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

ABSTRACTS. 179
amination of every obscure case which toms consist of crises of pain in the abdocomes
into a hospital, using the laryngeal
mirror. The admission of such a case to a
men, progressive increase in the size of the
abdomen, diarrhea, tenderness, and ascites,
general ward endangers the other patients, The course of the affection is afebrile,
and ths appropriate serum treatment is not There is often a purulent flow from the
given early enough to prevent serious complications,
even death. The symptoms that
are suspicious are a rapid loss of weight,
vagina. Rectal examination will show the
existence of periuterine, prostatic, or semi-
nal lesions. There may be an umbilical
extreme fatigue, rapid pulse, marked swell- JBstula. The glands are generally involved,
ingof the glands of the neck, with or with- The general condition is very bad, and the
out high fever, polypnea, or dyspnea, that evolution of the disease is toward death,
are inexplicable. Such cases need energetic Nevertheless there are cases that are capaantidiphtheritic
treatment. ble of cure. The ascitic forms are more
The Remedies lor Depopulation.-
^"'^^^le than others.
D'Anfreville (Presse Med.) mentions the Value ol Klnesottaerapy In Uterine
methods of preventing depopulation and its Hemorrhage.— Bloch (Jour, de Med. de
causes. The causes are pathological and Paris) thinks well of kinesotherapy in the
social. The principal causes that are path- treatment of all sorts of uterine hemorological
lie in the sterilization that is pro- rhages, and gives several examples of its
uced by gonorrhea and syphilis, prevent- value. It regularizes the menses, dimining
many married couples from having ishes their duration and the frequency of
Idren. .Another such cause is alcohol- appearance. All menstrual troubles, all
ism, which deteriorates the parents and uterine hemorrhages, from the simplest
causes weakened heredity and bad sur- troubles to symptomatic hemorrhages of
foundings for the children. The social fibroma, salpingitis, retrodeviations, and
causes are the unwillingness of couples to metritis, are benefited by it. It includes
live moderately and to risk being able to massage and gymnastics. The massage
support large families, and the desire to consists of circular movements over the
leave a large property to a single child, abdominal wall. The gymnastic move-
The remedies that have been tried in I'rance ments are for the purpose of lessening conare
various. It has been proposed to make gestion of the pelvic organs, by movements
law taxing the bachelor, and an income of the femoral abductors, given three times
tax which will decrease in amount as the a day. The movements must be executed
number of children increases. The better with great care not to fatigue the patient,
measures to try, and such as have been and should be done under the direction of
already successfully carried out in b'rance, the physician himself. The action is me-
are giving aid to the pregnant woman to chanical and causes reflex action at a disobtain
a support without undue exertion in lance, reacting on the circulation. Circular
the latter months of pregnancy, and chea]) movements exerted over the intestines cause
estaurants where she can obtain good, vasomotor alterations, and increase the acourisliing
food for herself and her children tivity of the circulation. The vessels are
at a minimum cost. Another way of in- hemiparetic in hemorrhagic pelvic condireasing
population is to take care of the tions, and these movements tone them up
young infants, as is done in the consulta- to a normal action. The abductor move-
;io:is for infants and nursing mothers, where
jood milk is supplied, and good counsel
ments crowd back the blood from the en-
gorged territory into the other veins. Among
ven to the mother, the infant being treat- the most valuable means of treatment for
:d when sick, and advice given as to care
'
md feeding when well.
arresting uteroadnexal hemorrhage is kine-
sotherapy. It allows the patients to con-
Tubercular Peritonitis in the Nursling, tinue their ordinary occupations, and is ab-
-Weill and Pehu (Arch, de .Med. des Enf. ) solutely harmless. It should be used care-
,ay that primary peritonitis of tuberculous f^Hy and gently and not prolonged. It is
)rigin is comparatively rare. Tuberculous
)eritonitis occurring in the course of gen-
'"ost valuable to regulate the menses.
Serum Treatment ol Diphtheria Inralized
tuberculosis is not uncommon, but
he primary form is not fretiuent. They
toxicatlon.— Meyer (Berl. klin. W'och.)
describes experiments made on dogs poismblished
two jiersonal observations. Tuber- oned with injections of diphtheria toxin
ulous peritonitis in the nursling is charac- and then treated with antitoxin, as to the
srized pathologically by a marked pre- effect of the serum on tue heart symptoms,
lominance of the caseous form of tubercu- In acute toxemia with heart failure he
, by the generalization of lesions, and found that the serum treatment would pre-
>y a frequent occurrence of infection of the vent the occurrence of heart failure, but
enital organs, male or female. The symp- that when the symptoms had developed it