Responsibility of Midwives: Remarks on Dr. Matthews Duncan's Letter
C. J. Cullingworth
1875
BMJ (Clinical Research Edition)
May 29, 1875 .] THE BRITISH MEDICAL _OURNAL. 727 Watson and Mr. Bell took part, followed upon the risks of dividing more mucous membrane than was necessary by this plan. -Mr. ANNAN-DALE replied. Operation for Inztussuseetion in a Child-Mr. JOSEPH BELL read a case of operation for intussusception in a child. The intussusception was a very large, well marked, and severe one. Pain and vomiting were urgent. After the failure of large injection and inflation, he (with the assistance of Dr. Kirk of
more »
... thgate, the medical attendant) cut into the abdomen in the middle line, and carefully unravelled the invagination which was very long and complicated. The intestines were easily returned; flatus and faeces escaped per anurni; no further vomiting followed; but, unfortunately, the child was too much exhausted, and died in the course of the ensuing night. The child was three years and a half old.-Mr. ANNANDALE approved of the operation ; and believed it should be done, as even an exploratory incision would do no harm, and gave the patient the only chance.-Dr. WATSON also thought such attempts should be made; but, in relating some cases in which he had operated for obstruction in adults, pointed out possible difficulties. He also told of a case of recovery without operation.-Mr. BELL replied, referring to Mr. Ilutchinson's successful case in a child. PATHOLOGICAL SOCIETY OF DUBLIN. SATURDAY, MARCII 20TIH, I875. ROBERT MCDONNELL, M.D., F.R.S., President, in the Chair. Acute Priimza;y Afhiliay Tuberculosis. -Dr. HAYDEN exhibited most of the viscera of a man aged 30, who had been admitted to hospital with an anomalous fever upon him. It resembled typhoid, but neither rose-spots were present, nor was there any diarrhoea. The range of temperature also was irregular, and there were evening remissions in the fourth week. The extremes were 99 deg. and 103 deg. On the twenty-eighth day, the temperature was IOI deg. Rapid breathing now set in, and the pulse rose. The percussion-sound over the chest was resonant, and subcrepitant rales were heard throughout. At the
doi:10.1136/bmj.1.752.727
fatcat:nxboiycmrjb2vhvpd656celbfq