Pub Date : 1852-09-15DOI: 10.1136/bmj.s1-16.19.482-a
asserted by Louis to be characteristic of typhoid fever in its acute form, and of phthisis in the chronic, cannot, I think, be considered as strictly pathognomonic, as I once met with a fatal case of ulceration of the glands and perforations of the intestines in an infant only eight dAys old. In this instance, after the meconium had been passed, there was jaundice, tympanitis, and obtipation; and after death there was found peritonitis, from effusion of yellow faeces through a perforation of an agminate gland, just above the ceecum, which was also ulcerated, as well as the other Peyerian glands, for some distance up the ileum. Neither Drs. Graves, Watson, nor Copland, make any distinction in the lesions of adults and children from continued fever, though the latter, like Louis, asserts that typhoid fever is most common between the ages of 15 and 40 years. None of these authors, however, speak decidedly and expressly upon this point, and therefore I have ventured to make the foregoing remarks as the result of my own experience, with the hope that if they meet the eye of Dr. Merei he may be induced to favour your readers, in a future lecture, with the conclusions he has drawn upon the morbid anatomy of infantile fevers, whether continued or remittent, from the extensive field of observation he has enjoyed at the Childrens' Hospital in Pesth. I do not mean to assert that continued fever in adults is always attended with ulceration of Peyer's glands, for Andral, Dr. Watson, and others, have met with cases in which no lesion of the kind could be discovered, and Dr. Lombard, of Geneva, has attempted to draw a distinction betwee the typhoid fever, thus characterised, and the Irih typhus, attended with petechim and vibices, a distinction, however, not admitted by Dr. Graves; but having invariably found ulcerton of the intestines in infantile continued fever, Which is always attended with more or less diarrhoea, indicative of the progress of the disorganization, it appears to be a most important proof in regard to treatmt, to establish as a rule, that whenever other affections may complicate the course of continued fever in children, inflammation of the glandulb agminate always co-exists, and requires our closest attention to gad against its consequences. I am, Sir, your obedient Servant, T. OGIER WARD. Kensington, August 30, 1852.
{"title":"Foreign Department","authors":"","doi":"10.1136/bmj.s1-16.19.482-a","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.19.482-a","url":null,"abstract":"asserted by Louis to be characteristic of typhoid fever in its acute form, and of phthisis in the chronic, cannot, I think, be considered as strictly pathognomonic, as I once met with a fatal case of ulceration of the glands and perforations of the intestines in an infant only eight dAys old. In this instance, after the meconium had been passed, there was jaundice, tympanitis, and obtipation; and after death there was found peritonitis, from effusion of yellow faeces through a perforation of an agminate gland, just above the ceecum, which was also ulcerated, as well as the other Peyerian glands, for some distance up the ileum. Neither Drs. Graves, Watson, nor Copland, make any distinction in the lesions of adults and children from continued fever, though the latter, like Louis, asserts that typhoid fever is most common between the ages of 15 and 40 years. None of these authors, however, speak decidedly and expressly upon this point, and therefore I have ventured to make the foregoing remarks as the result of my own experience, with the hope that if they meet the eye of Dr. Merei he may be induced to favour your readers, in a future lecture, with the conclusions he has drawn upon the morbid anatomy of infantile fevers, whether continued or remittent, from the extensive field of observation he has enjoyed at the Childrens' Hospital in Pesth. I do not mean to assert that continued fever in adults is always attended with ulceration of Peyer's glands, for Andral, Dr. Watson, and others, have met with cases in which no lesion of the kind could be discovered, and Dr. Lombard, of Geneva, has attempted to draw a distinction betwee the typhoid fever, thus characterised, and the Irih typhus, attended with petechim and vibices, a distinction, however, not admitted by Dr. Graves; but having invariably found ulcerton of the intestines in infantile continued fever, Which is always attended with more or less diarrhoea, indicative of the progress of the disorganization, it appears to be a most important proof in regard to treatmt, to establish as a rule, that whenever other affections may complicate the course of continued fever in children, inflammation of the glandulb agminate always co-exists, and requires our closest attention to gad against its consequences. I am, Sir, your obedient Servant, T. OGIER WARD. Kensington, August 30, 1852.","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84843786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-01DOI: 10.1136/bmj.s1-16.18.456-a
S. Crompton
{"title":"The Presidency","authors":"S. Crompton","doi":"10.1136/bmj.s1-16.18.456-a","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.18.456-a","url":null,"abstract":"","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83831030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-01DOI: 10.1136/bmj.s1-16.18.461
sid other chemists, regarding the presence of lactic acid and lactate of ammonia in the sweat. AAmmonia and its compounds occurred in such very minute quantities, (notwithstanding the assertions of pmious chemits,) that he referred the new traces w.hich occurred to the effect of decomposition. Urea was not found in normal sweat, but was present when there was great disturbance of the function of the kidneys. Schottin examined the sweat in two cases of intermittent fever during the hot stage; it contined no lactic acid, but a considerable quantity of butyrate of
{"title":"On the Diseases of the Kidney, their Pathology, Diagnosis, and Treatment, with an Introductory Chapter on the Anatomy and Physiology of the Kidney","authors":"","doi":"10.1136/bmj.s1-16.18.461","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.18.461","url":null,"abstract":"sid other chemists, regarding the presence of lactic acid and lactate of ammonia in the sweat. AAmmonia and its compounds occurred in such very minute quantities, (notwithstanding the assertions of pmious chemits,) that he referred the new traces w.hich occurred to the effect of decomposition. Urea was not found in normal sweat, but was present when there was great disturbance of the function of the kidneys. Schottin examined the sweat in two cases of intermittent fever during the hot stage; it contined no lactic acid, but a considerable quantity of butyrate of","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86747286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-01DOI: 10.1136/bmj.s1-16.18.457
J. Crouch
{"title":"Treatment of a Poor-Law Medical Officer","authors":"J. Crouch","doi":"10.1136/bmj.s1-16.18.457","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.18.457","url":null,"abstract":"","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84826070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-01DOI: 10.1136/bmj.s1-16.18.463
{"title":"Provincial Medical & Surgical Journal","authors":"","doi":"10.1136/bmj.s1-16.18.463","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.18.463","url":null,"abstract":"","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81448851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-01DOI: 10.1136/bmj.s1-16.18.462
tive process li:ke the desquamation of the cuticle is frequently attended by injurious results, which are entirely absent in scarlatina, for no accumulation of cuticle can possibly take place. On the other hand, Frericks considers that the desquamation is only an accidental consequence of an effusion of albumen and fibrin, which entangles the epithelium after coagulating in the tubes 'and carries it off in its escape into -the pelvis of the kidney. It is a difficult task -L decide upon so delicate a point, but there can 'be no doubt of the fact that epithelial scales are found in the urine to an enormous amount, and -are perfectly diagnostic of the disease. In order to distinguish between acute and chronic desquamative nephritis with certainty, it is necessaxy to examine with the microscope whether the epithelial scales are entire or disintegrated, the acuteness of the attack being capable of estimation by the proportion of perrect cells found, and also by the presence of 'lood corpuscles, which are rarely found in the chronic form. The symptoms, pathology, and treatment of these diseases are given in an admirable style, and with great minuteness, indeed, so much so, that it is out of the question to attempt any ,analysis in the limited space we can afford. But there is one point which has caused a considerable controversy, between our author on the one 'hand, and Mr. Simon, followed by Rokitanski sad Paget on the other. This point of dispute 'is relative to the primary cause of renal cysts. Dr. Johnson maintains that they are simply dilated tubes, and that there is no difficulty in tracing them through every degree of dilatation from the natural size up to cysts visible to the naked eye. He also says that with care he can always detect, in contact with these cysts, unequivocal portions of elongated tube, having the same structure as the other parts, and evidently continuous with them, though this is concealed by the tissue in which they are enveloped. On the other hand, Mr. Simon contends that they are abnormal developments of epithelial germs, his theory being that, " certain diseases of the kidney, (whereof subacute inflammation is by far the most frequent,) tend to produce a blocking of the tubes; that this obstruction, directly or indirectly, produces rupture of the limitary membrane; and that then, what should have been the intra-mural cell-growth, continues, with certain modifications, as a parenchytic development." For the argaments pro and con, we must refer our readers to the book itself, for though highly interesting they are too long for insertion. Another disputed point is as to the development of new fibrous tissue; but here our author and Mr. Simon are both opposed to its occurrenoe except in very rare instances. But it appears that desquamation does not alwavs coexist with nephritis: and hence we must not always give a favourable prognosis on the absence of epithelial scales from the urine. Indeed, according to our author, if you
{"title":"On a New Way of Treating Gonorrhœa","authors":"","doi":"10.1136/bmj.s1-16.18.462","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.18.462","url":null,"abstract":"tive process li:ke the desquamation of the cuticle is frequently attended by injurious results, which are entirely absent in scarlatina, for no accumulation of cuticle can possibly take place. On the other hand, Frericks considers that the desquamation is only an accidental consequence of an effusion of albumen and fibrin, which entangles the epithelium after coagulating in the tubes 'and carries it off in its escape into -the pelvis of the kidney. It is a difficult task -L decide upon so delicate a point, but there can 'be no doubt of the fact that epithelial scales are found in the urine to an enormous amount, and -are perfectly diagnostic of the disease. In order to distinguish between acute and chronic desquamative nephritis with certainty, it is necessaxy to examine with the microscope whether the epithelial scales are entire or disintegrated, the acuteness of the attack being capable of estimation by the proportion of perrect cells found, and also by the presence of 'lood corpuscles, which are rarely found in the chronic form. The symptoms, pathology, and treatment of these diseases are given in an admirable style, and with great minuteness, indeed, so much so, that it is out of the question to attempt any ,analysis in the limited space we can afford. But there is one point which has caused a considerable controversy, between our author on the one 'hand, and Mr. Simon, followed by Rokitanski sad Paget on the other. This point of dispute 'is relative to the primary cause of renal cysts. Dr. Johnson maintains that they are simply dilated tubes, and that there is no difficulty in tracing them through every degree of dilatation from the natural size up to cysts visible to the naked eye. He also says that with care he can always detect, in contact with these cysts, unequivocal portions of elongated tube, having the same structure as the other parts, and evidently continuous with them, though this is concealed by the tissue in which they are enveloped. On the other hand, Mr. Simon contends that they are abnormal developments of epithelial germs, his theory being that, \" certain diseases of the kidney, (whereof subacute inflammation is by far the most frequent,) tend to produce a blocking of the tubes; that this obstruction, directly or indirectly, produces rupture of the limitary membrane; and that then, what should have been the intra-mural cell-growth, continues, with certain modifications, as a parenchytic development.\" For the argaments pro and con, we must refer our readers to the book itself, for though highly interesting they are too long for insertion. Another disputed point is as to the development of new fibrous tissue; but here our author and Mr. Simon are both opposed to its occurrenoe except in very rare instances. But it appears that desquamation does not alwavs coexist with nephritis: and hence we must not always give a favourable prognosis on the absence of epithelial scales from the urine. Indeed, according to our author, if you ","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87333832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-01DOI: 10.1136/bmj.s1-16.18.458
{"title":"Mr. Toynbee's New Aural Apparatus","authors":"","doi":"10.1136/bmj.s1-16.18.458","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.18.458","url":null,"abstract":"","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83525129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-01DOI: 10.1136/bmj.s1-16.18.458-a
M. White
In reply to the above libellous production, I informed the Poor-Law Board, that not only were its contents manifestly untrue, but that they were contrary to what was stated to the Guardians by their own Relieving Officer, Mr. Bown. The Board of Guardians still refused to pay more than ten shillings, although the Poor-Law Board twice recommeinded them to reconsider their decision, and although the meaning of the order is so clear that " he who runs may read." The order is as follows:" Provided that in any special case in which great difficulty may have occurred in the delivery, any district medical officer shall receive the sum of two pounds." The Poor-Law Board having intimated " that it was open to me to take proceedings in the County Court against the Guardians of the Shepton Mallet Union, for the recovery of a fee for my attendance on Mary White," on the 31st of July last, the Chairman, Vice-Chairman, and Clerk of the Union, were summoned to the County Court at Wells. After Mr. Stockwell and myself had given evidence that the case of Mary White was a rare and difficult one, ani abortive attempt was made by the defendants to prove that there was a want of skill on the part of my assistant, great neglect on my side, and also that it was not a difficult case. Their witnesses consisted of a medical man, who knew nothing of the nature of the ease before he entered the Court, and of an old woman, wbo was not even a vWillage midwife, and had never confineda person in her life. Both of these gavo evidence distinctly in my favour. The Judge of the Court, who exhibited on the occasion his usual acumen, concluded the case by saying, -.. " There is no defence whatever to this action. The plaintiff must have his two pounds; and it would have been more creditable to the Board of Guardians if they had consulted Mr. Stockwell about the nature of the eae, instepd of sending for an ignorant old woman, who scarcely knew her right hand from her left, and whose only clear idea is, that she has had a large fiamily without much difficulty or trouble."
{"title":"Foreign Department","authors":"M. White","doi":"10.1136/bmj.s1-16.18.458-a","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.18.458-a","url":null,"abstract":"In reply to the above libellous production, I informed the Poor-Law Board, that not only were its contents manifestly untrue, but that they were contrary to what was stated to the Guardians by their own Relieving Officer, Mr. Bown. The Board of Guardians still refused to pay more than ten shillings, although the Poor-Law Board twice recommeinded them to reconsider their decision, and although the meaning of the order is so clear that \" he who runs may read.\" The order is as follows:\" Provided that in any special case in which great difficulty may have occurred in the delivery, any district medical officer shall receive the sum of two pounds.\" The Poor-Law Board having intimated \" that it was open to me to take proceedings in the County Court against the Guardians of the Shepton Mallet Union, for the recovery of a fee for my attendance on Mary White,\" on the 31st of July last, the Chairman, Vice-Chairman, and Clerk of the Union, were summoned to the County Court at Wells. After Mr. Stockwell and myself had given evidence that the case of Mary White was a rare and difficult one, ani abortive attempt was made by the defendants to prove that there was a want of skill on the part of my assistant, great neglect on my side, and also that it was not a difficult case. Their witnesses consisted of a medical man, who knew nothing of the nature of the ease before he entered the Court, and of an old woman, wbo was not even a vWillage midwife, and had never confineda person in her life. Both of these gavo evidence distinctly in my favour. The Judge of the Court, who exhibited on the occasion his usual acumen, concluded the case by saying, -.. \" There is no defence whatever to this action. The plaintiff must have his two pounds; and it would have been more creditable to the Board of Guardians if they had consulted Mr. Stockwell about the nature of the eae, instepd of sending for an ignorant old woman, who scarcely knew her right hand from her left, and whose only clear idea is, that she has had a large fiamily without much difficulty or trouble.\"","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84882529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-01DOI: 10.1136/bmj.s1-16.18.456
{"title":"On the Case of Double Amputation Reported by “Nil Desperandum”","authors":"","doi":"10.1136/bmj.s1-16.18.456","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.18.456","url":null,"abstract":"","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76017828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-01DOI: 10.1136/bmj.s1-16.18.449
{"title":"Hospital Reports","authors":"","doi":"10.1136/bmj.s1-16.18.449","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.18.449","url":null,"abstract":"","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1852-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90423034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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