Title: Instructions concerning a wound in his temple, penetrating to the bone, (and) perforating his temporal bone.Įxamination: If thou examinest a man having a wound in his temple, penetrating to the bone, (and) perforating his temporal bone, while his two eyes are blood shot, he discharges blood from both his nostrils, and a little drops if thou puttest thy fingers on the mouth of that wound (and) he shudder exceedingly if thou ask of him concerning his malady and he speak not to thee while copious tears fall from both his eyes, so that he thrusts his hand often to his face that he may wipe both his eyes with the back of his hand as a child does, and knows not that he does so.ĭiagnosis: Thou shouldst say concerning him: "One having a wound in his temple, penetrating to the bone, (and) perforating his temporal bone while he discharges blood from both his nostrils, he suffers with stiffness in his neck, (and) he is speechless. Here are two case examples of head trauma from the Edwin Smith PapyrusĬase Twenty offers an example of a person with head trauma resulting in speechlessness: Of the 48 cases described, fourteen were considered to be ones not to be treated. Treatments involve bandages, plasters, stitching, cauterization and splints, and surgical dressings, e.g. "An ailment not to be treated" - the condition cannot be treated at all because the injury is thought to be incurable.The doctor will try to treat the condition, but the outcome is uncertain. "An ailment with which I will contend" - used for difficult but not impossible cases."An ailment which I will treat" - used for injuries that most likely will be cured.Classification of the case into one of three types:.Types of examination include: sensory testing, probing of the wound and movement of the affected body part. Title: description of the type of injury and its location.8 injuries to the sternum and ribs (cases #39-46).2 injuries to the clavicle (cases #34-35).6 throat and neck injuries (cases #28-33).Several cases discuss the brain, meninges (coverings of the brain), spinal cord, and cerebrospinal fluid for the first time in recorded history. The Edwin Smith papyrus, written by physicians in Egypt around 1700 BC contains a description of 48 medical cases.
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