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ULSTER MEDICAL SOCIETY.
FRENCH NATIONAL LEAGUE AGAINST VENEREAL DISEASE.
1071
mentioned
the parallel which exists between amaurosis promised an interesting research. The great value of X rays lay in their help in showing the position fugax and retinal thrombosis, on the one hand, and and extent of lesions. temporary aphasia or paresis and cerebral thrombosis
on
He then gave an analysis of 50 conin which retinal haemorrhages were discovered during a routine examination in patients of eye symptoms. In referring to the unduly large percentage of these in which no information on the result of a general examination of the patient could be obtained, he appealed for a closer cooperation between the practitioner and the oculist. In a review of the subject of renal retinitis, attention was drawn to the resemblance which exists between the symptoms of eclampsia and those of acute lead poisoning. It was suggested that the constriction of the retinal vessels and blanching of the fundus pleurisy, not of tubercle. He was satisfied that characteristic of the latter might be found to some artificial pneumothorax was the best method of extent in patients suffering from eclampsia during the attack, although in this condition it was generally arresting haemoptysis. The held that no changes occur in the fundus. address concluded with a review of the evidence of the existence of diabetic retinitis as a distinct entity, NOTTINGHAM MEDICO-CHIRURGICAL
Reply. Dr. CARLETON, in reply, said he thought there was one sign of a cavity which was reliable-a semicircular area of which the straight side was influenced by gravity, and which could be made circular by coughing up the contents. In regard to the line above fluid, he meant a clear-cut definite line, about which there was no mistake-this was pathognomonic of gas. When screening a chest the eyes should be fully accommodated to darkness ; minimal illumination was useful in bringing out slight differences in transparence. Defective movement of the diaphragm was a sign of
the other.
secutive
cases
complaining
a coordinated investigation by the oculist, physician, and biochemist, in order to add to the knowledge of the essential nature of the fundus AT the first meeting of the session Mr. H. BELL changes associated with glycosuria. TAWSE, the President, took the chair, and Sir STCLAIR THOMSON gave an address on Difficulties in Deglutition and Some Diseases of the (Esophagus. After strongly condemning the use of bougies, coin-catchers, FRENCH NATIONAL LEAGUE AGAINST and probangs, Sir StClair Thomson illustrated, by a VENEREAL DISEASE. series of lantern slides, the development of the CONFERENCE ON CONGENITAL SYPHILIS. endoscope from the time of Bozzini to the present and showed how the advent of day, electricity, the telephone, the motor-car, and the THE conference on congenital syphilis organised cocaine, X rays had made it possible for a patient having a by the League was held in Paris from Oct. 5th to 7th foreign body in the upper air or food passages to be with Prof. Jeanselme in the chair, when the three days brought from a distance, diagnosed, and effectually were devoted to discussion on (1) latent congenital treated within a few hours of the accident. Other syphilis, (2) the treatment of congenital syphilis in slides showed congenital occlusion of the oesophagus, the suckling and the young child, and (3) the prevenpharyngeal and oesophageal pouches, achalasia of the tive treatment of congenital syphilis.l cardiac orifice, and malignant disease. The lecturer Latent Congenital Syphilis. pointed out the futility of gastrostomy in congenital occlusion and the advisability of operating on pouches Mr. Leredde opened with the assertion that alongbefore the patient was too wasted. He asked philo- side well-established cases of congenital syphilis with sophers to explain the thickening of the walls in well-marked symptoms and signs and positive serum achalasia ; recommended early gastrostomy in malig- reactions, there exist much more frequent forms where nant stricture ; and, touching upon the difficulties the diagnosis is by presumption. Such presumption and dangers of oesophagoscopy, drew special attention is if there exist any congenital malformapermissible to the thinness of the cesophageal walls, and empha- tion or maldevelopment whatsoever, or any chronic sised the need for the expert in these cases. He in an infant the cause of which cannot be malady wound up his address by strenuously advocating the ascertained, any history in any relatives of any disease routine examination of the larynx and oesophagus in which may possibly be caused by syphilitic infection, all cases of hoarseness or dysphagia of three weeks’ any familial affection whatsoever, and certain varying duration. changes in the blood and cerebro-spinal fluid. To the signs of congenital syphilis in young children described by Marfan, the speaker added cases of ULSTER MEDICAL SOCIETY.
and suggested
SOCIETY.
AT a meeting of this Society, held on Oct. 29th, Mr. JAMES A. CRAIG delivered his presidential address on the Retina in Constitutional Disease. After drawing attention to the close relationship between
ophthalmology and general medicine, he spoke of advantages of the eye as an organ in which to study the circulation and its abnormal conditions, and described Bailliart’s method of estimating the tension of the retinal arteries. Having illustrated the ophthalmoscopic appearances in hyperpiesis and sclerosis, he laid emphasis on the part which sclerosis of the small vessels, such as those of the retina, plays in the production of general hypertension. An ophthalmoscopic examination afforded an index of the condition of the small arteries throughout the body. He pointed out how often sclerosis of the retinal vessels was discovered by the oculist in patients who considered themselves in perfect health, and discussed what should be done. Referring to the the
question how far the condition of the retinal vessels a guide to that of the cerebral, Mr. Craig
was
quoted the work
of Foster Moore and
Adams,
and
enteritis in the absence of any dietetic errors, eczema and prurigo in infants, and recurrent bronchitis in young children. Among the late symptoms due to latent congenital syphilis Mr. Leredde would include certain neuroses and neurasthenic states, epilepsy, mental deficiency, Parkinson’s syndrome, incontinence of urine, " pure " mitral stenosis, emphysema, bronchitis, asthma, dyspepsia, chronic appendicitis, He also stressed Graves’s disease, and diabetes. the close relationship between congenital syphilis and tuberculous infections. MM. Lesne and Boutelier also brought forward a long list of disorders caused by latent congenital syphilis, and among others not mentioned by the
previous speaker were Paget’s myopathies, and aerophagy.
disease,
chorea,
Mr. Devraigne referred to Prof. Marfan’s figures, which went to show that at the Hopital des EnfantsAssistés 16 per cent. of infants had certain congenital syphilis, and if the probable cases be included this percentage is nearly doubled. He dealt with certain 1 A full report of the discussion appears in the Presse Médicale, Nos. 82, 83, and 84, 1925.
1071
mentioned
the parallel which exists between amaurosis promised an interesting research. The great value of X rays lay in their help in showing the position fugax and retinal thrombosis, on the one hand, and and extent of lesions. temporary aphasia or paresis and cerebral thrombosis
on
He then gave an analysis of 50 conin which retinal haemorrhages were discovered during a routine examination in patients of eye symptoms. In referring to the unduly large percentage of these in which no information on the result of a general examination of the patient could be obtained, he appealed for a closer cooperation between the practitioner and the oculist. In a review of the subject of renal retinitis, attention was drawn to the resemblance which exists between the symptoms of eclampsia and those of acute lead poisoning. It was suggested that the constriction of the retinal vessels and blanching of the fundus pleurisy, not of tubercle. He was satisfied that characteristic of the latter might be found to some artificial pneumothorax was the best method of extent in patients suffering from eclampsia during the attack, although in this condition it was generally arresting haemoptysis. The held that no changes occur in the fundus. address concluded with a review of the evidence of the existence of diabetic retinitis as a distinct entity, NOTTINGHAM MEDICO-CHIRURGICAL
Reply. Dr. CARLETON, in reply, said he thought there was one sign of a cavity which was reliable-a semicircular area of which the straight side was influenced by gravity, and which could be made circular by coughing up the contents. In regard to the line above fluid, he meant a clear-cut definite line, about which there was no mistake-this was pathognomonic of gas. When screening a chest the eyes should be fully accommodated to darkness ; minimal illumination was useful in bringing out slight differences in transparence. Defective movement of the diaphragm was a sign of
the other.
secutive
cases
complaining
a coordinated investigation by the oculist, physician, and biochemist, in order to add to the knowledge of the essential nature of the fundus AT the first meeting of the session Mr. H. BELL changes associated with glycosuria. TAWSE, the President, took the chair, and Sir STCLAIR THOMSON gave an address on Difficulties in Deglutition and Some Diseases of the (Esophagus. After strongly condemning the use of bougies, coin-catchers, FRENCH NATIONAL LEAGUE AGAINST and probangs, Sir StClair Thomson illustrated, by a VENEREAL DISEASE. series of lantern slides, the development of the CONFERENCE ON CONGENITAL SYPHILIS. endoscope from the time of Bozzini to the present and showed how the advent of day, electricity, the telephone, the motor-car, and the THE conference on congenital syphilis organised cocaine, X rays had made it possible for a patient having a by the League was held in Paris from Oct. 5th to 7th foreign body in the upper air or food passages to be with Prof. Jeanselme in the chair, when the three days brought from a distance, diagnosed, and effectually were devoted to discussion on (1) latent congenital treated within a few hours of the accident. Other syphilis, (2) the treatment of congenital syphilis in slides showed congenital occlusion of the oesophagus, the suckling and the young child, and (3) the prevenpharyngeal and oesophageal pouches, achalasia of the tive treatment of congenital syphilis.l cardiac orifice, and malignant disease. The lecturer Latent Congenital Syphilis. pointed out the futility of gastrostomy in congenital occlusion and the advisability of operating on pouches Mr. Leredde opened with the assertion that alongbefore the patient was too wasted. He asked philo- side well-established cases of congenital syphilis with sophers to explain the thickening of the walls in well-marked symptoms and signs and positive serum achalasia ; recommended early gastrostomy in malig- reactions, there exist much more frequent forms where nant stricture ; and, touching upon the difficulties the diagnosis is by presumption. Such presumption and dangers of oesophagoscopy, drew special attention is if there exist any congenital malformapermissible to the thinness of the cesophageal walls, and empha- tion or maldevelopment whatsoever, or any chronic sised the need for the expert in these cases. He in an infant the cause of which cannot be malady wound up his address by strenuously advocating the ascertained, any history in any relatives of any disease routine examination of the larynx and oesophagus in which may possibly be caused by syphilitic infection, all cases of hoarseness or dysphagia of three weeks’ any familial affection whatsoever, and certain varying duration. changes in the blood and cerebro-spinal fluid. To the signs of congenital syphilis in young children described by Marfan, the speaker added cases of ULSTER MEDICAL SOCIETY.
and suggested
SOCIETY.
AT a meeting of this Society, held on Oct. 29th, Mr. JAMES A. CRAIG delivered his presidential address on the Retina in Constitutional Disease. After drawing attention to the close relationship between
ophthalmology and general medicine, he spoke of advantages of the eye as an organ in which to study the circulation and its abnormal conditions, and described Bailliart’s method of estimating the tension of the retinal arteries. Having illustrated the ophthalmoscopic appearances in hyperpiesis and sclerosis, he laid emphasis on the part which sclerosis of the small vessels, such as those of the retina, plays in the production of general hypertension. An ophthalmoscopic examination afforded an index of the condition of the small arteries throughout the body. He pointed out how often sclerosis of the retinal vessels was discovered by the oculist in patients who considered themselves in perfect health, and discussed what should be done. Referring to the the
question how far the condition of the retinal vessels a guide to that of the cerebral, Mr. Craig
was
quoted the work
of Foster Moore and
Adams,
and
enteritis in the absence of any dietetic errors, eczema and prurigo in infants, and recurrent bronchitis in young children. Among the late symptoms due to latent congenital syphilis Mr. Leredde would include certain neuroses and neurasthenic states, epilepsy, mental deficiency, Parkinson’s syndrome, incontinence of urine, " pure " mitral stenosis, emphysema, bronchitis, asthma, dyspepsia, chronic appendicitis, He also stressed Graves’s disease, and diabetes. the close relationship between congenital syphilis and tuberculous infections. MM. Lesne and Boutelier also brought forward a long list of disorders caused by latent congenital syphilis, and among others not mentioned by the
previous speaker were Paget’s myopathies, and aerophagy.
disease,
chorea,
Mr. Devraigne referred to Prof. Marfan’s figures, which went to show that at the Hopital des EnfantsAssistés 16 per cent. of infants had certain congenital syphilis, and if the probable cases be included this percentage is nearly doubled. He dealt with certain 1 A full report of the discussion appears in the Presse Médicale, Nos. 82, 83, and 84, 1925.