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favourably. Case 10. A man, aged 20, calcis, in an old woman, on account of caunder the care of Mr. Stanley, in St Bar-rious disease. The wound has since been tholomew's Hospital, on account of com- affected with sloughing, but is now improv. pound fracture of the fibula, extending into ing. Case 3. By Mr. Ure, in St. Mary's the ankle-joint. Six weeks after the acci- Hospital, partial excision of the os calcis, dent he was evidently sinking under the in a young girl, on account of carious dissuppuration which ensued, and amputation ease. Doing well. Case 4. By Mr. Cuthad to be resorted to. Recovered. Caseler, in St. George's Hospital, a third removal 11. A man, aged 37, under the care of Mr. of dead bone from the os calcis of a man, Stanley, in St. Bartholomew's Hospital, on aged 40, who had long been under treataccount of diseased ankle-joint. This pa- ment. The greater part of the bone has tient is the subject of phthisis in an ad- now been excised. The case remains unvanced stage; but, as he appeared to be der care. rapidly sinking under the effects of the sup- Excision of Malignant Growths.-Most puration from the diseased joint, it was of the cases left under care by previous rejudged best to amputate. Under treatment. {ports have recovered, and those remaining Of the foot.-Case 12. A man, aged 40, under treatment are doing well. During under the care of Mr. Cutler, in St. George's the month there have been performed: Hospital, of weak health, but with no dis- Case 1. By Mr. Hawkins, in St. George's tinct ailment. Chopart's amputation was Hospital, removal of the lower lip on acperformed, on account of caries of the tar-count of epithelial cancer; the disease had sus and metatarsus. Under treatment. existed seven years; the patient being a Of the upper extremity.-Case 13. A man, man, aged 35. Recovered. Case 2. By of middle age, under the care of Mr. Coul. Mr. Fartridge, in King's College Hospital, son, in St. Mary's Hospital, on account of{excision of the right testis, on account of distorted forearm, from contraction of the medullary cancer. The disease had exflexor tendons. Amputation through the isted for a year, and was complicated by a forearm was performed; some sloughing of large hydrocele. There was no perceptible the wound followed, but the stump is now enlargement of the cord, or disease of the healing. Charcoal poultices appeared to be lymphatics. Erysipelas attacked the wound, of great use in the treatment of the gan- and the patient died from it on the eighth grene. Case 14. A man, aged 58, under day. At the post mortem, a large cancerous the care of Mr. Henry, in the Middlesex mass was found developed from the right Hospital, on account of compound fracture lumbar glands. The patient was a man of the olecranon. Amputation was per- aged 40, who had none of the usual indicaformed on account of the destruction of the tions of the malignant cachexia. Case 3. elbow joint which followed. The man was By Mr. Stanley, in St. Bartholomew's Hosin an extremely exhausted condition at the pital, excision of the breast, on account of time of the operation, but has made a rapid scirrhus, from a woman, aged 42; the disrecovery. Case 15. A man in good health, ease had existed a year. Recovered. aged 22, under the care of Mr. Adams, in the London Hospital, on account of crushed hand. Amputation through the forearm was performed. Recovered.

Excision of Bones and Joints.-In Case No. 2, reported last month (excision of the elbow-joint), death has resulted from pneu. monia. The other cases on our list are progressing favourably.

Excision of Non-Malignant Tumours.— The cases mentioned last month have all' recovered. During the month there have been performed: Case 1. By Mr. Cock, in Guy's Hospital, removal of a small congeni. {tal tumour from beneath the eyebrow of a boy aged 5 years. The tumour proved to be of the sebaceous kind, and did not contain hair. It was situated beneath the orbicuDuring the month there have been per- laris muscle. Case 2. By Mr. Cock, in formed the following: Case 1. By Mr. Guy's Hospital, removal of a small tumour Fergusson, in King's College Hospital, ex- from the border of the axilla of a woman cision of the knee-joint of a boy, aged 8 aged 41. In this case the operation was years, on account of chronic disease. The performed merely for the purpose of diag. case remains under treatment, and is doingnosis. The woman was affected with an well. Case 2. By Mr. Coulson, in St. enlargement of the lower half of the scapula, Mary's Hospital, partial excision of the os about the nature of which there was some

Mr. Edwards, the House-Surgeon, performed the operation of tracheotomy. Complete relief ensued on the procedure, and at the end of twenty-four hours the patient was sufficiently recovered to allow of the removal of the tube, and the wound has since closed Recovered.

doubt. It had been gradually increasing for several months, and presented some fea tures of malignancy. A small lump, quite separate from the original one, having formed between the skin and the scapular attachment of the teres major, it was thought well to excise and examine it be fore attempting any more formidable opera. Puncture of the Bladder.-Mr. Simon's tion. This tumour, which was carefully case remains under care, as a permanent inspected with the microscope, did not ex- fistula has been successfully established hibit evidences of more than simply fibrous above the pubes, and as all risk connected structure, and as the larger mass did not, with the operation is passed over we may while the patient remained under observa- omit it from our list. During the month tion, show any tendency to increase, but the following have been performed: Casel. rather got less, it was decided to defer for A man, aged 40, was admitted into Guy's the present the contemplated operation for Hospital, under the care of Mr. Cock, on its removal. Case 3. By Mr. Simon, in account of retention of urine. It appeared St. Thomas's Hospital, excision of a fibro- that he had repeatedly had gonorrhœa, and cellular growth developed in the substance that for a year past he had suffered from the of the deltoid of a man aged 30. On sec- symptoms of an increasing stricture. No tion, the tumour showed evidences in seve-instrumental treatment had ever before been ral parts of having possessed a vascular adopted. The bladder was greatly distendstructure. Recovered. Case 4. By Mr. ed, and he was in a condition of much disSimon, in St. Thomas's Hospital, removal tress. After some difficulty, Mr. Cock of a tumour from the back of the neck of a succeeded in introducing a very small cawoman aged 50. The growth appeared to theter (less than No. 1), and drew off the be warty or papillary hypertrophy of the in- urine. On the day following retention had tegument, but it was in parts very vascular. again persisted, and was relieved by the Recovered. Case 5. By Mr. Johnson, in same means. On the third day, the same St. George's Hospital, excision of the condition of things was still present, and breast of a woman aged 40, on account of a Mr. Cock determined on the performance sero-cystic tumour. Under treatment. of puncture of the bladder by the rectum. Case 6 By Mr. Henry, in the Middlesex The reasons which induced that determinaHospital, excision of a neuroma from the tion, Mr. Cock explained to be, that he median nerve. Case 7. By Mr. Tatum, infeared the risks attendant on the repeated St. George's, excision of an encysted tu-introduction of so small an instrument; mour from the nape of the neck. that the stricture showed no tendency to Tracheotomy.-Case 1. A man, aged 32, } yield, but, on the contrary, the difficulties was admitted into the London Hospital, of catheterism had been increased on each suffering from extreme dyspnoea, the conse- occasion; and, lastly, that he esteemed the quence of acute laryngitis. He was im danger of the operation to be very slight, mediately ordered to bed, but while being while it would place the urethra under the carried up stairs the difficulty of breathing most favourable possible circumstances for so much increased that suffocation appeared a speedy recovery of its patency. The reto be imminent. Under these circumstances, sult quite answered these expectations. the immediate performance of tracheotomy The operation was performed on the 5th, became necessary, and was accordingly per- and the instrument left in the bowel until formed by Mr. Greenwood, the House-the 9th, when the man accidentally allowed Surgeon on duty. After the opening had it to slip out. After it was removed, a been made, stimulants were administered flexible catheter (No. 1) was easily passed until the man was sufficiently recovered to through the urethra, and, a day or two later, allow of being removed to bed. He has was exchanged for a larger one. On the since done well. Under treatment. Case 2. 19th, the man was discharged, a flexible A man, aged 22, a patient in King's College catheter being then readily introduced, and Hospital, suffering from dyspnea in con- the proneness to retention having quite sequence of cedema of the glottis. During ceased. Case 2. A man, aged 39, under an urgent attack of suffocative dyspnoea, the care of Mr. Hilton, in Guy's Hospital,

on account of retention of urine. He had Plastic Operations.-Several of the cases suffered for several days, and it was found previously mentioned remain under care. impracticable to pass a catheter through the During the month the following have been stricture. His condition having become performed: Case 1. By Mr. Fergusson, in urgent, and the signs of uræmia, tendency King's College Hospital, the operation of to coma, etc., beginning to show them cleft palate in a girl aged 19. Perfect union selves, it was decided to puncture the blad-resulted. Case 2. In St. George's Hos der by the rectum. The instrument is still pital, by Mr. Pollock, in the case of a girl, left in, but the patient is doing very well. aged 12, suffering from harelip and cleftOperations for Urethral Stricture.-Mr.palate, attended by considerable separation Solly's 's case, mentioned last month, remains of the upper maxillæ and irregularity of the under care, and is doing well. The follow teeth. Mr. Pollock has operated with suc ing has occurred during the month: A man, cess on the harelip, and an instrument has aged 45, of cachectic state, and who had for been contrived to press the teeth into pomany years suffered from an impermeable sition, it being intended, at some future stricture, entered an hospital on account of time, to operate on the cleft palate also. extravasation of urine into the perineum, etc. The operator passed a staff through the urethra, and out at a fistula communicating with the membranous portion. The instrument was then cut down upon, the stricture divided, and an enormous abscess opened, by which latter the urethra had been dissected for a considerable length. For the first day or two the man did well, but secondary hemorrhage occurred, and he sank, and died from exhaustion a few days afterwards. Sloughing had taken place around the wound.

Operations for Ununited Fracture.-Mr. Lawrence's case continues under careMed. Times and Gaz. Aug. 19, 1854.

MEDICAL NEWS.

DOMESTIC INTELLIGENCE.

Testimonials of Gratitude from the Citizens of Savannah to her Medical Men, for their Services during the Epidemic of this Year.—A very large meeting of the citizens of Savannah was held at the Exchange in that city, on the 14th of October, the Mayor, John E. Ward, Esq., presiding.

Drs. Redwood and Hamilton, of Mobile, and Dr. Cross, of New Orleans, were, by resolution, invited to be present, and on their appearance the Mayor, in a most eloquent address, expressed to them the deep gratitude of the citizens of Savannah for the noble and heroic service rendered by them, during the late epidemic, and presented to each of them, in the name of the city, a service of plate, as some small token of the kind feeling of the people of the city toward them.

Ligature, etc., of Nævus.—Mr. Lawrence's case of aneurism by anastomosis, remains under care. During the month there have been performed: Case 1. In Guy's Hospital, by Mr. Cock, the injection of a large nævus on the cheek of a child, with the perchloride of iron. The nevus had previously been treated by ligature and compression, with but partial success. Mr. Cock injected the solution in four places, and it has had the effect of inducing solidification and considerable decrease in size; but, as the vascularity is not destroyed in all parts, a repetition of the procedure will probably be requisite. Case 2. In St. George's Hospital, by Mr. Cutler, a case of aneurism by anastomosis, situated on the On motion of Dr. Screven, the following external ear, has been treated by the appli-resolutions were unanimously adopted :cation of the galvanic cautery. The case Resolved, That the warmest acknowledg remains under care. Case 3. In St. Maments of thankfulness are due, and are herery's Hospital, by Mr. Lane, a large nævus, by tendered by the citizens of Savannah, involving the lip of an infant, aged fourteen in town meeting assembled, to the resident months, has been successfully treated by physicians of this city, who, undismayed by means of the ligature. The slough separated the peril of their valuable lives, have faithon the fourth day. Several other cases of fully discharged their arduous and danger. nævus, not possessed of interesting pecu- ous duties; to those transient physicians, liarities, have been successfully treated by who, with self sacrificing devotion, volun. ligature, or by the application of escharotics. teered and gave their services to the sick,

and to all corporate bodies, charitable associations, and other associations, and individuals who have manifested their sympathy in our afflictions by contributing in any manner to the relief of the sufferers by the epidemic with which this city has been visited.

Resolved, That the thanks of every citi zen are due to the clergy of our city, who have, without an exception, been true to their holy calling, ministering at all times to the wants of the sick, and comforting the afflicted.

Resolved, That the citizens of Savannah will erect a suitable monument commemo. rative of those gallant and ever to be la mented physicians who have fallen in our midst in the faithful discharge of their perilous duties.

On motion, it was resolved that a committee be appointed by the chairman, consisting of such number as he may deem advisable, to carry into effect the last resolution.

presented to them before the 1st of March, 1855. Communications may be addressed to Dr. D. H. Tucker, of Richmond, Dr. J. S. Davis, of the University of Virginia, or J. J. Thweatt, of Petersburg, the com. mittee, and must be in the usual form.

Wills Hospital.-Dr. ISAAC HAYS, who has been one of the Surgeons of this Hos pital ever since it was first opened, now more than twenty years, has resigned; and Dr. ADINELL HEWSON has, we are pleased to announce, been elected in his place.

YELLOW FEVER.-This disease is still prevailing in many of the southern towns. It has recently broken out at Darien and St. Mary's, Geo., at Montgomery, Ala., &c.

At Savannah the fever is abating, but cases still occur. The total number of deaths from August 23 to October 17, a period of nine weeks, was 916. Yellow fever, 578. The progress of the disease may thus be seen :

Interments. Yellow Fever.

We We regret that we have not space for the eloquent addresses made on the occasion by his Honor the Mayor, and by Dr. Screven. Week ending Aug. 23, 67 The citizens of Savannah, in paying this: tribute to their medical men, have equally honoured themselves; demonstrating, as this act does, that they are animated by noble, lofty, and just sentiments. Furthermore, it establishes a claim on the medical profession, which that profession will not dishonour.

Philadelphia Hospital, Blockley.-This extensive Hospital has, we are happy to an. nounce, been opened by the managers for the purpose of clinical instruction.

Clinical lectures will be delivered in this institution on Wednesday and Saturday, from 10 to 12 o'clock, commencing October 11, 1854.

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Total for nine weeks, 919

Charleston.-The deaths during the week Sending 21st Oct. were 46, of which 31 were from yellow fever. On the 25th of Oct. there were 7 deaths from yellow fever.

The late Professor Chapman.-The No. On Clinical Surgery, by A. B. Campbell, of the American Journal of the Medical M. D., Henry H. Smith, M. D., and D. Sciences for January next will contain a biHayes Agnew, M. D. On Clinical Medi-ography of this eminent physician, accomcine, by A. B. Campbell, M. D., J. L. Lud-panied with an admirable portrait. low, M. D., and Dr. Casper Morris.

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Died, in New Orleans, on the 20th of September, of Yellow Fever, VALENTINE MOTT, JR., son of Prof. Mott, of New York, in the 33d year of his age.

FOREIGN INTELLIGENCE.

OBITUARY RECORD.-Died, in New York, ration was ceasing altogether. Mr. Erichon the 18th of September, after a lingering sen now put his finger into the patient's illness of Bright's Disease, in the 46th year pharynx, and dragged forwards the root of of his age, JOHN A. SWETT, M. D., Pro- the tongue; at the same time attempting fessor of the Institutes and Practice of Me-artificial inflation of the lungs by applying dicine in the University Medical School, his own mouth to that of the man. The and one of the Physicians of the New latter plan did not appear to succeed well, York Hospital. and was almost immediately substituted by the more usual mode of artificial respiration, by compression of the chest, which was kept up most vigorously. The man's pulse had been felt by the administrator to be still beating some little time after the commencement of the alarming symptoms and the cessation of respiration. Artificial respiration had been employed for about four minutes, when the man, whose countenance Death from Chloroform.-Another of these had meanwhile retained its colour and an unfortunate casualties occurred on the 11th expression of yet remaining life, began to of Oct., at University College Hospital, in breathe again. A very short intermission the service of Mr. ERICHSEN. The patient of artificial assistance having been made, he was a man of middle age and rather bloated drew spontaneously three or four inspiraaspect, who had been admitted on the same tions; but, as each successive one was day about 3 P. M., suffering from retention more feeble, the artificial aid was at once of urine. The bladder was distended, and recommenced. About five minutes from rose almost to the umbilicus, the symptoms the commencement, the galvanic apparatus having existed for three days. The man was got in readiness and applied. It prowas beginning to be stupid and heavy, and {duced, however, no benefit; and from this had some slight symptoms of uræmic poi-time the patient lost colour in the face, and soning. Mr. Erichsen having failed in his was evidently dead. The most strenuous first trial of catheterism, determined to make employment of artificial respiration was conanother attempt under the influence of chlo-tinued for about forty minutes, when it was roform, and, if not then successful, to punc-plain that the case was hopeless. ture the bladder by the rectum. At 4 o'clock, therefore, chloroform was administered, Mr. Carnell, in the absence of Mr. Hillier, having charge of the inhalation. Insensibility having been produced after from four to five minutes, Mr. Erichsen commenced the use of the catheter. The chloroform had now been removed, but the patient making some expressions of pain, it was again applied. Probably about two minutes of the second inhalation had elapsed, when the man being been present at the melancholy occur. came profoundly insensible, and began to snore with a peculiar and very loud stertor. His face at this time was suffused and flushed, and the inspirations were drawn at rather prolonged intervals. Mr. Erichsen's attention was at once excited by these symptoms, and, desisting from the use of the catheter, he immediately commenced dashing the patient's face and chest with water. The chloroform had, of course, been removed. In the course of about a minute the noise with the breathing gradually lessened, and it became apparent that respi

The form of the inhaler which had been employed was the one in ordinary use at this Hospital, viz: a folded piece of lint. The administrator's hands and the patient's face had been covered during the inhalation by a towel.

From the course in which the symptoms ensued, it appeared evident that the form of death was that of coma. We shall give the results of the post mortem next week. Hav.

rence, we may here add, that nothing could possibly have surpassed the promptitude and energy with which the means of resus. citation were adopted.-Med. Times and Gaz. Oct. 14, 1854.

Treatment of Acne.-The cases of acne which present themselves at the Hospital for Skin Diseases, under the care of Messrs. STARTIN and M'WHINNIE, are usually classified under the heads of A. simplex, A. indurata, and A. rosacea. The latter, in its best marked examples, often occurs

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