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

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

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THE CHARLOTTE MEDICAL JOURNAL.<br />

(/>) Wh<strong>at</strong> is suppur<strong>at</strong>ive inflamm<strong>at</strong>ion? 5. Wh<strong>at</strong> are the contraindic<strong>at</strong>ions respec-<br />

5. Describe f<strong>at</strong>ty degener<strong>at</strong>ion as distin- lively to the use <strong>of</strong> the three principal anesguished<br />

from f<strong>at</strong>ty infiltr<strong>at</strong>ion <strong>of</strong> tissue. thetics—nitrous oxide, ether, chlor<strong>of</strong>orm?<br />

PRACTICE OF MEDICINE. Wh<strong>at</strong> is disloc<strong>at</strong>ion? Fracture?<br />

. , , ^. n c 1 Give differential diagnosis between<br />

1. Acute articular rheum<strong>at</strong>ism: Defini- f,,,uire and disloc<strong>at</strong>ion,<br />

tiou, etiology, morbid an<strong>at</strong>omy, symptoms,<br />

,^ De.=cribe CoUes' fracture!<br />

complic<strong>at</strong>ions, diagnosis treament<br />

2. Cholera asi<strong>at</strong>ica: Definition, etiology,<br />

morbid an<strong>at</strong>omy, symptoms, complic<strong>at</strong>ions<br />

and sequels, diagnosis, prophylaxis, tre<strong>at</strong>-<br />

.<br />

^ ^^^^^.^^^ tre<strong>at</strong>ment <strong>of</strong> same.<br />

^^ ^^^^^ .^ hemorrhage?<br />

^ ^ ^^^^ ^^^^^^^ ^.^^ ^^^^^^ epistaxis?<br />

^^ Describe oper<strong>at</strong>ion for lig<strong>at</strong>ion <strong>of</strong><br />

'^^^ ,^ „ r .,. ,. , ,. sublavian arterv in its third portion.<br />

3 Dysentery: Definition, etiology, chn- ^3 ^^^^^ ^^^^^.^^ ^ .^^ ^^.<br />

ical forms, an<strong>at</strong>omy <strong>of</strong> each form, d.agno-<br />

^^^^,-^^^^ ^^ ^j^dle third <strong>of</strong> leg?<br />

^'^'<br />

^''ff^f^" V ,.<br />

4, Hydrc phobia:<br />

„ ^ .,.<br />

,, ,<br />

Definition, p<strong>at</strong>hology, ,<br />

14.<br />

.<br />

Describe complete ^ indirect inguinal "<br />

symptoms, diagnosis prognosis, tre<strong>at</strong>ment.<br />

^H'^q-^^ symptoms <strong>of</strong> strangul<strong>at</strong>ion,<br />

5 Uncinariasis: Definition, etiology,pa-<br />

^^thods <strong>of</strong> reduction, and oper<strong>at</strong>ion if stranthology,<br />

diagnosis, tre<strong>at</strong>ment.<br />

^^^^^.^^ ^^.^^^<br />

OBSTETRICS. ^(j Describe an approved oper<strong>at</strong>ion for<br />

1. Wh<strong>at</strong> <strong>at</strong>tention should be given to the the radical cure <strong>of</strong> oblique inguinal herni.<br />

kidneys <strong>of</strong> pregnant women?<br />

2. Wh<strong>at</strong> are the symptoms <strong>of</strong> thre<strong>at</strong>ened SImptllied Technlc for Radical Cure <strong>of</strong><br />

eclampsia? Inguinal Hernia.—Murray (British Med.<br />

3. Wh<strong>at</strong> are the causes <strong>of</strong> antepartum Jour.) says th<strong>at</strong> the chief cause <strong>of</strong> failure<br />

hemorrhage? How should they be man- after oper<strong>at</strong>ion for inguinal hernia is inaged?<br />

complete removal <strong>of</strong> the sac. The writer<br />

4. Wh<strong>at</strong> is the usual procedure in the further says; "in examining p<strong>at</strong>ients in<br />

delivery <strong>of</strong> the placenta? whom hernia has recurred I have been <strong>at</strong>"<br />

5. How would you manage a breech pre- once impressed by the position <strong>of</strong> the scar,<br />

sent<strong>at</strong>ion? The skin incision had been made far too<br />

PEEIATRICS. low—in fact, it encroached upon the scro-<br />

1. Give etiology, complic<strong>at</strong>ions, and du- t"- and did not extend upwards further<br />

r<strong>at</strong>ion <strong>of</strong> pertussis. than the external abdominal ring. Through<br />

2. Give tre<strong>at</strong>ment <strong>of</strong> acute adenitis. such an incision it is impossible to excise<br />

3. Define ophthalmia neon<strong>at</strong>orum and the sac completely. The lower end <strong>of</strong> the<br />

give its tre<strong>at</strong>ment. skin incision should not extend more than<br />

4. Give synonymand tre<strong>at</strong>ment <strong>of</strong> scabies, one-half inch below the external abdominal<br />

5. Give diag-nosis and tre<strong>at</strong>ment <strong>of</strong> bron- ring. I always open up the inguinal canal<br />

chopneumonia.<br />

for about one and one-half inch, and, havrvvwrornr-v<br />

i"? found and isol<strong>at</strong>ed the sac, make a<br />

uvMicoLoc^<br />

^.^^^<br />

, ^ n<br />

^^ pulling it vertically upwards, and<br />

1, Define endometntis.and give Its causes,<br />

^^ ^^^ g^^^^g ^-^^ brushing back with gauze<br />

varieties, and tre<strong>at</strong>ment.<br />

^^^ ^^1^^^ structures clinging to the neck <strong>of</strong><br />

2. Give a differential diagnosis between<br />

^^^ ^^^ j continue to pull the sac upwards<br />

ovaritis and ovaralg.a. ^<br />

and push bank the surrounding structures<br />

^ , ,<br />

0. Give the p<strong>at</strong>hology <strong>of</strong> (a) hydrosalumil<br />

I bring into view a marked thickening<br />

pinx, id) hem<strong>at</strong>osalpinx; give the diagnosis<br />

^f ^]^^ peritoneum. This thickening is to be<br />

and tre<strong>at</strong>ment <strong>of</strong> each.<br />

f„^„d on the pubic side. I always look<br />

4. Is ventr<strong>of</strong>ix<strong>at</strong>ion <strong>of</strong> the uterus justifif^^<br />

^^ ^„j ^..^en it appears know I have<br />

able? If so, st<strong>at</strong>e under wh<strong>at</strong> circumstanreached<br />

the limit <strong>of</strong> the sac. Bv transfixing<br />

ces and describe the oper<strong>at</strong>ion<br />

^^^ jy,,^^ ^^e peritoneum through this thick-<br />

.5. Wh<strong>at</strong> IS the menopause, and m wh<strong>at</strong><br />

ened portion the limits <strong>of</strong> the sac have been<br />

manner would you explain the theory th<strong>at</strong> ^^^^^ ^^^^ ^^.^eu it is cut away the ligait<br />

IS a critical period in a woman's life?<br />

^^^ed stump <strong>at</strong> once disappears from view<br />

SURGERY. bene<strong>at</strong>h the internal oblique. This thick-<br />

1. Define abscess; aneurysm: With wh<strong>at</strong><br />

condition may aneurysm be confounded?<br />

ening <strong>of</strong> the peritoneum is physiological,<br />

It is present during infancy as well as dur-<br />

2. Make briefly a diagnosis <strong>of</strong> coma from ing adult life, and when oper<strong>at</strong>ing for iuinjury,<br />

apoplexy, uremia, opium poisoning, guiual hernia should always be looked for,<br />

and alcoholic intoxic<strong>at</strong>ion. as it is the only true indic<strong>at</strong>ion th<strong>at</strong> the<br />

3. Define peritonitis. limits <strong>of</strong> the sac have been reached. The<br />

4. St<strong>at</strong>e two or more ways in which the sac being thus completely removed, I unite<br />

peritoneum may be invaded by bacteria. the divided aponeurosis <strong>of</strong> the inguinal

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