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It was unable to put the left hind leg to the ground, and at the upper tuberosity of the ileum some crepitus could be distinguished. I subtracted six ounces of blood, administered a physic-ball, and ordered the patient to be well fomented with warm water several times during the night. On the following day no wound could be discovered, but there was great tenderness. I continued the fomentation.
The spinous process of the lower dorsal vertebra seemed to be unusually prominent, leading to the supposition that the spinous process of the upper lumbar vertebra might be fractured and depressed. However, I was unable to detect mobility or crepitus in any of the processes, spinous or transverse, either of the dorsal or lumbar vertebræ. There was considerable tenderness over the lumbar region.
As I manipulated the limb to catch the sound of the crepitus the injured man screamed, and he was continually in very severe pain. He did not, however, again lose consciousness. "I must have a stretcher, and he must be carried to a room. I can't do anything here," I said to Sir Cyril. "And you had better send for a first-rate surgeon.
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