The APS Journal Legacy Content is the corpus of 100 years of historical scientific research from the American Physiological Society research journals. This package goes back to the first issue of each of the APS journals including the American Journal of Physiology, first published in 1898. The full text scanned images of the printed pages are easily searchable. Downloads quickly in PDF format.

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437the apex beat was diffused. There were no increase in the superficial cardiac dulness and no bruits. The liver dulness commenced at the upper border of the sixth rib in the nipple line. On inspection the abdomen was found to be deeply jaundiced. Distension was noticed to the right of the umbilicus. On palpation to the right of, and extending for two or three inches below the level of, the umbilicus was a tender, elastic, tense resistance, roughly triangular in shape, merging above and on either side of its base with a more solid resistance, presumably the liver. On percussion the above regions were both dull. The physical signs thus pointing to some obstruction of the common bile duct exploratory laparotomy was advised. On Dec. 6th Dr. Hatton made an incision in the linea semilunaris on the right side over the swelling and on opening the peritoneal cavity he discovered a much distended gall-bladder, bearing signs of an acute local inflammatory condition and adherent above to a portion of great omentum. Cellular blanket cloth swabs having been packed around the lower and outer aspects of the gall-bladder, an incision was made into it and a quantity of bile, at first purulent but later almost normal in character, was evacuated. The cavity of the gall-bladder was then found to be full of smooth small faceted calculi, averaging about the size of a large pea, of which 449 were removed. The gall-bladder was then sutured to the abdominal parietes and a drainage-tube and iodoform gauze-plug were inserted ; the upper portion of the wound was closed with silkworm-gut sutures. Owing to the length of the operation it was not deemed advisable to explore the gall-ducts at this time.The patient bore the operation well and was anaesthetised with ether. The after progress was very satisfactory ; the jaundice lessened and disappeared. The tube was removed on Dec. 8th and the stitches on the 16th. Two more calculi of small size were passed, one on the 12th and the other on the 27th, bringing the total up to 451. The biliary fistula slowly closed, normal bile being passed but lessening gradually and on the patient's leaving the infirmary on Jan. 12th, 1903, all that remained was a button of granulations with slight exudation of bile. Stoke-on-Trent.A BOY, aged 11 years, was seen at his home at 11.30 A.M. on April 3rd, 1902. The mother stated that he had been kicked by a horse one and a half hours previously and that he had lost a tremendous quantity of blood. Previously the boy had been healthy and strong. The father of the boy was a miner living in a small cottage of two room9. The family history was good. When first seen the boy was lying on a settle. His face was blanched and blood was running from the right side of the head above the ear. He was in a collapsed condition and unconscious. The pulse was very small.On examination a lacerated wound was found, one inch in length, situated two and a half inches from the root of the zygoma, four inches from the middle of the bregma, four and a half inches from the middle line of the ...