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1498 AEROPHAGIA A. R. Calatayud and E. L. Munoz 1 in reporting a case of aerophagia point out the value of X ray examination in making a differential diagnosis, and describe the technique advised. The condition has to be distinguished (1) from physiological aerophagia, an increase in the amount of air normally swallowed with the food, which is seen in certain individuals; (2) from false aerophagia associated with lesions of the respiratory tract, &c., causing dyspnoea ; (3) from oesophageal lesions; and (4) from the modifications in the amount of air present in the stomach in hyper- tonia and hypotonia. They describe the case of a man aged 60, with no past history or family history of importance, except for occasional bronchitis, who complained of discomfort and fullness after meals, mild epigastric pain, and eructations. He weighed 13 st., and appeared excitable and neurotic. Pyorrhoea was present. The abdomen was rather distended. On X ray screening, the stomach was found to be orthotonic ; motility was slightly diminished, and emptying was rather slow. Air could actually be seen entering the stomach by successive acts of swallowing. The air-space grew steadily larger until a fresh eructation partly emptied it, and the air swallowing then recommenced, in a constantly repeated cycle. The nature of his trouble ’ was explained to the patient, and apparently he was able to control the habit, since it is reported that following general treatment and treatment for the pyorrhoea he was cured of the condition in about two months. Medical Diary Information to be included in this column should reach us in proper form on Tuesday, and cannot appear if it reaches us later than the first post on Wednesday morning. SOCIETIES Information to be included in this column should reach us in proper form on Tuesday, and cannot appear if it reaches us later than the first post on Wednesday morning. SOCIETIES ROYAL SOCIETY OF MEDICINE, 1, Wimpole-street, W. WEDNESDAY, Jan. 1st. Surgery. 8.30 P.M. Mr. G. H. Steele : Retrograde Œsophagoscopy. Dr. H. L. Marriott and Dr. A. Kekwick : Continuous Drip Blood Transfusion. Mr. C. Jennings Marshall: Treatment of Diverticu- litis of the Colon. MEDICAL OFFICERS OF SCHOOLS ASSOCIATION. FRIDAY, Jan. 3rd.-5 P.M. (Mechanics Theatre, University College, Gower-street, W.C.), Dr. G. 0. Barber: School Pressure in Work and Play. LECTURES, ADDRESSES, DEMONSTRATIONS, &c. FELLOWSHIP OF MEDICINE AND POST-GRADUATE MEDICAL ASSOCIATION, 1, Wimpole-street, W. THURSDAY, Jan. 2nd, and FRIDAT.—Afternoon course in dermatology at St. John’s Hospital, 5, Lisle-street, Leicester-square, W.C. Appointments COOLICAN, J. H., M.B. Dub., F.R.C.S. Irel., F.R.C.S. Edin., has been appointed Hon. Visiting Surgeon to the Mercers’ Hospital, Dublin. DOBBS, R. H., M.B. Camb., First Assistant in the Children’s Department of University College Hospital. DONOVAN, JOHN, M.B. Leeds, F.R.C.S. Edin., Resident Surgical Officer at the City Hospital, Nottingham. EVANS, E. H., M.D., M.R.C.P. Lond., Resident Medical Officer at the City of London Maternity Hospital. HARDNESS, ISABELLA, M.B. Glasg., D.P.H., Assistant Medical Officer for Maternity and Child Welfare for Nottingham. JONES, D. J., M.B. Wales, D.P.H., Assistant County Medical Officer of Health for Warwickshire. KIMBELL, C. W., M.B., Assistant Resident Medical Officer at the City of London Maternity Hospital. 1 Rev. Española de las enfermedades del aparato digestivo y de la nutrición, 1935, i., 599. LIVINGSTONE, GtAViN, M.B. Lond., F.R.C.S. Eng., Aural Surgeor to the Metropolitan Hospital. MELROSBE, M. M., M.R.C.S. Eng., Hon. Radiologist to th Herefordshire General Hospital. MILLS, C. T., M.B. Manch., Hon. Auaesthetist to the Roya Infirmary, Worcester. MORLAND, ANDREW, M.D., M.R.C.P. Lond., Physician to In patients to the Hopital et Dispensaire Français, London. PATRICK, L. B., M.B., F.R.C.S. Edin., M.C.O.G., Assistant Hon. Surgeon to the Jessop Hospital for Women, Sheffield PERROT, H. S., M.B. Dub., Hon. Ansesthetist to the Hereford shire General Hospital. SMITH, E. R., M.D. Liverp., D.P.H., Deputy Medical Officer o Health and Deputy School Medical Officer for Chester. WILLMOTT, B. M., M.B. Camb., F.R.C.S. Eng., Hon. Obstetri Surgeon to the Birmingham Maternity Hospital. WINDEYER, B. W., M.B., F.R.C.S. Edin., D.M.R.E., Medica Officer in Charge of the Department of Radiotherapy a the Middlesex Hospital. Royal Free Hospital.-The following appointments ar -announced:- POWYs, M., NLB. Lond., District Obstetric Assistant; s STEWART, A. M., M.D., Medical Registrar ; WHITE, M. MooRE, M.B. Lond., F.R.C.S. Eng., Gynæco logical Registrar ; BECK, D. J. KINLOCH, F.R.C.S., Surgical Registrar. Certifying Surgeon under the Factory and Workshop Acts Dr. P. C. PARR (Marlow District, Buckingham). Vacancies For further information refer to the advertisement columns Banbury, Horton General Hospital.-Res. M.O. At rate c 150. Bath, Royal United Hospital.-Hon. Anæsthetist. Birmingham City Mental Hospital.-Jun. Asst. M.O. £350. Birmingham, Royal Cripples Hospital.-Res. IEI.S. At rat of 200. Brighton Municipal Hospital.-Third Res. Asst. M.O. £300. Cambridge, Addenbrooke’s Hospital.-H.S. At rate of £130. Canterbury, Kent and Canterbury Hospital.—Two H.S.’s. Eacl at rate of £125. Capetown, Cape Hospital Board.-Radiologist. R1250. Croydon General Hospital.-Hon. Neurologist. Also Ron. Assi Physician. Dorchester, Dorset County Hospital.-H.S. At rate of £160. Durham County Mental Hospital.-Asst. M.O. £350. Eastbourne, Princess -Alice Memorial.-Res. H.S. £150. Edinburgh, Gilbert Bain Memorial Hospital, Lerwick.-Surgeo and Consultant. £700. Enfield Education Committee.-School Dental Surgeon. £500. Gtasgow, Royal Faculty of Physicians and Surgeons.-Fellowshi Examination. - Glasgow Royal Mental Hospital, Gartravel.-Asst. Physiciar £300. Halifax Hospital for Infectious Diseases.-Res. M.O. £350. Hampshire County Council.-Asst. County M.O.H., &( £800. Hospital for Consumption and Diseases of the Chest, Brompton S.W.-H.P. At rate of £50. Hull Royal Infirmary.—Cas. 0. At rate of £150. Ilford Council Maternity Home.-Res. M.O. £350. London Jewish Hospital, Stepney Green, E.-Out-patient A-,-s ,@125. London University.—Readership in Surgery. £800-£1000. Manchester, Ancoats Hospital.-Res. Surg. O. £200. Als Mod Reg. £50. Manchester Royal Children’s Hospital, Pendlebury.-Res. lYLC At rate of 125. Middlesex County Council.-Tuber. M.O. £750. Newcastle-upon-Tyne, Hospital for Sich Children.-Res. Surg. ( £250. Also H.P. and H.S. Each at rate of £100. Nottingham General Hospital.-A.S. At rate of £150. Rochdale Infirmary and Dispensary.-Sen. H.S. £250. Rochester, St. Bartholomew’s Hospital.—Cas. and Orthopaedic H.S At rate of £175. St. John’s Hospital, Lewisham, S.E.-Clin. Asst. to M.O. i- Elec. and Massage Dept. St. Paul’s Hosoital, Endell-street, Holborn, W.C.—H.S. At rat of 150. Trans-Jordan.-M.O. £650. Walsall General Hospital.-H.S. At rate of £150. Warrington, County Mental Hospital, Winwick.—Asst. M.O £500. West Ham County Borough.-Radiologist. 250. IVest Sussex County Council.-Asst. Tub. O. and Asst. M.( £750.

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1498

AEROPHAGIA

A. R. Calatayud and E. L. Munoz 1 in reportinga case of aerophagia point out the value of X rayexamination in making a differential diagnosis, anddescribe the technique advised. The condition hasto be distinguished (1) from physiological aerophagia,an increase in the amount of air normally swallowedwith the food, which is seen in certain individuals;(2) from false aerophagia associated with lesions ofthe respiratory tract, &c., causing dyspnoea ; (3) fromoesophageal lesions; and (4) from the modificationsin the amount of air present in the stomach in hyper-tonia and hypotonia. They describe the case ofa man aged 60, with no past history or family historyof importance, except for occasional bronchitis,who complained of discomfort and fullness aftermeals, mild epigastric pain, and eructations. He

weighed 13 st., and appeared excitable andneurotic. Pyorrhoea was present. The abdomenwas rather distended. On X ray screening, thestomach was found to be orthotonic ; motility wasslightly diminished, and emptying was rather slow.Air could actually be seen entering the stomach bysuccessive acts of swallowing. The air-space grewsteadily larger until a fresh eructation partly emptiedit, and the air swallowing then recommenced, in aconstantly repeated cycle. The nature of his trouble ’was explained to the patient, and apparently hewas able to control the habit, since it is reported thatfollowing general treatment and treatment for thepyorrhoea he was cured of the condition in about twomonths.

Medical DiaryInformation to be included in this column should reach us

in proper form on Tuesday, and cannot appear if it reachesus later than the first post on Wednesday morning.

SOCIETIES

Information to be included in this column should reach usin proper form on Tuesday, and cannot appear if it reachesus later than the first post on Wednesday morning.

SOCIETIES

ROYAL SOCIETY OF MEDICINE, 1, Wimpole-street, W.WEDNESDAY, Jan. 1st.

Surgery. 8.30 P.M. Mr. G. H. Steele : RetrogradeŒsophagoscopy. Dr. H. L. Marriott and Dr. A.Kekwick : Continuous Drip Blood Transfusion.Mr. C. Jennings Marshall: Treatment of Diverticu-litis of the Colon.

MEDICAL OFFICERS OF SCHOOLS ASSOCIATION.FRIDAY, Jan. 3rd.-5 P.M. (Mechanics Theatre, University

College, Gower-street, W.C.), Dr. G. 0. Barber:School Pressure in Work and Play.

LECTURES, ADDRESSES, DEMONSTRATIONS, &c.

FELLOWSHIP OF MEDICINE AND POST-GRADUATEMEDICAL ASSOCIATION, 1, Wimpole-street, W.THURSDAY, Jan. 2nd, and FRIDAT.—Afternoon course in

dermatology at St. John’s Hospital, 5, Lisle-street,Leicester-square, W.C.

AppointmentsCOOLICAN, J. H., M.B. Dub., F.R.C.S. Irel., F.R.C.S. Edin.,

has been appointed Hon. Visiting Surgeon to the Mercers’Hospital, Dublin.

DOBBS, R. H., M.B. Camb., First Assistant in the Children’sDepartment of University College Hospital.

DONOVAN, JOHN, M.B. Leeds, F.R.C.S. Edin., Resident SurgicalOfficer at the City Hospital, Nottingham.

EVANS, E. H., M.D., M.R.C.P. Lond., Resident Medical Officerat the City of London Maternity Hospital.

HARDNESS, ISABELLA, M.B. Glasg., D.P.H., Assistant MedicalOfficer for Maternity and Child Welfare for Nottingham.

JONES, D. J., M.B. Wales, D.P.H., Assistant County MedicalOfficer of Health for Warwickshire.

KIMBELL, C. W., M.B., Assistant Resident Medical Officer atthe City of London Maternity Hospital.

1 Rev. Española de las enfermedades del aparato digestivoy de la nutrición, 1935, i., 599.

LIVINGSTONE, GtAViN, M.B. Lond., F.R.C.S. Eng., Aural Surgeorto the Metropolitan Hospital.

MELROSBE, M. M., M.R.C.S. Eng., Hon. Radiologist to thHerefordshire General Hospital.

MILLS, C. T., M.B. Manch., Hon. Auaesthetist to the RoyaInfirmary, Worcester.

MORLAND, ANDREW, M.D., M.R.C.P. Lond., Physician to Inpatients to the Hopital et Dispensaire Français, London.

PATRICK, L. B., M.B., F.R.C.S. Edin., M.C.O.G., AssistantHon. Surgeon to the Jessop Hospital for Women, Sheffield

PERROT, H. S., M.B. Dub., Hon. Ansesthetist to the Herefordshire General Hospital.

SMITH, E. R., M.D. Liverp., D.P.H., Deputy Medical Officer oHealth and Deputy School Medical Officer for Chester.

WILLMOTT, B. M., M.B. Camb., F.R.C.S. Eng., Hon. ObstetriSurgeon to the Birmingham Maternity Hospital.

WINDEYER, B. W., M.B., F.R.C.S. Edin., D.M.R.E., MedicaOfficer in Charge of the Department of Radiotherapy athe Middlesex Hospital.

Royal Free Hospital.-The following appointments ar-announced:-

POWYs, M., NLB. Lond., District Obstetric Assistant; sSTEWART, A. M., M.D., Medical Registrar ;WHITE, M. MooRE, M.B. Lond., F.R.C.S. Eng., Gynæco

logical Registrar ;BECK, D. J. KINLOCH, F.R.C.S., Surgical Registrar.

Certifying Surgeon under the Factory and Workshop ActsDr. P. C. PARR (Marlow District, Buckingham).

VacanciesFor further information refer to the advertisement columns

Banbury, Horton General Hospital.-Res. M.O. At rate c150.

Bath, Royal United Hospital.-Hon. Anæsthetist.Birmingham City Mental Hospital.-Jun. Asst. M.O. £350.Birmingham, Royal Cripples Hospital.-Res. IEI.S. At rat

of 200.

Brighton Municipal Hospital.-Third Res. Asst. M.O. £300.Cambridge, Addenbrooke’s Hospital.-H.S. At rate of £130.Canterbury, Kent and Canterbury Hospital.—Two H.S.’s. Eacl

at rate of £125.

Capetown, Cape Hospital Board.-Radiologist. R1250.

Croydon General Hospital.-Hon. Neurologist. Also Ron. AssiPhysician.

Dorchester, Dorset County Hospital.-H.S. At rate of £160.Durham County Mental Hospital.-Asst. M.O. £350.Eastbourne, Princess -Alice Memorial.-Res. H.S. £150.Edinburgh, Gilbert Bain Memorial Hospital, Lerwick.-Surgeo

and Consultant. £700.

Enfield Education Committee.-School Dental Surgeon. £500.Gtasgow, Royal Faculty of Physicians and Surgeons.-Fellowshi

Examination. -

Glasgow Royal Mental Hospital, Gartravel.-Asst. Physiciar£300.

Halifax Hospital for Infectious Diseases.-Res. M.O. £350.Hampshire County Council.-Asst. County M.O.H., &(

£800.

Hospital for Consumption and Diseases of the Chest, BromptonS.W.-H.P. At rate of £50.

Hull Royal Infirmary.—Cas. 0. At rate of £150.Ilford Council Maternity Home.-Res. M.O. £350.London Jewish Hospital, Stepney Green, E.-Out-patient A-,-s

,@125.London University.—Readership in Surgery. £800-£1000.Manchester, Ancoats Hospital.-Res. Surg. O. £200. Als

Mod Reg. £50.Manchester Royal Children’s Hospital, Pendlebury.-Res. lYLC

At rate of 125.Middlesex County Council.-Tuber. M.O. £750.Newcastle-upon-Tyne, Hospital for Sich Children.-Res. Surg. (

£250. Also H.P. and H.S. Each at rate of £100.Nottingham General Hospital.-A.S. At rate of £150.Rochdale Infirmary and Dispensary.-Sen. H.S. £250.Rochester, St. Bartholomew’s Hospital.—Cas. and Orthopaedic H.S

At rate of £175.St. John’s Hospital, Lewisham, S.E.-Clin. Asst. to M.O. i-

Elec. and Massage Dept.St. Paul’s Hosoital, Endell-street, Holborn, W.C.—H.S. At rat

of 150.Trans-Jordan.-M.O. £650.Walsall General Hospital.-H.S. At rate of £150.

Warrington, County Mental Hospital, Winwick.—Asst. M.O£500.

West Ham County Borough.-Radiologist. 250.IVest Sussex County Council.-Asst. Tub. O. and Asst. M.(

£750.