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NEWCASTLE-ON-TYNE INFIRMARY.
343 Artificial Ood-Liver Oil. 1B1. PERSOXNE, Chief Pharmacien of the Venereal Hospital of Paris, recently addressed a paper to the Academy of Medicine, wherein he proposes to manufacture an animal oil, into which certain proportions of iodine shall be introduced. He maintains that cod-liver oil acts very imperfectly, from the uncertain quantity of iodine it contains, and thinks that the oil which he proposes would be greatly superior. M. Audoward read a paper, in the same meeting, in which he endeavoured to prove that yellow fever is caused by the slave trade. ___
New
not of great size. These applications and astriction than pain, and when the lid produce is replaced, hot and whitish tears escape, the flow of which may last from a few seconds to two or three minutes; it rarely lasts longer, and the eye can then be kept open. When the granulations are of an indolent character, the slight injection of the ocular conjunctiva, which occurs on the application of the lead, goes off rapidly; if, on the other hand, the cornea be vascular, the vessels become smaller soon after the cauterization of the lids. Slight oedema of the palpehrse may follow, but in twenty-four or
sufficient when more
they are
burning
forty-eight hours it wholly disappears; a dry compress rubbed with camphor will hasten resolution, and likewise lessen the burning sensation, if the latter happen to persist. One lid only should be
Preparation of Iodide of Iron. touched at a time, and not again be interfered with, unless all clever Pharmacien, of Paris, has just trace of the salt is removed. Dr. Buys has used the lead in a a method of preparing pills of iodide of iron, which regreat many cases of contagious ophthalmia among the military, main unaffected by the action of air and damp. They taste and Dr. Cunier, in acute and chronic catarrhal ophthalmia; neither of steel nor iodine, and may be kept for an indefinite the results seem to have been more satisfactory in the latter variety, as also in scrofulous affections of the eye, vascular cornea, period.
M. found
BLANCARD,
a
-
Hydatid Cyst of the Spleen. A patient presented himself, a few months ago, at the H6pital Beaujon, in Paris, with a tumour, of the size of a foetal head, situated over the spleen. He was twenty-four years of age, in good health, and had noticed the tumour only three weeks, though he recollected having been struck in the left ’hypochondrial region by the pole of a vehicle, about five
months before. Dr. LEGRoux, under whose care he was placed, diagnosed a hydatid cyst of the spleen, and it was agreed, with M. Robert, that the parietes of the abdomen, to the size of a crown, should be destroyed, by successive applications of potassa fusa, and the liquid evacuated, after sufficient peritonmal adhesions had been formed. This was done, and about a quart of clear serum evacuated. The patient died seven days after the operation, having had repeated shiverings; and the autopsy showed that the tumour was really attached to the internal surface of the spleen, without, however, entering deeply into its substance. From this case, it is justly inferred, that the puncture of cysts connected with the spleen should be avoided. ___
Amputation of the Two Superior Maxillary Bones. M. MAISSONNEUVE lately performed the above operation upon an old man affected with cancer. The chain-saw and Liston’s pliers were the principal instruments used; but the patient died a few days afterwards. M. Maisonneuve had, some time previously, performed the same operation upon a girl, whose superior maxillse were necrosed, in consequence of exposure to phosphoric fumes. The girl is alive, and will be presented to the Surgical Society of Paris. The latter, however, condemned the amputation of both the upper jaws. Syphilis among the Lower Animals. Dr. Arzras TURENNE, has published various letters in the French medical papers, referring to his experiments upon animals, with a view of inoculating them with the syphilitic -virus. It would appear that he succeeded in several instances. He has not, however, yet converted M. Ricord to his
and ulcers of that membrane. The mineral has likewise ceeded in cutting short incipient inflammation of the organ.
suc-
Hospital Reports. NEWCASTLE-ON-TYNE INFIRMARY. (Reported by Mr. T. J. TURNBULL, Dresser.) CASES UNDER THE CARE OF SIR JOHN FIFE.
Lithotomy. J. S-, aged forty-seven, who is married, and a pitman, a native of Lamesley, in the county of Durham, was admitted August 16, with stone in the bladder. Twenty-eight years ago he suffered lithotomy, when the stone broke in extraction. Since that time he has been labouring under the symptoms of a fresh calculus. The irritation of the bladder was excessive ; the prostate gland enormously enlarged and indurated. Three days after his admission into the hospital he was brought into the operating-theatre, for the removal of the calculus. Chloroform being administered to the extent of six drachms, Sir John Fife performed the lateral operation with Liston’s knife. He made the first incision more extensive and less perpendicular than usual, passing from the bulb of the urethra, close past the tuberosity of the ischium. Attempting to penetrate the urethra, the resistance was such that he withdrew his knife to examine its point. On opening the bladder he ascertained that the stone was large, and therefore extended his internal incision with a straight bistoury, before introducing the forceps. After this, the stone, weighing one ounce and a quarter, was easily and gently extracted. Some time was spent in examining the bladder, from the apprehension of a second calculus, so that the operation lasted nearly four minutes. Since the operation the man has not had an unpleasant symptom. An elastic gum-tube was retained in the bladder for the first forty-eight hours. Diseased Antrum.
W. B-,
aged twelve, a native of Heworth, was admitted
August 16, with great enlargement
of the left cheek, from dilatation of the antrum. The patient had measles three years ago, since which time the present tumour has Acetate of Lead in Granular Lids. increased; its distention seems, from the feeling, to DR. FLORENT CuxrER, of Brussels, has recently published the gradually be caused by fluid. successful results of the practice of Dr. Buys, in granular lid. Sir John Fife made an incision from the commissure of the His treatment consists in the application of acetate of lead to the mouth, horizontally backwards; another commencing at the of the nitrate of instead silver commonly same point, directly upwards. He then dissected back the palpebral conjunctiva, acetate of lead, reduced to an used. Dr. Buys takes neutral flaps as far as the orbit, first tying the facial artery; then with impalpable powder, dips a moistened pencil into it, and takes up Hey’s saw he cut out a right-angled triangle of bone, exposing about a grain, or a grain and a half, of the salt, which is enough the whole of the which contained two teeth and about for one lid. When the lid is touched it should be kept everted four ounces of antrum, amber-coloured gelatinous fluid, but no organic until the tears have dissolved the acetate, and those portions of disease. The has now considerably decreased, and swelling the salt which escape solution should be taken off with the pencil. the patient is doing well. -On the upper lid the tears will be insufficient to dissolve the salt, Tumour on the Hand. and moisture must be applied to it from the angles of the eye. As J. D--, aged fifteen, belongs to Houghton-le-Spring; was soon as the acetate is dissolved by the tears, and has penetrated the tissues, the latter are noticed to contract powerfully, and a very admitted Aug. 16, with a soft, irregular, fibrous tumour of the remarkable phenomenon takes place; for the granulations, hand, following fracture of the metacarpal bone of the little and the grooves between them, disappear at once, if they be of a finger. It extended from the tendons upwards, bulging out ’1D.oderate size, and the conjunctiva looks smooth and uniform as near to the wrist. 1 ong as it remains exposed to the air; but the shining, white The tumour was exposed by Sir John Fife, and a fibro’colour produced by the lead is perceived only when the lid comes granular structure observed, extending along the outside of again into contact with the globe of the eye. When the granu- the hand. Its chief attachment was to the integument, from lations and furrows between them are large, two or three appli- which it was carefully dissected. A piece of lint was then cations are necessary to obtain smoothness; one, however, is applied to the wound, which was left to suppuration.
opinion.
-
enormous
New
not of great size. These applications and astriction than pain, and when the lid produce is replaced, hot and whitish tears escape, the flow of which may last from a few seconds to two or three minutes; it rarely lasts longer, and the eye can then be kept open. When the granulations are of an indolent character, the slight injection of the ocular conjunctiva, which occurs on the application of the lead, goes off rapidly; if, on the other hand, the cornea be vascular, the vessels become smaller soon after the cauterization of the lids. Slight oedema of the palpehrse may follow, but in twenty-four or
sufficient when more
they are
burning
forty-eight hours it wholly disappears; a dry compress rubbed with camphor will hasten resolution, and likewise lessen the burning sensation, if the latter happen to persist. One lid only should be
Preparation of Iodide of Iron. touched at a time, and not again be interfered with, unless all clever Pharmacien, of Paris, has just trace of the salt is removed. Dr. Buys has used the lead in a a method of preparing pills of iodide of iron, which regreat many cases of contagious ophthalmia among the military, main unaffected by the action of air and damp. They taste and Dr. Cunier, in acute and chronic catarrhal ophthalmia; neither of steel nor iodine, and may be kept for an indefinite the results seem to have been more satisfactory in the latter variety, as also in scrofulous affections of the eye, vascular cornea, period.
M. found
BLANCARD,
a
-
Hydatid Cyst of the Spleen. A patient presented himself, a few months ago, at the H6pital Beaujon, in Paris, with a tumour, of the size of a foetal head, situated over the spleen. He was twenty-four years of age, in good health, and had noticed the tumour only three weeks, though he recollected having been struck in the left ’hypochondrial region by the pole of a vehicle, about five
months before. Dr. LEGRoux, under whose care he was placed, diagnosed a hydatid cyst of the spleen, and it was agreed, with M. Robert, that the parietes of the abdomen, to the size of a crown, should be destroyed, by successive applications of potassa fusa, and the liquid evacuated, after sufficient peritonmal adhesions had been formed. This was done, and about a quart of clear serum evacuated. The patient died seven days after the operation, having had repeated shiverings; and the autopsy showed that the tumour was really attached to the internal surface of the spleen, without, however, entering deeply into its substance. From this case, it is justly inferred, that the puncture of cysts connected with the spleen should be avoided. ___
Amputation of the Two Superior Maxillary Bones. M. MAISSONNEUVE lately performed the above operation upon an old man affected with cancer. The chain-saw and Liston’s pliers were the principal instruments used; but the patient died a few days afterwards. M. Maisonneuve had, some time previously, performed the same operation upon a girl, whose superior maxillse were necrosed, in consequence of exposure to phosphoric fumes. The girl is alive, and will be presented to the Surgical Society of Paris. The latter, however, condemned the amputation of both the upper jaws. Syphilis among the Lower Animals. Dr. Arzras TURENNE, has published various letters in the French medical papers, referring to his experiments upon animals, with a view of inoculating them with the syphilitic -virus. It would appear that he succeeded in several instances. He has not, however, yet converted M. Ricord to his
and ulcers of that membrane. The mineral has likewise ceeded in cutting short incipient inflammation of the organ.
suc-
Hospital Reports. NEWCASTLE-ON-TYNE INFIRMARY. (Reported by Mr. T. J. TURNBULL, Dresser.) CASES UNDER THE CARE OF SIR JOHN FIFE.
Lithotomy. J. S-, aged forty-seven, who is married, and a pitman, a native of Lamesley, in the county of Durham, was admitted August 16, with stone in the bladder. Twenty-eight years ago he suffered lithotomy, when the stone broke in extraction. Since that time he has been labouring under the symptoms of a fresh calculus. The irritation of the bladder was excessive ; the prostate gland enormously enlarged and indurated. Three days after his admission into the hospital he was brought into the operating-theatre, for the removal of the calculus. Chloroform being administered to the extent of six drachms, Sir John Fife performed the lateral operation with Liston’s knife. He made the first incision more extensive and less perpendicular than usual, passing from the bulb of the urethra, close past the tuberosity of the ischium. Attempting to penetrate the urethra, the resistance was such that he withdrew his knife to examine its point. On opening the bladder he ascertained that the stone was large, and therefore extended his internal incision with a straight bistoury, before introducing the forceps. After this, the stone, weighing one ounce and a quarter, was easily and gently extracted. Some time was spent in examining the bladder, from the apprehension of a second calculus, so that the operation lasted nearly four minutes. Since the operation the man has not had an unpleasant symptom. An elastic gum-tube was retained in the bladder for the first forty-eight hours. Diseased Antrum.
W. B-,
aged twelve, a native of Heworth, was admitted
August 16, with great enlargement
of the left cheek, from dilatation of the antrum. The patient had measles three years ago, since which time the present tumour has Acetate of Lead in Granular Lids. increased; its distention seems, from the feeling, to DR. FLORENT CuxrER, of Brussels, has recently published the gradually be caused by fluid. successful results of the practice of Dr. Buys, in granular lid. Sir John Fife made an incision from the commissure of the His treatment consists in the application of acetate of lead to the mouth, horizontally backwards; another commencing at the of the nitrate of instead silver commonly same point, directly upwards. He then dissected back the palpebral conjunctiva, acetate of lead, reduced to an used. Dr. Buys takes neutral flaps as far as the orbit, first tying the facial artery; then with impalpable powder, dips a moistened pencil into it, and takes up Hey’s saw he cut out a right-angled triangle of bone, exposing about a grain, or a grain and a half, of the salt, which is enough the whole of the which contained two teeth and about for one lid. When the lid is touched it should be kept everted four ounces of antrum, amber-coloured gelatinous fluid, but no organic until the tears have dissolved the acetate, and those portions of disease. The has now considerably decreased, and swelling the salt which escape solution should be taken off with the pencil. the patient is doing well. -On the upper lid the tears will be insufficient to dissolve the salt, Tumour on the Hand. and moisture must be applied to it from the angles of the eye. As J. D--, aged fifteen, belongs to Houghton-le-Spring; was soon as the acetate is dissolved by the tears, and has penetrated the tissues, the latter are noticed to contract powerfully, and a very admitted Aug. 16, with a soft, irregular, fibrous tumour of the remarkable phenomenon takes place; for the granulations, hand, following fracture of the metacarpal bone of the little and the grooves between them, disappear at once, if they be of a finger. It extended from the tendons upwards, bulging out ’1D.oderate size, and the conjunctiva looks smooth and uniform as near to the wrist. 1 ong as it remains exposed to the air; but the shining, white The tumour was exposed by Sir John Fife, and a fibro’colour produced by the lead is perceived only when the lid comes granular structure observed, extending along the outside of again into contact with the globe of the eye. When the granu- the hand. Its chief attachment was to the integument, from lations and furrows between them are large, two or three appli- which it was carefully dissected. A piece of lint was then cations are necessary to obtain smoothness; one, however, is applied to the wound, which was left to suppuration.
opinion.
-
enormous