Inflammation regarded as a physiological reaction to an infecting lesion : the oration of the Hunterian Society, delivered at the London Institution, February 11th, 1885 / by F. Charlewood Turner.

  • Turner, Francis Charlewood, 1843-1900.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Inflammation regarded as a physiological reaction to an infecting lesion : the oration of the Hunterian Society, delivered at the London Institution, February 11th, 1885 / by F. Charlewood Turner. Source: Wellcome Collection.

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

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    severe injuries in falling from the bulwark of a ship into a lighter alongside of her. The patient remained uncon- scious up to within a short time of his deaths which occurred on the sixth day after the accident; but he was very restless all the time^ continually rolling about in his bedj and at first he was noisy and violent. His tem- perature rose to 102° in the evening of the day after his admission^ and continued high^ with morning remissions, up to the day of his death, when it rose to 105°. At the autopsy enclosed collections of pus, over which the pleura was smooth and uninjured, were found about fractures of the eighth, ninth, and tenth ribs on the left side near the spine. About these fractures the peri- osteum had been separated for a considerable distance, exposing the rough and jagged ends of the fragments. The eleventh rib had also been fractured and had caused perforation of the pleura. There was some serous exu- dation in the pleural cavity and much lymph over the lower part of the lung. There was also a comminuted fracture of the left ala ilii, a fracture of the left pubic bone near the symphysis, and separation of the left sacro-iliac synchondrosis, about none of which injuries was there suppuration, or any sign of inflammation present. There was also extensive bruising over the left hip. The absence of suppuration abont the severe pelvic fractures in this case, which must have been also sub- jected to some movement—though little in comparison with the effect of the patient’s movements on the frac- tured ribs, the pelvis being protected by the mass of soft tissues surrounding it, and the fractured parts, where subject to displacement, not being broughti back into place