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BMJ | 1882

Address on the Past, Present, and Future of Medicine

Edward Thompson

diseases which take an epidemic form, and are the most influenced by sanitary improvements. When Sir William Gull tells us that there are 20,ooo deaths annually from typhoid fever, and that these form but a small part of the deaths caused by infectious fevers, we cannot doubt that the necessity for strenuous effort is very great, and that any failure on the part of the nation and the Government to adopt all such measures as may most effectually narrow the area of infection, would lay both open to the gravest reproach. Above all, it is essential that hospitals for the isolation of all infectious cases should be provided in all our towns.


BMJ | 1885

Suggested Improvements in Excision of the Knee-Joint, and in the Ligature of Large Arteries

Edward Thompson

THE data from which the following paper has been compiled, consist of 1,936 cases of stone, which have either been the subject of operation, or of post nortem examnination, and of which the localities have been recorded. These have been derived from the following sources. Public Practice. Norfolk and Norwich Hospital, 1772 to 1885... 1,503 cases. West Norfolk and Lynn Hospital, 1835 to 1885 124 Yarmouth Hospital, 1839 to 1874 ... 72 ,, Private Practice. Dr. Lubbock, Mr. C. M. Gibson, Mr. R. E. Gibson, and Mr. Cadge, Norwich; Dr. John Lowe, Mr. G. B. Sweeting, and Mr. W. G. Walford, Kings Lynn; and Mr. R. Marriott, Swaffham .237


BMJ | 1881

Two Remarkable Cases of Empyema, and One of Latent Pleural Effusion; with Remarks on the Operation of Paracentesis Thoracis

Edward Thompson

while the heart is in a state of inflammatory softening, and valvular lesions. The pus in pyopericarditis becoming inspissated very gradually, time is thereby given for the heart to recover from any myocarditis which may have been present before adhesion takes place; and, when the pericardium becomes calcareous, the rigid casing by compression of the enclosed organ causes the heart to atrophy. Valvular disease of the heart appears to be a rare exception in calcareous pericardium, and, where present, to be very inextensive, amounting only to a nodule in one cusp of the mitral valve in Laennecs case (op. cit., Case 48), and to a bead in one segment of the aortic valve, not causing insufficiency, in Ziemssens case (of. cit., Mfedical Encyclotecdia) ; and in both cases the lesion may have been of independent origin. 5. The auricles in calcareous pericardium are dilated and hypertrophied-hypertrophied to compensate for their dilatation from overdistension by accumulation of blood in them, in consequence of impeded circulation through the ventricles. 6. That calcareous pericardium is not of rheumatic origin. Pyopericarditis, of which comparatively few cases are on record, appears to be of non-rheumatic origin, and uncomplicated by valvular lesions-in these two respects resembling calcareous pericardium. In the Trantsactions of the Pathological Society of Lontdon, cases are recorded exhibiting the transitional stages between pyopericarditis and calcareous pericardium. Two cases are reported by Dr. Murchison (vol. xx). In one, collections of pus were imprisoned between the two layers of the pericardium, which was extensively adherent. In the other case, the pericardium was adherent; and between its layers in some places were accumulations of pus; in others, calcareous plates. In a case under Dr. Ringer, reported by Mr. A. P. Gould (vol. xxviii), between the layers of the adherent pericardium there was found a collection of chalky paste in front of the heart, and a calcareous plate at the back of the heart. Without any apology, I have given the history of an illness which Martha S. had when she was thirteen years of age, imperfect and traditional as it was. The disease with which she was then affected I believe to have been pyopericarditis. Her symptoms then closely resembled those of a case recorded by Dr. Glover (Lantcet, I872), where the patient died, and the only morbid change found was pyopericarditis. Calcareous pericardium being necessarily of long duration, it must seldom, if ever, happen to a medical practitioner to watch the commencement of it and to see the pathology. The three medical men who attended Martha S. in her first illness are all now dead. In the diagnosis of such cases, which for the most part must be made on the principle of exclusion, the points to be looked for would seem to be, the history of a previous severe attack of pericarditis of non-rheumatic origin ; the signs of obstructed circulation; and cardiac symptoms not to be accounted for by other diseases, such as valvular, pulmonary, or renal disease, which are declared by other signs. The absence of hypertrophy and dilatation of the heart, while it favours calcareous pericardium, almost negatives fibrous adherent pericardium when the latter gives rise to symptoms. In several of the cases on record, as in this case, ascites was a prominent symptom. The treatment indicated would seem to be, warm clothing ; a carefully regulated diet; the avoidance of mental worry, bodily fatigue, and exposure to cold; and, if fluid should accumulate in the serous cavities, its removal by aspiration. Under such a rt:gimne, it seems probable that life may be prolonged to an advanced age. Compared with the various forms of heart-disease, calcareous pericardium would seem to promise good results from treatment, inasmuch as in it the heart appears capable of maintaining the circulation if this be not unfairly taxed, and the lesion may be said not to be progressive.


BMJ | 1901

The Army Medical Service

Edward Thompson


BMJ | 1909

FASTING PRISONERS AND COMPULSORY FEEDING

Edward Thompson


BMJ | 1901

The Commission of the R.A.M.C

Edward Thompson


BMJ | 1901

The Reform of the R.A.M.C

Edward Thompson


BMJ | 1966

Review Body's Report: Registrars' Pay

Edward Thompson


BMJ | 1928

TYNDALL v. ALCOCK

Edward Thompson


BMJ | 1924

SOME CONSERVATIVE OPINIONS

Edward Thompson

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