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DERBY GENERAL INFIRMARY.
602
looking tissue deposited in their place. Bands of this tissue also stretched across the joint, between the ulna and humerus. The diseased articular surfaces were minutely examined by Dr. R. Quain, under whose care the patient had formerly been.
On
section
being made, vertically, through the reddish-brown, pulpy substance into the subjacent bone, it a
Hospital Reports. DERBY GENERAL INFIRMARY. by HENRY GISBORNE, Esq, and reported by his Assistant,
Cases treated
Mr. GEORGE HUGHES.
found that the pores or cells of the cancellous osseous structure were filled with oil-globules, and surrounded by Lithotomy on a Patient in his Eightieth Year. bone-tissue, showing the usual lacunae and bone-corpuscles. T- was admitted on Monday, July 2’;"th, supSAMUEL As the diseased surface was approached, these laminæ and to be suffering from stone in his bladder. lie said lie posed became less and still the cells in corpuscles distinct; nearer, the bony tissue appeared to be surrounded merely by a kind had passed with his urine a large quantity of gritty matter for of fibrous tissue in which irregular particles of bone were the last thirty years, and that about twenty years since heobserved. These particles were elongated, irregular in form, introduced a catheter, and thought he struck against someand rounded off at the angles, resembling somewhat crystals thing like a stone. His sufferings not being great, he had quacked himself with divers herbs; but within the last few in a state of solution. At the diseased surfaces the places of the cartilage and years he had endured great pain, so that he could tolerate his no longer, and therefore came into the hospital, to synovial membrane were occupied by a fibrous texture, sufferings his own words, " to be cut," and that " he would have it abounding in cells larger than pus cells, spherical, nucleated, use and granular. Irregular masses of cartilage, resembling the out," if it cost him his life. Mr. Gisborne readily detected a largestone, but the patient’s bony particles already mentioned, appeared in this fibrous tissue. From the examination of this specimen, Dr. Quain great age appeared to him and his colleagues, Mr. Fox and Mr. Johnson, much against the success of an operation. The was led to infer that " pulpy thickening of the synovial mempatient, however, was resolute; and on Thursday, the Tth of of that and brane" is a fibro-cellular degeneration membrane, of the subsequent cartilage and bone, the morbid process being August, Mr. Gisborne, after the administration of chloroform, the lateral operation, making a very free external evidently connected with some imperfection in the nutrition performed The incision. long bent forceps were required for the exin inflammation. of the joint, doubtless originating oval stones, each measuring about four of two traction largeish, Mr. Erichsen has found a similar fibro-cellular degeneration of synovial membrane and cartilage of incrustation in several inches in circumference, one weighing about ten drachms, and instances of disease of the phalangeal articulations of the the other nearly seven drachms. 8th.—The patient passed a good night; urine passes fingers and toes. Seven days after the operation, all the ligatures but one had freely by the perinseum. Ordered, an opiate at bed-time, and castor oil in the morning. come away; the wound looked healthy and granulating fast. 9th.-Bowels relieved; no pain. Twenty days after the excision the patient began to raise his 10th.-Passed a restless night; great depression of spirits; he has been his which is more than touched and head, band, dry; pulse quick; bowels open. A mixture of ammonia tongue able to do for twelve months before. The arm was bandaged above and below the wound, and the splint secured, so that the and ether every three hours; beef-tea; port wine. 11th.-rather better. The same diet and medicine. dressings could be applied without its removal. Seven weeks 12th.-He gradually rallied, and has ever since progressed after the operation the wound had almost healed up, and no most favourably; the urine partly passes through the penis. had At time the of bone come this patient away. fragments On the 26th of August he took meat and wine, sat up for was made an out-patient, his arm being well suppoited by a some hours, and was cheerful at the result of the operation. leather splint. Mr. Gisborne also operated, on August 20th, on a boy of Since that time-viz., Feb. 21, 1850-the patient has proeleven years of age, for stone. The operation was quickly most The arm was extended gressed favourably. kept nearly until cicatrization was complete; it was then gradually brought performed, and a stone, weighing five drachms, was extracted. into an angular position by altering the splints from time to This patient had symptoms of peritonwal inflammation on time. In this way the uniting medium between the bones was i the third day, but the antiphlogistic treatment of leeches, not elongated too suddenly, so that firmer union might result. ’, with calomel and opium, checked its progress, and he has The patient has now an extremely useful limb; the cicatri- since been proceeding most satisfactorily. zation of the wound is complete, a small sinus that remained ’, open for some time having closed. He can extend and mex the forearm, can use his hand for all ordinary purposes, I, and easily lift a considerable weight, such as a chair or coalscuttle. The muscles of the upper arm, which had be- i come partly atrophied by long disuse, are regaining their MEDICAL SOCIETY OF LONDON. normal bulk, and the patient will be enabled to follow his MAY 24, 1851. — DR. MURPHY, PRESIDENT. SATURDAY, former occupations. The extent of the foregoing report will not allow of any Dr. WEBSTER read a paper which remarks; we shall therefore merely allude to statistics ON THE HEALTH OF LONDON DURING THE SIX MONTHS we found in a review of Professor Blasin’s work on " OperaTERMINATING MARCH 29, 1851. tive Surgery," in the Medico-Chirurgical Review, April, 1851:" The author has examined all the published cases of this After alluding to previous communications respecting the operation he could collect, in order to determine under what sanitary condition of London, made to the Society, the circumstances anchylosis might be expected to follow it. He author said, speaking generally, the health of the metrohas drawn 36 cases from English and American authors, 27 polis had recently proved of a more favourable character from France, 26 from Germany, and 1 from Italy; in all, 90 than during the six parallel months of the former year,-Death was the result in 10 cases; in 2 caries returned; especially in last October, November, and December, when cases. in 8 the event is not recorded. Of the remaining 69 cases, 12,544 deaths were reported, instead of 12,877, which occurred a new joint was formed in 41; in 7 anchylosis took place; in in the same quarter of 1849,-thus making a difference of 333 21 no information could be collected on this point. In 24 suc- fatal cases in favour of the first three months of the half-year cessful cases, of 28 partial resections of this joint, 6 were just terminated. With reference, however, to the amount of cured with, and 10 without, anchylosis; the remaining cases sickness, and consequent mortality met with, throughout the uncertain. Thus the probability of anchylosis is greater after metropolitan districts, in the latter quarter-viz., the first three months of the current year-the result was somewhat partial than after total excision of the elbow-joint:’ different, seeing 15,410 persons then died in London, contra111. AUBINIAS distinguished to 13,219, reported during the parallel quarter AGUE IN NEW-BORN CHILDREN. states in the Journal de Médecine de la Loire hzferieure, that of 1850. This excess in the number of fatal cases, the author two children were lately born from mothers who during gesta- specially remarked, occurred chiefly in the month of March, tion had suffered from ague. Immediately after birth, the when not less than 1443 more deaths took place than in the children were noticed to have enlarged spleen, and they soon similar four weeks of 1850; which consequently became, iii symptoms of tertian ague. Schurig mentions a case comparison with any other period, an unusually insalubrious presented in which a mother affected with intermittent fever, used to season. Pursuing the same plan adopted, when adverting, in feel her child sliake in the uterine cavity, and when the former papers, to the sanitary condition of London, Dr. delivery took place both mother and child were attacked with Webster, at considerable length, then discussed the several an ague fit at diseases which lately exhibited a diminished rate of mortality exactly the same hour.
was
August
Medical Societies.
-
looking tissue deposited in their place. Bands of this tissue also stretched across the joint, between the ulna and humerus. The diseased articular surfaces were minutely examined by Dr. R. Quain, under whose care the patient had formerly been.
On
section
being made, vertically, through the reddish-brown, pulpy substance into the subjacent bone, it a
Hospital Reports. DERBY GENERAL INFIRMARY. by HENRY GISBORNE, Esq, and reported by his Assistant,
Cases treated
Mr. GEORGE HUGHES.
found that the pores or cells of the cancellous osseous structure were filled with oil-globules, and surrounded by Lithotomy on a Patient in his Eightieth Year. bone-tissue, showing the usual lacunae and bone-corpuscles. T- was admitted on Monday, July 2’;"th, supSAMUEL As the diseased surface was approached, these laminæ and to be suffering from stone in his bladder. lie said lie posed became less and still the cells in corpuscles distinct; nearer, the bony tissue appeared to be surrounded merely by a kind had passed with his urine a large quantity of gritty matter for of fibrous tissue in which irregular particles of bone were the last thirty years, and that about twenty years since heobserved. These particles were elongated, irregular in form, introduced a catheter, and thought he struck against someand rounded off at the angles, resembling somewhat crystals thing like a stone. His sufferings not being great, he had quacked himself with divers herbs; but within the last few in a state of solution. At the diseased surfaces the places of the cartilage and years he had endured great pain, so that he could tolerate his no longer, and therefore came into the hospital, to synovial membrane were occupied by a fibrous texture, sufferings his own words, " to be cut," and that " he would have it abounding in cells larger than pus cells, spherical, nucleated, use and granular. Irregular masses of cartilage, resembling the out," if it cost him his life. Mr. Gisborne readily detected a largestone, but the patient’s bony particles already mentioned, appeared in this fibrous tissue. From the examination of this specimen, Dr. Quain great age appeared to him and his colleagues, Mr. Fox and Mr. Johnson, much against the success of an operation. The was led to infer that " pulpy thickening of the synovial mempatient, however, was resolute; and on Thursday, the Tth of of that and brane" is a fibro-cellular degeneration membrane, of the subsequent cartilage and bone, the morbid process being August, Mr. Gisborne, after the administration of chloroform, the lateral operation, making a very free external evidently connected with some imperfection in the nutrition performed The incision. long bent forceps were required for the exin inflammation. of the joint, doubtless originating oval stones, each measuring about four of two traction largeish, Mr. Erichsen has found a similar fibro-cellular degeneration of synovial membrane and cartilage of incrustation in several inches in circumference, one weighing about ten drachms, and instances of disease of the phalangeal articulations of the the other nearly seven drachms. 8th.—The patient passed a good night; urine passes fingers and toes. Seven days after the operation, all the ligatures but one had freely by the perinseum. Ordered, an opiate at bed-time, and castor oil in the morning. come away; the wound looked healthy and granulating fast. 9th.-Bowels relieved; no pain. Twenty days after the excision the patient began to raise his 10th.-Passed a restless night; great depression of spirits; he has been his which is more than touched and head, band, dry; pulse quick; bowels open. A mixture of ammonia tongue able to do for twelve months before. The arm was bandaged above and below the wound, and the splint secured, so that the and ether every three hours; beef-tea; port wine. 11th.-rather better. The same diet and medicine. dressings could be applied without its removal. Seven weeks 12th.-He gradually rallied, and has ever since progressed after the operation the wound had almost healed up, and no most favourably; the urine partly passes through the penis. had At time the of bone come this patient away. fragments On the 26th of August he took meat and wine, sat up for was made an out-patient, his arm being well suppoited by a some hours, and was cheerful at the result of the operation. leather splint. Mr. Gisborne also operated, on August 20th, on a boy of Since that time-viz., Feb. 21, 1850-the patient has proeleven years of age, for stone. The operation was quickly most The arm was extended gressed favourably. kept nearly until cicatrization was complete; it was then gradually brought performed, and a stone, weighing five drachms, was extracted. into an angular position by altering the splints from time to This patient had symptoms of peritonwal inflammation on time. In this way the uniting medium between the bones was i the third day, but the antiphlogistic treatment of leeches, not elongated too suddenly, so that firmer union might result. ’, with calomel and opium, checked its progress, and he has The patient has now an extremely useful limb; the cicatri- since been proceeding most satisfactorily. zation of the wound is complete, a small sinus that remained ’, open for some time having closed. He can extend and mex the forearm, can use his hand for all ordinary purposes, I, and easily lift a considerable weight, such as a chair or coalscuttle. The muscles of the upper arm, which had be- i come partly atrophied by long disuse, are regaining their MEDICAL SOCIETY OF LONDON. normal bulk, and the patient will be enabled to follow his MAY 24, 1851. — DR. MURPHY, PRESIDENT. SATURDAY, former occupations. The extent of the foregoing report will not allow of any Dr. WEBSTER read a paper which remarks; we shall therefore merely allude to statistics ON THE HEALTH OF LONDON DURING THE SIX MONTHS we found in a review of Professor Blasin’s work on " OperaTERMINATING MARCH 29, 1851. tive Surgery," in the Medico-Chirurgical Review, April, 1851:" The author has examined all the published cases of this After alluding to previous communications respecting the operation he could collect, in order to determine under what sanitary condition of London, made to the Society, the circumstances anchylosis might be expected to follow it. He author said, speaking generally, the health of the metrohas drawn 36 cases from English and American authors, 27 polis had recently proved of a more favourable character from France, 26 from Germany, and 1 from Italy; in all, 90 than during the six parallel months of the former year,-Death was the result in 10 cases; in 2 caries returned; especially in last October, November, and December, when cases. in 8 the event is not recorded. Of the remaining 69 cases, 12,544 deaths were reported, instead of 12,877, which occurred a new joint was formed in 41; in 7 anchylosis took place; in in the same quarter of 1849,-thus making a difference of 333 21 no information could be collected on this point. In 24 suc- fatal cases in favour of the first three months of the half-year cessful cases, of 28 partial resections of this joint, 6 were just terminated. With reference, however, to the amount of cured with, and 10 without, anchylosis; the remaining cases sickness, and consequent mortality met with, throughout the uncertain. Thus the probability of anchylosis is greater after metropolitan districts, in the latter quarter-viz., the first three months of the current year-the result was somewhat partial than after total excision of the elbow-joint:’ different, seeing 15,410 persons then died in London, contra111. AUBINIAS distinguished to 13,219, reported during the parallel quarter AGUE IN NEW-BORN CHILDREN. states in the Journal de Médecine de la Loire hzferieure, that of 1850. This excess in the number of fatal cases, the author two children were lately born from mothers who during gesta- specially remarked, occurred chiefly in the month of March, tion had suffered from ague. Immediately after birth, the when not less than 1443 more deaths took place than in the children were noticed to have enlarged spleen, and they soon similar four weeks of 1850; which consequently became, iii symptoms of tertian ague. Schurig mentions a case comparison with any other period, an unusually insalubrious presented in which a mother affected with intermittent fever, used to season. Pursuing the same plan adopted, when adverting, in feel her child sliake in the uterine cavity, and when the former papers, to the sanitary condition of London, Dr. delivery took place both mother and child were attacked with Webster, at considerable length, then discussed the several an ague fit at diseases which lately exhibited a diminished rate of mortality exactly the same hour.
was
August
Medical Societies.
-