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

XXX THE CHARLOTTE MEDICAL JOCRNAL
canal. Formerly, I did this by overlapping, coryza makes its appearance. Used prophybut
more recently I have taken a double lactically in this manner, it serves not only
hold of the ap jueurosis on either side with to prevent the irritative cough, but guards
the needle, and so with four or five stitches against the development of middle-ear innarrowed
and lengthened the inguinal ca- flammations.
nal. The cord is not interfered with, and,
tfter tying several small bloodvessels, the rl^.^jl^'^: ,P' Cystoscopy in f^i^Zh^.^^'Sl^^Kl^Lf^^^^
Ike Detection ol Obsolesskin
incision is closed. On the seventh
, ^, , , . -11 * ccd TabercJe sa She KiSiney.— I. Fenwick in
day, tae subcutaneous wire or silk stitches ,„. ,,, ^^ r i " t i c
, , The Glasijov.- Medical 1 1 4.1 Journal refers to one
are removed, and, as a general rule, the •
^i ^ l-
i i- ,
. ^ . ' ,' ,^ ,• , ,\ case, that ot a woman m whom radiography
paueiit IS allowed to get up on tue tenth •.,,», r j j i
',
, , , , ., , ,, r demonstratea the presence of rounded renal
day, and leaves the hospital on the four- .
i j j r ,i r
^\, J c, ,1 4- ,. • prominences considered as cvsts and full of
teeuth day after the operation, not wearing ^ '
^ •
i ^ v,
u t-i
^ • c 1 • J TT 1 caseous material like cream cheese. The
a truss or support of anv kind. He is ad- , .
i j i, £u
. J . . . .
'
1 t-i ^ 1 . pelvic space was replaced bv fibrous tissue,
vised not to return to work until at least L, , ' ^-V j tm
, . , J ,, The ureter was a fibrous cord. The organ
two more weeks nave elapsed." , ,
•
i » .
x.
was removed and proved to contain such
Sterilization of Tuberculous Women material and to be of the exact size sketched
During Pregnancy.— Martin discusses the by the author. He was able to make his
effect of pregnancy upon a woman suffering positive predictions by the use of radiograpy
from tuberculosis and considers the advisa- and cystoscopy. The writer knew the pability
of ending the pregnancy and prevent- tieiit 'had tuberculosis somewhere in the
ing further conception by performing the urinary tract. Kighteen years ago he had
paiihystereclomy on the gravid uterus. He examined her with the cystoscope and found
lays down the following rules for the opera- ulceration of the bladder near the right
tion: (1) There must be definite physical ureter. Later experience has convinced the
signs of tuberculosis or the probability of author that such ulcers signify tuberculous
its presence must be made strong by the disease of the corresponding kidney. When
sudden failure in the patients general con- seen the second time, the cvstoscope revealditioii
and loss of weight, following quickly ed the cicatrix of the old ureteral ulcer, and
on the beginning of pregnancy. (2) The it was evident that the uterer was imperviinterruption
of pregnancy has no influence ous and functionless. The next question
if the pulmonary process is far advanced,
or the woman is approaching the second
half of pregnancy. In such case the procedure
is of value only in case of the sudden
onset of edema of the larynx or the lungs,
vvas, was the presence of the kidnev detri-
mental? Radiography now determined the
presence of the cvstic masses above referred
to. Catherization of the left kidney showed
evidences of consecutive nephritis induced
(3) Suitable cases for the interruption of probably by absorption from the foci in the
pregnancy are those in whom the disease is right kidnev. It was therfore deemed adviin
an early stage and the pregnancy is in sable to remove the original source of infecthe
first third of its course. A valuable aid tion. He savs that the kidnev is always
111 determining the suitability of the patient radiographed for him in two positions: in
is foundin theconjunctivaltuberculinreac- one the patient takes a deep breath and
tion. (4) If the interruption of the preg- holds it while the X-ray is switched on; the
nancy is indicated it should be done under effort thrusts and keeps a mobile kidnev
lumbar anesthesia and the simultaneous down; for the next plate the patient breathes
sterilization and complete extirpation of the easily and naturally while the kidney rises
gravid uterus should be done. and falls easily. If the shadow of the organ
Tito Trcalmcna corresponds in position in
oJ Nasopiiaryngeal Catwo
plates we
tarm in Children.— Hecht (Therapeut. ^>' '^'"^^ 1'=^^'^ a dangerously fixed
^f
Monatsch.j observed
k'dney to deal with. If the shadow had
that very severe convulsive
attacks of coughing originate re- '^°''^^' }^^ "''-^" '^ movable and may be
flexly by way of the nasopharynx ^^''^ "^^^^^ '""'•
affected
by the catarrh. During the night especially,
with the patient in the recumbent position,
the secretion runs down at the posterior sur-
Suits Against American, Medical Association.
face of the pharynx and determines the re- According to a clipping from one of the
flux at the larynx, This occurrence is es- Chicago newspapers, "separate suits for
pecially frequent in measles. The
remedy consists in installations, at
best
first
$100,000 damages each have been brought
in the United States Circuit Court in Chievery
three hours, then three times daily, cago, by Dr. S. Lewis Summers, and the
of a sozojodal, zinc solution (>^ per cent.) Organic Chemical Manufacturing Compainto
the nose. This treatment isprescribed
by the author in measles as soon as a-severe
uy, both of this city (Chicago), against the
American Medical Association, for alleged