a sac three and a half inches 12. long, with an oval cavity and walls of various thicknesses, half an inch at the thickest part; to one part of anterior surface of cyst thus formed, au embryo half an inch long is attached by its foetal extremity. This mole was expelled, November 5th, 1866, by a patient who had last menstruated in the previous August. Contributed by Assistant Surgeon H. McElderry, U. S. Army, West Point, N. Y. No. 865. Monstrous pig, with a single body; two normal forelegs and a double head fused together; there are two 13. snouts, each with two nostrils; two mouths, with upper and lower jaw-teeth each ; the inner surfaces of botli jaws fused together; the outer eye on each side apparently perfect; the inner eyes represented by a single aperture, leading to an undeveloped rudiment, with a few black bristles for eyebrows; outer ear of each head normal; inner ear absent; vault of cranium deficient; brain rudimentary. Contributed by Surgeon II. Culbertson, IT. S. Vols., Harvey Hospital, Madison, W>. INDEX OF CONTRIBUTORS TO THE MEDICAL SECTION. A. Allen, H.—p. 31, No. lO; p. 32, No. 515 ; p. 57, No. 160; p. 58, No. 201; p. 69, Nos. 116 to 118 ; p. 74, Nos. 154 and 155; p. 78, Nos. 383 and 384: p. 81, Nos. 329 to 331. Ansell, A—p. 21, No. 558. Antisell, Thomas—p. 67, Nos. 161 to 163; p. 70, Nos. 156 to 159; p. 107, No. 161. Armsby, J. H.—p. 127, Nos. 869 and 870. B. Bache, Thomas H.—p. 109, No. 592. Bacon, C, jr.—p. 18, No. 441; p. 52, No. 328; p. 62, Nos. 459 and 460. Baxter, J. H.—p. 48, No. 40. Bentley, E.—p. 5, No. 770; p. 14, No. 506; p. 16, No. 801; p. 17, No. 51; p. 18, Nos. 347 and 662; p. 25, Nos. 824 and 826; p. 31, No. 440; p. 34, Nos. 313, 348 and 444; p. 35, Nos. 345 and 818; p. 36, No. 342; p. 37, No. 667; p. 40, No. 665 ; p. 41, Nos. 827 and 828 ; p. 50, No. 11; p. 57, No. 421; p. 58, No. 420; p. 61, No. 439; p. 71, No. 419; p. 73, Nos. 296 and 297; p. 78, Nos. 422 and 123; p. 79, Nos. 849, 673 and 666; p 86, No. 734; p. 87, No. 731; p. 89, No. 664 ; p. 90, No. 457; p. 92, No. 447; p. 95, Nos. 829 and 639; p. 97, Nos. 830, 306 and 412; p. 99, No. 298; p. 100, No. 663; p. 105, Nos. 305, 803 and 802; p, 106, Nos. 46 and 766; p. 108, Nos. 822 and 823, 732 and 831: p. 110, No. 796; p. Ill, Nos. 846 and 845; p. 112, Nos. 833 and 507; p. 113, Nos. 337 and 733; p. 117, No. 825; p. 118, No. 743; p. 119, No. 858; p. 123, No. 805; p. 127, No. 804. Bloom, J. W.— p. 17, No. 67. Bond, S. S.—p. 110, No. 42. Bontecou, R. B.—p 24, No. 730; p. 64, Nos. 704 to 706; p. 67, Nos. 707 and 708; p. 78, No. 703; p. 89, Nos. 727 and 728; p. 100, No. 729. Bournonville, A. C.—p. 51, No. 153. Bowen,-----p. 109, No. 594. Boyd, G-. B.—p. 17, No. 332. Bradley, W. A.—p. 53, Nos. 192 and 193; p. 55, Nos. 185 to 189. Breed, B. B.—p. 20, No. 392. Breneman, E. De W.—p. 93, No. 295. Browne, R. K.—p. 29, No. 6; p. 45, Nos. 1, 2, 3, 1 and 5. Bryant, J.—p. 32, No. 7 ; p. 53, No. 208 ; p. 54, Nos. 280 to 283. Buck, H. B.—p. 32, No. 13. Buckman, E. D.—p. 100, No. 632. Butler, J. H.—p. 61, No. 810. Byrne, C. C—p. 96, No. 474; p. Ill, No. 38. c. Cantwell, J. Y.—p. 96, No. 476. Casey, W. B.—p. 87, Nos. 562 and 563. Chapin, H. B.—p. 50, No. 21. Combs, W. H.—p. 65, Nos. 395 to 397; p. 76, No. 115. n* 130 INDEX OF CONTRIBUTORS Comfort, A. I.—p. 80, Nos. 814 and 832. Conner, P. S.—p. 76, No. 83. Coues, E.—p. 50, No. 39; p. 56, Nos. 190 and 207; p. 127, Nos. 516 and 517. Cowgill, C. A—p. 7, Nos. 32 and 33. Cramer, J. F.—p. 85, No. 48. Crosby, T. R.—p. 36, No. 433; p. 38, No. 469; p. 39, No. 480; p. 41, Nos. 481 and 470; p. 58, No. 271; p. 59, Nos. 180 to 183; p. 75, Nos. 436 and 437; p. 83, Nos. 482 to 487; p. 91, No. 435; p. 99, No. 471; p. 117, No. 434. Culbertson, Howard—p. 19, No. 499; p. 24, No. 497; p. 25, No. 686; p. 29, No. 494; p. 45, No. 493 ; p. 47, No. 498; p. 50, No. 505; p. 58, No. 496: p. 77, No. 184; p. 78, No. 495; p. 90, No. 687; p. 91, No. 501; p. 94, No. 321; p. 127, Nos. 82 and 865. Cunyngham, T.—p. 36, No. 339 ; p. 123, No. 323. D. Dade, F. T.—p. 76, Nos. 71 to 74; p. 105, No. 23. Daggett, D. L.—p. 23, No. 552; p. 82, No. 551. Dean, H. M.—p. 13, Nos. 403 and 338; p. 15, No. 461; p. 24, No. 432; p. 29, No. 426; p. 37, No. 427; p. 60, Nos. 369 to 373; p. 84, Nos. 428 to 431; p. 91, Nos. 351, 450 and 451; p. 107, Nos. 455 and 456. Delaney, A. F.—p. 58, No. 226. Dorsey, S.—p. 76, Nos. 151 and 152. Draper, L. J.—p. 5, No. 873; p. 35, No. 874. Ducachet, H. W.—p. 47, No. 66; p. 60, No. 77. E. Ellis, W.—p. 93, No. 614; p. 108, No. 615. F. Faxon, W. L.—p. 15, No. 518; p. 33, No. 391 ; p. 47, No. 478; p. 61, No. 479; p. 86, No. 453 ; p. 99, No. 523. Fay, G. W.—p. 33, No. 446. Fell, E. R.—p. 14, No. 579. Ford, C. M.—p. 110, No. 759; p. 114, No. 443. Foye, J. W.—p. 109, No. 593. French, George F—p. 64, Nos. 145 and 146; p. 65, Nos. 126 to 128 ; p. 72, No. 144 ; p. 73, Nos. 119 to 1 23, and 129 to 131; p. 75, Nos. 124 and 125; p. 76, Nos. 132 to 137; p. 79, Nos. 138 to 143; p. 85, No. 49. Fry, G. W.—p. 14, No. 52. Fryer, B. B.—p. 49, No. 548 ; p. 50, No. 549. G-. Gardner, W. H.—p. 75, No. 78. Gibbs, A. S.—p. 110, Nos. 576 to 578. Goldsmith, M.—p. 5, Nos. 35 and 36; p. 22, No. 503. Gouley, J. W. S.—p. 97, No. 26. Gray, C. C—p. 123, No. 304. Griswold, E.—p. 119, No. 574. H. Haight, D. L.—p. 37, No. 405; p. 60, Nos. 374 and 375 ; p. 74, No. 406;. p. 78, Nos. 361 to 366. Hard, A.—p. 68, No. 324; p. 81, No. 322. Hartshorne, E— p. 73, Nos. 148 and 149. Herburt,-----p. 41, No. 514. Hildreth, J. S.—p. 107, Nos. 27 to 29. Hitz, R. B.—p. 75, No. 462. Horner, Caleb W.—p. 9, No. 314; p. 15, No. 310; p. 20, Nos. 311 and 312 ; p. 99, No. 313. Howard, F.—p. 127, No. 861. J. Jackson, J. B. S.—p. 95, No. 571; p. 119, No. 866. Jewett, P. A.—p. 19, No. 638; p. 21, No. 545 ; p. 79, No. 521 ; p. 106, No 525. TO THE MEDICAL SECTION. 131 K. Keller, J. G—p. 3, No. 760. Kennedy, J. F—p. 85, No. 47. Kingston,-----p. 106, Nos. 20 and 21. Kipp, C. J.—p. 13, No. 319 ; p. 16, No. 346; p. 87, No. 53; p. 96, No. 473; p. 105, No. 335. Kneeland, S.—p. 92, No. 742. L. Laub, C. H.—p. 45, No. 812 ; p. 48, No. 813. Leidy, Joseph—p. 17, No. 68 ; p. 22, No. 19 ; p. 24, No. 269 ; p. 31, No. 11; p. 32, No. 12 ; p. 34, Nos. 92 and 311 ; p. 36, No. 331; p. 46, Nos. 63 and 272; p. 50, Nos. 30, 31 and 350; p. 51, Nos. 84, 85, 87, 93 to 98 and 107 and 108 ; p. 52, Nos. 237, 238, 270 and 273 to 276; p. 54, Nos. 228 to 231 and 112 and 113; p. 55, Nos. 99 to 101 and 212 and 243; p. 57, Nos. 60 and 61; p. 58, No. 239; p. 59, Nos. 88 to 90, 102 to 105, and 240 and 241; p. 62, Nos. 234 to 236; p. 67, Nos. 232 and 233; p. 68, Nos. 86 and 262 to 268 ; p. 72, Nos. 64 and 279 ; p. 74, Nos. 56 to 59 ; p. 75, Nos. 1 lO and 111 ; p. 80, No. 13 ; p. 83, Nos. 244 to 261; p. 88, No. 91; p. 91, No. 333; p. 96, No. 175 ; p. 97, Nos. 62, 109, 106 and 114; p. 98, No. 55; p. Ill, Nos. 17 and 18. Lilly, H. M.—p. 4, Nos. 299 and 300; p. 5, No. 844. Lincoln, N. S.—p. 118, No. 573. M. McCall, C. A.—p. 16, No. 212; p. 32, No. 411; p. 94, Nos. 215 and 216. McCook, George—p. 113, No. 795. McDonald, W. O.—p. 56, No. 150. McElderry, H.—p. 19, No. 852; p. 20, No. 853; p. 96, No. 8531; p. 118, No. 811 ; p. 127, No. 847. McGill, G. M.—p. 5, No. 583; p. 9, No. 588; p. 10, No. 587; p. 32, Nos. 585 and 586; p. 48, No. 69; p. 73, No. 616; p. 75, No. 70; p. 81, No. 618; p. 94, No. 867; p. 98, No. 581; p. 112, No. 788. McKee, J. C—p. 4, No. 843 ; p. 47, No. 291; p. 94, Nos. 292 to 294; p. 127, No. 868. Mackenzie, T. G—p. 123, Nos. 875, 876 and 877. May, H. C—p. 63, Nos. 5 lO to 513. Miles, B. B.—p. 15, No. 336; p. 17, No. 214 ; p. 31, No. 988; p. 36, No. 340; p. 49, No. 442; p. 59, No. 191; p. 71, No. 227 ; p. 107, Nos. 500 and 504. Miner, W. C—p. 3, No. 617 ; p. 6, Nos. 557 and 566; p. 7, No. 520 ; p. 9, No. 649; p. 13, No. 596 ; p. 16, No. 544 ; p. 18, No. 454; p. 25, No. 582; p. 29, No 467 ; p. 36, No. 526 ; p. 37, No. 492; p. 40, Nos. 624, 625 and 567; p. 49, No. 654; p. 54, No. 565; p. 60, No. 468; p. 61, No. 452 ; p. 63, Nos. 489 to 491, 597 and 598, and 600 and 601 ; p. 66, Nos. 854 and 855 ; p. 81, Nos. 465 and 466; p. 84, Nos. 463 and 464; p. 87, No. 553; p. 88, No. 581; p. 89, No. 626; p. 99, Nos. 561 and 569; p. 100, Nos. 630 and 627 ; p. 112, No. 543; p. 113, Nos. 589 and 590; p. 117, Nos. 556, 568, 555 and 540 to 542; p. 118, No. 575 ; p. 119, No. 580. Morris, John—p. 85, No. 414. Moseley, N. R.—p. 31, No. 410 ; p. 37, No. 521; p. 71, No. 438; p. 75, No. 527 ; p. 78, Nos. 367 and 368. Moxley, I. J.—p. 50, No. 522. Mursick, G. A.—p. 99, Nos. 325 and 326. N. Neill, John—p. 30, No. 570. Norris, W. F.—p. 21, No. 546; p. 30, No. 519; p. 70, Nos. 660 and 517; p. 77, Nos. 362 and 400; p. 80, No. 448; p. 93, No. 449; p. 97, No. 534; p. 106, Nos. 361 and 530. o. Okie, W. T.—p. 30, No. 302. P. page> C.—p. 34, No. 65 ; p. 54, Nos. 171 to 177 ; p. 56, No. 75 ; p. 71, Nos. 217, 218 and 219, and 220 and 221 : p. 72, No. 203; p. 76, No. 222; p. 80, Nos. 223 to 225. Parker, G. B.—p. 26, No. 595. Perry, Ira—p. 14, Nos. 840 and 842; p. 65, Nos. 838 and 839; p. 71, No. 834; p. 72, No. 837; p. 97, No. 836; p. 98, Nos. 712 and 710; p. 100, Nos. 709 and 711; p. 101, No. 835; p. 109, No. 841. Peters, DeWitt C—p. 9, No. 41; p. 15, No. 599; p. 31, No. 14; p. 33, No. 591; p. 39, Nos. 213 and 309 ; p. 50, No. 45; p. 62, Nos. 307 and 308; p. 68, No. 76; p. 85, No. 775; p. 92, Nos. 668 and 669; p. 96, No. 37; p. 114, No. 758; p. 117, No. 303. 13'J INDEX OF CONTRIBUTORS R. Reber, C. T.—p. 46, No. 363. Rowe, H.—p. 31, No. 15. s. Schafhirt, A. J.—p. 23, No. 25. Schafhirt, Fred—p. 55, Nos. 277 and 278 ; p. 91, No. 445 ; p. 114, No. 81. Schell, H. S.—p. 93, No. 628. Seguin, G. C.—p. 3, No. 761. Sim, Thomas—p. 48, No. 537; p. 70, No. 458; p. 95, Nos. 538 and 539. Skillern, S. R—p. 39, No. 16. Smith, G. K.—p. 81, Nos. 602 and 603 ; p. 105, No. 554. Smoot, Samuel C—p. 33, No. 572. Snelling, F. G—p. 127, No. 550. Sparrow, Wm. E.—p. 85, No. 413. Spencer, T. R.—p. 30, No. 301. Squier, A. M.—p. 113, No. 713; p. 119, Nos. 856 and 22. Stevens, H.—p. 86, No. 51. Storror, E— p. 15, No. 327. Sweet, O. P.—p. 15, No. 472; p. 55, Nos. 398 and 399; p. 56, Nos. 421 and 425; p. 57, Nos. 407 and 408 ; p. 58, No. 352; p. 63, Nos. 385 to 390; p. 64, Nos. 416 to 418, p. 65, Nos. 356 to 359; p. 66, Nos. 353 to 355 ; p. 70, Nos. 401 and 402 ; p. 78, No. 409. T. Thomson, W.— p. 10, No. 871; p. 22, No. 862 ; p. 23, No. 381; p. 37, No. 404 ; p. 53, Nos. 165 to 170; p. 54, Nos. 202 and 376 to 380; p. 57, Nos. 79 and SO; p. 58, No. 196; p. 65, Nos. 815 to 821; p. 74, Nos. 393 and 394 ; p. 77, Nos. 194 and 195, and 288 and 289; p. 80, No. 360; p. 93, No. 850; p. 107, Nos. 863 and 864; p. 119, No. 872. Thorp, Abner—p. 61, No. 147. Todd, S. S.—p. 80, No. 382. Tutt, C. P.—p. 49, No. 488. u. Ure, Walter—p. 107, Nos. 508 and 509. V. Van Arnum, J. W.—p. 114, No. 857. Vandyke, E. B.—p. 69, Nos. 317 to 320. w. Ward S. B.—p. 33, No. 290. Watson, A. T.—p. 21, No. 502 ; p. 30, Nos. 650 and 652 ; p. 46, No. 653; p. 87, No. 651. Webster, Warren—p. 80, No. 284. Weir, R. F.—p. 4, No. 535; p. 31, No. 528; p. 32, No. 529; p. 49, No. 532; p. 109, No. 536. Welling, E. L.—p. 72, Nos- 285 and 286 and 287; p. 74, Nos 178 and 179. Wells, W. L.—p. 56, Nos. 315 and 316; p. 91, No. 209. Whitehead, W. E.—p. 64, Nos. 197 to 200. Wilcoxson, L. D— p. 18, No. 655. Willentski, Iwanoff—p. 85, No. 115. Wilson, J. E.—p. 86, No. 50. Wolfley, W. J.—p. 4, No. 531. Woodward, B.—p. 7, No. 31. Y. Young, J. T.—p. 22, No. 533. TO THE MEDICAL SECTION. 133 Specimens from Autopsies made at the Freedman's Hospital by Employees of the Museum.—p. 6, Nos. 637 and 793; p. 8, Nos. 785, 735 and 794 ; p. 9, No. 790; p. 13, No. 787; p. 16, No. 716; p. 18, No. 711; p 19, No. 783 ; p. 20, Nos. 789 and 722 ; p. 22, No. 694 ; p. 23, Nos. 717 and 737 ; p. 35, Nos. 684 and 807; p. 38, Nos. 607, 691 and 773; p. 39, Nos. 611 and 633; p. 40, Nos. 711 and 675 ; p. 41, Nos. 688 and 736; p. 46, No. 786; p. 47, Nos. 768 and 634; p. 48, No. 719 ; p. 49, No. 670; p. 52, Nos. 717 and 748 to 750; p. 53, Nos. 756, 762 and 781; p. 61, Nos. 604 to 606; p. 62, Nos. 656 and 657; p. 66, Nos. 680 to 683; p. 67, Nos. 698 and 699; p. 68, Nos. 700 and 701; p. 69, Nos. 619 to 622, and 608 to 610; p. 77, No. 769; p. 82, Nos. 692, 774, 776, 674 and 798; p. 83, Nos. 612, 808 and 725; p. 84, Nos. 677 to 679, 771 and 772, and 720; p. 86, Nos. 784, 715 and 806; p. 88, Nos. 693, 721, 778, 642 and 643, 739 and 636; p. 89, Nos. 751 to 753, 689, 635 and 764; p. 90, Nos. 647 and 648, 672 and 723; p. 93, No. 690; p. 94, Nos. 695, 738, 763 and 765 ; p. 95, Nos. 697 and 611; p. 96, No. 658; p. 98, Nos. 716 and 782; p. 100, Nos. 631 and 696; p. 101, Nos. 715 and 767; p. 105, Nos. 779, 792 and 757; p. 106, No. 685; p. 108, Nos. 671, 718, 726 and 611; p. 110, No. 640; p. Ill, Nos. 740, 797 and 791; p. 112, Nos. 623, 659, 615, 800 and 780; p. 113, Nos. 799, 613, 646, 754 and 851; p. 117, Nos. 676 and 809; p. 118, No. 755; p. 119, Nos. 860, 856 and 859; p. 123, No. 629. INDEX OF SPECIMENS IN THE MEDICAL SECTION. Spec. Page. | Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Pi ge. Spec. Page. No. 1 45 No. 56 74 No. Ill 75 No. 166 53 No. 221 7) No. 276 52 No. 331 81 No. 386 63 No. 2 45 No. 57 74 No. 112 54 No. 167 53 No. 222 76 No. 277 55 No. 332 17 No. 387 "63 No. 3 45 No. 58 74 No. 113 54 No. 168 53 No. 223 80 No. 278 55 No. 333 91 No. 388 63 No. 4 45 No. 59 74 No. 114 97 No. 169 53 No. 224 80 No. 279 72 No. 334 36 No. 389 63 No. 5 45 No. 60 57 No. 115 76 No. 170 53 No. 225 80 No. 280 54 No. 335 05 No. 390 63 No. 6 29 No. 61 57 No. 116 69 No. 171 54 No. 226 58 No. 281 54 No. 336 15 No. 391 33 No. 7 32 No. 62 97 No. 117 69 No. 172 54 No. 227 71 No. 282 54 No 337 113 No. 392 20 No. 8 31 No. 63 46 No. 118 69 No. 173 54 No. 228 54 No. 283 54 No. 338 13 No. 393 74 No. 9 31 No. 64 72 No. 119 73 No. 174 54 No. 229 54 No. 284 80 No. 339 36 No. 394 74 No. lO 31 No. 65 34 No. 120 73 No. 175 54 No. 230 54 No. 285 72 No. 340 36 No. 395 65 No. 11 31 No. 66 47 No. 121 73 No. 176 54 No. 231 54 No. 286 72 No. 341 34 No. 396 65 No. 12 32 No. 67 17 No. 122 73 No. 177 54 No. 232 67 No. 287 72 No. 342 36 No. 397 65 No. 13 32 No. 68 17 No. 123 73 No. 178 74 No. 233 67 No. 288 77 No. 343 34 No. 398 55 No. 14 31 No. 69 48 No. 124 75 No. 179 74 No. 234 62 No. 289 77 No. 344 19 No. 399 55 No. 15 31 No. 70 75 No. 125 75 No. 180 59 No. 235 62 No. 290 33 No. 345 35 No. 400 77 No. 16 39 No. 71 76 No. 126 65 No. 181 59 No. 236 62 No. 291 47 No. 346 16 No. 401 70 No. 17 111 No. 72 76 No. 127 65 No. 182 59 No. 237 52 No. 292 94 No. 347 18 No. 402 70 No. 18 111 No. 73 76 No. 128 65 No. 183 59 No. 238 52 No. 293 94 No. 348 34 No. 403 13 No. 19 22 No. 74 76 No. 129 73 No. 184 77 No. 239 58 No. 294 94 No. 349 13 No. 404 37 No. 20 106 No. 75 55 No. 130 73 No. 185 55 No. 240 59 No. 295 93 No. 350 50 No. 405 37 No. 21 106 No. 76 68 No. 131 73 No. 186 55 No. 241 59 No. 296 73 No. 351 91 No. 406 74 No. 22 119 No. 77 61 No. 132 76 No. 187 55 No. 242 55 No. 297 73 No. 352 58 No. 407 57 No. 23 105 No. 78 75 No. 133 76 No. 188 55 No. 243 55 No. 298 99 No. 353 66 No. 408 57 No. 24 50 No. 79 57 No. 134 76 No. 189 55 No. 244 83 No. 299 4 No. 354 66 No. 409 78 No. 25 23 No. 80 57 No. 135 76 No. 190 56 No. 245 83 No. 300 4 No. 355 66 No. 410 31 No. 26 97 No. 81 114 No. 136 76 No. 191 59 No. 246 83 No. 301 30 No. 356 65 No. 411 32 No. 27 107 No. 82 127 No. 137 76 No. 192 53 No. 247 83 No. 302 30 No. 357 65 No. 412 97 No. 28 107 No. 83 76 No. 138 79 No. 193 53 No. 248 83 No. 303 117 No. 358 65 No. 413 85 No. 29 107 No. §4 51 No. 139 79 No. 194 77 No. 249 83 No. 304 123 No. 359 65 No. 414 85 No. 30 50 No. 85 51 No. 140 79 No. 195 77 No. 250 83 No. 305 105 No. 360 80 No. 415 85 No. 31 50 No. 86 68 No. 141 79 No. 196 58 No. 251 83 No. 3©6 97 No. 361 106 No. 416 64 No. 32 7 No. 87 51 No. 142 79 No. 197 64 No. 352 83 No. 307 62 No. 362 77 No. 417 64 No. 33 7 No. 88 59 No. 143 79 No. 198 64 No. 253 83 No. 308 62 No. 363 46 No 418 64 No. 34 7 No. 89 59 No. 144 72 No. 199 64 No. 254 83 No. 309 39 No. 364 78 No. 419 71 No. 35 5 No. 90 59 No. 145 64 No. 200 64 No. 255 83 No. 310 15 No. 365 78 No. 420 58 No. 36 5 No. 91 88 No. 146 64 No. 201 58 No. 256 83 No. 311 20 No. 366 78 No. 421 57 No. 37 96 No. 92 34 No. 147 61 No. 202 54 No. 257 83 No. 312 20 No 367 78 No. 422 78 No. 38 111 No. 93 51 No. 148 7:! No. 203 72 No. 258 83 No. 313 99 No. 368 78 No. 423 78 No. 39 50 No. 94 51 No. 149 73 No. 204 55 No. 259 83 No. 314 9 No 369 60 No. 424 56 No. 40 48 No. 95 51 No. 150 56 No. 205 55 No. 260 83 No. 315 56 No. 370 60 No. 425 56 No. 41 9 No. 96 51 No. 151 76 No. 206 72 No. 261 83 No. 316 56 No. 371 60 No. 426 29 No. 42 110 No. 97 51 No. 152 76 No. 207 56 No. 262 68 No. 317 69 No. 372 60 No. 427 37 No. 43 80 No. 98 51 No. 153 51 No. 208 53 No. 263 68 No. 318 69 No. 373 60 No. 428 84 No. 44 50 No. 99 55 No. 154 74 No. 209 91 No. 264 68 No. 319 69 No. 374 60 No. 429 84 No. 45 50 No. 100 55 No. 155 74 No. 210 26 No. 265 68 No. 320 69 No. 375 60 No. 430 84 No. 46 106 No 101 55 No. 156 70 No. 211 17 No. 266 68 No. 321 94 No. 376 54 No. 431 84 No. 47 85 No. 102 59 No. 157 70 No. 212 16 No. 267 68 No. 322 81 No. 377 54 No. 432 24 No. 48 85 No. 103 59 No. 158 70 No. 213 39 No. 268 68 No. 323 123 No. 378 54 No. 433 36 No. 49 85 No. 104 105 59 No. 159 70 No. 214 17 No. 269 24 No. 324 68 No. 379 54 No. 434 117 No. 50 86 No. 59 No. 160 57 No. 215 94 No 270 52 No. 325 99 No. 380 54 No. 435 91 No. 51 86 No. 106 97 No. 161 67 No. 216 94 No. 271 58 No. 326 99 No. 381 23 No. 436 75 No. 52 14 No. 107 51 No. 162 67 No. 217 71 No. 272 46 No. 327 15 No. 382 -i No. 437 75 No. 53 87 No. 108 51 No. 163 67 No. 218 71 No. 273 52 No. 328 52 No. 383 7 c- No. 438 71 No. 54 17 No. 109 97 No. 164 107 No. 219 71 No. 274 52 No. 329 81 No. 384 78 No. 439 61 No. 55 98 No. 110 75 No. 165 53 No. 220 71 No. 275 ;,-j No. 330 81 No. 385 0? No. 440 31 136 INDEX OF SPECIMENS IN THE MEDICAL SECTION. Spr, Page. Spec 1 'age. No Ill 18 No. 496 58 No. 112 49 No. 197 24 No. 4 13 114 No 498 47 No. 411 34 No. 499 19 No. 115 91 No. 5O0 107 No. 116 33 No. 501 91 No. 417 92 No. 502 21 No 448 80 No. 503 22 No 449 93 No. 504 107 No 450 91 No. 505 50 No. 451 91 No. 506 14 No 452 61 No. 507 112 No. 453 86 No. 508 107 No 454 18 No. 509 107 No 455 107 No. 510 63 No 156 107 No. 511 63 No 457 90 No. 512 63 No. 458 70 No. 513 63 No. 459 62 No. 514 41 No. 460 62 No. 515 32 No. 461 15 No. 516 127 No. 462 75 No. 517 127 No. 463 84 No. 518 15 No. 464 84 No. 519 30 No. 465 81 No. 520 7 No. 166 81 No. 521 37 No. 467 29 No. 522 50 No. 468 60 No. 523 99 No. 469 38 No. 524 79 No. 470 41 No. 525 106 No. 471 99 No. 526 36 No. 472 15 No. 527 75 No. 473 96 No. 528 3) No. 474 96 No. 529 32 No 475 90 No. 530 106 No 476 96 No. 531 4 No. 477 96 No. 532 49 No. 478 47 No. 533 22 No. 479 61 No. 531 97 No. 480 39 No. 535 4 No. 481 41 No. 536 109 No. 482 83 No. 537 48 No. 483 83 No. 538 95 No. 484 83. No. 539 95 No. 485 S'.l No. 540 117 No. 486 83 No. 541 117 No. 487 83 No. 542 117 No. 488 49 No. 543 112 No. 489 63 No. 511 16 No. 490 63 No. 515 21 No. 491 63 No. 546 21 No. 492 37 No. 547 70 No. 493 45 No. 548 49 No. 494 29 No. 549 50 No. 495 78 No. 550 127 Spec Page. Spec 'age. No. 551 82 No. 606 61 No. 552 23 No. 607 38 No. 553 87 No. 608 69 No. 554 105 No. 609 69 No. 555 117 No. 610 69 No. 556 117 No. 611 39 No. 557 6 No 612 83 No. 558 21 No. 613 113 No. 559 59 No. 614 93 No. 560 59 No. 615 108 No. 561 59 No. 616 73 No. 562 87 No. 617 3 No. 563 87 No. 618 81 No. 561 99 No. 619 69 No. 565 54 No. 620 69 No. 566 6 No. 621 69 No. 567 40 No. 622 69 No. 568 117 No. 623 112 No. 569 99 No. 624 40 No. 570 30 No. 625 40 No. 571 95 No. 626 89 No. 572 33 No. 627 100 No 573 118 No. 628 93 No. 574 119 No. 629 123 No. 575 118 No. 630 100 No. 576 110 No. 631 100 No. 577 110 No 632 100 No. 578 110 No. 633 39 No. 579 14 No. 634 47 No. 580 119 No. 635 89 No. 581 88 No. 636 88 No. 582 25 No. 637 6 No. 583 5 No. 638 19 No. 584 98 No. 639 95 No. 585 32 No. 640 110 No. 586 32 No. 641 95 No. 587 10 No. 642 88 No. 588 9 No. 643 88 No. 589 113 No. 611 108 No. 590 113 No. 615 112 No. 591 33 No. 616 113 No. 592 109 No. 647 90 No. 593 109 No. 648 90 No. 594 109 No. 649 9 No. 595 26 No. 650 30 No. 596 13 No. 651 87 No. 597 63 No. 652 30 No. 598 63 No. 653 46 No. 599 15 No. 651 49 No. 600 63 No. 655 18 No. 601 63 No. 656 62 No. 602 81 No. 657 62 No. 603 Ml No. 658 96 No. 601 61 No. 659 112 No. 605 61 No. 660 70 Spec Page. Spec Page. No. 661 8 No. 716 15 No. 662 18 No. 717 52 No. 663 100 No. 718 108 No. 664 89 No. 719 48 No. 665 40 No. 720 84 No. 666 79 No. 721 88 No. 667 37 No. 722 20 No. 668 92 No. 723 90 No. 669 92 No. 724 127 No. 670 49 No. 725 83 No. 671 108 No. 726 108 No. 672 90 No. 727 89 No. 673 79 No. 728 89 No. 674 82 No. 729 100 No. 675 40 No. 730 24 No. 676 117 No. 731 87 No. 677 84 No 732 108 No. 678 84 No. 733 113 No. 679 84 No. 734 86 No. 680 66 No. 735 8 No. 681 66 No 736 41 No. 682 66 No. 737 23 No. 683 66 No. 738 94 No. 684 35 No. 739 88 No. 685 106 No. 740 111 No. 686 25 No. 741 18 No. 687 90 No. 742 92 No. 688 41 No. 743 118 No. 689 89 No. 744 40 No. 690 93 No. 745 101 No. 691 38 No. 746 98 No. 692 82 No. 747 23 No. 693 88 No. 748 52 No. 694 22 No. 749 52 No. 695 94 No. 750 52 No. 696 100 No. 751 89 No 697 95 No. 752 89 No. 698 67 No. 753 89 No. 699 67 No. 754 113 No. 700 08 No. 755 118 No. 701 08 No. 756 53 No. 702 59 No. 757 105 No. 703 78 No. 758 114 No. 704 64 No. 759 110 No. 705 64 No. 760 3 No. 706 64 No. 761 3 No. 707 67 No. 762 53 No. 708 67 No. 763 94 No. 709 100 No. 764 89 No. 710 98 No. 765 94 No 711 100 No. 766 106 No. 712 98 No. 767 101 No. 713 113 No. 768 47 No 714 127 No. 769 77 No. 715 86 No. 770 5 Spec Page. Spec Page. No. 771 84 No. 825 117 No. 772 84 No. 826 25 No. 773 38 No. 827 41 No. 774 82 No. 828 41 No. 775 85 No. 829 95 No. 776 82 No. 830 97 No 777 114 No. 831 108 No. 778 88 No. 832 85 No. 779 105 No. 833 112 No. 780 112 No. 834 71 No. 781 53 No. 835 101 No. 782 98 No. §36 97 No. 783 19 No. §37 72 No. 784 86 No. 838 65 No. 785 8 No. §39 65 No. 786 46 No. 840 14 No. 787 13 No. 841 109 No. 788 112 No. 842 14 No. 789 20 No. §43 4 No. 790 9 No. §44 5 No. 791 111 No. §45 111 No. 792 105 No. §46 111 No. 793 6 No. 847 127 No. 794 8 No. 84§ 35 No. 795 113 No. §19 79 No. 796 110 No. §50 93 No. 797 111 No. §51 113 No. 798 82 No. §52 19 No. 799 113 No. §53 20 No. 800 112 No. §531 96 No. 801 16 No. §54 66 No. §02 105 No. §55 66 No. 803 105 No. §56 119 No. 804 127 No. §57 114 No. 805 123 No. §58 119 No. 806 86 No. 859 119 No. 807 35 No. 860 1J9 No. 808 83 No. 861 127 No. §09 117 No. 862 22 No. 810 61 No. §63 107 No. 811 118 No. §64 107 No. §12 45 No. §65 127 No. 813 48 No. §66 119 No. 814 85 No. 867 94 No. 815 65 No. 868 127 No. 816 65 No. 869 127 No. 817 65 No. 870 127 No. 818 65 No. 871 10 No. 819 65 No. 872 119 No. §20 65 No. 873 5 No. 821 65 No. 874 35 No. 822 108 No. §75 123 No. 823 108 No. 876 123 No. 824 25 No. §77 123 CATALOGUE OF THE MICROSCOPICAL SECTION OF THE fflmttb State %xm% GW (M useam. PREPARED UNDER THE DIRECTION OF THE SURGEON GENERAL, U. S. ARMY, By Brevet Major Edward Curtis, Assistant Surgeon, U. S. Army. WASHINGTON: GOVERNMENT PRINTING OFFICE 1867. CONTENTS PAGE. Part First.—MOUNTED PREPARATIONS FOR THE MICROSCOPE.................. 5 NOTE........................................................................................... 5 I. CONNECTIVE TISSUE SYSTEM................................................................ 7 II. EXTERNAL TEGUMENTARY SYSTEM......................................................... 11 III. MUSCULAR SYSTEM........................................................................... 21 IV. OSSEOUS SYSTEM.............................................................................. 27 V. VASCULAR SYSTEM............................................................................ 33 VI. NERVOUS SYSTEM............................................................................. 39 VII. DIGESTIVE ORGANS........................................................................... 45 VIII. RESPIRATORY ORGANS..................................'...................................... 67 IX. URINARY ORGANS AND SUPRARENAL GLANDS.............................................. 73 X. SEXUAL ORGANS, OVA AND FCETAL APPENDAGES.......................................... 85 XI. ORGAN OF VISION............................................................................. 89 XII. ORGAN OF HEARING.......................................................................... 95 XIII. ORGAN OF SMELL............................................................................. 99 XIV. PATHOLOGICAL GROWTHS.................................................................... 103 XV. PARASITES.................................................................................... 107 XVI. ARTICLES OF FOOD AND CLOTHING, AND MATERIA MEDICA.............................. Ill XVII. DIATOMS AND OTHER TEST OBJECTS....................................................... 119 XVIII. MISCELLANEOUS...............................:.............................................. 127 Part Second.—PHOTOORAPIIIC NEGATIVES OF MICROSCOPIC OBJECTS....... 131 NOTE........................................................................................... 131 I. CONNECTIVE TISSUE SYSTEM................................................................ 135 II. EXTERNAL TEGUMENTARY SYSTEM.........."............................................... 136 III. MUSCULAR SYSTEM........................................................................... 137 IV. OSSEOUS SYSTEM.............................................................................. 138 V. VASCULAR SYSTEM............'................................................................ 140 VI. NERVOUS SYSTEM............................................................................. 140 VII. DIGESTIVE ORGANS........................................................................... 141 VIII. RESPIRATORY ORGANS......................................................................... 144 XIV. PATHOLOGICAL GROWTHS.................................................................... 145 XV. PARASITES.................................................................................... 145 XVI. ARTICLES OF FOOD AND CLOTHING, AND MATERIA MEDICA.............................. 146 XVII. DIATOMS AND OTHER TEST OBJECTS....................................................... 147 XVIII. MISCELLANEOUS.............................................................................. 149 Part Third.—PHOTOMICROGRAPHS PRESENTED TO THE MUSEUM............. 151 INDEX OF PREPARERS OF SPECIMENS.................................................... 153 INDEX OF SPECIMENS............................................................................ 157 INDEX OF NEGATIVES........................................................................... 161 Part First. MOUNTED PREPARATIONS FOR THE MICROSCOPE. Note.—These preparations, with the exception of three hundred and sixty opaque injections by Professor Hyrtl, of Vienna, and a few others, 'are mounted on slips of glass three inches long by one wide. Each slide is labelled with the name of the object, the menstruum in which it is mounted, the date of preparation, and the Museum and Catalogue numbers of the specimen. The large majority of the specimens have been prepared in the Microscopical Department of the'Museum—the greater part by Acting Assistant Surgeon J. C. W. Kennon, U. S. Army; the remainder by Assistant Surgeon Edward Curtis, U. S. Army, and Hospital Steward E. M. Schaeffer, U. S. Army. Where a specimen has not been prepared in the Museum, the name of the preparer is appended to the description. The preparations of Professor Hyrtl consist of opaque fine injections in various colors, to show the arrangement of the capillaries in the different structures of the body. They are mounted dry in small slips of wood, having a black background, and are to be viewed by reflected light. In the following Catalogue, the range of objectives that may be advantageously used with each preparation is given. By "low powers" is meant object glasses below an yV; by "moderate" those between an -fa and a.J; by "high" those from a \ upwards. I. CONNECTIVE TISSUE SYSTEM. A. Connective Tissue Proper. JJi White Fibrous Tissue. \J. Yellow Elastic Tissue. \J, Adipose Tissue. A. From Man. B. From Animals. | C. Pathological. I. CONNECTIVE TISSUE SYSTEM. A. Connective Tissue Proper. 112©, 1121 and 1615. A. 1. 1620. A. 2. 25. A. 3. 26. A. 4. A. From Man. Three preparations ot connective tissue from finger, with transparent carmine injection, showing the arrangement of the bloodvessels. Specimens 1120 and 1121 show, also, adipose tissue. For low and moderate powers. Connective tissue from finger, with transparent carmine injection, showing the capillaries running together in groups; also, yellow elastic tissue. For low and high powers. Opaque injection (red) of the vessels of the subcutaneous connective tissue of the face. For low powers. Prof. Joseph Hyrtl. Vienna, Austria. Opaque injection (red) of the vessels of the subcutaneous connective tissue of the scrotum. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. For other illustrations, see II. A. A. 1, 7, 8, 11, 12; VII. H. A. 2; VII. H. c. 1 to 8, 10 to 14; VII. I. C. 1, 3, 4, 6 to 11, 15; XI. II. A. 2. See also Part Second, I. A. a. 1; VII. I. C. 2, 3. B. From Animals. 1665. B. 1. 1633. B. 2. Connective tissue from kitten, showing very numerous connective tissue corpuscles, stained with carmine; also small arteries and veins. For high powers. Connective tissue of caterpillar, stained with carmine. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. For other illustrations, see II. A. b. 1; III. B. B. 6, 15 (Specimen 1971); V. C. B. 4; VI. E. b. 5; VII. B. is. 2, 3; VII. H. B. 8, 13; VII. O. B. 1, 3 to 6; VII. P. B. 1; VII. Q. B. 1; IX. A. B. 27; XII. A. B. 1, 2. C. Pathological. See II. A. c. 1,2; VII. H. c. 1 to 14; VII. I. C. 1, 2, 4 to 8, 12 to 23; XIV. B. a. 3. See also Part Second, I. A. C. I; VII. H. C. 4. B, White Fibrous Tissue. B. From Animals. 1267. Fibrous tissue from tendo Achillis of cat and kitten, showing in the specimen from the cat the fibrillated B. 1. structure of the tissue, and in that from the kitten very numerous elongated nuclei stained with carmine ("germinal matter" of Beale). Dr. Lionel S. Beale, London, England. For other illustrations, see III. C. B. 1, 2. 2a 10 CATALOGUE OF THE MICKOSCOPICAL SECTION, ETC. Part FlTSt. C. Yellow Elastic Tissue. A. From Man. See I. A. A. 2; VIII. C A. 3; XIV. B. A. 3. B. From Animals. See VIII. B. B. 1, 2. D, Adipose Tissue. A. From Man. 24. Opaque injection (red) of the vessels in a perpendicular section through the panniculus adiposus of the A. 1. palm of the hand. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 353. Opaque injection (yellow) of the vessels of adipose tissue. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. For other illustrations, see I. A- a 1; II. A. A. 1, 7, 8; II. D. A. 2; III. B. c. 2, See also Part Second, II. A. A. 1. B. From Animals. See II. A. B. 9 ; III. B. B. 11; III. B. C. 4 ; V. C. b. 3; VI. E. B. 4 : VII. O. B. 1 to 5; VII. P. B. 1; VII. Q. B. 1. II. EXTERNAL TEGUMENTARY SYSTEM. A. Skin. _D. Nails, Claws and Hoofs. \J, Hairs. JJi Cutaneous Glands. A From Man. [ B. From Animals. | C. Pathological. II. EXTERNAL TEGUMENTARY SYSTEM. A. s Skin. A. From Max. 1203 to 1206. Series of four perpendicular sections of scalp of negro, stained with red aniline, showing very beauti- ■A- 1. fully all the structures of the scalp, their arrangement and minute anatomy. For low and high powers. See Part Second, II. A. A. 1 to 4. 1627, 1629 Three preparations of scalp of human fcetus, stained with carmine, showing the skin and young hair ■Hid 530. bulbs at the period when they consist entirely of cells. For moderate and high powers. A. 2. Assistant Surgeon J. S. Billings, U. S. Army. 1112 to 1118. Series of seven perpendicular sections of skin from ala of nose of negro, showing the general arrange- A. 3. ment of the structures of the skin, especially the size and character of the sebaceous glands. For low powers. 1224 & 1225. Two perpendicular sections of skin from axilla of negro, showing the large sudoriparous glands of A. 4. this region and their position beneath the cutis. For low powers. 1172. Perpendicular section of skin from sole of foot, showing the spiral course of the sweat ducts through A. 5. the thick epidermis. For low powers. 1173 & 1174. Two perpendicular sections of skin from sole of foot, showing the relative thickness of the cutis and A. 6. epidermis and the sudoriparous glands and their ducts. For low powers. These specimens make beautiful objects for the polariscope. See Part Second, II. A. a. 5. 1192 tol 195. Four perpendicular sections of skin from sole of foot, faintly stained with red aniline, showing the A. 7. general arrangement and minute anatomy of the various structures of the skin. For low and moderate powers. Assistant Surgeon J. J. Woodward, U. S. Army. 1207. Perpendicular section of skin and subcutaneous tissue, stained with carmine, showing very beautifully A. 8. the general arrangement and minute anatomy of the various structures. For high and low powers. Assistant Surgeon J. S. Billings, U. S. Army. 1196 to 1201. Six perpendicular sections of epidermis from sole of foot, stained with carmine, showing the cellular A. 9. structure of this tissue. For moderate powers. 1170. Horizontal section of epidermis from sole of foot, exposing its inner surface, showing the depressions in A. 10. the epidermis corresponding to the papillae of the corium, and their arrangement in rows. For low powers. 1983 to 2002. Twenty perpendicular sections of skin from under surface of finger, with transparent Prussian blue A. 11. injection and carmine staining; showing the general arrangement and minute anatomy of all the structures of the skin. The staining defines beautifully the cellular elements of the rete mucosum, the connective tissue of the cutis vera and the sudoriparous glands. Specimens 1998 to 2002 show also several tactile corpuscles of Meissner in the papillae. For low and high powers. 2003 to 2011. Nine preparations, same as A. 11, embracing but little of the cutis vera. Specimens 2009 to 2011 A. 12. show tactile corpuscles. 2013 & 2029. Two perpendicular sections of skin from under surface of toe, with transparent carmine injection, showing A. 13. the arrangement of the capillaries in the several structures of the skin. For low powers. 14 CATALOGUE OF THE MICROSCOPICAL SECTION Part FiTSt. 1171. Surface of corium from finger, with opaque iniection (red), showing the arrangement of the capillaries of A. 14. the papillae. For low powers. ,, 1. Opaque injection (red) of the vessels of skin from forehead. For low powers. A. 15. Prof. Joseph Hyrtl, Vienna, Austria. 2. Opaque injection (white) of the vessels of skin from vertex, from a new-born child ; seen from below. A. 16. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 3. Opaque injection (red) of the vessels of skin from vertex, from an adult; seen from above. For low A. 17. powers. Prof. Joseph Hyrtl, Vienna, Austria. 4. Opaque injection (red) of the vessels in a perpendicular section through the mons veneris, showing a A. 18. few hair roots. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 5. Opaque injection (red) of the vessels of skin from between the eyebrows. For low powers. A. 19. Prof. Joseph Hyrtl, Vienna, Austria. 6. Opaque injection (red) of the vessels of skin from lower eyelid. For low powers. A. 20. Prof. Joseph Hyrtl, Vienna, Austria. 7. Opaque injection (red) of the vessels of skin from upper eyelid. For low powers. A. 21. Prof. Joseph Hyrtl, Vienna, Austria. 8. Opaque injection (red) of the vessels of skin from cheek. For low powers. A. 22. Prof. Joseph Hyrtl, Vienna, Austria. 9. Opaque injection (red) of the vessels of skin from the chin. For low powers. A. 23. Prof. Joseph Hyrtl, Vienna, Austria. 10. Opaque injection (red) of the vessels of skin from upper lip; external surface. For low powers. A. 24. Prof. Joseph Hyrtl, Vienna, Austria. 11. Opaque injection (red) of the vessels of skin from perineum, showing the apertures of numerous A. 25. sebaceous glands. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 12. Opaque injection (red) of the vessels of skin from back of hand. For low powers. A. 26. Prof. Joseph Hyrtl, Vienna, Austria. 13. Opaque injection (red) of the vessels of skin from palm of hand. For low powers. A. 27. Prof. Joseph Hyrtl, Vienna, Austria. 14. Opaque injection (red) of the vessels of skin from concha of the ear. For low powers. A. 28. Prof. Joseph Hyrtl, Vienna, Austria. 15. Opaque injection (red) of the vessels of skin from back of finger. For low powers. A. 29. Prof. Joseph Hyrtl, Vienna, Austria. 16. Opaque injection (red) of the vessels of skin from back of toe. For low powers. A. 30. Prof. Joseph Hyrtl, Vienna, Austria. 17. Opaque injection (red) of the vessels of skin from apex of index finger. For low powers. A. 31. Prof. Joseph Hyrtl, Vienna, Austria. 18. Opaque injection (red) of the vessels of skin from apex of great toe. For low powers. A. 32. Prof. Joseph Hyrtl, Vienna, Austria. 19. Opaque injection (red) of the vessels of skin from apex of little toe. For low powers. A. 33. Prof. Joseph Hyrtl, Vienna, Austria. II. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 15 20. Opaque injection (red) of the vessels of skin from sole of foot of a young girl. For low powers. A. 34. Prof. Joseph Hyrtl, Vienna, Austria. 21. Opaque injection (red) of the vessels of skin from sole of foot of gypsy who never wore boots. For A. 35. low powers. Prof. Joseph Hyrtl, Vienna, Austria. For. other illustrations, sec II. B. A. 1. B. From Animals. 1087 to 1094. Eight perpendicular sections of skin of rat, stained (except specimen 1094) with carmine, showing the B. 1. general arrangement and minute anatomy of the structures of the skin ; also the characteristics of the hair of the rat. For low and high powers. 1257 & 1258. Two preparations of skin of frog, with transparent Prussian blue injection (nearly faded) and carmine B. 2. staining, showing the arrangement of the capillaries, pigment cells, cutaneous follicles, and, in specimen 1258, the hexagonal nucleated cells of the epidermis. For low and high powers. 1259, 1260 Five preparations of skin of frog, with transparent carmine injection, showing the arrangement of the :iimI capillaries and pigment cells. For low powers. 372 to 374. B. 3. 1255 & 1256. Two preparations of skin of toad, with transparent Prussian blue injection (nearly faded) and carmine B. 4. staining, showing the arrangement of the capillaries, pigment cells, cutaneous follicles, and, in specimen 1256, the hexagonal nucleated cells of the epidermis. For low and high powers. 1266. Skin of tree toad (Hyla viridis), with transparent Prussian blue injection (nearly faded) and carmine B. 5. staining, showing capillaries, pigment cells and cutaneous follicles. For low and high powers. Dr. Lionel S. Beale, London, England. 1264. Portions of young and old cuticle of newt, stained with carmine, showing the young tissue almost B. 6. entirely composed of cells and the old tissue composed of polygonal epithelial scales with large nuclei. For high powers. Dr. Lionel S. Beale, London, England. 1611. Skin of snake (Coluber natrix), showing the lozenge-shaped scales, the orifices for the bloodvessels at B. 7. the angles of the scales, and the arrangement of the pigment. For low powers. Assistant Surgeon J. S. Billings, U. S. Army. 403. Skin of snake, with opaque injection (blue), showing the arrangement of the bloodvessels. For low B. 8. powers. Dr. S. A. Jones, Englewood, N. J. 1262. Perpendicular section of skin of mouse, showing the position and relation of the hairs and hair follicles. B. 9. For low and moderate powers. 2012. Entire foot of frog, with transparent carmine injection, showing the arrangement of the capillaries in B. 10. the web between the toes. For low powers. 30. Opaque injection (red) of the vessels of the papillae tactus from toe of lion. For low powers. B. 11. Prof. Joseph Hyrtl, Vienna, Austria. 31. Opaque injection (red) of the vessels of the papillae tactus from sole of foot of bear. For low powers. B. 12. Prof. Joseph Hyrtl, Vienna, Austria. 32. Opaque injection (red) of the vessels of skin from near the ankle joint of calf. For low powers. B. 13. Prof. Joseph Hyrtl, Vienna, Austria. 33. Opaque injection (red) of the vessels of skin from near the ankle joint of tapir. For low powers. B. 14. Prof. Joseph Hyrtl, Vienna, Austria. 16 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. 34. Opaque injection (red) of the vessels of skin from near the ankle joint of horse. For low powers. B. 15. Prof. Joseph Hyrtl, Vienna, Austria. 39. Opaque injection (red) ot the vessels of skin from sole of foot of Ardea cinerea. For low powers B. 16. Prof. Joseph Hyrtl, Vienna, Austria. 40. Opaque injection (yellow) of the vessels of skin of Rana esculenta. For low powers. B. 17. Prof. Joseph Hyrtl, Vienna, Austria. 41. Opaque injection (yellow) of the vessels of skin of Salamandra maculosa. Vox low powers. B. 18. Prof. Joseph Hyrtl, Vienna, Austria. 42. Opaque injection (yellow) of the vessels of skin of Triton Alpestris. For low powers. B. 19. Prof. Joseph Hyrtl, Vienna, Austria. 43. Opaque injection (red) of the vessels of skin ot Bombinator igneus. For low powers. B. 20. Prof. Joseph Hyrtl, Vienna, Austria. 44. Opaque injection (yellow) of the vessels of foot of Triton cristatus; seen from above. For low powers. B. 21. Prof. Joseph Hyrtl, Vienna, Austria. 45. Opaque injection (yellow) of the vessels of skin of Proteus anguineus; seen from below. For low powers. B. 22. Prof. Joseph Hyrtl, Vienna, Austria. 339. Opaque injection (red) of the vessels of erectile caruncula in neck of Meleager. For low powers. B. 23. Prof. Joseph Hyrtl, Vienna, Austria. For other illustrations, see XII. A. B. 1, 2. Cj. Pathological. 863 to 875. Series of thirteen perpendicular sections of human skin of leg from a case of variola; stained with carmine C. 1. This series consists of sections through a fully-developed variolous pustule, from the thickened skin near the margin of the pustule to its centre, and shows the following pathological conditions: First, a hypertrophy of the papillae of the corium near the margiu of the pustule, and thickening of th>.- rete mucosum of the epidermis by cell-multiplication. Secondly, a separation of the horny layer of the epidermis from the rete mucosum; the cavity so formed being filled (in the specimens) by the coagulated contents of the pustule. Thirdly, the appearance of a lining membrane to this cavity, formed of flattened epithelial cells similar to those of the free surface of healthy epidermis. At this stage the papillae of the corium are shorter than natural and blunted at their apices, and active cell-multiplication is seen in the connective tissue of the corium. Finally, near the centre of the pustule the under portion of the lining wall of the cavity gives way, the rete mucosum degenerates into a mass of ill-defined cells and granules, and the corium suffers a superficial ulceration, all signs of papillae being gone. For low and high powers. 876 to 887. Series of twelve perpendicular sections of human skin of leg, from same case as C. 1, stained with C. 2. carmine. These sections pass through the central portion of a pustule, showing conditions similar to those above described, aud also a thinning and final rupture of the horny layer of the epidermis at the apex of the pustule. For low and high powers. 358. Opaque injection (yellow) of the vessels of cicatricial tissue from au arm stump. For low powers. C. 3. Prof. Joseph Hyrtl, Vienna, Austria For other illustrations, see XIV. B. A. 3. II. c OF THE UNITED STATES ARMY MEDICAL MUSEUM. 17 B. Nails, Claws and Hoofs. A. From Man. 2014. Perpendicular section, cut longitudinally, of posterior portion of nail and bed of nail from finger, with A. 1. transparent carmine injection, showing the relations of the nail to the structures of the skin and the arrangement of the capillaries in the bed of the nail. For low powers. 2015. Same as A. 1, but embracing only a portion of the body of the nail and its bed. A. 2. 22. Opaque injection (red) of the vessels of matrix of nail of thumb. For low powers. A. 3. Prof. Joseph Hyrtl, Vienna, Austria. 23. Opaque injection (red) of the vessels of matrix of nail of great toe. For low powers. A. 4. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals, 35. Opaque injection (red) of the vessels of matrix of hoof of horse; anterior zone with pyramidal papillae. B. 1. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 36. Opaque injection (red) of the vessels of matrix of hoof of horse; posterior zone with longitudinal folds. B. 2. For low powers. Prof. Joseph Hyrtl, Vienna, Austria, 37. Opaque injection (red) of the vessels of matrix of hoof of bull; anterior zone. For low powers. B. 3. Prof. Joseph Hyrtl, Vienna, Austria. 38. Opaque injection (red) of the vessels of matrix of hoof of bull; posterior zone. For low powers. B. 4. Prof. Joseph Hyrtl, Vienna, Austria. c i Hairs. A. From Man. 411 to 413. Three preparations of hair from head of white child, mounted in balsam, showing only the delicate A. 1. longitudinal striation of the cortical substance. For moderate and high powers. 414 & 415. Two preparations of the same hair as A. 1, mounted in water, showing the transverse ridges produced A. 2. by the overlapping edges of the epidermic scales. For moderate and high powers. See Part Second, II. C. A. 1. 1270tol272. Three preparations of hair from head of adult white male, showing the structure of the cuticle and A. 3. cortical substance as developed by the action of caustic soda. For moderate and high powers. 1273 & 1274. Two preparations of hair from head of adult negro male, after treatment with caustic soda. The intense A. 4. blackness of the hair prevents any points of structure being made out. For low powers. 1275 & 1276. Two preparations of eyelashes of adult negro male, after treatment with caustic soda. For low A. 5. powers. 1279 to 1281. Three preparations of hair from head of adult white male, after boiling in sulphuric acid, showing the A. 6. fibre cells of the cortex. For moderate and high powers. 3a 18 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. 1613 & 1614. Two preparations of hair from beard of white male, showing hairs with medullary substance. For A. 7. moderate and high powers. 1284 to 1286. Three, preparations of transverse sections of hair from head of white adult male, showing the different A. 8. sizes and shapes of the hairs and the relative thickness of the various structures composing the hair. For moderate and high powers. 1287 fie 1288. Two preparations of transverse sections of hair from pubes of white adult male, similar in character A. 9. to A. 8. See Part Second, II. C. A. 2. 1289 & 1290. Two preparations of transverse sections of hair from head of adult male mulatto, similar in character A. 10. to A. 8. 1175tOll77. Three preparations of hair from head of male mummy from Egypt; the hairs are perfectly preserved. A. 11. For moderate and high powers. 1178 to 1180. Three preparations of hair from head of female mummy from Egypt, similar to A. 11. A. 12. 1181 to 1183. Three preparations of false hair found braided in with the hair of A. 12. A. 13. For other illustrations, see II. A. A. 1, 2; XI. H. A. 1, 2. See also Part Second, II. A. A. 1, 2. B. From Animals. 1293 & 1294. Two preparations of hair from body of mouse. For moderate and high powers. B. 1. 1295. Whiskers of mouse. For moderate and high powers. B. 2. 1296. White hairs of cat. For moderate and high powers B. 3. See Part Second, II. C. B. 2. 1297 & 1298. Two preparations of whiskers of cat. For moderate and high powers. B. 4. 1350 to 1395. Series of forty-six preparations of hair of various species of bat, taken both from the back and belly. B. 5. For moderate and high powers. _ The following are the species : Vespertilio nitielus..............................(Specimens 1350 to 1353.) Vespertilio lucifugus............................(Specimens 1354 to 1357.) Nycticcjus crepuscularis.........................(Specimens 1358 to 1361.) Antrozous pallidus.............................(Specimens 1362 to 1365.) Nyctinomus nasutus.............................(Specimens 1366 to 1369.) Scotophilus hesperus............................(Specimens 1370 to 1373.) Lasiurus noveboracensis.........................(Specimens 1374 to 1377.) Lasiurus cinereus...............................(Specimens 1378 to 1381.) Scotophilus noctivagans..........................(Specimens 1382 and 1383.) Scotophilus fuscus..............................(Specimens 1384 to 1387.) Vespertilio subulatus............................(Specimens 1388 to 1391.) Macrotis Californicus...........................(Specimens 1392 to 1395.) See Part Second, II. C. B. 3. For other illustrations, see II. A. B. 1, 9; XII. A. B. 1, 2; XVI. B. 1. See also Part Second, II. C. B. 1; XVI. B. 1. C. Pathological. 1401. Hair and part of follicle from human leg in morbus pillaris, showing the hair coiled up within the follicle. C. 1. For moderate and high powers. II. D. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 19 17• Cutaneous Glands. A. From Man. 1229 to 1231. Three preparations of sudoriparous glands from axilla ot negro, showing the large size of the glands A. 1. and their convoluted structure For low powers. 1268 &■ 1432. Two preparations of sudoriparous glands and adipose tissue from finger, with transparent carmine A. 2. injection, showing the arrangement of the bloodvessels. For low and moderate powers. For other illustrations, sec II. A. A. 1, 3, 5, 6, 7, 8, 11; II. A. c. 1, 2. See also Part Second, II. A. a. 1, 3, 5. B. From Animals. 47. Opaque injection (yellow) of the vessels of cutaneous glands, from leg of Salamandra maculosa. For B. 1. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 48. Opaque injection (yellow) of the vessels of cutaneous glands of Bufo vulgaris. For low powers. B. 2. Prof. Joseph Hyrtl, Vienna, Austria. For other illustrations, see XII. A. B. 1, 2. III. MUSCULAR SYSTEM. i\_i Smooth Muscle. Jj. Striped Muscle. \J, Tendons. 17, Aponeuroses and Fascia. Hi, BURSiE A. From Man. | B. From Animals. | C. Pathological. III. MUSCULAR SYSTEM. A. Smooth Muscle. A. From Man. See II. A. a. 1 ; VII. H. A. 2; VII. H. C. 1 to 14 ; VII. I. C. 1 to 10, 12 to 23; X. M. c. 1 ; XIV. B. A. 1, 2. See also Part Second, II. A. A. 3, 4. B. From Animals. 1119. Muscular coats of intestine of mouse, showing the individual smooth muscular fibres, with their nuclei B. 1. stained with carmine. For high powers. 1312. Same as B. 1, with transparent Prussian blue injection. For high powers. B. 2. 1973 & 1974. Two preparations, similar to B. 2, from kitten. B. 3. For other illustrations, see VII. G. B. 3; VII. H. B. 8, 13. B. Striped Muscle. A. From Man. 27. Opaque injection (red) of the vessels of the platysma myoides muscle. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. 314. Opaque injection (red) of the vessels of the diaphragm. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. For other illustrations, see III. B. C. 2; IV. B. A. 16; XI. H. a. 2. B. From Animals. 508 & 509. Two preparations of striped muscle from cat, with transparent carmine injection, showing the individual B. 1. muscular fibres with the transverse striae, and the arrangement of the long capillary loops. For high powers. 1100. Same as B. 1., but does not show well the striae on the muscular fibres. B. 2. 1138 & 1139. Two preparations of striped muscle of kitten, with transparent Prussian blue injection and carmine B. 3. staining, showing the nuclei of the sarcolemma stained, and the arrangement of the capillaries; also the minute anatomy of small bloodvessels For high powers. 1140. Same as B. 3. The injection and staining have faded to a great extent. Shows beautifully the individual B. 4. muscular fibres with their transverse striae, also a nerve trunk subdividing over the muscle. For high powers. 888 to 902. Fifteen preparations, same as B. 3. The injection and staining are very brilliant, and the specimens B. 5. show the individual muscular fibres with striae and nuclei, the minute anatomy of bloodvessels, and the arrangement of the capillary loops. For high powers. 24 CATALOGUE OF THE MICROSCOPICAL SECTION Part FlfSt. 1651 to 1661. Eight preparations of striped muscle of kitten, stained with carmine, showing most beautifully the B. 6. striae on the fibres and the nuclei of the sarcolemma; also connective tissue, bloodvessels and nerves. Specimens 1656 and 1661 show a portion of a good-sized nerve trunk. Specimen 1661 shows also the sarcolemma drawn beyond the extremities of the muscular fibres, with nuclei still attached. For high powers. 1181 to 1191. Eight preparations of striped muscle of mouse, with transparent Prussian blue injection and carmine B. 7. staining, showing the striated fibres and nuclei and the arrangement of the capillary loops; and, in specimen 1187, the anatomy of small bloodvessels. For high powers. 471 to 478. Five preparations of striped muscle of mouse, with traniparent carmine injection and blue staining, B. 8. showing the arrangement of the capillary loops, and, faintly, the striae on the muscular fibres. For moderate and high powers. 533. Portion of diaphragm of mouse, showing striated muscular fibres and a branching nerve trunk. For B. 9. high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1618. Same as B. 9, with carmine staining of the nuclei of the sarcolemma; shows very beautifully the B. 10. structure of a small artery and vein. For high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1101 to 1108. Eight preparations of striped muscle of mouse, with transparent Prussian blue injection (faded in many B. 11. of the specimens) and carmine staining, showing very beautifully striated muscular fibres, nuclei of the sarcolemma, bloodvessels, nerves aud adipose tissue. Specimen 1101 is particularly rich in nerves. For high powers. See Part Second, III. B. B. 3, 4. 1095 to 1099. Five preparations of striped muscle of chicken, with transparent carmine injection, showing the striated B. 12. muscular fibres and the arrangement of the capillaries. For high powers. See Part Second, III. B. B. 1, 2. 1226 to 1228. Three preparations of striped muscle of chicken, similar to B. 12. B. 13. 1123 to 1128. Six preparations of striped muscle of tadpole, stained with carmine, showing the striated muscular fibres B. 14. and the nuclei of the sarcolemma. For high powers. 1967 to 1971. Five preparations of striped muscle of kitten with transparent Prussian blue injection and carmine B. 15. staining, showing the striae of the muscular fibres, the nuclei of the sarcolemma, and the arrangement of the capillaries. Specimen 1971 shows also the minute anatomy of connective tissue. For high powers. 2016 to 2021. Six preparations, same as B. 15 B. 16. Occipito-frontalis muscle of kitten, with transparent carmine injection, showing the arrangement of the 2022. B. 17. bloodvessels. For low powers 2015. Same as B. 15 ; the staining is not so brilliant. B. 18. Opaque injection (yellow) of the vessels of the mylo-hyoid muscle of Salamandra. For low powers. 318. B. 19. Prof. Joseph Hyrtl, Vienna, Austria Opaque injection (yellow) of the vessels of the mylo-hyoid muscle of Python reticulatus. For low powers. 319. B. 20. Prof. Joseph Hyrtl, Vienna, Austria Opaque injection (yellow) of the vessels of the mylo-hyoid muscle of liana temporaria. For low powers. 320. B. 21. Prof. Joseph Hyrtl, Vienna, Austria. 321. B. 22. Opaque injection (yellow) of the vessels of the constrictor faucium muscle of Aspius rapax. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. For other illustrations, see II. A. B. 1; IV. B. B. 7; V. A. B 1; VI. E B 3- VII C B '> 7 8- VII C C VII. F. B. 1; XII. A. B. 1, 2. III. E. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 25 C. Pathological. 1232 to 1242 Seventeen preparations of human striped muscle infested with the Trichina spiralis, showing the parasites, and some enclosed in a cyst between the muscular fibres, and some not yet encysted. For moderate aud 1669 to 1674. high powers. C. 1. 479 to 495. Seventeen preparations, same as C. 1, stained with carmine, showing the parasites, and also bloodvessels, C. 2. nerves and adipose tissue. For moderate and high powers. 1111 to 1115. Five preparations of striped muscle of rat infested with trichinae, with transparent carmine injection, C. 3. showing the parasites encysted and the arrangement of the capillaries of the muscle. For moderate and high powers. 1109. Striped muscle of mouse infested with trichinae, showing the parasites encysted; also the ramifications C. 4. of nerve fibres over the muscle, and adipose tissue. For moderate and high powers. 1116 to 1118. Three preparations, same as C. 4, but stained with carmine. C. 5. See Part Second, XV. A. B. 1 to 3. 1561. Striped muscle of hog infested with trichinae, showing the encysted parasites in very great numbers. C. 6. For moderate powers. Procured from Messrs. J. W. Queen & Co., Philadelphia, Pa. c. Tendons A. From Man. 1141. Small tendon from finger, with transparent carmine injection, showing the arrangement of the blood- A. 1. vessels around the tendon. For low powers. 323. Opaque injection (red) of the vessels of tendo Achillis. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 1037 to 1039. Three preparations of tendon of rat with carmine staining and transparent Prussian blue injecti >n B. 1. (nearly faded), showing the structure of the fibrous tissue composing the tendon. The elongated nuclei are rendered distinct by the staining. For high powers. 1041. Tendon of cat, prepared same as B. 1., and illustrating the same points. B. 2. For other illustrations, see I. B. B. 1. D. Aponeuroses and Fascle. A. Fbom Man. 324. Opaque injection (red) of the vessels of sheath of tendo Achillis. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. 326. Opaque injection (red) of the vessels of the fascia lata. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. E. BURS^!. B. From Animals. 195. Opaque injection in two colors (arteries white, veins green) of bursa from Dromaius of New Holland. B. 1. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 4a i ■ft IV. OSSEOUS SYSTEM. A. Cartilage and Perichondrium. _D, Bone. {j. Periosteum. JJ, Medullary Substance. Hi, Ligaments. JJ , Synovial Membranes. A. From Man. | B. From Animals. | C. Pathological. IV. OSSEOUS SYSTEM. il_, Cartilage and Perichondrium. A. From Man. 1051. Section of cartilage from unossified portion of condyle of femur of boy. The cartilage cells have A. 1. shrunk so as to leave wide interspaces between the cell proper and the capsule. For high powers. 1052. Same as A. 1, cut in the immediate vicinity of newly-formed bone, showing active multiplication by A. 2. division of the cartilage cells. Here, too, the cells have shrunk from the capsules. For high powers. 534. Section of cartilage from head of tibia, from a seven months' foetus, stained with carmine, showing the A. 3. very numerous cells of the young cartilage. For high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1045 & 1046. Two sections of cartilage from wrist joint of child, with transparent carmine injection, showing the A. 4. capillaries of the young cartilage. For moderate powers. For other illustrations, see IV. B. A. 16 to 18. B. From Animals. 1018. Section of cartilage of cat, stained with carmine, showing very numerous cartilage cells. For high B. 1. powers. 1265. Sections of cartilage of kitten, at birth and at the age of five weeks, stained with carmine, showing the B. 2. relative number of cartilage cells. For high powers. Dr. Lionel S. Beale, Loudon, England; 1012. Sections of articular cartilage from knee joint of ox, stained with carmine, showing capsules, cells and B. 3. nuclei perfectly defined. For high powers. See Part Second, IV. A. B. 1, 2. 1043. Same as B. 3, without the staining. B. 4. 906 to 916. Eleven preparations, consisting of perpendicular sections of articular cartilage from knee joint of calf, B. 5. stained with carmine, showing capsules, cells and nuclei well defined, and the different character and arrangement of the cells near the free and attached surfaces of the cartilage. For high powers. 917 to 923. Seven sections of rib cartilage of calf, stained with carmine, showing capsules, cells, nuclei and blood- B. 6. vessels. For high powers. 924 to 931. Eight sections of rib cartilage of calf, stained with carmine, showing very beautifully the various stages B. 7. in the formation of young cells by multiplication by division ; also bloodvessels. For high powers. See Part Second, IV. A. B. 3 to 9. 1330 to 1336 Ten sections of cartilaginous vertebra of sturgeon, stained with carmine, showing sparsely scattered and cartilage cells. For high powers. 1316 to 1348. B. 8. 1010. Transverse section of rib cartilage from kitten, stained with carmine, showing cartilage cells an B. 9. capsules. For high powers. Assistant Surgeon J. S. Billings, U. S. Army. For other illustrations, see IV. B. n. 7 to 9; VII. C. B. 7; VIII. B. B. 2, 4 ; XII. A. B. 1, 2; XIII. B. B. 1. 3() CATALOGUE OF THE MICROSCOPICAL SECTION Part First. B. Bone. A. From Man. 1062. Longitudinal section of compact substance of shaft of femur, showing the Haversian canals and the A. 1. arrangement of the lacunas and canaliculi. In the specimen, the balsam has filled many of the canaliculi, rendering them invisible. For moderate and high powers. 1063. A. 2. 1061. A. 3. Same as A. 1, embracing a greater extent of bone, and with the canaliculi perfectly preserved. moderate and high powers. See Part Second, IV. B. A. 1, 4. For Transverse section of portion of shaft of femur, extending across the entire thickness of the compact substance, showing the arrangement of the Haversian systems, the lacunae and canaliculi. A little of the spongy tissue is preserved on the inner edge of the section. For moderate and high powers. 1065. A. 4. Section similar to A. 3. 1066. Section similar to A. 3. A. 5. 1067. Section similar to A. 3, but showing very little spongy tissue. A. 6. 1080. Transverse section of portion of shaft of femur, extending across the entire thickness of the compact A. 7. substance, stained with carmine, showing very well the lamellar structure of the bone substance. For moderate and high powers. See Part Second, IV. B. A. 2. 1071. A. 8. 1068. A. 9. 1069. A. 10. Longitudinal section of portion of compact substance of rib, embracing the surface of junction with the costal cartilage, showing the Haversian systems, lacunae and canaliculi. For moderate and high powers. Horizontal section through one lateral half of condyle of lower jaw, showing the arrangement of the compact and spongy substance, as well as their minute anatomy. For low and high powers. Same as A. 9, but embracing nearly the entire diameter of the condyle. 1070. Vertical section through the long axis of condyle of lower jaw and ramus of the condyloid process, A. 11. showing the arrangement and minute anatomy of the compact aud spongy tissues. The thin layer of compact substance on the articular surface of the condyle is wanting over the outer half of the section. For low and high powers. 1072. A. 12. high powers. Vertical section through the posterior projection of inner condyle of femur of a young boy, in whom much of the condyle was still cartilaginous; shows a mesh-work of spongy tissue, bordered by a narrow ring of more compact substance. Parts of this ring have been broken off in the section. For low and 1679 to 1681. Three preparations of parietal bone of foetus, stained with carmine, showing the cells and nuclei of the A. 13. young lacunae colored by the carmine. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1630. Similar to A. 13; a transparent Prussian blue injection fills some of the vessels of the bjne. A. 14. moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. , For 1631. Portion of orbital plate of frontal bone of foetus, with partial transparent Prussian blue injection, show- A. 15. ing the Haversian canals and closely aggregated lacuna' of the young bone. For moderate aud high powers. Assistant Surgeon J. S Billings, U. S. Army. IV. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 31 1682. Section through one and portion of another of the bones of the tarsus of new-born infant, stained with A. 16. carmine. Only a small central portion in the bones is as yet ossified, and the specimen shows the process of ossification of cartilage and the minute anatomy of cartilage, perichondrium and muscle, a few muscular fibres remaining attached to the bones. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1049 & 1050. Two sections of portion of condyle of femur of young boy, showing the ossification of cartilage For A. 17. . moderate and high powers. 1616. Lower extremity of foetus, at the eighth week, stained with carmine, showing ossification in the shafts A. 18. of the long bones, and the almost exclusively cellular composition of the young cartilage. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. For other illustrations, see Part Second, IV. B. a. 3. B. From Animals. 1081. Transverse section of shaft of bone of albatross, embracing the entire circumference of the bone. Most B. 1. of the canaliculi are invisible from the use of too fluid balsam in the mounting. For moderate and high powers. J. Bourgogne, Paris, France. 1082. Transverse section of spongy tissue from vertebra of whale. Most of the canaliculi are filled with B. 2. balsam. For low aud high powers. J. Bourgogne, Paris, France. 1083. Section labelled by the preparer: "Transverse section of bone of Ostrich." The section is, however, B. 3. parallel to the Haversian canals. For moderate and high powers. J. Bourgogne, Paris, France. 1011. Tranverse section of compact substance of fossil bone of whale. Most of the canaliculi are filled with B. 4. balsam. For moderate powers. C. M. Topping, London, England. 458. Piece of fossil bone from the neighborhood of Richmond, Va., asserted to be a "mad-stone," curing B. 5. syphilis, hydrophobia, bites of serpents, &c, and offered for sale as such. Shows the Haversian canals, but is too thick to show lacunae and canaliculi. For low powers. 459 to 461. Three preparations of scales of gar-fish, showing the osseous structure of the scales. For low and high B. 6. powers. 1623 & 1678. Two preparations consisting of horizontal sections of sternum of mouse, with cartilages, articulating B. 7. extremities of ribs, and portions of muscle attached, stained with carmine, showing the minute anatomy and mutual relations of the several structures enumerated. For low and high powers. Assistant Surgeon J. S. Billings, U. S Army. 1683 & 1684. Two horizontal sections through one lateral half of head of tibia of young puppy, stained with carmine, B. 8. showing the process of ossification of cartilage. For high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1047. Section of cartilage and young bone from cat, stained with carmine, showing the process of ossification B. 9. of cartilage. For high powers. For other illustrations, see VII. C. B. 7. C. Pathological. 1073. Transverse section of portion of compact substance of shaft of human femur, from a case of osteo- C. 1. myelitis, showing large cavities produced in the bone by ulceration, apparently starting from the walls of the Haversian canals. For low and high powers. 1074. Same as C. 1, but embracing a portion of healthy bone. Is too thick for minute study. For low and C. 2. moderate powers. 32 CATALOGUE OF THE MICROSCOPICAL SECTION, ETC. Part First. 1075. Transverse section of portion of compact substance of shaft of human fibula from the vicinity of a C. 3. fracture, showing a narrow deposit of new bone from periosteal inflammation. For low and high powers. Assistant Surgeon J. J. Woodward, U. S. Army. 1076. Transverse section of sequestrum from human bone, embracing compact and spongy tissue. Upon C. 4. a portion of the outer surface there is a deposit of new bone. For moderate and high powers. 1077 & 1078. Two transverse sections through a mass of young callus in the vicinity of a fracture, from human femur, C. 5. showing the structure of new bone. For low and high powers. 1079. Transverse section of compact substance of shaft of human femur, with a small portion of callus attached C. 6. to the outer surface, from the vicinity of a fracture. The earthy constituents of the bone have been removed by maceration in acid. For moderate and high powers. 1685. Longitudinal section of a chicken bone through a consolidated fracture, showing the rounded extremities C. 7. of the bones riding past each other, but connected by an arch of new spongy bone. For low and high powers. Hospital Steward A. J. Schafhirt, U. S. Army. c Periosteum. A. From Man. 325. Opaque injection (yellow) of the vessels from the anterior fontanelle. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. 327. Opaque injection (yellow) of the vessels of the pericranium. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. 329. Opaque injection (yellow) of the vessels of periosteum of tibia. For low powers. A. 3. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 330. Opaque injection (red) of the vessels of inflamed periosteum, from a syphilitic node of tibia. For low C. 1. powers. Prof. Joseph Hyrtl, Vienna, Austria. D. Medullary Substance. A. From Man. 354. Opaque injection in two colors (arteries white, veins blue) of the vessels of medullary substance from A. 1. femur. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. E Synovial Membranes. A. From Man. 1059 to 1061. Three preparations of synovial fringes from finger joint, with transparent carmine injection, showing the A. 1. arrangement of the capillary loops. For low powers. See Part Second, IV. F. A. 1. 328. Opaque injection (red) of the vessels of synovial membrane from knee joint. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. V. VASCULAR SYSTEM. A. Heart. D, Pericardium. \j, a rteries. 17, Veins. Jjj, Capillaries. Jj , Lymphatic Vessels. U, Lymphatic Glands. lli Blood and Lymph. A. From Man | B. From Animals. | C. Pathological. V. VASCULAR SYSTEM. A. Heart. A. From Man. 315. Opaque injection (yellow) of the vessels of the substance of heart of fetus. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. 316. Opaque injection (red) of the vessels of papillary muscle of heart. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. 317. Opaque injection (yellow) of the vessels of trabeculae carneae of heart. For low powers. A 3. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 1084 to 1086. Three transverse sections through wall of auricle of bullock's heart, showing the arrangement of the B. 1. muscular bundles composing the wall. For low and high powers. 322. Opaque injection (yellow) of the vessels of trabecules carneae of heart of Hcxanchus griscus. For low B. 2. powers. Prof. Joseph Hyrtl, Vienna, Austria. c. Arteries. A. From Man. 349. Opaque injection (red) of vasa vasorum of aorta. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. For other illustrations, see III. B. C. 2. B. From Animals. 526. Portion of aorta of mouse and arterial branches, stained with carmine, showing (best in the smaller B. 1. vessels) the structure of the coats. For moderate and high powers 436 to 438. Three preparations of arteries and veins in muscular tissue of kitten, stained with carmine, showing the B. 2. general character of the structure of the vessels. For moderate and high powers. 439 and. 440. Two preparations of arteries and veins from kitten, stained with carmine, showing the minute anatomy B. 3. of the walls of the vessels; also nerves and adipose tissue. For moderate and high powers. 1666 to 1668. Three preparations of arteries, veins and capillaries from kitten, stained with carmine, showing very B. 4. perfectly the minute anatomy of the walls of the vessels and of nerves and connective tissue. For moderate and high powers. For other illustrations, see 1. A. B. 1 ; II. A. u. 1; III. B. B. 3, 5, 6, 7 (Specimen 1187), 10, 11; VI. D. B. 9 (Specimen 1214); VI. E. b. 3 to 5; VII. B. B. 2, 3; VII. O. B. 1, 3 to 6; VII. Q. b. 4. 36 CATALOGUE OF THE MICROSCOPICAL SECTION Part First 1). Veins. A. From Man See III. B. C 2. B. From Animals. See I. A. B. 1; II. A. B. 1; III. B. B. 3, 5, 6, 7 (Specimen 1187), 10, 11 ; V. C. B. 2 to 4; VI. E B 3 to 5- VII B. B. 2, 3; VII. 0. B. 1, 3 to 6; VII. Q. B 4. ' E , Capillaries. A. From Man. See III. B. c. 2. B. From Animals. See II. A. B. 1; III. B. B. 3 to 5, 6, 7 (Specimen 1187), 11; V. C. B. 4 ; VI. D. B. 9 (Specimen 1214); VI. E B. 5; VII. B. B. 2, 3; VII. O. B. 1, 3 to 6 ; VII. P. B. 1 ; VII. Q. b. 4. E Lymphatic Vessels. A. From Man. 28. Opaque injection (yellow) of the lymphatic vessels of the scrotum. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. Opaque injection (white) of the lymphatic vessels on tho outside of a gravid uterus. For lov A. 2. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 29. Opaque injection (yellow) of lymphatic vessels of the skin of the leg in elephantiasis. For low powers C. 1. Prof. Joseph Hyrtl, Vienna, Austria. 352. Opaque injection (yellow) of subarachnoid lymphatic plexus from a hydrocephalic child. For low C. 2. powers. Prof. Joseph Hyrtl, Vienna. Austria. G. Lymphatic Glands. A. From Man. 287. Opaque injection in two colors (arteries white, veins blue) of small lymphatic glands from the A. 1. mesentery. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 288. Same as A. 1, from a large g'and (arteries red, veins yellow). For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. V. H. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 37 H. Blood and Lymph. A. From Man. 608. Human blood corpuscles, dried. For high powers. A. 1. See Part Second, V. H. A. 1 to 4. B. From Animals. 387. Blood corpuscles of pigeon, dried. For high powers. B. 1. See Part Second, V. H. B. 1. 609 to 612. Four preparations of blood corpuscles of frog, dried. For high powers. B 2. See Part Second, V. H. B. 2. 613 to 617. Five preparations of blood corpuscles of toad, dried. For high powers. B. 3. 618 to 624. Seven preparations of blood corpuscles of lizard (Menopoma Alleghenicnsis). For high powers. B. 4. 2048 to 2050. B. 5. Three preparations of blood corpuscles of Triton. For high powers. VI. NERVOUS SYSTEM. i\.» Cerebrum. J), Cerebellum. \j% Pons Varolii and Medulla Oblongata. JJ, Spinal Cord. Jjj , Nerves. Jj, Ganglia. U, Membranes of Brain and Spinal Cord. A From Man. | B. From Animals. | C. Pathological. VI. NERVOUS SYSTEM. A. Cerebrum. B. From Animals. 496 to 507 Fifteen preparations consisting of sections of cerebrum of mouse, with transparent carmine injection, and showing the arrangement of the excessively minute capillaries. For moderate powers. 1543 to 1515. B. 1. I960, 1961 Four sections of cerebrum of kitten, with transparent carmine injection, showing the arrangement of the and capillaries in the several portions of the cerebrum. Specimens 1961, 2033 and 2034 embrace the 2033, 2034. entire thickness of the cerebrum. For low powers. B. 2. B, Cerebellum. A. From Man. 334. A. 1. Opaque injection (red) of the vessels of the cortical substance of cerebellum. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. c i Pons Varolii and Medulla Oblongata. A. From Man. 1551. Transverse section of medulla oblongata through the olivary bodies, stained with carmine, showing A. 1. the general arrangement of the component parts of the cord, and also individual nerve cells and fibres. For low and high powers. Dr. R. T. Edes, Hingham, Mass. 1517. Transverse section of medulla oblongata at the region of the decussation of the anterior pyramids; A. 2. similar in character to A. 1. Dr. R. T. Edes, Hingham, D. Spinal Cord. A. From Man. 1552. Transverse section of upper cervical portion of spinal cord, stained with carmine, showing the general A. 1. arrangement of the component parts of the cord, and also individual nerve cells and fibres. For low and high powers. Dr. R. T. Edes, Hingham, Mass. 1612. Transverse section of spinal cord stained with carmine. The section has cracked in many places in the A. 2. process of mounting and does not show well under the high powers. Assistant Surgeon J. S. Billings, U. S. Army. 6a 42 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. 1619. Same as A. 2, without the staining. A. 3. Assistant Surgeon J. S. Billings, U. S. Army. 335. Opaque injection (yellow) of the vessels of central part of spinal cord. For low powers. A. 4. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 1550. Transverse section of spinal cord of dog through the cervical enlargement, stained with carmine, B. 1. showing the general and minute anatomy of the cord. For low and high powers. Dr. R. T. Edes, Hingham, Mass. 1548. Transverse section of spinal cord of dog through the lumbar enlargement, stained with carmine; B. 2. similar in character to B. 1. Dr. R. T. Edes, Hingham, Mass. 375. Transverse section of spinal cord of cat, stained with carmine, showing the general and minute anatomy B. 3. of the cord. For low and high powers. Dr. S. A. Jones, Englewood, N. J. 1149 to 1159. Eleven transverse sections of spinal cord of cat, with transparent Prussian blue injection (almost B. 4. entirely faded) and carmine staining, showing the general and minute anatomy of the cord. The central canal of the cord is still extant, and many of the specimens show the columnar epithelium lining the canal. The sections are particularly well suited for study with the higher powers. 1160 to 1166. Seven preparations, consisting of transverse sections of spinal cord of kitten, with transparent Prussian B. 5. blue injection and carmine staining, showing the general anatomy of the cord, and, partially, the arrangement of the capillaries. For low and moderate powers. 1621. Transverse section of spinal cord of kitten, with transparent Prussian blue injection, showing the B. 6. arrangement of the capillaries of the cord. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 376 to 385. Ten transverse sections of spinal cord of calf, stained with carmine, showing the general and minute B. 7. anatomy of the cord. For low and high powers. 1167 to 1169. Three preparations, same as B. 7, but cracked in mounting, and not well adapted for high powers. B. 8. 1208 to 1214. Seven preparations of scraps of spinal cord of calf, teased out so as to show nerve cells and fibres and B. 9. their mutual relations ; stained with carmine. Specimen 1211 shows also very beautifully a small artery and capillaries. For high powers. 1215 to 1218. Four preparations of isolated multipolar nerve cells, with their processes attached, from spinal cord of B. 10. calf; stained with carmine. For high powers. 1558. Same as B. 10. B. 11. Prof. Joseph Gerlach, Erlaugeu, Bavaria. See Part Second, VI. D. B. 1. 1556. Tangle of axis fibres teased out from white substance of spinal cord of calf and stained with carmine. B. 12. For high powers. Prof. Joseph Gerlach, Erlangen, Bavaria. 1549. Transverse section of spinal cord of Emys insculpta through the cervical enlargement, stained with B. 13. carmine, showing the general and minute anatomy of the cord. For low and high powers. Dr. R. T. Edes, Hingham, Mass. 1962 to 1965. Four transverse sections of cervical portion of spinal cord of kitten, with transparent carmine injection, B. 14. showing the arrangement of the capillaries. For low powers. VI. F. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 43 E. Nerves. A. From Man. 1512. Nerve from finger, with transparent carmine injection, showing the dense mesh-work of capillaries A. 1. surrounding the nerve. For low powers. 517. Pacinian body from finger, with transparent carmine injection, showing the arrangement of the capillaries A. 2. over the surface of the body. For low powers. 331. Opaque injection (red) of the vessels of the ischiatic nerve. For low powers. A. 3. Prof. Joseph Hyrtl, Vienna, Austria. 332. Opaque injection (yellow) of the vessels of the posterior root of the second sacral nerve. For low A. 4. powers. Prof. Joseph Hyrtl, Vienna, Austria. 333. Opaque injection (yellow) of the vessels of the sympathetic nerve. For low powers. A. 5. Prof. Joseph Hyrtl, Vienna, Austria. For other illustrations, sec II. A. a. 8, 11 (Specimens 1998 to 2002), 12 (Specimens 2009 to 2011); III. B. c. 2. B. From Animals. 602. Nerve from neck of mouse, with transparent carmine injection, showing the arrangement of the capillaries B. 1. around the nerve. For low powers. 518. Nerve of rat, with transparent Prussian blue injection and carmine staining. Only a few of the vessels B. 2. are filled by the injection. The staining brings out the connective tissue corpuscles of the neurilemma, and from the cut extremities of the nerve the nerve pulp projects in globular masses. For moderate and high powers'. 1040. Nerves from rat, with transparent Prussian blue injection and carmine staining, showing the individual B. 3. nerve fibres composing the bundles, the corpuscles of the neurilemma, and also muscular fibres, arteries and veins. For moderate and high powers. 857. Pacinian bodies in situ in mesentery of cat, with transparent Prussian blue injection, showing the B. 4. structure of the Pacinian bodies and their relations to the nerves ; also arteries, veins, and adipose tissue. For moderate and high powers. 858. Same as B. 4, without the injection, and stained with carmine. The staining brings out more distinctly B. 5. the structure and relations of tho Pacinian bodies. Shows also arteries, veins, capillaries and connective tissue. For moderate and high powers. For other illustrations, see II. A. B. 1 ; III. B. B. 4, 6, 9, 11; III. B. c. 4; V. C. B. 3, 4; VI. F. B. 1 ; VII. 15. b. 2, 3; VII. C. B. 8; VII. M. B. 1 (Specimen 939) ; VII. O. B. 1, 3, 5; VII. Q. B. 1,4; IX. A. B. 11; XII. A. B. 1. 2. F i Ganglia. B. From Animals. 1622. Three nerve ganglia, with connecting nerve trunks attached, from a caterpillar. Vessels of the trachea B. 1. are also shown passing to the ganglia and nerve trunks, and there breaking up into great numbers of extremely fine ramifying branches. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 44 CATALOGUE OF THE MICROSCOPICAL SECTION, ETC. Part First. U, Membranes of Brain and Spinal Cord. A. From Man. 350. Opaque injection (white) of the vessels of choroid plexus, from lateral ventricle of cerebrum. For low A. 1. powers. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 1277 &, 1278. Two preparations of choroid plexus of cat, with transparent carmine injection, showing the arrangement B. 1. of the vessels of the plexus, and the epithelial cells covering them. For low and high powers. 1243. Choroid plexus of rat, with transparent carmine injection, showing the arrangement of the vessels of B. 2. the plexus. For low powers. 1966. B. 3. Portion of pia mater of kitten, with transparent carmine injection, showing the arrangement of the bloodvessels. For low powers. VII. DIGESTIVE ORGANS. A. Mucous Membkane of Mouth and Fauces. D, Salivary and Poison Glands. \J, Tongue U, Teeth. Jjj, Pharynx. Jj , OESOPHAGUS. U", Stomach. XI, Small Intestine. J_, Large Intestine and Cloaca. ±V. Liver and Gall-Bladder. Jj, Chemical Constituents of Bile. 1VJL Pancreas. li, Spleen. Ui Mesentery. i , Omentum. \£, Peritoneum. A. From Man. | B. From Animal*. | C. Pathological. VII. digestive organs. A. Mucous Membrane of Mouth and Fauces. B. From Animals. 196. Opaque injection (yellow) of the vessels of the mucous membrane of mouth of Triton cristatus. For B. 1. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 197. Opaque injection (yellow) of the vessels of the fornix of mouth of Salamandra maculosa. For low B. 2. powers. Prof. Joseph Hyrtl, Vienna, Austria. 198. Opaque injection (yellow) of the vessels of the palate of Salamandra maculosa. For low powers. B. 3. Prof, Joseph Hyrtl, Vienna, Austria. B, & \livary and Poison Glands. A. From Man. 276. Opaque injection in two colors (arteries yellow, veins red) of parotid gland. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. 277. Opaque arterial injection (yellow) of submaxillary gland. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 1662. Portion of salivary gland from kitten, stained with carmine, showing the racemose character of the B. 1. gland and the nuclei of the pavement epithelium of the lobules. For low and high powers. 1663. Portion of duct of salivary gland of kitten, stained with carmine, showing the structure of the duct, B. 2. and also arteries, veins, capillaries, nerves and connective tissue. For moderate and high powers. 1664. Portion of salivary gland, with duct attached, from kitten, stained with carmine, similar in character to B. 3. B. 1 and 2 ; shows also arteries, veins, capillaries, nerves and connective tissue. For low and high powers. 280. Opaque injection in two colors (arteries yellow, veins red) of parotid gland of Simia Capucina. For B. 4. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 289. Opaque injection in two colors (arteries red, veins yellow) of poison gland of Aspis Haje. For low B. 5. powers. Prof. Joseph Hyrtl, Vienna, Austria. 48 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. c, Tongue. A. From Man. 306. Opaque injection (yellow) of the vessels on the under surface of tongue. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. 307. Opaque injection (yellow) of the vessels in a section of tongue For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. 308. Opaque injection (red) of the vessels of the papillae circumvallatse of tongue. For low powers. A. 3. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 388 to 391. Series of seven preparations of epidermis of upper surface of cat's tongue, from tip to root, showing the B. 1. large recurved papillae. For low powers. 941 to 950. Series of ten perpendicular sections of tongue of cat, cut transversely, with transparent carmine injection, B. 2. showing the arrangement of the capillaries and muscular bundles in the tongue and the structures of the mucous membrane. For low and moderate powers. 951 to 953. Three perpendicular sections of tongue of kitten, cut transversely, with transparent carmine injection ; B. 3. similar in character to B. 2. 405. Perpendicular section of small portion of tongue of dog, with transparent Prussian blue injection, B. 4. showing the arrangement of the capillary loops in the long papillae of the tongue. For low powers. Assistant Surgeon J. S. Billings, U. S. Army. 406. Perpendicular section of portion of tongue of dog, cut longitudinally, with transparent Prussian blue B. 5. injection; similar in character to B. 4, but embracing more of the substance of the tongue. Assistant Surgeon J. S. Billings, U. S. Army. 555 to 566. Twelve preparations, consisting of perpendicular sections of tongue of mouse, cut transversely, with B. 6. transparent carmine injection, showing the arrangement of the capillaries in the substance of the tongue and mucous membrane, and the character of the papillae. For low and moderate powers. 536 to 542. Series of seven perpendicular sections of tongue of chicken, cut transversely, with transparent carmine B. 7. injection, showing the relations and anatomy of the various structures—muscle, cartilage, bone and dense epidermis—composing the organ, and the arrangement of the capillaries. For low and high powers. 531. Perpendicular section of portion of tongue of Iguana, with transparent Prussian blue injection and B. 8. carmine staining, showing the arrangement of the muscular elements of the tongue, especially the muscular fibres passing up to the summit of the erectile papillae, the arrangement of the capillaries, and also some nerve fibres. In one or two of the papillae branched muscular fibres are seen. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 309. Opaque injection (red) of the vessels of the filiform papillae of tongue of lion. For low powers. B. 9. Prof. Joseph Hyrtl, Vienna, Austria. 310. Opaque injection (yellow) of the vessels of tongue of Salamandra. For low powers. B. 10. Prof. Joseph Hyrtl, Vienna, Austria. 311. Opaque injection (yellow) of the vessels of tongue of frog. For low powers. B. 11. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. Fifteen preparations consisting of perpendicular sections of tongue of rat infesteS with the Trichina spiralis, with transparent carmine injection, showing the parasites lying encysted between the muscular 1219 to 1221. fibres. The specimens show also the normal arrangement of the elements of the rat's tingue. For low C 1. and moderate powers. 543 to 554 and VII. F. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 49 D. T, EETH. A. From Man. 395. Longitudinal section of incisor tooth. The enamel has all been broken off in the course of preparation A. 1. Shows only the dentine. For low and high powers. 396. Longitudinal section of incisor tooth. As in A. 1, the enamel is wanting. Shows only the dentine. A. 2. For low and high powers. 397. Longitudinal section of incisor tooth. This section retains most of the enamel, but is much thicker than A. 3. the preceding. It embraces the central cavity of the tooth, and shows the osseous cement lining the inuer surface of the fang. For low and high powers. 398. Longitudinal section of molar tooth, showing all the structures of the tooth. For low and high A. 4. powers. B. From Animals. 399. Longitudinal section of teeth of rat with portion of lower jaw attached, and transverse section of another B. 1. tooth, showing all the structures of the teeth. For low and high powers. J. Bourgogne, Paris, France. 400. Longitudinal section of molar tooth of sheep, showing its various structures. For low and high powers. B. 2. J. Bourgogne, Paris, France. 401. Transverse section of same as B. 2. For low and high powers. B. 3. J. Bourgogne, Paris, France. 402. Section of portion of molar tooth of elephant, showing enamel and dentine. For low and high powers. B. 4. J. Bourgogne, Paris, France. E , Pharynx. B. From Animals. 527. Portion of pharynx of Iguana, with transparent Prussian blue injection, showing a dense layer of B. 1. pigment cells with anastomosing processes. For moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 510. Epidermis from pharynx of Iguana, slightly stained with carmine, showing the spike-shaped papillae. B. 2. For moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 1951. Portion of mucous membrane from pharynx of kitten, with transparent carmine injection, showing the B. 3. arrangement of the bloodvessels. For low and moderate powers. 199. Opaque injection (white) of the vessels of pharynx of Salamandra maculosa. For low powers. B. 4. Prof. Joseph Hyrtl, Vienna, Austria. JJ , . OESOPHAGUS. B. From Animals. 1540. Portion of oesophagus of mouse, with transparent carmine injection, showing the arrangement of the B. 1. capillaries and muscular layers. For moderate and high powers. 569 & 570. Two preparations of oesophagus of chicken, with transparent carmine injection, showing the arrangement B. 2. of the capillaries. For low powers. 7a 50 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. G , Stomach. A. From Man. 157. Opaque injection in two colors (arteries white, veins blue) of mucous membrane of stomach, near the A. 1. cardiac orifice. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 158. Same as A. 1, from near the pylorus. For low7 powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. 159. Same as A. 1, (arteries yellow, veins red), from the fundus of the stomach. A. 3. Prof. Joseph Hyrtl, Vienna, Austria. 160. Opaque injection in two colors (arteries white, veins red) of the submucous connective tissue of A. 4. stomach. Prof. Joseph Hyrtl, Vienna, Austria. 161. Opaque injection in two colors (arteries yellow, veins red) of muscular coat of stomach. A. 5. Prof. Joseph Hyrtl, Vienna, Austria. 178. Opaque injection in two colors (arteries white, veins red) of pylorus. A. 6. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 473. Portion of muscular coat of stomach of cat, with transparent carmine injection, showing the arrangement B. 1. of the capillaries. For low and moderate powers. 567. Portion of stomach of toad, with transparent Prussian blue injection and carmine staining, showing the B. 2. arrangement of the glands and capillaries. The mucous surface is towards the observer. For low and moderate powers. 568. Perpendicular sections of stomach of toad, with transparent Prussian blue injection and carmine staining, B. 3. showing the anatomy of the several coats of the stomach. For low and high powers. 1955 & 1956. Two perpendicular sections of stomach of kitten, embracing the entire circumference of the organ, B. 4. with transparent carmine injection, showing the arrangement ot the capillaries in the several coats of the stomach, and the epithelium in situ on the mucous membrane. For low and high powers. 1972. Portion of muscular coat-of stomach of kitten, with transparent carmine injection, showing the B. 5. arrangement of the capillaries. For low powers. 181. Opaque injection in two colors (arteries yellow, veins red) of the vessels in a transverse section of B. 6. proventriculus of goose. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 182. Same as B. 6, in longitudinal section. For low powers. B. 7. Prof. Joseph Hyrtl, Vienna, Austria. 183. Opaque injection (yellow) of the vessels in a transverse section of glands of proventriculus of Pavo B. 8. cristatus. Prof. Joseph Hyrtl, Vienna, Austria. 184. Opaque injection in two colors (arteries white, veins blue) of the vessels on the external aspect of glands B. 9. of proventriculus of Columba. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 185. Opaque injection in two colors (arteries yellow, veins red) of the vessels on the internal aspect of proven- B. 10. triculus of Ardea cinerea. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. vii. g. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 51 186. Opaque injection in two colors (arteries yellow, veins red) of the vessels on the internal surface of B. 11. muscular stomach of Gallina. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 187. Opaque injection in two colors (arteries white, veins blue) of muscular stomach of Strix Bubo. For B. 12. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 200. Opaque injection in two colors (arteries white, veins blue) of stomach of Proteus. For low powers. B. 13. Prof. Joseph Hyrtl, Vienna, Austria. 205. Opaque injection (white) of the vessels of stomach of Triton cristatus. For low powers. B. 14. Prof. Joseph Hyrtl, Vienna, Austria. 207. Opaque injection in two colors (arteries red, veins white) of stomach of Salamandra, near the pylorus. B. 15. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 215. Opaque injection in two colors (arteries yellow, veins green) of stomach of Rana ridibunda. For low B. 16. powers. « Prof. Joseph Hyrtl, Vienna, Austria. 219. Opaque injection in two colors (arteries yellow, veins blue) of pylorus of Rana esculenta. For low B. 17. powers. Prof. Joseph Hyrtl, Vienna, Austria. 232. Opaque injection in two colors (arteries white, veins blue) of stomach of Coluber tesselatus. For low B. 18. powers. Prof. Joseph Hyrtl, Vienna, Austria. 233. Opaque injection in two colors (arteries white, veins green) of stomach of Anguis fragilis. For low B. 19. powers. Prof. Joseph Hyrtl, Vienna, Austria. 242. Opaque injection in two colors (arteries yellow, veins red) of stomach of Acipenser Sturio. For low B. 20. powers. Prof. Joseph Hyrtl, Vienna, Austria. 243. Opaque injection (red) of vessels of pylorus of Acipenser Sturio. For low powers. B. 21. Prof. Joseph Hyrtl, Vienna, Austria. 244. Same as B. 21, from Acipenser Ruthenus. For low powers. B. 22. Prof. Joseph Hyrtl, Vienna, Austria. 246. Opaque injection (red) of vessels of muscular coat of stomach of Acipenser Sturio. For low powers. B. 23. Prof. Joseph Hyrtl, Vienna, Austria. 249. Opaque injection in two colors (arteries white, veins blue) of stomach of Cobitis fossilis. For low B. 24. powers. Prof. Joseph Hyrtl, Vienna, Austria. 250. Opaque injection (white) of vessels of muscular coat of stomach of pike. For low powers. B. 25. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. I 327 to 1329 Six perpendicular sections of human stomach, in the immediate vicinity of a small cyst, stained with and carmine, showing thickening of the walls of the stomach, especially of the muscular coat. For low and 1313 to 1345. high powers. C. 1. From Specimen 768, Medical Section, chap. IV., sec. 2, B. 5. 52 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. H. Small Intestine. A. From Man. 108 to 110. Three preparations of mucous membrane of ileum, dissected from the other coats of the intestine, A. 1; showing the villi and orifices of the glands of Lieberkiihn. For low and moderate powers. 401. Perpendicular'section of ileum, stained with red aniline, showing the minute anatomy of the several A. 2. coats of the intestine. For low and high powers. 1563. A. 3. Portion of muscular coat of small intestine of negro infant, with transparent carmine injection, showing the arrangement of the capillaries. For low and moderate powers. 571 to 576 and 1111. A. 4. 577, 578 and 1112, 1541. A. 5. 162. A. 6. Seven preparations, consisting of portions of jejunum, with opaque injection (red), showing the arrangement of the capillary loops in the villi. For low powers. Four preparations, same as A. 4, but with yellow instead of red injection. Opaque injection in two colors (arteries yellow, veins blue) of mucous membrane of duodenum. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 163. A. 7. Opaque injection (red) of the vessels of mucous membrane of jejunum. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 161. A. 8. 165. A. 9. 166. A. 10. Opaque injection in two colors (arteries white, veins yellow) of ileum from a new-born child. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Opaque injection in two colors (arteries yellow, veins blue) of mucous membrane of ileum, near the ileo-caecal valve, from a child two years old. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Opaque injection in two colors (arteries yellow, veins blue) of muscular coat of ileum. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 167. A. 11. 168. A. 12. 169. A. 13. 170. A. 14. Opaque injection (white) of the vessels of a Peyer's patch. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Opaque injection in two colors (arteries yellow, veins red) of a Peyer's patch. The glands are filled with chyle. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Opaque injection (yellow) of the chyliferous vessels of the intestinal villi. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Same as A. 13, with opaque injection (red) of the arteries. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 535. B. 1. 1053 & 1054. B. 2. Perpendicular section of small intestine of puppy, showing the very long villi. For low powers. Assistant Surgeon J. S. Billings, U. S. Army. Two preparations, consisting of perpendicular sections of duodenum of cat, with transparent carmine injection, showing the arrangement of the capillaries iu the several coats of the intestine, and also the glands of Brunner. For low and moderate powers. VII. H. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 53 605 &. 606. Two perpendicular sections of jejunum of cat, with transparent carmine injection, showing the B. 3. arrangement of the capillaries in the several coats of the intestine, and also the epithelium of the villi. For low and moderate powers. 1222 & 1223. Two preparations, similar to B. 3. B. 4. 1282 & 1283. Two perpendicular sections of ileum of cat, with transparent carmine injection, showing the arrangement B. 5. of the capillaries in the several coats, and also the glands of a Peyer's patch. For low and moderate powers. 1560. Perpendicular section through entire circumference of small intestine of cat, with transparent carmine B. 6. injection, showing the arrangement of the capillaries in the several coats of the intestine, and also the epithelium in situ upon the villi. For low and moderate powers. Prof. Joseph Gerlach, Erlangen, Bavaria. 951 to 961. Eight preparations, same as B. 6, and showing the same points. B. 7. 962 to 967. Seven perpendicular sections of small intestine of cat, with transparent Prussian blue injection (faded to and a considerable extent) and carmine staining ; showing the minute anatomy of the structures of the several 607. coats of the intestine. For low and high powers. B. 8. 603. Perpendicular section of mucous coat of small intestine of cat, with transparent Prussian blue injection B. 9. and carmine staining, showing the capillary loops in the villi and the structure of the follicles of Lieberkiihn. For low and high powers. 595. Oblique section, same as B. 9. B. 10. 756 to 758. Three perpendicular sections through the entire circumference of small intestine of cat, with transparent B. 11. Prussian blue injection and carmine staining, showing the capillary loops in the villi and the individual cells of the columnar epithelium of the villi, with their nuclei stained. For low and high powers. 1314 to 1316 Five preparations, consisting of perpendicular sections of small intestine of kitten, with transparent and Prussian blue injection and carmine staining, showing the arrangement of the capillaries in the several 1575 & 1576. coats of the intestine and the epithelium in situ on the villi. For low and moderate powers. B. 12. 1317 to 1324. Eight preparations, same as B. 12. The injection has faded to a great extent, but the sections show B. 13. the minute anatomy of the various structures of the walls of the intestine. In many places there are instructive transverse sections of the villi. For low and high powers. 1325. Perpendicular section of small intestine of kitten, with transparent carmine injection, showing the B. 14. arrangement of the capillaries and the epithelium in situ on the villi. For low and moderate powers. 759. Same as B. 14, embracing the entire circumference of the intestine. B. 15. 581 to 587, Sixteen preparations, consisting of portions of small intestine of rat, with transparent carmine injection, 760 to 767, showing the capillary loops in the villi and over the surface of the mucous membrane. The inner surface and of the intestine is towards the observer. For low and moderate powers. 1300tol303. B. 16. 1313. Same as B. 16, showing also a solitary gland, with its vessels injected. B. 17. 588 to 590 Five preparations, consisting of portions of mucous membrane of small intestine of mouse with trans- aild parent carmine injection, showing the capillary loops in the villi. For low and moderate powers. 1304&1305. B. 18. 54 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. 1306. Same as B. 18, showing a small Peyer's patch and the orifices of the follicles of Lieberkiihn. For low B. 19. and moderate powers. 768. Same as B. 18, showing the orifices of the follicles of Lieberkiihn. For low and moderate powers. B. 20. 591 to 594 Seven preparations of villi of small intestine of mouse, with transparent carmine injection, showing the and arrangement of the capillaries in the villi. For low and moderate powers. 769 to 771. See Part Second, VII. H. B. 1. B. 21. 772 to 776. Five perpendicular sections through entire circumference of small intestine of mouse, with transparent B. 22. carmine injection, showing the capillaries in the villi and intestinal walls and the epithelium of the villi in situ. For low aud moderate powers. 777. Perpendicular section through entire circumference of small intestine of mouse, with transparent Prussian B. 23. blue injection and carmine staining, showing the capillaries and the round nuclei of the substance of tho villi. For low and high powers. 604. Portion of small intestine of mouse, with transparent Prussian blue injection and carmine staining, B. 24. showing the arrangement of the capillaries, the orifices of the follicles of Lieberkiihn, and, better than B. 23, the round nuclei of the substance of the villi. For low and high powers. 596 & 1326. Two preparations of villi from small intestine of chicken, with double transparent injection (artery B. 25. blue, veins and capillaries red), showing the arrangement of the vessels of the villi. For low powers. 597 to 599. Three preparations of villi from small intestine of chicken, with transparent carmine injection, showing B. 26. the arrangement of the vessels in the villi. For low powers. 581 to 583. Three preparations of portions of small intestine of frog, with transparent carmine injection, showing B. 27. the arrangement of the bloodvessels in the intestinal walls. For low powers. 778 to 782. Five preparations of portions of small intestine of toad, with transparent carmine injection, similar in B. 28. character to B. 27. For low powers. 783. Portion of ileum of sheep, with opaque injection (red), showing the arrangement of the vessels in the B. 29. villi. For low powers. 781 to 786. Three preparations of small intestine of chicken, with opaque injection (bluish white), showing the B. 30. capillary networks in the villi. For low powers. 580. Same as B. 30, injected with red. B. 31. 600 A 601. Two preparations of villi from small intestine of chicken, with double opaque injection (artery bluish B. 32. white, veins yellow; capillaries, some filled from the artery, some from the veins), showing the arrange- ment and mutual relations of the bloodvessels in the villi. For low powers. 1957 & 1958. Two preparations, same as B. 15. B. 33. 179. Opaque injection in two colors (arteries yellow, veins red) of intestinal villi of Capra Ibex. For low B. 34. powers. Prof. Joseph Hyrtl, Vienna, Austria. 188. Same as B. 34, from Struthio Camelus, (arteries white, veins blue).' For low powers. B. 35. Prof. Joseph Hyrtl, Vienna, Austria. 189. Same as B. 35, from Tetrao Cothurnix. For low powers. B. 36. Prof. Joseph Hyrtl, Vienna, Austria. 190. Same as B. 35, embracing isolated villi only. For low powers B. 37. Prof. Joseph Hyrtl, Vienna, Austria. VII. H. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 55 191. Same as B. 35, from Rhea Americana. For low powers. B. 38. Prof. Joseph Hyrtl, Vienna, Austria. 192. Opaque injection (white) of chyliferous vessels of villi of Otis tarda. For low powers. B. 39. Prof. Joseph Hyrtl, Vienna, Austria. 193. Same as B. 39, from Corvus Corone. For low powers. B. 40. Prof. Joseph Hyrtl, Vienna, Austria. 201. Opaque injection (white) of small intestine of Proteus. For low powers. B. 41. Prof. Joseph Hyrtl, Vienna, Austria. 202. Same as B. 41, from near the cloaca. For low powers. B. 42. Prof. Joseph Hyrtl, Vienna, Austria. 204. Opaque injection in two colors (arteries white, veins blue) of small intestine of Triton cristatus. For B. 43. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 208. Opaque injection in two colors (arteries white, veins green) of small intestine of Salamandra. For low B. 44. powers. Prof. Joseph Hyrtl, Vienna, Austria. 209. Same as B. 44, from near the cloaca. For low powers. B. 45. Prof. Joseph Hyrtl, Vienna, Austria. 213. Opaque injection in two colors (arteries white, veins blue) of small intestine of Bufo viridis. For low B. 46. powers. Prof. Joseph Hyrtl, Vienna, Austria. 214. Same as B. 46, from near the cloaca. For low powers. B. 47. Prof. Joseph Hyrtl; Vienna, Austria. 216. Opaque injection in two colors (arteries yellow, veins green) of small intestine of Rana ridibunda. For B. 48. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 217. Same as B. 48, from near the cloaca. For low powers. B. 49. Prof. Joseph Hyrtl, Vienna, Austria. 221. Opaque injection in two colors (arteries yellow, veins blue) of small intestine of Rema temporaria. For B. 50. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 222. Same as B. 50, from Pelobates fuscus. For low powers. B. 51. Prof. Joseph Hyrtl, Vienna, Austria. 223. Same as B. 50, from near the cloaca of Alytes obstetricans, (arteries red, veins blue). For low powers. B. 52. Prof. Joseph Hyrtl, Vienna, Austria. 224. Same as B. 50, from Rana esculenta, (arteries white, veins red). For low powers. B. 53. Prof. Joseph Hyrtl, Vienna, Austria. 225. Same as B. 50, from Bufo vulgaris, (arteries yellow, veins red). For low powers. B. 54. Prof. Joseph Hyrtl, Vienna, Austria. 226. Same as B. 50, from Hyla viridis, (arteries red, veins yellow). For low powers. B. 55. Prof. Joseph Hyrtl, Vienna, Austria. 228. Opaque arterial injection (white) of the villi of Pseudopus serpentinus. For low powers. B. 56. Prof. Joseph Hyrtl, Vienna, Austria. 56 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. 229. Same as B. 56, in two colors (arteries white, veins red). For low powers. B. 57. Prof. Joseph Hyrtl, Vienna, Austria. 230. Same as B. 57, from Psammosaurus griseus. For low powers. B. 58. Prof. Joseph Hyrtl, Vienna, Austria. 231. Same as B. 57, from Vipera Ammodytes, (arteries yellow, veins red). For low powers. B. 59. Prof. Joseph Hyrtl, Vienna, Austria. 231. Opaque injection in two colors (arteries white, veins blue) of small intestine of Coluber JEsculapii For B. 60. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 235. Same as B. 60, from Cammleo Africanus. For low powers. B. 61. Prof. Joseph Hyrtl, Vienna, Austria. 236. Same as B. 60, in one color (red), from Geochelonia tabulata. For low powers. B. 62. Prof. Joseph Hyrtl, Vienna, Austria. 237. Same as B. 62, from near the cloaca. For low powers. B. 63. Prof. Joseph Hyrtl, Vienna, Austria. 238. Same as B. 60, from Thalassochelys Couana, (arteries yellow, veins blue). For low powers. B. 64. Prof. Joseph Hyrtl, Vienna, Austria. 239. Opaque injection in two colors (arteries yellow, veins blue) of the ileo-caecal valve of Emys Europtea. B. 65. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 240. Opaque injection in two colors (arteries white, veins red) of small intestine of Testudo Grmca. For low B. 66. powers. Prof. Joseph Hyrtl, Vienna, Austria. 211. Opaque injection in two colors (arteries yellow, veins blue) of muscular coat of small intestine of Testudo B. 67. Graca. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 247. Opaque injection in two colors (arteries yellow, veins blue) of small intestine of Acanthias vulgaris. For B. 68. low powers. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 416 to 422. Series of seven perpendicular sections of human ileum, from a case of fatal diarrhoea following conva- C. 1. lescence from fever, showing enlargement and protrusion of the solitary glands; stained with yellow aniline. The series consists of sections through two glands from periphery to centre, showing the glands enlarged to the size of small pin-heads and projecting from the surface of the intestine, pushing the mucous coat before them. There is active cell-multiplication in the connective tissue beneath them. In all but specimen 422 a portion of a Peyer's patch is also seen. For low and high powers. From the same intestine as Specimen 459, Medical Section, chap. IV. sec. 3, H. 3. See Part Second, VII. H, C. 1 and 2. 423 to 429. Series of seven perpendicular sections of human ileum, from a case of camp fever, showing enlargement C. 2. and protrusion of the solitary glands; stained with yellow aniline. The series embraces sections through two solitary glands, exhibiting the same conditions as in C. 1. All but specimens 421 and 428 show also a Peyer's patch. Very numerous bloodvessels are seen in the connective tissue layer. For low and high powers. From the same intestine as Specimens 385 to 387, Medical Section, chap. IV. sec. 3, I. 1 to 3. 430 to 435. Series of six perpendicular sections of human ileum, from the same case as C. 2, showing an enlarged C. 3. solitary gland situated at the junction of two valvulse conniventes; stained with yellow aniline. The sections show also a Peyer's patch with commencing ulceration, and very numerous bloodvessels in the connective tissue layer. For low and high powers. From the same intestine as Specimens 385 to 387, Medical Section, chap. IV. sec. 3, I. 1 to 3. VII. H. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 57 411 to 143. Series of three perpendicular sections of human ileum, showing an enlarged and slightly protuberant C. 4. solitary gland. An original staining with red aniline has almost entirely faded. The solitary gland shows points of softening in its centre. Not very well suited for high powers. 1686 to 1717. Series of thirty-two perpendicular sections of human ileum, from a case of typhoid fever, showing a C. 5. Peyer's patch greatly thickened and protuberant, but not yet ulcerated; stained, some with red and some with yellow aniline. The patch is seen to have lost its glandular structure, and to form, with the altered connective tissue in its vicinity, a mass consisting of closely aggregated adventitious cells, fed by numerous bloodvessels. The sections pass through various portions of the diseased patch, from periphery to centre. Suited for high powers, under which the progressive stages of cell-multiplication in the connective tissue are beautifully shown. From the same intestine as Specimen 608, Medical Section, chap. IV. sec. 3, I. 81. See Part Second, VII. H. C. 3. 446. Perpendicular section of human ileum, from a case of typhoid fever, showing a condition of a Peyer's C. 6. patch similar to C. 5 ; stained with red aniline. For low and high powers. See Part Second, VII. H. C. 4. 1718 to 1741. Series of twenty-four perpendicular sections of human ileum, from a case of typhoid fever, showing C. 7. progressive stages of disease in a Peyer's patch, from a slight thickening, where the glands of the patch can still be recognized, to complete structural degeneration and final ragged ulceration; stained with yellow aniline. Suited for high powers, which show the minute anatomy of the structural changes. From the same intestine as Specimens 619 to 621, Medical Section, chap. IV. sec. 3, I. TO to 72. 147 to 455. Series of nine perpendicular sections of human ileum, from a case of camp fever, showing progressive C. 8. stages of thickening and ulceration of a Peyer's patch ; stained with red aniline. The ulcers are seen to originate in the individual glands of the patch, which, after softening and disintegrating, burst into the cavity of the intestine, establishing thus minute ulcers, which subsequently spread. For low and high powers. From the same intestine as Specimens 424 and 425, Medical Section, chap. IV. sec. 3, E. 42 and 43. See Part Second, I. A. c. 1; VII. H. c. 5 to 8. 456 & 457. Series of two perpendicular sections of human ileum, from the same case as C. 8, showing three C. 9. disintegrated glands of a Peyer's patch at the point of rupture ; stained with red aniline. For low and high powers. From the same intestine as Specimens 421 and 425, Medical Section, chap. IV. sec. 3, E. 42 and 43. See Part Second, VII. H. C. 9. 462 to 465. Series of four perpendicular sections of human ileum, from a case of camp fever, showing several C. 10. disintegrated glands of a Peyer's patch before rupture, and, in the first three specimens of the series, several shallow ulcers ; stained with yellow aniline. For low and high powers. From the same intestine as Specimens 407 and 408, Medical Section, chap. IV. sec. 3, E. 46 and 47. See Part Second, VII. H. C. 10. 466 to 469. Series of four perpendicular sections of human ileum, from the same case as C. 10, showing a deep C. 11. smooth ulcer in a Peyer's patch, extending down to the muscular coat, and, in the last three specimens, one disintegrated gland of the patch not yet ruptured ; stained with yellow aniline. For low and high powers. From the same intestine as Specimens 407 and 408, Medical Section, chap. IV. sec. 3, E. 46 and 47. See Part Second, VII. H. C. 11 to 14. 1742 to 1759. Series of eighteen perpendicular sections of human ileum, from a case of camp fever, showing an C. 12. excavating ulcer extending deep into the connective tissue layer of the intestine, and, in specimens 1745 to 1750, various stages of ulceration of a solitary gland ; stained, some with red and some with yellow aniline. The first section of the series passes through the thickened intestine just beyond the edge of the ulcer, showing cell- multiplication in the connective tissue and enlarged bloodvessels ; also a portion of a Peyer's patch. The remaining sections pass through various portions of the ulcer, from periphery to centre. For low and high powers. From the same intestine as Specimen 702, Medical Section, chap. IV. sec. 3, E. 61. See Part Second VII. H. C. 15 to 18. 1760 to 1771. Series of twelve perpendicular sections of human ileum, from the same case as C. 12, showing an C. 13. excavating ulcer of similar character to the preceding, but larger and extending down to the muscular coat; also, in specimens 1762 to 1767, commencing disintegration of the solitary glands ; stained, some with red and some with yellow aniline. For low and high powers. From the same intestine as Specimen 702, Medical Section, chap. IV. sec. 3, E, 61. 8a 58 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. 470 to 472. Series of three perpendicular sections of human ileum, showing a typhoid ulcer of a Peyer's patch in C. 14. process of healing ; stained with red aniline. The walls of the cicatrix are seen to consist for the most part of condensed connective tissue, embedded in which are a few of the original glands of the patch For low and high powers. From the same intestine as Specimens 489 to 491, Medical Section, chap. IV. sec. 3, H. 5 to 7. See Part Second, VII. H. C. 19. 360. Opaque injection (red) of the vessels of human small intestine in cholera morbus. For low powers. C. 15. Prof. Joseph Hyrtl, Vienna, Austria. 171. 176. 177. 407. B. 1. B. 2 787. B. 3. 1555. 635. B. 5. I. Large Intestine. A. From Man. Opaque injection in two colors (arteries yellow, veins red) of mucous membrane of caecum. For low A. 1. powers. Prof. Joseph Hyrtl, Vienna, Austria. 172. Same as A. 1, from the vermiform appendix. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. 173. Same as A. 1, from the ascending colon. For low powers. A. 3. Prof. Joseph Hyrtl, Vienna, Austria. 174. Same as A. 1, from the descending colon, (arteries yellow, veins blue). For low powers. A. 4. Prof. Joseph Hyrtl, Vienna, Austria. 175. Opaque injection in two colors (arteries white, veins red) of the submucous connective tissue of the A. 5. colon. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Opaque injection in two colors (arteries white, veins blue) of rectum. For low powers. A. 6. Prof. Joseph Hyrtl, Vienna, Austria Opaque injection in two colors (arteries yellow, veins red) of ileo-caecal valve. For low powers. t>__C T_____I, XT__il -\t:_____ j . • r A. 7. Prof. Joseph Hyrtl, Vienna, Austria 180. Opaque injection in two colors (arteries yellow, veins red) of the pouches of the rectum. For low powers. A. 8. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. Horizontal section of mucous membrane of large intestine of cat, with transparent Prussian blue injection and carmine staining, showing the follicles of Lieberkiihn in transverse section, with epithelium in situ, and the arrangement of the capillary network between the follicles. For moderate and high powers. 579. Same as B. 1; the injection and staining have, in a great measure, faded. For moderate powers. Perpendicular section through entire circumference of caecum of cat, with transparent carmine injection, showing the arrangement of the capillaries in the intestinal walls and the very large solitary glands. For low powers. Same object as B. 3, with transparent carmine injection and imperfect blue staining ; similar in character B. 4. to B. 3. Professor Joseph Gerlach, Erlangen, Bavaria. Horizontal section of mucous membrane of large intestine of rat, with transparent carmine injection, showing the network of capillaries between the follicles of Lieberkiihn. For low powers. 632 to 631. Three preparations of portions of large intestine of mouse with transparent carmine injection, showing B. 6. the arrangement of the capillaries. For low powers. VII. I. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 59 788 & 789. Two perpendicular sections of large intestine of mouse, with transparent carmine injection, showing the B. 7. arrangement of the capillaries in the intestinal walls. For low and moderate powers. 790. Perpendicular section through entire circumference of large intestine of mouse, with transparent Prussian B. 8. blue injection and carmine staining, showing the arrangement and relations of the several coats of the intestine and the capillaries. For low and moderate powers. 625 to 631. Seven preparations of portions of large intestine of frog, with transparent carmine injection, showing B. 9. the arrangement of the bloodvessels. For low powers. 791 to 798. Eight preparations of portions of large intestine of toad, with transparent carmine injection; similar in B. 10. character to B. 9. Specimen 796 shows also the cysts of a parasitic worm. The worm itself has altered since mounting so as to be no longer recognizable. For low powers. 799. Same object as B. 10, with transparent Prussian blue injection and carmine staining. The staining B. 11. has failed to bring out any points of structure, and the preparation shows only the injected vessels. For low powers. 636. Cloaca of chicken, with opaque injection (red), showing the arrangement of the capillaries. For low B. 12. powers. 637. Portion of large intestine of cat, with opaque injection (yellow), showing the capillary network between B. 13. the follicles of Lieberkiihn. For low powers. 46. Opaque injection (yellow) of the vessels of cloacal outlet of female Triton tmniatus. For low powers. B. 14. Prof. Joseph Hyrtl, Vienna, Austria. 194. Opaque injection in two colors (arteries yellow, veins red) of villi of cloaca of Cygnus olor. For low B. 15. powers. Prof. Joseph Hyrtl, Vienna, Austria. 203. Opaque injection in two colors (arteries white, veins blue) of the vessels of cloaca of Proteus. For low B. 16. powers. Prof. Joseph Hyrtl, Vienna, Austria. 206. Same as B. 16, from Triton cristatus, (arteries white, veins red). For low powers. B. 17. Prof. Joseph Hyrtl, Vienna, Austria. 210. Same as B. 16, in one color (red) from Salamandra. For low powers. B. 18. Prof. Joseph Hyrtl, Vienna, Austria. 212. Same as B. 16, from Bufo viridis. For low powers. B. 19. Prof. Joseph Hyrtl, Vienna, Austria. 218. Same as B. 16, from Rana ridibunda, (arteries yellow, veins green). For low'powers. B. 20. Prof. Joseph Hyrtl, Vienna, Austria. 227. Same as B. 16, from Bufo palmarum (arteries red, veins green). For low powers. B. 21. Prof. Joseph Hyrtl, Vienna, Austria. 211. Opaque injection in two colors (arteries yellow, veins red) of border of anus of Salamandra. For low B. 22. powers. Prof. Joseph Hyrtl, Vienna, Austria. 220. Opaque injection in two colors (arteries yellow, veins green) of caecum of Rana esculenta at the ileo-caecal B. 23. valve. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 245. Opaque injection (yellow) of the vessels of large intestine of Acipenser Ruthenus. For low powers. B. 24. Prof. Joseph Hyrtl, Vienna, Austria. 248. Opaque injection in two colors (arteries yellow, veins blue) of villi in the beginning of large intestine of B. 25. Acanthias vulgaris. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 60 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. C. Pathological. 638. Perpendicular section of human colon, from a case of chronic diarrhoea, showing slight thickening of C. 1. the connective tissue layer; stained with yellow aniline. Cell-multiplication is commencing in the connective tissue adjoining the mucous coat. For low and high powers. See Part Second, VII. I. C. 1 to 4. 639 to 611. Series of three perpendicular sections of human colon, showing enlargement of the solitary glands and C. 2. slight thickening of the connective tissue layer; stained with red aniline; cell-multiplication is well marked in the connective tissue adjoining the solitary glands. For low and high powers. Assistant Surgeon J. J. "Woodward, U. S. Army. 612 to 650. Series of nine perpendicular sections of human colon, from a case of mild chronic diarrhoea, showing C. 3. slight enlargement of the solitary glands ; stained with yellow aniline. For low and high powers. From the same intestine as Specimen 547, Medical Section, chap. IV. sec. 3, L. 2. See Part Second, VII. I. C. 5. 651 & 652. Series of two perpendicular sections of human colon, showing an enlarged solitary gland. Shows, under C. 4. the high powers, the cell-multiplication in the connective tissue adjoining the enlarged gland, but the other structures of the intestine are not well preserved. For high powers. Assistant Surgeon J. J. Woodward, U. S. Army. 653 to 658. Series of six perpendicular sections of human colon, showing enlargement and commencing ulceration C. 5. of the solitary glands; stained with yellow aniline. The solitary glands are considerably enlarged; there is thickening of the submucous connective tissue, and, in the last three specimens of the series, the mucous membrane has commenced to ulcerate over the summits of the solitary glands. For low and high powers. See Part Second, VII. I. C. 6 to 8. 659 to 667. Series of nine perpendicular sections of human colon, showing shallow ulceration of the mucous C. 6. membrane around an enlarged solitary gland ; stained with yellow aniline. As usual, there is considerable cell-multiplication in the connective tissue in the neighborhood of the diseased spot. For low and high powers. From the same intestine as Specimen 406, Medical Section, chap. IV. sec. 3, L. 38. See Part Second, VII. I. C. 9. 668. Perpendicular section of human colon, showing ulceration around two very much enlarged solitary C. 7. glands; stained with yellow aniline. The mucous coat has entirely disappeared from over the solitary glands, and there is a furrow of ulceration around the circumference of the gland reaching down to the connective tissue layer; in the latter layer there is the usual cell-multiplication evident. For low and high powers. 669. Perpendicular section of human colon, showing ulceration of the mucous coat around an enlarged C. 8. solitary gland, with commencing ulceration of the gland itself; stained with red aniline. The ulceration is more extensive than in C. 7 ; there is the usual thickening in the connective tissue layer. For low and high powers. Assistant Surgeon J. J. Woodward, U. S. Army. 670 to 672. Series of three perpendicular sections of human colon, showing commencing ulceration of a solitary C. 9. gland, similar to that shown in C. 7 and 8, but with little change in the connective tissue layer; stained with yellow aniline. The mucous membrane has cracked in many places in these specimens in the course of preparation. For low and high powers. 673 to 677. Series of five perpendicular sections of human colon, showing enlarged solitary glands and a shallow C. 10. ulcer of the mucous coat, extending about half-way through the thickness of the layer ; stained with yellow aniline. For low and high powers. 678 to 682. Series of five perpendicular sections of human colon, showing a few enlarged solitary glands and C. 11. shallow ulceration of the mucous membrane, similar to that shown in C. 10; stained with yellow aniline. The muscular layers have not been preserved in these sections. For low and high powers. 683 to 685. Series of three perpendicular sections of human colon, showing the following forms of ulcers: a narrow C. 12. ulcer extending to the muscular layer below, and eating into the connective tissue at the sides so as to leave an overhanging edge of mucous membrane; shallow ulcers of the mucous coat, and a wide ulcer, with shelving sides, extending down to the muscular coat, The connective tissue of the intestine is much thickened, and, in the vicinity of the ulcers, has lost its normal appearance entirely, being transformed into masses of closely-packed, ill-formed cells. Stained with red aniline. For low and high powers. See Part Second, VII. I. c. 10 to 15. VII. I. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 61 686. Perpendicular section of human colon, from the same case as C. 12, showing deep ulcers extending C. 13. nearly to the muscular coat. The various tissues present the same characteristics as those mentioned in C. 12. Stained with red aniline. For low and high powers. 687 to 691. Series of five perpendicular sections of human colon, showing the same varieties of ulcers and conditions C. 14. of the tissues of the intestine as those described under C. 12. In the first two specimens of the series the sections pass through a small excavating ulcer beyond the line where it pierces the mucous coat, exhibiting thus a cavity in the connective tissue layer bridged over by mucous membrane and bordered by walls of dense altered connective tissue. Stained with yellow aniline. For low and high powers. See Part Second, VII. I. C. 16. 1520 to 1 531. Series of twelve perpendicular sections of human colon, showing a deep smooth ulcer extending to the C. 15. muscular coat. The first six specimens of the series, like the first two of C. 14, show ulceration of the connective tissue alone. In the remainder of the specimens the sections pass through the centre of the ulcer. There is but little change in the connective tissue layer. The mucous coat has cracked badly in the process of prepa- ration. Stained with yellow aniline. For low and high powers. From the same intestine as Specimen 466, Medical Section, chap. IV. sec. 3, L. 116. 1532 to 1537. Series of six perpendicular sections of human colon, from the same case as C. 15, showing deep ragged C. 16. uicers of the intestine. In all the specimens but the last the structures of the mucous coat have entirely disappeared, and a ragged mass of shreds represents the inner half of the thickness of the intestine. In the last specimen a portion of mucous membrane and a very much enlarged solitary gland can still be recognised. Stained with red aniline. For low and high powers. From the same intestine as Specimen 466, Medical Section, chap. IV. sec. 3, L. 116. See Part Second, VII. I. C. 17. 692 to 702. Series of eleven perpendicular sections of human colo from a case of chronic dysentery, showing C. 17. extensive ulcers reaching to the muscular coat. The connective tissue in the neighborhood of the ulcers is, as usual, altered in character by the products of cell-multiplication. Stained with yellow aniline. For low and high powers. From the same intestine as Specimen 409, Medical Section, chap. IV. sec. 3, L. 89. See Part Second, VII. I. C 18. 703 to 710. Series of eight perpendicular sections of human colon, showing extensive and deep ulcers and altered C. 18. connective tissue, similar to the appearances described in C. 17 ; stained, some with red and some with yellow aniline. For low and high powers. 711 & 712. Series of two perpendicular sections of human colon, showing ulcers and conditions of the connective C. 19. tissue similar to those described in C. 17 ; staiued with red aniline. For low aud high powers. See Part Second, VII. I. C. 19 and 20. 713 & 714. Series of two perpendicular sections of human colon, showing extensive disease of the mucous and C. 20. connective tissue coats of tho intestine. These layers have both entirely lost their normal structure and are blended into a mass of closely aggregated ill-formed cells. Stained with yellow aniline. For low and high powers. 715 to 728. Series of fourteen perpendicular sections of human colon, showing extensive ulcers of various depths, C. 21. and great thickening, from cell-multiplication, in the connective tissue layer; stained with carmine, except specimens 716, 727 and 728. For low and moderate powers. 729 to 731. Series of three perpendicular sections of human colon, showing the structure of the so-called pseudo- C. 22. membranous exudation. The mucous membrane is considerably thickened, and near its upper surface has lost its normal structure, having degenerated into a dense mass indistinctly cellular in its character. The follicles of Lieberkiihn gradually lose themselves in this altered tissue, and, in the lower portions of the mucous layer, where they can still be seen, are separated from each other by new cell-growths. The mucous membrane is ulcerated in many places, and the connective tissue layer is greatly thickened, and shows active cell-multiplication. Stained with red aniline. For low and high powers. From the same intestine as Specimen 360, Medical Section, chap. IV. sec. 3, L. 100. See Part Second, VII. I. C. 21 and 22. 732 to 755. Series of twenty-four perpendicular sections of human colon, showing a condition of the intestinal C. 23. structures similar to that described under C. 22, but with the morbid changes not so far advanced ; stained, some with red and some with yellow aniline. For low aud high powers. 62 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. K. Liver and Gall-Bladder. A. From Man. 861. Portion of human gall-bladder with opaque injection (red), showing the arrangement of the capillaries. A. 1. For low powers. 251. Opaque injection in three colors (artery red, portal vein blue, hepatic veins white) of surface of liver. A. 2.' For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 252. Same as A. 2, in two colors (artery yellow, portal vein red), from a foetus. For low powers. A. 3. Prof. Joseph Hyrtl, Vienna, Austria. 253. Same as A. 2, in section of the organ. For low powers. A. 4. Prof. Joseph Hyrtl, Vienna, Austria. 251. Same as A. 2, in four colors (artery white, portal vein blue, hepatic veins red, bile-ducts yellow). For A. 5. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 255. Same as A. 4, (artery white, portal vein red, bile-ducts yellow). For low powers. A. 6. Prof. Joseph Hyrtl, Vienna, Austria. 256. Opaque injection in two colors (arteries white, veins red) of gall-bladder. For low powers. A. 7. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 818. Section of liver of sheep with transparent carmine injection through the portal vein, showing the B. 1. arrangement of the capillaries in the lobules. An original Prussian blue injection through the hepatic veins has entirely faded from the specimen. For low and moderate powers. 800 to 803, Six sections of liver of sheep, with double transparent injection (portal vein carmine and hepatic veins and Prussian blue), showing the peripheral portion of the capillary plexus in the lobules filled with the red, 859 & 860. and the central portion with the blue injection. In specimen 860 all the capillaries are filled with the B. 2. red, and the commencement of the intralobular veins alone with blue. For low and moderate powers. See Part Second, VII. K. B. 1 and 2. 804 to 815. Twelve sections of liver of sheep, with transparent Prussian blue injection and carmine staining, showing the capillaries of the lobules filled with the injection, and interlacing with the network of hepatic cells— the individual cells, with their nuclei, being rendered beautifully distinct by the staining. For moderate B. 3 and high powers. 816 & 817. Two sections of liver of rabbit, with opaque yellow injection, showing the arrangement of the capillaries B. 4. in the lobules. For low powers. 1539. Portion of gall-bladder of mouse, with transparent carmine injection, showing the arrangement of the B. 5. bloodvessels in the walls of the bladder. For low powers. 529 & 818. B. 6. 1959. B. 7. Two preparations of portions of gall-bladder of Iguana, with transparent Prussian blue injection, showing the arrangement of the capillaries in the walls of the bladder. For low powers. Assistant Surgeon J. S. Billings, U. S. Army. Portion of liver of sheep, with triple transparent injection (portal vein red, hepatic vein blue, bile-ducts yellow), showing the mutual relations of the vessels in the lobules. Only a few of the bile-ducts are filled with the injection. For low powers. 257. Opaque injection in two colors (portal veiu yellow, hepatic vein red) of liver of Macacus Cynomolgus. B. 8. For low powers. Prof. JosephHyrtl, Vienna, Austria. VII. L. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 63 258. Same as B. 8, from Sus scrofa, in three colors (artery white, portal vein yellow, hepatic vein red). For B. 9. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 259. Same as B. 8, from Lepus Cuniculus, (portal vein white, hepatic vein red). For low powers. B. 10. Prof. Joseph Hyrtl, Vienna, Austria. 260. Same as B. 8, from Erinaceus Europaus. For low powers. B. 11. Prof. Joseph Hyrtl, Vienna, Austria. 261. Same as B. 10, from Mustela Maries. For low powers. B. 12. Prof. Joseph Hyrtl, Vienna, Austria. 262. Same as B. 8, from Picus Martius, (artery yellow, vein red). For low powers. B. 13. Prof. Joseph Hyrtl, Vienna, Austria. 263. Same as B. 8, (red portal injection only), from Columba Palumbus. For low powers. B. 14. Prof. Joseph Hyrtl, Vienna, Austria. 261. Same as B. 13, from Tetrao Urogallus. For low powers. B. 15. Prof. Joseph Hyrtl, Vienna, Austria. 265. Same as B. 8, from Rana Alpina, (portal vein red, hepatic vein green). For low powers. B. 16. Prof. Joseph Hyrtl, Vienna, Austria. 266. Same as B. 8, from Pelobates fuscus, (portal vein white, hepatic vein blue). For low powers. B. 17. Prof. Joseph Hyrtl, Vienna, Austria. 267. Same as B. 8, from Bipes Pallasii, (portal vein red, hepatic vein blue). For low powers. B. 18. Prof. Joseph Hyrtl, Vienna, Austria. 268. Same as B. 8, from Vipera Berus, (portal vein red, hepatic vein yellow). For low powers. B. 19. Prof. Joseph Hyrtl, Vienna, Austria. 269. Same as B. 10, from Coluber Austriacus. For low powers. B. 20. Prof. Joseph Hyrtl, Vienna, Austria. 270. Same as B. 8, from Emys Europaa, (arteries white, portal vein red). For low powers. B. 21. Prof. Joseph Hyrtl, Vienna, Austria. 271. Same as B. 8, from Lacerta viridis, (portal vein yellow, hepatic vein blue).- For low powers. B. 22. Prof. Joseph Hyrtl, Vienna, Austria. 272. Same as B. 8, from Lucioperia Sandra, (artery white, portal vein blue). For low powers. B. 23. Prof. Joseph Hyrtl, Vienna, Austria. 273. Same as B. 10, from Acipenser Ruthenus. For low powers. B. 24. Prof. Joseph Hyrtl, Vienna, Austria. 274. Same as B. 8, (red portal injection only), from Chimaera monstrosa. For low powers. B. 25. Prof. Joseph Hyrtl, Vienna, Austria. 275. Opaque injection (green) of the vessels of gall-bladder of Lota. For low powers. B. 26. Prof. Joseph Hyrtl, Vienna, Austria. L , Chemical Constituents op Bile. A. From Man. 862. Tabular crystals of cholesterine from a gall-stone. For moderate powers. A. 1. See Part Second, XIV. D. A. 1 and 2. 64 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. I. Pancreas. From Man. 278. Opaque injection in two colors (arteries yellow, veins blue) of pancreas. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. 279. Opaque injection (red) of the ramification and terminal vesicles of the pancreatic duct. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 933 to 939. Seven preparations of portions of pancreas of cat, with transparent carmine injection, showing the B. 1. arrangement of the capillaries around the lobules of the gland. Specimen 939 shows also a Pacinian body. For low powers. 290. Opaque arterial injection (white) of pancreas of Crocodilus Niloticus. For low powers. B. 2. Prof. Joseph Hyrtl, Vienna, Austria. 292. Opaque injection in two colors (arteries white, veins green) of pancreas of Proteus anguineus. For low B. 3. powers. Prof. Joseph Hyrtl, Vienna, Austria. N. Spleen. A. From Man. 284. Opaque injection in two colors (arteries yellow, veins blue) of section of spleen. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 286. Opaque venous injection (red) of spleen of Acipenser Ruthenus. For low powers. B. 1. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 285. Opaque injection (red) of the vessels in a section of hypertrophied spleen, from a case of quartan C. 1. intermittent fever. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 0. Mesentery. A. From Man. 355. Opaque injection in two colors (arteries yellow, veins blue) of mesentery. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 851 to 855. B. 1. 856. Five preparations of mesentery of cat, with transparent Prussian blue injection and carmine staining, showing very beautifully the minute anatomy of connective tissue, adipose tissue, bloodvessels and nerves. For moderate and high powers. Portion of mesentery of cat, with transparent carmine injection, showing the arrangement of the blood- B. 2. vessels, and also adipose tissue. For low powers VII. Q. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 65 819 to 821. Three preparations of mesentery of kitten, with transparent Prussian blue injection and carmine staining, B. 3. showing the same structures as B. 1. Specimen 819 shows also, very beautifully, several Pacinian bodies. For moderate and high powers. 822. Portion of mesentery of kitten, stained with carmine (very imperfectly*, showing connective tissue, B. 4. bloodvessels and adipose tissue. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1307 & 1308. Two preparations of mesentery of dog, with transparent Prussian blue injection and carmine staining, B. 5. showing the same structures as B. 1. For moderate and high powers. 823. Same as B. 5 ; the staining is much more brilliant. B. 6. For other illustrations, sec VI. E. B. 4 and 5. L • Omentum. B. From Animals. 2035. Omentum of kitten, stained with carmine, showing the minute anatomy of connective and adipose B. 1. tissue and capillaries. For moderate and high powers. Q. Peritoneum. B. From Animals. 1631. Portion of peritoneum of young mouse, stained with carmine, showing numerous and large corpuscles B. 1. in the young peritoneum, beautifully defined by the staining ; also bloodvessels, nerves and adipose tissue. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 849 & 850. Two preparations of peritoneum of frog, with transparent carmine injection, showing the arrangement B. 2. of the bloodvessels. For low powers. 824 &, 825. Two preparations of peritoneum of toad, with transparent carmine injection, showing the arrangement B. 3. of the bloodvessels. Fur low powers. 826 & 827. Two preparations same as B. 3, but also stained with carmine, showing the nucleated epithelial cells B. 4. of the peritoneum in situ; also a very abundant network of nerves, with the nuclei of the neurilemma beautifully defined, and arteries, veins and capillaries. For low and high powers. 9a VIII. RESPIRATORY ORGANS. Ai Larynx. Jj, Trachea and Bronchi. \J, Lungs, Gills and Air-Bladder. JJ, Pleura. JJj . Thyroid Gland. Jj. Thymus Gland. A. From Man. | B. From Animals. | C. Pathological. VIII. RESPIRATORY ORGANS. iA_. Larynx. A. From Man. 56. Opaque injection (red) of the vessels of mucous membrane of larynx. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 63. Opaque arterial injection (yellow) of glottis of Rana csculenln. For low powers. B. 1. Prof. Joseph Hyrtl, Vienna, Austria. B , Trachea and Bronchi. A. From Man. 57. Opaque injection in two colors (arteries white, veins green) of mucous membrane of trachea. For low A. 1. powers. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 1617. Portion of posterior wall of trachea of mouse, faintly stained with carmine, showing the free extremities B. 1. of three of the cartilaginous rings, and the fibrous connecting layer abounding in elastic tissue. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 828. Horizontal section of portion of trachea of puppy, with transparent Prussian blue injection, showing the B. 2. relations and minute anatomy of the cartilaginous rings and the fibrous connecting layer. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 829. Portion of air tube of wasp and branches ; shows also several muscular fibres; partially stained with B. 3. carmine. For high powers. 1975. Portion of trachea of kitten, with transparent Prussian blue injection and carmine staining, showing B. 4. the epithelium of the mucous membrane in situ, the anatomy of the cartilaginous rings, and the arrange- ment of the bloodvessels. For low and high powers. 2030. Transverse section of trachea of kitten, With transparent carmine injection, showing the extent of the B. 5. cartilaginous rings around the circumference of the section, and the arrangement of the bloodvessels. For low powers. 76. Opaque injection (yellow) of the vessels in the trachea of Coluber Austriacus. For low powers. B. 6. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 58. Opaque injection (blue) of the vessels of human bronchus in chronic catarrh. For low powers. C. 1. Prof. Joseph Hyrtl, Vienna, Austria. 70 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. c. Lungs, Gills and Air-Bladder. A. From Man. 519 to 523 Fourteen preparations of lung, with transparent carmine injection, showing the network of capillaries and in the walls of the air vesicles. For low and moderate powers. 830 to 838. A. 1. 1554. Portion of lung, with transparent Prussian blue injection and faint carmine staining, showing the A. 2. network of capillaries in the walls of the air vesicles, and in a few places the connective tissue corpuscles of the parenchyma of the lung. For low and high powers. Prof. Joseph Gerlach, Erlaugen, Bavaria. 839. Portion of lung of baby, with very imperfect transparent Prussian blue injection, showing the fibrous A. 3. trabeculae and tesselated epithelium of the air vesicles in situ. For high powers. Assistant Surgeon J. S. Billings, U. S. Army. 49. Opaque injection (white) of the air vesicles of the lung of a new-born child. For low powers. A. 4. Prof. Joseph Hyrtl, Vienna, Austria. 52 Opaque injection in three colors (arteries blue, veins red, air cells white) of lung. For low powers. A. 5. Prof. Joseph Hyrtl, Vienna, Austria. 53. Opaque arterial injection (red) of a section of lung. For low powers. A. 6. Prof. Joseph Hyrtl, Vienna, Austria. 54. Opaque injection in two colors (arteries white, veins red) of lung of six months' foetus which had never A. 7. breathed. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. Portion of lung of dog, with transparent Prussian blue injection, showing the network of capillaries in 840. B. 1. the walls of the air vesicles. For low and moderate powers. 521 & 841. Two preparations of lung of frog, with transparent carmine injection, showing same as B. 1. For low B. 2. powers. 8 12 to 844. Three preparations of lung of toad, similar to B. 2. B. 3. See Part Second, VIII. C. B. 1. 525. Portion of lung of newt, similar to B. 2. B. 4. 528. Portion of lung of Iguana, similar to B. 2. B. 5. 55. B. 6. 60. Opaque injection in two colors (arteries red, air cells yellow) of lung of Simia Satyr. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Opaque arterial injection (white) of lung of Meleagris Galloparo. For low powers. B- 7- Prof. Joseph Hyrtl, Vienna, Austria 61. B. 8. 62. Same as B. 7, of gills of Proteus anguineus. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Same as B. 7, (red) of Proteus anguineus. For low powers. B- 9 prof. Joseph Hyrtl, Vienna, Austria. . 0. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 71 61. Same as B. 7, (yellow), of Rana esculenta; external surface of lung in collapse. For low powers. B. 10. Prof. Joseph Hyrtl, Vienna, Austria. 65. Same as B. 10; internal surface in expansion. For low powers. B. 11. Prof. Joseph Hyrtl, Vienna, Austria. 66. Same as B. 7, of Salamandra; internal surface in collapse. For low powers. B. 12. Prof. Joseph Hyrtl, Vienna, Austria. 67. Same as B. 7, of Triton cristatus. For low powers. B. 13. Prof. Joseph Hyrtl, Vienna, Austria. 68. Opaque injection in two colors (arteries blue, veins white) of lung of Bipcs Pallasii. For low powers. B. 14. Prof. Joseph Hyrtl, Vienna, Austria. 69. Same as B. 14, of Varanus Niloticu<; external surface, (arteries white, veins red). For low powers. B. 15. Prof. Joseph Hyrtl, Vienna, Austria. 70. Same as B. 15, of Uromastix Spinipes; internal surface. For low powers. B. 16. Prof. Joseph Hyrtl, Vienna, Austria. 71. Same as B. 14, of Vipera Ammodytes; internal cellulated aspect, (arteries green, veins yellow). For B. 17. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 72. Same as B. 17, of Coluber JEsculapii, (arteries yellow, veins red). For low powers. B. 18. Prof. Joseph Hyrtl, Vienna, Austria. 73. Same as B. 15, of Scps chalcides. For low powers. B. 19. Prof. Joseph Hyrtl, Vienna, Austria. 74. Same as B. 18; posterior end of the lung, very scantily supplied with bloodvessels, (arteries white, B. 20. veins blue). For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 75. Same as B. 14, of Crocodilus Niloticus, (arteries red, lymphatic vessels yellow). For low powers. B. 21. Prof. Joseph Hyrtl, Vienna, Austria. 77. Same as B. 15, of Emys Europma. For low powers. B. 22. Prof. Joseph Hyrtl, Vienna, Austria. 78. Same as B. 14, of Testudo Grazca, (arteries blue, veins red). For low powers. B. 23. Prof. Joseph Hyrtl, Vienna, Austria. 79. Opaque injection in two colors (arteries blue, veins white) of gills of Hexanchus griseus. For low B. 24. powers. Prof. Joseph Hyrtl, Vienna, Austria. gO. Same as B. 24, of Cartharia minor. For low powers. B. 25. Prof. Joseph Hyrtl, Vienna, Austria. SJ. Same as B. 24, of Anguilla murana, (arteries white, veins red). For low powers. B. 26. Prof. Joseph Hyrtl, Vienna, Austria. 82. Same as B. 24, of Silurus glanis, (arteries white, veins blue). For low powers. B. 27. Prof. Joseph Hyrtl, Vienna, Austria. §3. Same as B. 24, of Lucioperca Sandra, (arteries yellow, veins white). For low powers. B. 28. Prof. Joseph Hyrtl, Vienna, Austria. 84. Same as B. 28, embracing only a single lamina. For low powers. B. 29. Prof. Joseph Hyrtl, Vienna, Austria. CATALOGUE OF THE MICROSCOPICAL SECTION, ETC. Part First. 85. Opaque arterial injection (red) of branchiae succenturiatce of Lota communis. For low powers. B. 30. Prof. Joseph Hyrtl, Vienna, Austria. 86. Opaque arterial injection (white) of vascular body in air-bladder of eel. For low powers. B. 31. Prof. Joseph Hyrtl, Vienna, Austria. 87. Opaque venous injection (yellow) of retia mirabilia unipolaria in the air-bladder of Lota. For low powers. B. 32. Prof. Joseph Hyrtl, Vienna, Austria. 88. Same as B. 32, of Perca fiucialili*, in two colors (arteries white, veins blue). For low powers. B. 33. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 50. Opaque injection (red) of the air vesicles of adult human lung with incipient emphysema. For low C. 1. powers. Prof. Joseph Hyrtl, Vienna, Austria. 51. Opaque injection in three colors (arteries white, veins red, air cells blue) of inflamed lung; the air cells, C. 2. filled with exudation, have not allowed free entrance to the blue injection. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. JJ, Pleurae. C. Pathological. 59« Opaque injection (yellow) of the subpleural lymphatic plexus of an oedematous lung. For low powers. C. 1. Prof. Joseph Hyrtl, Vienna, Austria. 356. 357. 282. A. 1. 283. A. 2. 281. C. 1. Opaque injection (yellow) of newly formed vessels in an inflamed pleura. For low powers. C. 2. Prof. Joseph Hyrtl, Vienna, Austria Opaque injection (red) of the vessels in a very old pseudo-membrane of the pleura. For low powers. C 3. Prof. Joseph Hyrtl, Vienna, Austria E. Thyroid Gland. A. From Man. Opaque injection (yellow) of the vessels of thyroid gland of foetus. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Same as A. 1, from the atrophied gland of a woman eighty years old. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. Opaque arterial injection (yellow) of thyroid gland, from a scrofulous subject. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. IX. URINARY ORGANS AND SUPRARENAL GLANDS. A. Kidneys and Wolffian Bodies. 1j , Ureters. \Jt Bladder. JJ, Urethra. Jjj, Chemical Constituents of Urine. Jj , Organic Deposits in Urine. U, Suprarenal Glands. A. From Man. | B. From Animals. | C. Pa' 10a 6731 IX. URINARY ORGANS AND SUPRARENAL GLANDS. A. Kidneys and Wolffian Bodies. A. From Man. 975. Section of cortical portion of kidney, stained with carmine, showing the arrangement of the convoluted A. 1. uriniferous tubules and Malpighian bodies. For low powers. Dr. S. A. Jones, Englewood, N. J. 976 & 977. Two sections of cortical portion of kidney, with (very imperfect) transparent Prussian blue injection. A. 2. The injection fills a few of the interlobular arteries, and the capillaries of the Malpighian bodies. For low powers. Dr. S. A. Jones, Englewood, N. J. 1772 to 1778. Seven sections of cortical and medullary portions of kidney, with transparent carmine injection. The A. 3. injection is very perfect, and the specimens show the mutual relations of the various systems of vessels. For low and moderate powers. 1538. Same as A. 3, but embracing only the cortical portion of the kidney. For low powers. A. 4. 2023 to 2025. Three sections of cortical and medullary portions of kidney, with double transparent injection (artery A. 5. red, vein blue) and carmine staining. The red injection fills only a few of the Malpighian bodies; the blue venous injection is more perfect. The staining shows the arrangement of the straight and convoluted uriniferous tubules, and defines the epithelium of the tubes in situ and the cellular elements of the stroma of the kidney. The fibrous tunic of the Malpighian bodies and its lining epithelium are beautifully shown. For low and high powers. 89. Opaque injection (yellow) of the vessels of the Malpighian bodies in a section of cortical substance of A. 6. kidney from a new-born child. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 90. Opaque injection in two colors (Malpighian bodies yellow, veins blue) of the vessels on the surface of A. 7. the cortical portion of kidney ; from a child two years old. For low powers. Prof Joseph Hyrtl, Vienna, Austria. 91. Same as A. 7, in vertical section. For low powers. A. 8. Prof. Joseph Hyrtl, Vienna, Austria. 93. Opaque venous injection (blue) of pyramid; vertical section. For low powers. A. 9. Prof. Joseph Hyrtl, Vienna, Austria. 91. Same as A. 9, horizontal section, (arteries red, veins yellow). For low powers. A. 10. Prof. Joseph Hyrtl, Vienna, Austria. 95. Opaque venous injection (yellow) of surface of kidney. For low powers. A. 11. Prof. Joseph Hyrtl, Vienna, Austria. 96. Opaque injection (yellow) of the straight uriniferous tubules in the medullary portion of the kidney, A. 12. showing the tubules bifurcating. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 97. Opaque injection (yellow) of the convoluted uriniferous tubules in the cortical portion of the kidney. A. 13. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 76 catalogue of the microscopical section Part First. B. From Animals. 815 & 816. Two sections of cortical and medullary portions of kidney of dog, with transparent Prussian blue B. 1. injection, showing the vessels of the Malpighian bodies and the capillary plexus of the substance of the kidney partially filled by the injection. For low and moderate powers. 847. Same as B. 1, with transparent carmine injection, showing all the vessels of the kidney filled by the B. 2. injection. For low and moderate powers. 1621. Section of cortical portion of kidney of dog, with partial transparent Prussian blue injection, showing B. 3. the vessels of the Malpighian bodies and the capillary plexus of the substance of the kidney interlacing with the convoluted uriniferous tubules. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 1625 Sc 1 626. Two preparations, same as B. 3, including also some of the medullary portion of the kidney. B. 4. Assistant Surgeon J. S. Billings, U. S. Army. 1628 «Sf 1632. Two preparations, same as B. 4, with faint carmine staining, showing the uriniferous tubules better B. 5. defined. Assistant Surgeon J. S. Billings, U. S. Army. 981 to 983. Three sections of cortical and medullary portions of kidney of small dog, with transparent carmine B. 6. injection. The injection fills only Ihe capillaries of the Malpighian bodies and their afferent arteries. The convoluted uriniferous tubules are seen composing the bulk of the renal substance. For low powers. 1779 & 1780. Two sections of cortical portion of kidney of dog, with transparent Prussian blue injection and carmine B. 7. staining, showing the capillaries of the Malpighian bodies and substance of the kidney, and, very beautifully, the convoluted uriniferous tubules sharply defined by the staining. For low and high powers. 1781. Same as B. 7 ; embracing also some of the medullary portion of the kidney. B. 8. 1782. Portion of capsule of kidney of dog, with double transparent injection (arteries red, veins and capillaries B. 9. blue), showing the arrangement of the vessels. For low powers. 1783. Same as B. 9 ; the blue has mostly faded. B. 10. 1309. Same as B. 9 ; showing also the cells of the substance of the capsule and some nerves. For low and B. 11. high powers. 981. Section of cortical and medullary portion of kidney of cat, with transparent carmine injection ; showing B. 12. all the vessels of the kidney filled by the injection. For low and moderate powers. Bourgogne Freres, Paris, France. 1781 to 1788. Five preparations, same as B. 12. B. 13. 1789 & 1790. Two preparations, same as B. 13, with the sections passing through the entire kidney perpendicularly B. 14. and parallel to the axis of the pyramids. 1791 & 1792. Two preparations, same as B. 14, cut transversely to the axis of the pyramids, exhibiting the straight B. 15. tubules of the medullary portion in transverse section. 1793 & 1791. Two sections of medullary and cortical portions of kidney of cat, with transparent Prussian blue B. 16. injection and carmine staining. The injection fills only the capillaries of the Malpighian bodies. The sections show the uriniferous tubules with epithelium in situ splendidly defined by the staining; also the epithelium of the inner surface of the Malpighian capsules. For moderate and high powers. 1795 to 1797. Three sections of cortical and medullary portions of kidney of rat, with transparent Prussian blue B. 17. injection, showing all the vessols of the kidney filled by the injection. For moderate powers. IX. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 77 1798 to 1802. Five preparations, same as B. 17, but with the injection mostly faded in the cortical portion. B. 18. 1564 to 1574 Eighteen sections of cortical and medullary portions of kidney of rat, with transparent Prussian blue and injection and carmine staining. The injection has mostly faded in the cortical portion. The staining 1803 to 1809. defines very beautifully the straight and convoluted uriniferous tubules, showing their arrangement and B. 19. relations. In specimens 1570 and 1804 to 1807, the individual epithelial cells in situ in the tubules are also clearly shown. For low and high powers. 968. Section of cortical portion of kidney of sheep, with partial transparent Prussian blue injection. The B. 20. injection fills only some of the interlobular and afferent arteries and capillaries of the Malpighian bodies. For low powers. 969 & 970. Two sections of cortical and medullary portions of kidney of sheep, with transparent Prussian blue B. 21. injection and carmine staining. The injection is similar to that in B. 20 ; the staining shows the arrange- ment and relations of the uriniferous tubules. For low and moderate powers. 971 to 973. B. 22. Three preparations, same as B. 21, but with the injection mostly faded. 978 & 979. Two sections of cortical portion of kidney of pig, stained with carmine, showing the minute anatomy B. 23. and relations of the Malpighian bodies and uriniferous tubules. For moderate and high powers. Dr. S. A. Jones, Englewood. N. J. 1810tol813. B. 24. Four sections of cortical and medullary portions of kidney of ox, with opaque yellow injection, showing the arrangement of the various bloodvessels of the kidney. For low powers. 1977. Section of cortical and medullary portions of kidney of rabbit, with double transparent injection (artery B. 25. red, veins blue). The arterial injection fills all the vessels of the cortical portion ; the venous, a few of the straight vessels of the medullary portion. For low powers. 1976. B. 26. 2026 to 2028. B. 27. Same as B. 25. The blue venous injection fills some of the capillary plexus in the cortical substance, meeting the red in many places in the same vessel. Three preparations of capsule of kidney of dog, with transparent Prussian blue injeccion aud carmine staining, showing the arrangement of the bloodvessels, aud the cellular elements of the stroma of the capsule, beautifully defined by the staining. For low and high powers. 98. Opaque injection (yellow) of fasciculated uriniferous tubules iu the cortieal portion of kidney of B. 28. Cynocephalus Hamadryas. The white spots are deposits of uric salts. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 99. Opaque injection in two colors (arteries yellow, veins red) of a vertical section of cortical and medullary B. 29. portions of kidney of Ovis Musimon. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 100. Same as B. 29, from a bear, (arteries red, uriniferous tubules white). For low powers. B. 30. Prof. Joseph Hyrtl, Vienna, Austria. 101. Same as B. 29, from Lepus Cuniculus, (arteries red, veins white). For low powers. B. 31. Prof. Joseph Hyrtl, Vienna, Austria. 102. Opaque injection (white) of Malpighian bodies in kidney of Pteropus JEgyptiacus. For low powers. B. 32. Prof. Joseph Hyrtl, Vienna, Austria. 103. Same as B. 32, from Lutra vulgaris, (red). For low powers. B. 33. Prof Joseph Hyrtl, Vienna, Austria. I 04. Same as B. 33, from Meles Taxus. For low powers. B. 34. Prof. Joseph Hyrtl, Vienna, Austria. 105. Same as B. 32, from Sus scrofa; veins also injected (blue). For low powers. B. 35. Prof. Joseph Hyrtl, Vienna, Austria. 78 CATALOGUE OF THE MICROSCOPICAL SECTION Part FlTSt. 106. Same as B. 32, from Halmaturus Brunii, (yellow). For low powers. B. 36. Prof. Joseph Hyrtl, Vienna, Austria. 107. Same as B. 36, from Equus Caballus. For low powers. B. 37. Prof. Joseph Hyrtl, Vienna, Austria. 108. Same as B. 32, from Camelopardalis Giraffa. For low powers. B. 38. Prof. Joseph Hyrtl, Vienna, Austria. 109. Same as B. 33, from Felis Lynx. For low powers. B. 39. Prof. Joseph Hyrtl, Vienna, Austria. 110. Same as B. 33, from Ornithorhynchus paradoxus. For low powers. B. 40. Prof. Joseph Hyrtl, Vienna, Austria. 111. Same as B. 33, from Castor Fiber, in section of cortical substance. For low powers. B. 41. Prof. Joseph Hyrtl, Vienna, Austria. 117. Same as B. 32, from Fasianus gallus. For low powers. B. 42. Prof. Joseph Hyrtl, Vienna, Austria. 118. Same as B. 42, with uriniferous tubules in transverse section of the kidney. For low powers. B. 43. Prof. Joseph Hyrtl, Vienna, Austria. 119. Opaque injection (yellow) of the uriniferous tubules in cortical portion of kidney of Falco JEsalon, B. 44. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 120. Opaque injection (yellow) of uriniferous tubules iu section of kidney of Tetrao tetrix. For low powers. B. 45. Prof. Joseph Hyrtl, Vienna, Austria. 121. Opaque injection (yellow) of Malpighian bodies in kidney of Rana Alpina. For low powers. B. 46. Prof. Joseph Hyrtl, Vienna, Austria. , 122. Same as B. 46, from Proteus anguineus. For low powers. B. 47. Prof. Joseph Hyrtl, Vienna, Austria. 123. Same as B. 46, from Salamandra maculosa. For low powers. B. 48. Prof. Joseph Hyrtl, Vienna, Austria. 124. Same as B. 46, from Triton cristatus, with the transitus of the arteries (white) into the renal veins B. 49. (blue). For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 125. Same as B. 46, from a tadpole, in two colors (arteries yellow, veins red). For low powers. B. 50. 126. Same as B. 50, from Salamandra atra. For low powers. B. 51. Prof. Joseph Hyrtl, Vienna, Austria. 127. Same as B. 50, from Triton tmniatus. For low powers. B. 52. Prof. Joseph Hyrtl, Vienna, Austria. 128. Same as B. 46, from Bufo vulgaris. For low powers. B. 53. Prof. Joseph Hyrtl, Vienna, Austria. 129. B. 54. 130. B. 55. 131. Same as B. 46, from Bipes Pallasii; dorsal surface of kidney. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Same as B. 46, from Vipera Chersca; ventral surface of kidney. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Same as B. 50, from Coclopeltis lacertina. For low powers. B. 56. Prof. Joseph Hyrtl, Vienna, Austria IX. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM 79 I 32. Same as B. 46, from Tropidonotus Natrix. For low powers. B. 57. Prof. Joseph Hyrtl, Vienna, Austria. 133. Same as B. 46, from Chrysolamprus ocellatus; section of the kidney. For low powers. B. 58. Prof. Joseph Hyrtl, Vienna, Austria. 134. Same as B. 58, from Chersus marginatus, (red). For low powers. B. 59. Prof. Joseph Hyrtl, Vienna, Austria. 135. Same as B. 50, from Bufo palmarum, (renal veins green). For low powers. B. 60. Prof. Joseph Hyrtl, Vienna, Austria. 136. Opaque injection (red) of afferent or portal vein on the dorsal surface of kidney of Hyla viridis. For B. 61. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 137. Opaque injection in two colors (arteries white, renal veins red) of dorsal face of kidney of Anguis B. 62. fragilis. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 138. Opaque injection in two colors (portal vein red, uriniferous tubules white) of dorsal surface of kidney B. 63. of Zacholus Austriacus. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 139. Opaque injection in three colors (arteries white, renal vein blue, ureter yellow) of ventral face of kidney B. 64. of Coluber Merremii. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 110. Same as B. 64, from Aspis Haje. For low powers. B. 65. Prof. Joseph Hyrtl, Vienna, Austria. 111. Same as B. 64, from Coluber leopardinus, (uriniferous ducts white). For low powers. B. 66. Prof. Joseph Hyrtl, Vienna, Austria. 142. Same as B. 66, from Coluber JEsculapii. For low powers. B. 67. Prof. Joseph Hyrtl, Vienna, Austria. 143. Same as B. 63, from Coluber viridi-flavus, (uriniferous ducts yellow, portal vein red). For low powers. B. 68. Prof. Joseph Hyrtl, Vienna, Austria. 144. Same as B. 64, from Trigonocephalus, (arteries yellow, veins blue, uriniferous tubules white). For B. 69. low powers. Prof. Joseph Hyrtl, Vienna, Austria. 147. Opaque injection in three colors (arteries yellow, portal vein green, uriniferous tubules white) of dorsal B. 70. face of kidney of Bipes Pallasii. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 148. Same as B. 70, from Crocodilus Niloticus, (arteries white, portal vein red, uriniferous ducts green). B. 71. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 149. Same as B. 70, from Bipes Pallasii, in four colors, (arteries white, portal vein blue, uriniferous tubules B. 72. yellow, renal vein red). For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 150. Opaque injection (red) of portal vein on dorsal face of kidney of Scincus officinalis, (uriniferous ducts B. 73. white). For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 151. Opaque injection (yellow) of Malpighian bodies iu the kidney of Scyllmm Canicula. For low powers. B. 74. Prof. Joseph Hyrtl, Vienna, Austria. 80 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. 152. Same as B. 74, from Silurus glanis. For low powers. B. 75. Prof. Joseph Hyrtl, Vienna, Austria. 153. Same as B. 74, from Conger Myrus. For low powers. B. 76. Prof. Joseph Hyrtl, Vienna, Austria. 154. Same as B. 74, with tubuli uriniferi also injected, from Abramis Brama. For low powers. B. 77. Prof. Joseph Hyrtl, Vienna, Austria. 155. Opaque injection (yellow) of tubuli uriniferi in kidney of Tinea chrysitis. For low powers. B. 78. Prof. Joseph Hyrtl, Vienna, Austria. 156. Same as B. 78, from Idas melanotus. For low powers. B. 79. Prof. Joseph Hyrtl, Vienna, Austria. 348. Opaque injection in two colors (yellow and red) of vessels of Wolffian body of foetal horse, showing B. 80. true Malpighian bodies. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. For other illustrations, see IX. B. B. 1. C. Pathological 1814 & 1815. Two sections of cortical and medullary portions of human fatty kidney, with transparent Prussian blue C. 1. injection and carmine staining. The fat has all been removed in the process of preparation, but the con- tours of the uriniferous tubules are seen to be lost over a great part-of the sections. The specimens show the cellular elements of the kidney splendidly defined by the carmine. For moderate and high powers. From Specimen 863, Medical Section, chap. V. sec-. I, B. 7. 1816 A: 1817. Two preparations, same as C. 1, but with the injection and staining in great part faded. C. 2. From the same specimen as C. 1. 92. Opaque injection (yellow) of the vessels of human kidney in Bright's disease. For low powers. C. 3. Prof. Joseph Hyrtl, Vienna, Austria. J3. Ureters. A. From Man Mucous membrane of ureter of child, with transparent carmine injection, showing the arrangement of 980. A. 1. the bloodvessels. For low powers Opaque injection in two colors (arteries white, veins blue) of pelvis of kidney. For low powers. 116. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 974. B.- 1, 115. B. 2. 116. B. 3. Ureter of frog, with transparent carmine injection, showing the arrangement of the bloodvessels. A small portion of the kidney remains attached and shows a few Malpighian bodies with the capillaries injected. For low powers. Opaque injection (yellow) of the ramifying branches of the ureter ou the ventral surface of the kidney of Pseudopus serpentinus. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Same as B. 2, from Acontias Meleagris. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. IX. E. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 81 \J, Bladder. A From Man. 112. Opaque injection (red) of the vessels in the mucous membrane of the bladder. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. 123. Same as A. 1, of the muscular layer. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 985. Portion of bladder of cat, with transparent carmine injection, showing the arrangement of the bloodvessels, B. 1. and, in some places, the epithelium of the mucous coat in situ. For low and high powers. 991. Portion of bladder of mouse, with transparent carmine injection, showing the arrangement of the capillaries. B. 2. For low and moderate powers. 346. Opaque injection in two colors (arteries white, veins red) of bladder of Salamandra. For low powers. B. 3. Prof. Joseph Hyrtl, Vienna, Austria. JJ, Urethra. A. From Man. 114. Opaque injection (red) of the vessels in the urethra. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 986 to 990. Five sections of slough of mucous membrane of human urethra. The slough, in the form of a tubular C. 1. grayish cast, was drawn from the urethra of a patient who had been using injections of chloride of zinc for the cure of gonorrhoea. The sections show sufficient indications of connective and fibrous tissue, bloodvessels and urethral glands, to prove the cast to be a true slough. For history of the case, see the Boston Mediced and Surgical Journal, vol. 69, page 323. The portion of the slough from which the sections were cut was presented by Dr. J. B. S Jackson, of Boston, Mass. E, Chemical Constituents of Urine. A. From Man. 992*993. Two preparations of various forms of crystals of urea, artificially prepared. Many of the crystals have A. 1. lost their sharp outline from partial solution. For moderate powers. 994. Large rhomboidal crystals aud glomeruli of uric acid, natural deposit. For low and moderate powers. A. 2. Assistant Surgeon J. J. Woodward, U. S. Army. 995. Small quadrate tabular crystals of uric acid, natural deposit. . For moderate and high powers. A. 3. Assistant Surgeon J. J. Woodward, U. S. Army. 996. Barrel-shaped and fusiform crystals of uric acid, natural deposit. For moderate powers. A. 4. Assistant Surgeon J. J. Woodward, U. S. Army. 997. Large rhomboid, crucial and spindle-shaped crystals of uric aeid, artificially crystallized. For low A. 5. powers. 11a 82 CATALOGUE OF THE MICROSCOPICAL SECTION Part Fh*St. 998. Very large irregular crystals of uric acid, artificially crystallized. For low powers. A. 6. 999. Small hexagonal tabular plates of uric acid, artificially crystallized. For moderate and high powers. A. 7. 1000. Small rhomboid and cylindroid crystals of uric acid, artificially crystallized. For moderate powers. A. 8. 1002. Minute dumb-bell crystals of urates mixed with fusiform crystals of uric acid, natural deposit. For A. 9. moderate and high powers. Assistant Surgeon J. J. Woodward, U. S. Army. 1003 & 1004. Two preparations of minute spheroidal crystals of urate of soda with a few prismatic crystals of triple A. 10. phosphate of magnesia and ammonia, natural deposit. For moderate aud high powers. 1005. Dumb-bell and spheroidal crystals of urate of soda with projecting spiculae, and foliaceous crystals of A. 11. basic phosphate of magnesia and ammonia, artificially crystallized. For moderate powers. 1006 to 1008. Three preparations of dumb-bell and spheroidal crystals of urate of soda, with granular masses of the A. 12. amorphous urates and prismatic crystals of triple phosphate of magnesia and ammonia, natural deposit. For moderate and high powers. 1011. Minute ovoid plates of oxalate of lime, artificially crystallized. For high powers. A. 13. 1013 to 1017. Five preparations of overlapping hexagonal plates of cystine, natural deposit. For moderate powers. A. 14. 1018. Rosettes of minute hexagonal plates of cystine, recrystallized from ammoniacal solution. For moderate A. 15. and high powers. Assistant Surgeon J. J. Woodward, U. S. Army. 1019 & 1492. Two preparations of prismatic crystals of triple phosphate of magnesia and ammonia, natural deposit; A. 16. mounted in a watery menstruum. For low and moderate powers. 1020. Same as A. 16 ; mounted in glycerine jelly. A. 17. 1023. Same as A. 16; mounted dry. A. 18. 1021. Large foliaceous crystals of basic phosphate of magnesia and ammonia, natural deposit. For low powers. A. 19. Assistant Surgeon J. J. Woodward, U. S..Army. 1022. Same as A. 19; mounted dry. A. 20. 1024 to 1027. Four preparations of rosettes and penniform crystals of phosphate of lime, artificially crystallized. For A. 21. moderate powers. 1028. ^ Various forms of crystals of phosphates, stained yellow with bile, natural deposit; from a case of A. 22. jaundice. For moderate powers. Assistant Surgeon J. J. Woodward, U. S. Army. Five preparations of amorphous phosphate of lime and octahedral and dumb-bell crystals of oxalate of 1029 to 1033. A. 23. 1001. B. 1. 1012. B. 2. lime, natural deposit. .For high powers B. From Animals. Small acicular and spindle-shaped crystals of hippuric acid; from urine of horse. For moderate powers. Assistant Surgeon J. J. Woodward, U. S. Army. Spherical crystals of carbonate of lime ; from urine of horse. For moderate powers. Assistant Surgeon J. J. Woodward, U. S. Army. IX. Gr. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 83 J:, Organic Deposits in Urine A. From Man. 1035. Granular casts of the uriniferous tubes, and pus corpuscles; from a case of Bright's disease. For high A. 1. powers. 1036. Granular casts of the uriniferous tubes, blood corpuscles and prisms of triple phosphates ; from a case A. 2. of Bright's disease. For high powers. Presented by Surgeon T. Sim, U. S. Vols. IJ, Suprarenal Glands. A. From Man. 115. Opaque injection (yellow) of the vessels in the suprarenal gland ; from a new-born child. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. . SEXUAL ORGANS, OVA AND FCETAL APPENDAGES. A.. Testes. J), Tunica Vaginalis. \J, Vasa Deferentia. JJ, VESICUL.E SEMINALES. Jli, Prostate and Cowper's Glands.. Jj, Penis. U, Semen. M. Vulva. J_. Vagina. J\_. Uterus. ±J, Fallopian Tubes and Oviducts. IuL Ovaries. 1\, Mammary Glands. (J. Ova. I, Fcetal Appendages. A From Man. | B. From Animals. | C. Pathological. X. SEXUAL ORGANS, OVA AND FCETAL APPENDAGES. 336. B. 1. 337. B. 2. i\_, Testes. B. From Animals. Opaque injection in two colors (arteries white, veins red) of testis of Proteus. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Opaque injection (yellow) of the vessels of testis of Salamandra maculosa. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. F, Penis. A. From Man. 338. Opaque injection (red) of the vessels of the corpus cavernosum. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. IT, Semen. A. From Man. 1494. A. 1. Human spermatozoa. For high powers. J. Bourgogne, Paris, France. B. From Animals. 1349. B. 1. 2042 to 2011. B. 2. 340. A. 1. 311. A. 2. Spermatozoa of horse. For high powers. J. Bourgogne, Paris, France. Three preparations of spermatozoa of rabbit. For high powers. I. Uterus. From Man. Opaque injection (red) of the vessels in a non-gravid uterus. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Opaque injection (red) of the vessels in the neck of the uterus. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 314. B. 1. 345. B. 2. L. Fallopian Tubes and Oviducts. B. From Animals. Opaque injection in two colors (arteries white, veins red) of oviduct of Triton Alpestris. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. Same as B. 1, (gravid), from Salamandra, (arteries white, veins yellow). For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 88 CATALOGUE OF THE MICROSCOPICAL SECTION, ETC. Part First. M. Ovaries. A. From Man. 342. Opaque injection (red) of the vessels of a Graafian vesicle after conception. For low powers. A. 1. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 343. Opaque injection in two colors (arteries white, veins blue) of ovary of Triton Alpestris. For low powers. B. 1. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 1337 to 1342. Six sections through the walls of a cyst of human ovary, in which was lodged a foetus in a case of C. 1. extra-uterine pregnancy. The sections are stained with carmine and show the muscular structure of the walls of the cyst. For moderate and high powers. From Specimen 795, Medical Section, chap. V. sec. 5, E. 3. N. Mammary Glands. A. From Man. 291. Opaque injection (red) of the lactiferous tubules and terminal vesicles in the mammary gland. For A. 1. low powers. Prof. Joseph Hyrtl, Vienna, Austria. (J. Ova. B. From Animals. 1499. Ova of Teenia solium. For high powers. B. 1. Dr. S. A. Jones, Englewood, N. J. For other illustrations, see XV. A. A. 1 to 3. P. F(etal Appendages. A. From Man. 1495. Portion of placenta, with transparent carmine injection, showing the bloodvessels of the part. For lc A.. 1. and moderate powers. Presented by Surgeon T. Sim, U. S. Vols. 347. Opaque injection in two colors (arteries white, veins red) of placenta. For low a o x» r t A „ , „ .....v-----» ™~.™, .ciUa icu; oi pmcenia. J or low powers ■ft- z- Prof. Joseph Hyrtl, Vienna, Austria. XI. ORGAN OF VISION. ii.» Sclerotica and Cornea. D. Choroid and Iris. \J, Retina. l), Crystalline Lens. Jlii Vitreous Humor and Hyaloid Membrane. Jj , Conjunctiva. \J, Lachrymal Glands and Ducts. 11, Eyelids. A. From Man. | B. From Animals. | C. Pathological XI. ORGAN op vision. A. Sclerotica and Cornea. B. From Animals. 1818. Portion of cornea of cat, with transparent carmine injection, showing the fine capillary loops around the B. 1. circumference of the cornea. For low powers. 1310. Transverse sections of cornea of frog, faintly stained with carmine, showing the laminated structure of B. 2. the cornea and the long fusiform corneal cells. For high powers. 1311. Portion of membrane of Descemet, from cornea of frog, stained with carmine, showing the nucleated B. 3. epitheliryn in situ upon its inner surface. For high powers. B. Choroid and Iris. A. From Man. 1553. Portion of vascular layer of choroid, with transparent carmine injection, showing the arrangement of . A. 1. the capillaries in the membrana choriocapillaris. For low powers. Prof. Joseph Gerlach, Erlangen, Bavaria. 297. Opaque injection (yellow) of the vessels of the ciliary processes. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. 298. Opaque injection (white) of the vessels of the choroid. For low powers. A. 3. Prof. Joseph Hyrtl, Vienna, Austria. 301. Opaque injection (white) of the vasa vorticosa of the choroid. For low powers. A. 4. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 1819 to 1821. Three preparations of portions of choroid from eye of white rabbit, with transparent carmine injection, B. 1. showing the arrangement of the capillaries. For low and moderate powers. 1822 & 1823. Two preparations of portions of ciliary processes and iris from eye of rabbit, with transparent carmine B. 2. injection, showing the arrangement of the capillaries. For low and moderate powers. 514 & 515. Two preparations of portions of choroid, ciliary body and iris from eye of chicken, with transparent B. 3. carmine injection, showing the arrangement of the bloodvessels in the several structures, and the pigment of the choroid and ciliary processes. For low and moderate powers. 511. Ciliary processes from eye of rabbit, with opaque yellow injection, showing the vessels of the processes. B. 4. For low powers. 513. Same as B. 4, with opaque red injection. B. 5. 386 & 512. Two preparations of ciliary processes from eye of dog, with opaque yellow injection, showing the vessels B. 6. of the processes. For low powers. 1)2 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. 1263. Marsupium from eye of chicken, with transparent carmine injection, showing the arrangement of the bloodvessels and the masses of pigment. For low and moderate powers. Posterior portion of choroid from eye of cat, with transparent carmine injection, showing the arrange- ment of the bloodvessels, the pigment cells, and the absence of pigment in the tapetum. For low and moderate powers. B. 7. 1978. B. 8. 299. Opaque injection (yellow) of the vasa vorticosa of choroid of Salamandra. For low powers. B. 9. Prof. Joseph Hyrtl, Vienna, Austria. 302. Opaque injection (white) of the vessels of iris of Anguilla Mureena. For low powers. B. 10. Prof. Joseph Hyrtl, Vienna, Austria 303. Opaque injection (yellow) of the vessels of choroid of Rana esculenta. For low powers. B. 11. Prof. Joseph Hyrtl, Vienna, Austria, 304. Opaque injection (yellow) of the vessels of choroid and iris of Salamandra. For low powers. B. 12. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 296. Opaque injection (yellow) of the vessels of human iris with coloboma. For Jow powers. C. 1. Prof. Joseph Hyrtl, Vienna, Austria. c. Retina. A. From Man. 1559. Portion of retina, with transparent carmine injection, showing the arrangement of the fine capillaries of A. 1. the retina. For low and moderate powers. Prof. Joseph Gerlach, Erlangen, Bavaria. 300. Opaque injection (yellow) of the arteria centralis retinae and its branches. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 1824 to 1827. Four preparations of retina from eye of cat, with transparent carmine injection, showing the arrangement B. 1. of the fine retinal capillaries. For low and moderate powers. 1980. Portion of retina from eye of kitten, with transparent carmine injection, showing the arrangement of the B. 2. fine retinal capillaries. For low and moderate powers. D, Crystalline Lens. A. From Man. 305. Opaque injection (yellow) of the vessels of the capsule of the lens, with lens in situ, from eye of foetus. A. 1. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. B. From Animals. 532. B. 1. Capsule of crystalline lens from eye of puppy, with transparent Prussian blue injection, showing the arrangement of the bloodvessels in the young capsule. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. XI. H. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 93 1828. Crystalline lens in situ in its capsule, from eye of frog, with opaque yellow injection, showing the ramifying B. 2. vessels of the capsule; shows also, by transmitted light, the laminated structure of the lens. For low and moderate powers. 1979. Crystalline lens, with posterior capsule attached, from eye of kitten, with transparent carmine injection, B. 3. showing the arrangement of the capillaries in the capsule. For low powers. F. Conjunctiva. A. From Man. 2031. Portion of conjunctiva from eye of six-months' foetus, with transparent carmine injection, showing the A. 1. arrangement of the capillaries. For low powers. 291. Opaque injection (yellow) of the vessels of the conjunctiva. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. 295. Same as A. 2, (red), from the ball of the eye. For low powers. A. 3. Prof. Joseph Hyrtl, Vienna, Austria. C. Pathological. 293. Opaque injection (red) of the vessels of inflamed conjunctiva. For low powers. C. 1. Prof. Joseph Hyrtl, Vienna, Austria. Jtl. Eyelids. A. From Man. 1129 to 1137. Nine perpendicular sections of upper eyelid of negro, showing the general arrangement and relations of A. 1. the various structures of the lid. For low powers. 1981. Perpendicular section of upper eyelid of a six-months' foetus, with transparent carmine injection. The A. 2. injection is imperfect, but the specimen shows the general arrangement of the structures of the eyelid, and, with a high power, muscular fibres, young connective tissue, the epithelium lining the duct of a Meibomian gland and free edge of the eyelid, and the cellular elements of the young hair-bulbs. For low and high powers. B. From Animals. 516. Nyctitating membrane from eyelid of chicken, with transparent carmine injection, showing the arrange- B. 1. ment of the bloodvessels. For low powers. 2032. Nyctitating membrane from eyelid of kitten, with transparent carmine injection, showing the arrange- B. 2. ment of the bloodvessels. For low powers. XII. ORGAN OF HEARING. A • External Ear. Jj, Middle Ear, Membrana Tympani and Eustachian Tube. \J» Internal Ear. A. From Man. B. From Animals. | C. Pathological XII. organ of hearing. A. External Ear. B. From Animals. 1829 & 1830. Two sections of pinna from rat, with transparent Prussian blue injection and carmine staining, showing B. 1. the minute anatomy and general arrangement of the various structures of the pinna. For low and high powers. 1831. Same as B. 1, with the injection faded. B. 2. B. Middle Ear, Membrana Tympani and Eustachian Tube. B. From Animals. 1833. Two tympanic membranes from frog, with transparent carmine injection, showing the arrangement of B. 1. the zone of capillaries around the ear-drum. For low powers. c, Internal Ear. From Animals. 1557. Lamina spiralis from ear of rat, with transparent carmine injection, showing the general structure of B. 1. the lamina and the arrangement of the capillaries. For moderate and high powers. Prof. Joseph Gerlach, Erlangen, Bavaria. I3n XIII. ORGAN OF SMELL. il., Schneiderian Membrane. Jj, Other Structures of the Nose. A. From Man B. From Animals. | C. Pathological. XIII. organ of smell. A. Schneiderian Membrane. A. From Man. 312. Opaque injection (red) of the vessels in the Schneiderian membrane over the inferior turbinated bone. A. 1. For low powers. Prof. Joseph Hyrtl, Vienna, Austria. 313. Same as A. 1, (white) ; from the septum narium. For low powers. A. 2. Prof. Joseph Hyrtl, Vienna, Austria. B. Other Structures of the Nose. B. From Animals. 1982. Transverse section of nasal fossse of kitten, with transparent carmine injection, showing the mutual B. 1. relations of the various structures, the arrangement of the capillaries, and, with a high power, the anatomy of cartilage. For low and high powers. XIV. PATHOLOGICAL GROWTHS. A., Cartilaginous Tumors. Jj, Fibrous and Connective Tissue Tumors. 0. Cancers. JJ, Cholesterine Tumors. A. From Man. | B. From Animals. XIV. pathological growths. A. Cartilaginous Tumors. A. From Man. 1055 to 1058 Twelve sections of a portion of a very large enchondromatous tumor from shoulder, stained with carmine. and The tissue of the tumor is seen to be true cartilage. For high powers. 1834 to 1841. From Specimen 866, Medical Section, chap. VI. sec. 2, No. 19 A. 1. B. Fibrous and Connective Tissue Tumors. A. From Man. 1842 to 1847. Six sections of fibrous tumor of uterus, stained with carmine, showing smooth muscular fibre intermixed A. 1. with fibrous tissue. For moderate powers. From Specimen 788, Medical Section, chap. V. sec. 5, B. 2. 1848 to 1854. Seven sections of fibrous tumor of uterus, stained with carmine, showing dense fibrous tissue and smooth A. 2. muscle. For moderate and high powers. From Specimen 780, Medical Section, chap. V. sec. 5, B. 4. 1244 to 1254. Eleven perpendicular sections through a keloid growth from the breast of a negro, stained with carmine, A. 3. showing great hypertrophy of the fibrous stroma of the true skin. The structures of the skin are preserved but are forced apart by the growth of new tissue. For low and high powers. From Specimen 629, Medical Section, chap. VII., No. 3. 1855 to 1864. Ten sections of fibro-plastic tumor of clitoris, stained with carmine, showing a stroma of dense connective A. 4. tissue with very distinct fusiform cells enclosing masses of many-nucleated round cells and free nuclei. From a girl of fifteen years; had been growing for about one year; removed by Dr. George McCoy, Washington, D. C, June, 1866; has not recurred to date of publication. For low and high powers. 361 to 369. Nine sections of a sarcomatous tumor of brain. The tissue of the tumor consists of closely-aggregated A. 5. spindle-shaped connective tissue corpuscles embedded in the meshes of a fibrous stroma. Partially stained with red aniline. For high powers. From Specimen 535, Medical Section, chap. I. sec. 1, D. 3. 2036 to 2041. Six sections of fibroid tumor of uterus, stained with carmine, showing dense fibrous tissue. For moderate A. 6. and high powers. 359. Opaque injection (red) of the vessels in a fibrous tumor of the uterus. For low powers. A. 7. Prof. Joseph Hyrtl, Vienna, Austria. c. Cancers. A. From Man. 903 to 905. Three preparations of small scraps from an encephaloid cancer of the liver, showing masses of closely- A. 1. packed roundish cells. The cells have altered by keeping, and the nuclei can no longer be distinguished. For high powers. 14a 106 CATALOGUE OF THE MICROSCOPICAL SECTION, ETC. Part First. JJ, Cholesterine Tumors. A. From Man. 370 & 371. Two preparations of scraps of a cholesteatoma growing on the inner face of the frontal bone. The A. 1. tabular plates of cholesterine, which were abundant in the fresh specimen, have almost all dissolved, and the sections show only the meshwork of hexagonal cells that compose the matrix of the tumor. For high powers. From Specimen 531, Medical Section, chap. I. sec. 1, D. 1. See Part Second, XIV. D. A. 1 and 2. XV. PARASITES. A, Animal. Jj, Vegetable. A. From Man. B. From Animals XV. PARASITES. A. 1865 to 1869. A. 1. 1500, 2046 and 2047. A. 2. 1497. A. 3. 1870. A. 4. Animal. A. From Man. Five preparations of young joints of Teznia solium. For low powers. See Specimens 814 and 832, Medical Section, chap. IV. sec. 3, N. 8 and 9. Fully formed proglottides of Tcenia solium; three preparations. For low powers. Dr. S. A. Jones, Englewood, N. J. Female Trichocephalus dispar. The worm has broken in two across the abdomen, and great numbers ol ova are scattered over the field. For low and high powers. Acarus Scabiei. For low and moderate powers. See Part Second, XV. A. a. 3. For other illustrations, see III. B. C 1 and 2. See also Part Second, XV. A. A. 1, 2, 4, 5. 1496. B. 1. 1562. B. 2. B. From Animals. Cysticercus, from hare. For low powers. Trichina spiralis, from hog. For low and high powers. Procured from Messrs. J. W. Queen & Co., Philadelphia, Pa. For other illustrations, see III. B.c.3(o6; VII. C. C. 1; VII. I. B. 10 (Specimen 796). See also Part Second, XV. A. B. 1 to 3. B. Vegetable. A. From Man. 1291 & 1292. Two preparations of Achorion Schonleinii, from a case of favus of the leg. For high powers. A. 1. XVI. ARTICLES OF FOOD AND CLOTHING, AND MATERIA MEDICA. A. Articles of Food. B. Articles of Clothing. C. Materia Medica. f A. Crystals. B. Roots. C. Stems. D. Leaves. E. Flowers. , P. Fruits. XVI. ARTICLES OF FOOD AND CLOTHING, AND MATERIA MEDICA. A. Articles of Food. 1396 & 1397. Sections of bean; two preparations. For moderate and high powers. A. 1. 1398 to 1400. Sections of roasted bean ; three preparations. For moderate and high powers. A. 2. 1402&1103. Sections of grain of rice; two preparations. For moderate and high powers. A. 3. 1404 to 1406. Sections of roasted grain of rice; three preparations. For moderate and high powers. A. 4. 1407 to 1409. Sections of kernel of Indian corn; three preparations. For moderate and high powers. A. 5. 1410 to 1412. Sections of roasted kernel of Indian corn; three preparations. For moderate and high powers. A. 6. 1413. Starch grains from Indian corn. For moderate and high powers. A. 7. 1414 to 1416. Sections of rye grain ; three preparations. For moderate and high powers. A. 8. 1417 to 1419. Sections of roasted rye grain; three preparations. For moderate and high powers. A. 9. 1420 to 1422. Sections of wheat grain; three preparations. For moderate and high powers. A. 10. 1423 to 1425. Sections of roasted wheat grain ; three preparations. For moderate and high powers. A. 11. 1426 to 1428. Sections of barley grain; three preparations. For moderate and high powers. A. 12. 1429 to 1431. Sections of roasted barley grain; three preparations. For moderate and high powers. A. 13. 1433. Sections of oat grain. For moderate and high powers, A. 14. 1134 to 1436. Sections of roasted oat grain; three preparations. For moderate and high powers. A. 15. 1137 to 1139. Sections of pea; three preparations. For moderate and high powers. A. 16. 15a 114 CATALOGUE OF THE MICROSCOPICAL SECTION Part First. I I 10. Sections of roasted pea. For moderate and high powers. A. 17. 1113 to 1415. Sections of unripe acorn; three preparations. For moderate and high powers. A. 18. 1446. Sections of roasted unripe acorn. For moderate and high powers. A. 19. 1447 to 1449. Sections of hazel-nut; three preparations. For moderate and high powers. A. 20. 1450 to 1452. Sections of Irish potato ; three preparations. For moderate and high powers. A. 21. 1453 & 1454. Sections of roasted Irish potato ; two preparations. For moderate and high powers. A. 22. 1455 to 1457. Sections of fragments of tapioca ; three preparations. For moderate and high powers. A. 23. 1458 & 1459. Sections of fragments of sago ; two preparations. For moderate and high powers. A. 24. 1460 to 1462. Arrow-root starch ; three preparations. For moderate and high powers. A. 25. See Part Second, XVI. A. 1. 1463 to 1465. Investing membrane of coffee berry ; three preparations. For moderate and high powers. A. 26. 1466 & 1467. Sections of coffee berry; two preparations. For moderate and high powers. A. 27. 1468 to 1473. Sections of roasted coffee berry; six preparations. For moderate and high powers. A. 28. See Part Second, XVI. A. 2. 1474, 1475, Series of six preparations of crystals of caffeine, showing various sizes of the acicular crystals. For 1489, 1490, moderate and high powers. 1191 & 1493. A. 29. 1476 to 1478. Horizontal sections embracing upper surface of tea leaf; three preparations. For moderate and high A. 30. powers. 1479 to 1481. Horizontal sections embracing under surface of tea leaf; three preparations. For moderate and high A. 31. powers. 1482 & 1483. Sections of capsicum seed ; two preparations. For moderate and high powers A. 32. 1484 to 1486. Sections of black mustard seed ; three preparations. For moderate and high powers. A. 33. 1487. Sections of white mustard seed. For moderate and high powers A. 34. 1488. Specimen of commercial powdered mustard, showing extensive adulteration with wheat flour. For A. 35. moderate and high powers. 2119 A. 2120. Two preparations of crystals of caffeine. For low powers A. 36. XVI. C OF THE UNITED STATES ARMY MEDICAL MUSEUM. 115 B , Articles of Clothing. 1874 to 1881. Eight preparations of white wool. For moderate and high powers. B. 1. See Part Second, XVI. B. 1. 1882 to 1886. Five preparations of cotton fibres. For moderate and high powers. B. 2. See Part Second, XVI. B. 2. 1887 to 1891. Five preparations of fibres of flax. For moderate and high powers. B. 3. See Part Second, XVI. B. 3. 1892 to 1896. Five preparations of fibres of silk. For moderate and high powers. B. 4. See Part Second, XVI. B. 4. c. Materia Medica. A. Crystals. 2103 &, 2104. Two preparations of crystals of amygdalin. For low and moderate powers. A. 1. 2105 & 2106. Two preparations of crystals of codeia. For low powers. A. 2. 2107 & 2108. Two preparations of crystals of morphia. For low powers. A. 3. 2109 & 2110. Two preparations of crystals of muriate of morphia. For low and moderate powers. A. 4. 2111 & 2112. Two preparations of crystals of piperin. For low powers. A. 5. 2113 to 2116. Four preparations of crystals of sulphate of quinia. For moderate powers A. 6. 2117&2118. Two preparations of crystals of strychnia. For low and moderate powers. A. 7. B. Roots 2058. Two transverse sections of root of Althoza officinalis; one partially stained with red aniline, and one B. 1. unstained. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2059. Two transverse sections of root of Angelica Archangelica, stained with red aniline. For low and B. 2. moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2060. Two oblique sections of root of Arum triphyllum; one stained with red aniline, and one unstained. B. 3. For moderate and high powers. Assistant Surgeon J. S. Billings, IT. S. Army. 2061. Two transverse sections of root of Asarum Canadense; one stained with red aniline, and one unstained. B. 4. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2062. Same as B. 4, with fainter staining. B. 5. Assistant Surgeon J. S. Billings, U. S. Army. 116 CATALOGUE OF THE MICROSCOPICAL SECTION Part Fh*St. 2063. Two transverse sections of rhizoma of Acorus Calamus; one stained with red aniline, and one unstained. B. 6. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2064. B. 7. Transverse section of root of Cocculus palmatus. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2065. Two transverse sections of root of Gentiana lutea; one stained with red aniline, and one unstained. For B. 8. low and moderate powers. Presented by Assistant Surgeon J. S. Billings, U. S. Army. 2066. Two transverse sections of root of Glycyrrhiza glabra; one stained with red aniline, and one unstained. B. 9. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2067. Two transverse sections of root of Cephaelis Ipecacuanha; one stained with red aniline, and one B. 10. unstained. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2068. Two transverse sections of rhizoma of Iris Florentina; one stained with blue and red aniline, and one B. 11. unstained. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2069. Four sections, two transverse and two longitudinal, of root of Krameria triandra, stained with red B. 12. aniline. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2070. Two transverse sections of root of Cissampelos Pareira; one stained with red aniline, and one unstained. B. 13. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2071. Three transverse sections of rhizoma of Podophyllum peltatum; one stained with carmine, one with blue B. 14. aniline, and one unstained. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2072. Two sections of root of Rheum, from East Indies; one stained with red aniline, and one unstained. For B. 15. low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2073. B. 16. Same as B. 15, from Turkey. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2074. Two transverse sections of rhizoma of Sanguinaria Canadensis; one stained with red aniline, and one B. 17. unstained. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2075. B. 18. 2076. B. 19. 2077. B. 20. 2078. B. 21. Two longitudinal sections of bark of root of Sassafras officinale; one stained with red aniline, and one unstained. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. Two transverse sections of bulb of Scilla maritima; one stained with red aniline, and one unstained. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. Two transverse sections of root of Polygala Senega; one stained with blue and red aniline, and one unstained. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. Five transverse sections of root of Aristoloclwi Serpentaria. For low and moderate powers. Assistant Surgeon J. S. Billings, IT. S. Army. XVI. C. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 117 2079. Four transverse sections of root of Spigelia Marilandica; three stained with red aniline, and one unstained. B. 22. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2080. Five sections, two transverse and three longitudinal, of root of Valeriana officinalis. For low and B. 23. moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2081. B. 24. Two sections, same as B. 23, one longitudinal and one transverse; stained with carmine. Assistant Surgeon J. S. Billings, U. S. Army. 2082. Two transverse sections of rhizoma of Zinziber officinale; the upper one stained with red aniline, and the B. 25. lower with carmine. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. C. Stems. 2083. Four longitudinal sections of bark of Cinchona Calisaya; one stained with red aniline, and the others C. 1. unstained. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2084. Two transverse sections of bark of Cinnamomum Zeylanicum; one stained with red aniline, and one C. 2. unstained. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2085. C. 3. Sections of wood of Guaiacum officinale. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2086. C. 4. Longitudinal sections of bark of Daphne Gnidium. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. E. Flowers. 2087. Four sections, two transverse and two longitudinal, of unexpanded flowers of Caryophyllus aromaticus; E. 1. one transverse and one longitudinal section stained with red aniline, the others unstained. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2088. E. 2. Lupulina. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. P. Fruits. 2089. F. 1. Section of fruit of Juniperus communis. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2090. Two sections of seed of Linum usitatissimum; one stained with red aniline, and one unstained. For F. 2. low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. XVII. DIATOMS AND OTHER TEST OBJECTS. A. Mixed Diatoms. B. Selected Diatoms. r A. EUNOTIEiE. B. FragilariejE. C. Surirelle^e. D. Striatelle^e. E. Melosire^e. F. COSCINODISCEvE. G-. Eupodisce^e. H. BiddulphiejE. I. Angulifere^e. K. CHjETOcere^e. L. COCCONEIDE^E. M. Cymbelle.e. N. GOMPHONEMEiE. O. Naviculea:. c. Other Test Objects. XVII. DIATOMS AND OTHER TEST OBJECTS. A, Mixed Diatoms. 1897. Diatoms from Rappahannock Cliff, Va. For high powers. A. 1. From material presented by Count L. F. Pourtales, Washington, D. C. 1898. A. 2. Diatoms from Hollis Cliff, Va. For high powers. From material presented by Count L. F. Pourtales, Washington, D. C. 1899. A. 3. Diatoms from Monterey, Cal. For high powers. From material presented by Count L. F. Pourtales, Washington, D. C. 1900. A. 4. Diatoms from Monterey ; lower stratum. For high powers. From material presented by Count L. F. Pourtales, Washington, D. C. 1901. A. 5. Diatoms from Piscataway, Md. For high powers. From material presented by Count L. F. Pourtales, Washington, D. C. 1902. 1581. O. 21. 1952. O. 22. Pleurosigma Hippocampus. For high powers. Procured from Messrs. J. W. Queen & Co., Philadelphia, Pa. Amphiprora pulchra. For high powers. W. F. Beach, Esq., Louisville, Ky. 1953. Mostogloia; Cape May. For high powers. O. 23. W. F. Beach, Esq., Louisville, Ky. 2093 & 2094. Two preparations of Pleurosigma formosum. For high powers. O. 24. C. M. Topping, London, England. 2095 & 2096. Two preparations of Pleurosigma angulatum. For high powers. O. 25. C. M. Topping London, England. 2097 & 2098. Two preparations of Pleurosigma Spenceri. For high powers. O. 26. C. M. Topping, London, England. 126 CATALOGUE OF# THE MICROSCOPICAL SECTION, ETC. Part First. 2099 & 2100. Two preparations of Pleurosigma attenuatum. For high powers. O. 27. C. M. Topping, London, England. c. Other test objects. 1513. Scales of Podura. For high powers. C. 1. Smith, Beck & Beck, London, England. 1514 & 1515. Scales of Podura. For high powers. C. 2. Assistant Surgeon J. J. Woodward, U. S. Army. 2101 &, 2102. Two preparations of scales of Podura. For high powers. C. 3. Procured from Messrs. Powell & Lealand, London, England. Sec Part Second, XVII. C. 1 to 4. XVIII. MISCELLANEOUS. XVIII. MISCELLANEOUS. 1604. Polycystina; Barbadoes. For high powers. Arthur M. Edwards, Esq., New York. 441. Wing of fly. For low and high powers. 1498. Fungus from mouldy straw. For high powers. 2051 Si, 2052. Two preparations of crystals of sulphate of lime. For moderate powers. See Part Second, XVIII. (negative 1.) 1501. Sediment from Potomac water. For high powers. 932. Spiral vessels in stem of Leontodon Taraxacum, stained with purple aniline. For high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1009. Three transverse sections of stem of Leontodon Taraxacum. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1034. Five transverse sections of stem of Rosa centifolia; central section stained with purple aniline, the rest with carmine. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1269. Transverse section of stem of Judas tree, stained with both carmine and purple aniline. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1299. Transverse section of broom straw. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1504. Transverse section of rose stem, stained with both carmine and purple aniline. Follow and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 1832. Pollen of violet. For high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2053. Sprig of moss, stained with red aniline. For low and moderate powers. Assistant Surgeon J. S. Billings, U. S. Army. 2054. Transverse sections of leaf-bud of maple, stained with carmine. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2055. Horizontal section of leaf of Filix mas, exposing the under surface of the leaf, stained with blue aniline. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2056. Same as specimen 2055, containing three sections; central piece stained with carmine, the others with red aniline. For low and high powers. Assistant Surgeon J. S. Billings, U. S. Army. 2057. Enveloping membrane of seed of ivy. For moderate and high powers. Assistant Surgeon J. S. Billings, U. S. Aruiy. 17a APPARATUS IF OH PHOTOMICROGRAPHY- Part Second. PHOTOGRAPHIC NEGATIVES OF MICROSCOPIC OBJECTS, Note —These negatives are on sheets of plate glass seven inches square, and were prepared in the Microscopical Department of the Museum by Assistant Surgeon Edward Curtis, U. S. Army, mainly from the Museum Cabinet of Specimens. Most of them have been photographed by means of the object-glasses of the microscope alone; but, in some cases, where great amplification has been desired, the power of the objective has been increased by inserting a concave lens, properly corrected, ("amplifier"), into the body of the microscope in the position usually occupied by the eyepiece. In some of the earlier negatives also, the ordinary eyepieces were used in conjunction with the object-glass. In each case the ' particular objective or combination used, and the number of diameters that the object appears magnified, are given in the description of the negative. The rationale of the process employed in the production of these negatives is as follows: To secure a perfectly steady and at the same time an intense light, the direct rays of the sun are reflected upon the plane mirror of the microscope from the mirror of a Silbermann's heliostat. The beam so obtained is thrown upon a piece of greased ground glass inserted into the short body of the microscope below the achromatic condenser. An intense " white cloud" illumination is thus obtained, perfectly free from the spectral interference lines that would result from the use of the unmodified rays of the sun, and so steady as to allow of long exposures with the high powers.* The object upon the stage of the microscope, illuminated by this light*— condensed, if necessary, by an achromatic condenser below the stage—is magnified by the object- glass of the instrument ; and the image so formed, being brought to a focus upon the plane of the surface of the sensitive plate, yields the photographic impression. -In order to insure perfect photographic sharpness of definition in the object-glass, the objectives used for photography are specially corrected so as to bring to one focus the rays in the violet end of the spectrum, where the actinic power resides, instead of mean white light, as is the case with ordinary achromatic objectives. Violet light alone is then used to illuminate the object, this being obtained practically pure by interposing in the solar beam reflected from the mirror a shallow cell, with plate glass sides, containing a solution of the ammonio-sulphate of copper. Sharp photographic definition is thus secured, and at the same time, since the visual and chemical foci are here identical, the source of error encountered in the use of ordinary objectives, from the want of coincidence between these two foci, is entirely obviated. The blue copper solution is also of use in absorbing the heat rays of the solar beam. The concave amplifiers used in combination with the objectives are also specially corrected for violet light.t *0n certain objects, with very low powers, and on some of the finely marked diatoms, with very high powers, the ground glass may be advantageously omitted and the direct rays of the sun used. t The objectives and amplifiers of this description are those mentioned in the Catalogue as made by Mr. Wales ; those of other makers that have been used are the ordinary achromatic lenses. 132 CATALOGUE OF THE MICROSCOPICAL SECTION Part SeCOnd. Fig. 1. Section of movable shutter, with apparatus attached: a, shutter; b, sliding brass tube to join the short body of the microscope ; c, brass plate to close the aperture in the shutter; d, handle to work the.same from within the room; e, glass cell containing the blue copper solution; /, brass tube carrying the microscope mirror; g, mirror; h h, steel rods to adjust the mirror from within the room. The apparatus devised and in present use at the Museum is figured in the plate facing the preceding page. For the sake of convenience a camera-box and table are dispensed with, and the operating room, having a window facing to the south, is itself converted into a camera by wooden shutters on the inside of the window, sufficient non-actinic light to enable the operator to move about freely being admitted through yellow panes in a sashed door. A small yellow pane is also let into one of the window shutters to enable the operator to watch the sky during an exposure and see when clouds are about to obscure the sun. The microscope, with its body in a horizontal position, stands on a shelf on the inner window sill, its feet fitting into brass cleets to insure accuracy of position. Covering the portion of the window towards which the microscope points is a stout immovable shut- ter, having a square opening to receive a. movable piece which fits into it with a re- bate and is held in position by four wooden buttons. An aperture is cut in this movable shutter (see fig. 1) of the same diameter as the short body of the microscope and in a direct line with it; and a light tight con- nection is made between the two by a sliding brass tube (b) fitted to the shutter. This aperture can be opened and closed at will, to make the exposures, by a brass plate (c) playing over the outer face of the shutter on a pivot, which, passing through the shutter, is worked by a handle (d) from within the room. This brass plate is sunk into a shallow space cut in the shutter so as not to project beyond its surface. Over the plate and covering the aperture is fastened the glass cell (e) containing the blue copper solution. Immediately below the edge of this cell a piece of brass tubing (/), thirteen inches long, is screwed to the shutter, carrying at its extremity the microscope mirror (g) accurately centred opposite the aperture in the shutter. This mirror is adjustable from within the room by means of two steel rods (h h) attached to its framework by ball and socket joints, and projecting into the room through small holes in the shutter. One of these rods moves the mirror upon its vertical, the other upon its hori- zontal axis. The heliostat stands on an iron shelf out- side the window, in such a position that its mirror is a few inches only distant from the microscope mirror and in a northwesterly direction from it. The frame for the plate-holder, instead of standing upon a table, is supported upon a narrow walnut car, running upon an iron track ten feet long, laid upon the floor at right angles to the plane of the window (see plate). This car consists essentially of a base made of fG' 2: Tnm™"0 section of ear and track, to show the 1 ' J rails and the apparatus for clamping the car to the same: four pieces Of WOOd joined together SO as tO leave an a a, small brass wheels, grooved; 4 6, flat iron rails, with ■ ™- a 1. „ ,, „ „ j. ,. _'_i_i. • 1. i x j. j. A-shaped projection to fit the groove in the wheels; c c, opening in the centre eight inches square, and two stout y, ., , .. 4. .., .' r o o W.-.V..J .j^m** v., uuv» ».,uoi.uu» wooden rails; a, crosspiece connecting the sides of the car; Uprights, Connected by a CrOSSpieCe, Which rise from the e< vertical iron rod passing through the same; /, cast-iron .... » ,, • , j, ,/i i , crosspiece to clamp under the iron rails; g, screw nut, wi*h side pieces ot this base and have a V-shaped way cut on handle8] to elevate thc same. their inner faces to receive the sliding sides of the top of the car. This top can thus be adjusted OF THE UNITED STATES ARMY MEDICAL MUSEUM. 133 to any height, and clamped in position by wooden binding screws, so that negative plates of different sizes may be used, if desired, and centred to the axis of the microscope body. The track (see fig. 2) consists of two wooden rails (c c) an inch high, screwed to the floor, upon which in turn are screwed flat iron rails (b b) whose inner edges project half an inch beyond the wooden rails. These iron rails are cast with a A -shaped projection on their upper faces and the base of the car is furnished with small brass wheels (a a) correspondingly grooved to run on these projections. The car can be firmly fixed upon the track at any position by the following means (see fig. 2): Through a hole in the centre of the crosspiece (d) connecting the sides of the car, runs a vertical iron rod (e), supporting at its lower extremity a cast iron crosspiece with flat ends (/), which hangs transversely to the direction of the track through the central opening in the base of the car. The ends of this crosspiece reach under the projecting inner edges of the flat iron rails (b b) and are made to clamp against their under surfaces by a nut with handles (g) screwing on the upper part of the iron rod, and binding on an iron washer on the wooden crosspiece (d) through which the rod runs. The car can thus be fixed upon the track at any distance from the microscope within ten feet, and the distance that the surface of the negative is from the stage of the microscope in any given position of the car is determined by a scale of feet laid off upon the floor close to one of the rails, and a scale of inches on the side of the base of the car. (See plate.) To obtain the final focus of the image upon the plate in the plate-holder, the following contrivance is used (see fig. 3): A perfectly straight cylindrical iron shaft (a) runs the entire length of the track, midway between the two rails, and at such a height as just to clear a groove on the under surface of the base of the car. This shaft has a shallow square groove cut in it along its entire length, and is supported at each extremity by brass bearings, attached to the floor, in which it turns freely. To the posterior crosspiece of the base of the car is fastened a bent brass bearing (6), projecting into the square opening in the base of the car and supporting two bevel gear wheels (c) working into each other. The upper and horizontal one of these wheels is turned by a vertical iron rod (d) attached to it, which is furnished at its upper extremity with a large milled head (e) and is supported by a collar (/) attached to the crosspiece connecting the sides of the car. The lower and vertical wheel is pierced to allow the passage of the long shaft (a), and from the surface of the bore a small square iron tongue projects, exactly fitting the longitudinal groove in the shaft. By this means, no matter what may be the position of the car upon the track, the operator can rotate the shaft (a) through the pressure of this tongue upon the sides of the groove, by turning the milled head (e) connected with the bevel wheels. At the same time the car can be moved freely over the track, the iron tongue running smoothly to and fro in the groove of the shaft. This long shaft (a) is made to turn the fine adjustment wheel of the microscope by the following means (see plate): Attached to the edge of the shelf upon which the microscope stands is a short iron axle parallel to the grooved shaft below, which turns freely in 'two flat brass bearings, and supports two wheels. One of these, a small brass wheel, Fig. 3. Longitudinal section of posterior half of car, to show the apparatus for obtaining the focus of the image upon the plate in the plate-holder: a, grooved iron shaft running the whole length of the track and passing under the car; b, bent brass bearing supporting two bevelled gear wheels; c, bevelled gear wheels ; d, vertical iron rod attached to the upper wheel; e, milled head on the upper extremity of the same; /, collar to support the iron rod. 134 CATALOGUE OF THE MICROSCOPICAL SECTION, ETC. Part SeCOnd. is grooved and connected by a silk thread, removable at pleasure, with the fine adjustment wheel of the microscope, which is also grooved. The other, a large wooden wheel, is connected permanently by a flat leathern band with a similar wheel attached to the long iron shaft below. The steps in the process of photographing by the above described apparatus are as follows: The movable shutter, with the apparatus attached, is buttoned in position, the heliostat set in place on the shelf outside the window and properly adjusted so as to throw the rays reflected from its mirror upon the microscope mirror at the extremity of the rod on the shutter. The window shutters may now be closed and need not again be opened. The microscope is then placed in the proper position upon the shelf inside the window, and the silk thread adjusted which -connects the fine adjustment wheel with the wheel on the edge of the shelf. The operator then, sitting on a stool in front of the microscope and inserting an eyepiece, views the object as in the ordinary use of the instrument. This he is enabled to do without dis- comfort or injury to the eye, since the light transmitted by the solution of the ammonio-sulphate of copper, though photographically intense, is luminously comparatively feeble, and is also deprived of a large proportion of its heat rays in its passage through that medium. While thus seated at the microscope the operator makes the necessary adjustments of the stage, achromatic condenser, diaphragms, &c, having perfect control of the illumination by means of the steel rods attached to the mirror without the window and projecting into the room through the shutter. While making these adjustments he commands the fine adjustment wheel by the fingers in the usual way, the wheel readily slipping under the thread that connects it with the wheel on the shelf below. These adjustments being made and the best view and proper illumination of the object secured, the eyepiece is removed, and a black velvet hood, attached around the edges of a hinged shelf projecting from the shutter (see plate), is lowered so as to envelope all of the microscope but its body, thus preventing any leakage of light by the side of the objective. The operator now goes to the car, adjusts its position, noting its distance from the microscope by the scale on the floor and side of the base of the car, as already described, and clamps it firmly in place. He then sits down behind it and receives the image upon the surface of a piece of plate glass held in the plate-holder, viewing it with an eyepiece held against the glass plate, whose focus corresponds exactly with the anterior surface of this plate. He next turns the milled head that operates on the apparatus for turning the fine adjustment wheel of the microscope, until the image, viewed as just described, appears in exact focus upon the surface of the plate-glass screen. The aperture in the shutter is then closed by means of the brass plate with handle inside the room, the sensitive plate substituted for the plate-glass screen in the plate-holder, and the exposure made by opening and closing the aperture in the movable shutter by the means already described. The time of the exposure is noted by the beats of a metronome, adjusted to strike at second intervals, the dimness of the yellow light in the room rendering the use of a watch inconvenient. Having obtained the negative, a stage micrometer is substituted for the object photographed, and its divisions, as projected upon a piece of ground glass held in the plate-holder, are carefully traced upon paper. By comparing these with a standard scale, the exact amplification of the object, as represented in the negative, is readily calculated. Other negatives, representing the same magnifying power, can then be taken at any time by using the same objective and placing the car at the same distance from the microscope. The ordinary wet collodion process is the one used in the preparation of the negatives. CONNECTIVE TISSUE SYSTEM. (SUBDIVISIONS SAME AS IN PART FIRST.) A. Connective Tissue Proper. A. From Man. 57. View of portion of connective tissue layer of intestine^ .showing connective tissue corpuscles with A. 1. anastomosing processes, and faintly striated intercellular, substance. Magnified 238 diameters ; ^-inch objective (Wales-).; For other illustrations, see VII. I. C. 2 and 3. C. Pathological. 147. View of portion of connective tissue layer of small intestine in the vicinity of an ulcerated Peyer's patch, C. 1. from a case of camp fever, showing active multiplication by division of the connective tissue corpuscles. Magnified 106 diameters ; -jVinch objective (Wales). Photographed from Specimen 449, Part First, "VII. H. c. 8. For other illustrations, see VII. H. C. 4. JL/. Adipose Tissue. See II. A. a. 1. A. From Man. 136 CATALOGUE OF THE MICROSCOPICAL SECTION Part SeCOnd. II. EXTERNAL TEGUMENTARY SYSTEM. (SUBDIVISIONS SAME AS IN PART FIRST.) A. Skin. A. From Man. 2. View from perpendicular section of scalp of negro, giving a bird's-eye view of the positions and relations A. 1. of the various structures of the scalp, and panniculus adiposus. Magnified 22 diameters ; 1^-inch objective (Zentmayer). Photographed from Specimen 1206, Part First, II. A. A. 1. 3. Portion of hair and follicle in section of scalp. The walls of the follicle have shrunk away from the hair. A. 2. Magnified 250 diameters; -rV-inch objective (Tolles). Photographed from the same Specimen as A. 1. 4. View from section of scalp, showing an arrector pili muscle dividing to embrace a sebaceous gland. A. 3. Magnified 150 diameters ; £-inch objective (Tolles). Photographed from the same Specimen as A. 1. 5. View from section of scalp, showing an arrector pili muscle in its course through the skin. A. 4. Magnified 500 diameters ; -j^-inch objective (Tolles) and eyepiece. Photographed from the same Specimen as A. 1. 16. View from perpendicular section of skin from sole of foot, showing the thick epidermis, papillae, corium, A. 5. sudoriparous glands and ducts. Magnified 28 diameters ; l£-inch objective (Zentmayer) and eyepiece. Photographed from Specimen ll'S'4, Part First, II. A. A. 6. \J, Hairs. A. Fkom Man. 115. Human hair from head of white child, showing the overlapping epidermic scales. A. 1. Magnified 370 diameters; -^-inch objective (Wales). Photographed from Specimen 411, Part First, II. C. A. 2. 116. Transverse section of hair from pubes of adult white male, showing the cuticle, cortex, and medullary A. 2. substance in section. Magnified 370 diameters ; J-inch objective (Wales). Photographed from Specimen 1288, Part First, II. C. A. 9. For other illustrations, see II. A. A. 1 and 2. B. From Animals. 1 17. Two hairs, one large aud one small, from polar bear. B. 1. Magnified 370 diameters ; J-inch objective (Wales). 118. White hairs from body of cat. B. 2. Magnified 370 diameters; i-inch objective (Wales). Photographed from Specimen 1296, Part First, il. C. H. 3, III. B OF THE UNITED STATES ARMY MEDICAL MUSEUM. 137 119. Hairs from back of bat (Nyctinomus nasutus). B. 3. Magnified 370 diameters ; £-ineh objective (Wales). Photographed from Specimen 1366, Part First, II. C. u. ">. For other illustrations, see XVI. B. 1. JL/i Cutaneous Glands. A. From Man. Sec II. A. a. 1, 3 and 5. III. MUSCULAR SYSTEM. (SUBDIVISIONS SAME AS IN PART FIRST.) Ai Smooth Muscle. A. From Man. See II. A. A. 3 and 4. _D, Striped Muscle. B. From Animals. 62. Portion of striped muscle of chicken, showing the individual muscular fibres, with their transverse B. 1. striae. Magnified 250 diameters; J-inch objective (Wales) and amplifier (Tolles). See Part First, III. B. is. 12 and 13. 63. Single striped muscular fibre of chicken, showing the transverse striae. B. 2. Magnified 250 diameters ; J-inch objective (Wales) and amplifier (Tolles). See Part First, III. B. B. 12 and 13. 102. Striped muscular fibre of mouse, showing the transverse striae and the nuclei of the sarcolemma. B. 3. Magnified 337 diameters ; J-inch objective (Wales). Photographed by Assistant Surgeon J. J. Woodward, U. S. Army. Photographed from Specimen 1104, Part First, III. B. B. 11. 125. Same object as B. 3. The nuclei of the sarcolemma are better defined, though the striae are fainter. B. 4. Magnified 370 diameters; J-inch objective (Wales). C. Pathological. See XV. A. B. 1 to 3. 18a 138 CATALOGUE OF THE MICROSCOPICAL SECTION Part SeCOIlCl. IV. OSSEOUS SYSTEM. (SUBDIVISIONS SAME AS IN PART FIRST.) Ai Cartilage and Perichondrium. B. From Animals, 6. View from section of articular cartilage from knee joint of ox, showing multiplication by division of B. 1. the cartilage cells and nuclei within the capsules. Magnified 250 diameters; iVinch objective (Tolles). Photographed from Specimen 1042, Part First, IV. A. B. 3, 7. View from section of articular cartilage from knee joint of ox, showing several young cartilage cells B. 2. still enclosed in one capsule. The outlines of the capsule are not well defined. Magnified 216 diameters ; To-inch objective (Tolles) and eyepiece. Photographed from the same Specimen as B. 1. 84. View from section of rib cartilage of calf, showing single mononucleate^ cartilage cells in their capsules. B. 3. Magnified 370 diameters; J-inch objective (Wales). Photographed from Specimen 931, Part First, IV. A. B. 7. 85. Same subject as B. 3, illustrating the first step in cell-multiplication. Near the centre of the field is a B. 4. cartilage cell containing two young nuclei in close juxtaposition, produced by division of the parent nucleus. Magnified 370 diameters; -J-inch objective (Wales). Photographed from the same Specimen as B. 3. 86. Same subject as B. 3, illustrating the commencement of the second step in cell-multiplication. As in B. 5. B. 4, there is a single cell with two nuclei, but the nuclei are here widely separated, and the cell itself is ready to divide. Magnified 370 diameters ; -J-inch objective (Wales). Photographed from the same Specimen as B. 3. 87. Same subject as B. 3, illustrating the second step in cell-multiplication. The cell has now divided, aud B. 6. two cells, each with its nucleus, are seen enclosed in a single capsule. Magnified 370 diameters; J-inch objective (Wales). Photographed from the same Specimen as B. 3. 88. Same subject as B. 3, illustrating the commencement of the third step in cell-multiplication. Four B. 7. young cells are seen still enclosed in one capsule, but the latter is commencing to subdivide. Magnified 370 diameters; J-inch objective (Wales). Photographed from the same Specimen as B. 3. 89. Same subject as B. 3, illustrating the third and last step in cell-multiplication. The capsule has divided, B. 8. and young cells, each with nucleus and capsule of its own, are seen in various degrees of separation from each other. Magnified 370 diameters ; -J-inch objective (Wales). Photographed from the same Specimen as B. 3. 103. View from section of rib cartilage of calf, showing a group of young cartilage cells. B. 9. Magnified 337 diameters; J-inch objective (Wales). Photographed by Assistant Surgeon J. J. Woodward, U. S. Army. Photographed from Specimen 930, Part First, IV. A. B. 7. IV. F. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 139 Jj. Bone, A. From Man. 19. View from longitudinal section of shaft of femur, showing the lacuncc and canaliculi of the compact A. 1. substance. Magnified 178 diameters ; -J-inch objective (Tolles) and eyepiece. Photographed from Specimen 1063, Part First, IV. B. A. 2. 20. View from transverse section of shaft of femur, showing the Haversian systems and the lamellar structure A. 2. of the compact substance. Magnified 178 diameters; -J-inch objective (Tolles) and eyepiece. Photographed from Specimen 1080, Part First, IV. B. A. 7. 126. View from transverse section of shaft of humerus, showing the Haversian systems, lacunae and canaliculi, A. 3. in the compact substance. Magnified 180 diameters; -y^-inch objective (Wales). 127. View from longitudinal section of shaft of femur, showing lacunae and canaliculi. A. 4. Magnified 180 diameters ; -y^-inch objective (Wales). Photographed from Specimen 1063, Part First, IV. B. A. 2. C. Pathological. 26. View from transverse section of portion of compact substance of shaft of human femur, from a case of C. 1. osteomyelitis, showing large cavities produced in the bone by ulceration, apparently starting from the walls of the Haversian canals. Magnified 38 diameters; l£-inch objective (Wales). Photographed from Specimen 1073, Part First, IV. B. c. 1. JJ • Synovial Membranes. A. From Man. 59. View of synovial fringes from finger joint with transparent carmine injection, showing the capillary loops. A. 1. Magnified 105 diameters; -fVinch objective (Wales). Photographed from Specimen 1059, Part First, IV. F. A. 1. 140 CATALOGUE OF THE MICROSCOPICAL SECTION Part SeCOnd. V. VASCULAR SYSTEM. (SUBDIVISIONS SAME AS IN PART FIRST.) H, Blood and Lymph. A. From Man. 64. A. 1. 65. A. 2. Human blood corpuscles. Water was added to the blood and many of the corpuscles are crenated. Magnified 457 diameters ; J-inch objective (Wales). Human blood corpuscles, dried on a slide. Taken a little out of focus so as to show the corpuscles with a dark centre and light border. Magnified 750 diameters: J-inch objective (Wales). <>6. Human blood corpuscles, dried on a slide. Taken in exact focus. A- 3- Magnified 1416 diameters; J-inch objective and amplifier (Wales). 122. Human blood corpuscles, dried on a slide. Taken a little out of focus, like A. 2, so as to show a dark A. 4. centre with a light border. Magnified 370 diameters ; J-inch objective (Wales). See Part First, V. H. a. 1. B. From Animals. 123. Blood corpuscles of pigeon, dried on a slide. B. 1. Magnified 370 diameters; J-inch objective (Wales). Photographed from Specimen 387, Part First, V. H. B. 1. 124. Blood corpuscles of frog, dried on a slide. B. 2. Magnified 370 diameters; J-inch objective (Wales).. See Part First, V. H. B. 2. VI. NERVOUS SYSTEM. (SUBDIVISIONS SAME AS IN PART FIRST.) 1). Spinal Cord. B. From Animals. B. 1 Three isolated multipolar nerve cells, witli their processes attached, from spinal cord of calf- Magnified 1-0 diameters ; A-inch objective (Wales). Photographed from Specimen 1558, Part First, VI. D. B. 11. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 141 VII. DIGESTIVE ORGANS. (SUBDIVISIONS SAME AS IN PART FIRST. lit Small Intestine. B. From Animals. 90. Four villi from small intestine of mouse, with transparent carmine injection, showing the capillary loops B. 1. in the villi. Magnified 84 diameters; j^-inch objective (Wales). Photographed (by the electric light) from Specimen 591, Part First, VII. H B. 21. C. Pathological. 91. View from perpendicular section of human ileum, showing enlargement and protrusion of the solitary C. 1. glands. The section passes a little to one side of the centres of the glands. Magnified 12 diameters ; 3-inch objective (Wales). Photographed from Specimen 417, Part First, VII. H. c. 1. 49. Same subject as C. 1, the section passing through the centres of the glands. C. 2. Magnified 12 diameters ; 3-inch objective (Wales). Photographed from Specimen 421, Part First, VII. H. C. 1. 93. View from perpendicular section of human ileum, showing a thickened and protuberant Peyer's patch, C. 3. which has entirely lost its glandular structure. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 1688, Part First, VII. H. C. 5. 58. View from perpendicular section of human ileum, showing the minute anatomy of the diseased condition C. 4. exhibited in C. 3. The view embraces the connective tissue layer of the intestine and portion of tho altered Peyer's patch, and shows active cell-multiplication of the connective tissue corpuscles and degeneration of the Peyer's patch into a confusedly granular mass. Magnified 105 diameters; iVinch objective (Wales). Photographed from Specimen 446, Part First, VII. H. c. 6. 47. View from perpendicular section of human ileum, showing commencing ulceration in the glands of a C. 5. Peyer's patch, and thickening of the submucous connective tissue. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 447, Part First, VII. H. C. 8. 48. View from perpendicular section of human ileum, showing various stages of ulceration of the glands of C. 6. a Peyer's patch. Magnified 12 diameters ; 3-inch objective (Wales). Photographed from Specimen 455, Part First, VII. H. C. 8. 23. View from same object as C. 6. C. 7. Magnified 33 diameters; 1 J-inch objective (Zentmayer) and eyepiece. 21. View from same object as C. 6. C. 8. Magnified 37 diameters ; yjf-inch objective (Zentmayer). 25. View from perpendicular section of human ileum, showing two excavated glands of a Payer's patch at C. 9. the point of rupture. Magnified 35 diameters; -py-inch objective (Zentmayer). Photographed from Specimen 157, Part First, VII. H. C. 1). VII. H. 142 CATALOGUE OF THE MICROSCOPICAL SECTION Part SeCOIlCL. 27. View from perpendicular section of human ileum, showing several glands of a Peyer's patch softened C. 10. and disintegrated in their centres. Magnified 26 diameters; 1 J-inch objective (Zentmayer) and eyepiece. Photographed from Specimen 465, Part First, VII. H. r. 10. 46. View from perpendicular section of human ileum, showing a deep smooth ulcer in a Peyer's patch C. 11. extending down to the muscular coat of the intestine. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 466, Part First, VII. H. C. 11. 29. View from perpendicular section of human ileum, embracing the same ulcer as C. 11 C. 12. Magnified 35 diameters; T%-inch objective (Zentmayer). Photographed from Specimen 467, Part First, VII. H. c. 11. 27. View of one lateral half of same object as C. 12. C. 13. Magnified 66 diameters; ^-inch objective (Zentmayer) and eyepiece. 28. Duplicate of C. 13. C. 14. 143. View from perpendicular section of human ileum, close to an excavating ulcer, showing part of the C. 15. connective tissue layer eroded. Also a solitary gland commencing to soften. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 1745, Part First, VII. H. C. 12. 145. View from another section of the same series as C. 15, passing through the centre of the excavating C. 16. ulcer, and showing a point of ulceration in the centre of the solitary gland. Magnified 12 diameters ; 3-inch objective (Wales). Photographed from Specimen 1747, Part First, VII. H. C. 12. 146. View from another section of the same series as C. 15 and 16, showing the excavating ulcer as in C. 17. C. 16, and an established ulcer in the solitary gland. Magnified 12 diameters ; 3-inch objective (Wales). Photographed from Specimen 1750, Part First, VII. H. C. 12. 130. View from another section of the same series as C. 15, showing the excavating ulcer. C. 18. Magnified 12 diameters ; 3-inch objective (Wales). Photographed from Specimen 1756, Part First, VII. H. C. 12. 45. View from perpendicular section of human ileum, showing a typhoid ulcer of a Peyer's patch in process C. 19. of healing. Magnified 12 diameters; 3-inch objective (Wales). Photographeel from Specimen 471, Part First, VII. H. C. 14. 1. Large Intestine and Cloaca. C. Pathological. View from perpendicular section of human colon, showing slight thickening of the connective tissue layer. Magnified 12 diameters ; 1 J-inch objective (Zentmayer) with the front lens removed. Photographed from Specimen 638, Part First, VII. I. C. I. View from same object as C. 1, more highly magnified, showing commencing cell-multiplication in the submucous connective tissue. Magnified 35 diameters ; rVinch objective (Zentmayer). View from same object as C. 1, more highly magnified. Similar to C. 2. Magnified 56 diameters ; -ft-inch objective (Zentmayer) and eyepiece. 32. C. 1. 31. C. 2. 14. C. 3. VII. I. OF THE, UNITED STATES ARMY MEDICAL MUSE I'M. 143 15. View from same object as C. 1, embracing the lower portion of tho mucous, and upper portion of the C. 4. connective tissue layers. Magnified 260 diameters, j-inch objective, (Tolles) and eyepiece. 34. View from perpendicular section of human colon, showing two enlarged solitary glands. C. 5. Magnified 12 diameters ; 3-inch objective (Wales). Photographed from Specimen 650, Part First, VII. I. C. 3. 38. View from perpendicular section of human colon, showing two solitary glands, one considerably C. 6. enlarged. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 656, Part First, VII. I. c. 5. 37. View from perpendicular section of human colon, showing commencing ulceration over the summits of C. 7. several solitary glands. Magnified 12 diameters; 3-inch objective (Wales). Photographed from a Specimen belonging to the series, VII. I. C. 5, which has since spoiled and is not catalogued. 39. View from perpendicular section of human colon, showing commencing ulcers, same as in C. 7. C. 8. Magnified 12 diameters; 3rinch objective (Wales). Photographed from Specimen 658, Part First, VII. I. C. 5. 40. View from perpendicular section of human colon, showing shallow ulceration of the mucous membrane C. 9. around a solitary gland. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 662, Part First, VII. I. c. 6. 30. View from perpendicular section of human colon, showing a small excavating ulcer and wide shallow C. 10. ulcers of the inii±-mis coat Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 683, Part First, VII. I. c. 12. 43. View from another section of the same series as C. 10, passing nearer the centre of the small excavating C. 11. ulcer. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 684, Part First, VII. I. c. 12. 94. Duplicate of C. 11. C. 12. 8. View of the small ulcer represented in C. 11, more highly magnified. C. 13. Magnified 33 diameters; ^-inch objective (Zentmayer). 9. Duplicate of C. 13. C. 14. 10. Same as C. 13, more highly magnified. C. 15. Magnified 75 diameters ; ^,-inch objective (Zentmayer) and eyepiece. 41. View from perpendicular section of human colon, showing a deep wide ulcer extending down to the C. 16. muscular coat, a shallow ulcer of the mucous coat, and an excavated ulcer of the connective tissue layer. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 687, Part First, VII. I. c. 14. 92. View from perpendicular section of human colon, showing deep ragged ulcers of the mucous and C. 17. connective tissue layers. Magnified 12 diameters ; 3-inch objective (Wales). Photographed from Specimen 1535, Part First, VII. I. c. 16. 36. View from perpendicular section of human colon, showing deep and extensive ulcers. C. 18. Magnified 12 diameters ; 3-iuch objective (Wales). Photographed from Specimen 691, Part First, VII. I. C. 17. 144 CATALOGUE OF THE MICROSCOPICAL SECTION Part SeCOnd. 42. View from perpendicular section of human colon, showing deep and extensive ulcers. C. 19. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 711, Part First, VII. I. C. 19. 44. View from perpendicular section of human colon, showing deep and extensive ulcers. C. 20. Magnified 12 diameters; 3-ineh objective (Wales). Photographed from Specimen 712, Part First, VII. I. C. 19. 79. View from perpendicular section of human colon, showing great thickening and so-called pseudo-mem C. 21. branous exudation. Magnified 12 diameters; 3-inch objective (Wales). Photographed from Specimen 731, Part First, VII. I. C. 22. 148. View of portion of mucous membrane of the same section as C. 21, showing the minute anatomy of the C. 22. pathological changes in that tissue. Magnified 106 diameters; j^-inch objective (Wales). JVi Liver and Gall-Bladder. B. From Animals. I?. View from section of liver of sheep, injected, showing the capillaries of the lobules. B. 1. Magnified 24 diameters ; l|-inch objective (Zentmayer) and eyepiece. Photographed from Specimen 859, Part First, VII. K. B. 2. 18. Same object as B. 1. B. 2. Magnified 48 diameters ; ^-inch objective (Zentmayer) and eyepiefce. Jj, Chemical Constituents op Bile. A. From Man, See XIV. D. A. 1 and 2. VIII. RESPIRATORY ORGANS. (SUBDIVISIONS SAME AS IN PART FIRST.) \J, Lungs, Gills and Air-Bladder. B. From Animals. 97. View from preparation of lung of toad, with transparent carmine injection, showing the capillary B. 1. networks in the walls of the air vesicles. Magnified 30 diameters ; 3-inch objective (Wales). Photographed from Specimen 842, Part First, VIII. C. B. 3. XV. A. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 145 XIV. PATHOLOGICAL GROWTHS. (SUBDIVISIONS SAME AS IN PART FIRST.) JJ, Cholesterine Tumors. A. From Man. 12. View of scrap of a cholesteatoma, showing the tabular plates of cholesterine. A. 1. Magnified 190 diameters ; £-inch objective (Tolles) and eyepiece. Photographed from a piece of the same tumor that furnished Specimens 370 and 371, Part First, XIV. D. a. 1. 13. Same subject as A. 1, showing cholesterine plates and the hexagonal cells that composed the matrix of A. 2. the tumor. Magnified 190 diameters; ^-inch objective (Tolles) and eyepiece. XV. PARASITES. (SUBDIVISIONS SAME AS IN PART FIRST.) A. i Animal. A. From Man. 104. Human flea (Pulex irritans). A. 1. Magnified 32 diameters ; l|-inch objective (Zentmayer.) 105. Human head louse (Pediculus capitis). A. 2. Magnified 32 diameters ; l|-inch objective (Zentmayer). 106. Itch mite (Acarus scabiei). A. 3. Magnified 180 diameters; -j^-inch objective (Wales). Photographed from Specimen 1870, Part First, XV. A. A. 4. 107. Pimple mite (Demodex folliculorum). A. 4. Magnified 180 diameters; A-inch objective (Wales). 108. Two claws of crab louse (Phthiriuspubis.) A. 5. Magnified 180 diameters; -fVinch objective (Wales). B. From Animals. 60. Encysted Trichina spiralis in situ in muscle of mouse. B. • 1. Magnified 105 diameters; -iV-inch objective (Wales). 61. Trichina spiralis from muscle of mouse. B. 2. Magnified 183 diameters ; £-inch objective (Wales). 83. Encysted Trichina spiralis in situ in muscle of mouse. B. 3. Magnified 370 diameters ; -J-inch objective (Wales). Photographed from Specimen 1116, Part First, III. B. c. 5. 19a 146 CATALOGUE OF THE MICROSCOPICAL SECTION Part SeCOIKl. XVI. ARTICLES OF FOOD AND CLOTHING, AND MATERIA MEDICA. (SUBDIVISIONS SAME AS IN PART FIRST.) A. Articles of Food. 121. Starch grains of arrow-root. A. 1. Magnified 370 diameters; |-inch objective (Wales). Photographed from Specimen 1461, Part First, XVI. A. 25. 120. View from section of roasted coffee berry. A. 2. Magnified 370 diameters; J-inch objective (Wales). Photographed from Specimen 1471, Part First, XVI. A. 28. jj, Articles of Clothing. 110. White woolen hair. B. 1. Magnified 370 diameters; J-inch objective (Wales). Photographed from Specimen 1877, Part First, XVI. B. 1. 111. Tangle of cotton fibres. B. 2. Magnified 370 diameters; J-inch objective (Wales). Photographed from Specimen 1882, Part First, XVI. B. 2. 112. Tangle of fibres of flax. B. 3. Magnified 370 diametres ; J-inch objective (Wales). Photographed from Specimen 1889, Part First, XVI. B. 3. 113. Fibre of silk. B. 4. Magnified 370 diameters ; J-inch objective (Wales). Photographed from Specimen 1892, Part First, XVI. B. 4. XVII. B. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 147 XVII. DIATOMS AND OTHER TEST OBJECTS. (SUBDIVISIONS SAME AS IN PART FIRST.) D. Selected Diatoms. D. STRIATELLEiE. 133. Grammatophora, showing the transverse striae, D. 1. Magnified 522 diameters ; jVinch objective (Wales). Photographed from Specimen 1585, Part First, XVII. B. D. 4. 134. Same object as D. 1, more highly magnified. D. 2. Magnified 1291 diameters ; i^-inch objective and amplifier (Wales). F. COSCINODISCE.E. 82. Coscinodiscus omphalanthus. F. 1. Magnified 370 diameters; J-inch objective (Wales). Photographed from Specimen 1937, Part First, XVII. B. F. 9. 78. Heliopelta Leeuwcnhcekii. F. 2. Magnified 235 diameters ; iVinch objective (Wales). Photographed from Specimen 1937, Part First, XVII. B. F. 9. 81. Heliopelta Leeuwenhakii. F. 3. Magnified 370 diameters ; -J-inch objective (Wales). Photographed from Specimen 1600, Part First, XVII. B. v. 8. 80. Arachnoidiscus Ehrenbergii. F. 4. Magnified 370 diameters ; J-inch objective (Wales). Photographed from Specimen 1591, Part First, XVII. B. F. 12. 128. Same object as F. 4. F. 5. Magnified 522 diameters ; ,^-inch objective (Wales). O. NAVICULE.E. 149. Navicula rhomboides, with the markings resolved into squares. O. 1. Magnified 850 diameters ; J-inch objective and amplifier (Wales). Photographed from Specimen 1942, Part First, XVII. B. o. 4. 131. Navicula serians, with the markings resolved. O. 2. Magnified 522 diameters ; iVinch objective (Wales). Photographed from Specimen 1608, Part First, XVII. B. o. 3. 132. Navicula (Pinnularia) viridis. O. 3. Magnified 370 diameters; -J-inch objective (Wales). Photographed from Specimen 1608, Part First, XVII. B. o. 3. 129. Stauroneis, with the circular bead-like markings perfectly resolved. O. 4. Magnified 522 diameters; i^-inch objective (Wales). Photographed from Specimen 1605, Part First, XVII. B. O. 10. 99. Pleurosigma formosum, with the markings resolved. O. 5. Magnified 337 diameters; J-inch objective (Wales). Photographed by Assistant Surgeon J. J. Woodward, U. S. Army. Photographed from Specimen 1586, Part First, XVII. B. O. 13. 148 CATALOGUE OF THE MICROSCOPICAL SECTION Part SeCOlld. 100. Portion of same frustule as O. 5, more highly magnified. O. 6. Magnified 2540 diameters ; £-inch objective and amplifier (Wales). Photographed by Assistant Surgeon J. J. Woodward, U. S. Army. 95. View of slide of Pleurosigma angulatum, to show the minute size of the frustules. O. 7. Magnified 12 diameters ; 3-inch objective (Wales). 96. Same object as O. 7, more highly magnified. O. 8. Magnified 118 diameters ; ^-inch objective (Wales). 1 38. Pleurosigma angulatum, with the markings resolved into dots on viewing the negative with a lens. O. 9. Magnified 170 diameters ; j^-inch objective (Wales). 139. Pleurosigma angulatum, (same frustule as in O. 9), with the markings resolved into dots. O. 10. Magnified 250 diameters; £-inch objective (Wales). 140. Pleurosigma angulatum, (same frustule as in O. 9), with the markings resolved into dots. O. 11. Magnified 370 diameters; J-inch objective (Wales). 141. Pleurosigma angulatum, (same frustule as in O. 9), with the markings resolved into dots. O. 12. Magnified 522 diameters ; ,Vinch objective (Wales). 137. Portion of valve of Pleurosigma angulatum, (same frustule as in O. 9), with the markings resolved into O. 13. perfectly defined circular spots. Magnified 2540 diameters; J-inch objective and amplifier (Wales). 98. Portion of valve of Pleurosigma angulatum, similar to O. 13. O. 14. Magnified 2540 diameters ; J-inch objective and amplifier (Wales). Photographed by Assistant Surgeon J. J. Woodward, U. S. Army. 67. Portion of valve of Pleurosigma angulatum, similar to O. 13. O. 15. Magnified 2540 diameters ; J-inch objective and amplifier (Wales). 73. Portion of valve of Pleurosigma angulatum, (same frustule as in O. 15), similar to O. 15. O. 16. Magnified 2344 diameters ; 6Vinch objective (Powell and Lealand). 75. Portion of valve of Pleurosigma angulatum, showing the circular markings four-tenths of au inch O. 17. diameter. Magnified 19050 diameters ; enlarged from negative 67 (O. 15). 76. Portion of valve of Pleurosigma angulatum, similar to O. 17. O. 18. Magnified 19050 diameters ; enlarged from negative 73 (O. 16). See Part First, XVII. B. o. 15 to 17. 101. Pleurosigma attenuatum, with the markings resolved. O. 19. Magnified 337 diameters; £-inch objective (Wales). Photographed by Assistant Surgeon J. J. Woodward, U. S. Army. Photographed from Specimen 1951, Part First, XVII. B. o. 20. c. Other Test Objects. 135. Scales of Podura, showing the spikes. C. 1. 136. C. 2. Magnified 522 diameters ; f^-inch objective (Wales). Photographed from Specimen 1515, Part First, XVII. C. 2. Portion of one of the same scales of Podura as in C. 1, showing the spikes. Magnified 1650 diameters; ^-inch objective (Powell and Lealand). 142. Scale of Podura (same scale as in C. 2), showing the spikes C. 3. 146. C. 4. Magnified 1C50 diameters; £-inch objective and amplifier (Wales). Scale of Podura, showing the spikes perfectly resolved into a dark contour and bright centre. Magnified 1100 diameters; J-inch objective and amplifier (Wales). XVIII. OF THE UNITED STATES ARMY MEDICAL MUSEUM. 149 XVIII. MISCELLANEOUS. 1. Crystals of sulphate of lime. Magnified 17 diameters; 1^-inch objective (Zentmayer). Photographed from Specimen 2052, Part First, XVIII. 109. Portion of eye of fly. Magnified 180 diameters; iVinch objective (Wales). 114. Threads of spider's web. Magnified 370 diameters ; -J-inch objective (Wales). Part Third. PHOTOMICROGRAPHS PRESENTED TO THE MUSEUM. 1. A volume of thirty-one photomicrographs from negatives taken by Dr. R. L. Maddox, of Southampton, England, representing the following objects—magnifying powers not stated : Pleurosigma angulatum. Parasite of martin. Pleurosigma formosum. Male parasite of sparrow. Pleurosigma decorum. Female parasite of sparrow. Actinosphmnia splendens. Sycamore leaf insect. Actinosphania splendens (more highly magnified). Tongue of drone fly. Heliopelta Leeuwenhmkii. Eye of drone fly. Disc from Barbadoes earth. Tongue of blow fly. Eupodiscus Ralfsii. Foot of fly. Pinnularia. Spiracle of Dytiscus. Navicula didyma. Head of female gnat. Transverse section of spine of Echinus. Section of tooth of Myliobatis. Auliscus ovalis. Seed of Eccremocarpus. Licmophora flabellata. Pupa case of gnat. Male flea of mole. Larva of gnat. Female flea of mole. Blood discs of newt. Male flea of pigeon. Presented by Dr. Maddox. 2. Two stereoscopic photomicrographs from negatives taken by Dr. R. L. Maddox, of Southampton, England, representing the following objects—magnifying powers not stated: Coscinodiscus radiatus; Biddulphia Rhombus. Presented by Dr. Maddox. 3. A volume of sixteen photomicrographs from negatives taken by Professor Joseph Gerlach, of Erlangen, Bavaria, representing the following objects: Blood corpuscles of frog; magnified 250 diameters. Passage of muscular fibre into tendon ; magnified 250 diameters. Human ovum in situ in Graafian follicle; magnified 50 diameters. Epithelial scales from cavity of mouth of man; magnified 320 diameters. Striped muscular fibre of man; magnified 250 diameters. Axisfibres from white substance of spinal cord of calf, stained with carmine; magnified 250 diameters; printed in carmine. Human choroid, injected; magnified 25 diameters ; printed in carmine. Section of human cerebellum, stained with carmine; magnified 15 diameters; printed in carmine. Villi of intestine of cat, injected; magnified 50 diameters; printed in carmine. Membrana choriocapillaris from human eye, injected ; magnified 25 diameters; printed in carmine. Bile-ducts in human liver, injected with Berlin blue; magnified 120 diameters; printed in aniline blue. Venous loops in papilla of human kidney, injected with Berlin blue; magnified 50 diameters; printed in aniline blue. 152 CATALOGUE OF THE MICROSCOPICAL SECTION, ETC. Part Third- Lymphatic vessels of connective tissue of calf, injected with Berlin blue; magnified 15 diameters; printed in aniline blue. Transverse section of human bone ; magnified 250 diameters. Smooth muscular fibre of man; magnified 300 diameters. Human blood corpuscles; magnified 500 diameters; printed in the coloring matter of pig's blood. Presented by Professor Gerlach. 4. Six photomicrographs of shells of Foraminifera, from negatives taken by Count L. F. Pourtales, of Washington, D. C, representing specimens of the following genera—magnifying powers not stated : Globigerina; Polystomella; Marginulina; Nodosaria; Dentalina. Presented by Count Pourtales. 5. Seven photomicrographs from negatives taken by Assistant Surgeons William Thomson and W. F. Norris, U. S. Army, representing the following objects—magnifying powers not stated: Perpendicular section of skin from sole of foot. Idem, from a different specimen. Section of human kidney. Idem, more highly magnified. Perpendicular section of upper eyelid of negro. Longitudinal section of shaft of human femur. Transverse section of the same. Presented by Assistant Surgeons Thomson and Norris, U. S. Army. 6. Fourteen photomicrographs from negatives taken by Dr. C. F. Crehore, of Boston, Mass., representing the following objects—magnifying powers not stated: Cornea of rabbit, injected ; 3-inch objective (Wales). Photographed by the magnesium light. (Two prints.) Section of kidney of rabbit, injected ; 3-inch objective (Wales). Photographed by the magnesium light. Tongue of rabbit, injected ; 1-inch objective (Tolles). Photographed by the magnesium light. Same as above ; A-inch objective (Wales). Photographed by the magnesium light. Transverse section of bone; -J,-inch objective (Wales). Photographed by sunlight. Section of tooth of Myliobatis; £-inch objective (Wales). Photographed by sunlight. Coscinodiscus; £-inch objective (Wales). Photographed by the magnesium light uncondensed. Same as above. Photographed by sunlight. Tooth of saw-fish; 3-inch objective (Wales). Photographed by the magnesium light. Branchial foot of Nereis; 3-inch objective (Wales). Photographed by the magnesium light. Coscinodiscus; £-inch objective (Wales). Photographed by sunlight. Print from an enlarged transparent positive, copied from the negative of the above by a 3-inch objective (Wales) and the magnesium light. Origin of the auditory and facial nerves ; 3-inch objective (Wales). Photographed by the magnesium light. Presented by Dr. Crehore. 7. Two photomicrographs from negatives taken by Surgeon H. Culbertson, U. S. Vols., representing the plume of a gnat's wing, and a young spider's claw. Taken with a 1-inch objective—magnifying power not stated. Presented by Surgeon Culbertson, U. S. Vols. «. 8. Photomicrograph, from a negative taken by Professor O. N. Rood, of New York, representing a portion of valve of Pleurosigma angulatum ; magnified 7000 diameters. Presented by Professor Rood. 9. Photomicrograph from a negative taken by Mr. L. M. Rutherfurd, of New York, representing a scale of Podura— magnifying power not stated. Presented by Mr. Rutherfurd. 10. Six photomicrographs from negatives taken by Mr. J. H. Woodworth, of Dublin, Ireland, representing the following objects : Isthmia nervosa; magnified 200 diameters. Triceratium Favus ; magnifying power not stated. Skin of Synapta ; magnified 40 diameters. Foot of Dytiscus; magnified 20 diameters. ' Small sucker from same; magnifying power not stated. Acarus scabiei; magnifying power not stated. Presented by Mr. Woodworth. INDEX PREPARERS OF SPECIMENS MICROSCOPICAL SECTION. Beach, W. F.—p. 121, 1914, 1915, 1916; p. 122, 1917, 1918, 1924, 1925, 1926, 1927, 1928, 1929, 1930, 1931; p. 123, 1935, 1936; p. 124, 1938, 1939, 1940, 1941; p. 125, 1945, 1946, 1948, 1949, 1950, 1952, 1953. Beale, Lionel S.—p. 9, 1267; p. 15, 1266, 1264; p. 29, 1265. Billings, J. S.—p. 9, 1633; p. 13, 1627, 1629, 530, 1207; p. 15, 1611; p. 24. 533, 1618; p. 29, 534, 1010; p. 30, 1679, 1680, 1681, 1630, 1631; p. 31, 1682, 1616, 1623, 1678, 1683, 1684; p. 41, 1612; p. 42, 1619, 1621; p. 43, 1622; p. 48, 405,406, 531; p. 49,527, 510; p. 52, 535, p. 62, 529, 818 ; p. 65, 822, 1634 ; p. 69, 1617, 828; p. 70, 839, 528 ; p. 76, 1624, 1625, 1626, 1628, 1632; p. 92, 532; p. 115, 2058, 2059, 2060, 2061, 2062; p. 116, 2063, 2064, 2065, 2066, 2067, 2068, 2069, 2070, 2071, 2072, 2073, 2074, 2075, 2076, 2077, 2078; p. 117, 2079, 2080, 2081, 2082, 2083, 2084, 2085, 2086, 2087, 2088, 2089, 2090; p. 129, 932, 1009, 1034, 1269, 1299, 1504, 1832, 2053, 2054, 2055, 2056, 2057. Bourgogne Freres.—p. 76, 984. Bourgogne, J.—p. 31, 1081, 1082, 1083; p. 49, 399, 400, 401, 402; p. 87, 1494, 1349; p. 122, 1580, 1505; p. 124, 1512, 1518, 1503; p. 125, 1508, 1578, 1506, 1579. E. Edes, R. T.—p. 41, 1551, 1547, 1552; p. 42, 1550, 1548, 1549. Edwards, Arthur M.-p. 121, 1911; p. 122, 1589, 1606, 1599; p. 123, 1602, 1603, 1598, 1587, 1588, 1600, 1590, 1591, 1592,1593,1594, 1595, 1596; p. 124, 1607,1609,1610, 1597, 1608, 1942, 1943, 1601; p. 125, 1944, 1605; p. 129, 1604. Febiger, Christian—p. 123, 1934. a Gerlach, Joseph.—p. 42, 1558, 1556; p. 53, 1560; p. 58, 1555; p. 70, 1554; p. 91, 1553; p. 92, 1559; p. 97, 1557. 20a 154 INDEX OF PREPARERS OF SPECIMENS H. Hyrtl, Joseph.-p 9, 25, 26 ; p 10, 24, 353; p. 14, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13* 14, 15, 16, 17, 18, 19; p 15, 20, 21, 30, 31, 32, 33 : p. 16, 34, 39, 40, 41, 42, 43, 44, 45, 339, 358 ; p. 17, 22, 23, 35, 36, 37, 38; p. 19, 47, 48; p. 23, 27, 314; p. 24, 318, 319, 320, 321; p. 25, 323, 324, 326, 195; p. 32, 325, 327, 329, 330, 354, 328; p 35, 315, 316, 317, 322, 349; p 36, 28, 351, 29, 352, 287, 288; p. 41, 334; p. 42, 335; p. 43, 331, 332, 333; p. 44, 350; p 47, 196, 197, 198, 276, 277, 280, 289; p 48, 306, 307, 308, 309, 310, 311; p. 49, 199; p. 50, 157, 158, 159, 160, 161, 178, 181, 182, 183, 184, 185; p. 51, 186, 187, 200, 205, 207, 215, 219, 232, 233, 242, 243, 244, 246, 249, 250; p. 52, 162, 163, 161, S65, 166, 167, 168, 169, 170; p. 54, 179, 188, 189, 190; p. 55, 191, 192, 193, 201, 202, 201, 208, 209, 213, 214, 216, 217, 221, 222, 223, 224, 225, 226, 228; p 56, 229, 230, 231, 234, 235, 236, 237, 238, 239, 240, 241, 247; p. 58, 360, 171, 172, 173, 174, 175, 176, 177, 180; p 59, 46, 194, 203, 206, 210, 212, 218, 227, 211, 220, 245, 248; p 62, 251, 252, 253, 254, 255, 256, 257; p 63, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275; p. 64, 278, 279, 290, 292, 284, 286, 285, 355; p 69, 56, 63, 57, 76, 58; p. 70, 49, 52, 53, 54, 55, 60, 61, 62; p. 71, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 77, 78, 79, 8©, 81, 82, 83, 84; p. 72, 85, 86, 87, 88, 50, 51, 59, 356, 357, 282, 283, 281; p 75, 89, 90, 91, 93, 94, 95, 96, 97; p. 77, 98, 99, 100, 161, 102, 103, 104, 105; p. 78, 106, 107, 108, 109, HO, 111, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131; p 79, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 842, 143, 144, 147, 148, 149, 150, 151; p. 80, 152, 153, 154, 155, 156, 348, 92, 116, 145, 146; p. 81, 112, 113, 346, 114; p. 83, 115; p. 87, 336, 337, 338, 340, 341, 344, 345; p. 88, 342, 343, 291, 347; p. 91, 297, 298, 301; p. 92, 299, 302, 303, 304, 296, 300, 305; p 93, 294, 295, 293; p. 101, 312, 313; p. 105, 359. Jones, S. A.—p. 15, 403; p. 42, 375; p. 75, 975, 976, 977; p. 77, 978, 979; p. 88, 1499; p. 109, 1500, 2046, 2047. P. Powell & Lealand (Specimens procured from).—p. 126, 2101, 2102. Q- Queen, J. W. & Co. (Specimens procured from).—p. 25, 1561; p. 109, 1562; p. 121, 1517; p. 122, 1511, 1585, 1509 ; p. 123, 1937, 1502; p. 124, 1516, 1583; p. 125, 1581, 1582, 1584. S. Schafhirt, A. J.—p. 32, 1685. Sim, T. (Specimens presented by).-p. 83, 1036; p. 88, 1495. Smith, Beck & Beck—p. 126, 1513. Sullivant, W. S.—p. 122, 1919, 1920, 1921, 1922, 1923. Topping, C. M—p. 31, 1044; p. 122, 2091, 2092; p. 125, 1586, 2093, 2094. 2095, 2096, 2097, 2098; p. 126, 2099, 2100. W. Woodward, J. J.-p. 13, 1192, 1193, 1194, 1195; p. 32, 1075; p. 60, 639, 640, 641, 651, 652, 669; p. 81, 994, 995, 996; p. 82, 10O2, 1018, 1021, 1022, 1028, 1001, 1012; p. 122, 151©; p. 125, 1507, 1947; p. 126, 1514, 1515. IN THE MICROSCOPICAL SECTION 155 Prepared in the Museum.-p 9, 1120, 1121, 1615, 1620, 1665; p. 13, 1203, 1204, 1205, 1206, 1142, 1143, 1144, 1145, 1146, 1147, 1148, 1224, 1225, 1172, 1173, 1174, 1196, 1197, 1198, 1109, 1200, 1201, 1170, 1983, 1984, 1985, 1986, 1987, 19**, 1989, 1990, 1991, 1992, 1993, 1994, 1995, 1996, 1997, 1998, 1999, 2000, 2001, 2O02, 2003, 2004, 20O5, 2006, 2007, 2008, 2009, 2010, 2011, 2013, 2029; p. 14, 1171; p 15, 1(>87, 1©88, 1089, 1090, 1091, 1092, 1093, 1094, 1257, 1258, 1259, 1260, 372, 373, 374, 1255, 1256, 1262, 2012; p. 16, 863, 864, 865, 866, 867, 868, 869, 870, 871, 872, 873, 874, 875, 876, 877, 878, 879, 880, 881, 882, 883, 884, 885, 886, 887; p. 17, 2014, 2015, 411, 412, 413, 414, 415, 1270, 1271, 1272, 1273, 1271, 1275, 1276, 1279, 1280, 1281; p 18, 1613, 1614, 1284, 1285, 1286, 1287, 1288, 1289, 1290, 1175, 1176, 1177, 1178, 1179, 1180, 1181, 1182, 1183, 1293, 1294, 1295, 1296, 1297, 1298, 1350, 1351, 1352, 1353, 1354, 1355, 1356, 1357, 1358, 1359, 1360, 1361, 1362, 1363, 1364, 1365, 1366, 1367, 1368, 1369, 137©, 1371, 1372, 1373, 1374, 1375, 1376, 1377, 1378, 1379, 138©, 1381, 1382, 1383, 1384, 1385, 1386, 1387, 1388, 1389, 1390, 1391, 1392, 1393, 1394, 1395, 1401; p. 19, 1229, 123©, 1231, 1268, 1432; p. 23, 1119, 1312, 1973, 1974, 508, 509, 110©, 1138, 1139, 114©, 888, 889, 890, 891, 892, 893, 894, 895, 896, 897, 898, 899, 90©, 901, 902; p 24, 1651, 1655, 1656, 1657, 1658, 1659, 1660, 1661, 1184, 1185, 1186, 1187, 1188, 1189, 1190, 1191, 474, 475, 476, 477, 478, 1101, 1102, 11©3, 1104, 1105, 1106, 1107, 1108, 1095, 1096, 1097, 1098, 1099, 1226, 1227, 1228, 1123, 1124, 1125, 1126, 1127, 1128, 1967, 1968, 1969, 1970, 1971, 2016, 2017, 2018, 2019, 2020, 2021, 2-»22, 2045; p. 25, 1232, 1233, 1234, 1235, 1236, 1237, 1238, 1239, 124©, 1241, 1242, 1669, 167©, 1671, 1672, 1673, 1674, 479, 480, 481, 482, 483, 484, 185, 486, 487, 488, 489, 490, 491, 492,493, 494, 495, 1111, 1112, 1113, 1114, 1115, 1109, 1116, 1117, 1118, 1141, 1037, 1038, 1039, 1041; p. 29, 1051, 1052, 1045, 1046, lo48, 1©42, 1©43, 906, 907, 908, 9©9, 910, 911, 912, 913, 914, 915, 916, 917, 918, 919, 920, 921, 922, 923, 924, 925, 926, 927, 928, 929, 930, 931, 133©, 1331, 1332, 1333, 1334, 1335, 1336, 1346, 1347, 1348; p. 30, 1062, 1063, 1064, 1065, 1066, 1067, 1O80, 1071, 1068, 1069, 1070, 1072: p. 31, 1049, 105©, 458, 459, 460, 461, 1047, 1073, 1074; p. 32, 1076, 1077, 1078, 1079, 1©59, 1©6©, 1061; p. 35, 1084, 1085, 1086, 526, 436, 437, 438, 439, 440, 1666, 1667, 1668; p. 37, 6©8, 387, 6©9, 61©, 611, 612, 613, 614, 615, 616, 617, 618, 619, 62©, 621, 622, 623, 624, 2048, 2©49, 2050; p. 41, 496, 497, 498, 499, 5©©, 5©1, 502, 503, 504, 505, 506, 507, 1543, 1544, 1545, 1960, 1961, 2033, 2034; p. 42, 1149, 115©, 1151, 1152, 1153, 1154, 1155, 1156, 1157, 1158, 1159, 116©, 1161, 1162, 1163, 1164, 1165, 1166, 376, 377, 378, 379, 380, 381, 382, 383, 384, 385, 1167, 1168, 1169, 12©8, 1209, 121©, 1211, 1212, 1213, 1214, 1215, 1216, 1217, 1218, 1962, 1963, 1964, 1965; p. 43, 1542, 517, 6©2, 518, 1©4©, 857, 858; p 44, 1277, 1278, 1243, 1966; p. 47, 1662, 1663, 1664; p. 48, 388, 389, 390, 391, 392, 393, 394, 941, 942, 943, 944, 945, 946, 947, 948, 949, 950, 951, 952, 953, 555, 556, 557, 558, 559, 560, 561, 562, 563, 564, 565, 566, 536, 537, 538, 539, 540, 541, 542, 543, 544, 545, 546, 547, 548, 549, 55©, 551, 552, 553, 554, 1219, 122©, 1221; p 49, 395, 396, 397, 398, 1954, 1540, 569, 57©; p. 50, 473, 567, 568, 1955, 1956, 1972; p. 51, 1327, 1328, 1329, 1343, 1344, 1345; p. 52, 4©8, 4©9, 410, 404, 1563, 571, 572, 573, 574, 575, 576, 1441, 577, 578, 1442, 1541, 1053, 1©54; p. 53, 6©5, 606, 1222, 1223, 1282, 1283, 954, 955, 956, 957, 958, 959, 960, 961, 962, 963, 964, 965, 966, 967, 607, 603, 595, 756, 757, 758, 1314, 1315, 1316, 1575, 1576, 1317, 1318, 1319, 1320, 1321, 1322, 1323, 1324, 1325, 759, 584, 585, 586, 587, 76©, 761, 762, 763, 764, 765, 766, 767, 130O, 1301, 13©2, 13©3, 1313, 588, 589, 59©, 1304, 1305; p 54, 1306, 768, 591, 592, 593, 594, 769, 770, 771, 772, 773, 774, 775, 776, 777, 604, 596, 1326, 597, 598, 599, 581, 582, 583, 778, 779, 78©, 781, 782, 783, 784, 785, 786, 58o, 60©, 60S, 1957, 1958; p 56, 416, 417, 418, 419, 42©, 421, 422, 423, 424, 425, 426, 427,428,429,430,431, 432, 433,434,435; p 57,441,442,443, 1686, 1687, 1688, 1689, 1690, 1691, 1692, 1693, 1694, 1695, 1696, 1697, 1698, 1699, 170O, 17ol, 1702, 17©3, 17©4, 17©5, 1706, 1707, 1708, 1709, 1710, 1711, 1712, 1713, 1714, 1715, 1716, 1717,446, 1718, 1719, 1720, 1721, 1722, 1723,1724, 1725, 1726, 1727, 1728, 1729, 1730, 1731, 1732, 1733, 1734, 1735, 1736, 1737, 1738, 1739, 1740, A741, 447, 448, 449, 450, 451,452,453,454,455,456,457,462,463,464,465,466, 467, 46*, 469, 1742, 1743, 1744, 1745, 1746, 1747, 1748, 1749, 1750, 1751, 1752, 1753, 3 751, 1755, 1756, 1757, 1758, 1759, 1760, 1761, 1762, 1763, 1764, 1765, 1766, 1767, 1768, 3 769, 1770, 1771; p 58, 470, 471,472, 407, 579, 787,635,632, 633, 6S4; p 59, 788, 789, 790, 625, 626, 627, 628, 629, 630, 631, 791, 792, 793, 794, 795, 796, 797, 798, 799, 636, 637; p 60, 638, 642, 643, 644, 645, 646, 647, 61*, 619, 6>0, 653, 6C4, 655, 656, 657, 658, 659, 660, 601, 662, 663, 664, 665, 666, 667, 66*, 156 INDEX OF PREPARERS OF SPECIMENS, ETC 670, 671, 672, 673, 674, 675, 676, 677, 678, 679, 68©, 681, 682, 683, 6S4, 685, p. 61. 686, 687, 688, 689, 690, 691, 1520, 1521, 1522, 1523, 1524, 1525, 1526, 1527, 1528, 1529, 153©, 1531, 1532, 1533, 1534, 1535, 1536, 1537, 692, 693, 694, 695, 696, 697, 698, 699, 7©©, 7©1, 7©2, 7©3, 7©4, 7©5, 706, 707, 708, 709, 710, 711, 712, 7B3, 714. 715, 716, 717, 718, 719, 720, 721, 722, 723, 724, 725, 726, 727, 728, 729, 73©, 731, 732. 733, 734, 735, 736, 737, 738, 739, 740, 741, 742, 743, 744, 745, 746, 747, 748, 749, 750, 751, 752, 753, 754, 755; p. 62, 861, 848, 8©©, 801, 802, 803, 859, 860, 804, 805, 8©6, 8©7, 808, 809, 810, 811, 812, 813, 814, 815, 816, 817, 1539, 1959; p. 63, 862; p. 64, 933, 934, 935, 936, 937, 938, 939, 851, 852, 853, 854, 855, 856; p. G5, 819, 820, 821, 1307, 13©8, 823, 2©35, 849, 850, 824, 825, 826, 827; p. 69, 829, 1975, 203©; p 70, 519, 52©, 521, 522, 523, 83©, 831, 832, 833, 834, 835, 836, 837, 838, 84©, 524, 841, 812, 843, 844, 525; p. 75, 1772, 1773, 1774, 1775, 1776, 1777, 1778, 1538, 2023, 2024, 2025; p. 76, 845, 846, 847, 981, 982, 983, 1779, 1780, 1781, 1782, 1783, 13«9, 1784, 1785, 1786, 1787, 1788, 1789, 179©, 1791, 1792, 1793, 1794, 1795, 1796, 1797; p. 77, 1798, 1799, 18©©, 18©I, 18©2, 1564, 1565, 1566, 1567, 1568, 1569, 1570, 1571, 1572, 1573, 1574, 1803, 1804, 18©5, 18©6, 18©7, 1808, 1809, 968, 969, 970, 971, 972, 973, 181©, 1811, 1812, 1813, 1977, 1976, 2©26, 2©27, 2028; p. 80, 1814, 1815, 1816, 1817, 98©, 974; p. 81, 985, 991, 986, 987, 988, 989, 990, 992, 993, 997; p. 82, 998, 999, 1©©©, 1©©3, 1©©4, 1©©5, 1©©6, 1©©7, 1©©8, 1©11, 1013, 1014, 1015, 1©16, 1©17, 1©19, 1492, 1©20, 1023, 1024, 1025, 1026, 1027, 1029, 1©3©, 1©31, 1©32, 1033; p. 83, 1035; p 87, 2©42, 2043, 2044; p. 88, 1337, 1338, 1339, 134©, 1341, 1342. p. 91, 1818, 131©, 1311, 1819, 182©, 1821, 1822, 1823, 514, 515, 511, 513, 386, 512; p. 92, 1263, 1978, 1824, 1825, 1826, 1827, 198©; p. 93, 1828, 1979, 2031, 1129, 113©, 1131, 1132, 1133, 1134, 1135, 1136, 1137, 1981, 516, 2©32: p. 97, 1829, 1830, 1831, 1833; p. 101, 1982; p. 105, 1055, 1056, 1057, 1©58, 1834, 1835, 1836, 1837, 1838, 1839, 1840, 1841, 1842, 1843, 1844, 1845, 1846, 1847, 1848, 1849, 1850, 1851, 1852, 1853, 1854, 1244, 1245, 1246, 1247, 1248, 1249, 1250, 1251, 1252, 1253, 1254, 1855, 1856, 1857, 1858, 1859, I860, 1861, 1862, 1863, 1864, 361, 362, 363, 364, 365, 366, 367, 368, 369, 2036, 2037, 2©38, 2039, 2040, 2041, 9©3, 9©4, 905; p. 106, 37©, 371; p. 109, 1865, 1866, 1867, 1868, 1869, 1497, 187©, 1496, 1291, 1292; p. 113, 1396, 1397, 1398, 1399, 140©, 14©2, 14©3, 14©1, 1405, 1406, 1107, 1408, 1409, 141©, 1411, 1412, 1413, 1414, 1415, 1416, 1417, 1418, 1419, 142©, 1121, 1422, 1423, 1424, 1425, 1426, 1427, 1428, 1429, 1430, 1431, 1433, 1434, 1435, 1436, 1437, 1438, 1439; p. 114, 144©, 1443, 1414, 1445, 1446, 1447, 1448, 1449, 145©, 1451, 1452, 1453, 1454, 1455, 1456, 1457, 1458, 1459, 146©, 1461, 1462, 1463, 1464, 1465, 1466, 1467, 1468, 1469, 147©, 1471, 1172, 1473, 1474, 1475, 1489, 149©, 1491, 1493, 1476, 1477, 1478, 1479, I486, 1481, 1482, 1483, 1484, 1485, 1486, 1487, 1488, 2119, 212©; p. J15, 1874, 1875, 1876, 1877, 1878, 1879, 188©, 1881, 1882, 1883, 1884, 1885, 1886, 1887, 1888, 1889, 189©, 1891, 1892, 1893, 1894, 1895, 1896, 21©3, 21©4, 2105, 21©6, 2lo7, 2108, 2109, 211©, 2111, 2112, 2113, 2114, 2115, 2116, 2117, 2118; p. 121, 1897, 1898, 1899, 19©©, 1901, 19©2, 1903, 1904, 1905, 19©6, 1907, 1908, 1909, 1910, 1912, 1913; p. 123, 1932, 1933; p. 125, 1951; p. 129, 444, 1498, 2051, 2052, 15©1. INDEX OF SPECIMENS IN THE MICROSCOPICAL SECTION. Note.—Numbers marked n. c. (not catalogued) represent Specimens that have been prepared in the Museum and subsequently exchanged for preparations of other makers. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. 1 14 52 70 1©3 77 154 80 2©5 51 256 *>■> 307 48 358 16 2 14 53 70 1©4 77 155 80 2©6 59 257 62 308 48 359 105 3 14 54 70 105 77 156 80 2©7 51 258 63 309 48 360 58 4 14 55 70 1©6 78 157 50 2©8 55 259 63 310 48 361 105 5 14 56 69 1©7 78 158 50 2©9 55 26© 63 311 48 362 105 6 14 57 69 108 78 159 50 21© 59 261 63 312 101 363 105 7 14 58 69 109 78 160 50 211 59 262 63 313 101 364 105 § 14 59 72 HO 78 161 50 212 59 263 63 314 23 365 105 9 14 60 70 111 78 162 52 213 55 264 63 315 35 366 105 1© 14 61 70 112 81 163 52 214 55 265 63 316 35 367 105 11 14 62 70 113 81 164 52 215 51 266 63 317 35 368 105 12 14 63 69 114 81 165 52 216 55 267 63 318 24 369 105 13 14 64 71 115 83 166 52 217. 55 268 63 319 24 370 106 14 14 65 71 116 80 167 52 218 59 269 63 320 24 371 106 15 14 66 71 117 78 168 52 219 51 27© 63 321 24 372 15 16 14 67 71 118 78 169 52 22© 59 271 63 322 35 373 15 17 14 68 71 119 78 170 52 221 55 272 63 323 25 374 15 18 14 69 71 120 78 171 58 222 55 273 63 324 25 375 42 19 14 70 71 121 78 172 58 223 55 274 63 325 32 376 42 20 15 71 71 122 78 173 58 224 55 275 63 326 25 377 42 21 15 72 71 123 78 174 58 225 55 276 47 327 32 378 42 22 17 73 71 124 78 175 58 226 55 277 47 328 32 379 42 23 17 74 71 125 78 176 58 227 59 278 64 329 32 380 42 24 10 75 71 126 78 177 58 228 55 279 64 33© 32 381 42 25 9 76 69 127 78 178 50 229 56 28© 47 3J51 43 382 42 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 16 47 48 49 9 77 71 128 78 179 54 23© 56 281 72 332 43 383 42 23 78 71 129 78 180 58 231 56 282 72 333 43 384 42 36 79 71 130 78 181 50 202 51 283 72 334 41 385 42 36 80 71 131 78 182 50 233 51 284 64 335 42 386 91 15 81 71 132 79 183 50 234 56 285 64 336 87 387 37 15 82 71 133 79 184 50 235 56 286 64 337 87 388 48 15 83 71 134 79 185 50 236 56 287 36 338 87 389 48 15 84 71 135 79 186 51 237 56 288 36 339 16 39© 48 16 85 72 136 79 187 51 238 56 289 47 340 87 391 48 17 86 72 137 79 188 54 239 56 29© 64 341 87 392 48 17 87 72 138 79 189 54 240 56 291 88 342 88 393 48 17 88 72 139 79 190 54 241 56 292 64 343 88 394 48 17 16 16 16 16 16 16 16 89 75 140 79 191 55 242 51 293 93 344 87 395 49 9© 75 141 79 192 55 243 51 294 93 345 87 396 49 91 75 142 79 193 55 244 51 295 93 346 81 397 49 92 80 143 79 194 59 245 59 296 92 347 88 398 49 93 75 144 79 195 25 246 51 297 91 348 80 399 49 94 145 80 196 47 247 56 298 91 349 35 460 49 95 75 146 80 197 47 248 59 299 92 350 44 4©1 49 96 75 147 79 198 47 249 51 3©0 92 351 36 4©2 49 59 97 148 79 199 49 250 51 301 91 352 36 4©3 15 19 98 77 149 79 260 51 251 62 302 92 353 10 404 52 19 99 150 79 201 55 252 62 303 92 354 32 1 4«a 48 70 1©© 77 151 79 202 55 253 62 304 92 355 64 ! 466 48 50 72 101 77 152 80 203 59 254 62 305 92 356 72 i 4«7 58 51 72 1©2 77 153 8(1 204 55 255 62 306 48 i 357 72 4US 52 !„ 13 O 13 kO O lO o >a O i3 lO in i3 l> t^ l^ i^ 1^ l> 00 l- 1> t^ (^ J-. 00 t- i> i> I- 00 00 00 00 00 00 X X QO 00 30 X X> 30 00 X 00 00 X X TO 00 30 X ?» 7t 00 00 X X X 00 00 00 00 X X X X X 7„ » X X X X) -C X _W«^(»ft©iN«M«^v?;D*.(»^©rtNM^ie^*»»ft©p*MM^W»^»ft©N«M^i*©r«roft©N«M^to»f»« gttWtttt>«;S;D;9;e;0;e;0;eftft©Aftft £• ft ©ft ft © ft ft ft ft ft ft © Ci ft ft ft ft ft ft ft ft OS ft ft'© ft ft © ft ft ft © ft © ft ft © ft ft ft ft ft ft ft ft ©©©©©©©©©©©©©©©©©©©©©©©©©©©©©©-© © Mp«rtMrtP4rtrtPN>4Na*NNNi4iNPNHNNNN<4«<>aM<4Xa(iD('N°N ^-,HnMnn-,n-,F,nlMMDIN(!l0(5l51NNM0l(MSI5tOOO5IM(MMN!(JINMCI' v SB S^»ft©*9»»^W;D^QI0ft©N<5*»^W»*«(»ft©M*»»^W5D^<»ft©*^M^>»;S^(»©©NNM^W;8^» «»»aBQB«)«(K(»«)«)(»(»(»SO(»QB<»;»(»(»C»<»©©ft ft, S'©®5*»M^>«»i»«)ft©"(«M^x?«t»atlft©«* »M^>*;&^(»ft©P*«M^i*50l»(»ft©rtS»M^IW;Di»<»©©*9»M^»*«et»(»ft©"* *»M^lvS;Si»aBft©p*«e5 «*>»«« ^ft©©©©©©©©©©Mp^^MP-M^*^^t»««««N««««MMMe9»MMMMM^^^^^^^^^^ifl«Wift«««ifli«w5®^®^^®^^^»^fr.t.^rot»f. |3SS33SSSS33SSSSS535SSSSSS33S5S5SSS5SSSSSSSSSSS a, g'*«M^W®i»(»©©p*«M^W;0*»[»ft©<*«M«*>O»i»«ift©iN««^u5»*»(»ft©^^ &9)StSt9tStStSiStSitt&ns*ttttftttttm*^*^^^^^^~filii»i&\tiiQ&iS\S\!SiG9999999 k"SS<5c2000000000°coooooooooooooooooooooooooooo — — —'^ — — — —c — —i—i — _ — — —.^h—. — —, — —,__j_____h — —i —____ ft, « «^W»^«)©©H«M^W»^(lB©©N«M«*«*»^»ft©rt«M^lfl»^Q)Bft©^«M^l«®J*QB©©^«M^w5^^aBCS©^«M tt««©»««C«©»^»^«»»^»»C»»C»C »»*»»»»»»»««»»»©»«»»»»»»© »»»©»^J5SS^S?^SS^^*.^i»^^^^^t» |p^-*oo^-wiOi»iooiflooi3ioioo»oino>oiflrti»ioo>rtioo»oifti»iftio^ino-*iffli3ooo ft, :».«fi©CC©t»t»t»i»i>i*i»t»t»t.qB3C*QlCaDaB*3D*«)ftftftftftft©ftft©©©©©©©©©©©a*-*t«rart»IM — X^finftflJIflfinjI^n^fM^Mni^M^Sirifi £(»»*3>ftftftftft ft ftftft ©©©©©©©©©©-.*****.<*-■*«««««*» *»««*MMMMMMM^ ft, d 55 £22SS222::::2::22222222223222232322^^ IN THE MICROSCOPICAL SECTION. 159 Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. Spec. Page. 1033 82 1111 25 1189 24 1267 9 1345 51 1423 1 13 1501 129 1579 125 1034 129 1112 25 1190 24 1268 19 1346 29 1424 1 13 1502 123 1580 122 1©35 83 1113 25 1191 24 1269 129 1347 29 1425 1 13 1503 124 1581 125 1©36 83 1114 25 1192 13 1270 17 1348 29 1426 1 13 1504 129 1582 125 1037 25 1115 25 1193 13 1271 17 1349 37 1427 1 13 1565 122 1583 124 1038 25 1116 25 1194 13 1272 17 1350 18 1428 1 13 1506 125 1584 125 1©39 25 1117 25 1195 13 1273 17 1351 18 1429 1 13 1507 125 1585 122 1©4© 43 1118 25 1196 13 1274 17 1352 18 1430 1 13 1508 125 1586 125 1041 25 1119 23 1197 13 1275 17 1353 18 1431 1 13 1509 122 1587 123 1042 29 112© 9 1198 13 1276 17 1354 18 1432 19 1510 122 1588 123 1043 29 1121 9 1199 13 1277 44 1355 18 1433 1 13 1511 122 1589 122 1044 31 1122 N c. 1200 13 1278 44 1356 18 1434 1 13 1512 124 159© 123 1©45 29 1123 24 1201 13 1279 17 1357 18 1435 1 13 1513 126 1591 123 1046 29 1124 24 12©2n. c. 1280 17 1358 18 1436 1 13 1514 126 1592 123 1047 31 1125 24 1203 13 1281 17 1359 18 1437 1 13 1515 126 1593 123 1048 29 1126 24 12©4 13 1282 53 1360 18 1438 1 13 1516 124 1594 123 1049 31 1127 24 1205 13 1283 53 1361 18 1439 1 13 1517 121 1595 23 1050 31 1128 24 1206 13 1284 18 1362 18 1440 1 14 1518 124 1596 23 1051 29 1129 93 12©7 13 1285 18 1363 18 1441 52 1519 s .C. 1597 24 1©52 29 1130 93 1208 42 1286 18 1364 18 1442 52 1520 61 1598 23 1©53 52 1131 93 12©9 42 1287 18 1365 18 1443 1 14 1521 61 1599 22 1©54 52 1132 93 121© 42 1288 18 1366 16 1444 1 14 1522 61 1600 123 1©55 105 1133 93 1211 42 1289 18 1367 18 1445 1 14 1523 61 1661 24 1©56 105 1134 93 1212 42 1290 18 1368 18 1146 1 14 1524 61 1602 23 1©57 105 1135 93 1213 42 1291 109 1369 18 1447 1 14 1525 61 1603 23 1©58 105 1136 93 1214 42 1292 109 1370 18 1448 1 14 1526 61 1604 129 1059 32 1137 93 1215 42 1293 18 1371 18 1449 1 14 1527 61 1605 25 I960 112 1138 23 1216 42 1294 18 1372 18 145© 1 14 1528 61 1606 22 1061 32 1139 23 1217 42 1295 18 1373 18 1451 ] 14 1529 61 1607 124 1062 30 1140 23 1218 42 1296 18 1374 18 1452 ] 14 1530 61 1608 124 1663 30 1141 25 1219 48 1297 18 1375 18 1453 ] 14 1531 61 1609 124 1064 30 1142 13 1220 48 1298 18 1376 18 1454 1 14 1532 61 161© 124 1©65 30 1143 13 1221 48 1299 129 1377 18 1455 ] 14 1533 61 1611 15 1066 30 1144 13 1222 53 1300 53 1378 18 1456 ] 14 1534 61 1612 41 1067 30 1145 13 1223 53 13©1 53 1379 18 1457 1 14 1535 61 1613 18 1068 30 1146 13 1224 13 1302 53 1380 18 1458 1 14 1536 61 1614 18 1069 30 1147 13 1225 13 1303 53 1381 18 1459 1 14 1537 61 1615 9 107© 30 1148 13 1226 24 1304 53 1382 18 1460 1 14 1538 75 1616 31 1071 30 1149 42 1227 24 1305 53 1383 18 1461 1 14 1539 62 1617 69 1©72 30 1150 42 1228 24 1306 54 1384 18 ■ 462 1 14 1540 49 1618 24 1©73 31 1151 42 1229 19 1307 65 1385 18 1463 1 14 1541 52 1619 42 1074 31 1152 42 1230 19 1308 65 1386 18 1464 ] 14 1542 43 1620 9 1075 32 1153 42 1231 19 1309 76 1387 18 1465 ] 14 1543 41 1621 42 1076 32 1154 42 1232 25 131© 91 1388 18 1466 1 14 1544 41 1622 43 1677 32 1155 42 1233 25 1311 91 1389 8 1467 1 14 1545 41 1623 31 1078 32 1156 42 1234 25 1312 23 1390 8 1468 1 14 1546n .c. 1624 76 1079 32 1157 42 1235 25 1313 53 1391 8 1469 1 14 1547 41 1625 76 1080 30 1158 42 1236 25 1314 53 1392 8 1470 1 14 1548 42 1626 76 1081 31 1159 42 1237 25 1315 53 1393 8 1471 1 14 1549 42 1627 13 1©82 31 1160 42 1238 25 1316 53 1394 8 1472 1 14 1550 42 1628 76 1083 31 1161 42 1239 25 1317 53 1395 8 1473 1 14 1551 41 1629 13 1084 35 1162 42 1240 25 1318 53 1396 ] 3 1474 1 14 1552 41 1630 30 1085 35 1163 42 1241 25 1319 53 1397 1 3 1475 ] 14 1553 91 1631 30 1086 35 1164 42 1242 25 1320 53 1398 ] 3 1476 1 14 1554 70 1632 76 1687 15 1165 42 1243 44 1321 53 1399 1 3 1477 1 14 1555 58 1633 9 1©88 15 1166 42 1244 105 1322 53 1400 l 3 1478 l 14 1556 42 1634 65 1089 15 1167 42 1245 105 1323 53 1401 8 1479 ] 14 1557 97 1635 n. c. 1090 15 1168 42 1246 105 1324 53 1.402 1 3 148© l 14 1558 42 1636 n. c. 1091 15 1169 42 1247 105 1325 53 1403 1 13 1481 ] 14 1559 92 1637 n. J. 1092 15 1170 13 1248 105 1326 54 1404 ] 3 1482 1 14 156© 53 1638 N. D. 1093 15 1171 14 1249 105 1327 51 1405 1 3 1483 ] 14 1561 25 1639 n. C. 1094 15 1172 13 1250 105 1328 51 1406 1 3 1484 ] 14 1562 109 IOIOn. D. 1095 24 1173 13 1251 105 1329 51 1407 1 3 1485 l 14 1563 52 1641 n. 3. 1096 24 1174 13 1252 105 1330 29 1408 1 3 1486 1 14 1564 77 1642 n. C. 1697 24 1175 18 1253 105 1331 29 1409 1 3 1487 1 14 1565 77 1643 n. C. 1©98 24 1176 18 1254 105 1332 29 1410 1 3 1488 1 14 1566 77 1644 n. c. 1099 24 1177 18 1255 15 1333 29 1411 1 13 1489 l 14 1567 77 1645 n. c. 1100 23 1178 18 1256 15 1334 29 1412 1 3 149© 1 14 1568 77 1646 n. c. 1101 24 1179 18 1257 15 1335 29 1413 1 13 1491 1 14 1569 77 1647 n. c. 1102 24 1180 18 1258 15 1336 29 1414 1 3 1492 82 1570 77 1648 n. c. 1103 24 1181 18 1259 15 1337 88 1415 1 13 1493 ] 14 1571 77 1649 n. c. 8 104 24 1182 18 1260 15 1338 88 1416 1 13 1494 87 1572 77 1650 n. c. 1105 24 1183 18 1261 > . c. 1339 88 1417 1 13 1495 88 1573 77 1651 n. c. 1106 24 1184 24 1262 15 1340 88 1418 1 13 1496 1 09 1574 77 1652 n. c. 1107 24 1185 24 1263 92 1341 88 1419 1 13 1497 1 09 1575 53 1653 n. c. 1108 24 1186 24 1264 15 1342 88 1420 1 13 1498 1 29 1576 53 1654 24 1109 25 1187 24 1265 29 1343 51 1421 1 13 1499 88 ! 1577 N. C. 1655 24 1HON c. 1188 24 1266 15 1344 51 1422 1 13 150© 1 09 1578 125 1656 24 160 INDEX OP SPECIMENS, ETC. Spec. Page. Spec. Page. 1657 24 1715 57 1658 24 1716 57 1659 24 1717 57 1660 24 1718 57 1661 24 1719 57 1662 47 1720 57 1663 47 1721 57 1664 47 1722 57 1665 9 1723 57 1666 35 1724 57 1667 35 1725 57 1668 35 1726 57 1669 25 1727 57 1670 25 1728 57 1671 25 1729 57 1672 25 1730 57 1673 25 1731 57 1674 25 1732 57 1675 n c. 1733 57 1676 N c. 1734 57 1677 N c. 1735 57 1678 31 1736 57 1679 30 1737 57 1680 30 1738 57 1681 30 1739 57 1682 31 174© 57 1683 31 1741 57 1684 31 1742 57 1685 32 1743 57 1686 57 1744 57 1687 57 1745 57 1688 57 1746 57 1689 57 1747 57 1690 57 174* 57 1691 57 1749 57 1692 57 1750 57 1693 57 1751 57 1694 57 1752 57 1695 57 1753 57 1696 57 1754 57 1697 57 1755 57 1698 57 1756 57 1699 57 1757 57 17©0 57 1758 57 1701 57 1759 57 17©2 57 1760 57 17©3 57 1761 57 17©4 57 1762 57 17©5 57 1763 57 17©6 57 1764 57 1767 57 1765 57 17©8 57 1766 57 1709 57 1767 57 1710 57 1768 57 1711 57 1769 57 1712 57 1770 57-« 1713 57 1771 57 1714 57 1772 75 Spec. Page. Spec. Page. 1773 75 1831 97 1774 75 1832 129 1775 75 1833 97 1776 75 1834 105 1777 75 1835 105 1778 75 1836 105 1779 76 1837 105 1780 76 1838 105 1781 76 1839 105 1782 76 1840 105 1783 76 1841 105 1784 76 1842 105 1785 76 1843 105 1786 76 1844 105 1787 76 1845 105 1788 76 1846 105 1789 76 1847 105 1790 76 1848 105 1791 76 1849 105 1792 76 1850 105 1793 76 1851 105 1794 76 1852 105 1795 76 1853 105 1796 76 1854 105 1797 76 1855 105 1798 77 1856 105 1799 77 1857 105 I860 77 1858 105 1801 77 1859 105 1802 77 1860 105 1803 77 1861 105 1804 77 1862 105 1805 77 1863 105 18©6 77 1864 105 1867 77 1865 109 1808 77 1866 109 1*09 77 1867 109 1810 77 1868 109 1811 77 1869 109 1812 77 1870 109 1813 77 1871 N. c. 1814 80 1872 n. c. 1815 80 1873N. c. 1816 80 1874 115 1817 80 1875 115 1818 91 1876 115 1819 91 1877 115 1820 91 1878 115 1821 91 1879 115 1822 91 1880 115 1823 91 1881 115 1824 92 1882 115 1825 92 1883 115 1826 92 1884 115 1827 92 1885 115 1828 93 1886 115 1829 97 1887 115 1830 97 1888 115 Spec. Page. Spec. Page. 1889 115 1947 125 1890 115 1948 125 1891 115 1949 125 1892 115 1950 125 1893 115 1951 125 1894 115 1952 125 1895 115 1953 125 1896 115 1954 49 1897 121 1955 50 1898 121 1956 50 1899 121 1957 54 1900 121 1958 54 19©1 121 1959 62 19©2 121 1969 41 1903 121 1961 41 1994 121 1962 42 1995 121 1963 42 1906 121 1964 42 1997 121 1965 42 1998 121 1966 44 1999 121 1967 24 191© 121 1968 24 1911 121 1969 24 1912 121 197© 24 1913 121 1971 24 1914 121 1972 50 1915 121 1973 23 1916 121 1974 23 1917 122 1975 69 1918 122 1976 77 1919 122 1977 77 1920 122 1978 92 1921 122 1979 93 1922 122 1980 92 1923 122 1981 93 1924 122 1982 101 1925 122 1983 13 1926 122 1984 13 1927 122 1985 13 1928 122 1986 13 1929 122 1987 13 1930 122 1988 13 1931 122 1989 13 1932 123 1990 13 1933 123 1991 13 1934 123 1992 13 1935 123 1993 13 1936 123 1994 13 1937 123 1995 13 1938 124 1996 13 1939 124 1997 13 1949 124 1998 13 1941 124 1999 13 1942 124 200© 13 1943 124 20©1 13 1944 125 2©©2 13 1945 125 2©©3 13 1946 125 2©©1 13 Spec. Page. Spec. Page. 2005 13 2063 116 20©6 13 2064 116 2007 13 2065 116 20©8 13 2066 116 2009 13 2067 116 2910 13 2068 116 2011 13 2069 116 2012 15 2070 116 2013 13 2071 116 2014 17 2072 116 2©15 17 2©73 116 2©16 24 2074 116 2©17 24 2075 116 2018 24 2076 116 2019 24 2077 116 2020 24 2©78 116 2021 24 2©79 117 2©22 24 2080 117 2©23 75 2081 117 3©24 75 2082 117 2025 75 2083 117 2026 77 2084 117 2©27 77 2085 117 2©28 77 2086 117 2029 13 2087 117 2030 69 2088 117 2©31 93 2©89 117 2032 93 2999 117 2033 41 2991 122 2034 41 2092 122 2035 65 2993 125 2036 105 2994 125 2©37 105 2095 125 2©38 105 2696 125 2©39 105 2097 125 204© 105 2998 125 2©41 105 2999 126 2012 87 2100 126 2©43 87 21©1 126 2©44 87 2102 126 2045 24 2103 115 2046 109 2104 115 2047 109 2105 115 2048 37 2106 115 2049 37 2107 115 2950 37 2108 115 2051 129 21 ©9 115 2052 129 2119 115 2053 129 2111 115 2954 129 2112 115 2055 129 2113 115 2056 129 2114 115 2057 129 2115 115 2058 115 2116 115 20 59 115 2117 115 2969 115 2118 115 2061 115 2119 114 2062 115 2129 114 INDEX OF NEGATIVES IN THE MICROSCOPICAL SECTION. Note.—Numbers marked N. c. (not catalogued) represent Negatives which are no longer printed from, they having been superseded by better Negatives of the same objects subsequently obtained. Keg. Page. Neg. Page. Neg. Page. Neg. Page. Neg. Page. Neg. Page. Neg. Page. Neg. Page, 1 149 29 139 39 143 58 141 77 N. C. 96 148 115 136 134 147 2 136 21 142 40 143 59 139 78 147 97 144 116 136 135 148 3 136 22 140 41 143 69 145 79 144 98 148 117 136 136 148 4 136 23 141 42 144 61 145 80 147 99 147 118 136 137 148 5 136 24 141 43 143 62 137 81 147 19© 148 119 137 138 148 6 138 25 141 44 144 63 137 82 147 lOl 148 120 146 139 148 7 138 26 139 45 142 64 140 83 145 102 137 121 146 149 148 8 143 27 142 46 142 65 140 84 138 1©3 138 122 140 141 148 9 143 28 142 47 141 66 140 85 138 104 145 123 140 142 148 10 143 29 142 48 141 67 148 86 138 105 145 124 140 143 142 11 N. c. 3© 143 49 141 68 N. c. 87 138 106 145 125 137 144 142 12 145 31 142 59 N. c. 69 N. c. 88 138 107 145 126 139 145 142 13 145 32 142 51 N. c. 7©N. c. 89 138 108 145 127 139 146 148 14 142 33 N. c. 52 n. c. 71 N. c. 90 141 109 149 128 147 1 17 135 15 143 34 143 53 n. c. 72 n. c. 91 141 110 146 129 147 118 144 16 136 35 n. c. 54 n. c. 73 148 92 143 111 146 130 142 149 147 17 144 36 "143 55 n. c. 74 n. c. 93 141 112 146 131 147 18 144 37 143 56 n. c. 75 148 94 143 113 146 132 147 19 139 38 143 57 135 76 • 148 95 148 114 149 133 147 21a \ \ B am ^SB