542

10. Eruption is evidently getting better;bowels twice open; tongue clean.

’"

11. The itching is undiminished to-day.To have a warm bath, and repeat medicine.

18. Relieved by the bath; the itohiug isless; the legs to be sponged with warmwater. To take one-sixtla of a grain of theox,ynzuriate of merCU1’y in two ounces of adecocttOn of elm bark, three times a day.

1b. The pruriency of the eruption is stillgreat. To use a weak ointment composedof si7nple cerate and red precipitate.

16. The ointment has considerably di-minished the irritation.

19. The eruption is dying off; bowels

open ; appetite good. He sleeps well, andthere is no irritation whatever.

20. Convalescing. The eruption has dis- Iappeared from the legs, but has made its <appearance at the bend of the left elbow ; 1to be treated with the ointment again. (

27. The eruption has entirely gone. 1

29. He is dismissed quite well. J

This was a good case of the licben of old g

age ; its cure was entirely ascribable to the Estimulation of the red precipitate.

c

HOTEL-DIEU.

FRACTURE OF THE OS SACRUM AND THE

HORIZONTAL BRANCH OF THE OS PUBIS.

M., of a strong constitution, received a vio-lent contusion from some bricks falling fromthe height of about 20 feet on his loins; hewas taken up insensible and caried to theH6te!-Dieu in the following state ; his fea.tures were altered, the countenance pale,extremities cold and covered with sweat, andthe pulse small and quick ; he was quitesenseless, but slightly recovered soon afterhis admission, and complained of violentpain in the abdomen, particularly in the re-gion of the os sacrum and at the loins ; therewas much tenderness of the hypogastrium,which also exhibited distinct fluctuation.The extreme pain which was caused by anyattempt at a close examination, rendered itimpossible to form any certain diagnosis,but from the great mobility of the pelvis itwas suspected that it was fractured ; therewas no sign of any lesion of the spine, thepatient could make water, and the lowerextremities were not affected. About fourhours after the accident some reaction seem-ed to take place, the temperature of the skinwas increased, and he complained of fie,,id-

ach ; he was bled, but two ounces of bloodhad scarcely been emitted when he was

seized with syncope, difficulty of breathing,all of which continued, and proved fatalwithin a few hours. On examination of the

body, the skin and muscles at the loins and

; sacral region were found infiltrated withblood; the peritoneal cavity also contained

. about a pint and a half ot’ blood, part ofwhich was in the cavity of the small pelvis ;

the horizontal branch of the as pubis, and

i the sacro-iliac apophysis were fractured;th heart and larger vessels were empty;: the origin of the haemorrhage could not bed ise ,O"red. -La2tc. F1’an&ccedil;.

CASE OF GENERAL HYPERTROPHY, IN CON-

SEQUENCE OF SUPPRESSED 1VIEDTSTRUA&middot;z TION.

The " Journal Hebdomadaire" contains the

following interesting case, byM. de Claubry:N., of a robust constitution, had been in

the enjoyment of good health up to her

eighteenth year, when she, at the time ofher menses, experienced a fright, in conse.quence of which the menstrual dischargewas suddenly suppressed. From this pe.riod up to her twenty-ninth year, she hassuffered from the effects of increasing tend.ency of the blood towards the head, but inall other respects felt quite well. The stateof amenorrhcea, in which she continued dur.ing this time, has, however, caused a veryremarkable change in the nutritive process,which has increased to such a degree as

to produce hypertrophy of most of the softparts of her bodv. and in particular of themuscles and subcutaneous tela cellulosa.The osseous system does not seem to havepartaken Qf this chauge ; the stature is not

changed, and the skull is of natural dimen-sions ; but the skin, eyelids, lips, nose,cheeks, and all the soft parts of the face,have undergone such an extraordinary de.velopment, that, at first sight, they appearto belong to a colossal fiame ; and the coun-tenance is almost become similar to that ofpatients affected with the species of lepraArabum, which is called leontiasis. The

tongue is also so much larger than usual, asto cause impeded articulation, and a con-tinual flow of saliva. Ttie neck is remalk.

ably thick and fat, particularly at its poste-rior part ; the breasts are so large as to

touch the chin. The abdomen is not veryprominent, but the muscles and skin of theback and loins are very much developed.The clitoris and external genitals are also

unusually large; the extremities seem at

first sight very shc-rt on account of theirincreased volume, which does not only re-suit from the large quantity of subcutaneousfat, but also from the morbid developmentof the muscles, as appears from their pro-minence under the skin. The heart evinceslikewise all the signs of hypertrophy, bothto the touch and the stethoscope, the brainalso is in a morbid state, for the patient isalmost in a state of idiotism ; the digestiveorguns appear to be healthy.