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Medical Societies. She Was Discharged on the 9Th 918 feeble, and the respiration catching. There was contraction Oct. 4th.—She had been out of doors the last few days, of the muscles of abdomen and thorax, which caused her to’ and on this date returned to her home in London. spring up in bed. She was allowed to inhale nitrite of Remarks.—This case is interesting from the prolonged amyl freely, with immediate relief of the spasms. The of unconsciousness, amounting to quite seventeen pulse also became stronger, and the deadly pallor of the face days.period It might reasonably have been expected that so disappeared. After this she became more sensible, laughing severe an injury to the nervous system in the pregnant and crying alternately (probably due to the brandy), and state would have induced abortion, which, in its turn, might was able to recognise persons in the room. At 4.40 P.M. she have exercised so unfavourable an influence on the general was perfectly sensible, and able to state how the accident state of the patient as to effectually bar the way to recovery. happened ; soon afterwards she went to sleep. Temperature There is as well a medico-legal point worth consideration := was taken two hours after admission, and found to be Ought women advanced in pregnancy to be allowed to follow 95.5° F. ; it was impossible to take it when she was admitted, occupations which necessarily endanger the existence of the either in the axilla or in the mouth, to the spasms of unborn ? owing __ ___ the extremities and chattering of teeth; four hours after- wards it was 99 8° F. She passed a good night, and next morning complained of soreness in her mouth. Medical Societies. She was discharged on the 9th. It was ascertained that she had taken about two ounces PATHOLOGICAL SOCIETY OF LONDON. of liniment, composed of equal parts of aconite liniment and almond oil, the aconite liniment one ounce containing Favus and of root to one of spirit. The Fungi of Ringworm.-Rodent Ulcer.-En- cephaloid Cancer of Scapula.—Recurrent Epithelioma. BIRMINGHAM GENERAL DISPENSARY. THE ordinary meeting of this Society was held on the 17th inst., Dr. Murchison, President, in the chair. It was PROLONGED CONCUSSION FROM A FALL DURING PREG- characterised by a and animated discussion upon NANCY. prolonged the true nature of rodent ulcer, upon which it may be remem- the care of Mr. BARTLEET and Mr. J. HENRY (Under bered Dr. Thin recently made a communication (see p. 549). PALMER.) Drs. Tilbury and T. C. Fox exhibited specimens demon- F. H-, aged twenty-three years, married, and mothei strating the purely epithelial nature of the growth, and of one first dancer at the metro- child, formerly principal had not found any evidence in support of Dr. Thin’s politan theatres, but now an acrobat, was first seen on view of the adenomatous character of the growth. The and was unconscious. On August 22nd, then August 19th main outcome of the discussion was to show that the dis- she fell about eleven the of a feet, through breaking strap tinction between rodent ulcer and epithelioma was an attached to the of a on to the her edge net, stage, striking arbitrary one, and the valuable clinical evidence afforded by right shoulder and head successively. She had not suffered Mr. Hulke and Mr. Hutchinson went far to support this. illness. any previous Dr. HOGGAN made a communication on the Comparative On admission she was short, dark, and slightly made. Growth of the Fungi of Favus and Ringworm, showing that She on her and a troubled lay back, pale unconscious, though the one was essentially a subcuticular and the other a sub- and was noticeable. The skin was frowning expression epidermic structure, and that their first effect was to raise warm and the normal. The head was hot dry, temperature up by their growth the cells under which they grow. He to the and the feet were warm. The touch, comfortably selected the hair as the best possible place to demonstrate were contracted to twice the size of a and pupils pin’s head, the course of ringworm in its initial stages in preference to to stimuli The was responded very slightly. pulse small, the skin, which was ill-suited for investigation, on account at times bounding, and readily compressible; 106 per minute. of the ill-defined nature and number of the layers of cuticular The were free and unembarrassed. The respirations tongue cells. These stages were described—1st. As the stage of was of the asthenic type, and the lips were covered with where a of grow sordes. The patient could be roused only very slightly, and invasion, single layer ringworm-fungi the one-celled of but without immediately relapsed; she recognised no one. There had beneath layer hair-cuticle, been no action of the bowels, and the urine passed involun- apparently disturbing that cuticle. 2nd. As the stage in tarily. There were no external marks of violence, with the which, by the growth of the fungi, the hair-cuticle gets exception of slight abrasions on one leg. The patient was raised and thrown off like the bark from a tree. 3rd. The five months advanced in pregnancy, and the foetal heart was cuticle having been thrown off, the whole of the cells forming distinctly audible. the shaft of the hair become exposed, and the fungus, pene- The case was considered one of severe concussion, its trating between them, disintegrates and destroys them, and gravity being much increased by the state of gestation. The with them the whole hair. The favus-fungus, on the other treatment adopted was perfect repose and quiet, with ex- hand, grows beneath the epidermis, and, by its dense clusion of light, the application of ice to the head, and growth, separates it from the dermis, and thus the circular the free administration of milk and beef-tea; ten grains of "crusts" are formed; the fungus thriving in the serum calomel to be taken at once. In the evening, as no action exuded from the dermic papilla denuded by the raising of the of the bowels had occurred, two minims of croton-oil were epiderm, the hair-follicles and sweat-ducts get withdrawn prescribed. from their beds in the dermis, and clusters of fungi may be Next day the general condition was unchanged, but there seen attached to them externally. The clusters of fungi in had been two copious stools. A pint of cold extract of beef favus were shown separately in groups; sections of them in daily and milk ad libitum were ordered, and a teaspoonful mass, mingled with much debris in the exudation, gave of brandy and one-grain doses of quinine were given them the appearance of growing in layers. The appearance in one or other of these preparations every two hours of lines of favus fungi in hairs he had not observed, but respectively. thought it easily accounted for by the fungus getting into On Sept. 1st there was a decided accession of conscious- the hair from its papilla, and becoming elongated, just as the ness, and the strength had increased. Brandy was de- cells of the hair-shaft become elongated, although they at creased to a teaspoonful every three hours. one time are globular epidermic cells. The fungus of ring- On the 2nd the urine was passed with consciousness for worm, on the other hand, grows in thin sheets or layers, the first time since the accident, and the patient expressed not in the tree-like manner of the favus-fungus, the differ- a feeling of hunger. Brandy was again diminished to a ences in seat and effects of the two accounting for the com- teaspoonful every four hours. parative difficulty experienced in eradicating the one more On the 5th there was further general improvement, and than the other. In reply to the President, Dr. Hoggan said the diet was directed to be liberal, but light. it was not known how the fungus got beneath the epidermis. On the 26th the patient was able to converse rationally, Dr. TILBURY Fox and Mr. THOMAS Fox read a paper on but she had no recollection of the accident or the Histology of Rodent Ulcer. The authors stated that subsequent ’ illness. they had two main objects in view in reading the paper-.
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