Reviews and Notices of Books

1911 The Lancet  
587 cardiac disease. Two cases were especially commented on in which there was great hepatic enlargement. In one of these in which there was a pulse of the continuously irregular type, with a jugular pulse of the ventricular variety, there was extreme hepatic expansile pulsation which was shown to be also of the positive or ventricular character. In another case in which the enlargement was quite as great the pulsation of the liver was shown to be apparent only, and due to an upward drag on the
more » ... upward drag on the liver exercised on that organ by the contraction of the ventricles. In a third case an auricular as well as a ventricular wave was shown. The bearing of these observations on diagnosis was briefly commented on.-Mr. H. Seeker Walker showed a case of Chronic Glaucoma affecting both Eyes, for which Herbert's small scleral flap operation had been done ten weeks previously with successful results. He also exhibited a case of Excision of the Lacrymal Sac for Chronic Dacryocystitis.-Mr. J. A. Coupland showed a girl, aged 18 years, with an Ulcer exposing the Inner End of the Right Clavicle. The ulcer was of 17 months' duration. It had firmly healed under complete rest with fixation of arms, but recurred in two months. The ulcer showed no characteristics of syphilis or tubercle and did not react to antisyphilitic treatment. It was suggested that the ulcer was artificially produced by the patient herself. -Mr. W. Thompson showed a boy, aged 12 years, in whom four years ago the greater part of the right tibia was removed foracnte osteomyelitis. The upper epiphyseal line of the tibia had been destroyed and it was three inches shorter than the other tibia. The fibula was half an inch shorter than the other and had overgrown the tibia both above and below.-Mr. W. Gough showed a Villous Tumour removed from a woman who had had several attacks of painless, profuse, paroxysmal hæmaturia. Through Nitze's cystoscope a small tumour was seen at the left ureteral orifice. A large Kelly's cystoscope was then passed and the tumour was avulsed by means of a pair of long-nibbed forceps. Removal left only one small raw point.-Mr. H. Littlewood and Mr. S. W. Daw showed a boy, aged 12 years, in whom there was a massive Keloid of the Neck following burns from ignition of a celluloid collar two years ago. The tumour began to appear as the scar was healing. -Mr. G. Constable Hayes showed a patient, aged 24 years, who had had a Discharge from both Ears from Childhood. She had suffered from snuffles and sores around the mouth as a baby (marked scarring at angles of mouth). The right ear showed complete destruction of the membrana tympani and ossicles. The opening of the Eustachian tube was seen in the middle ear. Watch was heard at 5 inches. The left ear showed an aural polypus presenting at the external auditory meatus, with its origin from the attic. Watch was heard at 15 inches. The nose showed extreme atrophy of ethmoid with rhino-pharyngitis sicca.-Mr. H. Collinson showed a case of Bismuth Poisoning after the use of Stiles's paste.-Cases and specimens were also shown by Telling. SHEFFIELD MEDICO-CHIRURGICAL SOCIETY.-A meeting of this society was held on Feb. 16th, Mr. A. W. Cuff, the President, being in the chair.-Dr. John Robertson read a paper in which he stated that there had probably been no greater change in the whole range of medicine than that which had taken place in their views in regard to the nature of infection and the methods by which it was conveyed from one person to another. They now recognised that from 60 to 70 per cent. of all the deaths were due to processes which were known as infective, while of the remaining ill-defined causes of death many were of similar origin. There was still a group of infective diseases, of which measles and smallpox were types, in regard to which their knowledge was very incomplete, as they did not know how the infection was given off from the infected person. They had, therefore, invented as an explanation the theory of aerial convection. Clinical and bacteriological investigation had, however, given reliable information as to how the infection in most of the other diseases was conveyed either directly or indirectly. Careful observations in fever hospitals and in private practice had demonstrated beyond doubt that in the majority of diseases the infection was transported from one to another directly or indirectly, and that passage through the air did not play the part which it was at one time thought to play. While this was so in practice it could be demonstrated that in the act of loud talking particles of saliva were ejected from the mouth and carried in the air to distances of 30 or 40 feet. It was, tberefore, probable that this projection of infection should be taken into consideration in dealing with cases where coughing or sneezing was present, such as occurred in measles, whooping-cough, and tuberculosis of the lung. No two diseases could be regarded as alike in the way in which the infection was spread. Carrier cases were now a recognised source of infection. Dr. Robertson thought that they played a very much less important part in practice than theoretically they should play. The problem of infection spread by flies, mosquitoes, fleas, &c., was also dealt with.-Dr. Arthur J. Hall showed a case of combined Posterior and Lateral Sclerosis (Ataxic Paraplegia) in a man aged 23 years. The symptoms, which began 18 months ago, consist of marked ataxia with weakness in the legs and pain in the knees. The gait is very ataxic and is associated with some jerkiness of movement and slight tremors at times. The eyes are normal in every way, also the head and neck and upper limbs. Romberg's sign is well marked ; patellar jerks much exaggerated ; toe extension on both sides ; no true ankle clonus ; no tenderness ; no definite alteration of sensation ; sphincters normal ; no family history of similar cases ; no syphilis ; no etiological factor discovered. BRIGHTON AND SUSSEX MEDICO-CHIRURGICAL SOCIETY.-A meeting of this society was held on Feb. 23rd, when a demonstration of Kinematographic Microscopy was given by Dr. E. Burnet of Leamington. The films exhibited showed trypanosoma Brucei, trypanosoma Lewisi, spirochseta gallinarum, spirochæta pallida, the organisms of relapsing fever, and spirochætae of Vincent. The demonstration was a most interesting one, and a large audience listened with the greatest interest to the explanation given by Dr. Burnet of the various points shown by the films. A hearty vote of thanks to the demonstrator concluded theproceedings. Price 15s. net. THE author of this well-known manual has in this new edition thoroughly revised it from beginning to end. Many details have been altered, and extensive additions been made to the subjects of dysentery, syphilis, cardiac arrhythmia, the cerebro-spinal fluid, epidemic anterior poliomyelitis, enteroptosis, certain affections of the skin, and food poisoning. It now offers to the student of medicine an exposition, that is thoroughly in accord with the best teaching of the present day. We have before reviewed the work very favourably, and the present edition again is one that can, be thoroughly recommended to the student. We shall in this notice lay more stress on the new matter. Enteric fever is lucidly described, but in the section on. the etiology we find no mention of the great epidemic in England caused after the termination of the South African war by the agency of the blankets that had been used by our sick in hospital in South Africa. More stress might also L have been laid on the agency of carriers of the disease, I such a fruitful source in India of its propagation. Amongst, , the antiseptic drugs mentioned, that introduced to the profession by Sir Robert Simon, namely, oil of turpentine, is not spoken of. This drug most certainly, in the experience of those who have tried it, improves the pulse and thestate of the evacuations, and is also an extremely good prophylactic against intestinal haemorrhage. The treatment laid down for pneumonia is excellent, especially that with respect to the use of alcohol and strychnine. We would like to have seen some remarks concerning the beneficent use of that 3 old and now too generally discarded remedy, antimony. In
doi:10.1016/s0140-6736(01)60995-4 fatcat:apmkzzqiobgrfmpa2pv4okovse