90 



78. A new Stcthoscopic Si /n. — Dr. Cristophe* describes a new 

 sound which he calls cgony, because it is a similar sound to ego- 

 phony, but a diminutive of that. He characterizes it as a short 

 vocal resonance, somewhat tremulous when monosyllables are articu- 

 lated, lie describes it very minutely, and says it indicates an old 

 standing pleurisy, and also a latent, but actual, chronic pleurisy; 

 such as sometimes precedes tubercular disease. It is always accom- 

 panied by thickening of the pleura, and adhesion with strong bands 

 of false membranes. When egophony is present, an effusion either 

 disseminated or collected always exists — in simple egony such is 

 never the case. 



79. Diagnosis in cases of Cerebral 'Disease. — Mr. Corfef says, 

 that when the lesion of the brain has been sudden, the eyes are 

 closed, and the patient is insensible; when slow and progressive they 

 are half closed, or wide open, and there is distortion of the features, 

 irregularity of the pupils, dullness of the countenance, and palsy. 



80. In the same journal, Mr. Croft enumerates a train of symp- 

 toms closely resembling those of approaching apoplexy, which are 

 often treated by profuse bleeding, &c. He shows that brisk purging 

 with calomel, and colocynth followed by blistering along the longi- 

 tudinal sinus effectually relieves the patient; bringing away dark 

 bile, Avorms, or other offensive matters from the intestinal canal. 



81. As Diagnostic of Haimoptisis — Dr. White;}; of New Castle- 

 upon-Tyne describes a crepitating sound, smaller than that of pneu- 

 monia and entirely uninfluenced by respiration. 



82. Sputa in Pneumonia. — M. Remak§ describes fibrinous threads 

 of the form and diameter of the extreme bronchial ramifications, 

 showing under the microscope delicate fibrils laid lengthwise, and 

 enclosing cell-like bodies similar to those of pus. These arc found 

 in the first stage before infiltration, and do not indicate severity. 



83. The Committee would gladly have devoted some time to the 

 consideration of those diseases, in which the condition of the urine 

 is changed. This class of affections has lately shared largely in the 



• Gazette M6dicale, August 21. 1S47. f Medical Times, 1847. 



% Lancet, 1846. § Archives Generates de Med., 184G. 



