d treatment 341

CHAPTER X

INJURIES TO THE CHEST

Non-penetrating wounds of the chest wall--Penetrating wounds, special
characters of entrance and exit apertures--Fracture of the ribs,
symptoms, treatment--Wounds of the diaphragm--Wounds of the
heart--Wounds of the lung, symptoms--Pneumothorax--Haemothorax--
Empyema--Diagnosis, prognosis, and treatment of haemothorax--Cases
of haemothorax 374

CHAPTER XI

INJURIES TO THE ABDOMEN

Introductory remarks--Wounds of the abdominal wall--Penetration of
the intestinal area without definite evidence of visceral injury--Wounds
of explosive character--Anatomical characters of intestinal wounds--Wounds
of the mesentery---Wounds of the omentum--Results of intestinal
wounds, faecal extravasation, peritoneal infection, septicaemia--Reasons
for the escape of severe injury in wounds traversing the
abdomen--Wounds of the stomach--Wounds of the small intestine--Wounds
of the large intestine--Prognosis in intestinal injuries--Treatment
of intestinal injuries--Wounds of the urinary bladder--Wounds
of the kidney--Wounds of the liver--Wounds of the spleen--General
remarks on the prognosis in abdominal injuries--Wounds of
the external genital organs--Wounds of the urethra 407

CHAPTER XII

ON SHELL WOUNDS

Varieties of shells employed--Large shells--Wounds produced by different
varieties--Pom-Pom shells--Wounds produced by fragments and
fuses--Shrapnel--Boer segment shells--Leaden shrapnel bullets--Treatment
of shell wounds 474

INDEX OF CONTENTS 487

ILLUSTRATIONS

_PLATES_

VARIETIES OF AMMUNITION COLLECTED AT LADYSMITH _Frontispiece_

1. SECTION OF MAUSER APERTURE OF ENTRY _To face p._ 73

2. SECTION OF MAUSER APERTURE OF EXIT 76

3. PUNCTURED FRACTURE OF CLAVICLE 162

4. COMMINUTED FRACTURE OF SHAFT OF HUMERUS 180

5. COMMINUTED FRACTURE OF HUMERUS ACCOMPANIED BY AN
EXPLOSIVE EXIT 182

6. COMMINUTED FRACTURE OF HUMERUS DUE TO OBLIQUE IMPACT 184

7. SAME FRACTURE HEALED 186

8. LOW VELOCITY FRACTURE OF HUMERUS WITH RETAINED
BULLET