M 100
Two cases were of especial interest. One case showed amoebic ulceration of the appendix with rupture into the peritoneal cavity. Stained sections showed numerous amoebae in the wall of the appendix. Such cases proved by finding the parasite in the lesion are decidedly rare. Another case was that of acute phlegmonous gastritis in a young man. The causative organism was diplostreptococcus. The latter tissue was forwarded for diagnosis by Dr. K. H. Uttley from Kowloon Mortuary. Reports of both of these cases are being prepared for publication.
A curious case was seen of congenital absence of both arms in a young infant dying of broncho-pneumonia. This was radiographed by Dr. Farr of the Government Civil Hospital and the findings are being considered at the present moment. Such a striking anomaly is very rare indeed and is the only case of the kind seen by the writer in a consecutive series of roughly 5000 infants.
A great deal of interesting material comes to hand from Mortuary cases but the usefulness is somewhat impaired by the absence of any clinical history whatever, the great majority of the cases being found dead on the street and unidentified; also (and this is especially true in the summer months) the condition of the tissues is spoilt from a histologic standpoint by post-mortem change; this is due to the absence of a refrigeration chamber in which to place the bodies on arrival at the Mortuary. The provision of equipment of this nature would be of inestimable value to the Mortuary, especially considering the importance of preservation of the tissues in cases of a medico-legal nature.
J. MISCELLANEOUS EXAMINATIONS.
Four hundred and sixty-five items are included under this head. They do not offer material for comment.
Page 435
Page 436
M 100
Two cases were of especial interest. One case showed amoebic ulceration of the appendix with rupture into the peri- toneal cavity. Stained sections showed numerous amoebae in the wall of the appendix. Such cases proved by finding the parasite in the lesion are decidedly rare. Another case was that of acute phlegmonous gastritis in a young man. The causative organism was diplostreptococcus. The latter tissue was forward- ed for diagnosis by Dr. K. H. Uttley from Kowloon Mortuary. Reports of both of these cases are being prepared for publication.
A curious case was seen of congenital absence of both arms in a young infant dying of broncho-pneumonia. This was radio- graphed by Dr. Farr of the Government Civil Hospital and the findings are being considered at the present moment. Such a striking anomaly is very rare indeed and is the only case of the kind seen by the writer in a consecutive series of roughly 5000 infants.
A great deal of interesting material comes to hand from Mortuary cases but the usefulness is somewhat inpaired by the absence of any clinical history whatever, the great majority of the cases being found dead on the street and unidentified; also (and this is especially true in the summer months) the condi- tion of the tissues is spoilt from a histologic standpoint by post mortem change; this is due to the absence of a refrigeration chamber in which to place the bodies on arrival at the Mortuary. The provision of equipment of this nature would be of inestim- able value to the Mortuary, especially considering the importance of preservation of the tissues in cases of a medico-legal nature.
J. MISCELLANEOUS EXAMINATIONS.
Four hundred and sixty five items are included under this head. They do not offer material for comment.
Page 435Page 436
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