- Email: [email protected]
LIVERPOOL INFIRMARY FOR CHILDREN.
995 from a line extending from the mastoid process on one side on the other across the top of the to the head, was detached from the skull and hanging loose on the nape of the neck. It was reapplied, and the edges of the wound brought together by hare-lip pins and strapping, and carbolised oil lint applied as a dressing; the hair of the head was previously cut off close to the scalp. She passed a quiet night, the temperature next morning being 99° and the pulse 96. On Feb. 10th she was restless during the night, and had great pain in the head. Temperature 102’6°; pulse 120. The dressings were removed and the hare-lip pins taken out. The whole of the scalp felt " boggy," but there was no distinct fluctuation. The face was puffed and codematous. Charcoal and linseed poultices were applied, perchloride of iron was given in ten-minim doses, and a calomel purge was administered. Next day the temperature was 98’6°, and the girl felt altogether better. After this date the recovery was only interrupted by a small collection of pus under the scalp at one limited spot ; it discharged itself, however, through the original wound, and by Feb. 20th the latter had almost healed. On the 6th of March the wound had completely healed. Remarks by Mr. WATSON.—The rapid recovery from such - au extensive denudation of the cranium is the most interesting feature of this case. The young woman’s very good general health must be taken into account, as giving her the best chance of recovery ; but the antiseptic dressings mus1 be credited with some part of the good result, and th( absence of serious complications.
corresponding part
pain ceased, and when seen on May 29th she had lost the worn haggard look ; the breast was at least half its former size, was comparatively soft ; and the enlarged axillary glands could no longer be felt. Mr. Hardwicke writes on June 9th as to her continued improvement. The only local application was some simple ointment to the sore. The other was a case of uterine cancer, operated on at St. Mary’s Hospital, Paddington, by Dr. Meadows, on Dec. 2nd, 1879. She suffered from much pain, haemorrhage, and discharge, and had emaciated greatly. The drug was commenced on May 15th, and on June 1st she was free from pain. The emulsion did not agree with her, and for a short time during which it was discontinued by the patient all the symptoms returned, but in the form of pill the medicine was better tolerated. Both cases are still under observation, and the writer says he has another put gives other
case
of mammary
cancer on
the treatment.
He
details-viz., that in each case, whilst taking the drug, the patient complained of a sense of " sinking and " emptiness " in the stomach. Dr. MACLEOD (Dundee) writes :-" Two cases of cancer of uterus I have recently treated with Chian turpentine pills, as recommended by Professor Clay of Birmingham, without the
"
slightest benefit."
SCARLATINAL DROPSY WITHOUT ALBUMINURIA. DR. MiTCHELL (Catford) forwards the following case :J. B-, aged twenty-one, of lymphatic temperament, began to suffer from sore-throat about the latter end of April, with slight pyrexia, and four days later a red rash appeared, nearly limited to the lower extremities. He did not and in a few daysresumed, on his own keep his LIVERPOOL INFIRMARY FOR CHILDREN. responsibility,his occupation in connexion with the fire brigade. Dropsy of the face, lower limbs, and scrotum HYDATID OF THE LIVER ; TAPPED WITH SOUTHEY’S commenced the 5th May, and became generaland exTROCAR. tremea few dayslater. Desquamation was then going on. (Under the care of Mr. MARTIN OXLEY.) The urine was scanty and brownish, but yielded no albuon frequent testing. Cardiac and respiratory sounds was admitted ELLEN February men aged eight years, were given, and from the 12th to the normal. Diaphoretics was an 1880. She anaemic, sallow-complexioned child, 17th nitrate of 20th, potash with solution of acetate of ammonia, who had been out of health for six months; suffering from and compound jalap powder with Dover’s powder. The occasional vomiting, loss of appetite, and lassitude. The urine increased in quantity, but the anasarca did not subabdomen was large, and in the region of the liver, bulging side until, on the 17tb, medicines were suspended, and a hot-air bath prescribed. This treatment was continued, was noticed; this bulging gave a distinct sense of fluctuaand after seven or eight baths the dropsy disappeared. a to it was considered advisable introduce and Southey’s trocar and cannula ; this was done two inches to ULCER TREATED BY NUTRIENT the right of the linea alba, and three inches below the ENEMATA. ninth rib, when six ounces of clear fluid were drawn off, the DR. MACLEOD last few drops of which were stained with bile. The flnid (Dundee) has recently treated three cases of gastric ulcer on the principle of rest, ice only being was found on examination to be alkaline, free from albumen, and crowded with the heads of the echinococci. There allowed by the mouth for three days, during which time nutrient enemata of beef-tea, egg, and milk were given at was a slight rise of temperature on the evening after the withdrawal of the fluid, it fell to normal by morning, and intervals of four or five hours. Afterwards iced milk with the child went out of the hospital in three weeks quite potash water in small quantity was allowed. well. RINGWORM OF THE SCALP Note.-The use of the trocar and cannula of Southey con. DR. (Dundee), after failing to cure an obstinate trasted very favourably with aspiration which was employed in another case of a similar nature some few years ago, case of ringworm by various remedies-as acetic acid, carit where the aspiration was followed by two days of very higb bolic acid, oil of cade, oil of stavesacre, &c.-found to a mixture of iodine and oil of tar in the readily yield temperature, and threatened peritonitis, although the needlE proportion of two drachms to one ounce painted over the used was not larger than a Southey’s cannula. patches three or four times. This plan has been recommended by Prof. McCall Anderson.
bed,
on
R-,
GASTRIC
MACLEOD
NOTES OF MEDICAL AND SURGICAL PRACTICE. CHIAN TURPENTINE IN CANCER OF BREAST AND UTERUS
Medical Societies. CLINICAL SOCIETY OF LONDON.
MR. E. J. HARDWICKE (Bury St. Edmunds) records two Disease of the Mastoid Bone; Rare Cardio -pulmonary in which he prescribed the above drug with apparent Murmur. —Cancer of the Pylorus.—Unilateral Mo?7)hwa, with Exostosis and Corneal Opacity. benefit. The first was a case of scirrhous mamma. The THE following is the conclusion of the report of the organ, which for eleven years had been the seat of some induration, had been rapidly enlarging and becoming very meeting of this Society, held May 28th. Mr. HENRY MORRIS read notes of two cases of Disease of painful during the past two years. The right breast was twice the size of its fellow, exceedingly hard, the nipple the Mastoid Bone, in one of which a severe attack of herpes retracted, and an open sore existed on the left of the nipple. of the face followed thrombosis of the lateral sinus and The axillary glands were enlarged, and the woman had a jugular vein. The object of his communication was to point very cachectic appearance. She refused to go into hospital out the value of trephining the mastoid bone as a palliative to have the breast removed, so was put upon the drug measure, even when recovery is not possible, to show the according to Professor Clay’s formula. In a few days the value of a simple incision through the soft tissues over the cases
corresponding part
pain ceased, and when seen on May 29th she had lost the worn haggard look ; the breast was at least half its former size, was comparatively soft ; and the enlarged axillary glands could no longer be felt. Mr. Hardwicke writes on June 9th as to her continued improvement. The only local application was some simple ointment to the sore. The other was a case of uterine cancer, operated on at St. Mary’s Hospital, Paddington, by Dr. Meadows, on Dec. 2nd, 1879. She suffered from much pain, haemorrhage, and discharge, and had emaciated greatly. The drug was commenced on May 15th, and on June 1st she was free from pain. The emulsion did not agree with her, and for a short time during which it was discontinued by the patient all the symptoms returned, but in the form of pill the medicine was better tolerated. Both cases are still under observation, and the writer says he has another put gives other
case
of mammary
cancer on
the treatment.
He
details-viz., that in each case, whilst taking the drug, the patient complained of a sense of " sinking and " emptiness " in the stomach. Dr. MACLEOD (Dundee) writes :-" Two cases of cancer of uterus I have recently treated with Chian turpentine pills, as recommended by Professor Clay of Birmingham, without the
"
slightest benefit."
SCARLATINAL DROPSY WITHOUT ALBUMINURIA. DR. MiTCHELL (Catford) forwards the following case :J. B-, aged twenty-one, of lymphatic temperament, began to suffer from sore-throat about the latter end of April, with slight pyrexia, and four days later a red rash appeared, nearly limited to the lower extremities. He did not and in a few daysresumed, on his own keep his LIVERPOOL INFIRMARY FOR CHILDREN. responsibility,his occupation in connexion with the fire brigade. Dropsy of the face, lower limbs, and scrotum HYDATID OF THE LIVER ; TAPPED WITH SOUTHEY’S commenced the 5th May, and became generaland exTROCAR. tremea few dayslater. Desquamation was then going on. (Under the care of Mr. MARTIN OXLEY.) The urine was scanty and brownish, but yielded no albuon frequent testing. Cardiac and respiratory sounds was admitted ELLEN February men aged eight years, were given, and from the 12th to the normal. Diaphoretics was an 1880. She anaemic, sallow-complexioned child, 17th nitrate of 20th, potash with solution of acetate of ammonia, who had been out of health for six months; suffering from and compound jalap powder with Dover’s powder. The occasional vomiting, loss of appetite, and lassitude. The urine increased in quantity, but the anasarca did not subabdomen was large, and in the region of the liver, bulging side until, on the 17tb, medicines were suspended, and a hot-air bath prescribed. This treatment was continued, was noticed; this bulging gave a distinct sense of fluctuaand after seven or eight baths the dropsy disappeared. a to it was considered advisable introduce and Southey’s trocar and cannula ; this was done two inches to ULCER TREATED BY NUTRIENT the right of the linea alba, and three inches below the ENEMATA. ninth rib, when six ounces of clear fluid were drawn off, the DR. MACLEOD last few drops of which were stained with bile. The flnid (Dundee) has recently treated three cases of gastric ulcer on the principle of rest, ice only being was found on examination to be alkaline, free from albumen, and crowded with the heads of the echinococci. There allowed by the mouth for three days, during which time nutrient enemata of beef-tea, egg, and milk were given at was a slight rise of temperature on the evening after the withdrawal of the fluid, it fell to normal by morning, and intervals of four or five hours. Afterwards iced milk with the child went out of the hospital in three weeks quite potash water in small quantity was allowed. well. RINGWORM OF THE SCALP Note.-The use of the trocar and cannula of Southey con. DR. (Dundee), after failing to cure an obstinate trasted very favourably with aspiration which was employed in another case of a similar nature some few years ago, case of ringworm by various remedies-as acetic acid, carit where the aspiration was followed by two days of very higb bolic acid, oil of cade, oil of stavesacre, &c.-found to a mixture of iodine and oil of tar in the readily yield temperature, and threatened peritonitis, although the needlE proportion of two drachms to one ounce painted over the used was not larger than a Southey’s cannula. patches three or four times. This plan has been recommended by Prof. McCall Anderson.
bed,
on
R-,
GASTRIC
MACLEOD
NOTES OF MEDICAL AND SURGICAL PRACTICE. CHIAN TURPENTINE IN CANCER OF BREAST AND UTERUS
Medical Societies. CLINICAL SOCIETY OF LONDON.
MR. E. J. HARDWICKE (Bury St. Edmunds) records two Disease of the Mastoid Bone; Rare Cardio -pulmonary in which he prescribed the above drug with apparent Murmur. —Cancer of the Pylorus.—Unilateral Mo?7)hwa, with Exostosis and Corneal Opacity. benefit. The first was a case of scirrhous mamma. The THE following is the conclusion of the report of the organ, which for eleven years had been the seat of some induration, had been rapidly enlarging and becoming very meeting of this Society, held May 28th. Mr. HENRY MORRIS read notes of two cases of Disease of painful during the past two years. The right breast was twice the size of its fellow, exceedingly hard, the nipple the Mastoid Bone, in one of which a severe attack of herpes retracted, and an open sore existed on the left of the nipple. of the face followed thrombosis of the lateral sinus and The axillary glands were enlarged, and the woman had a jugular vein. The object of his communication was to point very cachectic appearance. She refused to go into hospital out the value of trephining the mastoid bone as a palliative to have the breast removed, so was put upon the drug measure, even when recovery is not possible, to show the according to Professor Clay’s formula. In a few days the value of a simple incision through the soft tissues over the cases