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457

PAGE. .

Page.

A Practical Treatise on the Medical Roddick, Thos. G., M.D, Cases treat-

and Surgical Uses of Electricity. ed with the Thermo-Cautère .. 208

By Drs. Beard and Rocknell 318 Roddick, Thomas G., M.D. Introduc-

Loss of Weight, Blood Spitting and tory Lecture at the Opening of

Lung Disease. By Horan Do-

the Medical Session McGill Uni-

bell, M.D

320 versity

145

Disease of the Bladder and Urethra Roddick, Thomas G., M.D. On Lis-
in Women. By A. C. Skene, M.D. 321

terism.....

289
Manual of Physical Diagnosis. By Rodger, Thos. A., M.D., on a Case of
Francis Delafield, M.D

322 Fracture of the Patella Thrombo-
A Practical Manual of the Diseases

sis of Pulmonary Artery

447
of Children, with a Formulary. Ross, George, A.M., M.D. Five fatal
By. E. Ellis, M.D

323 Cases of Cirrhosis of the Liver,
Index Medicus. Drs. Billings and

with Autopsies..

389
Fletcher....

324 Ruptured Pericardium, Fractured
A Manual of the Practice of Sur- Pelvis and Ruptured'Urethra.... 140

gery. By Thomas Bryant, F.R.C.S. 364

The Principles and Practice of Sur- Salicylate of Soda in Rheumatism 369

gery. By John Ashurst, Jr., Sewell, Jas. A., M.D., on the Cure of

M.D.

364 Aneurism by Turnell's method 7

General Surgical Pathology and Shepherd, F. J., M.D., on Mammary
Therapeutics. By Dr. Theo. Bill-

Abscess. .

534
roth
365 Stenosis of Pulmonary Artery

178
Lectures on the Localization of Stricture of the Rectum treated by
Diseases of the Brain. By Charcot 409 Incision

418
Lectnres on Bright's Disease of the Strychnia in Nocturnal Enuresis 186
Kidneys. By J. M. Charcot.... 410 Sulphate of Quinine

47

Physiological Therapeutics. A new Surgical Treatment of Bronchocele.. 35

Theery. By Thomas W. Poole,

M.D

411

The National Dispensatory. By

Tape Worm in Cucumbers

379
Sttile and Maisch.

456 Tapping the Lungs in Phthisis 275

Clinical Lectures on Diseases pe-

The Coming Duties of the Accoucheur 45

culiar to Women. By Lombe

The Dilatable Tampon to arrest

Atthill

Hæmorrhage after Lithotomy 48

Medical Chemistry, including the

The Odour of Sanctity

127
Outlines of Organic and Patho-

The Past and Present-Before and

logical Chemistry. By C. Gilbert

After the Introduction of the

Wheeler

458 Antiseptic Method in Surgery. 264
Heallth Primers, No. 1. Exercise

The Pathology of Rodent Ulcer...... 374

and Training. By W. S. Green-

The Physiological and Therapeutic

field, M.D.

459 Action of Jaborandi

177

Amerlcan Health Primers. Hear-

Therapeutic Value of Croton Chloral 468

ing and how to keep it. By Chs.

The Royal Medical and Chirurgieal

H. Burnett, M.D

460 Society Thyrotomy in oblitera-

Clinical Treatise on Diseases of the

tion of Larynx...

230

Liver. By Dr. F. Theod. Frerichs 461 The Stomach Bandage in Ascites.... 43

Atlas of Human Anatomy-Part

The Surgical Treatment of Lupus 278

The Treatment of Acute Obstruction

Ist. By Rickmann J. Goodlee,

of the Bowels

375

F.R.S

462

Tablets of Anatomy and Physiology.

The Treatment of Phagedenic Ulcers. 77

The Use of Eserine in Glancoma

505

By Thomas Cooke, F.R.C.S. 462

Habershon on

The Use of Ergot in Typhoid fever.. 177

the Alimentary

Three Cases of Malignant Disease.

Canal

463

Dr. MacDonnell.....

481

An Introduction to Pathology and Tight Strictures of the Urethra 128

Morbid Anatomy. By T. H.

Treatment of Diarrhoea by Oxide of

Green, M.D.

463

Zinc.....

232

A Practical Treatise ou Surgical

Treatment of Diphtheria

233
Diagnosis. By A. L. Ranney,

Treatment of Neuralgia by Hypo-

A.M., M.D

498

dermic Injections of Ergot.. 231

Modern Surgical Therapeutics. By

Treatment of Novus with Sodium

G. H. Napheys, A.M., M.D 500

Ethylate

223

Treatise on Diseases of Infancy Treatment of Psoriasis

89
and Childhood. J. L. Smith, M.D. 500 Treatment of Sore Nipples .

328
Clinical Diagnosis. Edited by Jas. Treatment of Ulcers of the Leg

88

Finlayson, M.D..

503 Treatment of Ulcers and Varicose

Epitomy of Skin Diseases. By Til-

Veins

172

bury, Fox, M.D., F.R.C.P. 505 Tremain, L., M.D., Edin. Case of
Guide to the Qualitative and Quan-

Intussusception and passage by
titative Analysis of the Urine. Dr.

stool of 17 inches intestines.. 450
C. Neubauer and Dr. J. Vogel.... 548 Tracheotomy, After Treatment in

Guide to Therapeuties and Materia

Cases of...

186

Medica. Robt. Farquharson, M.D. 549 Tracheotomy in Laryngeal Diph-

Practical Manual of the Diseases of

theria. By. J. W. MacDonald,

Children. Edward Ellis, M.D.... 550 M.D., M.B.C.S

216
Transfusion

192
PAGE

PAGE
Traumatic Tetanus...

561 Valedictory Address to the Gradu-
Turpentine as an External Appli-

ates in Medicine and Surgery,
cation in Small Pox.

48 McGill University. By Dr. Fen-
Two Cases of Urethral Fever. Dr.

wick

385
Jas. Bell...
49 | Vienna Letter...

536
Use of Pilocarpine in Children's Warner's Pills of Quinine

524
Diseases.....

552 When shall the Lying-in Woman
Urticaria as a consequence of the get up?.

564
use of Sodium Silicylate.... 326 Wound of the Brain by a Pistol Shot,
Uterine Hemorrhage
47 Recovery from

254

LIST OF CONTRIBUTORS TO VOL. VII.

Bell, JAMES, M.D.

MoARTHUR, J. A., Esq.

BURLAND, W. H., M.D.

McCallum, D. C., M.D., M.R.C.S., E.

CLARK, ANDREW, M.D.,F.R.C.P.,Lond. McDonald, J. W., M.D., M.R.C.S, E.

Dawson, RANKIN, Esq., B.A.

MCKENZIE, B. E., B.A.

Duncan, Geo. C., M.D., L.R.C.S., Ed. MiGNAULT, D., B.A.

EDWARDS, A. C., M.D., M.R.C.S., E. OSLER, WILLIAM, M.D., M.R.C.P., L.

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HOWARD, HENRY, M.D., M.R.C.S., E. SHEPHERD, F.J., M.D., M.R.C.S., Eng. HOWARD, R. P., M.D., L.R.C.S., Edin. Stewart, J., M.D.

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S SEP 178

CANADA MEDICAL & SURGICAL JOURNAL

AUGUST, 1878. PYÆMIA AND DEATH FOLLOWING THE CUTTING

OF A CORN.

BY OLIVER C. EDWARDS, M. D.

(Read before the Medico-chirurgical Society of Montreal, May 31st, 1878.)

On Wednesday, March 6th, I was called to see s. S., a young man aged 19, residing in Prince street. On enquiry the following facts were given me of his previous history. He had had an attack of pneumonia three years prior to his present illness, otherwise he had enjoyed excellent health. He was one of a family of thirteen, two of whom had died in infancy. Father and mother are living. He had been engaged as a printer for five years, and for the past two years of that time has been working in a well-ventilated office in this city. The house in which he was lodging was comparatively comfortable and neat, but the street is low-lying, and the drainage defective. He had lost much sleep during the winter, from an over indulgence in dancing, often dancing all night—this taking place on an average two nights a week. Three days before his present illness he danced all night in a very warm room, and perspiring freely. He slept for about half an hour in his damp clothes, and then went to his work at the usual hour. I was also informed that on February 27th, while in the act of shaving down a corn on the little toe of the right foot, with a razor, he accidently cut too deep, and the wound bled somewhat freely. Having bound up the toe he went about his work as usual. On Saturday, March 2nd, he complained of pain in the toe, and noticed it somewhat inflamed. On the following day the pain NO. LXXIII.

1

was more acute, and the inflammation had extended up the foot for a distance of three inches. It was also noticed that a few drops of pus had formed around the corn on the little toe. A bread and water poultice was applied and the pus discharged. The pain was so acute on the evening of that day, that having gone to a friend's house he was obliged to be assisted back to his home. He also felt a slight pain extending up the inner side of the leg and thigh.

On Monday March the 4th the painful sensations had ceased entirely in the right leg, and the inflammation had entirely passed away from the foot, but he now experienced a very acute pain in his left hip and joint. Fever came on during the day and perspiration, which became very profuse at night-time, but no chills.

On Wednesday, March the 6th, I saw him for the first time. Found him lying on his right side, which position he had retained for the past two days, the left leg somewhat flexed— face expressive of much anxiety, and complained of great pain in the left hip-joint, the character of which he described as “like the beating of a blacksmith's hammer." There was no swelling about the joint, but it was tender to the touch. He complained also of a slight pain in the popliteal region of the same leg. Pulse, 100; temperature 100 2-5%. Tongue coated but moist.

Knowing that the patient had, two nights before his illness, exposed himself to cold by dancing, perspiring freely, and afterward sleeping in his wet clothes, and thinking that the slight accident in cutting the corn on the little toe was a mere coincidence, I at first judged this to be a case of inflammatory rheumatism, of a kind which is sometimes present, the pain confined to one joint, no appearance of swelling, and the pain most excruciating. Accordingly, I administered at the first visit a hypodermic injection of morphia, and put him on the salicylate of soda, 20 grs, every three hours, powder of morphia to be given at stated intervals, and ordered hot applications to the joint, and nourishing liquid diet.

March 7th.Perspired very profusely during the previous night, his bed-clothes and shirt saturated. Appears, however,

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