MILK-LEG IN THE MAN. - Dr. Wood, in the Med. Times, Phil., reports a case of milk-leg in the man. In May last, the patient was attacked with diarrhoea, which was very obstinate in its character. He was much debilitated in consequence, and was unable to work for ten weeks before the leg became affected. The first symptom was pain in the right knee, followed by swelling, and soon after blue and red spots began to appear over the leg. The swelling continued and the leg became hard, but the pain was not great. The opposite leg was similarly affected, but only to a slight extent. The course of the veins was painted with iodine, iron and quinine administered internally, and good diet ordered, under which he made a speedy recovery. LEPROSY.-This disease, happily very rare on this continent, exists among some families in the village of Tracadie, New Brunswick. The people are of French descent, and the disease is said to have been brought hither by a French vessel which was wrecked off the coast, 80 or 90 years ago, and having on board a quantity of clothing from Asiatic ports. A hospital has been erected for those afflicted with the disease, by which means they are isolated as much as possible from their fellow-citizens. ENLARGEMENT OF THE SPLEEN.-Bromide of potassium is highly spoken of by continental phy. sicians as a remedy for enlargement of the spleen. In some parts of Algeria intermittent fevers preDISLOCATION OF AND COMPOUND FRACTURE INTO vail to a great extent, and, as a matter of course, THE ANKLE JOINT.-Dr. Patterson, in the Glasgow there are many cases of hypertrophy. The drug Medical Journal for July, reports five cases of com- is given in large doses-as much as forty-five grains pound dislocation and fracture of the ankle joint daily, and is almost invariably followed by good treated successfully without amputation, by the anti-results. No other treatment previously employed septic method. The strength of the solution used has given anything like the same satisfaction. was one of carbolic acid to twenty parts of water. Compound injury to the ankle joint being one of the most serious accidents to which the body is liable, it would seem to be a good test of the superiority of this plan of treatment over all others. Two of the foremost surgeons of Milan have recently been fined for not giving information concerning a duel which was attended with serious The plea of professional secresy was brought forward, but the Court refused to receive it. results. CHLORAL AS A PRESERVATIVE.-This substance is now being used extensively as a preservative of dead bodies for anatomical purposes. It is used by in- DEATH FROM AN OVERDOSE OF CHLORAL HYjecting into the vessels a solution of the hydrate of DRATE.-A young man named Parkinson had a chloral in the proportion of one to ten parts. A prescription containing half an ounce of chloral mixture of carbolic acid and glycerine in the same put up by a druggist in this city. He went proportions is sometimes used, but is not nearly so across the road to a saloon and called for a glass of efficacious as chloral. It maintains the body in a brandy, but instead of drinking it he put in about very complete state of preservation, without any two-thirds of the contents of the mixture of sign of decay or any trace of an offensive odor. chloral and swallowed it. He soon became insensible. A medical man was sent for, but he died in a few minutes after his arrival. He lived about twenty minutes after swallowing the dose. METHOD OF USING THE SPECULUM.-Dr. Thomas in his late work advocates the lateral or Sim's method of using the speculum. He regards this as a general improvement on the dorsal position and an advance in gynecology. In the "Women's APPOINTMENTS.-Edward Kidd, M.D., of ManoHospital," New York, the levator perinci speculum tick, Associate Coroner for the County of is the only kind employed, and he believes it will Carleton. John Livingston, of Silver Islet, Dissupersede all others. The lateral position is decid-trict of Thunder Bay, Associate Coroner for the edly the best and most convenient for the operator, District of Thunder Bay. James McGarry, M.D., and will soon be universally adopted. of Drummondville, Associate Coroner for the The number of medical students entered in Lon-County of Welland. Jonathan Wilkinson, M. don since Oct., 187, is said to have been a little under 1,000. St. Bartholomew's heads the list with 109, and is followed by Guy's with 85. D., of Woodbridge, Associate Coroner for the TRANSFUSION.--The operation of transfusion is being resorted to very frequently of late as a means of prolonging life among consumptive patients. We copy a report of some interesting cases that took place in Fall River, Mass., and we observe from the columns of the Inter-Ocean (Chicago) that some of the doctors in that city have been trying similar experiments. It is stated that the parties experimented upon were far advanced in consump tion, and that they were invariably benefitted by the operation. Some of them were so revived and strengthened as to be able to make a journey to the south for the winter. Toronto Hospital Reports. TWO CASES OF CUT-THROAT. (Reported by J. R. Clark, Medical Student.) CASE NO. I.-James Wightman, aged 66, a resisident of Scarboro, was admitted into the hospital on the 27th of October. The wound, which was self-inflicted while alone, with a razor, was about 4 inches long, extending across between the larynx and hyoid bone, severing the thyro-hyoid membrane, opening the air passage, and leading into the pharynx. There was considerable hemorrhage. He was found a few minutes after, and the wound dressed by a medical man, who inserted a number of sutures and afterwards brought him to the hospital for further treatment. The patient can assign no particular reason for the act. He was accustomed to moderate drinking and had indulged rather freely for several days previous, and was slightly intoxicated at the time he committed the act. General health very good when not drinking. He is labouring under mental depression. His father died of consumption. He has never had syphilis; had scarlet fever when young; had an ulcer on the left leg about four years ago; there is still a varicose condition of the veins present, and he wears an elastic stocking. Oct. 28-Pus has formed in the wound; the sutures have sloughed out and the wound is gaping, bringing into view the epiglottis and chorda vocales. His nervous system is suffering somewhat from shock, but there is no delirium; says he is sorry for having done the deed. Respiration nor mal; temperature about 98; pulse 70; appetite 1 pretty good; passes urine without difficulty. He is fed by a tube passed into the mouth and down the esophagus, and receives about six pints of milk with beef tea, and 8 oz. of whiskey in the 24 hours. Nov. 7th-He complains of fulness of the stomach; tongue slightly furred; has had diarrhea; skin dry; he is becoming weaker. Nov. 10th-Patient much improved; wound granulating nicely. Nov. 13-Still improving. Nov. 28-Wound nearly healed. CASE NO. II.-Cornelius Scanlon admitted Nov. 15; aged 37; married; tavern-keeper by occupation; resides in Toronto. The wound was inflicted by himself, with a tobacco-knife while labouring under an attack of delirium tremens on the morning of admis sion. The wound is situated below the hyoid bone and extends into the larynx. It is about two and a half inches long, extending from left to right and from below upwards. It bled a good deal, but had stopped before he was seen. A medical man was called and inserted a number of sutures. then sent to the hospital. He was He had delirium tremens several times, and is now slightly depressed in spirits. Family history good; no tendency to hereditary disease; had syphilis about eight years ago and was salivated. Nov. 16th-Pulse 82; respirations 26; appetite good; can swallow his food without any difficulty. Tongue furred and brownish, bowels regular, urine scouty and high colored, and passed with difficuity; skin cool and moist. Ordered 1 lb. bread, 1 pt. beef tea, and 2 pts. of milk per day. Nov. 20th Pulse 100; headache; bowels slightly constipated. Nov. 25th-Improving; wound healing by granulation. ABSCESSES THE RESULT OF TYPHOID FEVER. (Under the care of Dr. Geikie.) Thos. Worth, aged 50, labourer, native of England; has lived in Toronto for several years past; always healthy previous to the present illness; of steady habits; was admitted into the hospital Nov. 21st; no family history. He had had a severe attack of typhoid fever, lasting seven weeks. Abscesses had formed-one under the pectoralis major, and another at the wrist. He was very weak, almost moribund and speechless when sent to the hospital; pulse about 140; hectic symptoms. Both abscesses were immediately opened and large quantities of unhealthy pus removed. Diet-Eggs, milk, beef tea and bread, and 8 oz. of whiskey daily. Treat ment: Nov. 26-Continues about the same with slight improvement. Ordered to be kept warm and comfortable. Sponged occasionally and rubbed with a coarse towel. Under this treatment he commenced to improve, and has gained steadily ever since. Nov. 30-He is nearly convalescent, and will. soon be able to leave the hospital. Beports of Societies. TORONTO SCHOOL OF MEDICINE. FIRST ANNUAL DINNER. On Tuesday evening, 10th ult., the first annual Nov. 28-Improving slowly and is likely to make dinner of the Toronto School of Medicine was a good recovery. CASE OF ACUTE BRIGHT'S DISEASE. (Service of Dr. Geikie,) held at the Walker House in this city, and was attended by about fifty of the students of that institution, and some thirty guests. The occasion was in every way a most agreeable one, and was who bore the entire expense. A prominent feature of the dinner was, that it was conducted on strictly temperance principles, in accordance with an unanimous resolution of the students. The James Larmour, aged 52, native of Ireland, flax-conducted in a manner creditable to the students, dresser, was admitted into the hospital Nov. 17. He was in the British army for twenty-one years; resided in India for some time; was in the siege of Lucknow; has been a hard drinker, but had always been healthy before the present attack; no family history. He has resided in Toronto for the past 13 years; was sick for about two weeks prior to his admission, having had a bad cold. The first thing he noticed was that his urine was very scanty, and shortly after, his feet began to swell. The swelling extended upwards to the body, and involved the scrotum and penis to a marked extent. There was little or no pain in any part of the body. He had a dull expression of the countenance, face puffy, and double vision. His appetite was very good, tongue clean and bowels regular, pulse 90. There was difficulty of breathing, oppression and slight cough. The urine was highly albuminous; Sp. gr. 1010; reaction alkaline, and contained granules and epithelial casts, but no crystals. Diet-1 lb. bread, lb. beef, lb. potatoes, 2 pints of milk. Treat ment : chair was occupied by Mr. John S. King, and the vice-chair by Mr. Wm. Britton, senior students, chosen for the positions by vote of their fellows. Among the guests seated to the right and left of the chairman, were Rev. Dr. McCaul, President of University College; Prof. Goldwin Smith; Dr. Aikins, President of the Faculty; Prof. Croft; Dr. Thorburn, Dr. Barrett, Dr. U. Ogden, Dr. W. W. Ogden, members of the Faculty. Also, Dr. C. B. Hall, Dr. Reeve Dr. McCallum, of the City Hospital, Dr. Geo. Wright, Dr. McFarlane and Dr. Langstaff, of Richmond Hill. On either side of the vice-chairman, were Dr. H. H. Wright, Secretary of the Faculty; Prof. Ramsay Wright, of College; Dr. Graham; Principal Cockburn, of University College; Dr. Canniff, Dean of Victoria Upper Canada College; Dr. Oldright and others. In the general assembly were a few of the graduates of the school, and one or two representatives of other medical institutions. The dining Hall was appropriately decorated, and bore the motto, "Miseris Succurrere Disco." The evening's entertainment was greatly enhanced by vocal and instrumental music, which was contributed by several good amateurs of the city. Dinner served, letters of apology from some half-dozen invited guests were read, expressing regret at their inability to be present, after which the usual standard and patriotic toasts were submitted by the chairman, and duly honored. The toast of the "University of Toronto" was responded to by Rev. Dr. McCaul, in his usual able and happy manner. In proposing the toast of the evening, viz.: that of "The Faculty of the Toronto School of Medi cine," the chairman passed a high eulogy upon the personnel of the Faculty, and expatiated upon the advantages likely to accrue to all concerned in the interests of the school by such annual gatherings, where a bond of union would necessarily be created, strengthened and perpetuated. toast was received with great enthusiasm by the students. The Dr. Aikins, in responding, gave a brief history of the school and the result of its labors, and made mention of the fact, that over thirty of its former students were practitioners in Toronto. Other members of the Faculty also responded in entertaining and instructive addresses. The toast of "University College" was replied to in a most humorous manner by Prof. Croft, who fairly brought down the house. Prof. Ramsay Wright also briefly responded, acknowledging the honor of being a guest, and his great pleasure in meeting with the assembly. He also indicated, in a general manner, the course he proposed to adopt as teacher of Natural Science in University College. The next toast was that of "Trinity College Medical School," to which the Dean, Dr. Hodder, was expected to reply, but who from illness was prevented. The sentiment was well received and Next followed, "Victoria College duly honored. Next followed, Medical School," to which Dr. Canniff made a suitable reply, and expressed his friendliness to the Toronto School, from which he had himself graduated. The chairman then transferred the proposing of toasts to the vice-chairman, who, after a few happy and well-timed remarks, proposed "The Council of Public Instruction," connecting therewith the name of Prof. Goldwin Smith, who, on rising to reply, was warmly received. His speech was a most eloquent and well-timed allusion to the nobleness of the healing art, and the heroism and honor attaching to the truly devoted physician. He also made brief reference to, and pointed out the vast importance of a strict attention to the enforcement of Sanitary Laws, as of preserving life. He acknowledged in a kind manner, on behalf of the Council, the honor done them, and expressed his belief that it would be found that the Council would devote its best endeavours to promote the advancement of education, and by this means train men to become in every way worthy to receive the teaching which the medical school could afford them. He resumed his seat amid great applause. a means The chairman then gave a patriotic recitation, entitled "Canada the Land of the Maple Leaf," Dr. Aikins then replied which was well received. to the toast of "The College of Physicians and Surgeons of Ontario," and pointed out advantages accruing from the Act as now existing. "Upper Canada College," the next toast on the list, was ably responded to by Principal Cockburn and Dr. Barrett. Rev. Dr. McCaul, obtaining permission from the vice-chair, then proposed "The health of the Chairman," Mr. King, and in so doing paid that gentleman a high compliment for the manner in which he had performed his duties, which toast was received with cheers by the students, and duly honored. Mr. King responded in a happy manner, and took occasion to express to the guests the thanks of the students for their presence and countenance. Drs. Graham, Reeve and Hall made excellent speeches, in reply to the toast of the "General Medical Profession." Drs. Cameron, Taylor and Miller replied to the toast of "The Graduates of the School. Mr. McPhedran, a senior student, proposed the toast of "The Freshmen," and in doing so made a very appropriate speech, which was well received and replied to by Mr. Griffin, in a neat though brief speech. Dr. H. H. Wright proposed the toast of "The Seniors," to which Mr. Renwick made a suitable reply. and duly honored. "The Press" was proposed by Mr. Sanderson, "The Ladies" was proposed by Mr. Eakins, and replied to by Dr. Miller. Mr. Cameron proposed "Mr. Walker, the host," which that gentleman duly acknowledged. The gathering dispersed at 1.30 a.m., highly gratified with the results of the dinner, after giving hearty cheers for the Queen and the Faculty of the School. DIED. At Ormstown, Que., on the 11th ult., John Anderson, M. D., a native of Aberdeen, Scotland, aged 67 years. At the Village of Gananoque, Ont., after a severe illness, Dr. Wm. Potter. At North Orillia, on the 2nd inst., Charles J. Robinson, M.D., suddenly, of heart disease. At his residence, Pictou, N.S., on the 19th ult., George Augustus Christie, M.D., eldest son of Rev. George Christie, Yarmouth, N.S. By Arthur Jukes Johnson, M.B., M.R.C.S., England; Fel- When I first saw Mr. K., on Oct. 24th, 1874 The vomiting, however, returned within a day or two, and I was again sent for. I now ascertained by enquiring into the previous history of the case, that about two years ago a large mass of frozen earth fell across his back, striking him immediately below the shoulder blades. After this time he never was well, having almost continuous pain in both the right and left sides. Very shortly after] this, he suffered from all the symptoms of indigestion, and took a particular dislike to certain foods. These symptoms never ceased; at first there was merely slight pain and no vomiting, but later on all the symptoms became more grave. About this time he remembers having eaten a handful of fresh cherries, swallowing the stones, and although he noticed that they gave him pain at the time, he thought no more of it. It was shortly after this that the vomiting began. Hearing this history I was induced to examine the vomit microscopically, and from the appearances I at once decided that it was a case of cancer of the stomach, and one that would rapidly draw to a fatal close. later on, the oxide of silver, still continuing the creasote and opium when the pain was severe. All these remedies had for a time a good effect, but none seemed to act so well as the first prescription. In a short time however no solid food could be retained in the stomach, and as even fluids were rejected with the exception of beer, I combined lupuline with the oxide of silver. This, too, had its good effect, but soon became as useless as any other remedy. The vomiting of dark frothy matter continued, sometimes amounting to pints at a single time, until within a few days before his death, when the power of the stomach seemed to be so weakened, that this peculiar vomit came up only in mouthfuls, and then not very often. Two days before his death, which took place on Nov. 18th, after a slight attempt at vomiting, he threw up about half a dozen cherry pits, and also out that he could have eaten any cherries since a few grains of pearl barley. As I could not find July, or barley for two weeks, it was evident that a stomach, in which these substances had been pouch existed, most probably in or near the lodged. Fig. No. 1. Post-mortem examination made thirty hours after death.-On opening the upper part of the abdomen, the stomach bulged up into the wound, being very large and full of air. All along the greater curvature of this organ, there could be felt, rolling I now ordered sulphurous acid and bark, and about inside, some fifteen or twenty cherry pits. |