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Pneumonia of the Apex-Union of Wounds.
ACCOUNT OF A Physical SIGN OF PNEUMONIA OF THE APEX OF THE
LUNG. By Wm. BOLING, M.D. The experience of Dr. Boling is confirmatory of the opinion that, when pneumonia commences at the apex of the lung it is especially fatal; and his object in the present communication is to indicate a physical sign which may lead to its earlier diagnosis. “This is a fine mucous or crepitant rhonchus, seemingly seated in the larynx, loud enough to be heard distinctly at the distance of two or three feet from the patient, and so persistent, that it is not removeable, or but momentarily, by any effort to expectorate which the patient may make, while at the same time there are present none of the signs of bronchitis or laryngitis.” Though seeming to the by-stander to arise from mucus in the larynx, the indifference manifested by the patient proves this is not the case ; and on applying the stethoscope just above or below the clavicles it will be found to proceed from the apex of the inflamed lung. “ It would seem that the sound there produced in the pulmonary vesicles must be conveyed by the larger bronchial ramifications, numerous and superficial at this point, to the larynx, where, in consequence of the thinness of the tube, or rather the thinness of its covering, and its proximity to the surface, the deceptive impression of its production in this organ, from the presence of a small quantity of viscid mucus, is created. It is the indifference of the patient to the presence of the sound, but still more especially, its persistence, which constitutes its peculiar and distinctive feature, and upon which its value as an evidence of pneumonia commencing in the apex of the lung depends.”American Journal Med. Sciences, July 1847.
New MODES OF EFFECTING UNION OP WOUNDS.
M. Amussat has of late procured the union of large wounds by the first intention by means of the following suture. He passes several very fine steel sewing needles through the cutaneous edges of the wound, and having twisted a waxen thread around them, breaks off their extremities by means of a forceps, and leaves them to fall out of themselves, which they do in a few days, just as ligatures of vessels are allowed to do.—Gazette des Hopitaux, No. 69.
M. Baudens employs the following means for bringing together the edges of wounds. Speaking of that resulting from an amputation for example, he directs a circular bandage to be placed above the stump, and two strong pins fixed into this, one before and one bebind, in such a manner as to leave their heads and points exposed. A double point of support is thus got, around which strong cotton threads are passed; these are crossed over each other towards the face of the stump in such a manner as to draw the integuments together with any desired force, after the manner of an uniting bandage, terminating with a figure of eight, just as in the operation for hare-lip.-Comptes Rendus, T. 24,
CHRONIC CUTANEOUS ERUPTIONS.
M. Cazenave recommends the following formula as of excellent service in chronic dartrous eruptions, as impetigo, eczema, lupus, and all diseases of the skin allied to the lymphatic and scrofulous constitutions. Crystallized Chloride of Lime .
ADDRESS TO THE READER.
The Readers of the Medico-CHIRUGICAL Review will perceive, by the
Prospectus which accompanies the present Number, that it has been de
termined to incorporate with it, in the future publication, The BRITISH
AND FOREIGN MEDICAL REVIEW, hitherto conducted by Dr. FORBES.
By this arrangement the Proprietors have the gratification of being able
to state, that the services of the most valued Contributors to both of
these Reviews will be combined—and that there is every reason to believe
that the result will be the production of a work second to none in Europe
for the soundness, depth, and variety of its Medical and Chirurgical
September 30, 1847.
1. The Retrospect of Medicine ; being a Half- 13. Proceedings of the National Medical Conyearly Journal, containing a Retrospective ventions, held in New York May 1846, and in View of every Discovery and Practical Im. Philadelphia May 1847. 8vo, pp. 175. Philaprovement in the Medical Science. Edited by delphia, 1847. W. Braithwaite. Part 15. Jan.-June, 1847. Svo, pp. 483. London.
14. The American Journal of the Medical
Sciences Edited by Isaac Hays, M.D. 8vo, 2. The Half-yearly Abstract of the Medical pp. 284. July, 1847. Philadelphia. Sciences; being a Practical and Analytical Di. gest of the Contents of the principal British and
15. The Human Brain; its Structure, PhyContinental Medical Works published in the
siology, and Diseases, with a Description of preceding Six Months. Edited by W. H. Ran- the Typical Forms of Brain in the Animal Kingking, M.D. Vol. V. Jan.-June, 1847. 8vo,
dom. By Samuel Solly. Second Edition. Svo. pp. 424. London.
pp. 684. London, 1847. 3. The Medica Examiner an
16. On the Causes and Treatment of Abordical Science. Edited by Robert M. Huston,
tion and Sterility; being the Result of an ex. M.D. No. 29—30, May and June, 1847. Phila
tended Practical Inquiry into the Physiological delphia.
and Morbid Conditions of the Uterus, with re
ference especially to Leucorrheal Affections, 4. An Experimental Inquiry into the Func- and the Diseases of Menstruation. By James tions of the Great Sympathetic Nerve. By C. Whitehead, F.R.C.S. 8vo, pp. 426. London, 1847. Radcluffe Hall, M.D. Part I. 8vo, pp. 126. Plates. London, 1847.
17. The Microscopic Anatomy of the Human
Body in Health and Disease. Illustrated with 5. A Guide to the Use of the Buxton Waters. numerous Drawings in Colour. By Arthur Hill By William Henry Robertson, M.D. Fourth Hussall. Parts 10 and 11. London, 1847. Edition, revised. Foolscap 8vo, pp. 32. London, 1847.
18. An Account of a Simple Means of Mode
rating the Effects of Fire upon the Human 6. A Copy of Reports on Sir William Burnett's Body. By Mr. F. A. Bulley, F.R.C.S., Surgeon Disinfecting Fluid. Ordered by the House of
to the Royal Berkshire Hospital, Reading. (ReCommons to be printed, 20th July, 1847. Pp. 14. printed from the Medical Times.) 7. Cholera, Dysentery, and Fever, patholo
This paper gives an account of the benefit its gically and practically considered; or the Na. author has derived from the employment of ture, Causes, Connexion, and Treatment of
Treacle diluted with three parts of water, at a these Diseases in all their forms. By Charles
temp. of 989, as an application to Burns of vari. Searle, M.D. 8vo, pp. 140. London, 1847. ous degrees of intensity. Lint soaked in the 8. A Treatise on Diet and Regimen. By Wil.
mixture is to be kept constantly applied to the liam H. Robertson, M.D. Fourth Edition, Part part, renewing morning and evening, and moisIII., 8vo. London, 1847.
tening at intervals. 9. Twenty-seventh Annual Report of the Di.
19. On the Use of Nitrate of Silver in the rectors of the Dundee Royal Asylum for Luna
Cure of Erysipelas. By John Higginbottom. tics, submitted, in Terms of their Charter, to a F.R.C.S. E. Nottingham. (Read before the General Meeting of the Directors, 21st June,
Provincial Medical and Surgical Association.) 1847. With the Report of the Medical Officers.
The Profession is much indebted to Mr. Hig8vo, pp. 62. Dundee, 1847.
ginbottom for having many years since called 10. Seventeenth Annual Report of the Belfast
its attention to the valuable properties of the District Asylum for the Insane Poor of the
Nitrate of Silver, and especially to its power in Counties of Antrim and Down, and of the Town
arresting the progress of Erysipelas. In the of Carricfergus. For the Year ending 31st present communication he recommends the apMarch, 1847. Drawn up by the Resident Phy. plication at a far earlier period of the disease sician. 8vo, pp. 43. Belfast.
than he formerly deemed advisable; such mode
of using it, with attention to the digestive organs, 11. A Letter to Benjamin Rotch, Esq., Chair. often rapidly cutting short its progress. He emman of the Committee of Visitors ; on the Plan ploys the following solution :- Årg. Nitr. four and Government of the Additional Lunatic scruples, Nitric Acid six drops, Distilled Water Asylum for the County of Middlesex about to four drachms, previously well washing the part be erected at Colney Hatch. By John Conolly, first with soap and water, and then with pure M.D. 8vo, pp. 27. London, 1847.
water. So used, it is especially beneficial in
erysipelas, threatening to spread over the scalp, 12. The Consciousness of Right and Wrong
to which it may be freely applied without ina just Test of the Plea of partial Insanity in ducing vesication. Criminal Cases. Illustrated by the Case of William Stalker, indicted at the Cumberland 20. The Preservation of Infants in Delivery. Lent Assizes, 1847, for the wilful Murder of his Being an Exposition of the Chief Cause of MorWife. By c. Lockhart Robinson, M.D. 8vo, tality of Still-born Children. By Richard King, pp. 18, Edinburgh, 1847.
M.D., M.R.C.S. 8vo, pp. 60. London, 1847.
21. The Chemistry of Vegetable and Animal gratulate the author on the success of his at. Physiology. By Dr. G. J. Mulder. Translated tempt. Much of what he says is altogether beside from the Dutch, by Dr. P. F. H. Fromberg. his argument, and the tendency of some of his With an Introduction and Notes, by J. F. W. observations is altogether very objectionable. Johnstone, F.R.S.L. & E. Part III. 8vo, pp. 267. Eight coloured Lithographs. Edin. 1847.
26. Unhealthiness of London, and the Neces
sity of Remedial Measures. By Hector Gavin, 22. Contributions to the Pathology and Treat- M.D., F.R.C.S. E. Pp. 70. London, 1847. ment of the Scorbutus which is at present pre
Contains much useful information respecting valent in various parts of Scotland. By Charles
the state of health in the metropolis, the fearful Ritchie, M.D. (From the Monthly Journal of
amount of disease that might be prevented, and Medical Science.)
the simple and efficient means of attaining this Dr. Ritchie has here drawn up a very excellent
most desirable object. The lecture is exceedingly account of this formidable disease as it has pre
well adapted for a popular audience vailed in Scotland-in common with entire Eu
27. Consumption of the Lungs and Asthma, rope-during the late Spring. For reasons stated
arrested and cured, in the Majority of Cases, by in our Periscope we cannot however agree with
Inhalation and other Rational Means, By him in referring its production exclusively to de.
Daniel Carr, M.D. 12mo, pp. 200. London, fective diet, exposure to severe weather and the
1847. like ; and we are among those whom he speaks of as “ turning away from what is known and
A work that is altogether discreditable to the tangible, to seek the causes of the epidemie in the
writer (whose address is Birmingham), if he be unknown and impalpable obscurities of an aerial
a regularly-educated member of the profession. constitution.'
What shall we say of an M.D., who appends "a
series of questions on Consumption and Asthma, 23. Anecdota Sydenhamiana: Medical Notes which will enable patients, who are desirous of and Observations. By Thomas Sydenham ; hi. consulting a physician, to state their symptoms therto unpublished. Second edition, pp. 80. clearly, either personally or by letter i 'Need Oxford, 1847.
we say more respecting the style and purport of
the book? We are glad to observe that these “ Notes, &c." of a cotemporary and acquaintance of Sydenham 28. Theorie des Neuro-viscerites ou Fieyres himself have reached a second edition. Our
Primitives. Par Ant. Hugon. 8vo, pp. !11. readers are probably aware that the profession Paris, 1847. is indebted to Dr. Greenhill of Oxford for the possession of this little work. As a matter of
The author is a decided anti- Broussaist, and course, all the members of the Sydenham Society
an energetic advocate of the essentiality of severs. should have a copy of it.
His views are generally sound and practical, and
we have derived much pleasure from the perusal. 24. On the Duties of Physicians, resulting from the Physician. By the late Rev. Thomas
29. Gazette Medicale, July to September. Gisborne, M.A. Pp. 66. Oxford, 1847.
In exchange. A re-print of a portion of the author's well. 30. L'Union Medicale. known and useful work, “ Enquiry into the
In exchange. Duties of Men in the higher and middle classes of Society in Great Britain, resulting from their
31. Dublin Medical Review. respective Stations, Professions, and Employ.
In exchange. ments," 6th Edit. 1811. We all stand in need of being reminded of our duties towards those who 32. Edinburgh Medical and Surgical Journal commit their health, and often their happiness for July. too, to our keeping. To those beginning the prac
In exchange. tice of the medical profession, much of the ad. vice in these pages may be truly useful.
33. British and Foreign Medical Review for
July. 25. A few Remarks on the Expectant Treat
In exchange. went of Diseases. By AKEXTH. Pp. 16.
These remarks are intended as a defence of 34, Edinburgh Monthly Journal of Medical “legitimate medicine," and in answer to certain Science, for July, August, and September. recent heresies in a cotemporary Journal on the
In exchange. subject of what has been called the “natural method” of treating diseases. We cannot con
ERRATUM. Dr. E. Kennedy's paper, referred to in page 405, appeared in the number of the Dublin Medical Journal for February, not May, last.
IN D E X.
Abdomen, wounds of, Guthrie on.... 88 Blisters, effect of on the Blood......
545 Blood, Period of Coagulation of the.. 310
40 Blood, effects produced on the, by
523 Bloodletting, indications and contra-
... 297 Bone, Flourens on the formation of.. 426
45 Brain, Physiology of the
46 Brain, Nature of Congestion of the .. 301
518 Breast, question of removing for can-
43 Breast, Velpeau on Abscess of the 543
34 Brookes on Inhalation of Ether...... 246
247, 267 Cancer, Question of operating for.... 370
257 Catamenia, age at appearance of .... 382
555 Cells, Mulder on animal and vegetable 414
96 Children, bleeding from the jugular vein 252