ART. IX. History of a Disease from Thickened and Cartilaginous Valves of the left Ventricle, and of the Semilunar Valves of the Aorta. ART. I. Observations on the Utility of Bloodletting as the principal Re- medy in Continued Fever. By Mr John Allan II. Case of Mortification of the Appendix Vermiformis Cæci, occasion- ed by a Human Tooth found in its Cavity. By William Briggs, M. D. 270 IV. Observations on the Cure of Cancer of the Womb by Excision, By F. Bj. Osiander, Professor of Midwifery in the University V. On a Newly Constructed Sound, for the purpose of discovering VI. Reply to Dr Monro's Observations on the Discovery of the Action VIII. On Yellow- Fever. By Mr J. B. Sheppard IX. Case of violent Contraction of the Uterus, threatening Abortion, ART. I. Critical Review of the State of Medicine during the last Ten Years II. An Experiment to ascertain the Effects produced on Sound Eyes, by the application of the Discharge from Eyes affected with Oph- VIII. Cases of Laryngitis. By Ninian Hill, M. D. IX. Notes on the Swelling of the Tops of the Hands and Feet, and on VI. A Case, disproving the Doctrine, that the Surfaces of a Wound in a state of Suppuration will not Reunite by the first Intention. IV. Contributions to Diagnosis. By Marshall Hall, M. D. &c. V. Case of Reunion of a separated Portion of the Finger. By Mr ART. I. The History of the Small- Pox. By Mr James Moore II. Some additional Experiments and Observations on the Relation 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. IV. Reports of the Pestilential Disorder of Andalusia, which appeared at Cadiz in the years 1800, 1804, 1810, and 1813; with a de- tailed Account of that fatal Epidemic, as it prevailed at Gibraltar during the Autumnal Months of 1804: Also Observations on the 109 ART. I. Observations on those Diseases of Females which are attended by Discharges, &c. By Mr Charles Mansfield Clarke II. On Gun-shot Wounds of the Extremities, requiring the different operations of Amputation, with their After-treatment; establish- ing the Advantages of Amputation on the Field of Battle to the Delay usually recommended, &c. &c. &c. By Mr J. G. Guthrie III. An Inquiry into the Causes of the Motion of the Blood, &c. By IV. Medico-Chirurgical Transactions, Vol. VI. V. A Treatise on Hernia, by Antonio Scarpa. ART. I. A Treatise on the Diseases of Arteries and Veins, containing the Pathology and Treatment of Aneurisms and Wounded Artcries. Engravings intended to illustrate some of the Diseases of Arte- IV. A Treatise on the Medicinal Leech, &c. By J. R. Johnson, M. D. V. Commentaries on the Treatment of the Venereal Disease, &c. By 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. Report of Diseases Treated at the New Town Dispensary Table of the various Species of Hernia which have occurred in the General Infirmary at Northampton, between August 1813 and August 1814, &c. BEN 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 alarming size. The swelling extended from the ear to the clavicle, over 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 securing 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 few moments he breathed his last. On dissection, I found the common carotid, arising from the subclavian, 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 muscles to one side, adhering firmly to and bounded by the integuments externally, the thyroid cartilage, os hyoides, and trachea internally, and pressing strongly against the vertebræ behind. It seemed of sufficient capacity to hold 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. |