Kelly's Pure Cod Liver Oil. IN consequence of the want of a ready Chemical test, to ascertain the purity of COD LIVER OIL. much of un adulterated and inferior description has been introduced into the market, and sold as genuine. Under these circumstances, and us the public are altogether dependant upon the character of the manufacturer, for the purity of the article, I respectfully announce. that I have appointed Mr. ALEXANDER URQUHART, of the Medical Hall, Montreal, sole agent for the sale of my

PURE COD LIVER OIL.

For which premiums were adjudged at the late exhibition in Quebec and Montreal, and also considered by the committee worthy to be forwarded to the Grand Icdustrial Show of 1851.

I begto refer to the subjoined certificates, given me by several of the most respectable Medical Gentlemen in Quebec and Montreal, and to the annexed affidavit, after persuing which, any further remarks would be superfluous,

Please notice, that every Package of my Cod Liver Oil, is sealed with my Seal, and signed in my handwriting, and can only be obtained in Montreal, from Mr. Alexander Urquhart.

I, the undersigned, proprietor of the "Gaspé Gazette," and one of Her Majesty's Justices of the Peace for said District, declare on oath that the Cod Liver Oil, consigned by me to Mr. Alexander Urquhart, of the Medical Hall, Montreal, has been prepared, or manufactured, by me, according to the most approved system, from FRESH AND PICKLED LIVERS OF THE COD FISH ONLY, that no Chemical ingredients of ank kiud bave been used; and I further distinctly declare that my Cod Liver Oil has not been adulterated or mixed with uny other Oil whatsoever, the whole having been made and put up under my own personal superintendence.

ROBERT W. KELLY. Sworn before me, at Montreal, this 3rd day of December, 1850. E. R. FABRE, Mayor.

(Signed,) January 1.

9

ENUINE COD LIVER OIL.-OLEUM JECORIS ASELLI.- The subscribers have just received a supply of their Genuine Cod Liver Oil, which the Profession can depend upon for purity. It will be found to stand any test. Its efficacy in Consumption and Scrofula, both in England and on the Continent have been clearly proved.

S. J. L. & Co., have both the White Clarified and the Red Oil. The former is 7s 6d, the latter 5s, per Bottle. Orders from the country carefully attended S. J. LYMAN & Co., Chemists, Place D'Armes, Montreal.

โย.

Montreal, Dec, 1, 1849.

PALMER'S PATENT LEG.

By Her Majesty the Queen of Englund's Royal Letters Patent.

TH

HE Subscriber most respectfully begs to announce that he is the Inventor, Patentee, and Manufacturer of a new and improved ARTIFICIAL LEG, which is rapidly taking the place of all other substitutes, both in America and Europe.

It is constructed on an entirely new principle, having every joint of the natural limb completely imitated, and being supplied with tendons, muscles, and springs, which give it the most perfect life-like action, rendering it self-acting to a remarkable extent.

The entire exterior is covered with a fleshcolored leather, and this is coated with a cement perfectly impervious to water, and of the exact color of the human limb. The articulations move so nicely as to make no breakage in the contour, thus producing a beautiful as well as useful fac simile of the anatomical limb.

It is worn by both sexes with perfect facility. Its extreme lightness-a full length limb weighing from three to four pounds, and one below the knee from 20 to 35 ounces only-gives it great advantage; and the shortest stump will wield it readily. It is now worn by more than 300 persons, who have thrown the Anglesey Leg and all others aside to avail themselves of this mechanism, which is warranted to excel, in every particular, all Artificial Legs extant.

It has been declared to be "perfect" by the principal Surgeons in London, Paris, New York, Philadelphia, Boston, &c.

The Scott's Legacy Medal and Premium” and First Premium " of the Franklin Institute, Philadelphia; Gold and Silver Medals of the American Institute, New York; M. C. M. Association, Boston; and Maryland Institute, Baltimore, have been awarded to the Inventor. Andno other Artificial Leg has taken a prize in the U. States since this has been before the public.

It will be manufactured to order, and forwarded, warranted to fit. All letters post paid promptly attended to.

Offices-No. 376, Chesnut Street, Philadelphia, Pa. U.S.A.; and Springfield, Mass, U.S.A. B. FRANK PALMER. Information giveu by J. M. Ferres, Montreal Gazette Office, to whom orders for Canada may be addressed. June 21.

SU

96

London Art Journal. YUBSCRIBERS to the ART JOURNAL are respectfully notified that the January number, having been shipped on board the Atlantic Steamer, was detained, but the parcel is expected by the Cambria.

February 21.

R. CHALMERS & CO. 23

VOL VI.-No. 11.]

ART. LIII.-Cancerous Tumour of the Neck, simulating Scrofula; Hypertrophy of the Spleen; Death; and Autopsy. By GEORGE D. GIBB, M.D., L.R.C.S.I., Physician to the Montreal Dispensary, Member Parisian Medical Society, &c.

On the 14th February, 1850, Madame P — called upon me for advice about her little boy aged 5 years, with a tumour in his neck. His history was as follows:-When about three months old he had ascites, with oedema of the arms and chest, which, after a while, disappeared without treatment. His health continued good until he was two years of age, when he became very delicate and sickly. When about three and a half years old, he fell upon the pavement and struck the front part of his chest, fracturing the middle of the sternum, which some time after united, but with angular deformity, the projecting angle being considerable. He was at this time treated by an eminent surgeon, who recommended suspension of the body by the arms from the steps of a ladder, to correct the deformity, and at the same time put him upon tonic treatment. When about four years of age, a small tumor less than the size of a marble was noticed on the right side of the neck near the angle of the jaw ; it commenced slowly to increase, and after the lapse of six months, attained the size of the yelk of an egg.

He was treated for it by as many as six or seven physicians, and had taken a large quantity of medicine from each, with the use of Iodine internally as well as locally, which his mother thinks re

[NEW SERIES.

duced it a little in size, or kept it stationary for a time. It however has continued to grow up to the present time, and has assumed a large size. On the 1st January, 1850, he had an eruption about the face and head which turned into sores; and on the 14th February there were some red patches about the face, the remains of the sores.

Present Symptoms and Appeurances. -A tumour exists on the right side of the neck, proceeding from the parotidean region, downwards towards the clavicle and extending in the direction of the shoulder. It approaches also the mesian line of the neck, and would appear to encroach slightly upon the larynx, but not extending within the lower jaw. The tumour forms a considerable prominence, and a number of small veins are running in different directions over its surface. On the left_ side of the neck the external jugular is very prominent; not so on the right side. Three or four small red patches are present on the right cheek and chin ; the countenance is pale and flabby; the eyes prominent and full of expression ; which, with the shape of the head, denote precocity of intellect. And the general appearance is what would be at once pronounced by an observer as scrofulous. On examining the tumour, however, we find that it is lobulated and divided into two portions-a superior and an inferior;-the former is partly anterior to the inferior at its lower part, and the latter extends outwards and downwards upon the neck towards the shoulder. The tumour is freely

moveable in every direction; the integuments are not at all adherent to its capsule; and the consistence of the tumour is that of scirrhus, as it is impossible to make any impression upon it by firm pressure, from its firm and hard character, and scarcely any pain is induced. The glands on the opposite side of the neck are not affected, nor are the glands in any other part of the body. The sternum is curved forward, | and the chest anteriorly is prominent and rounded; in other words pigeonbreasted, said to be produced here by the occurrence of former fracture? The general health appears good; there is no perceptible lesion of any internal organ.

The child had been seen and carefully examined by my friend Dr. Wright; and we coincided in the opinion, as to the propriety of removing the tumour by the knife. The parents would not immediately consent to the operation, preferring to get further advice as to the expediency of this treatment.

I will here remark, that an operation was justifiable at this time, from the nature and character of the tumour ;-its peculiarly fibrous hardness, which was opposed to its being scrofulous ;-its great mobility and superficial situation over the deep cervical fascia ;-its circumference being well defined ;-none ofthe deeper structures of the neck being | either adherent to, or engaged in the diseased mass; and the patient's health being good without any internal complication, for after a careful examination of the thoracic and abdominal viscera, no lesion could be detected.

At a later period, however, one of the abdominal viscera became engaged, no doubt owing to the contamination of the circulating fluid by the malignant dis

ease.*

This fact is supported by the observations of Heller, in his "Pathological Chemistry of Cancer,"

On the 28th February I again saw the little fellow, and found the tumour very slightly increased in size. He was suffering from diarrhoea, for which I prescribed some powders. The parents had not made up their minds as to what they should do, as they said other gentlemen whom they had seen had declared an operation inadmissible.

On the 5th March the tumour appeared to be still further increasing, and spreading in a direction downwards and inwards.

On 15th May, for the first time, he began to complain of pain in the abdomen, and on examination a hard body was felt, roughened or tuberculated on the surface, extending from the superior part of the left lumbar, towards the middle of the umbilical region, and which proved to be hypertrophy of the spleen. The liver was of normal dimensions, and the kidneys were healthy as the urine presented nothing unusual. From this time to the 28th June the tumour kept slowly increasing in size and extending in a direction further upwards and downwards, becoming more adherent near the angle of the jaw, and pushing the head towards the left side. He suffered at times from spasmodic cough, with occasional fits of dyspnea, expectoration of frothy mucus, and a dislike to have any thing around his neck. He, however, ate well and slept comfortably.

During the months of July and August nothing material was noticed in the progress of the case, excepting visible increase in the size of the tumour, and further enlargement of the spleen. He did not suffer from any pain, but his cough was much more troublesome, requiring special treatment. On the 2nd September he complained of pain in his

where he has shown the contamination of the blood in that disease, and has given a microscopical analysis of the blood in ten cases.