Imatges de pàgina
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Art. VI. A Case, disproving the Doctrine, that the Surfaces of a Page

Wound in a State of Suppuration will not Reunite by
the First Intention. By William Balfour, M. D.

VII. Observations, with Cases, illustrative of a New, Simple,

and Expeditious Mode of Curing Gout. By William
Balfour, M. D.

VIII. Cases of Laryngitis. By Ninian Hill, M. D.

IX. Notes on the Swelling of the Tops of the Hands and Feet,

and on a Spasmodic Affection of the Thumbs and Toes,

which very commonly attends it. By George Kellie, M.D. 448
X. Severe Case of Chorea Sancti Viti. By David Lithgow,
M. D.

XI. Some Observations on Mr Lawrence's Introduction to

Comparative Anatomy. By James Woodham, Esq. 454

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No. XLV.

Art. I. The History of the Small-Pox. By Mr James Moore,

II. Some additional Experiments and Observations on the re.

lation which subsists between the Sanguiferous and

Nervous Systems. By A. P. Wilson Philip, M. D. &c.

III. Commentaries on some of the most important Diseases in

Children. By John Clarke, M. D. &c.

IV. Reports of the Pestilential Disorder of Andalusia, which

appeared at Cadiz in the years 1800, 1804, 1810, and

1813 ; with a detailed Account of that fatal Epidemic,

as it prevailed at Gibraltar during the Autumnal Months

of 1804 ; also Observations on the Remittent and Intere
mittent Fever, made in the Military Hospitals at Col.
chester, after the return of the Troops from the Expe-
dition to Zealand in 1809. By Sir James Fellowes,
M. D. &c. &c.


Art. I. Observations on those Diseases of Females which are at-

tended by Discharges, &c. By Mr Charles Mansfield


II. On Gun-shot Wounds of the Extremities, requiring the

different operations of Amputation, with their After-

treatment; establishing the Advantages of Amputation

On the field of Battle to the Delay usually recommend-

ed, &c. &c. &c. By Mr J. G. Guthrie,

IJI, An Inquiry into the Causes of the Motion of the Blood,

&c. By James Carson, M.D.

IV. Medico-Chirurgical Transactions, Vol. VI.

V, A Treatise on Hernia, by Antonio Scarpa Translated

from the Italian, with Notes and an Appendix. By Mr

John Henry Wisbart,


ART. I. A Treatise on the Diseases of Arteries and Veins, contain

ing the Pathology and Treatment of Aneurisms and

Wounded Arteries. Engravings intended to illustrate

some of the Diseases of Arteries. By Mr Joseph Hodgson,

II. Materia Medica of Hindoostan, and Artisan's and Agricul-

turist's Nomenclature. By Whitelaw Ainslie, M.D.

III. Researches on Pulmonary Phthisis, from the French of

G. L. Bayle. By William Barrow, M. D.


Art. IV. A Treatise on the Medicinal Leech, &c. By J. R. Johnson, Page.
M. D.

V. Commentaries on the Treatment of the Venereal Disease,
&c. By Mr Edward Geoghegan,




Art. I. An Introduction to Comparative Anatomy and Physiology.

By Willian Lawrence, F.R.S.
II. Essays on Insanity, Hypochondriasis, and other Nerňous

Affections. By John Reid, M.D.
III. Professor Authenrieth on Animal Chemistry,
IV. Compendium of Medical Practice, &c. By Mr James

V. An Analysis of the Mineral Waters of Tunbridge Wells,

By Charles Scudamore, M. D.





No. XLV.

Quarterly Report of the Carey-Street Dispensary,

Mr Heath's Observations on the Guinea-Worm,


Mr Lyon's Case of Unexplained Fracture of the Ribs,


Diary of the Weather in the County of Antrim,

Meteorological Tables for Sidmouth and Derby,


Report of the Sick and Hurt, &c.


Dr W, Philip's Experiments,

On Premature Births,


Trial for Variolous Inoculation, &c.


New Publications, &c.



Quarterly Report of the Carey-Street Dispensary,


Report of Diseases Treated at the New Town Dispensary,


Table of the various Species of Hernia which have occurred in the Gene-

ral Infirmary at Northampton, between August 1813 and August

1814, &c.


Dr Rodman on Premature Births,


Classification of Diseases, by Dr Hosack,


New Pablications, &c.



Quarterly Report of the Carey-Street Dispensary,


Quarterly Report of the New Town Dispensary,


Õn Tobacco Injection in Dysuria,


Account of some of the most Remarkable Proceedings of the Medico. Chi-

rurgical Society at Berlin,


Abstract of the Register of the Lying-in Hospital, Dublin,

Extract of a Letter from Professor Scarpa of Pavia,

Extract of a Letter from Dr Kaufmann of Hannover,


Account of the late Mr Henry, &c.



Quarterly Report of the Carey-Street Dispensary,


Letter from Mr Grainger on a Ball found in the Heart of a Buck,


Observations on some Causes of Deafness, with the means of removing

them. By Professor Authenrieth,

Extracts from a Letter from a Physician in London,

Graduations at Edinburgh in 1816,


Notices of Lectures, &c.


than leave the patient to a certain fate, I ventured (after pointing out the imminent danger) to propose an operation. He, judging, I suppose, from the little comparative pain, that there was no occasion to submit to such hazard, and perhaps indulging a hope that my prognostic might be fallible, would not consent; and from a want of confidence in myself, which in this instance I am not ashamed to acknowledge, and cannot even now deprecate, I did not press it. Palliatives were therefore only recommended, -rest, an avoidance of every thing which might quicken the circulation or determine to the head, such as exercise, crying, coughing, sneezing, or stooping, and withal a gentle pressure on the tumour by a flannel roller. As might have been expected, the disease gradually gained ground; and although it continued soft, fluid, and compressible, in four months it got to a very alarmirg size. The swelling, extended from the ear to the clavicle

which it rested, became very painful and pointed at three different places. Deglutition was impeded, and his speech affected. He now desired surgical relief, which at this stage was impracticable; and the catastrophe took place on the 15th July 1810, by bursting at the most prominent apex. Although I was sent for on the appearance of blood, and reached his house in a few minutes, I found him speechless and insensible; the hæmorrhage had ceased, but the skin was cold, and the pulse at the wrist scarcely perceptible. To give him the only chance which now remained of preserving life, I run a bistoury up and down the whole length of the sac, while the syncope continued, for the purpose of securirg the bleeding artery, but in vain. An immense gush of blood followed. It then poured more slowly and weakly, and with so little impetus, from the loss already sustained, that I could not discover the jets in a sac of great capacity, filled partly with clotted blood and membranous fibres, and in a fuw moments he breathed his last.

On dissection, I found the common carotid, arising from the şubclavian, perfectly sound, until where it branches into the external and internal of that name. Here the disease existed. The sac was deep and of large extent, occupying the whole side of the neck, pushing the nuscles to one side, adhering firmly to, and bounded by ihe integuments externally, the thyroid cartilage, os hyoides, and trachea internally, and pressing strongly against the vertebræ behind. It seemed of sufficient capacity to bold 12 or 14 ounces. But to convey a better idea of the nature of the disease, and the probability of success, had an operation been judiciously performed, I accompany this with two views, an anterior and posterior one, of the diseased artery, taken by my friend Mr Burke, with great exactness, from the dried preparation.

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