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

•1(,5
THE CHARLOTTE MEDICAL JOURNAL.
observed to ask the question whether pain EDITORIAL NEWS ITEMS.
or soreness was felt in the region under inspection.
If neither of these movements
Pxcss Correspondence. i
has caused any appreciable pain or sore- i
ness, it is then best to direct the patient to Washington, D. C, j
execute the same movements with the left 3355 Meridian St., N, \V., Aug. 20. 1000. ;
leg, and to compare the sensation produced
g^j^Q^ ^f ^he Charlotte Medical Journal;— i
as to whether it is different from that caused '
t^
^ar c-
^
^^^
by the right leg, or whether it is the same
on both sides. Dr. Illoway claims that he
has found that invariably only when ap-
^^^^^^^ ^^
pendicitiswaspresent, vvhether as b^^^^^^^^^
the CharloUe Medical Jounial, regarding
mary ma ady or as a secondary volve^
causation of sex. According to Prinmen
did the flexion o the high upon he
, advanced by Dr. Dawson,
^^^.^.^^^ ^ ^^ ^^^^ ;
^^^^^^^^^ .^ ^^^ ^^i^^, .^1 „^,,3 -^^^ j
trunk give rise to a feeling o pain or a -^ ^^^^ ^^ ^ ,^^^^ -^ -^ ^, „ld as the |
sensation of soreness which the patient Pt /,„,. jtggif
would describe as being ''deep down --and ;;j'^
^^",t, 3- f '^^hizm Medizinische
even when this was not so marked the mpid . ^ .^ ^ sentence referring to this obexjens.o.
would cause quite an accentuation
^^^^^^^\^^'^^^ ^,^^ ^^^ ^^,,„„ ^^l,, i, i, erro-
of It. It may happen that the »^or,Ma6/e ^
fle.in^ of the thigh upon the trunk may jeoUy
cause some shght pam or soreness, but
^i e
p^^ ^^.^.^^.^^^^ ^^ ^^ ^
this ,s not due to an appendicitis there w,
^^the Sexes.
be no pain or soreness or ..v/.««.« It 1
the pain or even soreness on both flexion "", ° , ,^
WL..«.« that Dr. Illoway regards as a ^^^.^
(Theorieen uber die Entste-
^ n q-positive
and unfailing sign of the presen^^^^
of appendicitis. It IS said that this sign
twii ^p^^^du d ^r'oVrJ'same ^vum!
?urn^h:r;h: eye'Tpai:orre:es: ov^um. .
The passage ,s taken from Part I, I
^1^^^,^,^ ^^ ^i^e Origin of the Sex and Ratio !
Qesch echts uud uber das Gesch- |
rmalind t'^^^ of sex in i'
\^^ ^^^ i^ predetermined in the i
In ancient times the vie.v was
produced by the mLements described, val- ST^-Slfgsoi-'^'trartr::^;^^^^^^^^^
uable indications as to treatment, as to
^^^^^
;„ ^if^ightovarv; and the female ova 1
whether an early operation should be ad-
^f^^j^'; eft ovary. Births during unilateral
vised or whether an attempt may be made,
'l^l^^\^ the ovarv and after unilateral i
with safety to the patient, to cure the ail- . ^^^^ ^i^„-,,„ ,l,e incorrectness |
• " 2
ment by other measures. r
^t,.
It has been been so commonly observed ot tnis view .
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i
in acute appendicitis that the patient keeps ' "Zur Bestimmung und Entstehung des
the right thigh flexed on the abdomen and Qeschlechls". (On the Significance and
complains of pain when it is extended that
Origin of Sex) . Zentralblatt fur Gynacolto
mention the phenomenon seemed super- ^gjg ^395 j^Jq^ 22.
fluous. It has likewise been customary to
Ditto: "Willkurliche Zeuzung von Kna- I
account for this by the movementsjto which y^^^ ^^^^ Madchen." (The Procreation of (
the psoas muscle is subjected in flexing and goys or Girls at Will.) Munich, 1895.
extending the thigh. None however have .p ^ winckel- "Die Bedeutung des!
so far attempted to utilize this knowledge
gig^gjo^i^e f^. die Entstehung des Gesch- :
for diagnostic purposes. While Dr. lHo- ,,
jg^jj^g (The Relation of the Ovary to the 1
way does not attempt an explanation of the
Qj.j^i„ ^f gg^.) Deutsche Praxis, 1808. I
sign which he describes, it is probable that jt "g
no one would dissent from the theory that
';
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the pain and soreness are elicited through It is rather remarkable that a man who
^
the action of the psoas muscle. ^^s collected such a mass of cbnical data
. in support of his theory, as Dr. Dawson .;
has, should have failed to observe a case in (
Dr. J. F. Siler, Medical Corps, U. S.
.^^^lich a woman with only one functioning ^
Army, and Chief of Dept. of Tropical Med- o^^ry has yet produced children of differ- ;
icine in the New York Post Graduate Med- ^^^j sexes. Such cases are by no means t
ical School, has been sent to Peoria, 111.,
rare in an extensive obstetrical practice.
|
to investigate the recent outbreak of Pell a-
Ver)' truly yours,
gra. WiNTHROP Y. Foster. .
Dr. J. Irving Chapin, of Philadelphia,
committed suicide in a New Orleans hotel.
August 24th, by taking an overdose of formerly State Chemist, has been made
morphine. State Food Commissioner of Louisiana.
Dr. Hamilton P. Jones, of New Orleans, '
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