Dec. 13th and 20th, 1828.
Dr. Haslam in the Chair.
The subject of discussion, at the first of these meetings, was stricture of the rectum, when the diagnosis and treatment of carcinoma of that part came under consideration. There was a remarkable discrepancy in the opinions of Messrs. Lloyd and Salmon as to the symptoms and management of carcinomatous affections of the rectum. Mr. Lloyd maintained that these affections of the intestine were sometimes attended with pain and sometimes not, and that the patients were often materially benefited by the use of bougies; while Mr. Salmon affirmed, that the disease was always painful, and not to be mitigated by the employment of these means.
A variety of subjects came before the society at the next meeting. The president read a letter from Mr. Wansborough, of Fulham, describing the "original stomach-pump," a specimen of which accompanied the letter: the instrument Mr. W. stated to be of 25 years' standing.
Mr. Shearly exhibited, among other morbid specimens, a uterus, on the external surface of which the disease termed the "white tubercle" was in progress: there was also a small polypus near the os uteri. Mr. Pereira exhibited to the society a fine specimen of medullary sarcoma of the liver. The organ was so enlarged as to have occupied two-thirds of the abdomen. The other viscera were not involved in the disease. The progress of the disease, as far as it could be ascertained, was excellently detailed by Mr. Smith, a visitor. The symptoms were obscure.
Mr. Armstrong read an extract of a letter from Mr. Morgan, of the Bristol Infirmary, a corresponding member of the Society, describing a curious conformation of the œsophagus in a child, which lived 106 hours only, during which period every attempt to swallow food produced considerable distress. The œsophagus was found to be divided into two portions; the upper or pharyngæal extremity terminating in acul de sacbehind the bifurcation of the trachea; and the lower or ventricular extremity arising from the trachea at this point, between the bronchi, proceeding down the spine, and terminating, as usual, at the cardiac orifice of the stomach. Mr. Drysdale mentioned a somewhat similar malformation occurring in two children in one family. Mr. Callaway related a case of concussion of the brain, which terminated fatally, after the restoration of the intellectual functions. The whole of the anterior lobes of each hemisphere of the brain was broken down, and mixed with effused blood. The remarkable feature of the case was, the return of consciousness, and the possession of this power for six days, under the disorganization of the brain described; and the questions particularly agitated were, Did this extent of mischief exist immediately after the concussion? What was the degree of laceration of the brain at that period? and, How could the recovery of the intellectual faculty be reconciled with so much injury of the brain?
The Society then adjourned to the 12th of January, 1829.
Notes of the Cause, Cooperv.Wakley—We understand that Mr. Cooper is about to publish a verbatim account of the above trial, from Mr. Gurney's short-hand notes.
The Advertisement of Mr. B. Cooper's, in our last Number, ought to have been dated "December15," instead of "Oct.15." Also, for "Mr. Elton," the name of one of Mr. Cooper's witnesses, read "Mr. Hilton."
In our last leading article,for"can no friend of Wakley be named?"read"can the name of no friend of Wakley be mentioned?" The alteration is necessary, to connect it with the conclusion of the paragraph.
W. Wilson, Printer, 57, Skinner-Street, London.
FOOTNOTES:[1]General thickening of all the valvular apparatus on both sides of the heart. (St. B. 33.)[2]Andral, vol. iii. p. 411.[3]Pl. 1, fig. 5.[4]Opacity and thickening of the lining membrane on both sides of the heart, without unevenness or alteration of form. (St. B. 33).Opacity and thickening in the valvular apparatus between the left auricle and ventricle, with shortening of the chordæ tendinæ, and such alteration of structure and form as to produce a considerable contraction of the aperture. (St. B. 26).Such thickening of the whole valvular apparatus as to narrow the aperture of communication between the left auricle and ventricle to a mere slit. (St. B. 19).Shrivelled and contracted state of the semilunar valves, in which a cartilaginous substance has entirely taken the place of the natural structure. (Hodgson, pl. 1, fig. 6).[5]Osteum aortæ almost closed by ossified valves. (St. B. 15); (Hodgson, pl. 1, fig. 2).[6]Fungus growing from the aortic valves, which are thickened and shortened. (St. B. 6, 20).Fungus form the aortic valves, which are ulcerated. (St. B. 21).Larger specimens of fungus, growing from the ulcerated edges of two of the valves of the aorta. (Hodgson, pl. 1, fig. 7).[7]Dr. Baillie's plate.[8]Polypous coagulum in the ventricle. (Coll. of Phys. 4, A. 16).Coagulum firmly attached to the lining of the left auricle, with enlargement of its capacity. (St. B. 19).[9](St. B. 13).[10]It occurs sometimes in the uterus.[11]Memoir. de l'Acad. des Sciences. Morand, 1732. Morgagni, Epist. 27.[12]Andral, v. 3, 466; Hodgson, plate 1, figure 7; St. B. 14.[13]Corvisart, cap. 4. sect. 1.[14]Active dilatation of the left ventricle. (College of Phys. 4, c. 10.)The thickened walls of the left strikingly contrasted with the attenuated walls of the right ventricle. (St. B. 9).Active dilatation of the left ventricle. Its capacity is strikingly contrasted with that of the right. (College of Phys. 4, c. 11.)Passive dilatation of both ventricles, especially of the right. (St. B. 10).[15]Morgagni, Epist. xxvii. 7.[16]Ibid. 2.[17]Ibid. 3.Rupture of the left ventricle, with attenuation of its muscular structure. (St. B. 18).Rupture, without attenuation, but with softening and looseness of texture in the muscular substance. (St. B. 22).[18]Harvey, Exercit. altera.[19]Rupture of the left ventricle without change in its structure. Bone deposited at the commencement of the aorta. (St. B. 27).In turning over the Memoirs of the Royal Academy of Sciences, I find two cases of rupture of the heart, reported by M. Morand. They both occurred in the year 1730; and, strange to say, one was that of a Duchess of Brunswick, who was of the same family as George II. who also died of a ruptured heart. In the one, that of the Duchess, there was a manifest ulceration through the walls of the right ventricle, its structure being otherwise unimpaired; in the other, where the aperture was in the left ventricle, there was probably a simple rupture, for the flesh of the heart was so soft that the point of a probe would pass through it wherever it was rested. (Mem. de l'Acad. Roy. des Sciences, Ann. 1732).[20]The trial as published in the Lancet occupied less than 21 pages—in the Gazette it extended, in the same type, to 33 pages and a half. In the Lancet, those parts, both of the evidence and speeches, which told most against Wakley, were omitted.[21]See passage in Italics, page 137.[22]The defendant, on leaving the court, was cheered by the populace in Palace Yard.—Lancet, Dec. 20.[23]This we believe is false; nothing of the kind either occurred, or was stated at the trial.—E. G.
[1]General thickening of all the valvular apparatus on both sides of the heart. (St. B. 33.)
[1]General thickening of all the valvular apparatus on both sides of the heart. (St. B. 33.)
[2]Andral, vol. iii. p. 411.
[2]Andral, vol. iii. p. 411.
[3]Pl. 1, fig. 5.
[3]Pl. 1, fig. 5.
[4]Opacity and thickening of the lining membrane on both sides of the heart, without unevenness or alteration of form. (St. B. 33).Opacity and thickening in the valvular apparatus between the left auricle and ventricle, with shortening of the chordæ tendinæ, and such alteration of structure and form as to produce a considerable contraction of the aperture. (St. B. 26).Such thickening of the whole valvular apparatus as to narrow the aperture of communication between the left auricle and ventricle to a mere slit. (St. B. 19).Shrivelled and contracted state of the semilunar valves, in which a cartilaginous substance has entirely taken the place of the natural structure. (Hodgson, pl. 1, fig. 6).
[4]Opacity and thickening of the lining membrane on both sides of the heart, without unevenness or alteration of form. (St. B. 33).
Opacity and thickening in the valvular apparatus between the left auricle and ventricle, with shortening of the chordæ tendinæ, and such alteration of structure and form as to produce a considerable contraction of the aperture. (St. B. 26).
Such thickening of the whole valvular apparatus as to narrow the aperture of communication between the left auricle and ventricle to a mere slit. (St. B. 19).
Shrivelled and contracted state of the semilunar valves, in which a cartilaginous substance has entirely taken the place of the natural structure. (Hodgson, pl. 1, fig. 6).
[5]Osteum aortæ almost closed by ossified valves. (St. B. 15); (Hodgson, pl. 1, fig. 2).
[5]Osteum aortæ almost closed by ossified valves. (St. B. 15); (Hodgson, pl. 1, fig. 2).
[6]Fungus growing from the aortic valves, which are thickened and shortened. (St. B. 6, 20).Fungus form the aortic valves, which are ulcerated. (St. B. 21).Larger specimens of fungus, growing from the ulcerated edges of two of the valves of the aorta. (Hodgson, pl. 1, fig. 7).
[6]Fungus growing from the aortic valves, which are thickened and shortened. (St. B. 6, 20).
Fungus form the aortic valves, which are ulcerated. (St. B. 21).
Larger specimens of fungus, growing from the ulcerated edges of two of the valves of the aorta. (Hodgson, pl. 1, fig. 7).
[7]Dr. Baillie's plate.
[7]Dr. Baillie's plate.
[8]Polypous coagulum in the ventricle. (Coll. of Phys. 4, A. 16).Coagulum firmly attached to the lining of the left auricle, with enlargement of its capacity. (St. B. 19).
[8]Polypous coagulum in the ventricle. (Coll. of Phys. 4, A. 16).
Coagulum firmly attached to the lining of the left auricle, with enlargement of its capacity. (St. B. 19).
[9](St. B. 13).
[9](St. B. 13).
[10]It occurs sometimes in the uterus.
[10]It occurs sometimes in the uterus.
[11]Memoir. de l'Acad. des Sciences. Morand, 1732. Morgagni, Epist. 27.
[11]Memoir. de l'Acad. des Sciences. Morand, 1732. Morgagni, Epist. 27.
[12]Andral, v. 3, 466; Hodgson, plate 1, figure 7; St. B. 14.
[12]Andral, v. 3, 466; Hodgson, plate 1, figure 7; St. B. 14.
[13]Corvisart, cap. 4. sect. 1.
[13]Corvisart, cap. 4. sect. 1.
[14]Active dilatation of the left ventricle. (College of Phys. 4, c. 10.)The thickened walls of the left strikingly contrasted with the attenuated walls of the right ventricle. (St. B. 9).Active dilatation of the left ventricle. Its capacity is strikingly contrasted with that of the right. (College of Phys. 4, c. 11.)Passive dilatation of both ventricles, especially of the right. (St. B. 10).
[14]Active dilatation of the left ventricle. (College of Phys. 4, c. 10.)
The thickened walls of the left strikingly contrasted with the attenuated walls of the right ventricle. (St. B. 9).
Active dilatation of the left ventricle. Its capacity is strikingly contrasted with that of the right. (College of Phys. 4, c. 11.)
Passive dilatation of both ventricles, especially of the right. (St. B. 10).
[15]Morgagni, Epist. xxvii. 7.
[15]Morgagni, Epist. xxvii. 7.
[16]Ibid. 2.
[16]Ibid. 2.
[17]Ibid. 3.Rupture of the left ventricle, with attenuation of its muscular structure. (St. B. 18).Rupture, without attenuation, but with softening and looseness of texture in the muscular substance. (St. B. 22).
[17]Ibid. 3.
Rupture of the left ventricle, with attenuation of its muscular structure. (St. B. 18).
Rupture, without attenuation, but with softening and looseness of texture in the muscular substance. (St. B. 22).
[18]Harvey, Exercit. altera.
[18]Harvey, Exercit. altera.
[19]Rupture of the left ventricle without change in its structure. Bone deposited at the commencement of the aorta. (St. B. 27).In turning over the Memoirs of the Royal Academy of Sciences, I find two cases of rupture of the heart, reported by M. Morand. They both occurred in the year 1730; and, strange to say, one was that of a Duchess of Brunswick, who was of the same family as George II. who also died of a ruptured heart. In the one, that of the Duchess, there was a manifest ulceration through the walls of the right ventricle, its structure being otherwise unimpaired; in the other, where the aperture was in the left ventricle, there was probably a simple rupture, for the flesh of the heart was so soft that the point of a probe would pass through it wherever it was rested. (Mem. de l'Acad. Roy. des Sciences, Ann. 1732).
[19]Rupture of the left ventricle without change in its structure. Bone deposited at the commencement of the aorta. (St. B. 27).
In turning over the Memoirs of the Royal Academy of Sciences, I find two cases of rupture of the heart, reported by M. Morand. They both occurred in the year 1730; and, strange to say, one was that of a Duchess of Brunswick, who was of the same family as George II. who also died of a ruptured heart. In the one, that of the Duchess, there was a manifest ulceration through the walls of the right ventricle, its structure being otherwise unimpaired; in the other, where the aperture was in the left ventricle, there was probably a simple rupture, for the flesh of the heart was so soft that the point of a probe would pass through it wherever it was rested. (Mem. de l'Acad. Roy. des Sciences, Ann. 1732).
[20]The trial as published in the Lancet occupied less than 21 pages—in the Gazette it extended, in the same type, to 33 pages and a half. In the Lancet, those parts, both of the evidence and speeches, which told most against Wakley, were omitted.
[20]The trial as published in the Lancet occupied less than 21 pages—in the Gazette it extended, in the same type, to 33 pages and a half. In the Lancet, those parts, both of the evidence and speeches, which told most against Wakley, were omitted.
[21]See passage in Italics, page 137.
[21]See passage in Italics, page 137.
[22]The defendant, on leaving the court, was cheered by the populace in Palace Yard.—Lancet, Dec. 20.
[22]The defendant, on leaving the court, was cheered by the populace in Palace Yard.—Lancet, Dec. 20.
[23]This we believe is false; nothing of the kind either occurred, or was stated at the trial.—E. G.
[23]This we believe is false; nothing of the kind either occurred, or was stated at the trial.—E. G.
TRANSCRIBER'S NOTEObvious typographical errors and punctuation errors have been corrected after careful comparison with other occurrences within the text and consultation of external sources.Except for those changes noted below, all misspellings in the text, and inconsistent or archaic usage, have been retained.Pg 116, 'immedate contact' replaced by 'immediate contact'.Pg 119, 'and attennuation in' replaced by 'and attenuation in'.Pg 126, 'Tue valuable paper' replaced by 'The valuable paper'.Pg 132, 'probably impossibly' replaced by 'probably impossible'.
TRANSCRIBER'S NOTE
Obvious typographical errors and punctuation errors have been corrected after careful comparison with other occurrences within the text and consultation of external sources.
Except for those changes noted below, all misspellings in the text, and inconsistent or archaic usage, have been retained.
Pg 116, 'immedate contact' replaced by 'immediate contact'.Pg 119, 'and attennuation in' replaced by 'and attenuation in'.Pg 126, 'Tue valuable paper' replaced by 'The valuable paper'.Pg 132, 'probably impossibly' replaced by 'probably impossible'.