1. Three cases of situs inversus are described and the clinical and aetiological factors are discussed briefly.
2. This abnormality occurring in father and son whose family history indicates a great degree of consaguinity seems to support the view held by Cockayne that it is a recessive inheritance.
3. Situs inversus when complete seems to cause no disability. When incomplete as in examples of isolated dextrocardia, congenital heart diseases are commonly seen in association with it. Other congenital malformations may also co-exist. Recently the syndrome of hypertrophic rhinitis, nasal polyposis and sinusitis and bronchiectasis have been encountered in association with transposition of the viscera.
A case of intra-uterine normal pregnancy with an extra-uterine abdominal full term dead foetus (lithopaedion) is described. The impossibility of differentiation from twin uterine pregnancy until after birth of first baby is pointed out.
The rates of rise of the plasma potassium concentrations are not affected by the nature ot the preservative solutions although the solutions influence in a marked degree the rates of haemolysis. The rise in the plasma potassium luvel exhibits two phases. It rises very rapidly for the first ten days of storage, increasing to 12 times the initial concentration in that brief period, after which the change is by comparison much slower. Variation in storage temperature has a greater effect relatively on the increase in the extra-cellular potassium concentration than daily shaking. The plasma calcium level falls by about 25 per cent of the original quantity and then begins to rise when the blood starts to haemolyse. It is suggested that it is the ionised calcium that is affected in this phenomenon. Storage at 38 degree Celcius hastens this fall and rise and so also does the effect of daily shaking.