- Email: [email protected]
OTHER METROPOLITAN MEDICAL SOCIETIES.
544
OTHER METROPOLITAN MEDICAL SOCIETIES.
When examined it was found that he had pain, swelling,he thought that the strong analogy to beri-beri also pointed and redness in the right arm and leg, with patches of equally strongly to its being the influenzal form of neuritis.cedema and swelling of the joints. The arm was stiff. Mr. R. W. PARKER said that he considered it difficult tr, There were albumen and blood in the urine, and there was understand that diphtheritic paralysis could be a form of considerable pyrexia, varying between 102° and 103 60 Jr. peripheral neuritis. In cases he had examined he had failed No cardiac or pulmonary disease was detected. About a, to find any pathological changes in the nerves.-Dr. GOODALL, week after admission diarrhoea with hsemorrhage from the, remarked that in most of the cases he had seen it wasbowel occurred, and it was thought that the case was pos- difficult to refer the lesion to a central origin. They were sibly typhoid fever and not rheumatism. The diarrhoea ceased typical instances of peripheral neuritis ; besides, Dr. Sidney, after a week. The temperature again began to rise to 103° Martin’s work seemed to have put this matter beyond doubt.. and more, and there was further evidence of paralysis inL He considered Dr. Hale White’s case to be very uncommon. the right limbs and some anaesthesia. On examination the He had seen symptoms of abductor paralysis develop very i reaction of degeneration was found in the muscles of thesuddenly, causing necessity for immediate tracheotomy. In iall cases where swallowing could not be properly performed’ , right arm and leg, and a few days later, coincident with a pyrexial exacerbation, commencing reaction of degeneration recourse should be had to feeding with a nasal tube. -was found in the left limbs. Moreover, there were marked Dr. KANTHACK said that he had examined the cultures. ansesthesia and analgesia in the paralysed parts. The bladder from Dr. Mott’s case and had found that the organism and rectum not being affected, Dr. Mott diagnosed multiple was a diplococcus not met with in the skin. He recominfective neuritis. The pyrexia lasted for two months, mended the consecutive injection of the cultures day by and there was a decided relationship between the paralysisIday into animals in order to maintain a condition ofof groups of muscles and the pyrexial exacerbations. Dr. Martin’s experiments undoubtedly On chronic infection. many occasions he examined the blood during the pyrexia, proved that the neuritis was due to the toxine of diph-and he found a great excess of leucocytes and micrococci. theria. It was not really a neuritis, but a primary nerve Cultivations of a diplococcus were made under strictly anti-Idegeneration.-Dr. HALE WHITE mentioned that he pubseptic precautions ; but neither Dr. Arkle nor Dr. Mott was lished a case in the last volume of the Clinical Society’s. able to produce any poisonous effects by the introductions ofTransactions which bore out that related by Dr. Mott. Thethe chemical products or the organisms themselves into patient suffered from septicaemia, and then developed all the. rabbits. The man was alive and in good general health thatsymptoms of peripheral neuritis. After amputation the stumpday, though there was still some paralysis in his lowerhealed, and the paralysis passed off.-Dr. PERCY KIDD asked extremities. There had been more improvement since he Dr. Mott whether he had examined the medulla oblongata.He had regained I Mr. GouLD mentioned a case in which solid food passed into. was shown at the society in November last. power of flexion and extension in the hip-joints, ankle-joints, the air passages in diphtheritic paralysis. The patient, a child, and knee-joints, but he was still too weak to stand. Dr. Mott was eating bread-and-butter when he suddenly choked, and on tracheotomy being performed the masticated breadwas unable to assign a cause for the obvious septic infection, unless it were pyelitis.and-butter passed out of the tracheal wound. The boy Dr. HALE WHITE gave the particulars of a case of Diph- ultimately did well.-Dr. GLOVER thought that Dr. Mott theritic Paralysis which proved suddenly fatal owing to tea dismissed too lightly the element of alcohol in the case, entering the bronchial tubes. The patient was a man who, for the man had admitted taking a quart of beer daily.-three weeks after a severe attack of diphtheria, became para- Dr. MoTT, in reply, said that there was no history of influenza,, lysed. On admission to hospital the arms and legs were veryr and besides that the case very closely resembled others weak, and there was impaired movement of the abdominal. which had been reported before influenza had become. muscles. Food regurgitated through the nose, and there, common. He had studied carefully the notes of a case of was unilateral paralysis of the palate. Muscular and post-influenzal neuritis, but the clinical picture was not the, tactile sensation were slightly impaired. When drinking same. He thought that very possibly there must have been some tea he suddenly began to cough ; this ceased in a some septic source, but it had not been discovered. The few seconds, and the patient became very distressed in hisi amount of alcohol taken was not sufficient to produce the breathing, sitting up in bed in great distress and panting: disease.-Dr. HALE WHITE, in reply, thought that his, for his breath exactly as if he had been suffering from. patient had possibly some deficiency of power in the larynx, asthma. There was at no time any evidence that thei but that had not produced the fatal result. No microscopical larynx was obstructed. The difficulty of breathing grew. examination of the medulla was made, because the symptoms. worse; towards the end the patient became very livid, and. seemed to be completely explained without it. He held it to he was dead in less than ten minutes from his taking the tea. be absolutely proved that the diphtheritic paralysis was & The pulse continued good till the end. At the necropsy anI degenerative neuiitis. ounce and a half of tea were found in the bronchial tubes, andI I this was absolutely the only cause of death. At the bedside it was recognised that probably a little fluid had found its way OTHER METROPOLITAN MEDICAL into the air passages, but it was hoped that either the patient SOCIETIES. would be able to cough it up or that it would cease to irritate and that the paroxysm would pass off. Dr. Hale White pointed HUNTERIAN SOCIETY.-The annual general meeting of out that although there were very rare instances on record in which the impaction of solid food in cases of diphtheritic this society was held at the London Institution on Wednes paralysis had caused death, he had not come across any case day, Feb. 14tb, Mr. F. GORDON BROWN, President, being in which such a small amount had caused death by spasm of in the chair.-Dr. W. Kington Fyffe was elected an ordithe bronchial tubes, which was in all probability what nary Fellow of the Society. The reports of the Council happened to his patient, the result being no doubt favoured and of the auditors and the report of the Library Comby the weakness of the abdominal anddeglutition muscles.- mittee for the past year were read.-It was proposed Dr. SANSOM asked whether it was not possible that Dr. Mott’s by Mr. TATHAM and seconded by Mr. THORP that these’ A patient of his own exhibited dis- reports be adopted and ordered to be printed and circucase was one of influenza. tinctly the cardiac sequels of influenza, although he was lated among the Fellows.-A hearty vote of thanks to thesupposed to be the only one in his household who escaped. President for his valuable services during the past year was In another case, that of a girl aged thirteen, under his care proposed by Mr. COTMAN and seconded by Dr. CHARLEWOOD in the London Hospital, neuritis of both legs developed after TURNER.-A vote of thanks to the Vice-Presidents and influenza, there being dropped feet and no response whatever Librarian was proposed by Mr. TATHAM and seconded by to electricity. That case occurred at the beginning of the Dr. PITT.-A vote of thanks to the Council, honorary secreinfluenzal epoch, and it commenced with pain in the calves taries and auditors was proposed by Dr. DUNDAS GRANT, and tenderness on pinching. He mentioned another case of seconded by Dr. DAVIES, and replied to by Dr. F. J. SMITE and Dr. HINGSTON Fox.--A ballot was then taken for the a boy, who, while influenza was rife, found himself unable to walk upstairs without clinging to the banisters. On appointment of officers for the ensuing year ; the scruexamination there was found to be distinct pyrexia and tineers reported that the following officers had been elected. evidence of neuritis in the right leg ; later there was President : Charters James Symonds, M.S., M.D. Vicerapid wasting of the lower thoracic muscles and of the President : John Poland, Henry J. Thorp, John S. E. upper part of the right rectus abdominis, so that a local Cotman, and Peter Horrocks, M. D. Treasurer : F. Charleanterior poliomyelitis must have been associated with the wood Turner, M.D. Trustees : H. I. Fotherby, M.D., and neuritis. Many such cases had been recorded abroad, and F. M. Corner. Librarian : Arthur T. Davies, M.D. Orator; ,
.
,
,
,
.
,
<
PROVINCIAL MEDICAL SOCIETIES.
545
I
M.D., C.M., LL.D. Secretaries: R. Dr. MARTIN showed two Multilocular Ovarian Cysts. The Hing3ton Fox, M.D., and T. Horrocks Openshaw, M.S. main point of interest in the second specimen was the diffiCouncil : F. Gordon Brown, James Galloway, M.D., Hope culty of diagnosis between ovarian cyst and encysted ascitic ’Grant, T. Mark Hovell, Francis R. Humphreys, Thomas fluid. Both patients made excellent recoveries.-Dr. HUNT Marshall, M.B, G. Newton Pitt, M D., George W. Potter, gave particulars of a severe case of Psoriasis which had been M.D, F J. Smith, M.D , R. G. Tatham, Alfred H. Tubby, cured by extract of thyroid gland. After the reading by M.S., and John F. Woods. Auditors : S. H. Appleford, M.D., Dr. KITE of notes of a case of Idiopathic Tetanus which z’. R. Humphreys, R C. Lucas, B.S., and F. J. Smith, M.D.- recovered, Dr. CBOOHLEY CLAPHAM read a paper on ’The meeting then adjourned to the theatre to hear the annual Insomnia, in which, after dealing with the physiology of oration.—On the evening of Wednesday, the 14th inst. sleep and the necessity of its periodic recurrence for the (anniversary of the birth of Hunter), Dr. Dur Da9 GRANT, as maintenance of healthy brain function, he indicated the causes He then discussed the various orator of the society. delivered an address on Aspects of leading to its suspension. He compared remedies for sleeplessness, and advocated the use of the more Medical Life-John Hunter, Andrew Clark Patrick Manson,
ones, recourse not being had to the more powerful until these had failed ; the more gentle the means employed to induce sleep the more natural, he considered, would be the sleep induced. Dr. Clapham objected to the use of chloral or bromide of potassium in cerebral anaemia, especially when occurring in melancholia, alcohol or opium being more suitable. He’recommended bromide of potassium in insomnia due to overwork, and chloral hydrate in sleeplessness with sustained high blood-pressure or when distinct pyrexia was present. Of the newer hypnotics he preferred chloral amide and sulphonal In conclusion, he urged that all hypnotics were edged tools, which should not only be carefully used, but their abuse jealously guarded against. TORQUAY MEDICAL SOCIETY.—The annual meeting of this society was held on Jan. 17tb, and the following members were elected to serve as officers during the current year :President, Mr. P. H. Gardner ; Vice-President, Dr. J. Alexander; Hon. Sec., Mr. G. Young Eales ; Council, Dr. T. Finch, Mr. W. Odell, Dr. W. W. Stabb, and Mr. J. H. Harris.-On Feb. 21st an ordinary meeting was held, the President being in the chair.-Dr. H. HUMPHBEYS PROVINCIAL MEDICAL SOCIETIES. read a paper on Food and Diet, in which he advocated NOTTINGHAM MEDICO-CHIRURGICAL SOCIETY.-A meeting a more varied vegetable diet than is customary at the of this society was held on Feb. 21st, Dr. W. Hunter, present day. He said that under the-extremely different President, occupying the chair.-Dr. TEW read a paper kinds of food used by various nations there was an underon the Minor Causes of Typhoid Fever, in which was lying unity which did not escape the observation of Hippo.shown by means of charts the decrease of mortality from crates. All food was made up of four kinds of foodstuffs. this disease during the last twenty years. He said the There was, perhaps, only one form of proteid substance of which affection was favoured by hot seasons, especially if followed the very various proteids of the animal body were, it may be, by abundant rainfall. The de raavo origin of the disease only slight modifications. This view was rendered highly prorested on supposition; mild ambulatory cases were some- bable from the fact that the infant in its ever-growing body times an unsuspected source of danger. The prevalence elaborated most of the proteids from the casein of milk. Most of diarrhoea, and typhoid fever were greatest about the of the dietetic errors of the day sprang from wrongly made same period of the year. The germs might be borne by the bread. In white bread the mineral constituents of the wheat air and so communicate the disease ; the danger of leaving were wanting. Baker’s brown bread, though better in its infected discharges exposed in ashbins &c. was insisted on composition, was seldom satisfactory. Cerealin in the bran The subject was freely discussed.—Mr. WARING then read was itself a ferment and made the yeast fermentation difficult notes on Two Cases of Uraemia, in which the symptoms came :0 regulate. Two conditions were necessary for good bread : irst, entire wheatmeal must be used; and, secondly, yeast on suddenly with vomiting, headache, and convulsions, but ’without suppression of urine. The cases were contrasted should be discarded and the aerated process followed. The egwith two others in which there were much oedema, suppression tended use of lentils and other pulses was advised. Animal of urine, and coma -Mr. ANDERSON showed a girl aged ’at was often nauseous, especially to children, and could be thirteen, from whom he had successfully removed a large and :ntirely replaced by vegetable fat in nuts, which were easily a-apidly growing Sarcoma of the Ovary.-Dr. WILLIAM ligestible if taken before the appetite was satiated. A few RANSOM showed a man aged forty-eight, who had been sue- asy reforms would do away with rickets and bad teeth, and cessfully treated by ergot for Hsematuria of two years’ dura- )rovide wholesome and suitable food in health and disease. tion. The cause of the symptoms was probably a papillomatous growth of the pelvis of the kidney.-Amongst the specimens exhibited was one by Dr. HANDFORD, consisting ROYAL ACADEMY OF MEDICINE IN of Leucocythaemic Blood, in which the white corpuscles were IRELAND. more numerous than the red. Other specimens were brought forward by Dr. WILLIAM RANSOM, Mr. ANDERSON, and OBSTETRICAL SECTION. Mr. BELCHER. SHEFFIELD MEDICO-CHIRURGICAL SOCIETY.-A meeting Polypus of Uterus.-Double Ovarian Tumoll’l’.-Tumou’l’ of Broad Ligament.- Vaginal Hysterectomy. of this society was held on Feb. 15th, the President, Mr. RICHARD FAVELL, being in the chair.-Mr. PYE-SMITH A MEETING of this section was held on Feb. 2nd, Dr. Macan showed-(1) A woman aged thirty-four, with a tumour being in the chair. of ten years’ growth attached to the hard palate, which Mr. LANE exhibited a Polypus of the Uterus and read the it completely covered. (2) A woman aged forty-six, following notes :-An unmarried woman, who stated her age with a cystic growth in the left axilla of one year’s dura- to be forty years, was sent to the City of Dublin Hospital on tion, and an enchondroma of the little finger of the same Nov. 29th last. She had been attended bya gynaecologist for -side which had been present as long as she could remember. a year previously owing to her suffering from a profuse red (3) The right temporal bone and the lungs from a case of discharge. In February, 1890, the discharge had lasted for pyaemia following subdural abscess and septic thrombosis of fourteen days and was rather heavy, and from that date the the lateral sinus consequent upon old disease of the middle ear changes, as a rule, returned every five weeks and lasted for and antrum in a boy aged ten. The antrum was cleared, the from fourteen days to three weeks. He saw the patient for abscess evacuated, and the internaljugular vein tied in the the first time in November, but owing to the discharge having neck on admission to the hospital.-Dr. KEELING exhibited commenced on that day he had not examined her. When specimens of Ovarian and Vaginal Cysts, Cauliflower Cancer the discharge ceased she again came to the hospital, and on of the Cervix, and Retained Placenta from a case of Abortion. examination this tumour was found to be projecting into the Remarks were made on some points of interest in the cases.- vagina, but, owing to the small size of the vagina and the
the lives of the two men, and drew some interesting parallels between them-their nationality, length of life, uncertain health, work in the Royal services, untiring industry, accuracy in details, generosity, and death in the midst of their work. The striking contrasts were equally clearly brought out. Dr.
simple
-
-
-
.
-
<.
OTHER METROPOLITAN MEDICAL SOCIETIES.
When examined it was found that he had pain, swelling,he thought that the strong analogy to beri-beri also pointed and redness in the right arm and leg, with patches of equally strongly to its being the influenzal form of neuritis.cedema and swelling of the joints. The arm was stiff. Mr. R. W. PARKER said that he considered it difficult tr, There were albumen and blood in the urine, and there was understand that diphtheritic paralysis could be a form of considerable pyrexia, varying between 102° and 103 60 Jr. peripheral neuritis. In cases he had examined he had failed No cardiac or pulmonary disease was detected. About a, to find any pathological changes in the nerves.-Dr. GOODALL, week after admission diarrhoea with hsemorrhage from the, remarked that in most of the cases he had seen it wasbowel occurred, and it was thought that the case was pos- difficult to refer the lesion to a central origin. They were sibly typhoid fever and not rheumatism. The diarrhoea ceased typical instances of peripheral neuritis ; besides, Dr. Sidney, after a week. The temperature again began to rise to 103° Martin’s work seemed to have put this matter beyond doubt.. and more, and there was further evidence of paralysis inL He considered Dr. Hale White’s case to be very uncommon. the right limbs and some anaesthesia. On examination the He had seen symptoms of abductor paralysis develop very i reaction of degeneration was found in the muscles of thesuddenly, causing necessity for immediate tracheotomy. In iall cases where swallowing could not be properly performed’ , right arm and leg, and a few days later, coincident with a pyrexial exacerbation, commencing reaction of degeneration recourse should be had to feeding with a nasal tube. -was found in the left limbs. Moreover, there were marked Dr. KANTHACK said that he had examined the cultures. ansesthesia and analgesia in the paralysed parts. The bladder from Dr. Mott’s case and had found that the organism and rectum not being affected, Dr. Mott diagnosed multiple was a diplococcus not met with in the skin. He recominfective neuritis. The pyrexia lasted for two months, mended the consecutive injection of the cultures day by and there was a decided relationship between the paralysisIday into animals in order to maintain a condition ofof groups of muscles and the pyrexial exacerbations. Dr. Martin’s experiments undoubtedly On chronic infection. many occasions he examined the blood during the pyrexia, proved that the neuritis was due to the toxine of diph-and he found a great excess of leucocytes and micrococci. theria. It was not really a neuritis, but a primary nerve Cultivations of a diplococcus were made under strictly anti-Idegeneration.-Dr. HALE WHITE mentioned that he pubseptic precautions ; but neither Dr. Arkle nor Dr. Mott was lished a case in the last volume of the Clinical Society’s. able to produce any poisonous effects by the introductions ofTransactions which bore out that related by Dr. Mott. Thethe chemical products or the organisms themselves into patient suffered from septicaemia, and then developed all the. rabbits. The man was alive and in good general health thatsymptoms of peripheral neuritis. After amputation the stumpday, though there was still some paralysis in his lowerhealed, and the paralysis passed off.-Dr. PERCY KIDD asked extremities. There had been more improvement since he Dr. Mott whether he had examined the medulla oblongata.He had regained I Mr. GouLD mentioned a case in which solid food passed into. was shown at the society in November last. power of flexion and extension in the hip-joints, ankle-joints, the air passages in diphtheritic paralysis. The patient, a child, and knee-joints, but he was still too weak to stand. Dr. Mott was eating bread-and-butter when he suddenly choked, and on tracheotomy being performed the masticated breadwas unable to assign a cause for the obvious septic infection, unless it were pyelitis.and-butter passed out of the tracheal wound. The boy Dr. HALE WHITE gave the particulars of a case of Diph- ultimately did well.-Dr. GLOVER thought that Dr. Mott theritic Paralysis which proved suddenly fatal owing to tea dismissed too lightly the element of alcohol in the case, entering the bronchial tubes. The patient was a man who, for the man had admitted taking a quart of beer daily.-three weeks after a severe attack of diphtheria, became para- Dr. MoTT, in reply, said that there was no history of influenza,, lysed. On admission to hospital the arms and legs were veryr and besides that the case very closely resembled others weak, and there was impaired movement of the abdominal. which had been reported before influenza had become. muscles. Food regurgitated through the nose, and there, common. He had studied carefully the notes of a case of was unilateral paralysis of the palate. Muscular and post-influenzal neuritis, but the clinical picture was not the, tactile sensation were slightly impaired. When drinking same. He thought that very possibly there must have been some tea he suddenly began to cough ; this ceased in a some septic source, but it had not been discovered. The few seconds, and the patient became very distressed in hisi amount of alcohol taken was not sufficient to produce the breathing, sitting up in bed in great distress and panting: disease.-Dr. HALE WHITE, in reply, thought that his, for his breath exactly as if he had been suffering from. patient had possibly some deficiency of power in the larynx, asthma. There was at no time any evidence that thei but that had not produced the fatal result. No microscopical larynx was obstructed. The difficulty of breathing grew. examination of the medulla was made, because the symptoms. worse; towards the end the patient became very livid, and. seemed to be completely explained without it. He held it to he was dead in less than ten minutes from his taking the tea. be absolutely proved that the diphtheritic paralysis was & The pulse continued good till the end. At the necropsy anI degenerative neuiitis. ounce and a half of tea were found in the bronchial tubes, andI I this was absolutely the only cause of death. At the bedside it was recognised that probably a little fluid had found its way OTHER METROPOLITAN MEDICAL into the air passages, but it was hoped that either the patient SOCIETIES. would be able to cough it up or that it would cease to irritate and that the paroxysm would pass off. Dr. Hale White pointed HUNTERIAN SOCIETY.-The annual general meeting of out that although there were very rare instances on record in which the impaction of solid food in cases of diphtheritic this society was held at the London Institution on Wednes paralysis had caused death, he had not come across any case day, Feb. 14tb, Mr. F. GORDON BROWN, President, being in which such a small amount had caused death by spasm of in the chair.-Dr. W. Kington Fyffe was elected an ordithe bronchial tubes, which was in all probability what nary Fellow of the Society. The reports of the Council happened to his patient, the result being no doubt favoured and of the auditors and the report of the Library Comby the weakness of the abdominal anddeglutition muscles.- mittee for the past year were read.-It was proposed Dr. SANSOM asked whether it was not possible that Dr. Mott’s by Mr. TATHAM and seconded by Mr. THORP that these’ A patient of his own exhibited dis- reports be adopted and ordered to be printed and circucase was one of influenza. tinctly the cardiac sequels of influenza, although he was lated among the Fellows.-A hearty vote of thanks to thesupposed to be the only one in his household who escaped. President for his valuable services during the past year was In another case, that of a girl aged thirteen, under his care proposed by Mr. COTMAN and seconded by Dr. CHARLEWOOD in the London Hospital, neuritis of both legs developed after TURNER.-A vote of thanks to the Vice-Presidents and influenza, there being dropped feet and no response whatever Librarian was proposed by Mr. TATHAM and seconded by to electricity. That case occurred at the beginning of the Dr. PITT.-A vote of thanks to the Council, honorary secreinfluenzal epoch, and it commenced with pain in the calves taries and auditors was proposed by Dr. DUNDAS GRANT, and tenderness on pinching. He mentioned another case of seconded by Dr. DAVIES, and replied to by Dr. F. J. SMITE and Dr. HINGSTON Fox.--A ballot was then taken for the a boy, who, while influenza was rife, found himself unable to walk upstairs without clinging to the banisters. On appointment of officers for the ensuing year ; the scruexamination there was found to be distinct pyrexia and tineers reported that the following officers had been elected. evidence of neuritis in the right leg ; later there was President : Charters James Symonds, M.S., M.D. Vicerapid wasting of the lower thoracic muscles and of the President : John Poland, Henry J. Thorp, John S. E. upper part of the right rectus abdominis, so that a local Cotman, and Peter Horrocks, M. D. Treasurer : F. Charleanterior poliomyelitis must have been associated with the wood Turner, M.D. Trustees : H. I. Fotherby, M.D., and neuritis. Many such cases had been recorded abroad, and F. M. Corner. Librarian : Arthur T. Davies, M.D. Orator; ,
.
,
,
,
.
,
<
PROVINCIAL MEDICAL SOCIETIES.
545
I
M.D., C.M., LL.D. Secretaries: R. Dr. MARTIN showed two Multilocular Ovarian Cysts. The Hing3ton Fox, M.D., and T. Horrocks Openshaw, M.S. main point of interest in the second specimen was the diffiCouncil : F. Gordon Brown, James Galloway, M.D., Hope culty of diagnosis between ovarian cyst and encysted ascitic ’Grant, T. Mark Hovell, Francis R. Humphreys, Thomas fluid. Both patients made excellent recoveries.-Dr. HUNT Marshall, M.B, G. Newton Pitt, M D., George W. Potter, gave particulars of a severe case of Psoriasis which had been M.D, F J. Smith, M.D , R. G. Tatham, Alfred H. Tubby, cured by extract of thyroid gland. After the reading by M.S., and John F. Woods. Auditors : S. H. Appleford, M.D., Dr. KITE of notes of a case of Idiopathic Tetanus which z’. R. Humphreys, R C. Lucas, B.S., and F. J. Smith, M.D.- recovered, Dr. CBOOHLEY CLAPHAM read a paper on ’The meeting then adjourned to the theatre to hear the annual Insomnia, in which, after dealing with the physiology of oration.—On the evening of Wednesday, the 14th inst. sleep and the necessity of its periodic recurrence for the (anniversary of the birth of Hunter), Dr. Dur Da9 GRANT, as maintenance of healthy brain function, he indicated the causes He then discussed the various orator of the society. delivered an address on Aspects of leading to its suspension. He compared remedies for sleeplessness, and advocated the use of the more Medical Life-John Hunter, Andrew Clark Patrick Manson,
ones, recourse not being had to the more powerful until these had failed ; the more gentle the means employed to induce sleep the more natural, he considered, would be the sleep induced. Dr. Clapham objected to the use of chloral or bromide of potassium in cerebral anaemia, especially when occurring in melancholia, alcohol or opium being more suitable. He’recommended bromide of potassium in insomnia due to overwork, and chloral hydrate in sleeplessness with sustained high blood-pressure or when distinct pyrexia was present. Of the newer hypnotics he preferred chloral amide and sulphonal In conclusion, he urged that all hypnotics were edged tools, which should not only be carefully used, but their abuse jealously guarded against. TORQUAY MEDICAL SOCIETY.—The annual meeting of this society was held on Jan. 17tb, and the following members were elected to serve as officers during the current year :President, Mr. P. H. Gardner ; Vice-President, Dr. J. Alexander; Hon. Sec., Mr. G. Young Eales ; Council, Dr. T. Finch, Mr. W. Odell, Dr. W. W. Stabb, and Mr. J. H. Harris.-On Feb. 21st an ordinary meeting was held, the President being in the chair.-Dr. H. HUMPHBEYS PROVINCIAL MEDICAL SOCIETIES. read a paper on Food and Diet, in which he advocated NOTTINGHAM MEDICO-CHIRURGICAL SOCIETY.-A meeting a more varied vegetable diet than is customary at the of this society was held on Feb. 21st, Dr. W. Hunter, present day. He said that under the-extremely different President, occupying the chair.-Dr. TEW read a paper kinds of food used by various nations there was an underon the Minor Causes of Typhoid Fever, in which was lying unity which did not escape the observation of Hippo.shown by means of charts the decrease of mortality from crates. All food was made up of four kinds of foodstuffs. this disease during the last twenty years. He said the There was, perhaps, only one form of proteid substance of which affection was favoured by hot seasons, especially if followed the very various proteids of the animal body were, it may be, by abundant rainfall. The de raavo origin of the disease only slight modifications. This view was rendered highly prorested on supposition; mild ambulatory cases were some- bable from the fact that the infant in its ever-growing body times an unsuspected source of danger. The prevalence elaborated most of the proteids from the casein of milk. Most of diarrhoea, and typhoid fever were greatest about the of the dietetic errors of the day sprang from wrongly made same period of the year. The germs might be borne by the bread. In white bread the mineral constituents of the wheat air and so communicate the disease ; the danger of leaving were wanting. Baker’s brown bread, though better in its infected discharges exposed in ashbins &c. was insisted on composition, was seldom satisfactory. Cerealin in the bran The subject was freely discussed.—Mr. WARING then read was itself a ferment and made the yeast fermentation difficult notes on Two Cases of Uraemia, in which the symptoms came :0 regulate. Two conditions were necessary for good bread : irst, entire wheatmeal must be used; and, secondly, yeast on suddenly with vomiting, headache, and convulsions, but ’without suppression of urine. The cases were contrasted should be discarded and the aerated process followed. The egwith two others in which there were much oedema, suppression tended use of lentils and other pulses was advised. Animal of urine, and coma -Mr. ANDERSON showed a girl aged ’at was often nauseous, especially to children, and could be thirteen, from whom he had successfully removed a large and :ntirely replaced by vegetable fat in nuts, which were easily a-apidly growing Sarcoma of the Ovary.-Dr. WILLIAM ligestible if taken before the appetite was satiated. A few RANSOM showed a man aged forty-eight, who had been sue- asy reforms would do away with rickets and bad teeth, and cessfully treated by ergot for Hsematuria of two years’ dura- )rovide wholesome and suitable food in health and disease. tion. The cause of the symptoms was probably a papillomatous growth of the pelvis of the kidney.-Amongst the specimens exhibited was one by Dr. HANDFORD, consisting ROYAL ACADEMY OF MEDICINE IN of Leucocythaemic Blood, in which the white corpuscles were IRELAND. more numerous than the red. Other specimens were brought forward by Dr. WILLIAM RANSOM, Mr. ANDERSON, and OBSTETRICAL SECTION. Mr. BELCHER. SHEFFIELD MEDICO-CHIRURGICAL SOCIETY.-A meeting Polypus of Uterus.-Double Ovarian Tumoll’l’.-Tumou’l’ of Broad Ligament.- Vaginal Hysterectomy. of this society was held on Feb. 15th, the President, Mr. RICHARD FAVELL, being in the chair.-Mr. PYE-SMITH A MEETING of this section was held on Feb. 2nd, Dr. Macan showed-(1) A woman aged thirty-four, with a tumour being in the chair. of ten years’ growth attached to the hard palate, which Mr. LANE exhibited a Polypus of the Uterus and read the it completely covered. (2) A woman aged forty-six, following notes :-An unmarried woman, who stated her age with a cystic growth in the left axilla of one year’s dura- to be forty years, was sent to the City of Dublin Hospital on tion, and an enchondroma of the little finger of the same Nov. 29th last. She had been attended bya gynaecologist for -side which had been present as long as she could remember. a year previously owing to her suffering from a profuse red (3) The right temporal bone and the lungs from a case of discharge. In February, 1890, the discharge had lasted for pyaemia following subdural abscess and septic thrombosis of fourteen days and was rather heavy, and from that date the the lateral sinus consequent upon old disease of the middle ear changes, as a rule, returned every five weeks and lasted for and antrum in a boy aged ten. The antrum was cleared, the from fourteen days to three weeks. He saw the patient for abscess evacuated, and the internaljugular vein tied in the the first time in November, but owing to the discharge having neck on admission to the hospital.-Dr. KEELING exhibited commenced on that day he had not examined her. When specimens of Ovarian and Vaginal Cysts, Cauliflower Cancer the discharge ceased she again came to the hospital, and on of the Cervix, and Retained Placenta from a case of Abortion. examination this tumour was found to be projecting into the Remarks were made on some points of interest in the cases.- vagina, but, owing to the small size of the vagina and the
the lives of the two men, and drew some interesting parallels between them-their nationality, length of life, uncertain health, work in the Royal services, untiring industry, accuracy in details, generosity, and death in the midst of their work. The striking contrasts were equally clearly brought out. Dr.
simple
-
-
-
.
-
<.