Santonin in internal diseases of the eye / by MM. Guepin and Falck.

  • Guépin, Ange Victor, 1805-1873.
Date:
1860
Catalogue details

Licence: Public Domain Mark

Credit: Santonin in internal diseases of the eye / by MM. Guepin and Falck. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    OP MEDICAL SCIENCE. iveak pains for about twelre hours. WhUe ascending the wooden staii'case the child suddenly fell from her striking its head against the stairs with a noise which was aud|)le in an adioining chamber. The infant showed all the sigii| of being fuU-timed, but it only weighed between five and si^ pounds. The funis, which was very gelatinous, was of aj average length, and was torn through at three inches fr-oin fce umbi- licus, and no bleeding foUowed. At the time of t^e bu-th a true caput succedaneum was observed on the posterior part of the right parietal bone, stretching to the occipital; |md when this had disappeared a cephalsetoma gradually appeared at the same part of the parietal bone, and stretching from it, two fissures could be felt. The child, at first very u^ell, after- wards became emaciated, and died when eighteenjdays old. At the post-mortem, at the seat of the cephalmtoina, the periosteum was found separated from the bone, haying eifused blood beneath it, and a fissui-e, penetrating through Uie whole substance of the bone, was found extending If inches |in length, from near the middle of the sagittal suture to the right parietal tuberosity—the middle of the fissure hemg the site of the cephalcetoma. • On the inner surface of the cranium an internal cephalcetoma exactly corresponded to the external one. The cranial hones were moderately firm. Ijhere wa.s no extravasation on the surface of the brain, but both it and its membranes were highly hypercemic. 2. Alwinc F., aged 21, having already borne a child, was seized w.th weak labour-pains which had only lasted two hours and a-half, when, while she w'as on her way to the Institution, the child suddenly fell on the pavement. The funis was torn thi-ough at its middle, and at first there was considerable h£emorrhage. The child, thoughfull-timed, did not weigh much more than live pounds. A fissure was plainly felt stretching from ihe tuber parietale towards the sagittal suture, and having at its termi- nation a shght depression of the hone. The figure and depression were less perceptible as the child grew u*p, and at the age of 6 weeks could no longer be felt. 3. Wi S., aged 26, having already had a child, was so suddenly delivered of a child in the Institution that it fell upon the wooden floor. The very gelatinous funis was tom through so closely to the umbilicus that it was ligatured once only with difficulty. No bleeding had occurred. The child died on the eighth day from phlebitis umhilicalis ; hut neither the skull or The brain exhibited any signs of injury. 4. Ernestine M., a primapara, aged 22, had had only ten pains, of which but four were severe, when the child suddenly fell on the floor, ilt was a small one, and quite healthy, and exhibited no signs [of injury of the head. The fimis was torn at five or six inches from the umbilicus, hut no bleeding ensued, although it i-emained ten minutes untied. In the two cases in which fissure of the cranium existed, the fissure took, asF. Weber says it always does, the direction ot the osseous fibres from the centre of ossification towards a suture. In the first case death could not be referred to the mjury as the child, living eighteen days after its occurrence, died ot atrophy, without having exhibited any cerebral symptoms—the cerebral hypereemia found after death being frequently met with in new-Lorn infants. All the children were small, but m one of the cases the mother had a contracted pelvis.—Geburtskxcnde, July, p. 33j EXCERPTA MINORA. J Vide, relates three cases in proof of the advantage of treating presentation of the funis by placing the mother on her knees ^pportmg the body with pillows in such a manner that the pelvis is kept a good deal higher than the chest. Reposition is then performed, and the patient kept in the positron until strong pains come on. Even when the circulation of the funis is feeble it is soon restored after com- pression has been thus removed. For the success of the man- muye It IS requisite that the os uteri be dilated or dilatable and the liquor amnii must be partly retained. If it has all escaped and the uterus is firmly contracted over the child’s body all efforts at reduction will he in vain. Collecting the statistics from various writer, Dr. Brandeis finds that 695 instances ot prolapse have occurred in 177,184 labours, or 1 in 264; while m 743 instances of prolapse 408 still births occurred — Kosion Journat, vol. Ixii. p. 379. Successful Case of Ovariotomy.Crosby relates in con- siderable detail the particulars of a successful case of ovari- otomy. The patient was 36 years of age, and had two children. The disease had existed for more than five years. It was a large unilocular tumour, the solid parts weighing rather more than 3 lbs., and the glairy contents less than 25 lbs. During the five years, 475 lbs. of fluid had been drawn off by tapping. Although long tormented by obstinate vomiting, she recovered so well that in five weeks she was enabled to direct her household affairs.—Ihid.^ vol. Ixii p. 177. _ Ovarian Cyst Successfully Injected with Iodine after Unsxiccess^ ful Attempt at Removal.—Dr. Wythes relates the case of a woman, aged 22, upon whom he undertook the operation of ovariotomy, but the sac being found universally and firmly adherent to the abdominal parietes and viscera, he was obliged to give up the attempt. This was on June 2, and on the 15th, after evacuating a pint and a-half of exceedingly offensive pus, lie threw in through a catheter two ounces o*f tincture of iodine, and on the 17th, four oimces more. On the next day the contained fluids were found so coagulated that the mass was broken up with difficulty hy the catheter. After several days, the sac having been well washed with tepid water, three ounces more were injected, and the injec- tions were repeated every few days until the middle of July —using in all about a pint and a-half of the tincture, by which time the sac had so contracted as to admit but about an inch of the catheter. This was in 1858, and the patient has continued well since, only wearing an elastic abdominal bandage.—North American Med. Chir. Rev., vol. iv. p. 482. Case of Puerperal Convulsions Treated by Chloroform.—Dr Charles Lee relates an interesting case of a primipara, whose urine was for some time prior to labour excessively loaded with albumen. Fearing the occurrence of convulsions, chloro- form was given during labour, which lasted eight hours, in sufficient quantity to ensure perfect tranquillity. During the labour there were several threatenings of convulsive action, which, however, vvere removed by small inhalatmns ; and it was not until an hour or tw'o after the termination of the labour that violent convulsive paroxysms came on, and w'ere repeated ten or twelve times in tw-^elve hours. The fits con- tinuing to increase in severity and frequency, and being at last followed by coma, constant watching of the patient W'as resorted to during the next forty-eight hours, causing her to breathe chloroform from a handkerchief upon the first appear- ance of any premonitory symptom. The consequence was that, although she continued unconscious for a much longer period, only one paroxysm recurred ; and she was saved from what seemed a very desperate state of things, the pulse being above 150, and often too feeble to be counted. About fifteen ounces of chloroform were employed.—American Journal of Medical Science, July, p. 275. Carbonate of Potash m Chronic Diseases of the Bones.—Dr. Pockels says he cannot sufficiently extol this as an applica- tion, in a concentrated form, in chronic diseases of the bones, especially caries and necrosis.— Varges Zeitschrift, vol. xiv. p. 7. Poisoning an Infant xoith Morphia.—Dr. E. von Siebold relates the following case:—A full-sized healthy infant, three days old, was ordered, on account of some griping, on antacid powder, kept for use in the Gottingen Lying-in House, when by mischance there was substituted for it another powder, containing one-third of a grain of muriate of morphia. The child speedily fell into a soporific state; and in little more than an hour the author was called to it. He found the child with slow, rattling respiration, a scarely perceptible pulse, livid countenance, and cyanotic lips. It was placed in a warm bath, while ice and cold water were applied to the head. Tliese and all other means were tried in vain, and the child died seventeen and a-half hours after taking the morphia. The chief post-mortem appearances were suggillation under the scalp and a distended state of the cerebral sinuses, the bruin itself exhibiting no bloody points.—Monatsschrift fur Geburtskunde, band xvii. p. 62. A LARGE quantity of very pure water is, and has been for many years past, daily pumped out of the chalk-pits at Grays, in Essex, into the Thames. Proposals are now made to utilise these 2,000,000 of gallons daily ejected from the pits. A Chair of Naval Hygiene has been established at ioulon, in connexion with the School of Naval Medicine of