sheffield medico-chirurgical society

1
794 day Mr. Bell applied the same treatment for three hours, but on removing the bandage the pulsation was as distinct as ever. On July 23rd Martin’s bandage was again applied, and Esmarch’s tourniquet over the femoral above the bandage, the whole limb being wrapped in cotton wool. The pain was very severe, notwithstanding hypodermic injections of morphia, and after about an hour Dr. Thomson very kindly kept the patient under chloroform for an hour and a half. The tourniquet and bandage were then removed, and the students in relays kept up compres- sion of the femoral for seven hours. All pulsation ceased on the application of the tourniquet, and never recurred. The patient was kept in bed, and for a few days wore a McIntyre’s splint, to prevent his walking about the ward. At the end of a week he was allowed out for an hour on business, but stopped out all day, and returned at night none the worse for the exercise. On Aug. 19th-twenty- six days after all pulsation had ceased-he was discharged cured. The tumour was quite firm, and had shrunk to less than one quarter its original size. The rarity of this form of aneurysm may be judged from the fact that none of the nine medical men who were present at the consultation had ever seen a case before. Medical Societies. SHEFFIELD MEDICO-CHIRURGICAL SOCIETY. AT the first meeting of the session, Oct. 10th, the PRESIDENT (Dr. Gwynne) delivered the opening address, upon the subject of " The Children of the Poor and their Diseases." He pointed out that the diseases generally observed among hospital patients can be in the main referred to either the scrofulous, the tuberculous, or the rachitic diatheses, and maintained that these various types of disease had their origin in the unhealthy conditions under which children are reared. He sketched out in the case of these three main types the relationship that subsisted between the causes that produced them and the effects produced. He maintained that, as society did not dis- countenance, but rather encouraged, immature and reckless marriages, the children of such marriages had a substantial claim to look to society for their protection. He deprecated the illogical expenditure of money by charitable organisa- tions in rescuing individual victims, and the utter neglect of the causes that produced such lamentable results. He showed how inadequate medical art was to deal with the enormous mortality among children, and the vast amount of disease that resulted from causes that were in the main preventable. He pointed out the want of systematic instruction in the diseases of children at the medical schools, and recommended that attendance on a course of lectures on this subject and bedside instruction in the children’s wards should be made compulsory on all can- didates for medical degrees. To check the reckless pro- creation of children among the pauper classes, he recom- mended the raising of the legal marriage age, and the imposing of other restraints that might be deemed advisable. To relieve the congestion of the population in towns, he recommended emigration and a systematic method of colonisation in such countries as Western Australia, and the establishment of industrial schools in connexion with such colonies, where children could be trained to trades and employments most suitable to the country. He predicted that the gradual massing of the population in large cities and the resulting moral and physical evils would in the future compel the consideration of such social questions. A vote of thanks for the address was passed on the motion of Mr. Favell, seconded by Mr. Garrard. PATHOLOGICAL SOCIETY OF MANCHESTER. THE annual meeting of this Society took place on Wednesday, Oct. 9th, when the reports of the committee and hon. treasurer were received. The following officers were elected for the ensuing year :- President : Dr. Dixon Mann. Vice-Presidents : Messrs. G. A. Wright and C. E. Richmond. Treasurer: Dr. H. R. Hutton. Secretary : Dr. Thomas Harris. Committee : Drs. J. Collier, A. Donald, E. S. Reynolds, A. Robinson, W. Thorburn, and R. B. Wild. Auditors : Drs. J. Hervey Jones and P. Yates. Multiple Exostosis.-Mr. A. H. YOUNG showed prepara- tions from a case of multiple exostosis, and Dr. THOMAS HARRIS showed a patient suffering from the same disease. d EnellOndromCt.-Dr. HUTTON showed a specimen of partially calcified enchondroma from the leg of a dog. tJarcomaofScapula.-Mr. SOUTHAM showed two specimens of periosteal (round-celled) sarcoma of the scapula. In one case, a male aged fourteen years, where the tumour was confined to the suhspinous fossa, excision of the scapula was performed. The patient made a good recovery from the operation, but afterwards succumbed to a recurrence of the disease, secondary deposits occurring in the lungs, liver, and bodies of several of the dorsal vertebra, death being due to compression of the spinal cord. In the other case, a female aged eleven years, the growth involved the whole of the scapula and encroached upon the axilla. The scapula, together with the arm and outer half of the clavicle, were successfully removed, and the patient was alive and well at the present time, which was two months subsequently to the operation. Angina Pectoris.-Dr. OWEN showed sections from the left ventricle and aorta of a case of angina pectoris. The muscular fibres, especially those of the musculi papillares, were in a state of marked fatty degeneration. The aorta for an inch from the base and in its whole circumference was roughened internally by atheroma, which rendered the wall rather more than double its normal thickness at this part. The sinuses of Valsalva were similarly involved, and the orifices of the coronary arteries, especially that of the left, to some extent occluded. Isolated patches of atheroma occurred also on the ascending arch. The right posterior valve was roughened with deposit, but the free edge was intact. The patient, a woman aged twenty-nine, had pre- sented distinctive symptoms of angina, and had died some- what suddenly. There was no evidence of kidney disease or syphilis. The cause seemed due to severe strain, to which the patient had been subjected for some months previously to the onset of the symptoms. NORTHUMBERLAND AND DURHAM MEDICAL SOCIETY. AT the annual meeting, held on Oct. 4th, the President, Dr. Murphy, in the chair, the hon. secretary, Dr. Oliver, read the financial report for the year. There are now 175 members in the Society. The oflicers were re-elected for the year. Professor LAWSON TAIT delivered the annual oration, the subject being "Ectopic Gestation." He dwelt at con- siderable length upon the pathology of this condition, and showed the relationship which existed between tubal pregnancy and desquamative salpingitis. The operative treatment of the accident was thereafter discussed.-On the motion of Dr. Arnison, seconded by Prof. Philipson, a hearty vote of thanks was awarded to Mr. Tait for his address. A banquet was held at the Assembly-rooms, Newcastle- upon-Tyne, and 140 members sat down to dinner, presided over by Dr. Murphy. The first monthly meeting was held on Oct. 10th, the President, Dr. Murphy, in the chair. Nine new members were elected. Professor Lawson Lait was elected an honorary member. Dr. ROBERTSON exhibited a man suffering from Cancer of the Larynx, upon whom he had performed tracheotomy in February last. There were now several sinuses above the wound leading down to dead cartilage. Dr. DRUMMOND exhibited a man suffering from Diabetes Insipidus. Six months ago the patient was throttled by a fellow-workman. After the injury he bled at the mouth and nose. Seventeen pints of urine were passed daily, sp. gr. 1003; pulse only 60-64.-Remarks were made by Drs. Gibson, Oliver, and Redmond. Dr. LiMONT exhibited a man suffering from Abdominal Aneurysm. The symptoms at first were pain and vomiting; now there are pulsation and well-marked bruit. He also exhibited a case of Aneurysm of the Right Carotid Artery. The physical signs were well marked. In both cases there was a history of syphilis. Dr. Limont likewise exhibited a woman suffering from Cerebral Tumour who had been trephined, with the result that she had regained conscious-

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Page 1: SHEFFIELD MEDICO-CHIRURGICAL SOCIETY

794

day Mr. Bell applied the same treatment for threehours, but on removing the bandage the pulsation wasas distinct as ever. On July 23rd Martin’s bandagewas again applied, and Esmarch’s tourniquet over thefemoral above the bandage, the whole limb being wrappedin cotton wool. The pain was very severe, notwithstandinghypodermic injections of morphia, and after about an hourDr. Thomson very kindly kept the patient under chloroformfor an hour and a half. The tourniquet and bandage werethen removed, and the students in relays kept up compres-sion of the femoral for seven hours. All pulsation ceasedon the application of the tourniquet, and never recurred.The patient was kept in bed, and for a few days wore aMcIntyre’s splint, to prevent his walking about the ward.At the end of a week he was allowed out for an hour onbusiness, but stopped out all day, and returned at nightnone the worse for the exercise. On Aug. 19th-twenty-six days after all pulsation had ceased-he was dischargedcured. The tumour was quite firm, and had shrunk to lessthan one quarter its original size. The rarity of this formof aneurysm may be judged from the fact that none of thenine medical men who were present at the consultation hadever seen a case before.

Medical Societies.SHEFFIELD MEDICO-CHIRURGICAL SOCIETY.

AT the first meeting of the session, Oct. 10th, thePRESIDENT (Dr. Gwynne) delivered the opening address,upon the subject of " The Children of the Poor and theirDiseases." He pointed out that the diseases generallyobserved among hospital patients can be in the mainreferred to either the scrofulous, the tuberculous, or therachitic diatheses, and maintained that these various typesof disease had their origin in the unhealthy conditions underwhich children are reared. He sketched out in the case ofthese three main types the relationship that subsistedbetween the causes that produced them and the effectsproduced. He maintained that, as society did not dis-countenance, but rather encouraged, immature and recklessmarriages, the children of such marriages had a substantialclaim to look to society for their protection. He deprecatedthe illogical expenditure of money by charitable organisa-tions in rescuing individual victims, and the utter

neglect of the causes that produced such lamentableresults. He showed how inadequate medical art wasto deal with the enormous mortality among children,and the vast amount of disease that resulted from causesthat were in the main preventable. He pointed out the wantof systematic instruction in the diseases of children at themedical schools, and recommended that attendance on acourse of lectures on this subject and bedside instruction inthe children’s wards should be made compulsory on all can-didates for medical degrees. To check the reckless pro-creation of children among the pauper classes, he recom-mended the raising of the legal marriage age, and theimposing of other restraints that might be deemed advisable.To relieve the congestion of the population in towns, herecommended emigration and a systematic method ofcolonisation in such countries as Western Australia, andthe establishment of industrial schools in connexion withsuch colonies, where children could be trained to trades andemployments most suitable to the country. He predictedthat the gradual massing of the population in large citiesand the resulting moral and physical evils would in thefuture compel the consideration of such social questions.A vote of thanks for the address was passed on the

motion of Mr. Favell, seconded by Mr. Garrard.

PATHOLOGICAL SOCIETY OF MANCHESTER.

THE annual meeting of this Society took place onWednesday, Oct. 9th, when the reports of the committeeand hon. treasurer were received.The following officers were elected for the ensuing year :-

President : Dr. Dixon Mann. Vice-Presidents : Messrs.G. A. Wright and C. E. Richmond. Treasurer: Dr. H. R.Hutton. Secretary : Dr. Thomas Harris. Committee : Drs.J. Collier, A. Donald, E. S. Reynolds, A. Robinson, W.

Thorburn, and R. B. Wild. Auditors : Drs. J. Hervey Jonesand P. Yates.

Multiple Exostosis.-Mr. A. H. YOUNG showed prepara-tions from a case of multiple exostosis, and Dr. THOMASHARRIS showed a patient suffering from the same disease.d EnellOndromCt.-Dr. HUTTON showed a specimen

of partially calcified enchondroma from the leg of a dog.tJarcomaofScapula.-Mr. SOUTHAM showed two specimens

of periosteal (round-celled) sarcoma of the scapula. In onecase, a male aged fourteen years, where the tumour wasconfined to the suhspinous fossa, excision of the scapulawas performed. The patient made a good recovery fromthe operation, but afterwards succumbed to a recurrence ofthe disease, secondary deposits occurring in the lungs, liver,and bodies of several of the dorsal vertebra, death beingdue to compression of the spinal cord. In the other case, afemale aged eleven years, the growth involved the whole ofthe scapula and encroached upon the axilla. The scapula,together with the arm and outer half of the clavicle, weresuccessfully removed, and the patient was alive and well atthe present time, which was two months subsequently to theoperation.Angina Pectoris.-Dr. OWEN showed sections from the

left ventricle and aorta of a case of angina pectoris. Themuscular fibres, especially those of the musculi papillares,were in a state of marked fatty degeneration. The aortafor an inch from the base and in its whole circumferencewas roughened internally by atheroma, which rendered thewall rather more than double its normal thickness at thispart. The sinuses of Valsalva were similarly involved, andthe orifices of the coronary arteries, especially that of theleft, to some extent occluded. Isolated patches of atheromaoccurred also on the ascending arch. The right posteriorvalve was roughened with deposit, but the free edge wasintact. The patient, a woman aged twenty-nine, had pre-sented distinctive symptoms of angina, and had died some-what suddenly. There was no evidence of kidney diseaseor syphilis. The cause seemed due to severe strain, towhich the patient had been subjected for some monthspreviously to the onset of the symptoms.

NORTHUMBERLAND AND DURHAM MEDICALSOCIETY.

AT the annual meeting, held on Oct. 4th, the President,Dr. Murphy, in the chair, the hon. secretary, Dr. Oliver,read the financial report for the year. There are now 175members in the Society. The oflicers were re-elected forthe year.

Professor LAWSON TAIT delivered the annual oration,the subject being "Ectopic Gestation." He dwelt at con-siderable length upon the pathology of this condition, andshowed the relationship which existed between tubalpregnancy and desquamative salpingitis. The operativetreatment of the accident was thereafter discussed.-Onthe motion of Dr. Arnison, seconded by Prof. Philipson,a hearty vote of thanks was awarded to Mr. Tait for hisaddress.A banquet was held at the Assembly-rooms, Newcastle-

upon-Tyne, and 140 members sat down to dinner, presidedover by Dr. Murphy.The first monthly meeting was held on Oct. 10th, the

President, Dr. Murphy, in the chair. Nine new memberswere elected. Professor Lawson Lait was elected an

honorary member.Dr. ROBERTSON exhibited a man suffering from Cancer of

the Larynx, upon whom he had performed tracheotomy inFebruary last. There were now several sinuses above thewound leading down to dead cartilage.

Dr. DRUMMOND exhibited a man suffering from DiabetesInsipidus. Six months ago the patient was throttled by afellow-workman. After the injury he bled at the mouthand nose. Seventeen pints of urine were passed daily,sp. gr. 1003; pulse only 60-64.-Remarks were made byDrs. Gibson, Oliver, and Redmond.Dr. LiMONT exhibited a man suffering from Abdominal

Aneurysm. The symptoms at first were pain and vomiting;now there are pulsation and well-marked bruit. He alsoexhibited a case of Aneurysm of the Right Carotid Artery.The physical signs were well marked. In both cases therewas a history of syphilis. Dr. Limont likewise exhibited awoman suffering from Cerebral Tumour who had beentrephined, with the result that she had regained conscious-