Case of elongation of the under jaw, and distortion of the face and neck, caused by a burn, successfully treated / by Dr. S. P. Hullihen, of Wheeling, Va.

  • Hullihen, S. P. (Simon P.), 1810-1857.
Date:
1849
Catalogue details

Licence: Public Domain Mark

Credit: Case of elongation of the under jaw, and distortion of the face and neck, caused by a burn, successfully treated / by Dr. S. P. Hullihen, of Wheeling, Va. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    over this a cravat tied in the usual way, constituted all the dressing deemed advisable at this time. The patient bore this tedious and very painful operation with great fortitude, and without uttering scarce a murmur. She was somewhat exhausted, but not from the loss of blood; there was no vessel divided of sufficient importance to require a ligature. August 1st.—During the fore part of last night the patient was somewhat distressed—was very unmanageable—would talk incessantly, and occasionally sat up in bed. An anodyne was administered at 12 o'clock, after which she rested much better, and slept some. Complains of sickness of the stomach this morning—has vomited three or four times; flap very pale ; pulse rather weak. Patient directed to refrain from taking all kinds of drink. 2d.—Patient complains of pain only in the shoulder; was much distressed the latter part of last night on account of a retention of urine. The catheter was employed, and about three pints of urine drawn off, after which she rested well. Pulse somewhat excited; flap better color. 3d.—The patient rested well last night—the use of the catheter still necessary. All efforts to keep the patient from talking and moving unavailing; color of the flap rather pale, save at the extreme point, and about two inches along the lower edge, which is assuming rather a dark blue color; pulse about the same as yesterday. Removed a pin from near the point of the flap, and enveloped the neck in cotton batting. Patient complains of hunger—chicken broth ordered. 4th.—Patient rested well; the use of the catheter still neces- sary ; complains of slight head-ache; the color of the flap nearly natural, and even the point is assuming a healthy hue, and appears to be uniting; pulse almost natural. 5th.—Urinates without difficulty; bowels moved by injec- tion; patient entirely free from pain ; pulse natural.