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tents, they will also practically follow the directions contained in it, they will have the satisfaction of acquiring in a brief period a permanent, accurate and sufficient estimate of general morphology to serve all purposes except the higher honour examination.
SPORTS AND RECREATIONS,
FOOTBALL The matches played on Saturday last were not many in point of numbers, but some of them were of considerable importance. At the Kennington Oval Birmingham met London under Association rules, a very large concourse of people assembling to see the sport. In spite of some very good play, however, and several ardent attempts made by the Londoners to secure the victory, the match terminated in a draw, neither side being particularly able to claim advantage.
THE Association Challenge Cup was played for at Shepherd's Bush by WEST END v. REMNANTS, with the result that the West-Enders won a wellplayed and animated game by one goal, the score being at time-call-West End, three goals; Remnants, two goals.
AT OXFORD the University team engaged MAIDENHEAD in the Parks, and ended in the victory of the former by four goals to nothing. Wonderfully smart play was shown by P. C. Parr, who kicked three out of the four goals, the other falling to C. Sweet.
CAMBRIDGE UNIVERSITY F.C. were occupied in playing their annual match v. OLD ETONIANS, which was contested on Parker's Piece in the presence of a good number of spectators. A splendid game ensued, at the close of which each side had obtained two goals, the match thus ending in a draw.
St. BARTHOLOMEW's HOSPITAL OLD FORESTERS.--In this match, played at Snaresbrook, the medicals were eminently successful, the score being three goals gained by · Bart's' to nothing by their opponents.
In the first half of the game the hospital played face against the wind, Foresters having won the toss and elected to play with the breeze. The goals were won by Wimbush and Jones, of St. Bartholomew's, and the third was made in an odd manner by a rebound from the head of one of the opposing team, it having been previously splendidly thrown in by Morris. The following is a complete list of the hospital team :H. W. Burke (goal), A. J. Weakley (captain) and T. H. White (backs), E. Morris and W. Malden (half-backs), E. Jessop, C. J. Muriel, T. B. Jones, S. Wimbush, H. G. Read, and E. M. Hassard (forwards).
ST. BARTHOLOMEW'S v. LONDON A.C.-In this match, played at Stamford Bridge, under Rugby rules, the A.C., in the latter part of the game, scored a goal to their opponents' nothing, the wind aiding them to some extent, in the same way as in the first half it had enabled the hospital team to press their opponents hard. For Bartholomew's there played -R. W. Adams and J. Neilson (backs), F. G. Richards and D. B. Harding (three-quarter backs), M. Johnson and W. H. Bell (half-backs), J. E. Howe (captain), J. W. Jessops, G. E. G.
Metcalfe, P. H. Waller, W. H. Clark, J. Le Day, G. Henderson, M. G. Robinson, and C. Averill (forwards).
UNIVERSITY COLLEGE HOSPITAL V. CLEVEDON.-Played under Rugby Union rules at Blackheath, and terminated in favour of the hospital by two goals and several touches down to nothing. The goals were obtained by Boyle and Hart Smith,
St. George's HOSPITAL v. WALTHAMSTOW.In this match the hospital team was hardly ever well in the play, and that their opponents were much too strong for them the result plainly showed, Walthamstow scoring three goals and a try to nothing. At the first St. George's had the wind in their favour, but even then they could not withstand the impetus with which the ball was driven into their quarters, and in the second half of the game they were hopelessly overweighted. For the hospital played, Swinbourne and Colledge (backs), Gibbons and Mackay (three-quarter backs), Allingham and Wells (half-backs), Freeborn (captain), Page, Hawkins, Stevens, Pearson, Des Voux, Lane, Wood, and Lilley.
Guys HOSPITAL v. QUEEN'S HOUSE.—In this match, played at Westcombe Park, Guy's played one short, and the game ended thus : Queen's House, three goals, one try and several touches ; St. George's Hospital, nil.
We should be much obliged if secretaries of Football Clubs will send us early accounts of matches played.
THEATRES MR. ALEXANDER HENDERSON's new theatre in Panton Street, Haymarket, which was opened a few weeks ago in the presence of their Royal Highnesses the Prince and Princess of Wales, under the name of the Royal Comedy Theatre, is, in my opinion, one of the handsomest and best appointed in all London. I was there last Monday, and found the house not only attractive as regards decorative and architectural details, but so arranged as to best promote the convenience and comfort of visitors in every possible manner, and especially in that most important one, the means of ingress and egress. The comic opera with which Mr. Hender, son has commenced his theatrical campaign is called 'La Mascotte.' As the name might almost suggest, it is an adaptation from the French, and written in the bright and sparkling style long associated with the names of Messrs. Farnie and Reece. The music being by Audrian, the composer of Olivette,' should be at once popular, as it is throughout of a better quality than that lively piece, and there are some charmingly original vocal solos and concertos. Miss Violet Cameron I bave never seen to more advantage than in the character of Bettina, the Mascotte, and I heartily joined in the universal ap; plause her acting and singing excited. Mr. Lionel Brough awakened, as he always does whenever he appears on the stage, roars of uncontrollable laughter as the silly potentate, the Prince of Piombino, and Mr. Haynes played well up to him. The other performers were thoroughly conversant with their several parts
, and there is every prospect of "La Mascotte' rivalling in popular estimation the evergreen Olivette.'
NOTICES TO CORRESPONDENTS.
COMMUNICATIONs intended for insertion or notice
Business letters should be addressed to the Pub.
Anonymous correspondents will in no case have
Secretaries of Hospitals, Wardens of Schools, &c.,
The Editor will be in attendance at the office of
also anxious to get all the benefit possible from the
A LONDON STUDENT,
CALENDAR FOR THE WEEK
(November 4 to November 10.)
PRINCEPS ELEGANTIARUM. - We trust you quite
understand the meaning of the title you have
bring it yourself on Wednesday next.
but you will oblige us very much by ascertaining
early you will much oblige.
indeed to have your letter ; and though on per-
or send our representative.
Queen Anne is dead, and has been almost as
FRIDAY (Nov. 4).-Royal London Ophthalmic,
A.M. - Royal Westminster Ophthalmic,
London Hospital Medical Society, 7 P.M.
2 P.M.-Royal London Ophthalmic, II A.M.-
1.30 P.M.--St. Thomas's, 1.30 P.M.-London,
II A.M.-Royal Westminster Ophthalmic,
Medical Society, 8 P.M.
London Ophthalmic, II A.M.-Guy's, 1.30
3 P.M.-Cancer Hospital, Brompton, 3 P.M.
10 A.M.-Royal London Ophthalmic, II A.M.
for Women and Children, 2.30 P.M.
II A.M.---St. George's, I P.M.--Central Lon-
MEDICAL NEWS & COLLEGIATE HERALD.
Nov. 4, 1881.
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IN ITS RELATIONS TO MAN.
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NOTES AND LEADERETTES, As compensation, however, for the dis
appointment, he originates curious theories No 2 of the Medical News having been which would be amusing if they were less rapidly sold out, a new edition is now palpably the outcome of a woeful misinterready, and those who were disappointed in pretation of facts. In many respects the obtaining it early in the week can do so by present number of the Journal of Psycholoaddressing a letter to the publisher at 82 gical Medicine is a good one, and but for High Holborn. We are sorry that we Dr. Winn's silly production, which must printed so small a number at first—2,500 disgust every scientifically educated reader, copies—and will guard against a repetition would deserve unqualified approval. of the error in future. It is a subject of much congratulation to us that our efforts We regret very much that a slight delay are being thus well appreciated, and we should have arisen in getting out our first will endeavour to continue deserving of the numbers. This, however, could not be favour thus accorded to us.
avoided under the circumstances, and for ex
cuse we have to urge the multiplicity of minor The distinction of being as noisy as if not details which had to be arranged in conmore vociferous than other holiday-makers nection with the first issue of a new journal. was well maintained by students of medi- In future the Medical News will be ready cine at the closing Promenade Concert of in time for despatch by the night mail on the present season. With the invariable Thursday, so that country subscribers will good humour, however, characteristic of receive their copies early on Friday mornthe medical out for a lark,' indulgence was ing, at the same time as the town delivery confined to harmless and amusing chaff ; commences. We trust correspondents will and only a little inconvenience, without aid our endeavours in this respect by forinjury, resulted from the “row.'
warding communications as early as pos
sible in the week, and by condensing the inThe Secretaryship of the Royal Society, formation supplied within reasonable limits. held by Professor Huxley since 1872, falls Every effort shall be made to maintain the vacant through the resignation of his post efficiency of the paper as a news organ, and by the distinguished biologist through pres- the co-operation of readers will enable us sure of his numerous engagements. Dr. most surely to secure this end. We are Michael Foster, the well-known physiolo- much gratified by the interest already shown gist
, and author of the “Text Book of in our undertaking ; and its continuance Physiology,' is named as Professor Huxley's will be the best guarantee for our success. probable successor, and the choice will be a happy one for English science.
THE FOLLOWING witty stories come from
over the mill-pond. A lady, defending an PROFESSOR HUXLEY is in a terrible state action brought against her, had the courage of despair in consequence of the severe in the witness-box to complain of the amount condemnation passed on
him in the of the bill, and the dozens upon dozens of recently issued Journal of Psychological bottles of physic which had been sent to Medicine, by J. M. Winn, M.D., M.R.C.P. her. 'Madam,' said the judge, 'the next J. M. Winn having, it appears, already time you have such a quantity of medicine, “collapsed" scientific atheism, is now bent have it in the wood, it will save expense !' on the demolition, metaphorically speaking, The other is told of an Englishman. Crossof scientific atheists also. In consequence, ing the ocean with Dr. H-, of the Cunard therefore, he has visited with marks of Line, his readiness at repartee attracted the crushing disapproval the one dark blot' notice of all on board, and a wager was laid in the proceedings of the recent Medical that he could not be caught napping, but Congress, presented, according to his ideas, would give not only a prompt but a witty by Professor Huxley's address on the reply. Next morning Dr. H– was observed Connection of the Biological Sciences.' looking through the telescope, the atmoThereupon we are treated to a definition of sphere being damp and cold. The inthe meaning of biology,' about which we terested party touched Dr. H—'s arm and regret to find the world has been miserably asked, 'Doctor, what ship is that?' 'Don't blundering for all the centuries prior to the know ; but I hope it is a Peruvian bark, advent of J. M. Winn, M.D., M.R.C.P. for I'm in a perfect chill.'
history of morbid conditions, a reliable opinion By W. Roger WLILIAMS, F.R.C.S. Eng. ;
may be confidently expressed. As far as possible L.R.C.P. Lond.
the prognosis should be hopeful; it is a thankless
task to have to tell a patient there is no hope. Clinical Assistant Royal London Ophthalmic Hospital; late Senior House Surgeon, Royal Albert Edward in.
TREATMENT. firmary, Wigan.
Hygienic, dietetic and medicinal, stimulants, (Continued from page 13.)
external applications. Prescriptions should be In all cases information as the following points
entered in the margin. In surgical cases any appa. should be taken :
ratus, instrumentation or operation should be Pulse.-Frequency (normal P=65-75 per min.).
clearly described. Rhythm :-Regular, irregular or intermittent;
In the event of an operation note the successive Volume :-Large, full, small, thready ;
steps, anæsthetic, incisions, instruments, hæmorForce and tension:-Strong, weak, extinct, soft,
rhage and means for arresting it, number and kind hard, wiry, compressible, and incompressible:
of ligatures, unexpected occurrences, dressing, antiSpecial characters:-Rigid, tortuous, bounding,
septic precautions-Lister's method or other modihammering (Corrigan's), jerky, undulatory, thrilly, fication-condition of patient on removal to bed and dicrotic.
and on recovery from anæsthesia, vomiting, &c. Respiration.-Frequency (normal R = 16-18 per
When a diseased part has been removed, a brief min., or 1-4 pulse beats), easy or difficult (dyspnoea),
description of the morbid appearances should be orthopnoea, painful, laboured, short or hurried,
given. deep or shallow, abdominal or thoracic.
PROGRESS. Temperature. -As recorded by the thermometer, The frequency of the requisite observations will usually in the axilla (normal 98-4° F.).
depend on the nature of the case. In very urgent Tongue. – Moist or dry, clean or furred, raw, cases, daily or hourly reports should be made; but colour, smooth, rough, or fissured, frothy, tremu- in chronic cases, one or two observations a week lous, movements, ulcers, or lacerations.
will suffice. Appetite. —Good, bad, or indifferent, anorexia, The pulse, respirations, and temperature should solids- or Auids, relish of food, voracity, nausea, be taken every morning and evening in all acute vomiting, &c.
cases, especially after an operation—a tabular record Bowels.--Regularity, frequency, nature of mo- being kept, for which purpose Gould's clinical tions, constipation, diarrhoea, flatus, and borborygmi. charts are the best.
Urine.-Total amount in 24 hours (normal In noting the progress from time to time the 30-50 oz.).
General appearance and colour, same general plan should be followed as in taking sediments, reaction, sp. gr., albumen (casts), sugar, the Present State. In all cases inquiry should be urates, phosphates, &c.
made respecting the pulse, respiration, temperature, Menstruation. Regularity, how often, how tongue, appetite, bowels, pain, sleep, urine, and much, nature of discharge, pains.
Any change in the patient's state or new phenoDIAGNOSIS.
mena are to be noted, and the effect of medicines The entry under this head is usually very brief, inquired into; regard being paid to the accounts of consisting simply of the name of the disease. the patient and the attendants, as well as to the Many reasonings and observations that might with phenomena actually observed by the medical man. propriety be included here are commonly brought After an operation inquiries should be directed together in a separate paragraph at the end of the first to the patient's general condition, and secondly case, entitled Remarks ; or placed in juxtaposition to the condition of the wound. to the facts to which they more particularly relate. Under the former head look out for headache, The object of diagnosis is to find out the seat, malaise, nausea, vomiting, feeling of illness, chills
, nature, and extent of all existing morbid conditions. rigors, feverishness, &c. Such phenomena often This may be arrived at in a direct manner, differ. give warning of morbid processes commencing in entially or by exclusion. As Da Costa remarks :*. the wound, but as yet invisible to the naked eye. *We ought never to be unmindsul how important Under the latter, note the date of each change it is, in basing the management of a disease on its of dressing and any alterations made ; the amount diagnosis, to found that diagnosis on a general and character of the discharge ; oozing or hæmor. survey of all the circumstances; how necessary not rhage ; condition of edges of wound, their degree of to assign prominence to minor points; and how the apposition and surrounding inflammation ; estabextent of the disorder, the circumstances under lishment of suppuration ; the process of repair-which it has occurred, the sympathetic disturbances first intention, granulations and their nature ; reproduced, and the vital state of the patient, belong, moval of sutures, ligatures, and drainage tubes. rightly considered, quite as much to the diagnosis as
RESULT. the recognition of the precise seat and exact anatomical character of the malady, and are, in truth,
Its date and nature ; patient's condition on leaving frequently its more important part.'
hospital ---cured, relieved, or not benefited. Lest for
his home or convalescent institution. In the event of PROGNOSIS.
death, give a short account of the phenomena imme: A correct diagnosis is undoubtedly the most diately preceding. State whether autopsy or not; if important element in forecasting the probable
so, give a full account. Having witnessed the case result of a disease ; when this is combined with from beginning to end, it is an excellent practice to clinical experience and knowledge of the natural rewrite and condense the notes, with the aid of the
new light thus brought to bear, and to add a short * Medical Diagnosis,' p. 27.
commentary on the most noteworthy features.