PLYMOUTH MEDICAL SOCIETY.

979 condition had been diav

,nosed; here the ai3mstheties, ether and the A. C E. mixture, had caused great anxiety.-Dr. CHAPMAN remarked that the well-known tendency to pulmonary beemorrhage in cases of mitral stenosis might in a measure account for the fatal bleeding. LIVERPOOL MEDICAL INSTITUTION. Exhibition of

Specimens

and Cases.-Gonorrhœa and Stricin the Administra-

ture.-Faets, Legal and 21ledico-Legal, tion of Arsenic. AN ordirary meeting of this

Since the trial he had made very many careful experiments on these two points, and he was now able to state the following facts : (1) that the medicinal administration of arsenic almost invariably increased the secretion of urine, provided that there was no organic disease of the kidneys ; (2) that the rough test with copper foil would fail to detect arsenic in the urine when it was given as a medicine. Dr. Whitford and Mr. Lowndes had also submitted the urine of patients who were taking full medicinal doses of arsenic to chemical analysis, and the rough test with the copper foil had failed to discover the presence of the metal.-Mr. PAUL and Dr. DA VIDSON also took part in the discussion on the paper.

society was held on Oct. 18th, Mr. CHAUNCY PUZEY, President, being in the chair. Mr. PAUL showed two card specimens : (1) Duct Cancer of PLYMOUTH MEDICAL SOCIETY. the Breast ; and (2) Large Adeno-sarcoma of Breast.-Mr. THELWALL THOMAS showed a woman thirty years of age from whom he had removed a Cystic Swelling in the Isthmus Angular Spinal Curvature. and Lateral Lobe of the Thyroid Gland. A median incision A MEETING of this society was held on Saturday, Oct. 20th, was made and the cyst shelled out quite easily ; it contained a Mr. E. M. RUSSEL RENDLE, Vice-President, in the chair. brownish fluid, in which large flakes of cholesterin floated.Mr. W. SQUARE read a paper entitled "Angular Spinal Mr. PAUL said that it should be the rule to remove by operation Curvature. " He recalled the frequency of abscess &c. seen all thyroid tumours ; when in their early stage they shelled out his younger days, but now becoming- more rare ; he during most readily.-Mr. THELWALL THOMAS also read notes of a defined lateral and angular curvatures, and confined himself case of a man forty-six years of age who had suffered from to the consideration of the latter. He had seen a child born Gonorrhosa and Stricture twenty years ago. Ten years later with it, and known a case develop at the age of seventy. internal urethrotomy was performed, but the stricture had He dwelt on the part played by trifling accidents in causing returned, and he had great difficulty in micturition. Syme’s the disease, and enumerated the early symptoms-"growing staff sounded calculi behind the stricture. On incising the pains" in the side, "stomach-ache, "inability to walk, &c. perineum a dilated membranous urethra was opened, which The "growing pains" were defined as neuralgia due to The irritation of the sensory nerves contained twenty-five calculi, weighing 2 oz. 50 gr. by the disease. Mr. Square stricture was divided and the bladder drained, but the patient considered his friend, Mr. Chas. Lafayette Taylor, of New succumbed to uncontrollable vomiting and diarrhoea on the York, to have been the pioneer of the present rational mode fourteenth day. On post-mortem examination both kidneys of treatment that to relieve the pressure on by demonstrating were found to be suppurative, and an abscess surrounded the the inflamed cancellous bodies it was necessary to throw the right one.-Mr. RAWDON suggested that in these advanced strain on the harder articular processes. Then followed cases of chronic dysuria a safety-valve would be afforded if, Sayre and the era of the plaster jacket, and Callender’s treatas a preliminary measure, the bladder were drained above ment by distension of the abscess cavity with carbolic lotion. the pubes for a few days or even weeks, the operative Cocking, a Penzance hatter, invented a method of stiffening measures for permanent care being adopted later.-Mr. felt, and the poroplastic jacket was evolved. Emphasis was. MuRRAyexhibited three children who had been Trephined laid on the close fit required in these jackets just above the. for Cerebral Abscess. The first case was due to traumatism a band pulled taut while the felt was yet pliant from by hips in the upper part of the right Rolandic area. Three years the steam bath. Davy’s method of applying the plasterand a half had elapsed since the operation, and the child was with the patient lying prone on a hammock of hessian, in good health and showed no signs of mental impairment. jacket was next described, and, in conclusion, Mr. Square discussed In the second case an operation was performed eleven months the operation of laminectomy, and considered that cases of ago for a large abscess in the temporo-sphenoidal lobe spinal caries in the West differed widely from those describedto middle-ear disease. The was comsecondary recovery in Mr. Parkins’s paper,and hence this treatment was rarely plete. In the third case an operation was performed four called for.-Dr. Fox preferred the plaster jacket as most months ago for an abscess of the right lateral lobe of the applicable, and suggested the use of two vests, thecerebellum and an extradural abscess over the sigmoid sinus, generally outer adhering to the plaster, the inner removable for washalso due to middle-ear disease ; the result was entirely satising.-Mr. RIDER referred to the difficulty of differentiating, factory.-Mr. RU8HTON PARKER pointed out how unnecetsary between hip and spinal mischief.-Mr. WooLSCOMBE advoit was, at least in children, to replant the trephined disc of cated prolonged rest in the prone position. Mr. Lucybone ; this had not been done in any of Mr. Murray’s cases, narrated two cases of neuralgia due to commencing spinal and yet the openings were all firmly closed by bony caries, advocated the prone position, and asked Mr. Square’s growth.-Mr. HUGH E. JONES was present when Mr. Murray experience of the effect of a jacket on the course of a spinal on the third the cerebellum was reached by abscess.-Mr. C. RUSSEL RENDLE case ; operated agreed with Dr. Fox as to snipping away the bone from the mastoid opening. This the value of the plaster jacket.-Mr. WHITEFORD referred to. was much preferable to making a separate trephine hole the diagnosis between rickety and tuberculous spinal curvaover the cerebellum, a method which was often attended by tures and described Mr. Howard Marsh’s test.-Mr. SQUARE very troublesome hæmorrhage.-Mr. BANKS exhibited a replied. Vermiform Appendix which he had removed on the previous 1 Brit. Med. day. A young man twenty-eight years of age had comJour., Sept. 29th, 1894. plained of more or less abdominal pain for five years. More recently the pain was located in the region of the caecum. Mr. Paul examined the case with Mr. Banks, and neither THE Department of War and the Treasury could detect anything wrong by palpation. The patient, have united in France to further the cause of preventive however, urgently requested that an operation should be medicine. It is stated that the authorities of the Pasteur performed for his relief. The appendix vermiformis on Institute will be given official leave by both departments to section was found to be kinked and to contain hard fue3al choose from among the horses no longer fit for military concretion.-Dr. CARTER then read a paper entitled "Facts, service such animals as appear to them suitable for obtaining Legal and Medico-Legal, in the Administration of Arsenic." anti-diphtheritic serum. He referred to an important trial which took place in LiverSOCIETY OF ANÆSTHETISTS.-The second annual pool some five years ago. The medical experts for the defence had positively stated that the medicinal administration of meeting of this society was held on Thursday, Oct. 18th, the following were elected as officers for the ensuing arsenic diminished the urinary secretion, and also that arsenic in medicinal doses could readily be detected in the year:-- President: Mr. F. Woodhouse Braine, F.R.C.S, urine if it were boiled for a few minutes with a little pure Treasurer : Dr. Dudley W. Buxton. Council: Mr. H. Davis, W. Fingland (Liverpool), Dr. Richard Gill. Secretaries : hydrochloric acid and a slip of copper foil introduced Mr. into it. Dr. Carter was much struck at the time by these Dr. J. Fredk. W. Silk and Mr. Walter Tyrrell. The members statements, which were so contrary to his own experience and their friends subsequently dined together at Summer’s and to the statements made by the leading authorities. Hotel. -

when