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breath, mouth, and fauces revealing nothing as to the nature ACADEMY OF MEDICINE IN IRELAND. poison, it was deemed advisable to give her oneeighth of a grain of apomorphia subcutaneously. In fifteen THE Pathological Section met on April 6th. minutes she expelled with a gush about five ounces of a dark-coloured liquid, smelling strongly of carbolic acid. Specimens Exhibited by Card.—Mr. P. S. ABRAHAM o bodies in the Medulla and Cerebellum from a Colloid-like the stomachwhat the ascertained now poison was, Having Diabetes. case of she oil This soon used and some olive Surgeon-Major HAMILTON : Three speciinjected. pump was vomited, together with a little more of the same dark- mens of Typhoid Lesions; ulcers in the ileum. Mr. coloured fluid. The urine passed was of a dark-brown THOMSON : Multiple Fractures of the Lower Jaw. Dr. of the

colour and gave the usual tests for carbolic acid. The foeces also of a dark colour. With the exception of some

were

soreness of the mouth and throat, together with

a little pain epigastrium, all of which were relieved by appropriate medicines, she recovered without a bad symptom, and on the fifch day after admission was discharged. To complete the history of the case, it may be added that having had a quarrel with her lover she determined to destroy herself, and with that intention took a pennyworth, about one ounce and a half, of the common crude carbolic acid.

in the

WALTER SMITH: Abdominal Aneurism. Dr. PURSER : Atheroma of Aorta, Endarteritis Deformans. Mr. J. DAVISON and Mr. P. S. ABRAHAM: Bones of young lower Animalsafter Fracture, showing increase in size. Dr. J. M. REDMOND :

Spontaneous

Aneurism of the Brachial

showing deposit on aortic valves.

Artery ;

heart

Mr. JOHN B. STORY exhibited a young man, aged twentysuffering from Hemiatrophia Facialis upon the right side. The patient’s mother stated that the defect was congenital, and had been caused by a fright early in her pregnancy from a guinea-pig being thrust into her face. In favour of this theory there was an undoubtedly congenital CASHEL UNION HOSPITAL. deformity of the right auricle upon the same side. In the atrophy all the tissues, skin, muscle, and bones were involved, NECROSIS OF SKULL FROM TERTIARY SYPHILIS. the skin atrophy being best marked over the eyebrow, and of (Under the care of Dr. LAFFAN.) the bones the superior and inferior maxilla were mostly imTHE subjoined case possesses some interest from the plicated, -Dr. M ’SwiNEY asked whether the man was idiotic, whether he had been delivered at his birth with forceps.guarded prognosis which it suggests in cases of syphilis, and or Mr. STORY replied in the negative to both questions. from the obvious failure of mercury to prevent the worst Dr. WALTER SMITH exhibited an Abdominal Aneurism manifestations of the disorder years after the original disease taken from a man aged thirty-eight years, who died on the was contracted. 10th ult. The immediate cause of death was an acute D. C-, a smith by trade, aged thirty-four, was admitted pleuro-pneumonia on the right side. The aneurismal symin March, 1878, with an abscess in the right ankle. He ptoms first declared themselves about two years and three contracted syphilis in 1871, for which he was mercurialised. months before his death by pains in the back, which In 1875 syphilis attacked him again, for which he was gradually increased in severity until he was obliged to give treated with mercurial fumigations. There was some history up work and seek admission into the hospital. Below the of scrofula, but not a very clear one. He got occasional ensiform cartilage could be seen and felt a tremulous pulsarigors when the weather changed, and these continued ; tion, attended with a loud systolic murmur, audible as low They were accompanied by sleepiness and loss of appetite. as the umbilicus, and posteriorly along the spine from the pulse 160; tongue brown and dry; head hot, but without eighth dorsal to the second lumbar vertebra. In Decemner pain; pupils contracting and sensible to light; noise in the last an eccentric impulse was detected under the twelfth rib on the leftside; and about the middle of February he was ears. July 29th, 1882.—A round piece of frontal bone exposed seized with intense pain in the right hip, thigh, and leg; and necrosed over right eye, bone also exposed over left eye, and from this date he rapidly sank. The autopsy showed with pus flowing freely from both places ; sight unaffected ; that the right lung was consolidated ; weight 3 lb. 10 oz. ; taste on tongue ; occasional vomiting ; some stupor present, abundant flaky lymph on pleura. The left lung was healthy ;D which is more marked from time to time; some injection weight 1 lb. 12 oz. A large saccular aneurism sprang immeof conjunctiva. A marked rigor assailed him this day diately below the diaphragm, and extended to within an inch week and continued on and off up to the present. He of the bifurcation of the aorta, and laterally from one kidney had a horrible fetor from the breath, which continued to to the other. There was extensive erosion of the eleventh and twelfth dorsal vertebrae and first lumbar vertebra ; eleventh. the end. Aug. 5th: Temperature 96°; pulse 112; respiration 40. and twelfth ribs on left side were detached from the spine and Bowels moved four times; the patient’s sputum is of a adherent to the sac. The abdominal viscera were healthy. bloody colour. He is perspiring a great deal; appetite - Dr. A. KENNEDY remarked on the exceptional mode of very bad; appearance dull and wasted. He had a rigor death in this case, and discussed the diagnosis of aneurism at 8.30 P.M. yesterday; and a large swelling was observed of the abdominal aorta and cancer; and Dr. SMITH replied. Mr. CORLEY read a paper on the disease to which on the top of his head, which broke and discharged a great Fox applied the ii ame I dysidrosis,and which Mr. of fetid Pulse temTilbury 112; pus.-6th: quantity respiration 40; perature 102°. He perspired a good deal; the bowels Jonathan Hutcbinaon ternied "ebeiro-pompholyx." He demoved three times; he slept very little; appetite bad.- tailed the history of two cases, both following injury of the 7th : The patient has had no sleep, took his drinks. Was median nerve, and in one of whicb, after the eruption had restless for some hours before death, and had three motions disappeared from the hand of the injured side, a similar of the bowels. eruption broke out on the other hand. This, he conThe purulent discharge continued to flow freely till about sidered, indicated that the irritation produced in the member three hours before death, and was intermixed with a little first affected was propagated to the spinal cord, and problood. The stupor or hebetude went on till half an hour before duced there a nervous disturbance which passed across and death. This hebetude, which had gone on increasing from down the nerves of the opposite limb. From the considerathe commencement of the attack, was at no time so deep but tion of these cases, as well as those detailed by Hutchinson that when at its worst he could reply consciously to questions. and Fox, Mr. Corley was of opinion that the disease was There was no local paralysis except a slight one of the face, genuine herpes zoster of the hand, due to either centric the muscles being drawn to the right side. Two days before nervous disturbance or irritation of nerve-trunks; and he death there was a little delirium. Half an hour before death therefore rejected the name and pathology suggested by he asked for a drink. He died comatose on August 12th. Tilbury Fox.-Dr. WALTER SMITH discussed this communication, and illustrated his remarks by the facts of a case recently observed by himself ; and Mr. CORLEY replied. HOSPITAL SATURDAY FUND.—The collection for Dr. PURSER showed an example of Extensive Atheroma this fund is fixed for the lst prox. Arrangements are being of the Branches of the Pulmonary Artery. The primary perfected with a view to securing a greater street collection trunk was free from disease, but the smaller divisions of the on behalf of this fund than has hitherto been realised. vessel were much affected; the aorta was healthy; the right Collecting sheets to the number of 30,000 have been issued ventricle was greatly hypertrophied, without much dilatation. to the various workshops of the metropolis, and to police, There was chronic pneumonia of both lungs. The patient postal, railway, and other otficials, and boxes will be placed was a middle-aged woman, who died almost immediately on board all the Thames ferry boats, and will be under the after her admission into hospital, before any history could especial charge of the captains. be obtained. one,