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GOUTY PHLEBITIS IN THE SCROTAL REGION.
1707 that city-the Times of India calls attention to the dimensions of the work carried on at Bombay and to the untiring energy displayed by the Indian Medical Service and profession in connexion with the epidemic. What is to be the scale of recognition which the Government of India will to these medical workers in the plague campaign ? Two members of the German Commission, Dr. Gaffky and Dr. Pfeiffer, have received an honorarium of 15,000 marks each and Dr. Stricker and Dr. Dieudonne 9000 marks each. The two first-named receive, in addition, the Order of the Red Eagle of the second class and the others the same Order of the third class. All this is quite as it should be. But now let us turn to the work carried on locallyin Bombay itself. Taking the second epidemic alone the Times of India says in the case of the Arthurroad hospital (at which we may say, en passant, that Dr. Choksey did very hard and excellent work) that in the nine months ending March 31st over 4000 patients have been treated there, nearly half of whom were plague patients, and of the remainder over 900 were cases of relapsing fever and over 200 cases of cholera, while another 900 were cases of general disease. From October, 1896, to date cases have been treated in this hospital, nearly 3400 plague besides over 1100 cases of relapsing fever. The great plague hospital at Poona, managed in the first instance by SurgeonMajor Barry and in the second epidemic by Surgeon-Captain Lloyd Jones, comes nearest to this in the magnitude of its operations and in the burden of the work thrown upon the officers in charge.
apply
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POISONOUS ICE-CREAM.
was 1007° F. The patient had previously ex hibited gouty manifestations-nephritic colic, epistaxis, and His father and brother were. arthritis of the great toe. of gouty phlebitis was therefore gouty. The diagnosis was made and it supposed that the long periods of standing, by favouring venous stasis, had helped to localise the attack in the venous system of the scrotumo. A distinguished surgeon, however, diagnosed inflammation of Cowper’s gland. The tumefaction became indolent and modified in shape ; it formed an ovoid, hard mafs about the size of a small almond, with an elongated pedicle, whichi became lost in the direction of the perineum. At this time another consultant diagnosed fibroma probably growing. from the corpus cavernosum. At the end of twenty days the tumour commenced to diminish. An attack of gout in the right foot occurred one evening and the tumour rapidly disappeared, leaving a thickened varicose vein running towards the obturator foramen. Resolution was soon com. plete. Such rapid absorption does not occur in thrombosis with a well-formed clot; the exudation was therefore. probably the result of periphlebitis.
temperature
THE
METROPOLITAN
HOSPITAL SUNDAY FUND.
Up to yesterday the Metropolitan
(Thursday) at noon the subscriptions to Hospital Sunday Fund amounted to’ £14,000. Among the principal contributions to this total may be instanced the collections made at St. Michael, Chester-square (£1258), at Christ Church, Lancaster-gate(.E1367 4s.), and at All Saints, Ennismore - gardens (f.Q80 2s. 4d.). The total on the corresponding date of last. year was £17,000, but it will be remembered that Hospital Sunday last year was also the Sunday before the Jubilee, so that the churches were crowded.
ICE-CREAM is still sold in the streets without apparently any sort of legislative control as to the wholesomeness of the stuff which has such a peculiar charm and powerful attraction for so many juveniles. And where the AN ILL-MANNERED VESTRYMAN. difficulty lies in ensuring the use of none but wholesome the manufacture of ices we utterly fail to see. materials in THE South London Press of May 28th contains a report Practically the manufacture is confined to a squalid quarter of a heated discussion which took place at a full meeting near Hatton-garden, the manufacturers being mostly Italians. of the Vestry of St. George’s, Southwark, upon the condition Surely this place could be daily inspected in regard to of the crypt of St. George’s Church. We do not intend, sanitary environment and a sharp look-out kept on the at any rate just now, to go into any details of a technical quality of the eggs, sugar, &c., without adding very character concerning the analyses of the air of that church. seriously to the present duties of our health authorities. Whatever the chairman of the vestry may think, decomThen why not license the ice-cream man, who under posing corpses are not pleasant accessories to the furnishthe present regime may cause an immense amount of ing of places of public resort. It is probable that the mischief, leaving disease and death in his train, and yet no crypt will be cleared out soon, while it is certain that" satisfactory means of identifyiDg him and tracing him to at some time or other, if not soon, the funds will his probably filthy den. Twenty years ago we described in have to be found to remove a source of danger to the these columns how loathsome was the condition of the worshippers at St. George’s Church. But what calls for tenements occupied by ice-cream mongers, pollution of the immediate attention is the behaviour at the meeting of frozen mixture with human excreta being ocularly demon- Mr. Haynes, the chairman of the St. George’s Vestry" strated with hideous certainty. In spite of all this, illness if he is correctly reported in the South London Press. One and deaths are still reported, and it is not surprising that gentleman, who had been for thirteen years churchwarden, these are traceable not to any well-defined metallic poison, was told by Mr. Haynes that his " sensational statements but to an obscure product derived most probably from a made for some motive or other were scandalous and disputrefactive process. The Home Secretary’s attention honest," while to Dr. Waldo, the medical officer of health of should be given to the matter. St. George’s, Mr. Haynes gave the lie direct. The latter incident is, we hope, without precedent in the records ot, local administration. It might be expected that the other GOUTY PHLEBITIS IN THE SCROTAL REGION. members of the vestry would make Mr. Haynes feel that SINCE the publication of Sir James Paget’s classica if he differs in opinion from the medical officer it is work gouty phlebitis in the lower extremities has been wel, necessary that he should express his dissent in proper known. But the ucusual site of the disease in a case com language and according to the decent methods which prevail mnnicated recently to the Société M6dicale des Hôpitaux by- among Englishmen in the conduct of their public affairs. Dr. Le Gendre rendered the diagnosis difficult and even But this expectation is doomed to disappointment. The erroneous. A man, aged thirty years, was seized with violent South London Press of June llth contains a report of pain at the root of the scrotum after havirg stood for many another meeting of the vestry when the matter of tho hours every day at the trial of M. Zola. The skin of the crypt came up for further discussion. At this meeting affect(d region was quite normal, but a flabby cord about Mr. Haynes deliberately’repeated his oSensive conduct, 3 cm. or 4 cm. in length and mobile could be felt. The justifying his words by some conversation which he said
apply
-
POISONOUS ICE-CREAM.
was 1007° F. The patient had previously ex hibited gouty manifestations-nephritic colic, epistaxis, and His father and brother were. arthritis of the great toe. of gouty phlebitis was therefore gouty. The diagnosis was made and it supposed that the long periods of standing, by favouring venous stasis, had helped to localise the attack in the venous system of the scrotumo. A distinguished surgeon, however, diagnosed inflammation of Cowper’s gland. The tumefaction became indolent and modified in shape ; it formed an ovoid, hard mafs about the size of a small almond, with an elongated pedicle, whichi became lost in the direction of the perineum. At this time another consultant diagnosed fibroma probably growing. from the corpus cavernosum. At the end of twenty days the tumour commenced to diminish. An attack of gout in the right foot occurred one evening and the tumour rapidly disappeared, leaving a thickened varicose vein running towards the obturator foramen. Resolution was soon com. plete. Such rapid absorption does not occur in thrombosis with a well-formed clot; the exudation was therefore. probably the result of periphlebitis.
temperature
THE
METROPOLITAN
HOSPITAL SUNDAY FUND.
Up to yesterday the Metropolitan
(Thursday) at noon the subscriptions to Hospital Sunday Fund amounted to’ £14,000. Among the principal contributions to this total may be instanced the collections made at St. Michael, Chester-square (£1258), at Christ Church, Lancaster-gate(.E1367 4s.), and at All Saints, Ennismore - gardens (f.Q80 2s. 4d.). The total on the corresponding date of last. year was £17,000, but it will be remembered that Hospital Sunday last year was also the Sunday before the Jubilee, so that the churches were crowded.
ICE-CREAM is still sold in the streets without apparently any sort of legislative control as to the wholesomeness of the stuff which has such a peculiar charm and powerful attraction for so many juveniles. And where the AN ILL-MANNERED VESTRYMAN. difficulty lies in ensuring the use of none but wholesome the manufacture of ices we utterly fail to see. materials in THE South London Press of May 28th contains a report Practically the manufacture is confined to a squalid quarter of a heated discussion which took place at a full meeting near Hatton-garden, the manufacturers being mostly Italians. of the Vestry of St. George’s, Southwark, upon the condition Surely this place could be daily inspected in regard to of the crypt of St. George’s Church. We do not intend, sanitary environment and a sharp look-out kept on the at any rate just now, to go into any details of a technical quality of the eggs, sugar, &c., without adding very character concerning the analyses of the air of that church. seriously to the present duties of our health authorities. Whatever the chairman of the vestry may think, decomThen why not license the ice-cream man, who under posing corpses are not pleasant accessories to the furnishthe present regime may cause an immense amount of ing of places of public resort. It is probable that the mischief, leaving disease and death in his train, and yet no crypt will be cleared out soon, while it is certain that" satisfactory means of identifyiDg him and tracing him to at some time or other, if not soon, the funds will his probably filthy den. Twenty years ago we described in have to be found to remove a source of danger to the these columns how loathsome was the condition of the worshippers at St. George’s Church. But what calls for tenements occupied by ice-cream mongers, pollution of the immediate attention is the behaviour at the meeting of frozen mixture with human excreta being ocularly demon- Mr. Haynes, the chairman of the St. George’s Vestry" strated with hideous certainty. In spite of all this, illness if he is correctly reported in the South London Press. One and deaths are still reported, and it is not surprising that gentleman, who had been for thirteen years churchwarden, these are traceable not to any well-defined metallic poison, was told by Mr. Haynes that his " sensational statements but to an obscure product derived most probably from a made for some motive or other were scandalous and disputrefactive process. The Home Secretary’s attention honest," while to Dr. Waldo, the medical officer of health of should be given to the matter. St. George’s, Mr. Haynes gave the lie direct. The latter incident is, we hope, without precedent in the records ot, local administration. It might be expected that the other GOUTY PHLEBITIS IN THE SCROTAL REGION. members of the vestry would make Mr. Haynes feel that SINCE the publication of Sir James Paget’s classica if he differs in opinion from the medical officer it is work gouty phlebitis in the lower extremities has been wel, necessary that he should express his dissent in proper known. But the ucusual site of the disease in a case com language and according to the decent methods which prevail mnnicated recently to the Société M6dicale des Hôpitaux by- among Englishmen in the conduct of their public affairs. Dr. Le Gendre rendered the diagnosis difficult and even But this expectation is doomed to disappointment. The erroneous. A man, aged thirty years, was seized with violent South London Press of June llth contains a report of pain at the root of the scrotum after havirg stood for many another meeting of the vestry when the matter of tho hours every day at the trial of M. Zola. The skin of the crypt came up for further discussion. At this meeting affect(d region was quite normal, but a flabby cord about Mr. Haynes deliberately’repeated his oSensive conduct, 3 cm. or 4 cm. in length and mobile could be felt. The justifying his words by some conversation which he said