4
JAN. 19, 1895.] MEMORANDA. 3EDIC5L JOURNAL5 is sometimes affected in tetanus, producing contraction of arterioles. Liston is reported to have performed an amputa- tion in which there was little or no bleeding by reason of contraction of the vessels in a case of tetanus. But in Liston's case, and probably in the syncopal cases, the toxic action is one of stimulation. To explain the asphyxia in our case, if all the muscles were relaxed, a depressant and para- lysing property of the poison has to be assumed unless simple exhaustion of the respiratory centre is a sufficient cause. MEMO RANDA MEDICAL, SURGICAL, OBSTETRICAL, THERA- PEUTICAL, PATHOLOGICAL, ETC. RUPTURE OF PULMONARY VALVE. I VENTURE to send you the following notes of a case, in the belief that it may be of interest: I was called to a patient at 1.25 A.M. on January 1st, and found a young man of 23 years of age, who had been to the theatre, and afterwards had eaten a hearty supper at 11.30 P.M., consisting of potato pie and a glass of beer. He was then quite well. Shortly after 12.30 A.M. he complained of pain in his chest, and felt sick. He went out into the yard and vomited freely. He was then given 10 drops of chloro- dyne and a little soda water and milk. As he got worse I was sent for. I found him pulseless, hands and feet quite cold, no heart sounds to be heard, chest full of fine bubbling rales, respiration free but hurried. He spat a good quantity of blood-stained foam; there was no cough. He told me that he had pain in his chest, and that he was very cold. He died in about forty-five minutes, a considerable amount of frothy, pink, watery fluid escaping from the mouth during the last few minutes of his life. About thirty-six hours after death I performed a post-mor- tem examination by order of the coroner. In disarticulating the left clavicle I wounded the subelavian vein, and the blood, which was black, fairly spouted. Heart healthy in appear- ance. On careful examination I found one segment of the semilunar valves of the pulmonary artery ruptured from a point close to the corpus Arantii to its base. Another was perforated. The lungs were full of black blood, but none extravasated. The stomach contained about 15 ounces of fluid, with portions of unchewed meat (pork and beef), and lumps of potato-not many of these. The kidneys were healthy. Warrington. A. W. HALL, L.R.C.P. and S. AXIAL ROTATION OF THE TESTIS: SEQUEL TO A CASE. IN the BRITISH MEDICAL JOURNAL of April 8th, 1893, I re- corded a case of axial rotation of the right testis, which I saw on March 17th, 1893, one hour and a-quarter after the appearance of the first symptom. I was able to undo the half twist present, which gave immediate relief. Next day the testicle was normal in size, and free from tenderness. The lad shortly after this left school, and I lost sight of him. Mr. Edmund Owen, in a paper read before the Medical Society of London, suggested that it would be interesting to know whether the testicle received any permanent damage from the brief strangulation. I therefore wrote to the patient, and in reply on November 3rd, 1894, he stated that " the right testicle is considerably smaller than the other." This case lends weight to Mr. Bryant's suggestion that certain cases of atrophied testicle have been caused by axial rotation. Bedford. W. GIFFORED NAsH, F.R.C.S. ALBUMINUR1A: DURING PREGNANCY. MBs. A., aged 36, who had had thirteen children (the last born twelve months earlier), and was again six months pregnant, on December 19th, 1894, complained of cough and lumbar pain. The temperature was 1010 F., and bronchitic rdles were heard generally in the chest; the skin was moist, the tonaue furred. She was retching violently. There was no cedema, facial or otherwise. Micturition was frequent. The urine contained albumen to the extent of one-fourth. She was treated by applying mustard on hot poultices over the kidneys, and by the following mixture: Liq. ferri per- chloridi, 5j; liq. ammon. acet. conc., 3ij; aqume chlorof. ad 3 vj; 5 j quater die. For the bronchitis, wadding and cam- phorated oil, and linseed tea with liquorice and lemon juice were ordered. By December 30th there was left only a trace of albumen, and the cough had gone. She was able to get up and eat a little. The point of interest in the case is that the bronchitis was sufficient to account for all the symptoms except one- namely. the lumbar pain reflected into the groin (pregnancy explaining the frequency of micturition); and the lesson I drew for myself was to test the urine of a pregnant woman as a matter of routine. Shaftesbury Avenue. F. ISDELL. VESICAL SPASM CAUSED BY MEDICINAL DOSES OF STRYCHNINE. SEVERE vesical spasm following the administration of liquor strychnive B. P. in four-minim doses taken three times a day for a period of five days prompts me to send in a short account of the case, especially as this is the second time that I have noticed such symptoms occurring after the use) liquor strychniae. The patien$t, a man about 30 years of age, had been undet treatment for some weeks for chronic gastric catarrh and stubborn constipation. Dilute hydrochloric acid and Glauber's salts affected the gastric catarrh favourably, but did not materially relieve the constipation, so that I resorted to the addition of liquor strychniie B.P. in the doses above mentioned to the original medicine. The constipation was at once relieved, but after a few days, the patient came to me complaining of greatly in- creased frequency of micturition-eight or ten times during the day and three or four times during the night. This distressing symptom was coupled with a dull pain in the right loin in the region of the right kidney, which made him fancy that he had some kidney trouble. The urine was perfectly clear, of light colour, specific gravity 1015, and contained neither albumen nor sugar. I assured my patient that very probably on discontinuing the medicine for a few days, his troubles would cease, and to my great satisfaction this occurred. The patient comes from a highly neurotic stock, the mother and two sisters suffering from neurotic complaints. Canonbury. N. JOHN H. SPITZLY, M.R.C.S, L.R.C.P. MENTAL DISTURBANCE AS A CAUSE OF HERPES ZOSTER. WITH reference to a memurandum on the etiology of herpes zoster, which appeared in the BRITISH MEDICAL JOURNAL of October 20th, the history of a case I am now attending may be interesting. Mrs. P., an elderly lady of 70, in somewhat delicate health, was dreadfully shocked at hearing of the sudden death of her daughter. Four days after this news had reached her, she noticed an eruption attended by slight neuralgic pain, which turned out to be herpes zoster. On the following day her daughter's funeral took place, and in the evening while the friends of the deceased, including Mrs. P., were taking tea together. they were much startled by the sudden smashing of the window of the room by a foot- ball thrown from outside. Within a few hours of this second shock the pains became very much more severe, especially at night, and are now only slowly yielding to gelseminum, bromide of potassium, and strychnine, with draughts of bromide and chloral at bedtime. The patient has never before been troubled with any form of skin eruption, and I think there is every reason to believe that the herpes in this case is due to the shock of the ill tidings she suddenly heard, and that the very marked increase of pain was due to the fright sustained on the day of the funeral. I may mention that one of the young ladies who was present with the funeral party has suffered from severe infraorbital neuralgia ever since. Old Kent Road, S.E. F. L. POCHIN, M.B., C.M.

RANDA micturition);

  • Upload
    others

  • View
    20

  • Download
    0

Embed Size (px)

Citation preview

Page 1: RANDA micturition);

JAN. 19, 1895.] MEMORANDA. 3EDIC5L JOURNAL5

is sometimes affected in tetanus, producing contraction ofarterioles. Liston is reported to have performed an amputa-tion in which there was little or no bleeding by reason ofcontraction of the vessels in a case of tetanus. But inListon's case, and probably in the syncopal cases, the toxicaction is one of stimulation. To explain the asphyxia in ourcase, if all the muscles were relaxed, a depressant and para-lysing property of the poison has to be assumed unlesssimple exhaustion of the respiratory centre is a sufficientcause.

MEMO RANDAMEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC.RUPTURE OF PULMONARY VALVE.

I VENTURE to send you the following notes of a case, in thebelief that it may be of interest:

I was called to a patient at 1.25 A.M. on January 1st, andfound a young man of 23 years of age, who had been to thetheatre, and afterwards had eaten a hearty supper at 11.30P.M., consisting of potato pie and a glass of beer. He wasthen quite well. Shortly after 12.30 A.M. he complained ofpain in his chest, and felt sick. He went out into the yardand vomited freely. He was then given 10 drops of chloro-dyne and a little soda water and milk. As he got worse I wassent for. I found him pulseless, hands and feet quite cold,no heart sounds to be heard, chest full of fine bubbling rales,respiration free but hurried. He spat a good quantity ofblood-stained foam; there was no cough. He told me thathe had pain in his chest, and that he was very cold. He diedin about forty-five minutes, a considerable amount of frothy,pink, watery fluid escaping from the mouth during the lastfew minutes of his life.About thirty-six hours after death I performed a post-mor-

tem examination by order of the coroner. In disarticulatingthe left clavicle I wounded the subelavian vein, and the blood,which was black, fairly spouted. Heart healthy in appear-ance. On careful examination I found one segment of thesemilunar valves of the pulmonary artery ruptured from apoint close to the corpus Arantii to its base. Another wasperforated. The lungs were full of black blood, but noneextravasated. The stomach contained about 15 ounces offluid, with portions of unchewed meat (pork and beef), andlumps of potato-not many of these. The kidneys werehealthy.Warrington. A. W. HALL, L.R.C.P. and S.

AXIAL ROTATION OF THE TESTIS: SEQUEL TO ACASE.

IN the BRITISH MEDICAL JOURNAL of April 8th, 1893, I re-corded a case of axial rotation of the right testis, which Isaw on March 17th, 1893, one hour and a-quarter after theappearance of the first symptom. I was able to undo thehalf twist present, which gave immediate relief. Next daythe testicle was normal in size, and free from tenderness.The lad shortly after this left school, and I lost sight of him.Mr. Edmund Owen, in a paper read before the MedicalSociety of London, suggested that it would be interesting toknow whether the testicle received any permanent damagefrom the brief strangulation. I therefore wrote to the patient,and in reply on November 3rd, 1894, he stated that " the righttesticle is considerably smaller than the other."This case lends weight to Mr. Bryant's suggestion that

certain cases of atrophied testicle have been caused by axialrotation.Bedford. W. GIFFORED NAsH, F.R.C.S.

ALBUMINUR1A: DURING PREGNANCY.MBs. A., aged 36, who had had thirteen children (the last borntwelve months earlier), and was again six months pregnant,on December 19th, 1894, complained of cough and lumbarpain. The temperature was 1010 F., and bronchitic rdleswere heard generally in the chest; the skin was moist, the

tonaue furred. She was retching violently. There was nocedema, facial or otherwise. Micturition was frequent.The urine contained albumen to the extent of one-fourth.

She was treated by applying mustard on hot poultices overthe kidneys, and by the following mixture: Liq. ferri per-chloridi, 5j; liq. ammon. acet. conc., 3ij; aqume chlorof. ad3 vj; 5 j quater die. For the bronchitis, wadding and cam-phorated oil, and linseed tea with liquorice and lemon juicewere ordered. By December 30th there was left only a traceof albumen, and the cough had gone. She was able to getup and eat a little.The point of interest in the case is that the bronchitis was

sufficient to account for all the symptoms except one-namely. the lumbar pain reflected into the groin (pregnancyexplaining the frequency of micturition); and the lesson Idrew for myself was to test the urine of a pregnant woman asa matter of routine.Shaftesbury Avenue. F. ISDELL.

VESICAL SPASM CAUSED BY MEDICINAL DOSES OFSTRYCHNINE.

SEVERE vesical spasm following the administration ofliquor strychnive B. P. in four-minim doses taken three timesa day for a period of five days prompts me to send in a shortaccount of the case, especially as this is the second time thatI have noticed such symptoms occurring after the use)liquor strychniae.The patien$t, a man about 30 years of age, had been undet

treatment for some weeks for chronic gastric catarrh andstubborn constipation.Dilute hydrochloric acid and Glauber's salts affected the

gastric catarrh favourably, but did not materially relievethe constipation, so that I resorted to the addition of liquorstrychniie B.P. in the doses above mentioned to the originalmedicine. The constipation was at once relieved, but after afew days, the patient came to me complaining of greatly in-creased frequency of micturition-eight or ten times duringthe day and three or four times during the night.This distressing symptom was coupled with a dull pain

in the right loin in the region of the right kidney, whichmade him fancy that he had some kidney trouble. The urinewas perfectly clear, of light colour, specific gravity 1015, andcontained neither albumen nor sugar. I assured my patientthat very probably on discontinuing the medicine for a fewdays, his troubles would cease, and to my great satisfactionthis occurred.The patient comes from a highly neurotic stock, the

mother and two sisters suffering from neurotic complaints.Canonbury. N. JOHN H. SPITZLY, M.R.C.S, L.R.C.P.

MENTAL DISTURBANCE AS A CAUSE OF HERPESZOSTER.

WITH reference to a memurandum on the etiology of herpeszoster, which appeared in the BRITISH MEDICAL JOURNAL ofOctober 20th, the history of a case I am now attending maybe interesting.Mrs. P., an elderly lady of 70, in somewhat delicate health,

was dreadfully shocked at hearing of the sudden death of herdaughter. Four days after this news had reached her, shenoticed an eruption attended by slight neuralgic pain, whichturned out to be herpes zoster.On the following day her daughter's funeral took place, and

in the evening while the friends of the deceased, includingMrs. P., were taking tea together. they were much startledby the sudden smashing of the window of the room by a foot-ball thrown from outside.Within a few hours of this second shock the pains became

very much more severe, especially at night, and are now onlyslowly yielding to gelseminum, bromide of potassium, andstrychnine, with draughts of bromide and chloral at bedtime.The patient has never before been troubled with any form

of skin eruption, and I think there is every reason to believethat the herpes in this case is due to the shock of the ill tidingsshe suddenly heard, and that the very marked increase of painwas due to the fright sustained on the day of the funeral.

I may mention that one of the young ladies who was presentwith the funeral party has suffered from severe infraorbitalneuralgia ever since.

Old Kent Road, S.E. F. L. POCHIN, M.B., C.M.

Page 2: RANDA micturition);

176 MEDICAL JOURNAL] OBITUARY. [JAN. 19,, 1895.

only 83 deaths, and the rate only 12 8 per 1.000. Tlhis was ihb lowestdeath-rate in any wcsk of tlie year." The higiest was in Januayv at 2 .7.The birth-rate was 33.3 per 1,000. -Of children, under 1 year, tiere died1,714, as compared with 2,238 in the previous year. This is a decrease ofnearly 500, which is more considerable when it is remembered that thecity is presumed to inCrease at the:rate of 5,000 a year. Ia the deaths ofpeople over 60. there was also a decided deerease. There was a markeddecrease in deaths from respiratory diseases. He thought generalweather conditions had much to do with the excellent health of the city,and that the activity that had been displayed for several years by thehealth authorities had also done much.

ES-3WFOR OPERATIONS IN WORKHOUSES.W. V. M. asks if. as'medical officer to a workhouse, is lie entitled tothe usual fee allowed by the Local Government Board for the operationof amputati6n 6o the, leg performed on an inmate of the workhouse ?If not, can he charge for expenses incurred, such as chloroform, lint,etc.?

*** A medical officer of a workhouse is not entitled to an extra fee forany operation performed on one' of its inmates, nor do we think he conclaim any allowance for chloroform, etc., but if the guardians shouldby special resolution awaid him any special fee, the Lockl GovernmentBoard will probably confirm the guardians' resolution.

GUARDIANS AND MEDICAL ORDERS.aNQUIRENS Writes: Can a board of guardians adopt a proposal of oneof its members empowering each guardian to issue medical orders for" urgent and critical cases ? "*** We believe that any such resolution, unless confirmed by the

Local Government Board, would not empower guardians to issuemedical orders.

#& (lk

UNIVERSITIES - AND COLLEGES,XAMINING -BOARD IN ENGLAND BY THE ROYAL COLLEGES ONr

PHYSICIANS AND SURGEONS.THE following gentlemen passed the First Examination of the Boardin the subjects indicated at the quarterly meeting of the Examiners,under the "Four" Years' Regulations:PART I. Chemistry and Physics.-E. G. Battiscombe, London Hospital;T. Boulton, Owens College, Manchester; L. C. S. Broughton,Mason College,Birmingham; D. R T. -Griffiths, Guy's -Hospital;-

C. W. Iliffe, Owens College, Manchester; S. D. Oldliam. OwensCollege, Manchester; J. A. Rooth,! St. George's Hospital; A. '.Watkins. Cambridge University and University College, London.

iPART II. Materia Medica.-E. C. 1D. Bascombe, Middlesex Hospital;E. H. Betts, St. Baitholomew's Hospital: L. C. S. Broughton,-Mason College, Birmingham; J. M. Chambers, St. Thomas's Hos-pital; J. W. Cheese. University College, London; C. L. Chevallier,st. Thomas's Hospital; J. H. Clements. Mason College. Birming-ham; B. J: Collyer, St. Bartholomew's Hospital; E. H, Cooper,London Hospital; P. J. Curtis, Gul"s "aospital; T. S. Davies, St.George's -Hospital; E. J. Dist'in, King's College, London; J. D.Eastman, Owens-c,ollege,-ManchestEr-A. G. Eastment, MiddlesexHospital; H. G. Ellery, Queen's ColOge Cork, and Middlesex Hos-pital; A. Evans, St. M'ungo's C,llege' Glasgow; C. R. Evans, Guy'sHospital; L. A. W. French, Un,iversity College. London; W. L T.Goodridge, Guv's, Durhanm, and University College, London; A.Hair, University College, London; G. W. C. Hodges. St. George'sHospital; E. S. Johnson, St. Mary's Hospital; R. G. Knox, King's'College, London; J. C. MacWalters. University College, Br5stol; S.H. Mason, Mason College, Birmingham, and GIuy's Hospita*l; J. S.Mellish, St. GeorJge's Hospital; H. R. C. Newman, University Col-aege, Bristol; J.' G. Owen, Charing Cross Hospital; L. E; Owen,Uuiversity -College, London;* F. P: lett.' private study-; 'W. C.Rivers, Cnaring Cross Hospital; R J. Rogers;-University, College,Bristol; K. R. V. Shaw, Owens College, Manchester; J. H. smith,tit. Thomas's Hospital; M. Smith, Middlesex Hospital; W. B3.ftevenson; St. Mary's Hospitali; J. L. Sykes. London Hospital; R.S. Tlhorpe, Owens College. Manchester, and Guv's Hospital; A. K. D.Tomkins, Mason College, Birmingham; S. K. Vines, Mason College,Birminglham; S. H. Watton, Owens College, Manchester; E. CWillis. University -College, Bristol;' W. J. Woodman, St. Mary sHospital.

PART I1. Elementary Ano-tomy and Elementary Physiology.-H W. Allan,Cambridge University: L. P. Anderson, University College. Liver-pool, and Owens College, Manthester; F. C. E. Atkinson. St.George's Hospital; E. A. Cbarlesworth, Middlesex Hospital; S. E.Denyer, Cambridge University; J. S. Duncan, Westminster Hospi-tal; J. M. Garman, London Hoqpital; A. E. 'Gilhore, CambridgeUniversity; -J. Micklethwait, Firth Coll6ge, - Sheffield; J. J. D.hichard,.on, LGu's Hospital; C. G: Simms, 'Middlesex Hospital andMr. Cooke's School of Anatomy and- Pbysiology; WV. N. SpeDcer,Universir.;! College, Bristol; A.-H. Whittingham, Cambridge Uni-versity anq St. Mary's Hospital.

The following gentlemen passed the Second Examination of the Boardin the subjects indicated at a meeting of the examinqrs on Thursday,January lOth: -

Passed in Anatomy and Physiology.-P C. Douglas, St. Mary's Hospital;H. F. N. Hine. i4iddlesex Hospital; G. E. Caglieri, California UDi-versity and University College, London;- A. W.. Wilkinson, St.-bartho'omew'. H'ispitsl -- C. H. S. Lincoln,G__qs HsptaH;B.L,Aliiigie, anid Tr. T.TPi.i")b Uif-iversity, L;ihioe; N. NT. T,.

Harris, Toronto 'University, Canada; F. G. Grapel, UniversityCollege. London; R. C. Rohertsin, Ciaring Cross Hiospital.

Passed in Anatomy onty.-L. H. LIu is, Guy's Hospital anct UniversityCollege, -Cardiff; A. J. Pattison, (,:;E. Andrews. and J. H. R. Robin-son, London 'Hospita;l - W.7 Miles., St. Mary's Hospital and Univer-t.ity College, Cardiff; G. V. Miller, University College, London;W. K. Hay-Coghlan, St. Mary's-Ho-pital.

Passed in Phwi,ology only.-H. M.' WN'aller and W. Amsden, St. Bartholo-mew's Hospital; A. P. H;iichley, Middlesex Hospital and Mr.Cooke's School'of Anatorijj:atd Ibys *ology; W. St. A. St. John, St.Mary's Hospital;, C. W. Gibson, Gay's Hospital; E. J. Gruchy,London Hlospital; G. M. Foster, University College, London.

Fifteen gentlemen were referred in Lotai subjects, 6 in Anatomy only,and 7 in Physiology only.

ROYAL COLLEGE OF SURGEONS OF ENGLAND.THE following gentlemanl, having previously passed the necessary ex-amninations and baving now attained the legal age of twenty-five years,was, at the quarterly meeting of the Council on Thursday, January loth,admnitted a ilelfow of the College:D. M. Beddoe L.R.C.P.Lond., Guy's Hospital (diploma of Membhr

dated May 11th, 1893).

OBITUARY,.DR. CONRAD, first assistant in the Institute of Morbid

Anatomy of the University of Erlangen, died on December29th, 189-t of typhoid fever, contracted in the course of hisduties. His unitimely death cuts short a career of greatpromise.

Dr. WILLIAM DETMOLD, one of the oldest and most dis-tinguished surgeons in the United States, died on December27th, 1894,,, He? was the son of Dr. Henry G. Detmold,formerly Physicia,n to the King of Hanover, and was bornin Haniover in 1808. He took his doctor's degree in the Uni-versity of Goettingen in 1830, and after serving for a time asan armny surgeon in Germany he emigrated to the UnitedStates in 1837, and settled in New York. He is said by theNew York Medical IR,cord to liave introduced orthopaedicsurgery into America. In 1862 he was appointed Professorof Military-Surgery-and Hvgi6ne-,and afterwards'7ot-fClinicalSurgery, at the New York College of Physicians and Surgeons.Dr. Detmold took a' prominent part in the organisation of theMedical Corps of the IJnited States Army in the earlier partof the Civil War. He contributed largely to the medicaljournals of his adopted country, his first paper on orthopiedicsurgery having appeared in the American Journal of MedicalSciences in 1837.

DEATHS IN THE PROFESSION ABROAD.-Among the mem-bers of the medical profession in foreign countries who haverecently pqssed away are Dr. Dismas KIuhn, President of theSilzburg Medical Council and Physicianto the. Grand. DukeFerdinand of Tuscany, aged Go; Dr. E. Bailly, sometime Pro-fesseur Agr6g6 in tIhe Paris Medical Faculty ; Dr. A. Haspel,formerly Clhief Physician to the Military Hospital at Strass-burg and author of various publications on diseases of theliver, etc., aged 81; Dr. Comon, Mlember of the GeneralCouncil of tthe Department of Meurthe et-Moselle and ahighly respected member of the profession;, Dr. J. Lafargue,sometime President of the Society of Medicine of Bordeauxand an authority oi4 medical jurisprnidence; aged 77; Dr. A.Giraud, a prominent practitioner of Lyons and. President ofthe Sanitary Committee of that city; Dr. H. Guillaud, alsoof Lyons, a hotanist of considerable reputation, 'aged 68; andDr. Vincenzio Lo Savio, of Fasano. author of 'an: elaboratetreatise on the diagnosis and treatment of intestinal oh-struction, which saw the light only a few weeks before hisdeath.

NEw YoBE ACADEMY OF MEDICINE -The treasurpr's reDortfor '1894 stated that the estimated assets of the New YorkAcademy of Medicine now amount to nearlylhalf a milliondollars (£100,000). The curcent e2tpenses a[nount to about17Q000 dollars, not ,including amouhts spent for special ppr-poses such as the purchase of books: The n-umber of Fellowsis as follows: Resident. 774; non-reqident, 40; corresponding7. 'During the* year 40 new residont Fellows 'were elected,-8-were-lost-by-deab-i-an 5by-reimvalor-PuQpensitfn. -

Page 3: RANDA micturition);

JAN. 19, 1895.1 MEDICAL NEWS. LTHE IBRTTISH1" 7MEDICAL JOURN1L''

' MEDIfCAL'kNEWS.. ''DON.iTIoNS AND. BEQuEsTs,}-TThP late Mrs. Churceh Dixon

has left by her will £500, free of legacy-duty, to the funds of

the Belgravt Hospital for Children, Gloucester Street, S.W.

THE meeting of the German Congress fiOr innere Medicin

will take' place this year at unich April 2nd to 5th, under

the presidency of Professor von Ziemssen.

A COMMITTEE has been formed consisting of the present

staff of. Demonstrators in the School of Anatomy,. frinity

College, Dublin, with the object of making a presentation to

Dr. H.- St.- J. Brooks, who is about to proceed to America.

Dr. Brooks has been associafed with the School as Chief

Demonstrator and Univer^sty Anatomist, and it is believ"edthat many past students who have had the benefit of his

teaching will take part 'intl4e presenttation. Further par-

ticulari can be-obtained from Mr. G. Jameson Johnston, 49

Harcourt Street, Dublin.

AT tile Quarterly Court of the Directors of the Society for

the Relief of Widows and Orphans of Medical Men, a resolu-

tion expressing sincere sympathyand condolence with the

President, Sir James Paget, in his recent bereavement was

moved by Mr. Christopher Heath, Vice-President, who w-asin thecbair, and adopted unanimously. Two new members

were elected and the.deaths of three reported. A sum

£1,193 10s. was voted for distribution among 53 widows,--9orphans, and 4 orphans on the Copeland-Funr. AChristmas

presenthad been given to each widow (£5);, orphan (£2), and

orphan on the Copeland Fund (£5), entailing a total expendi-

ture of£303. The offices of the Society are at 20, Hanover

Square, W.TEINUBE OF MEDICAL OFFICERS-HIP OF HEALTH.-We re-

ferred, on January 12th to thecircumstances under which the

Ilkeston, Town-Counci failed to continue Dr., Carroll

medical officer of health, a position he had filled with effi-,

ciency for ten years.- The action of the Town Council;- as

learn from theIlkeston Pioneer, caused general. indignation

among all classes of the town. This was expressed

public meeting; and a movement was set on foot to present

testimonial to Dr. Carroll. An address, which was accom-

panied by a purse of gold, was recently presented to Dr.

Carroll. The address stated that the' presentation wasmiade

in recognition of the valuable services rendered by Dr.

during the past ten years as medical. officer of health for

borough at a very inadequate salary, to express the deep

sympathy of the subscribers in theunfair treatment he

received at the hands of a'bare majority of the Town Council,

and as a tolken of the high esteem in which he was held all

classes o'f 'the community. Dr. Carroll, in acknowledging

the presentation, said that he had had occasion several

to call attention to the insanitary condition of the property

some of the members of the Town Council. Members of thaatCouncil, especially members of- its Health Committee, ought

to show an example in sanitary matters. He condemned the

system of short term appointments, which constituted

serious danger to public health. -.Inconclusion, he said that

he hoped before theend of 1895 to regain the post of medical

officer to the borough.

MEDICAL VACANCIES.The following vacancies are announced:AUDL1EY URBAN DISTRICT COUNCIL.-Medical Officer of Health.

Salary,£40 per annum.. Applica.tions to JohnJ: Nelson. the

Audley Urban District Council, Kidsgrove,.by-January 22nd.

CENTRAL LONDON' 'OPHTHALMIC HOSPITAL, 238A, Gray's Road,W.C.-House Surgeon. Applications to the Secretary

12th. .-i

GUEST HOSPITAL, Dudley.-Resident Medical Officer; doubly

Salary, commencing £lo0 per annum-increasing £10 a £l2lYif

services are satisfactory-with board, residence,- attendance,

washing. Applications to the Secretary by January21th.

HOSPITAL FOR, CONSUMPTION -AND DISEASES OF THE CHEST,Bmpoton.-Resident House-Physicians. Applications to the Secetary by January 24th..

HOSPITAL FOR' DISAES OF. THE. THRO.AT,oolden Square, W.-

Registrar and Pathologist. Appointment for six months, which

be renewed. Honorarium of 25 gutnbasWA'year is attached -to ap-

pointment. Applications to the Secretaryby February 1st.

NEW HOSPITAL FOR WOMEN,. 141, Euston Road, N.W.-Two AssistantPhysicians to -the Out-patient Department; must be fully qualifiedmedical women. Appointment for two years. Applications to theSecretary by'January 25th.

NEWTON ABBOT UNION.-Medical Officer and Public Vaccinator forthe Ashburton (No. 1) District. Salary, £72 lOs. per annum and £Rper annum for the medical officer to provide a sqrgery at Broad-hempston. Salary mentioned will include all extras except paymentof 109. 6d. for each midwifery attended -and the,usuaL payment forvaccination. A; 1ipatlons to John' Alsop, (Cerk, Union Offices,Newton Abbot. Election on January 23rd.

NORTH-EASTERN HOSPITAL FOR CHILDREN. Hackney Road, Shore-ditch, N.E.-Junior House-Physician;. doubly qualified.- Appoint-ment for six, months. - No salary, but board and lodging (includiDgwashing) provided. Applications to the Secretary, 27, Clement's Lane,E.C., by February 13th.

PARISH OF RON?IAY AND EGILSHAY. -Resident Medical Officer-Salary, £51 per annum. Applications to the Inspector of the Poor,Ronsay, by January 31st.

SHEFFIELD UNIOtN.-Resident Assistant Medical Officer for the Work-house and Children's Homes at. Fir Vale, Pitsmoor; not under26 years of. age. Salary1:2l0O per annum, with apartments, rationsand the other usual allowances. Applications to Joseph Spencer,Clerk to theguardians, Union Offices,,Sheffield, by Januaryl9th.

UNIVERSITY OF EDINBURGH.-A4ditional Examiner In NaturalHistory and Clinical'Surgery. Period of office four years. Salary,£75 per annum in each-case,-with-£.O-per annum;"for travelling andother expenses in the case of an additional examiner not resident inEdinburgh or.the.immediate neighbon'uhood.' An additional allow--ance is made to the Examiner in Natural History for examining forGraduates in Arts. Applications to L. J. Grant, Interim Secretary,.University Court, University of Edinburghi- by February 6th.

WEYBRIDGE.,URBAN DISTRICT COUNCIL-Medical Officer of HealthSalarv,'£60 phr 'annum. Applications, endorsed "Application," to'the Chairman, Mr. E. Till, Studley, Weybridge, before January 23rd.

WIRRAL CHILDREN'S HOSPITAL, Woodchurch Road, Birkenhead.--House-Surgbon. ' Salary, £50 a year, with board, lodging on thepremises,.and washing. Applications to P. W. Atkin, HonorarySecretary, 25, Lord Street, Liverpool; by January 30th.

MEDICAL APPOINTMENTS.ARROL, Charles, M.ThGlasg., L.R C.8 Edin-, reappointed'Medical Officer

of Health to the Sheerness Urban Sanitary District. 4

BEITiY, Wallace, M.D.,; appointed Physician to the Adelaide Hospital,.Dublin.

BEWLEY, Henry T., M.D., appointed Assistant-Physician to the Adelaide.HHospital, -Dublin.

BODY, H. M., M.:R.C.S.Eng., reappointed Medical Officer for the Sandford,District of the Crediton Union.

BoGBER, W. H., ].-R.C.P.Edin', M.R.C.S.Eng.,r,appointed Medical Officerfor the Fifth District of the Liskeard Union.

.CROSBIE, R. P., M.B., B.Ch.. B,A.O.R.U.I.. appointed, Assistant House-Surgeon to the South Charitable Infirmary and County Hospital,Cork.

DAY. W. A., M.R.C.S.Eng., L.R.C.P.Edin., appointed Medical Officer forthe Kirkleatham District of the Guisborough Union.

DE BUTTS, Stanley, M.D., appointed Anaesthetist to the Royal Ear Hos-pital, Frith.Street,Boho.

ETCHES, W.R., D. P.H., reappointed Medidal Officer of- Health, Maccles-field Urban District.

FAIRFAX,H.%L.S.A-, appointed Medical Officer for the No. 13 District ofthe West,Ham Union. a

FISHER, Dr., appointed Assistant Port Medical Officer for'the Milton andConyer Districts.

FORTuNE, G. R., L.R.C.P.. L.R.C.S Edin., appointed Police Surgeon f(r-the Central Division ofGlasgow.

GOODALL, John Kenaz, L.R.C.P., L.R.C.S.Edin., appointed Medical Officerof Health for Brimington.

GOODFELLOW' J. A.,M B.. C.M Glagg., reappdinited District Medical Officerto the Chesterfield DistrictCouncil.

HAMMOND, W., L.R.C.P.Edin., M.R.C.S.Eng., reappointed Medical Officerfor the-Sixth District of the Liskeard Union.

HEAD,'Henry.M.D., appointed, Consulting Physician to the Adelaide-Hospital, Dublin.

JAMESON. Wilfred, L.R.C.P.,L.R.C.S.Edin., appointed Medical Officer of-Health.for Ashover.

LEE, B.J., L.S.A., reappointed District Medical Officer to the Chesterfield.District Council. .

LEIGH, Wm. -Watkin, L.RAC.PEdtn., M R.C.S.Eng., appointed MedicalOfficer for theLlanfabon District of the Merthyr Union.

LITTLE, James, -M.D., appbiited Senior Physician to the Adelaide Hos-pital, Dublin, vice Hetilry Head, M.D.

MCLAY. Robert, M.B.Glasg.,appointed Medical Officer for the ParishofTarbolton.

MARTIN, Robt., L.R.C.P.& S.Edin., L.F.P.S.Glasg., appointed Medical At-tendant Royal Irish Constabulary at Gilford._. ..

MATHESON, J. Colin. M.B:,C;1 M.. appointed'House-Surgeon to the RoyalEar Hospital, Frith-Street, Soho.

PARKER, George,-M.A.Cainb, M.D.,-M.R.C.S.Eng., appointedHonoraryPhysician to the Bristol Dispensary,.P,RSONS, Mr. J., appointed Medical Officer for the Fourth District of th

Alton Union. .

jl.II

Page 4: RANDA micturition);

178 THE BRITISHMEDICAL JOURNAL DIARY. LJAN. 19, 1895.

REID, John. M.B.. B.Ch., B.A.O R U.I., appointed IHouse-Surgeon to theSouth Charitable Infirmary and County Hospital, Cork, ;ice P. T.O'Sullivan, M.B., B.Ch., resigned.

RICHARD, William J., M.A., M.B., C.M.Glasg., appointed,(Medical Officer,Govan Poorhouse and Asylum, Merryflaits, Govan.

RICHARDS, Wm. Hunter, L S A., appointed Medical Officer and PublicVaccinator for the St. Mellon's anid Rumney Parishes of the Newpoi-tUnion.

RICHARDSON. W. G., M.B.. B.S., F.R.C.S.. appointed Surgical Registrar tothe Royal Infirmary, Newcastle-on-Tyne.

ROBINSON, H., L.R.C.P., L R.C.S.Edin., reappointed District Medical. Officer to the Chesterfield District Council.

ScoTT, J. Alfred, M.D., appointed Pathologist and'Bacteriologist to tileAdelaide Hospital, Dublin.

SHEARS, W., M.B.Lond., M.R.C.S.. L.R.C.P., appointed Junior House-Surgeon to the Scarboroughi Hospital and Dispensary.

THOMSON, J. A. Mulville. L.R.C.P., L.R.C.S.I., appointed Medical Officerof Health to the Bradford-on-Avon Rural District Council.

TuiBRY, Alfred Herbert, M.S.Lond, F. R.(.S.Eng., appointed, an AssistantSurgeon to the Westminster Hospital.

VINE, Mr. C. W., appointed Medical Officer for the No. 4 District of thePortsea Island Union.

WITHERS. John Sheldon, L.R.C.P.Lond., M.R.C.S.Eng., reappointed Medi-cal Officer of Health for Sale Urban Sanitary District.

* DIARY FOR NEXT WEEK.

MONDAY.MEDICAL SOCIETY OF LONDON, 8.30 P.M.-Dr. Frederick T. Roberts: The

Combinations of Morbid Conditions of the Chest (Lett-somian Lecture I).

SOCIETY OF MEDICAL OFFICERS OF HEALTH, 20, Hanover Square, 7.30 P.M-An ordinary meetiug. At 8 P.M. a discussion on Preventable Infantile Mortality, especially in Connectionwith Factory Labour, will be opened by Dr. Porter,M.O.H. of Stockport.

TUESDAY.CENTRAL LONDON THROAT AND EAR HOSPITAL, 4.30 P.M.-Lecture by Dr.

Dundas Grant on the Treatment of Deafness without Painor Discharge.

THE CLINICAL MUSEUM, 211, Great Portland Street.-Open at 2 P.M.,Lecture at 4.

ROYAL MEDICAL AND CHIRUIRGICAL SOCIETY. 8.30 P.M.-Mr. A. W. MayoRobson: Varieties of Intestinal Obstruction dependent onGall Stones, with a series ofcases.

WEDNESDAY.HUNTERIAN SOCIETY, 8.30 P.M.-Clinical evening. Dr. F. J. Smith:Typhoid Fever Treated by the Continuous Bath (note').

Sir Hugh R. Beevor, Bart: Pyonephrosis. Mr. J. F. Woods:Chorea Treated by Hypnotism (twocases). Mr. J. Poland:(1) Excision of Isthmus of Thyroid Gland; (2) Intracapsu-lar Fracture of Neck of Femur in a Boy. Dr. HingstonFox: A Tumour for Diagnosis. Mr. Openshaw: (1) Con-genital Sacral Tumour; (2) Congenital Defect in Clavicles.

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC, Queen Square,3 P.M.-Lecture by Dr. Beevor.

FRIDAY.CLINICAL SOCIETY OF LONDON, 8.30 P.m.-Dr. S. West: Two Cases of

Detachment of the Retina in the Course of Granular Kid-ney. Dr. Felix Semon: A Novel Form of Malingering-Chronic Self-inflicted Ulceration of the Throat. Dr.Pasteur: Cases Illustrating the Association of RespiratoryParalysis with Grave Cardio-pulmonary Symptoms inDiphtheritic Multiple Paralysis. Dr. E. W. Goodall: AnUnusual Form of Tracheal Diphtheria. Dr. Lee Dickin-son: A Case of Malformation of the Heart, with Haemo-philia.

BIRTHS, MARRIAGES, AND DEATHS.'The charge for inserting announcements of Births, Marriages, and Deaths is38. 6d., which sumshould be forwarded in post office order orstamps with

the notice not later than Wednesday morning, in order to ensure insertion inthe current issue.

BIRTHS.GEORGE -On January 11th, at 1, Burton Road, Brondesbury, N.W., the

wife of Alfred Wm. George, M.B., M.R.C.S., L.R.C.P., of a son, still-born.

IECCALL.-At The Terrace House, Conisboro', Yorks, on January 7th, thewife of Anthony McCall, M.B., C.M., of a son.

PIEREZ.-At Long Lane House, St. Philip's, Antigua, the wife of GeorgeE. Pierez, M.D.Edin., of a son.

MARRIAGE.

itENDLE-DARLEY.-On January 16th, at St. Park, C-. E.Russel Rendle, B.A.Oxon, M.R.C.S., L.R.C.P., of 7, Buckland Terrace,Plymouth, to Edith Mary, second daughter of J. J. Darley, 3, LancasterRoad, Belsize Park.

DEATH.HARRMER.-On January 14tb, at Redlands, Tonbridge, William Milsted

Harmer, F.R.C.P.E., aged56.

HOURS OF ATTENDANCE AND OPERATION DAYSAT THE LONDON HOSPITALS.

CANCER, Brompton (Free). Hours of Attendance. -Daily, 2. OperationDays.-Tu. F. S., 2.

CENTRAL LONDON OPHTHALMIC. Operation Days.-Daily, 2.CHARING CROSS. Bours of Attentdance.-Medical and Surgical, daily, 1.30;Obstetric, Tni. F., 1.30; Skin, M., 1.30; Dental, M. WV. F., 9;

Tlhroat and Ear, F., 9.30 Operation Days.-W. Th. F., 3.CHELSEA HOSPiTAL FOR WOMIEN. Hours of Attendance.-Daily, 1.30.

Operationt Days.-hi. F., 2.EAST LONDON HOSPITAL FOR CHILDREN. Operation Day. -F., 2.GREAT NORTHE RN CENTRAL,. Ihours of Attendance.-Medical and Sur-gical, hi. Tu. W. Tli. F., 2.30; Obstetric, W., 2.30; Eye, M. Ti.,

2.30; Ear, Tu. F., 2.30; Diseases of the Skin, W., 2.30; Diseasesof t he Tlhroat, Tll., 2.30; Dental Cases, W., 2. Operation Day.-WV., 2.

GUY'S. Ihoutrs of Attendance.-Medical andSurgical,daily, 1.30; Obstetric,hi. Tu. F., 1.30: Eye, M. Tu. Tll. F, 1.30; Ear, Tu., 1; Skin, Tu.,1; Dental, daily, 9; Throat, F., 1. Operation Days.-(Ophthal-mic), hi. Tli., 1.30; Tu. F., 1.30.

HOSPITAL FOR WOMEN, Sol1o. Hours of Attendance.-Daily, 10. OperationDays.-hi. Thi., 2.KING'S COLLEGE hfoutrs of Attendance.-Miedical, daily, 2; Suirgical, daily,

1.:30; Obstetric, daily, 1.30; o.p., Tu. WV. F. S., 1.30; Eye, M. Th.,1.30; Oplhthialmic Departlment, W., 2; Ear, Tlh., 2; Skin, F.,1.30 Tlhroat, F., 1.30; Denital, Tu. Tll., 9.30. Operation Days.-M. F. S., 2.

LONDON. Hoturs of Attendance.-Medical, daily, cxc. S., 2; Surgical, daily,1.30 and 2; Obstetric, hi. Tli., 1.:30: o.p., W. S, 1.30; Eye, Tu.S., 9 ; Ear, S., 9.30; Skin, Tll., 9, Dental, Tu., 9. Operation Days.-M Tu. W. Tlh. S., 2.LONDON TEMPERANCE HOSPITAL. Ihours ofAttendance.-Medical, M. Tu.F. 2; Surgical, M. Tli., 2. Operation Days.-M. Th., 4.30.METROPOLITAN. Hltors of Attendance.-Mledical and Surgical, daily, 9;

Obstetric, WV., 2. Operation Day.-F., 9.MIIDDLESEX. Hours of Attendance.-Medical and Surgical, daily, 1.30Obstetric, M. Tli., 1.30; o.p., hi. F., 9, XV., 1.30 ; Eye, Tu. F., 9;Ear and Tllroat, Tu., 9; Skill, Tu., 4, Tll., 9.:30; Dental, M. W.F., 9.30. Operation Dayls. -V., 1.30, S., 2; (Obstetrical), Tlh., 2.NATIONAL ORTHOP2EDIC. Hours oJ Attendance.-hi. Tu. Tli. F., 2. Opera-tion Day.-XV., 10.NORTH-WNrEST LONDON. Houtrs of Attendance. - iedical and Surgical,daily, 2; Obstetric, WV.. 2; Eye, W., 9; Skin, F., 2; Dental,F., 9. Operation Day.-Tbl., 2.30.ROYAL EYE HOSPITAL, Southwark. Hours of Attendance.-Daily, 2. Opera-tion, Days.-Daily.ROYAL FREE. Hours of Attendance. -Medical and Surgical, daily, 2;Diseases of WVomein, Tu. S., 9; Eye, hI. F., 9; Dental, Tb., 9.Operation Dayls.-W. S., 2; (Ophtlialinic), hI. F., 10.30; (Diseases

ot WVolnen). S., 9.ROYAL LONDON OPHTHALMIC. Hlonrs of Attendance.-Daily, 9. OperationDays.-Daily, 10.ROYAL ORTHOPA%DIC. Hlours oJ Attendance.-Daily, 1. Operation Day.-M., 2.ROYAL WESTMINSTER OPHTHALMIC. Ifours of Attendance. -Daily, 1.Operation Days.-Daily.ST. BARTHOLOMEW'S. hlouirs of Attendance.-Miedical and Surgical, daily,1.30; Obstetric, Tu. Tli. S., 2; o.p., XV. S., 9; Eye, XV. Th. S.,2.30; Ear, Tu. F., 2; Skin, F., 1.30; Larynx, F., 2.30; Ortlio-paedic, M., 2.30; Dental. Tu. F., 9. Operation Days.-h. Tu. W.S., 1.30; (Ophtlhaliic), Tu. Th., 2.ST. GEORGE'S. Hours of Attendance.-Medical and Surgical, hi. Tu. F. S.,12; Obstetric, M. Tlh.. 2; o.p., Eye, W. S., 2; Ear, Tu., 2; Skin, W,2; Throat, Th., 2; Oithopmedic, W., 2; Dental, Tu. S., 9. Opera-tion? Days.-Th., 1; (Oplhtlhalnmic), F., 1. 15.ST. MARK'S. hlontrs of Attenldanlce.-Fistula and Diseases of the Rectum,males, S., 3; females, XV., 9.45. Operation Days.-M., 2., Tu. 2.30.ST. MARY'S. Houtrs of Attentdantce.-Medical anid Surgical, daily, 1.45; o.p.,1.30; Obstetric, Tu. F., 1.45; Eye, Tu. F. S., 9; Ear, M. Th., 3;Orthopaedic, W., 10; Throat, Tu. F., 1.30; Skin, M. Th., 9.30;Electro-therapeutics, Tu. F., 2; Dental, XV. S., 9.30; Consulta-tions, M., 2.30. Operation Days.-Tu., 1.30; (Ortlhopuedic), W.,

11; (Ophthalmic), F., 9.ST. PETER'S. HouGrs of Attendance. -M., 2 and 5, Tu., 2, W., 5, Tli., 2, F.(Women and Chlildren), 2, S., 4. Operation Dayls.-W. and F., 2.ST. THOMAS'S. Hours of Attendance.-Medical and Surgical, daily, exc.W. and S., 2; Obstetric, TU. F., 2; o.p., W. S., 1.30; Eye. Tu.. 2;o.p., daily, exc. S., 1.30; Ear, M., 1.30; Skin, F., 1.30; Throat,Tu. F., 1.30; Children, S., 1.30; Dental, Tu. F., 10 OperationDays.-W. S., 1.30; (Ophthalmic), M., 2.30, F., 2; (Gynaecologi-'al), Th., 2.SAMARITAN FREE FOR WOMEN AND CHILDREN. Hours of Attendance.-Daily, 1.30. Overation Day.-W., 2.30.THROAT, Golden Square. Hours of Attendance.-Daily, 1.30; Tu. and F.,6.30 ; Operation Day.-Th., 2.UNIVERSITY COLLEGE. Hours of Attendance.-Medical and Surgical daily,1.30; Obstetrics, M. W. F., 1.30; Eye, M. Th., 2; Ear, M. Tli.. 9;Skin, W., 1.45, S., 9.15: Throat, M. Th., 9; Dental, XV., 9.30;

Operation Days.-Tu., W. Th., 2.WEST LONDON. Hours of Attendani&e.-Medical and Surgical, daily, 2;Dental, Tu. F., 9.30; Eye, Tu. Th. S., 2; Ear, Tu., 10 OrtlhopHe-die: W., 2; Diseases of WVomen, W. S., 2; Electric, Tu., 10, F.,4; Skin, F, 2; Throat and Nose, S., 10. Operation Days.-Tu.F., 2.30.WESTMINSTER. Hours of Attendance.-hiedical and Surgical, daily, 1; Ob-stetric, Tu. F., 1; Eye, Tu. F., 9.30; Ear, M., 9; Skin, W., 1;Dental, W. S., 9.15. Operation Days.-Tu. W., 2,

- -1 - - - - -