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The patient was a boy of sixteen, who climbed up a lamp-post to get a light for his bicycle lamp; his feet slipped off the ornamental ledge which passed horizontally around the post about four feet from the ground, and he fell. In the fall a lead pencil in his waistcoat pocket caught on the ledge and was driven into the axilla, breaking off out of sight.
Tremaine mentions a sergeant of thirty-four who, in a fray with some hostile Indians, received seven arrow-wounds: two on the anterior surface of the right arm; one in the right axilla; one on the right side of the chest near the axillary border; two on the posterior surface of the left arm near the elbow-joint, and one on the left temple.
Martin gives a very clear illustration of a woman with a supernumerary breast below the natural organ. Sneddon, who has collected quite a number of cases of polymazia, quotes the case of a woman who had two swellings in each axilla in which gland-structure was made out, but with no external openings, and which had no anatomic connection with the mammary glands proper.
The spots chosen are the cavity of the axilla, corresponding with our armpit, and the crease where the thigh joins the belly. Eggs are laid in both places, but not many, showing that the groin and the axilla are adopted only reluctantly and for lack of a better spot. With an unplucked bird, also hooded, the same experiment failed: the feathers prevent the fly from slipping into those deep places.
Probably the most remarkable feature of this curious accident was the fact that there was no fracture or injury to the bone, and it was thought possible that the function of the arm would be but little impaired. Tousey reports a case of foreign body in the axilla that was taken for a necrotic fragment of the clavicle.
Elliotson mentions sweat from the left half of the body and the left extremities only. Lewis reports a case of unilateral perspiration with an excess of temperature of 3.5 degrees F. in the axilla of the perspiring side. Mills, White, Dow, and Duncan also cite instances of unilateral perspiration.
CASE XVII. The more accurately to observe the progress of the infection I selected a healthy boy, about eight years old, for the purpose of inoculation for the cow-pox. On the seventh day he complained of uneasiness in the axilla, and on the ninth he became a little chilly, lost his appetite, and had a slight headache.
I also met with a tree about twenty feet high belonging to the natural order Dilleniaceae, with large spreading branches, producing at the axilla of the leaves from three to five large yellow flowers, with a row of red appendages surrounding the carpels, and a fine species of Calophyllum, with large dark green leaves, six to eight inches long, two and a half to three inches broad, beautifully veined, and with axillary racemes of white, sweet-scented flowers; the seed being a large round nut with a thin rind, of a yellowish-green colour when ripe.
When the pus forms in the axillary space, the treatment consists in making free incisions, which should be placed on the thoracic side of the axilla to avoid the axillary vessels and nerves. If the pus spreads on to the chest wall, the abscess should be opened below the clavicle by Hilton's method, and a counter opening may be made in the axilla.
CASE XI. William Stinchcomb was a fellow servant with Nichols at Mr. Bromedge's farm at the time the cattle had the cow-pox, and he was, unfortunately, infected by them. His left hand was very severely affected with several corroding ulcers, and a tumour of considerable size appeared in the axilla of that side.
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