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January 25, 1908


JAMA. 1908;L(4):281. doi:10.1001/jama.1908.25310300033003f

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Mr. L. T.; aged 24; married; occupation, rural mail carrier; was first seen Nov. 6, 1907, at 11:10 p. m. I found the patient in a semi-conscious condition due to loss of blood; no radial pulse; heart action, 130; temperature, 97.4 F. He was lying in a pool of blood coming from a wound in the scrotum, caused by the removal of the left testicle, the cord being cut within the tunica vaginalis. I immediately applied pressure over the pubic region, and after removing clots with my finger, caught and tied vessels with chromicized catgut. The sac was then irrigated with a hot 1-1000 solution of alphazone.

The active hemorrhage being controlled, the cavity was packed with 10 per cent. iodoform gauze, and a light bandage was applied. The heart was stimulated with 1/60 gr. strychnin sulphate, administered hypodermically, and pain was controlled by scopolamin and morphin. A normal salt

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