ST. LOUIS MEDICAL SOCIETY
k N. Wilson
rachycardia,. H errnan
(on.... V. Powell
s R. Reder
sis of ConOrndoff,
14. No. 15.
APRIL 8, 1920
$1.00 per Annum
ered as second class matter October 4, 1907, at the Post Office at St. Louis, Mo, under the Act of Congress, March 3, 1879
Meeting of the General Society
3523 PINE STREET
rs E. Burford, Pres. Arthur Gundlach, Secy.
Meeting convenes at 8:30 p. m.
Scientific Program at 8:45 p. m.
11; Lindell $15 Kinloch: Central 6837
Tuesday, April 13, 1920
ilvular Heart Disease...........................................................Dr. G. Canby Robinson
of such spleens are diseased and enlarged and the notch is
frequently obliterated by over-growth or adhesions. The
rotation of the displaced organ may place the notch in a
position where it cannot be palpated, so that this important
diagnostic sign frequently is not to be depended on.
Mrs. W. age 45, came to me on September 8, 1919.
A mass was felt in the right iliac region extending up to
the umbilicus. While the uterus could be distinctly outlined from the mass, there seemed to be some connection
between the tumor and the uterus. The tumor could be
pushed to the left side with a sudden jumping across the
midline. The blood pressure was 104 and 66. The white
blood count was 8600, red cells 5,000,000, and the
On September 18, 1919, under local anaesthesia, a
suprapubic incision was made. The spleen, which was twice
its normal size was found adherent to the left ovarian region,
which explained why the tumor could not be pushed upward. The pedicle was doubly ligated and the spleen was
removed. Microscopically the specirnen showed chronic
splenitis and perisplenitis, probably of malarial origin.
The removal of this diseased spleen did not cause the
usual anemia and leucytosis following splenectomy, for associated structures had probably already assumed the splenic
linics See Diagnosis of Myocarditis................................................. Dr. Frank N. Wilson
Thrombosis of the Coronary Arteries with
Tachycardia......Dr. George R. Hermann
The Heart in Diphtheria...Dr. Hugh McCulloch
Discussion by Drs. J. Curtis Lyter, Charles H.
Neilson and Elsworth S. Smith.
Meeting of the Council Wednesday, April 14.
Report of a Case of Wandering Spleen With
Presentation of Specimen
DR. CARROLL SMITH
The possibility of a wandering spleen should be con sidered in every obscure abdominal tumor. The majority
Mtead before the St. Louis Medical Society, March 30, 1920.
Cardiolysis For Chronic Mediastino
DR. ELSWORTH S. SMITH
Author's Abstract...a-..M"f!o 1
Adhesions between the two layers of the pericardium
with even obliteration complete of the sac as a rule cause
no symptoms, or if symptoms be present cardiolysis is powerless to afford relief.
*Read before the St. Louis Medical Society, March 30, 1920.