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

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196 THE CHARLOTTE MEDICAL JOURNAL |<br />

Jobann Holl's Malt with Iron. obscure. Fine, well-nourished children,<br />

(PEPTONATES OF IRON AND MANGANESE) without any previous digestive troubles, are ;<br />

ITS RELATION TO ASSIMILATION<br />

Suddenly seized with appendicitis. Heredity,<br />

lamily predisposition, lymph<strong>at</strong>ism and ar-<br />

,i<br />

.,<br />

The continued presence <strong>of</strong> iron and man- thritisra are incrimin<strong>at</strong>ed in such cases. In ;|<br />

ganese in the blood—the cause <strong>of</strong> health others there may be adenoids, tonsillitis,<br />

and strength—is due, not so much to the otiti.s media, cervical adenitis, gastroenter- ;<br />

amount ingested, as to the form, the main itis or mucomembranous enterocolitis, i<br />

condition being th<strong>at</strong> enough is absorbed. Among infectious diseases influenza plays i<br />

As to the form, we are told by Fraenkel an important role in the aetiology. Typhoid :<br />

(Arzneimittel-Synthese), th<strong>at</strong>thepepton<strong>at</strong>e fever comes next, and then scarlet fever, ,<br />

is to be preferred if we would avoid the un- measles, mumps, varicella and, generally \<br />

pleasant effects <strong>of</strong> iron. The case is the speaking, all the specific or non-specific in- ;<br />

same with respect to manganese. Both are fections which in the child more than in the i<br />

essential; both in the organic form, follow adult cause an overgrowth <strong>of</strong> the lymphoid !<br />

scientific precept strictly, and afford the tissue. The symptoms are variable and j<br />

largest amount <strong>of</strong> their m<strong>at</strong>erial to the complexr Cyclical or periodic vomiting, ;<br />

blood. with oi without acetonuria, in most cases \<br />

is a symptom <strong>of</strong> chronic appendicitis. The )<br />

•<br />

Undializable Constituents <strong>of</strong> the Urine<br />

In Pregnant Women in Normal and<br />

prognosis should be guarded. It is impossible<br />

to count on a spontaneous cure. Surj<br />

P<strong>at</strong>hological Conditions. • gical intervention is required in most cases.<br />

M.Savare has examined the undializable The paper ends with a brief summary <strong>of</strong> .<br />

residue <strong>of</strong> the urine, which<br />

cases.-Bntish Journal <strong>of</strong><br />

is in consider- 3,°^,;""^y"^^i''^<br />

Children s D'seases.<br />

able quantity in normal and p<strong>at</strong>hological |<br />

conditions in pregnant women, and has in-<br />

Tre<strong>at</strong>ment <strong>of</strong> Syphilis ol the Upper Re- \<br />

jected the residue into animals to ascertain spir<strong>at</strong>ory Tract.<br />

whether it has toxic properties. He finds .^^.. ,. ,.i -r r<br />

Dr. Livien discusses the identific<strong>at</strong>ion<br />

th<strong>at</strong> there are contained in the urine <strong>of</strong><br />

<strong>of</strong> -<br />

women who af e in a p<strong>at</strong>hological condition ^^^ spirochEeta palhda and the detection <strong>of</strong> ,<br />

specific antibodies in the serum <strong>of</strong> people .<br />

while pregnant, especiallv when <strong>at</strong>tacked<br />

bv eclampsia elements th<strong>at</strong> are markedly ^"fected with syphilis. No serum thera- ,<br />

toxic to the experiment animals, causing<br />

Peutic tre<strong>at</strong>ment had been found effective. !<br />

them to have stupor and convulsions, and Mercury and iodides remain the chief reme- j<br />

killing<br />

^'^s. two out <strong>of</strong> ten animals He st<strong>at</strong>es th<strong>at</strong> mercury is best ad- |<br />

injected,<br />

mi»istered by injection or inunction, and .<br />

The rel<strong>at</strong>ion to the caus<strong>at</strong>ion <strong>of</strong> eclampsia<br />

<strong>of</strong> these toxic elements is not as vet cleariv ^^^^ ^^°^>''' ?'''^" defined, but should be further studied, since<br />

1"<br />

efficient doses, has .<br />

proved experimentally to produce similar i<br />

it may prove a fruitful field <strong>of</strong> observ<strong>at</strong>ion.<br />

—Annali di Obstetrica e Ginecologia.<br />

'^"^ '^. dangerous to the optic nerve.<br />

if'^^^l\<br />

^^^ diagnosis should be certain before<br />

tre<strong>at</strong>ment is started. Spirochseta shoulb<br />

,<br />

^<br />

i<br />

Dyspnea Following Nasal<br />

ol Menthol Oil.<br />

Instill<strong>at</strong>ion de found, or time given for the serum-test,<br />

^^ ^^^ appearance <strong>of</strong> the roseola. In most<br />

\<br />

i<br />

A. Delille. in a paper read before the <strong>of</strong> the cases where inunctions and injections l<br />

Societe de Pedi<strong>at</strong>ric in Paris repor'ed the<br />

^^^ employed local tre<strong>at</strong>ment is unneces- ,<br />

case ot an infant in whom a nasal instillla- '<br />

,, . , , , ,,, ,<br />

tion <strong>of</strong> menthol oil, 1 per<br />

^^^^^ Mercurial plaster<br />

cent., was immeshould<br />

be used to J<br />

di<strong>at</strong>ely followed by violent spasm <strong>of</strong> the cover chancres on the lips or face. Noso- ,i<br />

glottis. After fifteen minutes the child re- phen is a good dusting-powder, and ortho- j<br />

covered. Guinon had observed several form may be used in painful cases. Malig- |<br />

similar cases. Marfan had never seen one. „„,.tf„^.,^ f fi,„ ^- „ , i j i * „ 1<br />

n^,^u,r »u nant forms ot the 1 . 1 t ^ disease responded . best to ,\<br />

Lomby thought 1 per cent, was too strong. ... ^ , , , . . i]<br />

He used menthol oil 1-300.—The British '"Jections <strong>of</strong> calomel. When inunctions are \{<br />

Journal <strong>of</strong> Children's Diseases. used b<strong>at</strong>hs <strong>of</strong> soap and sulphur may be use- «<br />

fully added. The iodides are most useful I<br />

Chronic Appendicitis in Children. in the tertiary lesions, but act well in vege- [*j<br />

Comby (Bull, et mem. de la Soc. med. t<strong>at</strong>ing secondary p<strong>at</strong>ches in the nose or !i<br />

desHop. de Paris). Appendicitis is very ,'<br />

thro<strong>at</strong>. lodism may be removed bv daily<br />

rare m infancy, but becomes more and j •<br />

i ^ ^- c ic r i 'i. -i- I<br />

,•,,,,,-» fr^^„^„t „ «i 1 u ij J administr<strong>at</strong>ion <strong>of</strong> 15 grains <strong>of</strong> sulphanilic I<br />

more trequent as the child grows older, and i<br />

is common after five years. It is essentially ^^^^ '" -^ ounces <strong>of</strong> w<strong>at</strong>er. In sensitive cases \<br />

a chronic disease, in which the ^cute form iodipin is a useful substitute.— British Wedi<br />

is only an episode. The aetiology is <strong>of</strong>ten cal Journal.<br />

'<br />

,

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