Vol. 60, 1909 - University of North Carolina at Chapel Hill

96 THE CHARLOTTE MEDICAL JOURNAL. *
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Acute Rbeumatism In Cblldhood.—Col- which has caused eighteen j-ears of sterility,
man, in The Edinburgh Medical Journal,
reaches the following conclusions as to
and after the menopause, at the age
sixty-eight years, caused hemorrhage.
of
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treatment: part of that hemorrhage effusion being re-
The first treatment is rest, bodily and tained within the uterus, which was dismental,
absolute and prolonged. The duration
must vary according to circumstances,
placed by the calcified fibroid, it became
infected and caused symptoms of septi-
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but it is better to overdo it rather than the
reverse.
cemia. Examination showed a hard tumor
filling the pelvis, which consisted of a calj*
Opinion varies greatly as to the value of cified fibroid, having only a thin shell of i'
salicylate of soda in endocarditis. fibromuscular tissue around it. According
In cases such as the author has reported to this author, the fibroid is a parasite
he is firmly convinced of the great value of which is never observed before puberty or
the drug. Strychnine and digitalis are after the menopause, except when it has
valuable, especially the latter, but its use existed during genital life. He believes
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requires careful and daily watching. Small that; these growths result from the non-
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doses of bromide he has found most useful
in the early stages; these children are usufertilization
of ova and sterility. They occur
only in women who do not conceive.
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ally excitable, and the bromide enables The prophylactic treatment recommended
them to rest much better. Later, the neces- is that every woman should be impregnated
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sary drug is iron, given with or without the
salicylates. He prefers the ammoniocitrate
before the age of twenty-five. Each fibroma
arises around a single capillary. Microbic
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of iron, but probably any easily assimilated
preparation is equally good. He has found
action has nothing to do with it. Theendothelial
cells of the capillary remain intact,
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that both iron and salicylates are readily while the adventitia develops embryonal *
taken by children in ordinary aerated lem- cells. Under the influence of an unknown
onade, and given in this way, medicine force these cells change and ditTerentiate,
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time is looked upon by these children as becoming muscular. These muscle cells
oneof the most pleasant episodes in a weary may develop into connective tissue and
illness. fibroid elements, p-ibromata never give
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As to diet, the author needs only to say symptoms except from pressure on the other
that it should be simple and nutritious, and organs contained in the pelvic. They never
that every care should be taken to avoid undergo cancerous degeneration, but may
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any flatulent distention. become fatty or calcareous. In some cases
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The Ophlhalmo Reaction In TyphoSd. plienomena of necrobiosis develop. In ges- |
., .,,, , ,r 1 TtT , M. tation thev mav soften or remain stationary, t
-Meroni (Munch. Med \Voch.) has inves- j^ ^^^ -^^^^ :^ ^^^^^^ ^^
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tigated the ophthalmo typhoid reaction of ,^.^,- . during pregnancy. If it is still J
Chantemesse. Ihe author made use ni his
^^f i^^^^^;^,^ ^^^^ retrogression and -J'
trials of a virulent strain of typhoid bacilli • , , ,• ^ ., fi n- j
,,. ^ . , J ,, nn 1/ . involution according to the author. Pmard j
cultivated in brothr The culture was treat- . v