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breath, mouth, and fauces revealing nothing as to the natureof the poison, it was deemed advisable to give her one-eighth of a grain of apomorphia subcutaneously. In fifteenminutes she expelled with a gush about five ounces of adark-coloured liquid, smelling strongly of carbolic acid.Having now ascertained what the poison was, the stomach-pump was used and some olive oil injected. This she soonvomited, together with a little more of the same dark-coloured fluid. The urine passed was of a dark-browncolour and gave the usual tests for carbolic acid. The foeceswere also of a dark colour. With the exception of somesoreness of the mouth and throat, together with a little painin the epigastrium, all of which were relieved by appropriatemedicines, she recovered without a bad symptom, and onthe fifch day after admission was discharged. To completethe history of the case, it may be added that having had aquarrel with her lover she determined to destroy herself,and with that intention took a pennyworth, about one ounceand a half, of the common crude carbolic acid.

CASHEL UNION HOSPITAL.NECROSIS OF SKULL FROM TERTIARY SYPHILIS.

(Under the care of Dr. LAFFAN.)THE subjoined case possesses some interest from the

guarded prognosis which it suggests in cases of syphilis, andfrom the obvious failure of mercury to prevent the worstmanifestations of the disorder years after the original diseasewas contracted.D. C-, a smith by trade, aged thirty-four, was admittedin March, 1878, with an abscess in the right ankle. Hecontracted syphilis in 1871, for which he was mercurialised.In 1875 syphilis attacked him again, for which he wastreated with mercurial fumigations. There was some historyof scrofula, but not a very clear one. He got occasionalrigors when the weather changed, and these continued ;They were accompanied by sleepiness and loss of appetite.pulse 160; tongue brown and dry; head hot, but withoutpain; pupils contracting and sensible to light; noise in theears.

July 29th, 1882.—A round piece of frontal bone exposedand necrosed over right eye, bone also exposed over left eye,with pus flowing freely from both places ; sight unaffected ;taste on tongue ; occasional vomiting ; some stupor present,which is more marked from time to time; some injectionof conjunctiva. A marked rigor assailed him this dayweek and continued on and off up to the present. Hehad a horrible fetor from the breath, which continued tothe end.Aug. 5th: Temperature 96°; pulse 112; respiration 40.

Bowels moved four times; the patient’s sputum is of a

bloody colour. He is perspiring a great deal; appetitevery bad; appearance dull and wasted. He had a rigorat 8.30 P.M. yesterday; and a large swelling was observedon the top of his head, which broke and discharged a greatquantity of fetid pus.-6th: Pulse 112; respiration 40; tem-perature 102°. He perspired a good deal; the bowelsmoved three times; he slept very little; appetite bad.-7th : The patient has had no sleep, took his drinks. Wasrestless for some hours before death, and had three motionsof the bowels.The purulent discharge continued to flow freely till about

three hours before death, and was intermixed with a littleblood. The stupor or hebetude went on till half an hour beforedeath. This hebetude, which had gone on increasing fromthe commencement of the attack, was at no time so deep butthat when at its worst he could reply consciously to questions.There was no local paralysis except a slight one of the face,the muscles being drawn to the right side. Two days beforedeath there was a little delirium. Half an hour before deathhe asked for a drink. He died comatose on August 12th.

HOSPITAL SATURDAY FUND.—The collection forthis fund is fixed for the lst prox. Arrangements are beingperfected with a view to securing a greater street collectionon behalf of this fund than has hitherto been realised.Collecting sheets to the number of 30,000 have been issuedto the various workshops of the metropolis, and to police,postal, railway, and other otficials, and boxes will be placedon board all the Thames ferry boats, and will be under theespecial charge of the captains.

ACADEMY OF MEDICINE IN IRELAND.

THE Pathological Section met on April 6th.Specimens Exhibited by Card.—Mr. P. S. ABRAHAM o

Colloid-like bodies in the Medulla and Cerebellum from acase of Diabetes. Surgeon-Major HAMILTON : Three speci-mens of Typhoid Lesions; ulcers in the ileum. Mr.THOMSON : Multiple Fractures of the Lower Jaw. Dr.WALTER SMITH: Abdominal Aneurism. Dr. PURSER :Atheroma of Aorta, Endarteritis Deformans. Mr. J. DAVISONand Mr. P. S. ABRAHAM: Bones of young lower Animals afterFracture, showing increase in size. Dr. J. M. REDMOND :Spontaneous Aneurism of the Brachial Artery ; heartshowing deposit on aortic valves.Mr. JOHN B. STORY exhibited a young man, aged twenty-

one, suffering from Hemiatrophia Facialis upon the rightside. The patient’s mother stated that the defect was con-genital, and had been caused by a fright early in her preg-nancy from a guinea-pig being thrust into her face. Infavour of this theory there was an undoubtedly congenitaldeformity of the right auricle upon the same side. In theatrophy all the tissues, skin, muscle, and bones were involved,the skin atrophy being best marked over the eyebrow, and ofthe bones the superior and inferior maxilla were mostly im-plicated, -Dr. M ’SwiNEY asked whether the man was idiotic,or whether he had been delivered at his birth with forceps.-Mr. STORY replied in the negative to both questions.

Dr. WALTER SMITH exhibited an Abdominal Aneurismtaken from a man aged thirty-eight years, who died on the10th ult. The immediate cause of death was an acutepleuro-pneumonia on the right side. The aneurismal sym-ptoms first declared themselves about two years and threemonths before his death by pains in the back, whichgradually increased in severity until he was obliged to giveup work and seek admission into the hospital. Below theensiform cartilage could be seen and felt a tremulous pulsa-tion, attended with a loud systolic murmur, audible as lowas the umbilicus, and posteriorly along the spine from theeighth dorsal to the second lumbar vertebra. In Decemnerlast an eccentric impulse was detected under the twelfthrib on the left side; and about the middle of February he wasseized with intense pain in the right hip, thigh, and leg;and from this date he rapidly sank. The autopsy showedthat the right lung was consolidated ; weight 3 lb. 10 oz. ;abundant flaky lymph on pleura. The left lung was healthy ; Dweight 1 lb. 12 oz. A large saccular aneurism sprang imme-diately below the diaphragm, and extended to within an inchof the bifurcation of the aorta, and laterally from one kidneyto the other. There was extensive erosion of the eleventh andtwelfth dorsal vertebrae and first lumbar vertebra ; eleventh.and twelfth ribs on left side were detached from the spine andadherent to the sac. The abdominal viscera were healthy.- Dr. A. KENNEDY remarked on the exceptional mode ofdeath in this case, and discussed the diagnosis of aneurismof the abdominal aorta and cancer; and Dr. SMITH replied.Mr. CORLEY read a paper on the disease to which

Tilbury Fox applied the ii ame I dysidrosis, and which Mr.Jonathan Hutcbinaon ternied "ebeiro-pompholyx." He de-tailed the history of two cases, both following injury of themedian nerve, and in one of whicb, after the eruption haddisappeared from the hand of the injured side, a similareruption broke out on the other hand. This, he con-

sidered, indicated that the irritation produced in the memberfirst affected was propagated to the spinal cord, and pro-duced there a nervous disturbance which passed across anddown the nerves of the opposite limb. From the considera-tion of these cases, as well as those detailed by Hutchinsonand Fox, Mr. Corley was of opinion that the disease wasgenuine herpes zoster of the hand, due to either centricnervous disturbance or irritation of nerve-trunks; and hetherefore rejected the name and pathology suggested byTilbury Fox.-Dr. WALTER SMITH discussed this commu-nication, and illustrated his remarks by the facts of a caserecently observed by himself ; and Mr. CORLEY replied.Dr. PURSER showed an example of Extensive Atheroma

of the Branches of the Pulmonary Artery. The primarytrunk was free from disease, but the smaller divisions of thevessel were much affected; the aorta was healthy; the rightventricle was greatly hypertrophied, without much dilatation.There was chronic pneumonia of both lungs. The patientwas a middle-aged woman, who died almost immediatelyafter her admission into hospital, before any history couldbe obtained.