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

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

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'<br />

ABSTRACTS. • 193<br />

cellul<strong>of</strong>ibrinous inflamm<strong>at</strong>ion <strong>of</strong> the men- tion as is possible in<br />

inges may be explained as being the result men.<br />

this world <strong>of</strong> mortal<br />

<strong>of</strong> the irrit<strong>at</strong>ion <strong>of</strong> the toxines, and <strong>of</strong> the<br />

The Condition oi the Heart and Lungs<br />

bacilli, which have found their wav from<br />

alter Abdominal Oper<strong>at</strong>ions.— T.ichten-<br />

the blood vessels into the cortical substance<br />

^erg (Munch. Med. Woch.) has tabul<strong>at</strong>ed<br />

and into the cellular tissues <strong>of</strong> the menmges,<br />

t^e findings by repe<strong>at</strong>ed examin<strong>at</strong>ion <strong>of</strong> the<br />

these parts especially easily reacting to the<br />

^^^^^ ^^^ j^^^^^ -^ ^ ^^^-^^ ^^ jOO p^^i^^^^^<br />

tubercle bacillus.<br />

^^f^^^ ^^^ ^fj^^ abdominal oper<strong>at</strong>ion. The<br />

The F<strong>at</strong>e ol Damaged Jolnts.-Warren<br />

^^^er draws the following important conin<br />

The London Medical Lancet reports "^<br />

,®'°"f<br />

^- ^li<strong>at</strong> post-oper<strong>at</strong>ive lung complica-<br />

cases <strong>of</strong> injury, principallv fractures, in- .<br />

tions are extremely<br />

volving joints, tre<strong>at</strong>ed in the massage<br />

common: th<strong>at</strong> they may<br />

department<br />

<strong>of</strong> the London Hospital. From "" ^heir course entirely unnoticed (on ac-<br />

a<br />

continuous series <strong>of</strong> nearly 400 cases taken<br />

count <strong>of</strong> insignificance <strong>of</strong> symptoms), and<br />

for a period <strong>of</strong> about eighteen months, he ^^^^ slight rises <strong>of</strong> temper<strong>at</strong>ure <strong>of</strong> short<br />

dur<strong>at</strong>ion m the first days <strong>of</strong> the aseptic<br />

concludes th<strong>at</strong>, on the whole, the results<br />

oper<strong>at</strong>ions are generally<br />

are not bad, though<br />

due to such lung<br />

certainly admitting <strong>of</strong><br />

considerable improvement. If modern tre<strong>at</strong>- comphc<strong>at</strong>ions.<br />

2- These post-oper<strong>at</strong>ive changes cannot<br />

ment be carried out. the outlook for frac- ,<br />

tures involving joints is less gloomy than<br />

^^ post-oper<strong>at</strong>ive pneumonias m<br />

'f ^^'^J.^^^<br />

the ordmai^' sense.<br />

some would have them<br />

They form r<strong>at</strong>her the<br />

believe. Unless cases<br />

'jackground<br />

are made to come and show<br />

upon which pneumonia may<br />

themselves<br />

^^^^'^^OP'<br />

after tre<strong>at</strong>ment has ceased, one gets ^"^ a false<br />

^^'1'"^ this they may disapperspeclive<br />

<strong>of</strong> the results; one sees cases ^ ^^"^ ^^^^^ ^^'^^°^t ^'""'"'^ '^^"^<br />

^'^^\'l<br />

coming up week after week and month "'^V!^''*°" . • . r .<br />

^-<br />

after month with<br />

^^e gre<strong>at</strong> majority <strong>of</strong> post-oper<strong>at</strong>ive<br />

verv little signs <strong>of</strong> im- ,<br />

lung complic<strong>at</strong>ions anse iminedi<strong>at</strong>ely after<br />

provement. Cases doing well slip awav,<br />

the opera .on and are recognizable on the<br />

Their tre<strong>at</strong>ment is shorter, and they leave<br />

impression on the mind than do °"^' /^^'.''^ ^"^ ^°"''<br />

tliose stiff, '^<br />

^f "^^^V } '"^<br />

°f anesthesia has nothing to do with "f'^?^ the<br />

squab, edem<strong>at</strong>ous, and utterly dreadful-<br />

"umber <strong>of</strong> lung complic<strong>at</strong>ions,<br />

looking ankles, as after Pott's fracture,<br />

'^^ ^^rcos^s pneumonias are rare^ The<br />

which are constant visitors. With p<strong>at</strong>ience<br />

and perseverance, however, these l<strong>at</strong>ter as- ^'^^' "^^Jon y <strong>of</strong> conditions must be con-<br />

^'^^'^^'^ ^^''o^"^<br />

sume something '"<br />

<strong>of</strong> their normal<br />

°"g'"- '^ ^^^^ ^'^<br />

proportions ^^P""<br />

and are, <strong>at</strong> any r<strong>at</strong>e in the majority <strong>of</strong> the<br />

cases, exceedingly useful and serviceable , . ^ ^ ^, t . i i- u^<br />

means<strong>of</strong> progression. lie has found to his ^^^^ important part than rel<strong>at</strong>ively slight<br />

surprise the after-results much better than ^^^^.S^' '» ^1^^ vascular system and myohe<br />

expected. From the cases discussed the ^araium.<br />

value <strong>of</strong> early movement and massage will 6. Important inform<strong>at</strong>ion as to the existbe<br />

readily seen in improving and acceler<strong>at</strong>- ence <strong>of</strong> an ocult lung complic<strong>at</strong>ion may be<br />

ing recovery <strong>of</strong> function. Massage and obtained by testing the inovability <strong>of</strong> the<br />

movement alone are not suitable from all Ltases <strong>of</strong> the lungs (in front),<br />

fractures, though serviceable for a gre<strong>at</strong> '. By following the curve <strong>of</strong> blood pressmany<br />

more than is commonly supposed, "re, and having reference to other factors,<br />

Certain fractures, e.g.. Pott's fracture, must inform<strong>at</strong>ion about the condition <strong>of</strong> the cirhave<br />

some retentive appar<strong>at</strong>us to avoid dis- cul<strong>at</strong>ion may be obtained which is <strong>of</strong> value<br />

placement, not to produce immobility <strong>of</strong> the for the regul<strong>at</strong>ion <strong>of</strong> stimul<strong>at</strong>ion by drugs,<br />

limb. In the tre<strong>at</strong>ment <strong>of</strong> fractures and ^ is a striking fact th<strong>at</strong> /3 <strong>of</strong> the 100<br />

allied injuries, as in a verv large number <strong>of</strong> cases showed after oper<strong>at</strong>ion signs <strong>of</strong> conmedical<br />

and surgical cases, two gre<strong>at</strong> and solid<strong>at</strong>ion or <strong>of</strong> bronchitis, but th<strong>at</strong> not a<br />

apparently opposing principles are used, single de<strong>at</strong>h was <strong>at</strong>tnbuted to either <strong>of</strong> these<br />

viz., rest and exercise. In the past too conditions.<br />

st<strong>at</strong>ic.<br />

5. Well-marked heart lesions seem to play<br />

much stress has been laid on the import- The Antisepsis ol Abortion.—Champion"<br />

ance <strong>of</strong> rest in cases <strong>of</strong> injury, and it is<br />

largely to the French school th<strong>at</strong> the credit<br />

is due <strong>of</strong> accentu<strong>at</strong>ing the importance <strong>of</strong> the<br />

other factors in tre<strong>at</strong>ment, movement, and<br />

iiiere (Ann. de Gyn. et d'Ost.) says th<strong>at</strong><br />

we may consider a normal labor as a fresh<br />

wound, a labor after contact with hands<br />

and instruments as a dirty wound which<br />

exercise, bor movement leads to power <strong>of</strong> will <strong>of</strong>ten become infected. lie puts us on<br />

function, and it is by proper appreci<strong>at</strong>ion our guard against wounding the uterus by<br />

<strong>of</strong> the importance <strong>of</strong> each <strong>of</strong> these princi curettings which produce a site for the enples<br />

and by correl<strong>at</strong>ing their applic<strong>at</strong>ion in trance <strong>of</strong> infection. Intrauterine injections<br />

practice th<strong>at</strong> one could <strong>at</strong>tain such perfec- continue these abusive measures. Lastly,

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