A guide to the examinations at the Royal College of Surgeons of England, for the diplomas of Member and Fellow / by Frederick James Gant.

Gant, Frederick James, 1825-1905.

Date:: 1881

Credit: A guide to the examinations at the Royal College of Surgeons of England, for the diplomas of Member and Fellow / by Frederick James Gant. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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$abscess ; the disease of five or six years' duration, and consequent on direct violence from a sack of coals having fallen on the back, and the patient being scrofulous. Fracture of the tibia and fibula just above the ankle- joint ; the foot had been forcibly everted by slipping on a doorstep, five years since. Union of both fractures. Re- current cancer of breast, and near cicatrix of operation for removal of the primary tumour, two years ago, in a man seventy-six years of age ; apparent cause, a fall on that part, one year before the appearance of the growth. Chronic teno-synovitis of the flexor tendons, just above the wrist ; hand not involved. Suppurating ingui.ial glands, from a sprain. Fatty tumour of small size, in the posterior triangle of the neck. Tumour of antrum, with protrusion of the eyeball, and projection of the growth into the nasal fossa ; small 'fistulous opening over the lachrymal sac, the sight unalfected ; enlargement of the cervical glands ; date of the disease, six months, and ap- parently referable to a blow on the bridge of the nose six- teen years previously ; the patient's age, thirty-one. Caries of ulna just below the olecranon, in a boy seven years old. Enchondroma or cartilaginous tumour close above the outer condyle of the femur ; from three to four years' duration, in a youth seventeen years of age. Necrosis of the humerus, in the upper third of its shaft. Two fistu- lous openings on the inner aspect of the arm, presenting fungous granulations. Disease of the shoulder-joint, with marked flattening of the deltoid muscle. Epithelial cancer of the tongue ; two months from date of its first appear- ance, in a man aged fifty-six. The liistories indicated in connection with these various forms of injury and disease relate to some of the parti- culars which the candidate must himself ascertain by questioning the patient, after having examined the case. Then, in stating his diagnosis, he may mention the reasons for his opinion, if requested thus to supplement that opinion. One feature in these practical examinations STjOms esi^c- cially worthy of notice—it is the freedom from any embarrassment or difiiculty to the candidate, assuming hin^ to bo well prepared. This agreeable circumstance is partly due to the ohjeclivc character of the examination, whereby readiness of language and much descriptive power arc not at all essential to success ; and the com- posure of the student is aided )jy the calmness and$