Posts tagged 1910s

Osteo-chondro-myxosarcoma before and after surgical intervention

Osteogenic tumors develop bone that displaces soft tissue. Osteo- means “bone”, and -genic means “to form”. In addition to the osteogenic behavior, this patient’s tumor has caused disordered cartilage (chondro-) and mucous membrane (myxo-) growth.

The case report states that it took “many” surgeries to completely remove the tumor and partially reconstruct the jaw, but that the patient lived a further 8 years after removal, and experienced no recurrence of the tumor in that time. While his vision suffered, as the left eye was unsalvagable, and his speech was impeded by both the incomplete jaw reconstruction and the excess skin remaining on the face, he was able to hold down a steady job and communicate. He was reported to be of “average-to-high” intelligence.

Tumors of the Jaws. Charles Locke Scudder, 1912.

“Ok, I’ll just leave the front here and hang the tentacles over here, get this squid drawn up before we bring in the next haul, and make it more accurate than last time! I want the squid exactly as it is; they don’t all look the same!”
Several hours later…
“DAMNIT CHARLES, I DIDN’T MEAN DRAW THE SQUID EXACTLY AS IT WAS!”
Cephalopoda of the Hawaiian Islands. S. Stillman Berry, 1914.

“Ok, I’ll just leave the front here and hang the tentacles over here, get this squid drawn up before we bring in the next haul, and make it more accurate than last time! I want the squid exactly as it is; they don’t all look the same!”

Several hours later…

“DAMNIT CHARLES, I DIDN’T MEAN DRAW THE SQUID EXACTLY AS IT WAS!”

Cephalopoda of the Hawaiian Islands. S. Stillman Berry, 1914.

Double Penis
For those of you wondering if/telling me this post was fake.
Some additional anatomical information can be gleaned from the 1918 text that was not present with the illustrated figure: this man was reported to have two “functionally perfect” organs, though the urethra traveled through one penis, and he ejaculated out the other. Both were capable of maintaining an erection, but it was not as “virile” as an “average male” (presumably meaning neither organ was as stiff as a typical erection).
There were only two testicles, and the “limb” (it was not specified as to whether it was a leg or arm) emerged from the perineum - the region between the genitalia and the anus.
Genito-Urinary Surgery and Venereal Diseases. Edward Martin, Benjamin A. Thomas, and Stirling W. Moorhead, 1918.

Double Penis

For those of you wondering if/telling me this post was fake.

Some additional anatomical information can be gleaned from the 1918 text that was not present with the illustrated figure: this man was reported to have two “functionally perfect” organs, though the urethra traveled through one penis, and he ejaculated out the other. Both were capable of maintaining an erection, but it was not as “virile” as an “average male” (presumably meaning neither organ was as stiff as a typical erection).

There were only two testicles, and the “limb” (it was not specified as to whether it was a leg or arm) emerged from the perineum - the region between the genitalia and the anus.

Genito-Urinary Surgery and Venereal Diseases. Edward Martin, Benjamin A. Thomas, and Stirling W. Moorhead, 1918.

Brown-throated sloth - Bradypus variegatus
The brown-throated sloth is one of the three-toed sloths, and lives in the neotropical regions of South America. Though the species as a whole eats a wide variety of leaves, each individual sloth tends to specialize in one to three species, and preferentially eats from those particular trees. 
As sloth babies begin to eat leaf particles from their mother’s fur as early as the fourth day of life, they tend to develop the same leaf preferences as her.
That said, sloths aren’t so picky that they won’t eat any other leaves. You may like pizza a whole lot, but would you really JUST eat pizza your whole life? Sloths tend to slow their eating habits significantly when they’re allowed to eat only the species they appeared to be most preferential of initially. 
Brehm’s Tierleben: Allgemeine Kunde des Tierreichs. Prof. Otto zur Strassen, 1912.

Brown-throated sloth - Bradypus variegatus

The brown-throated sloth is one of the three-toed sloths, and lives in the neotropical regions of South America. Though the species as a whole eats a wide variety of leaves, each individual sloth tends to specialize in one to three species, and preferentially eats from those particular trees. 

As sloth babies begin to eat leaf particles from their mother’s fur as early as the fourth day of life, they tend to develop the same leaf preferences as her.

That said, sloths aren’t so picky that they won’t eat any other leaves. You may like pizza a whole lot, but would you really JUST eat pizza your whole life? Sloths tend to slow their eating habits significantly when they’re allowed to eat only the species they appeared to be most preferential of initially.

Brehm’s Tierleben: Allgemeine Kunde des Tierreichs. Prof. Otto zur Strassen, 1912.

Plaster model of executed Chinese pirate

The neck stump of this executed Yangzee River pirate is surprisingly accurate for what was probably a sideshow prop. The cervical spine, blood vessels, muscles, trachea, and esophagus are all visible.

The muscular nature of the esophagus is highly visible here. You can also see the hardness of the trachea.

The donation of this model to the Science Museum London came with little accompanying information, but it is known that it was produced in England, between 1910 and 1922. The braid is real human hair, and the plaster and finish is of a high quality. Given its “blood-splattered” carrying case, it was most likely a prop in a traveling sideshow.

Images via Science Museum London.

Osteosarcoma of the upper jaw in 10-year-old boy
Sarcomas are relatively rare tumors in humans, formed from mesenchymal cells, rather than epithelial (surface) cells. Epithelial cell tumors are called “carcinomas”. Since sarcomas are relatively uncommon, but hard tumors or cysts on the bones are not, patients are often misdiagnosed at first.
In children, osteosarcomas (sarcomas of the bone) comprise approximately 2.4% of cancer cases. Most of these tumors occur in the leg bones, but around 8% originate in the jaw. The standard treatment of osteosarcoma is resection of the affected bone - that is, removal of the tumorous section, and joining together the two sections of bone on either side of the removed area. If the tumor has spread or the bone is too overtaken by it, amputation of the limb is called for. Obviously, you can’t amputate the face, but detection of facial tumors is often much less delayed than in the leg, and the removal and resection of the jaw bone is usually possible.
Five-year survival rates of pediatric osteosarcoma are still one of the lowest of all the childhood cancers, at an average of 68% across all the different manifestations. However, given that the survival rate was hovering around 5-10% at the beginning of the 20th century (and that’s being generous), we’ve come a long way. Early detection and eliminating misdiagnoses of leg tumors is critical to survival in all age groups.
Tumors of the Jaws. Charles Locke Scudder, 1912.

Osteosarcoma of the upper jaw in 10-year-old boy

Sarcomas are relatively rare tumors in humans, formed from mesenchymal cells, rather than epithelial (surface) cells. Epithelial cell tumors are called “carcinomas”. Since sarcomas are relatively uncommon, but hard tumors or cysts on the bones are not, patients are often misdiagnosed at first.

In children, osteosarcomas (sarcomas of the bone) comprise approximately 2.4% of cancer cases. Most of these tumors occur in the leg bones, but around 8% originate in the jaw. The standard treatment of osteosarcoma is resection of the affected bone - that is, removal of the tumorous section, and joining together the two sections of bone on either side of the removed area. If the tumor has spread or the bone is too overtaken by it, amputation of the limb is called for. Obviously, you can’t amputate the face, but detection of facial tumors is often much less delayed than in the leg, and the removal and resection of the jaw bone is usually possible.

Five-year survival rates of pediatric osteosarcoma are still one of the lowest of all the childhood cancers, at an average of 68% across all the different manifestations. However, given that the survival rate was hovering around 5-10% at the beginning of the 20th century (and that’s being generous), we’ve come a long way. Early detection and eliminating misdiagnoses of leg tumors is critical to survival in all age groups.


Tumors of the Jaws. Charles Locke Scudder, 1912.

Giant larva of the rhinoceros beetle of British Guiana

The most common rhinoceros beetle (subfamily Dynastinae) in British Guiana (now Guyana) is the elephant beetle (Megasoma elephas). The larval stage of these beetles can last up to 3 years, where the grubs consume the organic matter of the decaying logs that they’re hatched inside.

This species is one of three beetles that was used by the Pentagon to develop their so-called “bionic beetle”, which has been a bizarre and interesting project. Its outcomes so far have benefited science far more than the military, because, well, it turns out that remote-control beetles are pretty easy to see. Also…they’re remote-control beetles. But hey, science! We’ve learned a lot from them!

Tropical Wild Life in British Guiana, Vol 1. William Beebe, 1917.

Given that ladybirds/ladybugs are considered to be “Any member of the family Coccinellidae,” there’s a huge degree of variation in what they look like. Worldwide, there are over 5,000 species, and there are over 450 species in North America, alone. 
One of the most well-known Coccinellids is known as the Harlequin ladybug, Japanese Lady Beetle, pumpkin ladybird, or Asian Lady Beetle, depending upon your locality. Harmonia axyridis is orange-yellow with between 0 and 22 spots, and is considered an agricultural pest in many areas. I remember them absolutely covering the entire south side of my childhood home, and not being able to get inside without going through the stink-mess.
scientificillustration:

Ladybirds
Coccinella 14-pustulata; Coccinella 7-punctata, Coccinella 7-punctata var. externepunctata; Coccinella 5-punctata; Coccinella 11-punctata; Coccinella 11-punctata var. 9-punctata; Coccinella hieroglyphica; Aphidecta obliterata; Coccinella 10-punctata; Coccinella 10-punctata var. lutea; Coccinella 10-punctata var. subpunctata; Coccinella 10-punctata var. 4-punctata; Coccinella 10-punctata var. 6-punctata; Coccinella bipunctata; Coccinella bipunctata var. bisculata; Coccinella unifasciata; Coccinella annulata; Coccinella pantherina; Coccinella inaequalis; Coccinella 6-pustulata; Coccinella 4-maculata; Semiadealia 11-notata; Hippodamia variegata; Hippodamia immaculata; Hippodamia 5-maculata; Hippodamia obversepunctata; Hippodamia 6-punctata; Hippodamia constellata; Hippodamia arienaria; Hippodamia biconstallata; Hippodamia neglecta; Hippodamia 13-punctata; Hippodamia spissa; Hippodamia 7-maculata; Hippodamia oblonga; Hippodamia paykulli; Anisosticta 19-punctata; Anisosticta strigata
From: FAUNA GERMANICA (1911) Die Käfer des Deutschen Reiches. Band III. by Edmund Reitter

Given that ladybirds/ladybugs are considered to be “Any member of the family Coccinellidae,” there’s a huge degree of variation in what they look like. Worldwide, there are over 5,000 species, and there are over 450 species in North America, alone.

One of the most well-known Coccinellids is known as the Harlequin ladybug, Japanese Lady Beetle, pumpkin ladybird, or Asian Lady Beetle, depending upon your locality. Harmonia axyridis is orange-yellow with between 0 and 22 spots, and is considered an agricultural pest in many areas. I remember them absolutely covering the entire south side of my childhood home, and not being able to get inside without going through the stink-mess.

scientificillustration:

Ladybirds

Coccinella 14-pustulata; Coccinella 7-punctata, Coccinella 7-punctata var. externepunctata; Coccinella 5-punctata; Coccinella 11-punctata; Coccinella 11-punctata var. 9-punctata; Coccinella hieroglyphica; Aphidecta obliterata; Coccinella 10-punctata; Coccinella 10-punctata var. lutea; Coccinella 10-punctata var. subpunctata; Coccinella 10-punctata var. 4-punctata; Coccinella 10-punctata var. 6-punctata; Coccinella bipunctata; Coccinella bipunctata var. bisculata; Coccinella unifasciata; Coccinella annulata; Coccinella pantherina; Coccinella inaequalis; Coccinella 6-pustulata; Coccinella 4-maculata; Semiadealia 11-notata; Hippodamia variegata; Hippodamia immaculata; Hippodamia 5-maculata; Hippodamia obversepunctata; Hippodamia 6-punctata; Hippodamia constellata; Hippodamia arienaria; Hippodamia biconstallata; Hippodamia neglecta; Hippodamia 13-punctata; Hippodamia spissa; Hippodamia 7-maculata; Hippodamia oblonga; Hippodamia paykulli; Anisosticta 19-punctata; Anisosticta strigata

From: FAUNA GERMANICA (1911) Die Käfer des Deutschen Reiches. Band III. by Edmund Reitter

Structural anatomy of the human head

Successive frontal slices of adult male, brain removed.

As can be seen in these images, the human skull is a rather complex maze of hollow cavities, thin walls, and hidden structures.

There are four sets of paranasal sinuses in the front of the head: the maxillary sinuses (right below the eyes), frontal sinuses (above the eyes, in the hard part of the forehead), ethmoid sinuses (between/behind the nose and eyes), and the sphenoid sinuses (in the sphenoid bone, under the pituitary gland, in the center of the skull - can be seen in the bottom-most plates).

In addition to those sinuses, you can also see the Eustachian tubes, which connect the ear to the nasopharynx and regulate pressure in the middle ear; the curled nasal concha, which regulate the air flow through our nose, keeping it a relatively constant humidity and temperature; and the falx cerebri, a sickle-shaped sheet of dura mater that divides the right and left hemispheres of the brain.

Studies in the Anatomy and Surgery of the Nose and Ear. Adam E. Smith, 1918.

Black-Necked Aracari - Pteroglossus aracari
Top, Bottom
- 10-day-old juvenile
Center - Adult (male/female form similar)

Aracaris are toucans, in the genus Pteroglossus (along with the Saffron toucanet). Though the toucans are among the largest tropical birds, aracaris are relatively small members of their family. Aside from size, their omnivorous diet chiefly consisting of fruits, proportionally huge bill used for plundering fruits and nests of other birds, and their altricial (helpless at birth) chicks, are all characteristic of other toucans.

Top, Bottom: Tropical Wild Life in British Guyana. William Beebe, 1917.
Center: Os quadros de aves tropicais do Castelo de Hoflössnitz. Albert Eckhout, ca. 1653-1659.

Rheumatic heart disease (Rheumatic endocarditis)

A hundred years ago, before we had access to effective antibiotics or preventative care, strep throat (streptococcal pharyngitis), scarlet fever, and other manifestations of Streptococcus pyogenes infection often led to death; sometimes that death was months or years after “recovery” from the disease, but it was directly caused by the reaction of the body’s immune system to the bacterial infection.

Untreated Streptococcus infections can lead to an autoimmune cross-reaction to the body’s own tissues. One of these autoimmune responses is rheumatic fever. In this condition, the heart and joints are attacked, causing them to grow vegetations (see the opened heart above) which impede blood flow and free movement of the large joints. Rheumatic fever also causes what’s known as “St. Vitus’ Dance” (chorea minor), which causes uncontrolled movements and muscle twitching, which can further impair quality-of-life and productivity.

While rheumatic fever is rare in the developed world (and almost always caught early when it does occur), it’s still painfully common in places like South-East Asia and Sub-Saharan Africa. People (largely children) who develop it often don’t know until symptoms begin to seriously manifest themselves, when the growths have reached a point where they have the potential to soon completely block the heart valves. At this point, the only cure for the patient is open-heart surgery - something that’s incredibly hard to come by in the developing world. Over 300,000 people still die of this condition every year.

Keif Davidson recently released an Academy Award-nominated short documentary called “Open Heart”, following eight Rwandan children to the Salam Center in Northern Sudan. This well-built and impressively staffed charitable hospital is run by Emergency, an Italian NGO. For the children that can get there, open-heart surgery and all follow-up visits are provided for free. It’s an impressive and touching film, and the passion of the filmmaker and of the surgeons is hard to ignore.

If Streptococcal infections are treated, rheumatic fever almost never develops. But if it does, early treatment can mean that those afflicted with the condition can live happy and productive lives, and may never develop the life-threatening heart conditions associated with it. There are currently efforts to disseminate antibiotic availability for Streptococcal infections, and a mobile team is now being organized to screen for early rheumatic fever in the field. Prevention and early treatment is much cheaper for everyone, and hopefully both of these efforts will be successful in decreasing the number of people who must trek far from home for any chance at all of treatment.

Illustration: Researches on Rheumatism. F.J. Poynton and Alexander Paine, 1914.

Poster: “Open Heart” Film. Directed by Keif Davidson, in Association with Stories Of Change A Project Of and supported by the Skoll Foundation. 2013.

biomedicalephemera:

Forms of iritis.
Iritis is an inflammation of the iris - it can be caused by dozens of conditions and diseases, and can lead to serious vision loss or blindness. In chronic iritis (much less responsive to treatment than acute iritis, no matter what the primary cause), one of the treatments that sometimes has to be used is subconjunctival steroid injections. Ohhh yes. Eyeball injections.
External Diseases of the Eye. Dr. Richard Greeff, 1914.

biomedicalephemera:

Forms of iritis.

Iritis is an inflammation of the iris - it can be caused by dozens of conditions and diseases, and can lead to serious vision loss or blindness. In chronic iritis (much less responsive to treatment than acute iritis, no matter what the primary cause), one of the treatments that sometimes has to be used is subconjunctival steroid injections. Ohhh yes. Eyeball injections.

External Diseases of the Eye. Dr. Richard Greeff, 1914.

Ganglion cyst, aka “Bible bump”, aka “Let’s hit you with a large book!”
Given the name “Bible cyst” or “Bible bump” from the original “treatment” of hitting the deformity with a Bible or other large book, ganglion cysts are actually considered tumors. Over 60% of the non-cancerous tumors of the hand are ganglionic, but their etiology is still not completely understood.
The first description of these tumors was given by Hippocrates as “knots of tissue containing mucoid flesh”, but the first theories of their origins weren’t put forth until 1746, when one Dr. Eller wrote a descriptive paper on them. He believed that they came from synovial herniation,  or rupture through the tendon sheath, and that they were true cysts.
Later theories recognized that the tumors were growths arising from ganglionic sheaths and not encysted fluids or mucoid tissues, but the old theory of “just smack it with a heavy object to burst it and make the body reabsorb it” still stuck around for a long time. Though bursting the tumor can cause temporary disappearance, this often causes more serious recurrence and additional growth. As these tissues are not cancerous, it’s generally recommended to leave them alone when they’re not interfering with normal function. Sometimes they can press against other tendons or nerves and necessitate aspiration or surgical removal, but the incidence of recurrence is over 40%. In about 75% of cases, the “cyst” will disappear or significantly decrease on its own.
So, yeah, don’t let anyone convince you to let them smack you with a heavy object, just because you have one of these growths! It’s a bad idea to let people smack you with heavy objects, just as a general rule…
[Source: Medscape Reference: Ganglions]
[Image: Iconograms. Prof. Bockenheimer, 1913.]

Ganglion cyst, aka “Bible bump”, aka “Let’s hit you with a large book!”

Given the name “Bible cyst” or “Bible bump” from the original “treatment” of hitting the deformity with a Bible or other large book, ganglion cysts are actually considered tumors. Over 60% of the non-cancerous tumors of the hand are ganglionic, but their etiology is still not completely understood.

The first description of these tumors was given by Hippocrates as “knots of tissue containing mucoid flesh”, but the first theories of their origins weren’t put forth until 1746, when one Dr. Eller wrote a descriptive paper on them. He believed that they came from synovial herniation,  or rupture through the tendon sheath, and that they were true cysts.

Later theories recognized that the tumors were growths arising from ganglionic sheaths and not encysted fluids or mucoid tissues, but the old theory of “just smack it with a heavy object to burst it and make the body reabsorb it” still stuck around for a long time. Though bursting the tumor can cause temporary disappearance, this often causes more serious recurrence and additional growth. As these tissues are not cancerous, it’s generally recommended to leave them alone when they’re not interfering with normal function. Sometimes they can press against other tendons or nerves and necessitate aspiration or surgical removal, but the incidence of recurrence is over 40%. In about 75% of cases, the “cyst” will disappear or significantly decrease on its own.

So, yeah, don’t let anyone convince you to let them smack you with a heavy object, just because you have one of these growths! It’s a bad idea to let people smack you with heavy objects, just as a general rule…

[Source: Medscape Reference: Ganglions]

[Image: Iconograms. Prof. Bockenheimer, 1913.]

biomedicalephemera:

Conjunctivitis gonorrhoica adultorum
Gonorrhea can cause pose a risk to the newborn infant quite easily, especially when it’s contracted during childbirth and not caught until the eye is significantly pustular and weeping, but when gonorrheal infection manages to take hold in the adult eye, it’s often far more damaging, much more quickly than in the infant. The eye can begin producing an excess of clear tears in the morning, by noon have the lachrymation become turbid and milky, and by evening have a steady stream of pus coming from the eye.
As you can see in this illustration, sometimes the entire cornea is broken down into pus by the gonococci, leaving the iris exposed, and precluding possibility of maintaining sight in the infected eye. The unaffected eye is covered by a watch-glass here, and surrounded by an adhesive bandage, to keep any gonococci from spreading over from the infected eye. Though they can easily establish themselves and do massive damage when entrenched in the body (such as in the eyes, or the mucous membranes of the genitalia), gonorrheal bacteria are very delicate and cannot infect across the skin, unless there’a  break or tear present. 
Atlas of External Diseases of the Eye. Richard Greeff, 1914.

biomedicalephemera:

Conjunctivitis gonorrhoica adultorum

Gonorrhea can cause pose a risk to the newborn infant quite easily, especially when it’s contracted during childbirth and not caught until the eye is significantly pustular and weeping, but when gonorrheal infection manages to take hold in the adult eye, it’s often far more damaging, much more quickly than in the infant. The eye can begin producing an excess of clear tears in the morning, by noon have the lachrymation become turbid and milky, and by evening have a steady stream of pus coming from the eye.

As you can see in this illustration, sometimes the entire cornea is broken down into pus by the gonococci, leaving the iris exposed, and precluding possibility of maintaining sight in the infected eye. The unaffected eye is covered by a watch-glass here, and surrounded by an adhesive bandage, to keep any gonococci from spreading over from the infected eye. Though they can easily establish themselves and do massive damage when entrenched in the body (such as in the eyes, or the mucous membranes of the genitalia), gonorrheal bacteria are very delicate and cannot infect across the skin, unless there’a  break or tear present. 

Atlas of External Diseases of the Eye. Richard Greeff, 1914.

Left: Pathological bone loss from gunshot wound. 2.5 inches lost. Ends of bones partially healed and injured bone reabsorbed due to significant delay in reaching surgical hospital (one fortnight on the battlefront after gunshot - external splinting and sanitation only).

Right: Inlay sliver fixation graft in same case. Held in place with kangaroo sutures. Engaging both ends of ulnar fragment.

Orthopedic and Reconstruction Surgery, Industrial and Civilian. Fred H. Albee, 1919.