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The final day provided a very exciting finish. In the morning Sydney won three singles, Holyman, Baker and Brown going down to Aitken, Brewster and Garvin respectively. Sydney thus led, 9 6. The turning point of the match was when Hallowes easily defeated Todd, 6-1, 6-3. Hallowes played bril- liantly, his backhand driving being excellent, and well backed up by decisive volleying. McInnes was extended by Halliday, but won, 6—i, 3-6, 6-3. Fitts continued his brilliant play, and allowed Parker only one game in the two sets.
These wins made the score 9 all. Hallowes and Holyman then defeated Gargin and Brewster by steady play, with good smashing by Holyman. The match was finally decided by Baker and Brown defeating Aitken and Todd by good play, Baker serving and smashing splendidly. McInnes and Fitts defeated Halliday and Parker, 7-5, b-2, in what was more or less an exhibition match.
Melbourne thus won an exciting match by 12 rubbers to 9, regaining the Niall Cup for 1923.
The visitors were entertained at the Princess' Theatre on Thursday, 29th, and at dinner at Scott's Hotel on Saturday.
The annual meeting was held in the Club House on Monday, April 9th.
The following office-bearers were elected :—
President : Professor Skeats.
Vice-Presidents : Profs. ferry, Rivett, Mr. Sproule, Judge Williams.
Hon. Secretary : C. Focken.
Committee : B. Baker, K. B. Brown, C. H. Fitts, I. D. McInnes.
I. D. McInnes is to be congratulated on his inclusion in the Davis Cup team f or 1923; also for his recent successes in Adelaide, where he won the Mixed Doubles Championship with Miss Boyd, and was runner-up to G. L. Patterson in the Singles. C. H. Fitts is also to be congratulated on his Interstate successes in Sydney and Adelaide.
atble ttCS.
Athletic sports ;
Only come once a year.
Thank goodness !
For we've got to scratch up something about them.
Meds. not so prominent this year.
Still a few on the committee, however.
And we must mention the retirement of the two old hairies, Macmillan and Hewitt, who've been joint hon. secretaries for years.
Former was elected captain at annual general meeting, but has since left on a jaunt to Sweden and London to show them there how to run.
We wish him the very best of luck.
First day was 'Varsity championship day.
Meds. only won four championship events, which isn't too good.
Perhaps some aren't game to train seriously for fear of developing epilepsy.
Anyway, it's a big business.
One, Eccles, pole vaulted better than anyone else.
We were told that Jack, between his jumps, sought the company of Hutchi- son and Rainey, but we don't believe that.
If they'd said the last two had been seeking Jack's company—well- Claud Hallett won the loo in the last few strides. A good run.
He was unlucky, too, to lose the 220 to Clinton.
59
Bob Almond retained his title in the hurdles. He also collared the long jump.
Various Gentiles scored in the other championship events.
O'Brien won the quarter, and Eddy the high jump.
Ross was too good for his opponents in the half and the mile. What a fine runner he is.
Tubby Dodds heaved and putt with his usual virility, beating his own record in the hammer throw.
In the handicap events Jim Buchanan's "young feller" walked well, and broke the tape in the mile walk.
In Wally Macmillan's absence, his brother upheld the family rep. in the collegiate Too.
Almond managed to pull off the hurdles from the back mark.
Quite a good day's sport.
Intercollegiate sports promised to be one plurry good go.
They were.
Ormond, two points up, and long jump to go.
They say strain predisposes to atheroma.
We'll say, quite a few interested spectators' arteries will be that way—in time, anyhow.
Last event, however, went to the leaders.
Almond jumped 23 ft. ol in.—a State record.
Clinton was second, so total victory was by 5 points—Ormond, 681; New- man, 631.
Bloomfield won the putt, while Borland and Sproles halved the high jump.
Seekamp pinched the half and the mile—the former in 2 min. 2 1-5 sec.—
another record.
Newman got all the three sprints—Clinton the Too and 220, and O'Brien the quarter.
Hurdles again to Almond—also two seconds—in the Too and 220.
Queen's, 20 points, and Trinity, 19, didn't have a look in.
Intervarsity sports.
On performances Melbourne should win, but you never can tell.
Witness the young man of Cape Horn.
Adelaide and Sydney will be over.
The good old president, Dr. Kent Hughes, has promised the teams a dinner after the sports.
We aren't prophets, but to us there's no doubt who'll be president for years
and years and years.
Which is our way of thanking him.
And why not?
STOP PRESS : Melbourne won the Inter-'Varsity.
lbocke9,
The Hockey Club looks forward to the present season with every prospect of its being a most successful one. Despite the fact that the grounds have been very dry and hard, players have been turning out regularly, getting rid of the superfluous adipose tissue which has accumulated since last winter.
We are fortunate in having, as our President Mr. Alan Newton, who was Captain of the University team in 1909; also, we have eight of last year's team
again available, and, with many "B" grade players showing good form, the struggle to obtain (and to retain) positions in the Inter-'Varsity team will be keen. J. A. Thwaites, who was Captain last season, has again been elected to that position, and to him we offer our congratulations.
It had been intended to enter two "A" grade teams this season, but, owing to the fact that players may not be changed from the one team to the other, it was decided to enter one "A" and two "B" teams. The "A" team has won both matches played so far, the first being against Fairfield, last year's premiers.
The "B" grade matches have not yet started.
H. A. Maling is not yet available, as he is rowing with the University crew.
First and second year men would be particularly welcomed as recruits, as it is from the Meds. that the Club draws most of its players, and, unless new players can be got from these years, we cannot hope to build up such strong teams in future years. Sticks are made available by the Club for beginners, and there is plenty of room for new players. For the last four years Meds.
have held the Spencer Cup against the other faculties, and have comprised 75 per cent. of the Inter-'Varsity teams. Let the men in the junior years carry on the good work !
Congratulations to Messrs. W. J. Mallinson, C. J. Sharp, and Drs. R. F.
May and G. R. Davidson, all of whom have finished their University courses.
We hope to meet them all on the field this year, and show that, although we miss them, we are still (as one report put it recently) a "fast and deadly com- bination."
—W.D.L.F.
Rifle 1)ootin3.
We enter upon this year with very healthy prospects, for, although we sustain a casualty in that a former captain, Dr. L. M. Smith, will not be shooting for us this year, we have received large reinforcements of new members, and hope to maintain our success of the last year.
The 1922 Club Championship, completed in the third term of last year; was annexed by H. G. Mitchell, with 266 points, from L. G. Griffiths, 262, and A. C. Pedler, 26o.
The Club has entered a team in the Pennant Matches conducted by No. 21 Rifle Clubs' Union. Teams of six. Handicap and Scratch Matches over 300, 500, 600, 700, Boo and goo yards. Ten shots each range.
The Club won the Handicap at 50o yards with 30o points (possible), and were amongst the leading teams in the other matches. In the Aggregate for the three Handicap Matches over 300, 50o and 600 yards, the Club tied with Footscray for first place.
These Pennant Matches are still in progress.
C. W. Nye, scoring 48 out of possible 5o, tied with H. V. Siddle (M.R.C.) and T. Pettit (Fairfield) for best score of the day at 30o yards, and at 50o yards, with 5o (possible), he again tied for individual honours with L. Armstrong and D. R. Davies (M.C.C.), but lost the tie-shoots.
C. W. Nye, C. H. Dickson, W. P. Heslop (3 matches), A. C. Pedler, N. B.
White (2 matches), H. G. Mitchell, L. G. Griffiths, N. J. Griffiths, J. G. Bar- naby, A. R. Haywood (I match) have represented the Club in these matches.
The V.R.A. Annual Matches, held at Williamstown during March, were attended by several of our members, and, in addition to the trophies won, the experience gained should prove of great value to them later on.
At the annual meeting, held in the Biology School on 22nd March, the trophies won during 1922 were presented to the winners by the President (Sir D. Orme. Masson). Members also took advantage of the occasion to make pre- sentations to the Captain (A. C. Pedler), in recognition of his sterling services in entirely reorganising the Club, and to whose efforts the high standard of efficiency to which the Club attained last year was largely due ; and to C. W.
Nye, to mark his success in making the highest individual score in each of the last three Inter-'Varsity Matches—some record, indeed.
This year's Inter-'Varsity Match will be held in Sydney during the August vacation. Teams representing Adelaide, Sydney and our own Club will compete
for the Nathan Shield, which we hold.
Inter-faculty contests for the Northcote Cup, won last year by Meds., will be fired about the end of the second term, just prior to the Inter-'Varsity Match.
First year Meds. will be cordially welcomed at practice on Saturday after- noons. There is a large supply of bovine optics on which they can operate.
'omen's Trennis.
This year the tennis looks quite hopeful. Why, one may ask. Well, the Meds. are represented, and that's sufficient!
It is a great help to have Miss Dua Davies back in the four. For a year she has been unable to play, owing to illness. Now she has got back all her old form, plus something extra. Miss K. Stephenson is in again this year.
The matches are to be played in Adelaide this year, beginning the 21st May.
Brisbane is plucky enough to send a team all the way to S.A., so four teams will be competing.
The 'Varsity four are :—Miss Tovell (Arts), Miss D. Davies (Med.), Miss Mary Davies (Science), and Miss K. Stephenson (Med.).
The second pennant also has the privilege of having two Med. representa- tives. The worthy pair are Miss P. Tewsley and Miss S. Hawkins. These matches start May znd.
The national song of Bolshevik Russia.—"I'm forever blowing roubles."
Commentaries.
MEDICAL—DR. KEANE.
Female, wt. 45, school teacher. First seen, February, 1923.
Became ill two nights ago. Felt dopy and feverish, and suddenly developed severe frontal and occipital headache, with shivering. Took her own tempera- ture, which was 102. Took two aspirin tablets and a hot bath before going to bed. Felt better in a.m., and did her day's work, although suffering still from headache, mostly in occipital region. Was very tired in evening. Took more aspirin and an aperient. As her head was still aching in the morning, and her temperature was I00°, she remained in bed, and sought medical advice in the afternoon.
Patient had been under my care on and off for about three years. She had slight visceroptosis, and suffered much from flatulent dyspepsia, which had been relieved by careful dieting, but which always recurred if she took any liberties with her diet. She was of a highly neurotic disposition, and had a good deal of nervous disturbance at the climacteric. When za. 15 she was under medical care for twelve months with a suspicion of lung trouble.
Examination showed patient's temperature 102°. Pulse R. 77. Tongue clean, throat slightly engorged. Heart : A.B. 5th I.S., inside N.L., sounds clear.
Lungs : Suspicion of prolonged expiration at L. apex, no adventia. Nervous system, N.A.D. Abdomen, N.A.D.
During the first week of her illness the temperature ranged between Too°
in the morning to 103° in the evening. B.O. only with aperients, stools loose.
Urine 1025, water Ai, no alb., no sugar, no pus. B.P. 130.
During the second week patient's temperature had about the same range, and she still complained of severe headache, chiefly occipital. During this week a few scattered rhonchi could be heard in her chest, though she said she rarely coughed, and had no expectoration. Bowels still not open without assistance, stools loose. Examination of her abdomen disclosed no spots, no tenderness anywhere, no enlargement of the spleen, no signs of any free fluid. Her Widal was negative.
During the third ,week her temperature began to show greater remissions, ranging from 104° at night to 99° in the morning, with profuse sweating. Her headache disappeared, and she said that she was feeling better, but her apex beat had shifted out slightly, and a soft cystolic murmur could be heard, which was conducted out for about an inch from the A.B. A trace of alb. appeared in her urine. The lung signs were unchanged.
Towards the end of the third week she developed tenderness in the R.
hypochondriac, and one could feel what seemed to be a tender liver margin. Her tenderness became most marked over the region of the gall bladder. She was not jaundiced. There was no bile in her urine.
Discuss the possible diagnosis in this case, and the steps you would take on the facts presented to elucidate the diagnosis.
SURGICAL—MR. FAY MACL URE, M.D., F.R.C.S.
(Hon. O.P. Surgeon, A .H )
H.H., male, wt. 59, labourer.
In April, 1919, admitted to hospital, complaining of abdominal distension with little pain and diarrhoea for two weeks. A year before had been in hos- pital with the same symptoms.
On Examination.—Wass + ye. Marked distension of abdomen ; progres- sive. Visible waves of peristalsis, no tenderness or rigidity ; tympanitic ; no area of dullness.
Motion : Fluid faeces, no blood, no pus.
P.R., nothing abnormal detected.
Discharged after five weeks in hospital.
In November, 1919, again admitted to hospital, complaining of indefinite abdominal pains, which appear to he colicky in nature. Says abdomen has been more or less distended since previous treatment. Bowels open daily, but it is necessary to take purgatives. Now admitted because of increase of pain for two days. Increase of distension and of vomiting on two occasions. Has not lost weight or strength. Appetite good. No cough in dyspncea. Noc- turnal micturition 2 or 3 times a night. No dysuria or hxmaturia.
R. eye removed 5 years ago, L. eye normal.
On Examination.—T. 98, P. 76, R. 24. Urine 1020, Ac. No alb. or sugar.
Well-built elderly man, not looking acutely ill. Heart and lungs clear.
Abdomen : Very marked distension of whole abdomen ; tympanitic ; no dullness detected ; no tenderness.
P.R., nothing abnormal found. Nervous system ditto.
Discuss the diagnosis and the treatment in detail.
1Re.til0 of Corninentario.
DR. TURNBULL.
Dr. Turnbull awarded his prize of £11.t/- to Mr. T. Heale.
The heart in this case was undoubtedly damaged by the rheumatic infec- tions to which it had been subjected. There was a mitral valvulitis, and also it had definitely failed on one occasion when subjected to an ordeal which a normal heart might certainly have been expected to undergo with ease. Spinning a heavy motor caused collapse, probably an acute dilatation, though there is no definite information as to the actual condition at that time. This was recovered from completely after rest and care, and he was then quite well till the attack of influenza. This infection, acting on a damaged heart, caused so much further weakening as to produce on very slight exertion definite signs of failure, chiefly cardiac pain. Note that pain appeared before sufficient exertion could be taken to give rise to dyspncea. This is commonly seen.
The prognosis must take into account the transient nature of the added toxaemia, and this, with the absence of the signs of ordinary cardiac failure, and the good condition at rest, makes it reasonable to look for restoration to, or nearly to, the pre-influenzal level. He was kept in bed for ten days, with mode- rate doses of bromide, and then gradually increasing exercise was given, and within two months he was back at work, and able to do as much as before his illness. The significance of a transient or removable cause for the cardiac pain • is of the utmost importance.
MR. DEW.
Prize of £0/- awarded to Mr. Burwood.
Diagnosis.—Mesenteric Thrombosis with uncomplicated inguinal hernia.
Notes.—The presence of a large inguino-scrotal hernia, with severe abdo- minal pain, combined with tenseness and tenderness locally, led to the pre- operative diagnosis of strangulated hernia. The extreme collapse, the slight degree of abdominal distension, and the absence of absolute constipation were a typical feature which were noted at the time, but were not considered sufficient cause to review the diagnosis.
At operation there was no doubt that there was no strangulation of the small bowel. The interesting feature was the presence of many pints of blood-stained peritoneal exudate. This is the sign around which a discussion of the condition should be centred. The following diagnosis should be considered :.-
(r) Strangulation of small bowel, with accompanying vascular congestion.
(2) Acute Pancreatitis.
(3) Acute hxmorrhagic peritonitis.
(4) Mesenteric thrombosis or embolism.
(5) Malignant disease of the peritoneum.
The finding of a length of small intestine, intensely engorged with no defi- nite constriction, and the absence of any obvious disease elsewhere, led to the diagnosis of mesenteric thrombosis. The age of the patient, the collapse and agonies, the extreme pain are all in favour of this.
At the Autopsy.—A semi-gangrenous conditioh of several feet of small intestine, with thrombosis of several of the large branches of the superior mesen- teric artery. The vessels were all thrombosed, causing great thickening of the mesentery. No cardiac disease, apart from atheroma of the aorta, and marked atheromatous change in the abdominal aorta and branches.
Etiology.—(1) Senility with sluggish border line circulation.
(2) Arterial disease.
(3) Some mild injective process or mild trauma which indicates the thrombosis.
Valete
DR. F. H. ANDERSON.
The announcement of the f orthcotning resignation of Dr. Anderson from the position of Lecturer in Anatomy will be received with regret by all members of the Melbourne Medical School.
Dr. Anderson was an Ormond student, and, while there, was a member of the Eight, and an active participant in student affairs. We have heard from his own lips that College rowing is not what it was in his day. However, he has always been willing to do what he could to raise the standard, by coaching crews, finding them rough, and leaving them good. After graduating, Dr. Anderson
was the first Stewart Lecturer in Anatomy, holding the position for three years.
Later he was examiner in anatomy for three years, and spent some time in private at Benalla.
He enlisted, and remained in the army from 1914 to 1920. He became Colonel, Asst. Director of Medical Services, and was decorated. He returned to Melbourne in 1920, having received a cable with the offer of the Lecturership in Anatomy, which he accepted.
Dr. Anderson has been very active in the medical world apart from his University duties, being a committeeman of the B.M.A., and secretary of the Permanent Post Graduate Course Committee, to name duly two of his many activities.
Lately he has been engaged in collaborating with Professor Berry in the production of a book, "Brain and Mind," shortly to be published in London.
Such is a brief outline of the salient points of Dr. Anderson's career. But this is only bare bones, and it is the man students will remember. "Jock" was always willing to give a hand to students in difficulties.
A cheerful man, with charming personality, even the cadavers wore a more pleasant aspect when he entered the room. He gave great help in the reconsti- tution of the M.S.S. and "Speculum" Board, and was always ready with advice
(and good advice, too) on matters of student life.
In conclusion, we can only give him the best wishes of the Med. students for his future work, and the wishes of such a multitude must carry weight somewhere.
DR. S. W. PATTERSON.
Dr. Patterson graduated in Melbourne in 1904, and Was later resident at the Melbourne and Children's Hospitals. Later he became M.D.Melb., and Uni- versity Scholar in Physiology, and was appointed Beit Memorial Research Fellow in 1911. He was chiefly occupied with research work in the physiology of diabetes and cardiology. Much of this work was done at University College Hospital in London, at the Lister Institute, and in Germany till the war broke out.
Enlisting, he was Captain in the R.A.M.C., and throughout the war did hos- pital and pathological work. The end of the war found him Major, R.A.M.C., and Assistant Director of Pathology, Rouen.
He returned to London, and became D.Sc., and in 1919 was appointed Director of the Walter and Eliza Hall Institute of Research. While there, and previously, he published many pieces of research work in physiology, biochemistry, bacteriology and pathology.
Lately Dr. Patterson accepted an appointment as Physician to Duff House, Ruthen, North Wales. He will control the laboratories there. This institution is a branch of the well-known Duff House in Scotland, and is conducted by the Medical Research Council. Patients suffering from special metabolic diseases, such as diabetes, are admitted to this hospital, and the fullest investigation is carried out.
Dr. Patterson, while O.P. physician at the Melbourne Hospital, was an able clinician, and gave many valuable demonstrations to students in the post-mortem
TOM.
What we lose, England gains, but that in no way makes less the sense of our loss.