Res Medica (E-Journal)
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Some Aspects of Rheumatic Fever
Get PDFBased on a Dissertation read before the Royal Medical Society on Friday, 27th February1959.Hippocrates described "severe pain in the joints, which fixes itself presently in one joint, presently in another, of short duration, acute, non-fatal, and more inclined to attack the young than the old." Bouilland called attention to the all-important carditis in 1840, and the modern study of rheumatic fever began at the turn of the present century when Newsholme investigated its epidemiology. Many rheumatic fever patients have experienced a "sore throat" in the fortnight before their illness, and all show a significantly raised level of antibodies against Beta haemolytic streptococci of Lancefield\u27s Group A. Quite a large proportion are unaware of their infection because of its subclinical nature
Syllabus 224th Session
Get PDFThurs. Oct. 24 PRESIDENTS\u27 ANNUAL DINNER Royal College of Physicians of Edinburgh. 7.15 for 7.30 p.m. Guest of Honour: Dr J. H. GADDUM, F.R.S., D.Sc.Fri. Oct 25 Dissertation: R. I. LEGGE, Esq. "Parry and Parry\u27s Disease"Thurs. Dec. 1 Debate with the Glasgow University Medico-ChirurgicalSociety, in Glasgow. Motion to be arranged……
Retrospect
Get PDF224th Session.Our Society had no premises of its own until 1775, when the First Hall was built in Surgeons\u27 Square: the Society was fortunate then in having such men as Cullen and Andrew Duncan to plan such a historic step and toraise money for its completion. Again in 1852, when extensions to the old Royal Infirmary made it necessary to vacate the First Hall a distinguished committee including Syme, Christison. and Simpson negotiated the purchase and adaptation of our present premises
Respiratory Inadequacy – its study, diagnosis, and treatment
Get PDFHow frequently in clinical practice do we have to treat the patient in respiratory distress? How frequently do we have to administer oxygen, and on what criteria do we do so? How frequently do such patients die, and how frequently do we claim their death as being inevitable?Woolmer (1956) states that respiratory inadequacy exists “when the gas exchange between the lungs and blood falls below that between the tissues and the blood : when external respiration cannot keep place with internal respiration ” . (17) Melville Arnott (1960) is more direct, stating that respiratory inadequacy is the preliminary stage of respiratory failure, namely, “that condition in which the amount of oxygen and carbon dioxide in the blood stream is altered by an abnormality of the respiratory system” . (23) Comroe et al. state specifically as the basic facts of respiratory inadequacy, hypoxaemia, CO2 retention, and respiratory acidosis.Previously the concept of respiratory inadequacy has had comparatively little attention in the numerous conditions involving the lungs, other than in the case of acute laryngeal obstruction. To quote Melville Arnott, “ too much emphasis has perhaps been placed on the effect of these conditions on cardiac function, and the resulting varied symptoms have been regarded as cardiovascular rather than respiratory ”
The Treatment of Renal Diseases
Get PDFAll the well-known processes of pathology—acute and chronic inflammation, immune reactions, degenerative changes, etc.—may be found in the kidney, and the forms of therapy required to reverse them are equally diverse. All these processes, however, lead to one thing, destruction of renal tissue. This destruction may be rapid and severe, followed by regeneration in many cases, or a slow but progressive destruction with fibrous overgrowth.Broadly speaking, the kidneys are responsible for maintaining the stability of the body fluids. If acute destruction of renal tissue occurs the body fluids are acutely altered, whereas in chronic renal destruction the disturbance is slowly progressive. The acute upset of normal physiology accompanying rapid destruction is the syndrome known as acute renal failure, and the progressive physiological imbalance known as chronic renal failure is the result of chronic tissue destruction.This leads me to the first and most important point I wish to make. Therapy in renal disease must be two-fold. Firstly, it must deal with the pathological process causing renal destruction. Secondly, it must correct the disordered physiology which the renal disease has created. Whereas the pathological processes are legion, they lead to only two types of physiological upsets—acute or chronic renal failure
Sir Charles Bell
Get PDFIt is told that one restless night, being struck by a sudden idea, Sir Charles Bell awoke his wife exclaiming, “ Eureka! I pray God not to have sent me an empty dream, or to suffer me in the morning to recover the thread of this nocturnal vision. If I see with my waking eyes what I have caught a glimpse of in slumber I shall assuredly leave behind me an immortal name.”This was the dream of a man of great vision and genius, who, retiring to sleep, awakes once more with his dominant thought, an idea matured by the coalescence of inspiration and protracted study.There can be no doubt that Charles Bell had intellectual brilliance in great measure; during his lifetime he was surgeon, anatomist, physiologist, artist and philosopher. In fact his critics have said of him that his academic life was too highly faceted, and that had his work been steered along a more homogeneous pathway, his reputation might have been all the greater
Res Medica
Get PDFThose of us who saw Dylan Thomas\u27s version of the Burke and Hare story at the festival “The doctor and the devils" would not only have been delighted at the play itself, which was outstanding, but might also have noticed something of interest to the Society. For there, to the left of the stage, was an eight foot tall reproduction of that print which the Society has used in its Christmas cards, showing side by side, Knox’s school of anatomy, and the Royal Medical Society’s first hall. This stimulated in us a curiosity as to the part our members may have played in the finding of anatomical material. It is to be hoped that they were not involved in murder; but certainly they knew of the “ resurrectionists": for in 1828 John Reid, a member of our Society wrote in a letter “I am busy dissecting, now the subjects are pretty plentyiful. People may watch us as they may, but we will have them in spite of then. There are rascals here who will do anything for money, and these are fit hands for such jobs.
Book Reviews
Get PDFPractical Biochemistry Seventh Edition. H. Zwarenstein and V. E. van der Schyff. Pp. 106 + x. Edinburgh and London. E. and S. Livingstone Ltd. 1963. Price 15s.Psychology in Relation to Medicine by R. M. Mowbray, Senior Lecturer in ClinicalPsychology, University of Glasgow, and T. Ferguson Rodger, Professor of Psychological Medicine, University of Glasgow. E. & S. Livingstone Ltd., 1963. Pp. 399. Illustrated. Price 36s. Wheeler & Jack’s Handbook of Medicine Revised by Robert Coope and C. A. Clarke. 12th Edition. Edinburgh: E. & S. Livingstone. 22s 6d.A Synopsis of Surgical Anatomy A. Lee McGregor. Bristol: John Wright. £1 15s.Electrocardiography by R. W. D. Turner, O.B.E., M.D., F.R.C.P., F.R.C.P.Ed. Edinburgh: E. & S. Livingstone Ltd., 1963. Pp. 155. Illustrated. Price 20s
Res Medica: From Our Library
Get PDFOn SistersThe introduction of Sisters into the New Hospital will indeed be a blessing . . . No longer will a nurse who has taken offence at some trifle be able to set the whole ward against the house surgeon—there will now be a counteragent to prevent this.Let us hope that these ladies will undergo a special education before entering on their duties, otherwise they cannot take up that position of nurse and lady combined which it is intended they should.James Forrester \u27The New Royal Infirmary’ 19th Jan. 1872
Book Reviews
Get PDFManual of Surgical Anatomy By Bruce, Walmsley and Ross. 1964. E. & S. Livingstone. Price £4 10/-.Electrocardiography for the Anaesthetist by W. N. Rollason. Blackwell Scientific Publications, Oxford, 1964. Pp. 124. Price 30/-.Electrocardiography By R. W. D. Turner. 2nd Edition 1964. E. & S. Livingstone.An Introduction to Diagnostic Neurology Vol. III. Exercises. E. & S. Livingstone. 1964. Price 12/6.Textbook Surgery D. A. MacFarlane and L. P. Thomas. Pp. 759. 227 illustrations. 60/- net. 1964. E. & S. Livingstone Ltd., Edinburgh and London.A Nurse’s Guide to Anaesthetics, Resuscitation and Intensive Care by W. Norris and D. Campbell. E. & S. Livingstone Ltd., 1964. Pp. 114. Price 20/-. First edition.