ANATOMY AT THE DUBLIN COLLEGE.

751 evinces to-day some pain in the left side. phragm at its posterior part near its On examining the chest a bruit de souflletspinous origin, through which the intestines might be traced. On removing the is observed. August 14. She has attained her pre- sternum the extraordinary contents of the vious healthy appearance, and purposes to, left pleural cavity became discernible, conday to take a farewell of her Bartholomew sisting of a large portion of intestines, the friends, to revisit the place of her nativity whole of the omentum, a great portion of the spleen, and the entire pancreas,-so in the vicinity of Dover. completely occupying the left side of the DIAPHRAGMATIC HERNIA. chest, that the lung was compressed to the Mr. LAWRENCE, during some clinical size of a man’s fist, and the heart and meobservations, directed the attention of the diastinum were pushed towards the right pupils who were present to a case not less side, as frequently obtains in empyema singular as he said in its history than it occupying one cavity of the pleura, where, proved rare in occurrence; it was that of in the same manner, by pressure, the diaphragmatic hernia, or where a portion lung becomes consolidated by the obliteof the contents of the abdomen, such as ration of its air-cells, or, in other lanthe intestines or omentum, was protruded guage, is carnified, and the heart is likethrough the diaphragm into the cavity of wise displaced. This hernia did not apThese were circumstances pear to be an actual rupture through the the chest. under which a just diagnosis was very substance of the muscular septum, occadifficult to be formed, from the impossi- sioned by any sudden and violent combility of getting at the immediate seat of pression of the abdominal viscera, because the disease; for although the concomitant the protruding parts were not enveloped symptoms of strangulation obtained, still in a sac. They had not carried through there was wanting that proof so confirma- the opening an investment of peritoneum, tory of the existence of hernia, the ex- and the edges of the wound through which ternal protrusion or swelling, cognizable they had egressed were quite smooth and alike by the taxis and the sight. The round, apparently formed by a continuahistory of the case above alluded to was tion or junction of the two serous memas follows, furnished by Dr. Norris, for- branes which composed its upper and unmerly a pupil of this hospital. The patient, der surfaces. This circumstance Mr. LAWa strong healthy man, after exerting him- RENCE observed would lead one to conself to an unusual extent in walking a clude that the communication between distance of twelve or thirteen miles, was the two cavities was of congenital formaattacked with sickness, retching, and pain, tion, though he should imagine that the referable to the left side, under the carti- displacement of the abdominal viscera had lages of the ribs ; his pulse was frequent existed but recently, in consequence of and hard, and there were general symp- the violent exertion the poor fellow had toms of fever, accompanied by difficulty of made during his unusually protracted breathing. On examination Dr. Norris walk. Mr. L. again alluded to the diffidiscovered that there existed little or no culty of diagnosis in this case, though, respiratory murmur on the left side of the he remarked, the fixed pain of the side, thorax, and that the pulsation of the the change of situation of the heart, and heart was not audible in its normal situ- the arrested respiration in the left side, ation, but was heard to beat on the right might perhaps have led to a conjecture of side ofthe chest. Notwithstanding several the nature of the disease. A preparation, remedies which were employed, all the showing the parts as removed by Dr. unfavourable symptoms became aggra- NoRRis, was then exhibited, and sent vated ; tension of the belly, increased pain, round for the inspection of the students. a higher state of fever, and great restlessness, were but the precursors of the more ANATOMY AT THE DUBLIN COLLEGE. formidable signs of approaching dissolntion. Hiccough, cold sweats, and spasmodic To the Editor of THE LANCET. rigors, in a few days ended the tragedy. At the examination after death the followTHE late season being the last I could ing appearances prevailed ; on opening devote to the study of anatomy, it was my the abdominal cavitv no omentum what- object to get as much information on the ever could be discovered, and the intes- subject as possible, and with this view I tines were distended with flatus and pre- sought about to ascertain where I could sented various stages of inflammation ; on get the greatest assistance, as I was someendeavouring to trace the course of the what backward in practical anatomy. I colon, its descending portion was found was at once captivated by the parade of no wanting; a small hole, however, was seen less than five names in the advertisements penetrating the substance of the dia- from the school of the Dublin College of

752 A CORRESPONDENT, whose name and Surgeons, put forth as demonstrators and assistants in practical dissection. As I address are attached to his communication, knew from previous experience that the has forwarded to us the following note :" Mr. presents his compliments to professore there, different from what pre. vails in other schools, give the regular Mr. Wakley, and takes the liberty of sagdemonstration lectures, I did hope that gesting to him, that he will much assist a I should always have the assistance of one charitable cause if he will draw attention out of the five, and with this impression to the Advertisement relative to the disclosed with Mr. Harrison. But, sir, what tressed state of the late Mr. BURNETT’S was the result ? Two of the gentlemen family, by a line or two in THE LANCET. never showed their faces, one only distri- The advertisement appeared in THE LANbuted the subjects, the fourth superin- CE1’ a week or two ago, and will be in-the tended the injection of subjects, and this Number for Sept. 5." We not do know how else to serve the only for the early part of the season, and the fifth gave ordinary table attendance. object which our correspondent has in I have had abundant experience in view, and we therefore insert his note. almost all the schools in Dublin, and some Mr. Burnett was personally unknown to experience elsewhere, and I confess that 1 us, and we cannot, consequently, speak of never received less or more unsatisfactory his private or professional worth. But the of surviving relatives, who in the assistance in any of them. I confessthat I am inclined to coincide with one of your loss of a member of the profession lose correspondents, who stated, I remember, their chief means of pecuniary support, early last season, that this numerous staff was a mere expedient to enlist pupils, the means of indulging in acts of benevoespecially since two of the demonstrators lence. The medical profession is singuwere extensive grinders. larly deficient in other sources of appeal What the intention really was of such for such relief. The more urgent, thereannouncements I presume not to say, but fore, are the requirements of its iiecessias to the effect, at least in my case, I feel tous connexions for eleemosynary aid. We -no hesitation in stating that I was deceived trust that the reference of our correspondadvertisement will not pass .by them, and my object in informing you entHEEDED to .of this is, that others who may be placed in my predicament, may have some other The communication of Mr. G. D. Der. xeason for patronising the College school. mott cannot be inserred, and is left out for him at I am, Sir, your obedient servant, the office. Ex DISCIPULUS. In the advertisement of Mr. Buchanan, of August 22, in the second column of the Died on Friday week, at his residence third page of the cover, the terms of Mr. in the country, Sir William Blizard, aged Buchanan for Qualifying gentlemen to ninety-three years, one of the surgeons to pass their Latin Examinations at Apothethe London Hospital for nearly sixty years. caries’ Hall," should be stated at 2/. -

claims

are always strong upon thoseof possess

the

METEOROLOGICAL REPORT.

(Extract from a Meteoroloyical Journal kept at Iligh Wycombe. Lat. 51° 37 44" North, Long. 34° 45" West.)

Sept. 1, 1835.

W.JACKSON.