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OPENING OF THE LONDON MEDICAL SCHOOLS.
666
along the lines laid down by G-ibson.
The confirma-
long after its performance, and by observers apparently unaware of his findings, must be regarded as highly significant.
OPENING OF THE LONDON MEDICAL SCHOOLS.
SUPRARENAL APOPLEXY. Dr. Felix Pearl and Dr. Harold Brunn,l of San Francisco, who describe a case in a man, aged 45, which has come under their observation, remark that haemorrhage into the suprarenal gland, though not infrequently found in infancy, is a rare condition in the adult, only 20 instances of bilateral suprarenal apoplexy in adults having been reported since 1906. The setiological factors suggested have been thrombosis, capillary emboli, congestive diseases, infections and toxins, diseases of the solar plexus, surface burns, and the haemorrhagic diathesis. The cases have been classified by Arnaud into three types-peritoneal, asthenic, and nervous. Any combination of symptoms may form the clinical picture, but asthenia is the most constant and characteristic of all symptoms. Physical signs are usually of no assistance in locating the seat of the disease. There may be merely vague tenderness in the lumbar regions or epigastrium or abdominal distension as in the present writers’ case. There is no pigmentation of the skin The diagnosis has only once as in Addison’s disease. been definitely made before death, in a case reported by N. B. Foster in 1920, but the presence of severe abdominal symptoms, with few or no physical signs, in a patient who presents definite nervous manifestations, profound asthenia, and gradual decline of blood pressure, should suggest acute adrenal disease. The prognosis is hopeless in well-marked bilateral cases, but small hsemorrhages may be absorbed without sequelae. Treatment of bilateral suprarenal apoplexy is usually unsuccessful. The best results are likely to be obtained by injection of normal saline, Ringer’s solution, and extracts of adrenal cortex or whole suprarenal gland. Epinephrin is ineffectual. Although operation is of no benefit in well-marked bilateral cases, it may be the only hope where there is massive unilateral haemorrhage and where death is likely to be due to severe haemorrhage and shock rather than to suprarenal failure.
Charing Cross ospa!.—Prizea will be distributed at the hospital on Thursday, Oct. 4th, at 3.30 P.M., by Dr. Thomas Watts Eden. The annual dinner will be held at Gatti’s Restaurant on the same day at 7 for 7.30 p.vL, with Sir Herbert Waterhouse in the chair.
tion of his work
so
THE Royal College of Physicians of London will commemorate its benefactors on Thursday, Oct. 18th, when the Harveian Oration will be delivered by Sir Humphry Rolleston, at 4 P.M., in the large library. The annual sermon at the Church of St. Mary-le-Bow will be preached at 11A.M. on the same day, and in the evening the commemoration dinner will be held in the College at 7.30 P.M.
ADDRESSES AND ANNUAL DINNERS.
session will begin on Tuesday, Ouy’s ospt<6f!.—The Oct. 2nd, but there will not be an opening ceremony.
Killg’s College Hospifcal.-An introductory address will be given at the Medical School at 2.30 P.M. on Wednesday, Oct. 3rd, by Mr. Ernest Barker, professor of political science, in the University of Cambridge. Sir William WatsonCheyne, F.R.S., will preside. The annual dinner of past and present students will be held at 7.30 P.M. on Wednesday, Oct. 3rd, at the Trocadero Restaurant, Piccadilly-circus, W., with Dr. B. R. Turner in the chair. London Hos])ital.-The old students’ dinner is to be held at the Trocadero Restaurant on Thursday, Oct. 18th, at 7.30 P.lII. London (R.P.H.) School of llTedicine for V’onzerz.-An introductory address will be given at the school at 3 P.M. Dr. Andrew Balfour, whose subject on Monday. Oct. 1st, 1>y will be the Tropical Field, its Possibilities for Medical Women. Middlesex; Ho.spital.-VTr. A. E. Webb-Johnson will deliver an introductory address, entitled the Enemies of Man, at the Queen’s Hall at 3 P.M. on Tuesday, Oct. 2nd, after which Prince Arthur of Connaught will distribute prizes and Princess Arthur will present the Pardon Memorial medals. The annual dinner will be held at the Savoy Hotel on the same day at 7.30 P.M., with Prince Arthur in the chair.
Phai,i)taceiiticctl Society of Great Britairz.-On Wednesday, Oct. 3rd. at 3 P.-,Nf , an inaugural sessional address will be given bv Mr. Reginald R. Bennett, chairman of the British Pharmaceutical Conference. A presentation of the Pereira medal will be made. On the same day, at 6.45 for 7 P.M., the anniversary dinner will take place at the Hotel Victoria, Xorthumberland-avenue, W.C. 2.
Royal Dental Hospital.-The dinner of past and present students will be held at Ei.30 for 7 P.M. on Saturday, Oct. 20th, at the Trocadero Restaurant. Mr. G. G. Campion will preside. St. Bartholorrrezc’s Hospital.-The old students’ annual dinner will be held in the Great Hall of the hospital at 7 for 7.30 P.M., on Monday, Oct. 1st, with Sir D’Arcy Power in the chair. St. George’s Hospital.-The prize distribution will be held in the Board Room of the hospital at 3 P.M. on Monday, Oct. 1st, when an inaugural address, entitled Hydrocephalus : A Study in Phylogeny and Pathology, will be delivered by Sir John Bland-Sutton The annual dinner will be held on the same day at the Hyde Park Hotel at 7.15 for 7.45 P.M. The chair will be taken by Dr. W. S. Fox.
St. Marr/’s Hospital.-The annual dinner of past and present students is to be held at the Trocadero Restaurant OUR advertisement columns contain an official on Friday, Oct. 5th, at 7 P.M. notice of the forthcoming election of two members St. T/K)M:6ts’s Hospital.-The old students’ dinner will be to the General Medical Council, to represent the held at St. Thomas’s House on Friday, Oct. 26th, with Mr. medical resident in
registered
practitioners
England.
A group of not less than 12 practitioners is entitled to nominate a candidate, and nominations must be delivered in proper form to the Registrar of the Council on or before Oct. 13th. 1 Surgery, Gynecology,
and
Obstetrics, September, 1928,
p. 393.
Edwin Francis White in the chair.
on
U ni!’ersit,/ C’olleqe Aredical S’chool.-The session will open Monday, Oct. 1st, when Sir Thomas Barlow, F.R.S., will
an introductory address in the Library at 4.30 P.M. The annual dinner of past and present students will take place at the Hotel Cecil on Friday, Oct. 12th, Surgeon ViceAdmiral Gaskell in the chair.
give
r:V cstminster H omital.-An inaugural address will be in the Board Room of] the hospital on Monday, given DONATIONS AND BEQUESTS.-A cheque for 21000 Oct. at 3 P.M., by Mr. A. C. Powell, headmaster of Epsom 1st, from an anonymous donor has been handed to the Glasgow College. Sir William Goschen will take the chair. The Dental Hospital by a chartered accountant of the citv.— hospital dinner is to be held on the same day, at 7 P.M. Miss Martha Mills, of Nottingham, left £ 1000 to the for 7.30, at Gatti’s Restaurant, Strand, W.C., Sir James of for the endowment a General bed Hospital Nottingham Purves-Stewart presiding. in memory of her brother-in-law, Morris Weisblum, and £ 100 each to Dr. Barnardo’s Homes and the Nottingham General Hospital; B50 each to several other charities.Mr. Miles Daniel Whitehead, of Kingstown, Co. Dublin, left B500 to the Drogheda Memorial Hospital at the Curragh, Co. Kildare, and £ 400 to Laura Hitchins, and the income for life from 800 shares in the Imperial Tobacco Co., with remainder to the Manchester Royal Infirmary if Laura Hitchins predeceased him.
PRESENTATION
OF
WILLIAM MACKENZIE MEDAL.-
This medal, given for valuable contributions to ophthalmology, will be presented to Dr. A. Maitland Ramsay at the Glasgow Eye Infirmary, on Tuesday, Oct. 9th, at 8 P.M., when Dr. Ramsay will deliver an address on the Importance of General Methods in the Treatment of Eye Disease.
along the lines laid down by G-ibson.
The confirma-
long after its performance, and by observers apparently unaware of his findings, must be regarded as highly significant.
OPENING OF THE LONDON MEDICAL SCHOOLS.
SUPRARENAL APOPLEXY. Dr. Felix Pearl and Dr. Harold Brunn,l of San Francisco, who describe a case in a man, aged 45, which has come under their observation, remark that haemorrhage into the suprarenal gland, though not infrequently found in infancy, is a rare condition in the adult, only 20 instances of bilateral suprarenal apoplexy in adults having been reported since 1906. The setiological factors suggested have been thrombosis, capillary emboli, congestive diseases, infections and toxins, diseases of the solar plexus, surface burns, and the haemorrhagic diathesis. The cases have been classified by Arnaud into three types-peritoneal, asthenic, and nervous. Any combination of symptoms may form the clinical picture, but asthenia is the most constant and characteristic of all symptoms. Physical signs are usually of no assistance in locating the seat of the disease. There may be merely vague tenderness in the lumbar regions or epigastrium or abdominal distension as in the present writers’ case. There is no pigmentation of the skin The diagnosis has only once as in Addison’s disease. been definitely made before death, in a case reported by N. B. Foster in 1920, but the presence of severe abdominal symptoms, with few or no physical signs, in a patient who presents definite nervous manifestations, profound asthenia, and gradual decline of blood pressure, should suggest acute adrenal disease. The prognosis is hopeless in well-marked bilateral cases, but small hsemorrhages may be absorbed without sequelae. Treatment of bilateral suprarenal apoplexy is usually unsuccessful. The best results are likely to be obtained by injection of normal saline, Ringer’s solution, and extracts of adrenal cortex or whole suprarenal gland. Epinephrin is ineffectual. Although operation is of no benefit in well-marked bilateral cases, it may be the only hope where there is massive unilateral haemorrhage and where death is likely to be due to severe haemorrhage and shock rather than to suprarenal failure.
Charing Cross ospa!.—Prizea will be distributed at the hospital on Thursday, Oct. 4th, at 3.30 P.M., by Dr. Thomas Watts Eden. The annual dinner will be held at Gatti’s Restaurant on the same day at 7 for 7.30 p.vL, with Sir Herbert Waterhouse in the chair.
tion of his work
so
THE Royal College of Physicians of London will commemorate its benefactors on Thursday, Oct. 18th, when the Harveian Oration will be delivered by Sir Humphry Rolleston, at 4 P.M., in the large library. The annual sermon at the Church of St. Mary-le-Bow will be preached at 11A.M. on the same day, and in the evening the commemoration dinner will be held in the College at 7.30 P.M.
ADDRESSES AND ANNUAL DINNERS.
session will begin on Tuesday, Ouy’s ospt<6f!.—The Oct. 2nd, but there will not be an opening ceremony.
Killg’s College Hospifcal.-An introductory address will be given at the Medical School at 2.30 P.M. on Wednesday, Oct. 3rd, by Mr. Ernest Barker, professor of political science, in the University of Cambridge. Sir William WatsonCheyne, F.R.S., will preside. The annual dinner of past and present students will be held at 7.30 P.M. on Wednesday, Oct. 3rd, at the Trocadero Restaurant, Piccadilly-circus, W., with Dr. B. R. Turner in the chair. London Hos])ital.-The old students’ dinner is to be held at the Trocadero Restaurant on Thursday, Oct. 18th, at 7.30 P.lII. London (R.P.H.) School of llTedicine for V’onzerz.-An introductory address will be given at the school at 3 P.M. Dr. Andrew Balfour, whose subject on Monday. Oct. 1st, 1>y will be the Tropical Field, its Possibilities for Medical Women. Middlesex; Ho.spital.-VTr. A. E. Webb-Johnson will deliver an introductory address, entitled the Enemies of Man, at the Queen’s Hall at 3 P.M. on Tuesday, Oct. 2nd, after which Prince Arthur of Connaught will distribute prizes and Princess Arthur will present the Pardon Memorial medals. The annual dinner will be held at the Savoy Hotel on the same day at 7.30 P.M., with Prince Arthur in the chair.
Phai,i)taceiiticctl Society of Great Britairz.-On Wednesday, Oct. 3rd. at 3 P.-,Nf , an inaugural sessional address will be given bv Mr. Reginald R. Bennett, chairman of the British Pharmaceutical Conference. A presentation of the Pereira medal will be made. On the same day, at 6.45 for 7 P.M., the anniversary dinner will take place at the Hotel Victoria, Xorthumberland-avenue, W.C. 2.
Royal Dental Hospital.-The dinner of past and present students will be held at Ei.30 for 7 P.M. on Saturday, Oct. 20th, at the Trocadero Restaurant. Mr. G. G. Campion will preside. St. Bartholorrrezc’s Hospital.-The old students’ annual dinner will be held in the Great Hall of the hospital at 7 for 7.30 P.M., on Monday, Oct. 1st, with Sir D’Arcy Power in the chair. St. George’s Hospital.-The prize distribution will be held in the Board Room of the hospital at 3 P.M. on Monday, Oct. 1st, when an inaugural address, entitled Hydrocephalus : A Study in Phylogeny and Pathology, will be delivered by Sir John Bland-Sutton The annual dinner will be held on the same day at the Hyde Park Hotel at 7.15 for 7.45 P.M. The chair will be taken by Dr. W. S. Fox.
St. Marr/’s Hospital.-The annual dinner of past and present students is to be held at the Trocadero Restaurant OUR advertisement columns contain an official on Friday, Oct. 5th, at 7 P.M. notice of the forthcoming election of two members St. T/K)M:6ts’s Hospital.-The old students’ dinner will be to the General Medical Council, to represent the held at St. Thomas’s House on Friday, Oct. 26th, with Mr. medical resident in
registered
practitioners
England.
A group of not less than 12 practitioners is entitled to nominate a candidate, and nominations must be delivered in proper form to the Registrar of the Council on or before Oct. 13th. 1 Surgery, Gynecology,
and
Obstetrics, September, 1928,
p. 393.
Edwin Francis White in the chair.
on
U ni!’ersit,/ C’olleqe Aredical S’chool.-The session will open Monday, Oct. 1st, when Sir Thomas Barlow, F.R.S., will
an introductory address in the Library at 4.30 P.M. The annual dinner of past and present students will take place at the Hotel Cecil on Friday, Oct. 12th, Surgeon ViceAdmiral Gaskell in the chair.
give
r:V cstminster H omital.-An inaugural address will be in the Board Room of] the hospital on Monday, given DONATIONS AND BEQUESTS.-A cheque for 21000 Oct. at 3 P.M., by Mr. A. C. Powell, headmaster of Epsom 1st, from an anonymous donor has been handed to the Glasgow College. Sir William Goschen will take the chair. The Dental Hospital by a chartered accountant of the citv.— hospital dinner is to be held on the same day, at 7 P.M. Miss Martha Mills, of Nottingham, left £ 1000 to the for 7.30, at Gatti’s Restaurant, Strand, W.C., Sir James of for the endowment a General bed Hospital Nottingham Purves-Stewart presiding. in memory of her brother-in-law, Morris Weisblum, and £ 100 each to Dr. Barnardo’s Homes and the Nottingham General Hospital; B50 each to several other charities.Mr. Miles Daniel Whitehead, of Kingstown, Co. Dublin, left B500 to the Drogheda Memorial Hospital at the Curragh, Co. Kildare, and £ 400 to Laura Hitchins, and the income for life from 800 shares in the Imperial Tobacco Co., with remainder to the Manchester Royal Infirmary if Laura Hitchins predeceased him.
PRESENTATION
OF
WILLIAM MACKENZIE MEDAL.-
This medal, given for valuable contributions to ophthalmology, will be presented to Dr. A. Maitland Ramsay at the Glasgow Eye Infirmary, on Tuesday, Oct. 9th, at 8 P.M., when Dr. Ramsay will deliver an address on the Importance of General Methods in the Treatment of Eye Disease.