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A NEW EYE DOUCHE.
in the open air; capacious, well-ventilated dwellings and workrooms ; nutritious diet, embracing a full proportion of animal food; and temperance. To take out a game certificate and hie off to the moors, is not a bad prescription for threatening phthisis-that is, when the patient is a man, and a rich one. Dr. Hogg’s work will afford the inquirer much valuable statistical information, and many hygienic hints, in connexion with
as
supposed by physiologists; but that the only apparent heat that which follows muscular contraction unaccompanied by
is mechanical
pulmonary tuberculosis.
Foreign Department. THE UTERUS AND VENTRAL HERNIA DURING IN A PATIENT WHO, ONE YEAR BEFORE, HAD UNDERGONE THE CÆSAREAN OPERATION.
RUPTURE OF
PREGNANCY,
A WOMAN, whose inlet of the pelvis measured only two inches and a half, and who had had the Caesarean operation performed, (with what result to the fœtus is not mentioned,) became preg- I nant one year afterwards. At the fourth month, she had severe i abdominal pain and vomiting. On the next day, she noticeda peculiar tumour at the lower portion of the abdomen, and in the mesian line. The pain and vomiting continued for a week, with occasional intermissions. On examination, M. Bourgeois found a globular tumour projecting immediately under the skin of the abdomen, of the size of the head of a full-grown fœtus. When the patient stood upright, the tumour fell forward over the pubis like a sac, and When was herniated between the muscles of the abdomen. she lay down, the mass could be returned under the muscles. By the hand being placed on the attenuated skin, the prominent parts of a fœtus could be made out: the feet could be seized one after the other, and followed up to the knees, and it was easily felt that the fœtus was separated from the skin only by the resisting and globular uterus. The child did not evince any life when tried by auscultation. M. Bourgeois considered that the fœtus had left the uterus, and that hernia of the linea alba existed. A belt was ordered, to keep up the mass; and the patient soon improved by keeping her bed, and using a very simple line of treatment. Six weeks afterwards, labour pains came on, and uterine haemorrhage took place, fœtid clots being expelled. Severe peritonitis set in, which was allayed by belladonna and calomel. The hæmorrhage continued, and the foetid discharge from the vulva was observed up to the seventh month of gestation, when it was very abundant, but the patient was free from pain. The abdomen became smaller, and the ventral hernia less marked. At the eighth month, the foetid discharge was very
exertion.
ABSENCE OF THE
BLADDER ;
ENLARGEMENT OF THE PELVIS OF
THE KIDNEY.
M. SCHMIDT
states, in the Jour. de -LI16d. de Bruxelles, that
aged thirty, died at the Central Hospital of the Great Duchy of Luxemburg, who presented, on a post-mortem examination, a complete absence of the bladder. The right kidney was very large, and its pelvis so increased in size, that a
woman,
it could contain from four to five ounces of fluid. It had e-vidently performed the office of a bladder. It was terminated by a very long ureter, which opened at the meatus. The left kidney was quite atrophied, and seemed to be affected with tubercular degeneration. The woman had stated that she had suffered from incontinence of urine since her twelfth year-a circumstance which can hardly be credited when the congenital defect is considered.
New Inventions. IN AID OF THE
PRACTICE OF MEDICINE AND SURGERY. A
NEW
EYE
DOUCHE.
slight.
period, a committee was appointed by the Surgical of Paris to examine the patient, and decide as to the treatment to be adopted. The committee considered that no active intervention should be resorted to, and that the fcetus had probably retained a certain amount of connexion with the uterus. If the symptoms became urgent, the child should be reached by the application of caustics to the abdomen. The termination of the case has not yet been published. At this
Society
TARTAR EMETIC IN TÆNIA SOLIUM.
publishes, in the Gazette Medicale de Lyo7t, the of a patient to whom he gave pretty large doses of tartar emetic for an attack of pneumonia. The man, who was twentythree years of age, thereupon had numerous alvine evacuations, which brought away a tænia. The patient had never taken any anthelmintic medicine, as he was not aware of the existence of the parasite, though he had passed fragments. M. Passot takes occasion to pass in review the substances generally used to expel tsenia, amongst which he of course places pomegranate bark, the etherial tincture of male fern, and kousso in the first rank. Tartar emetic, however, might, according to him, be used in certain cases. M. PASSOT
case
DEVELOPMENT OF HEAT DURING MUSCULAR CONTRACTION.
11. T. BÉCLARD lately read a paper before the Academy of Sciences of Paris, wherein he relates a series of experiments made upon himself, and with peculiar instruments. These experiments show that statical muscular contraction always gives rise to an amount of heat superior to the contraction followed by external mechanical effects. He concludes from this fact, that muscular contraction is not a source of ordinary heat,
EYE DOUCHES are eminently useful in many affections of the eyes, but their utility has been much restricted in consequence of the defective and inconvenient kind of instruments hitherto made for the purpose. The chief objections to the old form of instrument are, that the liquid cannot be kept directed to the same spot, there being nothing to steady the hand; and also that the impossi-
bility of applying it without splashing the face and head, and saturating the clothes about the neck and shoulders, causes the person using it much discomfort and unnecessary trouble. The new Douche effectually provides against these drawbacks. By keeping the glass close over the eye, the fluid is directed upon the exact locality intended, and no deviation can occur; neither can a drop of the fluid used escape from the glass otherwise than through the proper tube which leads into the waste basin.
WAR-OFFICE, MARCH 27TH.- Her Majesty has been graciously pleased to approve of the following gentlemen being appointed Professors of the New Army Medical School at Chatham :-Clinical and Military Surgery: Deputy InspectorGen. T. Longmore, M.D.-Hygiene: E. A. Parkes, Esq., bl.D. -Pathology: William Aitken, M.D. 325
as
supposed by physiologists; but that the only apparent heat that which follows muscular contraction unaccompanied by
is mechanical
pulmonary tuberculosis.
Foreign Department. THE UTERUS AND VENTRAL HERNIA DURING IN A PATIENT WHO, ONE YEAR BEFORE, HAD UNDERGONE THE CÆSAREAN OPERATION.
RUPTURE OF
PREGNANCY,
A WOMAN, whose inlet of the pelvis measured only two inches and a half, and who had had the Caesarean operation performed, (with what result to the fœtus is not mentioned,) became preg- I nant one year afterwards. At the fourth month, she had severe i abdominal pain and vomiting. On the next day, she noticeda peculiar tumour at the lower portion of the abdomen, and in the mesian line. The pain and vomiting continued for a week, with occasional intermissions. On examination, M. Bourgeois found a globular tumour projecting immediately under the skin of the abdomen, of the size of the head of a full-grown fœtus. When the patient stood upright, the tumour fell forward over the pubis like a sac, and When was herniated between the muscles of the abdomen. she lay down, the mass could be returned under the muscles. By the hand being placed on the attenuated skin, the prominent parts of a fœtus could be made out: the feet could be seized one after the other, and followed up to the knees, and it was easily felt that the fœtus was separated from the skin only by the resisting and globular uterus. The child did not evince any life when tried by auscultation. M. Bourgeois considered that the fœtus had left the uterus, and that hernia of the linea alba existed. A belt was ordered, to keep up the mass; and the patient soon improved by keeping her bed, and using a very simple line of treatment. Six weeks afterwards, labour pains came on, and uterine haemorrhage took place, fœtid clots being expelled. Severe peritonitis set in, which was allayed by belladonna and calomel. The hæmorrhage continued, and the foetid discharge from the vulva was observed up to the seventh month of gestation, when it was very abundant, but the patient was free from pain. The abdomen became smaller, and the ventral hernia less marked. At the eighth month, the foetid discharge was very
exertion.
ABSENCE OF THE
BLADDER ;
ENLARGEMENT OF THE PELVIS OF
THE KIDNEY.
M. SCHMIDT
states, in the Jour. de -LI16d. de Bruxelles, that
aged thirty, died at the Central Hospital of the Great Duchy of Luxemburg, who presented, on a post-mortem examination, a complete absence of the bladder. The right kidney was very large, and its pelvis so increased in size, that a
woman,
it could contain from four to five ounces of fluid. It had e-vidently performed the office of a bladder. It was terminated by a very long ureter, which opened at the meatus. The left kidney was quite atrophied, and seemed to be affected with tubercular degeneration. The woman had stated that she had suffered from incontinence of urine since her twelfth year-a circumstance which can hardly be credited when the congenital defect is considered.
New Inventions. IN AID OF THE
PRACTICE OF MEDICINE AND SURGERY. A
NEW
EYE
DOUCHE.
slight.
period, a committee was appointed by the Surgical of Paris to examine the patient, and decide as to the treatment to be adopted. The committee considered that no active intervention should be resorted to, and that the fcetus had probably retained a certain amount of connexion with the uterus. If the symptoms became urgent, the child should be reached by the application of caustics to the abdomen. The termination of the case has not yet been published. At this
Society
TARTAR EMETIC IN TÆNIA SOLIUM.
publishes, in the Gazette Medicale de Lyo7t, the of a patient to whom he gave pretty large doses of tartar emetic for an attack of pneumonia. The man, who was twentythree years of age, thereupon had numerous alvine evacuations, which brought away a tænia. The patient had never taken any anthelmintic medicine, as he was not aware of the existence of the parasite, though he had passed fragments. M. Passot takes occasion to pass in review the substances generally used to expel tsenia, amongst which he of course places pomegranate bark, the etherial tincture of male fern, and kousso in the first rank. Tartar emetic, however, might, according to him, be used in certain cases. M. PASSOT
case
DEVELOPMENT OF HEAT DURING MUSCULAR CONTRACTION.
11. T. BÉCLARD lately read a paper before the Academy of Sciences of Paris, wherein he relates a series of experiments made upon himself, and with peculiar instruments. These experiments show that statical muscular contraction always gives rise to an amount of heat superior to the contraction followed by external mechanical effects. He concludes from this fact, that muscular contraction is not a source of ordinary heat,
EYE DOUCHES are eminently useful in many affections of the eyes, but their utility has been much restricted in consequence of the defective and inconvenient kind of instruments hitherto made for the purpose. The chief objections to the old form of instrument are, that the liquid cannot be kept directed to the same spot, there being nothing to steady the hand; and also that the impossi-
bility of applying it without splashing the face and head, and saturating the clothes about the neck and shoulders, causes the person using it much discomfort and unnecessary trouble. The new Douche effectually provides against these drawbacks. By keeping the glass close over the eye, the fluid is directed upon the exact locality intended, and no deviation can occur; neither can a drop of the fluid used escape from the glass otherwise than through the proper tube which leads into the waste basin.
WAR-OFFICE, MARCH 27TH.- Her Majesty has been graciously pleased to approve of the following gentlemen being appointed Professors of the New Army Medical School at Chatham :-Clinical and Military Surgery: Deputy InspectorGen. T. Longmore, M.D.-Hygiene: E. A. Parkes, Esq., bl.D. -Pathology: William Aitken, M.D. 325