Clinical: Delivered at Guy's Hospital. By John Hilton, Esq., F.R.S., Surgeon to the hospital.
Lecture III. Fractures of ribs connected with emphysema; case of fractured ribs from severe blows on the chest; emphysema manifested very rapidly, and as rapidly subsiding; complete recovery; mechanism of the escape of the air; why does the air not pass into the pleural cavity; influence of old adhesions in preventing the cavity of the pleura from filling with air; advantage of strapping in cases of fractured ribs with emphysema; escape of air into the areolar tissue without any external wound; possibility of air being admitted through the wound, as in fracture of the skull, thigh, &c.; more or less certainty as to the fact of the lung being injured; various ways in which emphysema may occur independently of broken ribs, air in the cavity of the pleura; air in the anterior and pos
terior mediastina.-Case of a boy who had emphysema, but no fracture of ribs, in whom the air occupied the posterior mediastinum.-Case of a young man with whom straining caused the rupture of pulmonary cells and diffusion of air into the posterior mediastinum; post-mortem examinationThe tracing of the course of the air when the pleura pulmonalis is not ruptured; causes of the symptoms manifested when air has penetrated the posterior mediastinum; the most common cause of emphysema is fracture of ribs, with laceration of the pleuræ; possible consequences of a severe blow upon the chest; the most frequent causes of emphysema; extent of the emphysematous distension; rapid disappearance of emphysema; the manner in which the air escapes, unknown to the surgeon; prognosis of fractured ribs, with emphysema; analogy with anasarca; treatment of traumatic emphysema, 158
Lecture IV.-Case in which the patient died with the calculus in the bladder; exhibition of the preparation; details of the case. The symptoms of stricture of the urethra and those of stone in the bladder com
pared. The pathological significancy of an habitually hot and dry skin. The importance of consultations. Should, in the present case, lithotomy or lithotrity be performed? Circumstances favourable to lithotrity. Question of the quantity of water which should be in the bladder during the operation of lithotrity. Appearance of the urine; microscopical examination. Determination of the lesion which produces hæmaturia. Reasons for not using leeches in peritonitis connected with diseased kidney. The advantages of washing out the bladder; quotation of a case in which this practice was especially useful.Symptoms of urea in the blood. Somnolency. Irritable bladder. Good effects of chloroform applied to the hypogastrium. Nervous irritability brought on by poisoned blood. Death by coma; post-mortem examination; urine in the cavity of the abdomen; pus in the kidneys; parietes of the thickened bladder of a green colour; attempt at an explanation of this phenomenon; cause of the thickening of the bladder, and of the formation of sacculi; decomposition of the urine retained in these sacculi, 334
Lecture V.-Remarks on the| case of calculus in the blad- der related in the last lec- ture; recapitulation of the facts of this case; consider- ations touching the amount of dilatation which the ure- thra should undergo by the use of catheters; rules re- garding this dilatation, which is generally carried too far; the meatus urina- rius is the criterion or guage; case in which over- dilatation might have done much harm; another case in which over dilatation and slitting up of the meatus failed to effect a cure; good results in the same case ob- tained by a second surgeon in adopting an opposite course; remarks on this case. Question as to when a stricture of the urethra may be considered cured; distinction to be made as to the age of the patients. Enumeration of the signs which point out that a stric- ture is quite cured-viz., 1, unobstructed passage of the instrument; 2, nature of the stream; 3, complete emptying of the bladder; 4, no ammoniacal odour; 5, absence of mucus or pus; 6, absence of any discharge. Remarks on the causes of constitutional disturbance in cases of stone in the bladder; disease of the kid- ney one of the principal causes; danger of resort- ing to operations of any kind with patients labour- ing under disease of the kidney; parallel between the symptoms produced by the presence of a stone in the bladder and those de- pending on diseased kid- ney; symptoms exclusively owing to the presence of the calculus; case illustrating such influence formerly treated by Mr. Aston Key. The operation of punctur- ing the bladder through the rectum for complete reten- tion of urine; dislike of some surgeons to the ope- ration. Case of complete retention of urine. Enu- meration of the various symptoms of stricture, and remarks touching their cause. Tumours in the perinæum; necessity of opening them early. Fis- tulous apertures. Com- plete retention. Bleeding from the urethra from forc- ed attempts at catheterism; evil effects of this practice, 415 ecture VI.-Continuation of the case of retention of urine in which the bladder was punctured through the rectum. Fruitless attempts
at passing a catheter; dis- charge of pus through the meatus urinarius. The use of opium in cases of reten- tion. The surgeon should endeavour to give relief without an operation. Symptoms of a full and dis- tended bladder; distinction between suppression and retention. Anatomical rea- sons why the bladder dis- tends in a particular direc- tion. Parallel between the urinary apparatus and the hydraulic press. Opera- tion of puncturing the blad- der through the rectum. Description of the opera- tion. Precautions to be ta- ken when the patient re- turns to his bed. Progress of the case after the opera- tion. Great improvement. Blood in the urine; removal of the canula. Severe con. stitutional symptoms, death. Remarks upon the likeli- hood of peritonitis having taken place; safety of the operation. Post-mortem ex- amination. Anatomical pre- paration showing the course of the trocar. Pathologi- cal peculiarity of this pa- tient's bladder. Consider- ations about the cause of death in this case. Reasons why this patient's bladder was punctured through the rectum. Review of the several methods of punc- turing or relieving the bladder distended with urine-1, by forcing a ca- theter into the bladder. 2, By puncturing above the pubis. 3, By puncturing through the perinæum. 4, By puncturing through the rectum. Recapitulation of the reasons which support the operation of puncturing the bladder through the rectum. Analogy with tra- cheotomy in disease of the larynx, and rest to the strictured oesophagus in giving nourishment by the lower bowel. Case of pa- tient nourished by enema- ta for thirty-four days, 419 On lithotomy and lithotrity. By William Coulson, Esq.
Lecture I., 83 Lecture II., 235 Lecture III., 315 Lecture IV., 387 Lecture V., 394
Lecture VI., 399
Lecture VIII., 408
On the psychological character of the physician. By Forbes Wins- low, M.D., F.R.C.P.
Lecture II., 245 Clinical On disease of the glands of the neck in children. By Tyler Smith, 102
On diseases of the joints. By Sam-
uel Solly, Esq, F.R.S. Lecture I., 104 Lecture II., 163
Lecture III., 338, 412 On a case of gonorrhoeal ophthal mia. By John Adams, Esq., 342 On apoplexy and epilepsy; and on an hospital for epileptics. By Marshall Hall, M.D., F.R.S. Lecture II.-On laryngismus and tracheotomy, 3 Lecture III.-On an hospital for epileptics, 155 On some of the more important points in surgery. By J. G. Guthrie, Esq., F.R.S.
Lecture IV., 13 Lecture V., 96
Lecture VI., 327
Lettsomian: Delivered before the Medical Society of London. By Henry Hancock, Esq., F.R.C.S.
Lecture III.-On abnormal micturition, 19 On operations for the removal of cancer. By John Simon, F.R.S. Lecture I., 27
Lecture II., 167 Introductory: Delivered at the various medical schools in Lon- don. At the opening of the ses sion 1852.
St. Bartholomew's Hospital, 372
St. George's Hospital, 378 Guy's Hospital, 373 King's College Hospital, 374 Middlesex Hospital School of Medicine, 375
St. Thomas's Hospital, 375 University College Hospital, 378 Westminster Hospital, 378 School adjoining St. George's Hospital, 379 Hunterian School of Medicine, 379
A remarkable case of hirsute growth in a female; with obser- vations on certain organic struc- tures and their physiological in- fluences. By W. D. Chowne, 45, 172
Dislocation of both humeri, with fracture of the femur. By Charles S. Webber, 47 Displacement of both humeri. By Hamerton Greenwood, 48 Practical remarks on eye diseases. By James Dixon, 106, 429 On ovarian dropsy, treated by pressure, &c. By I. B. Brown, 112, 266
Clinical illustrations of sub-acute ovaritis. By E. J. Tilt, 114, 184, 270
Clinical remarks on a case of empyema. By C. J. B. Aldis, 118
On an interesting case of gun-shot wound. By H. Parker Lau-
rence, 118 The policy and pathology of in- sanity. By Joshua Burgess,
Simultaneous dislocation of the humeri. By Geo. Yeates Hun- ter, 120
Malformation of the genital organs and bladder. By Benjamin Dulley, 120
Illustrations of the successful treatment of cleft palate. By John Avery, 177
On two cases of ovarian abscess. With remarks. By H. Tanner, 180
A case of rupture of the jejunum, caused by a kick from a horse. Peritonitis; death in thirty-six hours; autopsy; remarks. By M. J. McCormack, 182 On a new-method of treating dyspepsia. By J. Spurgin, 183 On some of the more important points in the physiology, patho- logy, and practice of midwifery. By J. Power, 186, 256 Cases of hernia. By B. B. Cooper, 192, 262
On the employment of chloroform injections in the treatment of gonorrhoea. By Henry Behrend, 195
Case of puerperal convulsions from cerebral congestion, treated by bleeding and tartarized anti- mony. By J. B. Mawer, 196 Report of an interesting case of vaccinia and variola in an in- fant. By T. C. Beatty, 197 Poisoning by strychnia; recovery. By J. Cooper Forster, 198 On a case of vaccinia and variola. By G. H. Hopkins, 199 Singular case of asphyxia By George Parker May, 199 On a case of tumour obliterating the vena cava, &c. By William J. Cox, 261 Report of a
case of catalepsy illustrating some new principles of treatment in convulsive and spasmodic diseases. By C. B. Radcliffe, 265
Remarks on the effects of clothing on cutaneous exhalation. By Hayes Kyd, 348
On carbuncles and boils; with especial reference to their pre- valence as an epidemic. By Thomas Hunt, 268, 355, 430 A contribution to clinical mid- wifery. By N. J. Highmore, 269
On the triple or ammonio-magne- sian phosphate occurring in the urine and other animal liquids. By. J. W. Griffith, 271 Cases of fissure of the anus and ulcer of the lower part of the rectum. By T. J. Ashton, 272 Case of bothriocephalus latus, (Russian and Swiss tape-worm,) occurring in an English child, cured by the oil of male fern. By Wm. Withey Gull, 274 Case of diseases of the aorta, and hypertrophy of the left ventricle
of the heart; with remarks. By John Topham, 275
Case of death from the formation of a fibrinous concretion in the heart. By Walter Garstang, 277
Removal of a carious os calcis. By A. G. Field, 277
On a case of phlegmasia dolens of the upper extremity, occurring after parturition. By J. M. Winn, 278
Case of rupture of the peritoneal coat of the uterus. By Richard Lee, 278
Cases of ovarian dropsy. By T. H. Tanner, 334
On topical medication in the treat- ment of diseases of the mucous membrane of the air-passages. By Horace Green, 346 Remarks on the effects of clothing On certain important points in the
chemistry and pathology of the urine. By Arthur Hassall, 197 Gout and trismus following injury of the foot. By J. M. Salter, 349
Case of placenta prævia. By Geo. Bennet, 350
Questions for medical jurists. By Robert Molloy, 351
The cotyledon umbilicus in epi- lepsy, By J. Grieve, 352 Fatal case of variola cotempora- neous with vaccinia. By Robert Fowler, 353
Case of ranula, successfully treat- ed on the principle of mechanical pressure By William Mac- donald, 353 On the treatment of popliteal aneurism by pressure. By W. K. Swettenham, 354
On the treatment of diarrhoea by sulphuric acid. By C. M. Miller,
MEDICAL SOCIETIES : ROYAL MEDICAL AND CHIRURGI CAL SOCIETY :— Remarks on hydrophobia, 48 A case of hæmorrhage from in- version of the uterus, in which the operation of transfusion was successfully performed; with remarks on the employ- ment of transfusion generally, 50
On fibrinous deposits of the li- ning membrane of veins, 51. Case of inversion of the uterus after parturition, proving fa- tal in eighteen months, with a tabular statement of the re- sults of cases treated by oper- ation, 52
On some of the principal effects resulting from the detach- ment of fibrinous deposits from the interior of the heart, and their mixture with the circulating blood, 132
On the protection against small- pox afforded by vaccination, illustrated by the returns of the army, navy, and the royal military asylum, 134
On the diminution of the chlo- rides in the urine, or their absence from that fluid, in cases of pneumonia; and on the chemical composition of the sputa in that disease, 135 On the structure, function, and diseases of the liver; and on the action of chologogue med- icines, 136
A memoir on the pathology and treatment of leucorrhoea, ba- sed upon the microscopical anatomy of the os and cervix uteri, 138
An analysis of one hundred cases of cancerous disease of the uterus, 140
An account of a case of pulsa- ting tumour, in which the urine contained cancer cells, 140 Remarks on the pathology of hydrophobia, with an account of a case of that disease, 140
A MIRROR OF THE PRACTICE OF MEDICINE AND SURGERY IN THE HOSPITALS OF LON- DON, &c.
ST. GEORGE'S HOSPITAL:- Removal of a tubero-cystic tumour of the breast, 61 Supposed disease of hip-joint; death from meningitis; au- topsy, 123
Hernia of the cæcum and its appendix; strangulation; foreign body in the vermi- form process; removal of the latter; death; autopsy, 124
Apparently idiopathic teta-
nus; death; autopsy, 216 Encephaloid disease of the lower portion of the femur; amputation; recovery, 217 Supposed spina bifida in a young man; enormous size of the tumour; puncture; tetanus; death; auptopsy, 217
Encephaloid disease of the
testicle presenting an en- chondromatous induration,
Disease of the hip-joint of several years' standing; death; examination of the joint, 298
UNIVERSITY COLLEGE HOSPI-
Lithotomy upon a child two years old, 67 Impaction of a calculus in the urethra of a little boy, 67 Case of a cyst filled with watery fluid projecting into the anterior chamber of the eye; punctures; recovery with perfect sight, 120 Successful rhinoplastic opera- tion, 122
LONDON HOSPITAL:-
Aneurism of the abdominal aorta, connected with pain in the inferior extremity, supposed to be rheumatic; death; autopsy, 68 Cases of urinary calculus in the female; lithotrity and lithotomy, 122
Abscess of the lung following pneumonia; death; au- topsy, 215
Inguinal hernia; imperfect descent of the testicle; strangulation ; reduction
without operation, 362 KING'S COLLEGE HOSPITAL:- Two cases of vesical calculus in boys; lithotomy; re- covery, 65
Talipes equinus; tenotomy, rectification of the de- formity, 66 Simple sarcomatous tumour in the axilla; spontaneous cure by disintegration, 125 Tumour in the axilla, 126 Operation for cicatrices from burns, 210
Caries of the tuberosity of the ischium; removal of ne- crosed bone; caries of a portion of the ilium; with-
drawal of a loose portion of bone through an opening made at a distance from the fistulous tract, 210 Strangulated femoral hernia; operation, 210 Encephaloid cancer of the
testicle; removal of the organ, 211 Treatment of ununited frac- ture by the introduction of ivory pegs into the frag- ments, 280
Scirrhus of the testis; re- moval, 286
Gout from infancy, 287 Melanotic tumours in differ- ent parts of the trunk, 288 Recurrence of an osteo- cartilaginous tumour, con- nected with the nasal pro-| cess of the superior maxilla; second removal, recovery, 288
Acute inflammation of the knee-joint and the whole
shaft of the tibia, in a young subject; rapid sup- puration and destruction of part; amputation; reco- very, 130 Carcinoma of the rectum; artificial anus by Amussat's method; temporary relief; death; autopsy, 200 Traumatic tetanus; death; autopsy, 201 Encephaloid disease of the
pelvis and upper part of the femur, 203
Encephaloid disease of the
femur and ilium, 203 Fracture of the skull in a child; hernia; cerebri ; re- covery; subsequent death, 203
Encephaloid disease of the humerus; amputation of the shoulder-joint, 206 Strangulated hernia in a child ten weeks old; operation; recovery, 289 Strangulated hernia in a child five months old; operation; recovery, 289 Strangulated congenital her- nia in a child ten weeks old; operation; death, 290 Epidemic of carbuncular in- flammation of the lip, 291
Second case.-Illustrating the mild variety, 291 Third case.-Illustrating the
very simple variety, 291 Encysted hernia in the right inguinal canal; abnormal situation of the right testi- cle; strangulation; opera- tion; recovery, 358 Inguinal hernia of the right side; imperfect descent of the testicle on the same side; strangulation; forms- tion of a watery cyst: ope-
ration; recovery, 859 CHARING-CROSS HOSPITAL:- Removal of one-half of the lower maxilla for Be- condary cancerous mani- festation, 132 Hysterical paralysis, 223 Rapid necrosis of the tibia; amputation above the knee. according to Mr. Luke's method, 284
Fissure of the soft and hard palate; operation, 286 Medullary tumour of large size, situated in the right inguinal region; partial re- moval; death; autopsy, 362 ROYAL FREE HOSPITAL:- Fissure of the soft and bard
palates, and of the aveclar arch; operation upon the velum and osseous parts, 64
Cases of stricture of the urethra treated with the urethral guide and tubes, 131
Case of bite from a viper ; severe symptoms; recove- ry, 216 Irreducible femoral hernia; severe pain occasioned by the truss; removal of the adherent omentum and s portion of the sac by ope- ration, 436 WESTMINSTER HOSPITAL.— Treatment of ulcers by the exclusion of atmospheric air, 69 MIDDLESEX HOSPITAL:- Fracture of the tubercle of the tibia. Case of fracture of the patella, with an anchylosed knee, 70
Two cases of scirrhous cancer of the breast of twelve years' standing; former ab- lation of the organ in the first case; non-interference in the second, 297 ST. THOMAS's HOSPITAL:- Gangrene of the feet from ex- posure; amputation of both legs; recovery, 206 Encephaloid disease of the testicle; removal of the organ, 208 Encephaloid disease of the testicle; post-mortem ex- amination, 208
Severe neuralgia arrested by surgical operation, 209 Melanotic tumour growing from the heel; amputation of the leg, 294
GUY'S HOSPITAL:-
Carcinomatous tumour at- tached to the uvula and pos- terior pillar of the fauces; removal; recovery, 63 Aneurism of the aorta, en- croaching both on the chest and abdomen; death; au- topsy, 129 Encephaloid disease of the lower portion of the femur; amputation high up; new tourniquet; recovery, 219 Cases of amputation at the shoulder joint, 221 Severe injury to the upper part of arm by machinery; amputation at the shoulder- joint, 221 Encephaloid disease of the clavicle and scapula, 222 Treatment of ununited frac- ture by the introduction of ivory pegs into the frag- ments, 279
Amputation of the little
finger; dangerous symp- toms manifested after the administration of chloro- form; resuscitation by gal- vanism, 283
Cysts of the female breast in communication with a lac- tiferous tube; operation; microscopic investigation, 433
Kick on the abdomen; pre- vious reducible inguinal hernia; anomalous symp- toms; perforation of intes- tines; peritonitis; death; autopsy, 435
ST. MARY' HOSPITAL:- Lithotomy on a little boy, aged one year and eleven months, 62
Severe hæmorrhage from the gums in a little girl, 62 Removal of a large intra- uterine polypus, 127 Traumatic stricture of the urethra; treatment by di- latation, and subsequently by incision; chorea; death; autopsy, 211
Fracture of the humerus; delirium tremens; death; auptosy, 213
Aneurism of the left carotid
artery close to the origin of the vessel; Brasdor's operation, 213
Injury to the upper part of the left arm; amputation at the shoulder-joint; death, 214 Compound fracture of the
hand, with extensive lacera- tion of the integuments and tendons; recovery without amputation, 293 FREE CANCER HOSPITAL:- Large medullary cancer of the superior maxilla and malar bone; death; au- topsy; transformation of both bones into medullary substance, 292 PECKHAM HOUSE ASYLUM :- Extract from the book," 295
Present position of vaccination, 79 Inoculation for small-pox, 306 The Suffolk imposture, 306 The pathological formation of fat, 308
Blood-changes in disease, 309 Condition of the blood in starving animals, 309
The Hunterian museum, 364 French lunatic asylums, 364 Address to students, 365 The medical treatment of the late Duke of Wellington, 439 Specialism in medicine, 440 The recent occurrence at Bethle- hem, 442
Drunkenness and its cure, 443
REVIEWS AND NOTICES OF BOOKS.
The diseases of the bladder and the prostate gland, 76 The pestilence in England, 77 On fatty degeneration of the placenta, 78
Homœopathy unveiled, or ob- servations on Hahnemann, his doctrines and treatment of disease, 78
A practical treatise on chemical analysis, including tables on calculation, 79 Class-book of botany; being an introduction to the study of the vegetable kingdom, 79 Animal electricity; being an abstract of Dr. Du Bois-Rey- mond's Discoveries, 144
On the anatomy and physiology of the male urethra; and on the pathology of strictures of that canal, 144
On diseases of the liver, 146 Physiological researches, 147 The medical manual for apothe- caries' hall and other medical boards, 149
Pathology of the human eye, 149 The stomach and its difficulties, 149
On rheumatism, gout, and neu- ralgia, as affecting the head and ear; with remarks on some forms of headache, 226 The physical diagnosis of dis- eases of the abdomen, 226 Lectures on clinical medicine, 227 Insanity; its causes, preven- tion, and cure, including apo- plexy, epilepsy, and conges- tion of the brain, 228 Cyclopædia of anatomy and physiology, 228
Disease in childhood; its com-
mon causes, and directions for its practical management, 229 On the diseases of the kidney, their pathology, diagnosis and treatment; with an introduc-
tory chapter on the anatomy and physiology of the kid- ney, 300
A practical treatise on diseases of the skin, 302 Great artists and great anato- mists, 303
The spirometer, the stethoscope, and scale-balance; their use in discriminating diseases of the chest, and their value in life offices, &c., 303 Lectures on the principles and practice of midwifery, 368 A compendious history of small- pox; with an account of a mode of treatment, constitu- tional and local, which ren- ders the disease comparative- ly harmless, and prevents those deformities occasioned by the ulceration of the skin, 371
Report of the proceedings of the Pathological Society of Lon- don, 444
Facts and observations on the physical education of chil- dren, &c., 444
A commentary of medical and moral life; or, mind and the emotions considered in rela- tion to health, disease, and religion, 444
Handbook of natural philosophy and astronomy, 444
Practical observations on dis- eases of the lungs and heart, 445
Lectures on the physical diag- nosis of the diseases of the lungs and heart, 445 Practical remarks on palpitation and other functional diseases of the heart, 445
The nature, symptoms, and treatment of consumption; be- ing the essay to which was awarded the Fothergillian gold medal of the Medical So- ciety of London, 445 The journal of psychological medicine and mental patholo- gy, 448
A manual of elementary chem- istry, theoretical and practi- tical, 448
The cyclopædia of anatomy and physiology, 448
On corns, bunions, and in-grow- ing of the toe-nail, 448
FOREIGN DEPARTMENT. New mode of treating varicose aneurism, 149
A West Indian remedy for tænia solium, 149 Amputation of a healthy upper- jaw, as a preliminary step to the removal of a fibro-plastic tumour of the pharynx, 330
A new way of taking cod-liver oil, 231
Occulists in Turkey, 231
Baneful effects of hard cider in Paris, 231 Chloroform ointment for hemi-
crania and neuralgia, &c., 231 Curious case of neuroma pervading all the nerves of the economy, 303
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