1. Two patients admitted to hospital in congestive cardiac failure were diagnosed as cases of aortic sinus aneurysma on the basis of a distinctive roentgenogram which showed bulging of the upper right cardiac border and enlargement of the left ventricle, the contour of the heart appearing sickle-shaped 2. Autopsy findings on these two patients showed the presence of an aortic aneurysm involving the ascending aorta and the aortic sinuses. 3. The aetiological factor in one cases was cystic medionecrosis and the other syphilis.
A slum, Cato Manor, and a municipal housing scheme, Chesterville, have been surveyed for intestinal parasites. The immediate effect of better conditions is not seen on the protozoal populations, but the metazoa are markedly affected.
1. Tuberculosis is an important problem in mental hospitals for non-Europeans. 2. In many cases mass-radiography alone does not seem adequate for the diagnosis of pulmonary tuberculosis in psychotics. 3. Clinical examination of the chest, using the stethoscope, is of very little value in the discovery of tuberculosis in most cases of psychosis. 4. In the diagnosis of tuberculosis, or of a state of health which may predispose towards the development of tuberculosis, the pulse rate, sedimentation rate and difference between morning and evening temperatures, are of value in psychotic patients.
A sporadic case of Fanconi's anaemia in a boy of 6 years is reported. He had a hypoplastic bone-marrow anaemia with leucopenia and thrombocytopenia. He had congenital abnormalities of his fingers and heart and an absent right kidney. There was a disturbance of pigment metabolism of his skin, with increased melanin deposition. ACTH therapy was unsuccessful. The literature is briefly reviewed.