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NORTHUMBERLAND AND DURHAM MEDICAL SOCIETY.
257
potassium (thirty-six grains thrice daily) ; he rapidly improved, and had now completely recovered. Case of At7etosis.-Dr. Smorr showed a woman, aged twenty-tour, who had left hemiplegia when two years of age. At seven she began to walk, and it was noticed that she had rhythmical contractions of the fingers of the left hand, as well as talipes equino-varus on the same side. The movements havecontinued ever since, though she has been told they cease during sleep. The arm is shorter than the healthy one, but there is marked muscular hypertrophy due to the excessive movements.
Some.Injuries and Malformations of the Urethra.-lllr. THOMAS read a paper on the above subject. It was illustrated by the histories of various cases which had come under the author’s care, and a considerable portion of it was devoted to extravasation of urine in boys, four cases of which were related. Dr. MALINS showed the following specimens:-1. An iron hammer-head, weighing 5 oz., removed from the vagina of a girl aged fourteen. 2. Cystic ovaries taken from a patient aged thirty-three, weighing respectively 6i drs. and 5t drs. 3. Fibroid polypus, weighing nearly 8 oz., removed from a patient aged forty-six. The cervix was divided anteroposteriorly by the thermo-cautery a fortnight previously, and the tumour removed by the ecraseur and extracted by midwifery forceps. Before admission to the hospital she had been in bed two years and four months. At the present time she is practically well.
The specimens were removed from a boy, the subject of a compound comminuted fracture of the femur, who had passed several calculi during life. In connexion with the case Dr. Murphy also exhibited a series of calculi, all either passed by, or removed from, patients who had sustained fractures of the femur.
Obstruction from Gall-stone.-Dr. MORRIS read a paper on fatal case of obstruction of the intestine from gall-stone, and a fatal case of perforating ulcer of the small intestine. The gall-stone in the first case was the size of a walnut, and had become impacted in the small intestine, a short distance below the orifice of the common bile duct. In the second case the chief interest lay in the entire want of symptoms of perforation. There was no pain and no very sudden
a
collapse.
Dr. JAMES DnuMMOND read a short note on a case of Intestinal Calculus. - Met’c:’..—Mr. PAGE submitted the results of major amputations treated antiseptically in the Newcastle-onTyne Infirmary during the year 1885. From this statement it appeared that during the year there were performed fiftyone major amputations, with two deaths (3-9 per cent.). Of for disease, with the hip-joint, there were three one death ; thigh, one for injury, not fatal, and twelve for disease, with one death; knee-joint, one for injury, not fatal; leg, one for injury and five for disease, with no deaths; ankle-joint, two for injury and nine for disease, and no deaths; shoulder-joint, one for disease, not fatal; arm, three for injury and one for disease, with no deaths; five for injury and six for disease, and no deaths; forearm, NORTHUMBERLAND AND DURHAM MEDICAL one for injury, not fatal. Adding the amputawrist-joint, SOCIETY. tions of 1855 to those of 1884 and 1883, there is a total of 156 major amputations, with eight deaths (5’1 per cent.). THE fourth monthly meeting for the session of the above Society was held in the library of the Newcastle-on-Tyne Infirmary, on Thursday, Jan. 21st, Dr. Fielden, President, in WOLVERHAMPTON AND DISTRICT MEDICAL SOCIETY. the chair. Aneurysm of the Right Subclavian Artery.-Mr. PAGE showed a girl, aged twenty-one years, sent to him alleged A MEETING of the above Society was held on Thursday, to be suffering from Aneurysm of the Right Subclavian Jan. 7th, Dr. S. A. Smith, in the chair. Artery. On careful examination Mr. Page found that there Medical Consultations.-The discussion on this subject, was no aneurysm, but that the vessel was raised over an exostosis growing from the transverse process of one of the ’, adjourned from the previous meeting, was concluded after cervical vertebrae. This condition was proved by the fact I several members had spoken. that when the girl stood upright the radial pulse on the Simple Fracture of the Patella.-Mr. VINCENT JACKSON affected side was arrested by the stretching of the vessel exhibited two patients who had suffered Simple Fracture of the Left Patella, and in each case the fracture had occurred over the growth. The pulse returned at once whenever she assumed the recumbent position. The vessel could also be twice. 1. A gentleman, aged forty-eight, was seen by Mr. slipped forward over the growth. The condition was a very Jackson seven years ago on account of a simple transverse the left patella. The treatment consisted in rare one, and excited considerable interest. As the girl was fracture of in good health and had no urgent symptoms, no operative apposing the fragments and extending the limb on a back measures were proposed. splint, with a foot-piece ; this was continued until the Loose Cartilage.-Mr. PAGE also exhibited a loose carti- union (fibrous) permitted progression, and the gentleman relage, 3 in. long, lz’5- in. broad, and 2in. thick, removed from sumed his avocation. Six months afterwards he tripped and the knee-joint of an old woman aged eighty. The patient fell from the top to the bottom of some stairs, refracturing the patella. The treatment was repeated, and the same did well. followed. 2. The patient, a man twentyLeucocythemia. Dr. LIMO NT exhibited a very large favourable results one years of age, was admitted into the hospital with a of and a from a case of uterine spleen example myoma leucocythoemia. In the latter there was no alteration in the simple fracture of the left patella. Two days after, when red corpuscles, but the white corpuscles were very much seen by Mr. Jackson, it was determined to wire the increased in number. No examination was made of the fragments together, and for this purpose ether was I administered, and when the patient was almost ansesbone or bone marrow. Dr. LIMONT also exhibited a specimen of Acute Ulcerationi thetised, respiration stopped, and a very alarming condition ensued; fortunately, the means used to restore of the Colon. animation were successful. Mr. Jackson decided not to PHILIPSON the stomach and showed Gastrostomy.-Dr. oesophagus from a patient on whom gastrostomy had been perform the operation, and directed that the fracture performed for malignant disease of the oesophagus and should be treated in the ordinary way, the result being cardiac end of the stomach. The patient lived for three perfectly successful. Two years after his discharge he fell weeks after the operation. The case produced an interesting again and refractured the patella. Treatment was for the discussion on the difficulties sometimes encountered in the second time employed, and in the course of time he went diagnosis of malignant disease of the oesophagus, and also home and resumed his work. Mr. Jackson, in a fewobserin regard to the benefits derived from operation.-Dr. vations, stated that he exhibited these patients as evidence, Hmm believed that the operation of gastrostomy was one if any were wanted, that the wiring of the fragments which would ultimately be abandoned in cases of cancer. together in fractured patella was not necessary. Mr. JackUterine .LWyoma. Dr. HuMB exhibited the tubes and son showed a patella he had removed from a male patient ovaries removed from a woman the subject of a uterine who many years before his death had sustained a transverse myoma of very large size. The woman made a capital fracture of this bone. This specimen was exhibited as an recovery, and at the last examination the operator was of example of bony union which occasionally follows when opinion that the tumour was reduced in size. No menstrual similar treatment to that already mentioned is employed flow had taken place since the operation, and there had not for these injuries. been flooding of any kind. Radical OUl’e of Hernia.-Mr. JACKSON also exhibited a -Renal Calculi.-Dr. MURPHY showed two kidneys, the man, aged twenty-four, sent to him by Mr. Clendinnen of pelvis of each containing a large number of renal calculi. Coseley, to be radically cured of a large hernial tumour of -
-
amputations
potassium (thirty-six grains thrice daily) ; he rapidly improved, and had now completely recovered. Case of At7etosis.-Dr. Smorr showed a woman, aged twenty-tour, who had left hemiplegia when two years of age. At seven she began to walk, and it was noticed that she had rhythmical contractions of the fingers of the left hand, as well as talipes equino-varus on the same side. The movements havecontinued ever since, though she has been told they cease during sleep. The arm is shorter than the healthy one, but there is marked muscular hypertrophy due to the excessive movements.
Some.Injuries and Malformations of the Urethra.-lllr. THOMAS read a paper on the above subject. It was illustrated by the histories of various cases which had come under the author’s care, and a considerable portion of it was devoted to extravasation of urine in boys, four cases of which were related. Dr. MALINS showed the following specimens:-1. An iron hammer-head, weighing 5 oz., removed from the vagina of a girl aged fourteen. 2. Cystic ovaries taken from a patient aged thirty-three, weighing respectively 6i drs. and 5t drs. 3. Fibroid polypus, weighing nearly 8 oz., removed from a patient aged forty-six. The cervix was divided anteroposteriorly by the thermo-cautery a fortnight previously, and the tumour removed by the ecraseur and extracted by midwifery forceps. Before admission to the hospital she had been in bed two years and four months. At the present time she is practically well.
The specimens were removed from a boy, the subject of a compound comminuted fracture of the femur, who had passed several calculi during life. In connexion with the case Dr. Murphy also exhibited a series of calculi, all either passed by, or removed from, patients who had sustained fractures of the femur.
Obstruction from Gall-stone.-Dr. MORRIS read a paper on fatal case of obstruction of the intestine from gall-stone, and a fatal case of perforating ulcer of the small intestine. The gall-stone in the first case was the size of a walnut, and had become impacted in the small intestine, a short distance below the orifice of the common bile duct. In the second case the chief interest lay in the entire want of symptoms of perforation. There was no pain and no very sudden
a
collapse.
Dr. JAMES DnuMMOND read a short note on a case of Intestinal Calculus. - Met’c:’..—Mr. PAGE submitted the results of major amputations treated antiseptically in the Newcastle-onTyne Infirmary during the year 1885. From this statement it appeared that during the year there were performed fiftyone major amputations, with two deaths (3-9 per cent.). Of for disease, with the hip-joint, there were three one death ; thigh, one for injury, not fatal, and twelve for disease, with one death; knee-joint, one for injury, not fatal; leg, one for injury and five for disease, with no deaths; ankle-joint, two for injury and nine for disease, and no deaths; shoulder-joint, one for disease, not fatal; arm, three for injury and one for disease, with no deaths; five for injury and six for disease, and no deaths; forearm, NORTHUMBERLAND AND DURHAM MEDICAL one for injury, not fatal. Adding the amputawrist-joint, SOCIETY. tions of 1855 to those of 1884 and 1883, there is a total of 156 major amputations, with eight deaths (5’1 per cent.). THE fourth monthly meeting for the session of the above Society was held in the library of the Newcastle-on-Tyne Infirmary, on Thursday, Jan. 21st, Dr. Fielden, President, in WOLVERHAMPTON AND DISTRICT MEDICAL SOCIETY. the chair. Aneurysm of the Right Subclavian Artery.-Mr. PAGE showed a girl, aged twenty-one years, sent to him alleged A MEETING of the above Society was held on Thursday, to be suffering from Aneurysm of the Right Subclavian Jan. 7th, Dr. S. A. Smith, in the chair. Artery. On careful examination Mr. Page found that there Medical Consultations.-The discussion on this subject, was no aneurysm, but that the vessel was raised over an exostosis growing from the transverse process of one of the ’, adjourned from the previous meeting, was concluded after cervical vertebrae. This condition was proved by the fact I several members had spoken. that when the girl stood upright the radial pulse on the Simple Fracture of the Patella.-Mr. VINCENT JACKSON affected side was arrested by the stretching of the vessel exhibited two patients who had suffered Simple Fracture of the Left Patella, and in each case the fracture had occurred over the growth. The pulse returned at once whenever she assumed the recumbent position. The vessel could also be twice. 1. A gentleman, aged forty-eight, was seen by Mr. slipped forward over the growth. The condition was a very Jackson seven years ago on account of a simple transverse the left patella. The treatment consisted in rare one, and excited considerable interest. As the girl was fracture of in good health and had no urgent symptoms, no operative apposing the fragments and extending the limb on a back measures were proposed. splint, with a foot-piece ; this was continued until the Loose Cartilage.-Mr. PAGE also exhibited a loose carti- union (fibrous) permitted progression, and the gentleman relage, 3 in. long, lz’5- in. broad, and 2in. thick, removed from sumed his avocation. Six months afterwards he tripped and the knee-joint of an old woman aged eighty. The patient fell from the top to the bottom of some stairs, refracturing the patella. The treatment was repeated, and the same did well. followed. 2. The patient, a man twentyLeucocythemia. Dr. LIMO NT exhibited a very large favourable results one years of age, was admitted into the hospital with a of and a from a case of uterine spleen example myoma leucocythoemia. In the latter there was no alteration in the simple fracture of the left patella. Two days after, when red corpuscles, but the white corpuscles were very much seen by Mr. Jackson, it was determined to wire the increased in number. No examination was made of the fragments together, and for this purpose ether was I administered, and when the patient was almost ansesbone or bone marrow. Dr. LIMONT also exhibited a specimen of Acute Ulcerationi thetised, respiration stopped, and a very alarming condition ensued; fortunately, the means used to restore of the Colon. animation were successful. Mr. Jackson decided not to PHILIPSON the stomach and showed Gastrostomy.-Dr. oesophagus from a patient on whom gastrostomy had been perform the operation, and directed that the fracture performed for malignant disease of the oesophagus and should be treated in the ordinary way, the result being cardiac end of the stomach. The patient lived for three perfectly successful. Two years after his discharge he fell weeks after the operation. The case produced an interesting again and refractured the patella. Treatment was for the discussion on the difficulties sometimes encountered in the second time employed, and in the course of time he went diagnosis of malignant disease of the oesophagus, and also home and resumed his work. Mr. Jackson, in a fewobserin regard to the benefits derived from operation.-Dr. vations, stated that he exhibited these patients as evidence, Hmm believed that the operation of gastrostomy was one if any were wanted, that the wiring of the fragments which would ultimately be abandoned in cases of cancer. together in fractured patella was not necessary. Mr. JackUterine .LWyoma. Dr. HuMB exhibited the tubes and son showed a patella he had removed from a male patient ovaries removed from a woman the subject of a uterine who many years before his death had sustained a transverse myoma of very large size. The woman made a capital fracture of this bone. This specimen was exhibited as an recovery, and at the last examination the operator was of example of bony union which occasionally follows when opinion that the tumour was reduced in size. No menstrual similar treatment to that already mentioned is employed flow had taken place since the operation, and there had not for these injuries. been flooding of any kind. Radical OUl’e of Hernia.-Mr. JACKSON also exhibited a -Renal Calculi.-Dr. MURPHY showed two kidneys, the man, aged twenty-four, sent to him by Mr. Clendinnen of pelvis of each containing a large number of renal calculi. Coseley, to be radically cured of a large hernial tumour of -
-
amputations