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

ABSTRACTS. 191
—minimal dazzling, best visual acuity, and cancer incurs grave responsibility.
best field; cosmetic advantage of a round 8. Treatment of symptoms without a
pupil; ease of reposition of the iris; minimal physical examination is unjustifiable.
dafiger of incarceration of capsule in the 9. Early cancerous ulceis should not be
wound; infrequency of prolapse of vitreous; treateM with caustic; their appearance begreater
protection of deeper parts of the eye comes masked, and valuable time is lost.
from infection; absence of pain and bleed- 10. It is an error to wait and observe in
ing from cutting the iris. The chief dis- order to arrive at a diagnosis.
advantages of simple extraction are: Risks 11. In doubtful cases a diagnosis must
of prolapse of the iris; less efficient treat- and can be made in a few days.
ment of the anterior capsule; greater diflS- 12. To examine, to diagnosis, and then
culty in expression of the nucleus; greater to treat, should be the rule in all cases.
difficulty in removal of soft lens matter;
greater danger of ring synechia and
Fatal Case of Pernicious Vomiting ol
second
ary glaucoma if iritis should occur. The
Pregnancy.— Maxwell (Journal of Obstet-
r'Story of severe vomiting at home, unasiris;
diminished risk of secondary glaucoma.
l^o^vever, vvith marked wasting
The chief disadvantages are; Greater com- f^^'^^^'^'.
^l^e toxic nature of the case did not reveal
plexity of the operation, including especiitself
in any characteristic alteration of the
ally need of more instruments and of the
urine; there
introduction of more
was no albuminuria; the only
instruments into the
ominous signs on admission were drowsi-
eye, and greater duration of the operation;
"ess and a very rapid weak pulse; there
optical and cosmetic disadvantages; greater
danger of incarceration of iris and capsule ^^^^ "" jaundice. Pa lent passed success-
jvely through stages of restlessness, dehrin
the wound; greater danger of postoperative
glaucoma; pain and bleeding from the '"'"; 7,^"'^a
""T^- T^^^ '^'
. . " ^ "
vealed hyaline degeneration and necrosis
Uterine Cancer.
of the central cells of the hepatic lobules.
— 'I'he Edinburgh Medi- the kidneys also showing a severe parencal
Journal calls attention to the special
committee of British Medical Association,
chymatous nephritis; sections of both tissues
weie shown under the microscope. The
in regard lo appeal issued by the chainnan, diagnosis of this distinctly atypical case
and says; vvas uncertain during life, and was based
We cordially commend the whole to the finally on the pathological investigation
consideration of all. It is the experience post-mortem.
of all operating surgeons that few opera- ^.^gy Treatment ol Ringworm ol tbe
tions for cancer are so successful as that of scalp.-Macleod, iiiThe London Medical
early hysterectomy for carcinoma, and it is
j^ancet says that the x-ray treatment of
the lament of all that too often they only ringworm bv the single dosage method with
see the cases when it is too late to operate.
(1,^ dosage regulated by the pastille is prac-
1. Cancer of the uterus is at first a local
^jcally safe and harmless. It is a method
disease. .
(,f treatment of such delicacy that even in
2. Cancer of the uterus is often a curable
the hands of an experienced operator an
disease.
accident such as an over exposure might
^. Operation is the only satisfactory meth- happen, but such accidents should be of
od of treatment. ^^ph extreme rarity as not to discredit a
4. The earlier the disease is recognized
^^^^^^ ^^ treatment possessing such obvious
the more hopeful are the prospects of treatadvantages.
Severe dermatitis followed by
'"ent. permanent baldness is the result of an over
.5. The risk of operation in early cases is exposure or is due to some accident such as
slight, and the chance of permanent cure is the exposing of an area, the resistance of
good. which has been lowered by the previous
6. The recognition of early cancer is not application of strong irritants before the
usually difficult, and the disease should not inflammation has entirely subsided, the use
be overlooked by the medical attendant. of wrong or inaccurately standardized pas-
7, A medical practitioner who fails to tilles, or from overlapping. Permanent
make a physical examination of a patient baldness or delayed hair growth without
exhibiting any of the symptoms of uterine marked dermatitis is the result of over ex-