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ject was at length’ abandoned as hopeless, and

Ur. WEBSTER related a case of jaun- dice, attended by an unusual eruption, ap-pearing on the face, forehead, and chest, the skin of which was covered with it. It bore a resemblance to the pustules whichoccur about the teuth day in small-pox, buttlllse were darker and not so round ; it con-tinued for a fortnight, and at that period thejaundice beginning to subside, the eruptionsubsided also, disappeared, and the patient recovered. He had never seen a case of thekmd before. His treatment consisted of

purgatives and diuretics ; calomel, jalap,blue pill, squills and senna. He was de-sirousof knowing, whether any of the Mem-bers had ever met with a similar eruptionaccompanying jaundice ? An effort was again made in favour of

Dr. Lee’s paper, but without avail ; and Dr.Webster’s case proceeded, though at times

Bit was near sharing the same fate as itspredecessor.Dr.STEWART wished to know, what kind

of subject the patient might have been ; washe young old? The eruption appeared tobemole the constitutional effect of drunken-ness, than any actual part of the jaundiceitself.

Dr. WEBSTER replied, that the patient wasmiddle-aged, not a drunkard, nor of a sy-phihtic habit. The eruption progressedwith the jaundice, and left with it. Hehad seen eruptions accompanying jaundice,but never one of this character.

Sir. HUNT made a few observations, ex-pressive of a doubt whether the eruptionhad any thing to do with the jaundice, andthen left the subject of Dr. Webster’s caseto inquire what difference there ought to bein the treatment of jaundice, which wasaccompanied with constitutional symptoms,and that which wcts not ? Mr. Hunt after-wards stated a case which he considered il-lustrative of the latter phenomenon.’

Before this question could be answered,Mr.JEWEL, made an inquiry into the truthof the vulgar opinion, that in jaundice everything to the vision of the patient bore a

yellow cast. He had heard of an artist whocould not pursue his avocations, becauseevery thing around him was tinged with thiscolour. Some observations were made at different

periods ot’ the discussion oc this subjectagainst this fact, but nothing decisive waselicited.

Dr. JOHNSTONE could not understand theexistence of jaundice free from constitutionalsymptoms. It never occurred without lossot appetite, high coloured unne, light fttces,and derangement of the biliary system.These (though Mr. Hunt persevered in hisopinions) he insisted were fairly constitu-

tional symptoms. A to Dr. Webster’s case,he looked upon the eruption as accidental,and unconnected with the pathology of thedisease itself. He thought we had but littlecommand over jaundice, but that which weobtained by the use of palliatives.The remainder of the discussion, which

proceeded very feebly and presented nothingof novelty, was on the general treatment ofjaundice ; and at the close of the debate, apaper was announced for the following even-ing on carditis, by Dr. Milligan.

ST. BARTHOLOMEW’S HOSPITAL.

INFLAMED ELBOW JOINT.

JOIIN RODNY, aetat. 12, a slender boy, ofvery pale and delicate appearance, was ad-mitted into Henry the Eighth’s Ward, Fe-bruary 16th, under the care of Mr. Law-rence. Two months ago, he was bit by adog in the right forearm, about three inchesbelow the olecranon, on its posterior aspect.The dog having- been teased by some otherpersons, sprang at the patient, and ill-

flicted the bite in the part mentioned The

marks of several teeth were left distinctlyapparent. No blood flowed from the wounds.His mother applied poultices, and the markssoon disappeared, and the arm, as was sup-posed, got well. On Tuesday last, painattacked the elbow joint and contiguousparts, and by Sunday the pain had muchincreased, and the arm swelled. The elbow now presents every appearance ofcommon inflammation of the joint. Mr.Lawrence cannot trace any connexion be-tween this condition of the limb, and thebite or its effects; though what has trans-pired is to be borne in mind. Apply sixleeches round the joint, and afterwards

wrap up the arm in a linseed poultice. Takesix grains of powdered rhubarb with a grainof calomt-1.

17. No better; the bowels have beenmoved. Take an ounce of the saline mix-

ture, combined with twelve drops of liquorantimonii tartarizati, every six hours.19. Repeat the application of the leeches,

and continue the mixture every four hours.20. The arm more inflamed, more swelled,

and more painful, extending from the elbowjoint to the end of the fingers. The inflam-matory process greatest on the inner side ofthe arm, extending for about four inchesbelow the joint. Tongue brown and furred ;! pulse quick ; complams of great debility.Repeat the leeches and poultices, and con-tinue the medicines.

April 8. Under this treatment and attend-ing to the general health, the arm has got ra-<.

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ther better than when the patient came intothe hospital; but there is still an enlarge-ment of the joint, which- is so stiff thatthe forearm can only be kept midway be-tween a state of flexion and extension.

CASE OF CONCUSSION.

HENRY SIMPSON, aetat. 12, a chimney-sweeper, was brought into Harley’s Ward,under the care of Mr. Earle, at twelve

o’clock, October 16, with symptoms of cou-cussion of the brain. His mother, who ac-companied him to the hospital, stated, thatabout three-quarters of au hour previously,he had been descending the steps of a cellarwith an apron full of apples. The stairsconsisted only of iour steps, from the top ofwhich, it was supposed, he must have failen,his head striking against the brick Boor. Hehad bled from the ear, and vomited beforehis arrival at the hospital. Was quite in-sensible when taken up, and continued so atthe time of admission. In a quarter of anhour afterwards, he became sensible, snd wasable to name the pal t of the head in whichhe felt pain. It extended along the left side,particularly under the temporal bone. Nofracture was observable. The head wasordered to be shaved, and cold lotions ap-plied to it. Calomel and jalap to be takenimmediately. i,

17. Has continued vomiting at short in-tervals. The pulse this morning rather hardand jerky ; eight ounces of bloocl have beentaken from the a: lll. Repeat the bleeding,and let a small dose of calomel and jalap begiven, as soon as any thing will remain onthe stomach ; the former was ejected almostimmediately on being swallowed. The bowelsLave not been moved.

13. The medicine has been taken, andacted. Pulse 10-F, soft, and compressible.Continues quite sensible, and feels muchbetter on the whole.

22. Discharged t;-day, apparently quite well.

FRACTURE OF THE RIGHT SCAPULA.

George Sterley aetat. 42, darcomplexion,short, muscular and strong, was admittedinto Harley’s ward, under the care of Mr.Earle, Oct. 17, 1828, with a fracture o: the

right scapula. The tracture detacht-s aboutnii inch and a half of the anterior angle of thebone from the lest of the bone. Gi etii!sion of blood has taken place underneath themucles, covering t! parts. The patient isa German, a’ d wich preat difficulty can mikehimself understood in the English Language.He stakes that in throwing a heavy weight.from him,the accident occurred. he is he has received no blow whatever. Imm-

diatly, as i-e supposes, on the accident oe-

curring, he felt severe pain in the part, butcannot remember having heard any crack.

20th. The peculiarity attending this caseis, that (from all that can be ascertained) itis one of fracture arising purely from the ac.tion of the muscles. Leeches and evaporat-ing lotions have been applied to the shoulder,the bowels have been regulated by house me-dicine. The inflammation is subsiding, undthe effusion becoming absorbed.The patient was discharged in a few days,

with a recommendation to keep the partsquiet.

ST. THOMAS’S HOSPITAL.

CHOLERA.

Anne’s Ward.-Elisabeth Haller, xtat.

17, admitted, under the care of Dr. Hoots,on the 19th of March. Stntes that she wasfirst attacked about Christmas Jast, duringmenstruation, with convulsive motions of theleft arm and leg, which have been increasingup to the present time, and, for the lastmonth, she has been incapable.of walking orstanding. The right arm and leg began to beaffected about a week ago, but not so vio-lently as the left, which are in constantmotion, so asto render her incapable of feed-ing herself, or holding any thing in her

hand ; the head and face but little affected;has occasional twitching’s of the muscles ofthe mouth, but can protrude the tongue withtolerable steadiness ; savs she has not, norever has had, any headach; the constantmotion prevents her ftbm sieeping much atnight; has some griping of the abdomenno irritation of the nose; appetite good;’bowels confined; menstruated regularly upto the time of her first attack, but neversince ; pulse small, quick, and frequent, butcannot be numbered on account of the agita-tion ; pupils natural

Dr. Hoots feeling desirous in this case oftrying the effects of purgatives alone, com-bined with antiphlogistic regimen, orderedthe patient to be put on milk diet, and talecastor cil and spitit of turpentine, of eachhalf an ounce,* immediately, and to be re-peated the nrst thing on Saturday morning.0. The bowe)s not having been evacu-

ated, ordered to take of scammony, withcalomel, 15 grains immediately; and an in-jection, with two ounces of turpentine, andfourteen ounces of gruel, three hours after.[ he powder did not, operate on the howels,and u common injection was gtven, the tur-pentine elyster no’ having been sent. up. This

* The first dose the patient vomited al-most immediately ufter it had been given.