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The patient, Mr. W., while riding on a bicycle, Tuesday morning, June 1, was struck by a street car and severely injured. He was immediately taken to the Baptist Hospital, entering the service of Dr. Bayard Holmes, at 10:15 a. m. At this time he was conscious; there was no deviation of the eyes, no ptosis and the pupils were neither contracted nor dilated, and they both reacted to light. His hearing was apparently normal and there was no hemorrhage from the ears. There was no aphasia, as speech was normal, and no paralysis in any part of the body was evident. There was a good deal of hemorrhage from the nose and mouth, the upper lip being cut from the left nostril through the lower border of the nasal septum and through the lip a little to the left of the median line. This involved all the structures of
ALFORD ET. CASE OF SIMPLE FRACTURE OF THE VAULT, WITH MENINGITIS ON THE THIRD DAY. AUTOPSY. JAMA. 1901;XXXVII(13):834–835. doi:10.1001/jama.1901.62470390036002
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