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

170
THE CHARLOTTB MBDICAL JOCKNA]
fails to produce reaction. The effect of is high, and others when the bowels do not ;
tuberculin here is the same as elsewhere, stop moving give subnitrate of bismuth
It increases the amount of protective sub- eight grains, powdered camphor one grain, ;
stances found in the blood through a stimu- and extract of opium one-quarter grairi
lation of the physiological machinery of every three hours until the bowels are '
immunization. Its stimulating effects also checked. i
cause a local congestion about the tubercu- j
lous foci and thus hastens healing by bring- Atneruan Practitioner and News, Julv, 1909. \
ing the protective bodies of the blood to
.
^^^^^^ Disturbances During Preg- !
bear upon the tubercle bacdl. ,n greater ^^^^^_^, a. O. Pfingst says that in j
amounts than is usual in these conditions ^^^^ ^^^^^ ^^^^.^^^ ^.^^^ hemorrhage areas ;
1 his same action has a tendency to prevent
the bacilli from spreading to new foe.
^^^ ^^^^^^ scattered over parts of the fun-
Pbysiological Action of High Fre- visual disturbances vary in these cases and
^^^^ ^^^ ^^^^^^ ^^ ^.^^^^^^ ^,^^^ ^.^^^^,^ |
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quency Currents.-Dr. A. Hennques draws ^re in no way in proportion to the area of I
the following conclusions: retina involved, extensive pathological I
1. High frequency currents, by reason of changes causing at times slight disturb- I
their great frequency and high voltage, ef- ^nces of vision, while minute changes may |
feet the rapid charging and discharging of affect the vision perceptibly. High degrees i
the cells of the body with electricity.
of amblyopia have been observed but com- i
2. They act without appreciable influ- plete blindness is rare. Both eves are nearly
ence on the motor and sensory nervous always affected, though not always in the ,
system. same degree. The defect of vision is usu- (
3. Their effect is an increase of the me- ally insiduous in its development. It may :
tabolic activity of the body cells in general, be mentioned that uremic poisoning may !
as evidenced by the increased oxygen ab- suddenly develop during albuminuric re- i
sorbed, carbon diovide eliminated, also as ti^itig and cause sudden blindness. \
shown by urinary- changes and by thermo- The prognosis with reference to visual I
genesis. acuity is not altogether unfavorable, total i
4. Their actionis accompanied by an in- blindness being exceptional and improve- i
crease of heat production and of heat elim- ment in vision after induction of labor be- \
mation nearly double the normal quantities, ing at times quite marked. However, the j
5. The heat elimination is attended by a higher the degree of amblyopia during the I
dilatation of the superficial capillaries pregnancy the less hopeful would be the |
throughout the body. prognosis for the mother after the removal |
Local high frequency currents are indi- of the cause,
cated in certain dermatological and super- Hirst, Silex and many others advocate
ficial affections. interference with the pregnancy in every
General applications of high frequency case of labor, complicated with Bright's
currents are indicated in vasomotor disturb- retina. As the danger of permanent blindances,
whether general or localized, and in ^ess increases with the duration of the inthose
diseases caused by defective metabol- flammation, some advocate the induction
ism, whether of gl and or muscle. of labor in these cases if occurring before,
the 6th or 7th month, and unless retinal
The Southern Clinic, June, 1909. changes be very pronounced, the disturb-
Sulpbate of Soda in Cholera Iniantum. ance of function great and urinary examin-
Acute Gonorrhoea and Acute Dysentery, ation unfavorable dietetic and medicinal
-Dr. J. Menweather says that m acute treatment is advocated when occurring
dysentery it becomes a pleasure to treat this jater
disease with sulphate of soda. It will relieve
every symptom. When you have a Streptocci.— Dr. E. S. Allen believes thai
patient with acute dysentery with abnormal as the streptococci does not excite in the
pains, griping, tenesmus, composed of resident cell any protective element, but
mucus, pus and blood, bowels moving ten ccmbining with the cell protoplasm, causes:
or more times during the twenty-four hours, such a rearrangement of its chemistry that
give the sulphate of soda every two hours if it is not at once paralyzed and undergoes
until the pains subside, griping and strain- retrograde changes, that it gives off a secreing
cease, blood, mucus and pus stop pass- tion, the chemistry of which must be difing.
Give the sulphate of soda on the sec- ferent from the original secretion, and is
ond, third and fourth daos, enough to pro- toxic—for we know that degenerated albU'
duce three or four evacuations each day minoid products are most toxic. In con^
until the tongue is cleaned. elusion let me say that having received
Some cases will require quinine and little encouragement from our streptococcic
sulpho-carbolate of zinc if the temperature antitoxinic and what result -is favorable is
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