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

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ABSTRACTS.
of the rectus. This operation can be modified
by makiv.g double loops on each side
and making them overlap one another
alternately. A similar operation can be,
and has been, carried through the external
oblique, and likewise can be done wherever
the bowel is brought through muscle. A
somewhat similar operation can also be performed
for gastrostomy and appendicostomy
I
Urinary Bacterial Infections in Clilldhood.—
Box, in The London Medical Lancet,
discusses descending and ascending
urinary affections in childood. Box believes
that the common cause of bacilluria
is due to an ascending infection, a view
whicn is corroborated by the sex incidence
of the disease. It is twice as common in
females as in males. The commonest infection
is that of the colon bacillus. This
bacillus is frequently present in the urine
of children suffering from thread worms,
which suggests that scratching may be in
ipart the medium of infection. The clinical
manifestations of infection of the urinary
passages in childhood may be pyelitis,
cystitis or incontinence of urine without
obtrusive evidence of local inflammation.
The possibility of the presence of pyelitis
should always be borne in mind when dealing
with cases of obscure fever in childhood,
whether of a sustained remittent, or
of .1 relapsing character. Cystitis of a more
or less acute character is not at all uncom-
. course
' childhood,
: cases,
mon in childhood. In incontinence the
of the disease appears to be not altogether
afebrile. Slight elevation of temperature
at night, rarely over 100° P., may
occur for weeks at a time. The cystitis of
when caused by the colon bacillus,
calls for a guarded prognosis. Some
^ largements
especially those with acute onset and
marked bladder symptoms, clear up under
the simplest medicinal and dietetic treatment.
Sclilalter's Disease; or, "Rugby Knee."
—Thompson ( lidinburgh Medjcal Journal
mentions a case of this not uncommon but
frequently unrecognized condition, which
usiil to be known as "Rugby Knee," and
w;w a bar to taking part in military drill
Ijeiiiuse of the inability to kneel. He quotes
James Paget's description of the symptomatology
of this condition, which is as follows:
"Much more common are the en-
of the tubercle of the tibia,
which are often seen in young peoi)le given
to athletic games. They complain of aching
pain at and about the part, especially
during and after active exercise, and the
( tubercle may be felt enlarged, and is often
1 too warm. The pain often continues, more
or less for many months, and there may be
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enlargement of the bursa under the ligamentum
patella, and the tubercle may remain
too prominent: but, common as are
these cases, especially in our public schools,
1 have never known grave mischief ensue
in any of them, and they will get well of
themselvesr They may represent one of
the least degrees of periostitis due to strain;
the increase of the prominence of the bone
is only just beyond that which may be
deemed the normal limit for the attachment
of vigorous muscles."
The writer reports a case in a school boy
fifteen years old, who had been conscious
for three or four years of sensitiveness at
the upper end of the skin bones of each leg.
This sensitiveness was felt only on forceful
extension of the leg, as in kicking, when
anything came against the shin, or on
kneeling when the pain was very severe.
The case had been diagnosed rheumatism,
possible tuberculosis, and housemaid's
knee. He had had for treatment, a course
of massage, painting with iodin, and electricity.
Two years before the knee had been
radiographed.