704

had not passed any urine for nearly

forty- 1:

eight hours. Upon examination, the blad- fder was found to be very much distended,giving considerable pain to the patient Iwhen pressed upon. In the lower part ofthe perineum, on the right side, were foundconsiderable redness and swelling, whichat first led to the belief of extravasation ofurine. A catheter was with some littledifficulty passed, and no stricture was

found ; nearly a pint and a half of high-coloured urine was drawn off. The mother

refusing to allow the child to remain inthe hospital, a dose of castor oil was givento-it, and eight leeches were applied to theinflamed part in the perineum, and themother was directed to apply fomentations.The child was again brought here the

following day, when a fluctuation was evi-dent in the perineum; it was conjecturedthat an abscess had formed, and that thepressure of matter in the urethra occasionedthe retention of urine. Upon passing alancet into the tumour, a quantity of matterwas discharged ; a poultice was ordered tobe applied. The mother took the child

away with her, still refusing to allow it toremain in the house. Two or three daysafterwards she brought the child again,when it was able to pass its urine freely ;the wound in perinæo had healed up.

CUT THROAT.

W. A., astat. 66, admitted 16th of Juneunder the care of Mr. Scott. He was atolerably healthy man until about two yearssince, when he began to labour under greatdepression of spirits, but was unable toassign any cause for the infirmity. Hehas lived rather abstemiously for a man inhis situation of life. During one of his

melancholy paroxysms, he drew a razor

across his throat. On his admission intothis hosnital. it was found he had made a

deep incision between the os hyoides andthvroid cartilages ; the ligaments and mus-cles between the two had been cut, and thefinger could be passed into the wound asfar as the mucous lining ef the larynx,which, when touched, caused a distressingsense of suffocation. Deglutition was per-formed without much difficulty, but the patient spoke with reluctance, on account ofthe alarm it excited in his mind. Thewound was covered by a coagulum, butthis being removed, a branch of the supe-rior thyroidal artery was found to be di.vided, and required to be secured.The edges of the wound were approxi-

mated, and retained, as nearly as possible,in apposition, by bringing the head for-

wards, and confining it in that position by

bandages ; he was ordered to be kept per.fectly quiet, and to take the following :-

Tinct. opii, x;Sp. ammon, comp. xx ;Mist. camphorœ iss omni 2nd hor.

Ile continued without any bad symptomsuntil the 21st, when he became feverish,and complained of pain in the head, forwhich twelve leeches were applied to theforehead , i the saline effervescing mix-ture to be taken every four hours. The

following day he felt much relieved by theleeches, &c. The wound in the throatlooks very well. To continue the mixture.

23. Is very low, with a weak pulse;tremulous tonaue was orderedAmmon. carb. gr. v;Mist. cainphorw 5iss ft. haustus 6t[1

hor. sumend.

From this time he gradually improved ;he occasionally complained of pain in hishead, which was removed by the applicationof a blister, and he was discharged on the26th of July with the wound quite healed.

LONDON HOSPITAL—MR. ANDREWS.

SIR,—A very serious misunderstandingtook place in the wards of the London Hos-pital on Monday last, between Mr. Andrewsand a gentleman who passed the college onthe last examination night. It appeared thatMr. Andrews on the day following the ex.amination in question, came to the hospital,and made some severe and sarcastic obser.vations before the class, against the gentle-man alluded to, and even went so far as to

say, that the examiners reiected two can.didates on the preceding night, and that if’they had done their duty, the gentleman al-luded to ought to have been amongst the niim.ber. I really think that this is "too bad:’After taking from his pocket 22l., and send-ing him forth as a fit and capable surgeon,no remarks ought to have been made. Isend you my name with this letter, andremain, Sir, your obedient servant,

JUNIUS.

August 15th.

TO CORRESPONDENTS.

Chirurgical.—The cost of the advertise.ment will be 9s. the customary charge.

’ Mr. Spilsbu.7-y’s case is not drawn up in aform adapted for publication.We have read the articles in the Sutlder-

land Herald, Cork Advertiser, Shrensbury Chro-nicle, Bolton Chronicle, Tyne Mercury, and LeedsPatriot, which were intended for our perusal.