In opening the chest and lifting the sternum the clavicles had not disarticulated I was persuasive essay writer surprised find the bone at its junction the upper piece bending and slightly cracking, rather than snapping asunder, as usually does and from the cracked surfaces about a teaspoonful or more thick, red, grumous matter i sued. I then exposed the ends, and found them soft and spongy.
I next examined the conditions the ribs, and was not a little astonished find, upon bending them, how easily they broke.
I tried four or five the upper ribs both sides, beginning at the third, and they all broke much in the same way, with very little force. The ribs were thinner and darker than natural, and the fractured ends had not the usual spicular appearance. Each rib bent first, and then gave way much like a piece mill-board. I convinced that if much restraint had been required for this poor woman, very little force, over the chest, would have sufficed crush in.
The subject broken ribs at asylums calls for, I think, especial inquiry many cases having lately occurred at difierent asylums that much uneasiness has thereby been created in the public write my paper for money mind, and has led the belief that the poor creatures, who are placed in those institutions, not receive the kind and gentle treatment they are entitled and that the supervision left too much those who have but little interest in their welfare, and who resort physical rather than moral force restrain the obstinate and refractory, and in their the public opinion the broken ribs are thitls accounted for.
Is not possible and even probable that the diseased condition the brain in insane persons, may have some influence the nutrition bone? The state this poor woman's bones would certainly lead that conclusion.
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Observation the nature the fractures produced in the above eight cases has convinced that had any the ribs been broken during life the injury could not have been detected before the post-mortem examination was made. As regards treatment, however, this no drawback, there being no displacement, and no complete solution continuity, the necessity for employing a bandage not urgent, and its absence cannot prejudicial. Of course I not mean in the smallest degree insinuate that a bandage should not applied if a fracture discovered, or even if there reasonable ground for supposing In three cases there was disease the sternum and worthy note that the abnormal condition was most marked at the same point, the level between the second and third ribs, in each case.
Had a very small amount force been applied over the chest either these patients during life a fracture would certainly have been caused and the diseased condition would then, doubtless, have been attributed dissertation writing uk the injury, and probably some innocent and worthy attendant held general opprobrium, or even, in the present morbidly excited state public opinion regarding asylums, tried for manslaughter or murder. The last case I have remark the first which attracted notice the subject under discussion, has already occupied a large share buy thesis paper public attention.
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On observing the fractured ribs in the case Rees Price, professional personal best essays statement writing services I at once jumped the conclusion that the injuries must have been caused great violence applied his chest some persons or person other than himself and that the pleurisy from which had sufiered was a result the injuries thus produced. Further consideration the facts his case, viewed in the light the results obtained from subsequent postmortem examinations, affords evidence that both these conclusions are likely erroneous. It much regretted that the condition the bones, as regards their fragility, was not carefully observed yet, I imagine, sufficient facts can adduced prove that they were in a normal state. It was ascertained that there was no laceration the soft textures at the seat injury, no extravasation blood, and no formation callus or pus. Further, that the fractures were all incomplete, the motion in each bone being that a simple hinge there was no displacement and even after the removal the sternum, no crepitus could produced manipulation. Can supposed that eight ribs normal consistence could fractured without causing such an amount injury the surrounding soft parts as would necessarily indicated sanguineous effusion ? The injuries were doubtless caused force applied over the front the jhpsti, bending the ribs, and increasing their natural convexity. There no evidence show that this patient was subjected violent usage. There abundance proof that was extremely restless, and that was unable stand without assistance during at least a week before his death. If, then, admitted, from observation the nature the fractures, that his bones were in anabnormal and softened condition, possible, nay, even probable, that the injury might have been caused a fall some It no unusual occurrence for patients, who are affected cerebral softening, suffer, during the last days life, from pneumonia. This condition not rarely complicated with pleuritis, and was found have existed in the case Inasmuch as I cannot see how injury the bony case the chest, which has been insufficient hurt the immediate lining the bones, should yet sufficient cause inflammation the subjacent membrane, appears probable that the intrarthoracic disease, which existed in this case, was caused solely defective nutrition If this case, as I believe, was another instance the softened condition the bones the insane, then nine out twenty examinations have resulted in the discovery a markedly diseased state the osseous system and observed that this condition not confined any form disease, or any particular age, and that found exist in both sexes.
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