. Annals of surgery . f the subject, thatwe shall merely discuss briefly certain points of interest in the casereported above. Relation of Traumatisms to Myeloma.—The patient gave a history of anancient injury to his back and a recent injury which precipitated his symp-toms. In the literature a similar relation between trauma and myeloma isfrequently recorded, and this is of interest not only etiologically but from themedico-legal standpoint. In the case here reported, the insurance companywhich had assumed the liability of the patients employer was very insistenton obtaining an opinion as to
. Annals of surgery . f the subject, thatwe shall merely discuss briefly certain points of interest in the casereported above. Relation of Traumatisms to Myeloma.—The patient gave a history of anancient injury to his back and a recent injury which precipitated his symp-toms. In the literature a similar relation between trauma and myeloma isfrequently recorded, and this is of interest not only etiologically but from themedico-legal standpoint. In the case here reported, the insurance companywhich had assumed the liability of the patients employer was very insistenton obtaining an opinion as to whether the patients condition was due to theaccident described. Inasmuch as most states have workmens compensationlaws at the present time, and as most workmen receive some injury from timeto time, this point becomes one of major importance. An analysis of thereported cases of myeloma gives us the impression that the injured bonewas already diseased and that the traumatisms merely called forth,definite symptoms. 20. Fig. 5.—Multiple myeloma. Low-poing many large and thin-walled blood channels,varied considerably in different portions of the t i^lis^X^^ .\rULTIPLE MYELOMA OF THE PLASMA-CELL TYPE Absence of Bcnce-Jones Protein from the Urine.—Through a misunder-standing hut a single examination for Bence-Jones alhumose was carried this was most carefully made by Dr. Thomas A. Cope, an experiencedlaboratory investigator. The negative result is not incompatible with thedisease, for, as Boggs and Guthrie * and others have shown, this albumosemay be absent in undoubted cases of myeloma. On the other hand, itsoccurrence is not limited to this disease but it may be present in destructiveprocesses of the marrow due to any cause, such as carcinomatous or sarco-matous invasion, osteomyelitis or chronic myelogenous leukaemia. Wallgrentabulates 51 cases of myeloma in which the urine contained albumin and inwhich tests for Bence-Jonesprotein were made. In 42 of .#fl^-f these t
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
