2
642 molar. The tooth had been drawn at 7 o’clock the previous evening, and the haemorrhage immediately commenced, and continued all night, sometimes so profusely as to nearly choke her. Cold water and perchloride of iron were applied, which temporarily arrested the haemorrhage. But after the patient had been home only a short time, the bleeding began with re- newed vigour. At 3 o’clock P.M. she came back here very weak and frightened. Nitrate of silver was applied, the al- I veolar cavity stuffed with lint, and a bandage placed so that the jaws could not separate. This was kept on for six hours, and then removed, when a stream of blood rushed out, and the patient fainted. Seeing that ordinary remedies had failed, ’’, I thought of ether spray ; so I got some common ether, and applied it by means of Dr. Richardson’s apparatus, which allowed me to send the cold right down into the cavity. The effect was wonderful. After two applications, neither lasting longer than one minute, the bleeding ceased, and has not again returned. I remain. Sir. vours. &c.. J. LINDSAY PORTEOUS. GERMANY. (FROM OUR OWN CORRESPONDENT.) ANYONE at present visiting the medical department of the University of Bonn on the Rhine will not find very much to see. The hospital accommodation is in- different, and the school of medicine is not furnished with the ordinary modern facilities. This want, however, of suitable advantages for the students has been so felt, that the University is now making the most strenuous efforts to build without delay improved establishments. A new and very handsome school of chemistry, planned and fitted in the most approved fashion, has just been completed; and it is expected that this will be in perfect working order next winter. With such teachers as Professors Bishop, Mohr, and Landolt, and with a laboratory constructed with every possible modern improvement, it is thought that the chemical school at Bonn will in a few years equal, if not surpass, the schools at Heidelberg and Gottingen, which are still reckoned the best in Germany. Nor are the attentions of the University Board coniined to the development of chemical knowledge alone. They have obtained from the town a grant of £ 50, 000 sterling, which they intend, if necessary, to increase from their own funds, for the purpose of building a new hospital. The site has been already obtained, the work begun, and it is expected that in two years it will be finished. It is further contemplated to add a new school of anatomy, and possibly additional lecture rooms. The energy with which these plans are being carried out expresses well the mental activity of the University ; and it is not therefore surprising to find that the’ number of students of medicine is already rapidly increasing. In 1865 the total number of medical students was 150, and in this last year the total number registered was 204. It is true, certainly, that most of these students are from the neighbour- ing Rhine provinces, but still this serves to show the increas- ing reputation which the school of medicine is obtaining. To an Englishman, Bonn would only be useful as a place to study pathological and microscopical anatomy under Schutze, or as a good school of chemistry; but otherwise the limited hospital practice incidental to a town of 20,000 inhabitants would always continue to be a disadvantage. I may also observe that though Bonn is so small, it is nevertheless one of the most expensive universities in Germany. As this is holiday time, there is nothing in the schools espe- I cially interesting to see or hear; but the experiences of Profes- I sor Ruble of the use of water in promoting the defervescence of the continued fevers, is worth noticing, as he pursues this now to the exclusion of every other plan, and with the most successful results. As soon as the thermometrical tem- perature of the patient has ascended to fever heat, and even often before, he is placed in a bath of water ten degrees below his own temperature ; and after he has remained in the bath about ten or fifteen minutes, and has been returned to bed,. it is generally found that his temperature has sunk one or two degrees. This bathing is repeated from four to five times a day, or as often as the temperature begins to rise, until the fever-defervescence becomes general. The advantages claimed for the general use of this treatment are, great relief to the feelings of the patient, a diminution of infectious influence, an alleged speedier convalescence, and results generally more successful. This bathing is peculiarly agreeable to the patient, and usually relieves thirst and restlessness. Any complica- tions that arise during the course of the fever must of course be treated by suitable remedies as they arise. The weather here at present is so warm that most of the fever patients have been placed in the open air under the trees. The following remarks of Dr. Schauffausen, at the last meeting of the Medical and Natural History Society at Bonn, upon the post-mortem of a dwarf, are interesting. The dwarf in question had died at Coblenz, at the age of sixty-one. Such an age among dwarfs was very rare, although a case had been noted in Scotland where the age of sixty-three had been attained. This dwarf had grown after he was thirty years old; however, the same phenomenon had been remarked in Bebe, the dwarf of King Stanislaus. In this case there was a remarkable contradiction in the signs of bodily development, for when old he had lost his front teeth, but had not a single grey hair, and no trace of baldness. The first change of incisor teeth had not begun until he was twenty-two years of age. His height was 2 feet 10 inches, and his weight forty-five pounds. Most of the relations of his body had retained a child-like ratio. The circumference of his head, 520 milli- metres, corresponded with that of a boy five years old. The brain weighed 11.83.33 grammes. The brain of a man of sixty years of age is said to weigh, on the average, 1344 grammas. Among new-born children, the weight of the brain was one- fifth of the weight of the entire body; among adults one- thirtieth up to one-forty-fourth; but in this case it was one. nineteenth. All the sutures of the skull remained open, and had bony cartilage, as in early childhood. The brain showed numerous deep convolutions, and the deceased had, if not re- markable, at any rate fair mental qualities. A simple arrest of development seemed to affect all organs of the body, and consequently he was not virile. This dwarf was the child of large parents, and he had two brothers five feet high, and a sister of ordinary size ; but his other two brothers, who are still alive, are dwarfs, one the same size as himself, and the other five inches higher. Anril. 1868. Foreign Cleanings. BENCE JONES’S QUINOIDINE AND DR. CHALVET. DR. CHALVET has repeated, before the Biological Society of Paris, experiments on efflorescence which tend to throw some doubt on Dr. Bence Jones’s conclusions respecting quinoidine. The facts, however, mentioned by the latter physician have been fully confirmed by Dr. Chalvet, whose experiments again prove that the living tissues contain a substance giving rise to an efflorescence exactly similar to the refractive phenomena of sulphate of quinine. Dr. Chalvet has also found, like Dr. Bence Jones, that this efflorescence disappears in acute febrile diseases; but he does not agree with Dr. Jones as to the origin of this supposed quinoidine. Dr. Chalvet has shown, on the contrary, that this efflorescent substance exists in most articles of food, especially in wine and vegetable substances. From these researches the French author concludes that the so-called quinoidine is not derived from albumen; that it is introduced into the organism by the ingesta; that it mixes with the ani- mal fluids, as happens with iron; but that (herein quite similar to iron) it does not spontaneously spring up in the animal tissues. As this quinoidine is rapidly eliminated, low diet somewhat prolonged must cause the efflorescence of the urine to disappear, and thus is explained the supposed destruction of quinoidine by fever. Dr. Chalvet is inclined to class the sub- stance in question with quinine itself, which may be supposed to exist in infinitesimal quantities in all vegetables, and thus would its constant presence in the tissues and fluids of animals be accounted for. HEREDITARY NATURE OF HARE-LIP. M. Demarquay lately asked the advice of the members of the Surgical Society of Paris touching a little girl, five years old, who presented a double hare-lip. Some difficulties will be encountered in the operation, but the interest of the case lies in the fact that, in the family, from the grandparents downwards, eleven children have been born with hare-lip, or with a peculiar conformation of the lower lip-namely, two epenings on either side of the mesial lines, traversing the

Foreign Cleanings

  • Upload
    builiem

  • View
    214

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Foreign Cleanings

642

molar. The tooth had been drawn at 7 o’clock the previous evening, and the haemorrhage immediately commenced, andcontinued all night, sometimes so profusely as to nearly chokeher. Cold water and perchloride of iron were applied, whichtemporarily arrested the haemorrhage. But after the patienthad been home only a short time, the bleeding began with re-newed vigour. At 3 o’clock P.M. she came back here veryweak and frightened. Nitrate of silver was applied, the al- Iveolar cavity stuffed with lint, and a bandage placed so thatthe jaws could not separate. This was kept on for six hours,and then removed, when a stream of blood rushed out, and the patient fainted. Seeing that ordinary remedies had failed, ’’,I thought of ether spray ; so I got some common ether, andapplied it by means of Dr. Richardson’s apparatus, whichallowed me to send the cold right down into the cavity. Theeffect was wonderful. After two applications, neither lastinglonger than one minute, the bleeding ceased, and has not againreturned. I remain. Sir. vours. &c..

J. LINDSAY PORTEOUS.

GERMANY.

(FROM OUR OWN CORRESPONDENT.)

ANYONE at present visiting the medical departmentof the University of Bonn on the Rhine will not find

very much to see. The hospital accommodation is in-

different, and the school of medicine is not furnishedwith the ordinary modern facilities. This want, however,of suitable advantages for the students has been so felt,that the University is now making the most strenuous

efforts to build without delay improved establishments. Anew and very handsome school of chemistry, planned andfitted in the most approved fashion, has just been completed;and it is expected that this will be in perfect working ordernext winter. With such teachers as Professors Bishop, Mohr,and Landolt, and with a laboratory constructed with everypossible modern improvement, it is thought that the chemicalschool at Bonn will in a few years equal, if not surpass, theschools at Heidelberg and Gottingen, which are still reckonedthe best in Germany. Nor are the attentions of the UniversityBoard coniined to the development of chemical knowledgealone. They have obtained from the town a grant of £ 50, 000sterling, which they intend, if necessary, to increase fromtheir own funds, for the purpose of building a new hospital.The site has been already obtained, the work begun, and it isexpected that in two years it will be finished. It is furthercontemplated to add a new school of anatomy, and possiblyadditional lecture rooms. The energy with which these plansare being carried out expresses well the mental activity of theUniversity ; and it is not therefore surprising to find that the’number of students of medicine is already rapidly increasing.In 1865 the total number of medical students was 150, and inthis last year the total number registered was 204. It is true,certainly, that most of these students are from the neighbour-ing Rhine provinces, but still this serves to show the increas-ing reputation which the school of medicine is obtaining. Toan Englishman, Bonn would only be useful as a place to studypathological and microscopical anatomy under Schutze, or asa good school of chemistry; but otherwise the limited hospitalpractice incidental to a town of 20,000 inhabitants wouldalways continue to be a disadvantage. I may also observethat though Bonn is so small, it is nevertheless one of themost expensive universities in Germany.As this is holiday time, there is nothing in the schools espe- I

cially interesting to see or hear; but the experiences of Profes- I

sor Ruble of the use of water in promoting the defervescenceof the continued fevers, is worth noticing, as he pursuesthis now to the exclusion of every other plan, and with themost successful results. As soon as the thermometrical tem-perature of the patient has ascended to fever heat, and evenoften before, he is placed in a bath of water ten degrees belowhis own temperature ; and after he has remained in the bathabout ten or fifteen minutes, and has been returned to bed,. itis generally found that his temperature has sunk one or twodegrees. This bathing is repeated from four to five times aday, or as often as the temperature begins to rise, until thefever-defervescence becomes general. The advantages claimedfor the general use of this treatment are, great relief to thefeelings of the patient, a diminution of infectious influence,

an alleged speedier convalescence, and results generally moresuccessful. This bathing is peculiarly agreeable to the patient,and usually relieves thirst and restlessness. Any complica-tions that arise during the course of the fever must of coursebe treated by suitable remedies as they arise. The weatherhere at present is so warm that most of the fever patientshave been placed in the open air under the trees.The following remarks of Dr. Schauffausen, at the last

meeting of the Medical and Natural History Society at Bonn,upon the post-mortem of a dwarf, are interesting. The dwarfin question had died at Coblenz, at the age of sixty-one. Suchan age among dwarfs was very rare, although a case had beennoted in Scotland where the age of sixty-three had beenattained. This dwarf had grown after he was thirty yearsold; however, the same phenomenon had been remarked inBebe, the dwarf of King Stanislaus. In this case there was aremarkable contradiction in the signs of bodily development,for when old he had lost his front teeth, but had not a singlegrey hair, and no trace of baldness. The first change of incisorteeth had not begun until he was twenty-two years of age.His height was 2 feet 10 inches, and his weight forty-fivepounds. Most of the relations of his body had retained achild-like ratio. The circumference of his head, 520 milli-metres, corresponded with that of a boy five years old. Thebrain weighed 11.83.33 grammes. The brain of a man of sixtyyears of age is said to weigh, on the average, 1344 grammas.Among new-born children, the weight of the brain was one-fifth of the weight of the entire body; among adults one-thirtieth up to one-forty-fourth; but in this case it was one.nineteenth. All the sutures of the skull remained open, andhad bony cartilage, as in early childhood. The brain showednumerous deep convolutions, and the deceased had, if not re-markable, at any rate fair mental qualities. A simple arrestof development seemed to affect all organs of the body, andconsequently he was not virile. This dwarf was the child of

large parents, and he had two brothers five feet high, and asister of ordinary size ; but his other two brothers, who arestill alive, are dwarfs, one the same size as himself, and theother five inches higher.

Anril. 1868.

Foreign Cleanings.BENCE JONES’S QUINOIDINE AND DR. CHALVET.

DR. CHALVET has repeated, before the Biological Society ofParis, experiments on efflorescence which tend to throw somedoubt on Dr. Bence Jones’s conclusions respecting quinoidine.The facts, however, mentioned by the latter physician havebeen fully confirmed by Dr. Chalvet, whose experiments againprove that the living tissues contain a substance giving rise toan efflorescence exactly similar to the refractive phenomena ofsulphate of quinine. Dr. Chalvet has also found, like Dr.Bence Jones, that this efflorescence disappears in acute febrilediseases; but he does not agree with Dr. Jones as to the originof this supposed quinoidine. Dr. Chalvet has shown, on thecontrary, that this efflorescent substance exists in most articlesof food, especially in wine and vegetable substances. Fromthese researches the French author concludes that the so-calledquinoidine is not derived from albumen; that it is introducedinto the organism by the ingesta; that it mixes with the ani-mal fluids, as happens with iron; but that (herein quite similarto iron) it does not spontaneously spring up in the animal

tissues. As this quinoidine is rapidly eliminated, low dietsomewhat prolonged must cause the efflorescence of the urineto disappear, and thus is explained the supposed destruction ofquinoidine by fever. Dr. Chalvet is inclined to class the sub-

stance in question with quinine itself, which may be supposedto exist in infinitesimal quantities in all vegetables, and thuswould its constant presence in the tissues and fluids of animalsbe accounted for.

HEREDITARY NATURE OF HARE-LIP.

M. Demarquay lately asked the advice of the members ofthe Surgical Society of Paris touching a little girl, five yearsold, who presented a double hare-lip. Some difficulties willbe encountered in the operation, but the interest of the caselies in the fact that, in the family, from the grandparentsdownwards, eleven children have been born with hare-lip, orwith a peculiar conformation of the lower lip-namely, twoepenings on either side of the mesial lines, traversing the

Page 2: Foreign Cleanings

643

whole labial thickness, with a peculiar form of the lip itself.To this latter defect M. Demarquay had called attention, inthe Gazette Médicale, as early as 1845.

HYDROPHOBIA IK PARIS.

M. Peter had lately under his care a man aged thirty-onewho died with fearful spasms of this sad complaint. He wasadmitted on the 27th of March, death occurred on the 29th,and he had been bitten by his own dog in the precedingNovember. The wound had been cauterised with the per-chloride of iron (sic). The principal features of the treatmentwere vapour baths and subcutaneous injections of sulphate ofatropine. The autopsy revealed considerable congestion inthe lungs and brain.

WARM DOUCHES TO THE EAR IN OTORRHCEA.

Dr. Prat considers that the membrana tympani allows ofosmotic dialysis, and can be penetrated by liquid or gaseous

currents. As much as ten, fif-, teen, or twenty quarts of warm

water may be used for each earin the shape of continuous irriga-tion. To accomplish the latter,Dr. Prat had a simple instru-ment constructed, composed oftwo india-rubber tubes, con-

nectedwith a very short cylinder,so divided as to allow of a double

current. Thus a continuous irri-gation is estaoiisnea. by one ot the tubes placed, in tne warmwater, the short cylinder being in the meatus externus. Thebest results have been obtained.

FATAL DIVISION OF AN INTERCOSTAL ARTERY.

M. Demarquay, of Paris, had lately under his care a patientsuffering from necrosis of the ninth rib in consequence ofinjury. An abscess had formed, which the surgeon opened,and, to obviate severe symptoms of dyspnoea, the part waslargely laid open. This incision fell upon the intercostalartery exposed by the displacement of the rib, and after severalattacks of haemorrhage the patient sank.

THE COLLEGE OF SURGEONS.

As we were on the point of going to press on Thursdayevening, we ascertained, on reliable authority, that Mr.

Spencer Smith’s motion upon the inspection of the minutes ofthe Council had been rejected, and that -Mr. Charles Hawkins’motion for an inquiry into the present mode of framing thebye-laws of the College, had been carried, at the meeting ofthe Council that afternoon.

SIR W. JENNER, BART.

A MEETING of the present students of University Collegewas held on Thursday afternoon,-Mr. G. V. Poore in thechair,-to take means for the preparation of an illuminated ’,address to Sir Wm. Jenner, Bart., congratulating him on therecent honours conferred upon him, and thanking him for past Ivaluable clinical teaching. It is proposed that the addressshall be presented at the banquet which will shortly be givento Sir Wm. Jenner, and the exact date of which will be fixedin a few days.

Medical News.ROYAL COLLEGE OF SURGEONS OF ENGLAND.-The

following gentlemen, having passed the necessary examinations,were admitted Members of the College by Diploma on the7th inst. :-

Beadles, Ferdinand, Broadway, Worcestershire.Drew, W. H., Gower-street.French, Jacob, Deptford.Gilland, R. B., Brentwood.Nunn, G. R., Lyndhurst.Pratt, J. W., Bradford, Yorkshire.

At the primary professional examinations for the diploma ofMember held on the llth and 12th inst., of 44 candidates16 were referred back to their studies for three months, andthe following 28 passed :-

Charles Irving, William Roberts, T. J. W. Slater, and George Willis, ofSt. Bartho!omew’s Hospital; J. W. Ekens, R. C. Holman, H. E. Hudson,Wm. Jones, Wright Nieholson, Burlord Norman, and Wm. Russell, ofGuy’s Hospital; Cornelius Biddle, and Jo,iah Oliver, of Charing-crossHospital; H. F. H. Newington, and Fiedorick Stedman, of UniversityCollege; A. E. Kennedy, of London Hospital; Richard S aa, of King’sCollege; Wm. Collins, of Westminster Hospital ; David Brown, W. H.Elmes, R. P. Griffith, Thomas Price, D. W. Thomas, aud Wm. Williams,of the Dublin School of Medicine ; T. S. Gardiner, and J. W. Moss, ofthe Manchester School; R. A. Jamieson, of Cork; C. S. Heap, of Belfast.

APOTHECARIES’ HALL. - The following gentlemenpassed their examination in the Science and Practice of Mecli-cine, and received certificates to practise, on the 30th ult. :-

Field, Albert Frederick, Canterbury.McMahon, John James, Carrickmaeross, Ireland.Marshall, Andrew, Preston.

On the 7th inst. :-Gill, William, Ansteys Lea, Torquay.Harris, William, Bedrath, Cornwall.Lee, Barnard John, Wheateroft, Crich, Derby.Lubboek, Richard Girdlestone, Burton-crescent.Nicholls, William Howard, Kensington.

On the 30th ult., as an Assistant in Compounding and Dis-pensing Medicines:-

Ford, Robert Giles, Cannon-street-road.The following gentlemen on the above days passed their firstexamination: :-

C. H. Beardshaw, Leeds School of Medicine; W. H. W. Wilkinson, Uni-versity College.REPRESENTATION OF THE UNIVERSITY OF LONDON.

- A meeting of the Liberals of the University of London washeld on Monday night, Mr. T. S. Osler in the chair. It wasdecided, that as no Conservative candidate is in the field, itis unnecessary to select a Liberal candidate at present. In-structions were given to the committee to act in case a Con-servative candidate should be brought forward in the selectionof a Liberal opponent.ABERDEEN OPHTHALMIC INSTITUTION. -The annual

meeting was held on the 24th of April. 588 patients were re-lieved in the year. Dr. Wolfe was complimented upon thesatisfactory condition of the charity, and a sum of £48 wasvoted to him for his services during the year.

DR. HENRY MELVILLE, the partner of Dr. Hunter,committed suicide the week before last by swallowing prussicacid.

CONTAGIOUS DISEASES IN NEW YORK. - Duringthe two weeks ending March 15th, 1868, the following casesoccurred in New York: 159 cases of scarlet fever, 132 inchildren under ten years of age ; 15 typhus, 7 typhoid, 14diphtheria, and 2 small-pox.OVERCROWDING AND TYPHUS.-At a recent inquest

held in St. Luke’s, medical evidence showed that eight personslived in a room ten feet square, and which was also the father’sworkshop.

KING’S COLLEGE HOSPITAL.-The annual festivalwas held at Willis’s Rooms, on Friday, the’ 24th ult., W. H.Smith, Esq., in the chair, supported by the Dean of West-minster, Rev. Dr. Jelf, Sir W. Fergusson, Bart., &C. Subscrip-tions to the extent of ;f2000 were announced, including hand-some sums from the Standard and Daily Telegraph. The

yearly expenses of maintaining the hospital is between £8000and 99000.

Sr. MARY’S HOSPITAL.-The anniversary dinner inaid of this charity was held at Willis’s Rooms on Saturday the25th ultimo, Earl Manvers in the chair. Amongst those pre-sent were the Duke of Grafton, General Sir J. C. Coffin,K. C. S. 1., General Sir W. Hill, Mr. H. Lewis, with Mr. Van-derby I, M.P., &c. The number of the patients relieved sincethe opening of the hospital is 240,101. Of these 25,995 werein-patients. The cost of maintenance is £8000 a year. Sub-scriptions to the amount of .S650 were announced.EASTBOURNE CONVALESCENT HOSPITAL. - An

amateur concert was given last week at the Hanover-squareRooms in aid of the Convalescent Hospital at Eastbourne, es-tablished in 1864. The building used for the first three yearsof its existence has been found wholly inadequate, and inJuly last a site having been obtained, by the kindness of theDuke of Devonshire, the foundation stone was laid of an edi-