Association medical journal最新文献_第6页

PHRENIC HERNIA 膈疝

Association medical journal Pub Date : 1856-12-06 DOI: 10.1136/bmj.s3-4.205.1033

Henry Duncalfe

{"title":"PHRENIC HERNIA","authors":"Henry Duncalfe","doi":"10.1136/bmj.s3-4.205.1033","DOIUrl":"https://doi.org/10.1136/bmj.s3-4.205.1033","url":null,"abstract":"yeeoUition of intenal hmmorrhage does not say much for she 4&gn8tiC acumen of the medical attendant. I must ve confess that a satisfactory relation can be esablished 'between the symptoms during life and the appearances ifter death 'There is, however, a peculiarity about the case that will faorly excuse the apparent wat of true induction; and the point was so marked, and is so important, that it has chiefly influenced me in bringing the case before the notice of the society. I allude to the 801 reference at the commencement, and during the early part of the attack, of all the patient's intense sufferings, to the scat of the large end of the stomach. Coupled with this guide was the frequent vomiting of suspected blood, which suspicion was subsequently strengthened by the circumstance undoubtedly occurring. If hamorrhage had taken place in the first instance near the ostensible seat of complaint, its presence in ann portion of the alimentary canal would soon have mamifested itself, and any effusion into the general cavity would have afforded signs that could not have been overlooked; but here it took place into a circumscribed cavity, the existence of which could not be suspected. In this manner not only was the presence ofthe htemorrhage masked from examination, but its usual symptoms were probably disguised by the pressure of the walls of the cyst checking the flow of blood before it induced the syncope characteristic of its loss. Frequent and various as the instances are of sympathy between different organs of the body arising from the morbid condition of any one of them, the present case stands alone in my own experience in the suddenness and completeness of the development of the reflex sensations. It is inexplicable by any known relation of nervous communication. I can scarcely suggest a cause in the probable immediate influence of the lesion upon the peritoneum, and of the transference of the sympathetic effects by this structure, but in what mysterious manner, it is impossible to surmise. I am fortunately able to complete the statement of the case, by narrating the early history of the cyst. When 18 years of age, this poor lady was attended by my father for ovarian dropsy; she was also taken by her friends for advice to London, and returned with the recommendation that tapping should be performed. Mr. Boden did not think the symptoms sufficiently urgent to justify the operation, and advised its postponement. Soon afterwards, the cyst relieved itself by bursting through the bladder; and from that time to the present attack, Mrs. A. never felt any sensation to remind her of the existence of her former complaint. She married soon after her recovery, resided some years in a tropical climate, and had several children. The cyst appears to have contractod to.a certain point, then to have remained unclosed but dormant for thirty years, and finally, to have occasioned death by the sudden effusion of blood into its cavity.","PeriodicalId":88830,"journal":{"name":"Association medical journal","volume":"51 1","pages":"1033 - 1035"},"PeriodicalIF":0.0,"publicationDate":"1856-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87137653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reports of Societies 社团报告

Association medical journal Pub Date : 1856-12-06 DOI: 10.1136/bmj.s3-4.205.1044

引用次数: 0

Hospital Cleanings. 医院的清洁。

Association medical journal Pub Date : 1856-12-06

引用次数: 0

SALARIES OF POOR-LAW MEDICAL OFFICERS 穷人法医务人员的工资

Association medical journal Pub Date : 1856-12-06 DOI: 10.1136/bmj.s3-4.205.1045

R. Griffin

引用次数: 0

A QUESTION OF IDENTITY OR NON-IDENTITY 同一性或非同一性的问题

Association medical journal Pub Date : 1856-12-06 DOI: 10.1136/BMJ.S3-4.205.1046

B. W. Richardson

引用次数: 1

Inventions and Appliances: RELATIVE TO MEDICINE AND SURGERY. 发明和器具:与医药和外科有关。

Association medical journal Pub Date : 1856-11-29

引用次数: 0

CITY DISPENSARY: ACQUIRED ATELECTASIS (CARNIFICATION) OF THE ENTIRE UPPER LOBE OF THE RIGHT LUNG, FROM DIRECT MECHANICAL PRESSURE. 城市药房:直接机械压力导致整个右肺上叶获得性肺不张(肉化)。

Association medical journal Pub Date : 1856-11-29 DOI: 10.1136/bmj.s3-4.204.1010

J Cockle

{"title":"CITY DISPENSARY: ACQUIRED ATELECTASIS (CARNIFICATION) OF THE ENTIRE UPPER LOBE OF THE RIGHT LUNG, FROM DIRECT MECHANICAL PRESSURE.","authors":"J Cockle","doi":"10.1136/bmj.s3-4.204.1010","DOIUrl":"https://doi.org/10.1136/bmj.s3-4.204.1010","url":null,"abstract":"A raxa, sickly, ill nourished female infant, 4* months old, whose father was under treatment for phthuisi, was brought by its mother to the above institution between two and three months ago, with the following history. The child appeared quite healthy at its birth, and remained so until it was two months old. About this latter period, however, its breathing ve gradually altered in character, becoming catching, noisy, and difficult, especially upon movement. During sleep, respiration was performed writh compaatively little embarrassment. Shortly fterdsspasmodic cough supevened; and several sudden and severe paroxysms of dyspncea and general convulsive movements would occur in the day, threatening suffocation. It was particularly remarked that the child's indisposition did not begin with, or in any way resemble, a common cold. Upon examination, the child was observed to be very pllid, the surface cool, and breathing with difficulty, noisily, almost stridulously. Several severe fits of coughing came on while attempting the exploration of the chest, terminating with a hoarse peculiar cry. This mode of repiration was succeeded by intervals of quiet. During the pculiar convulsive respirations, the upper pat of the right side of the chest seemed to fall in. Percussion elicited a modified note over this portion of the chest. It was difficult to arrive at any definite result from auscultation. The breath sound seemed generally exaggerated, and attended with sonorous rile over the apparently affected portion. No additional phenomena of importance were noted during the subsequent progress of the case, excepting that, during the last three or four days of life, the temperature was somewhat increased, and the child semed gradually to sink into an unconscious state. Death occurred two months after the first examination. The case was constantly under observation during its progress. The child was brought up exclusively at the mother's breast, and swallowed without apparent difficulty. The autopsy was made sixteen hours after death, by Mr. H. Wilkin. The body was withered and emaciated; the abdomen not distended. Upon opening the chest, the whole of the left lung, and the middle and lower lobes of the right lung, appeared to be unusually large. They were pale, distended, and presented rounded and prominent edges. Thie upper lobe of the right lung, of flesh colour, as seen beneath the perfectly transparent pleura, was shrunk, dense, and non-crepitnt, affording a remarkble contrast to the middle and lower lobes, which, as I Eave just described, were unally pale and greatly distended. The upper edge of the middre lobe of the right lung consequently bulged forwards, with a defined rounded border, in front of the collapsed upper lobe. Division of the substance of this last named portion showed a perfectly smooth, non-granular face, resembling ordinary muscular fibre, bloodless, without any form of exudation, and intersected by compressed bronchi resembling threads. ","PeriodicalId":88830,"journal":{"name":"Association medical journal","volume":"4 204","pages":"1010"},"PeriodicalIF":0.0,"publicationDate":"1856-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.s3-4.204.1010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29224747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PRACTICAL OBSERVATIONS OF INFLAMMATION OF THE SCLEROTIC 硬化性炎症的实际观察

Association medical journal Pub Date : 1856-11-29 DOI: 10.1136/bmj.s3-4.204.1015

E. Boult

{"title":"PRACTICAL OBSERVATIONS OF INFLAMMATION OF THE SCLEROTIC","authors":"E. Boult","doi":"10.1136/bmj.s3-4.204.1015","DOIUrl":"https://doi.org/10.1136/bmj.s3-4.204.1015","url":null,"abstract":"pulmonary tubere. Many years ago, whenasisting at the vivisection of a stunnd rsbbit, in which the trachea and larger bronchi were fully exposed, I was surprised to observe their muscular fibres contract, dimshing the diameter of their tubes, at each movement of inspiration. It is not the general belief that the tubes are contracted during inspiration, and expanded in expiration; but if we consider the anatomical structure of the lungs and the physical effects which the whole apparatus of respiration is intended to produce, it will be obvious that, had the bronchial tubesbeen made to contract during expiration, and expand during inspiration, as they are generally imagined to do, this would have defeated the object of bestowing on them any contractility or power of elastic expansion. The intention to be fulfilled by expansion of the chest through raising the ribs and depressing the diaphragm, is to cause the air to rush into the cells of the lungs: now, if the tubes all expanded at the same time as the thorax, say, for the sake of argument, to thesame extent to which the capacity of the chest had been increaed by its expansion, it is obvious that no air whatever would penetrate into the cells, as all that was drawn into the chest would be required to fill the tubes. Or, if the parietes expanded mucT, and the tubes comparatively little, the real vacuum in the air-cells would be only the difference between the increasedcapacity of the chest, and the increased space occupied within itby the expanded tubes. But on the other hand, if instead of expanding, the tubes contract at the moment that the chest expands, thus occupying a less space in its interior just when its capacity is greatest, it is obvious that a much increased vacuum will be formed, and that it will take place in the air cells where alone it is required; and thus, whatever air enters the chest goes directly to its destination, instead of lingering in the tubes. Taking this view, the operation of expiration as well as of inspiration, will be more intelligible, for it will be seen that if the tubes expand at the same moment that the chest contracts, the air cells will be submitted to direct pressure between the expauding tubes and the contracting thoracic parietes ; and while the air that has ceased to be serviceable to the animal economy is thus more effectually expelled from them, the way is at the same time more widely opened for its exit. It will be seen from the above, that inspiration is principally due to msc6ular action in the thoracic muscles, the diaphragm and the circular fibres of the bronchial tubes, whereas expiration depends more on cartilaginous elaticity, bringing down the ribs and expanding the tubes. If additional argument be wanting for the belief that the lungs must in themselves possess considerable power of inspiration and expiration, while within the unopened chest, independent of the expansion and contraction of the thoracic parietes, we would point to the apparent","PeriodicalId":88830,"journal":{"name":"Association medical journal","volume":"19 1","pages":"1015 - 1018"},"PeriodicalIF":0.0,"publicationDate":"1856-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88271520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ST. GEORGE'S HOSPITAL: TRACHEITIS: TRACHEOTOMY: DEATH TWENTY-EIGHT HOURS AFTER THE OPERATION. 圣乔治医院:气管炎;气管切开术;手术后28小时死亡。

Association medical journal Pub Date : 1856-11-29 DOI: 10.1136/bmj.s3-4.204.1009

J A Wilson

引用次数: 2

Reports of Societies 社团报告

Association medical journal Pub Date : 1856-11-29 DOI: 10.1136/bmj.s3-4.204.1023

引用次数: 0