Transactions of the Royal Academy of Medicine in Ireland, Volume 24

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Page 12 - Gore has rightly pointed out that uric acid can be no exception to the general law, that a substance acts as a poison in direct proportion to the amount of it present in the circulating fluids.
Page 201 - The question may arise as to whether gastrectomy should not be performed deliberately as a palliative operation in cases where an early secondary deposit can be seen in the liver, or inaccessible or irremovable glands be found in the pancreas, or along the aorta and vena cava. If we take into account the following advantages of gastrectomy as compared with gastro-enterostomy — that in the most competent hands its mortality is not greater, but is even less, than the mortality of gastro-enterostomy;...
Page 36 - But he was oppressed by stupor, having a constant disposition to sleep, and still a very troublesome cough. What most attracted my attention was, the irregularity of his breathing, and remarkable slowness of the pulse, which generally ranged at the rate of 30 in a minute. Mr. Duggan informed me that he had been in almost continual attendance on this gentleman for the last seven years ; and that during that period he had seen him, he is quite certain, in not less than twenty apoplectic attacks. Before...
Page 431 - ... 3. Even where the above conditions are fulfilled a hospital must not be used at one and the same time for the reception of cases of smallpox and of any other class of disease.
Page 201 - ... glands be found in the pancreas or along the aorta and vena cava. If we take into account the following advantages of gastrectomy as compared with gastro-enterostomy— that in the most competent hands its mortality is not greater, but is even less, than the mortality of gastro-enterostomy; that a prolongation of life for ten months longer than the period given by gastro-enterostomy is the rule; that the comfort, the general health, appetite, and well-being of the patient are all emphatically...
Page 76 - Abscess, delivered at the Hospital for Consumption and Diseases of the Chest, Brompton, and published in the third volume of the fourth series of " International Clinics,
Page 426 - The decision depends upon the facts proved in the particular case, with due regard to the opinions of experts so far as they are founded upon facts : but with due regard, also, to the decisions of other Courts pronounced upon similar evidence in other cases." The Lord Justice went on to say : — " It seems probable that the dread of small-pox is to a great extent the result of tradition: that scourge of the eighteenth century retains its terrors for those who do not realise that it has been deprived...
Page 270 - By this means the stomach is washed oat with three to four pints of hot water. Half a pint of water is left in the stomach, and to this are added, still through the tube, two ounces of castor oil and three to four drops of croton oil.
Page xxv - Fellows. 7. Fellows of the Royal College of Physicians of Ireland, and of the Royal College of Surgeons in Ireland, shall be admitted, without ballot, on payment of the entrance fee and the subscription for the current year. All others, being Registered Medical Practitioners not directly or indirectly engaged in the sale of drugs, shall be proposed by two Fellows, and elected by ballot by the Council 8. Candidates shall be proposed at one Meeting of the Council, and balloted for at the next — one...
Page 12 - ... shows that the tissues which are liable to uratic deposits are much richer in sodium salts than the tissues and organs which are not thus liable. Hence, on principles already alluded to, sodium urate would be more prone to precipitate in such localities. (3) Toxicity of Uric Acid. — If we believed popular medical, to say nothing of lay, opinion, uric acid is a virulent, allpenetrating poison. Yet it is a normal constituent of our body, and Dr. Watson has proved that, contrary to other assertions,...

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