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Article
March 19, 1892

REPORT OF THE SURGICAL CLINICS,Held at the Western Pennsylvania Hospital, before the Students of the Western Pennsylvania Medical College,

JAMA. 1892;XVIII(12):350-354. doi:10.1001/jama.1892.02411160008001b

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Abstract

[Reported by E. E. Wible, M.D., a member of the Graduating Class.]

(Continuedfrom page 319.)

November 8, 1890.

FRACTURE OF THE BASE OF THE SKULL.

This man, æt. 27, was hurt and admitted to the hospital on October 16, 1890. He is a brakeman on the Pan-Handle Railroad. While riding on top a box car a stone came rolling down the side of the hill near the Point Bridge and struck him on the forehead above the left eye, causing insensibility of the patient to some extent, bleeding at the nose and at the left ear and ecchymosis under the sclerotic coat of the left eye. When you have a patient that has received a blow on the vault of the cranium sufficient to cause a fracture, although you may not be able to find one, and there is a bloody watery discharge from the ear, ecchymosis of the eye,

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