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Wyndam Bolling Blanton medical notebook, July-September 1915

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87 Multiple shell wound of soft parts. One of upper rt thigh. One of anterior surface of leg in upper part. Persistent sinus leading down to tibia c daily escape of considerable pus accumulation. Sequestra from time to time. No change in condition during time of observation. Typically chronic The granulations surrounding the sinus were typical of foreign viz. exuberant and showing a tendency to turn out. at the expense of any epithelium that may be attempting to cover over the denuded area.