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

204 THE CHARLOTTE MEDICAL JOURNAL. |
open and a course of digttalis, squills, and of origin of this condition; it may begin in
num vomica or srrychnine is beneficial, the glands and extend to the lungs, or vice i
These are not the cases for mountain climb- versa. Age is an important factor in de- i
ing, but for moderate exercise on the level, termining its origin. Unilateral adenopa-
{
When there ia high systolic and low dias- thies are found in children from two to five I
tolic pressure, with aortic regurgitation, the years of age. Tuberculosis of the apex is (
result is largely influenced by the amount found in children between six and ten years i
of elasticity left in the aorta. The diet of age. Bilaterial gland enlargement also (
should be light, dry, and nitrogenous, and occnrs at the same ages. Cure of these <
the exercise should be moderate. A course glandular enlargements before the lungs (
of phosphorous acid and strychnine often have been affected is qnite easy if the child |
answers well. When the systolic pressure is sent to live at the seashore for a consid- j
is failing, with a relatively high diastolic
pressure, the cardiac muscle is getting much
erable time. A short sojourn only produces
a cessation of the process for a short period,
j
impaired. In these cases the question of
the free calcium ions in the blood must be
and it recurs again. Radioscopy is very
useful in making the diagnosis between tu-
(
i
considered. In such cases small doses of berculosis of the glands and that of the
glycerophosphateof calcium and large doses apex. The germs enter by way of the lungs
of phosphoric acid are of benefit. When and upper respiratory tract to general,
!
i
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the systolic and diasiolic pressares are fail- Rarely they enter from the intestines or •
ing and there is edema of the extremities, a descend from the rhinopharyngeal region.
temporary rest is highly beneficial. The —Archives de Medicine des Infants.
^
.
diet should be light, dry, and nutritious,
and nitrogenous if the kidneys be fairly Hydrotherapy in Hospitals. )
healthy. Sodium chloeide should be elim- According to Schaper, who has recently J
inated and a course of cardiac tonics pre- made a tour of Norway, Sweden and Den- i
scribed. In many cases of myocarditis the mark, all the larger hospitals of those conn- i
right coronary artery is much more affected tries are provided with a special pavilion i
than the left. A good cardiac tonic in such equipped for the giving of all kinds of <
cases consists of glycerophosphate of cal baths. The same may be said of many of 'j
cium, strychnine, and phoephoric acid. the leading German hospitals. i
A few of the hospitals in this country (
The Lower Segment of the Uterus. have introduced hydriatic measures, but in i
Cyrille Jeannin distinguishes the inferior
"^ost of the leading hospitals of the United i
segment of the uterus as the isthmus, or States there is still a sad lack of appliances lower third of the fundus. It is of great ^°^ ^^^ ^^e of water and other physiologic
importance pathologically and normally measures.
in When visiting a large Eastern
pregnancy. Its walls are much thinner
liospital recently, the editor made inquiry
than those '^^'th of other portions of the uterus,
reference to provision for the use of
In front it is thinner than behind. Its lower
water, and was told that the leading physilimit
is the ^'^^^
internal os. Its thinness pre- "^^^ 1^'^^ enthusiastic about hydrodisposes
to rupture of the uterus. Its form
therapy a few years ago, but his ardor had
^
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r
1
a
ii
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varies with the presentation of the fetus, cooled off, and he had recently said nothing t
During pregnancy it lends itself to the de- *^°"^ '^- ^" f^^^- t^e opinion was enter- .,j
velopment of the fetus by stretching. By tained that hydrotherapy was one of those i
some it is supposed to be the cause of the
Passing fads which would soon be no more r
talked about than the sulphurreted hydro- i
beginning of labor. Its dilation by rubber
balloon is a most efficient means of indue- S^" method of treating tuberculosis, or any i
ing labor. In the early part of labor
other of the medical fancies which seem to f;
it
confracts, but later remains inert. During ^^^^ possession of a certain portion of the ^
medical profession from time to time. I
pregnancy the implantation of the ovum on
this segment is a frequent cause of abortion '^^'^ is a great mistake. Hydrotherapy lij
and of hemorrhage in
is placenta previa,
here to stay. It is not a new thing; it is ,*
During labor the adhesion of the ovum to not a fad. It is as old as the earth, and |
this segment is a cause of very slow though it
dilata- has been greatly neglected, will ^
tioti of the cervix.—La Presse Medicale.
gradually win its way to increasing recog- «
nition. Water is unquestionably the most j^
'
Tracheobronchial
Powerful, the most versatile, the most uni-
Adenopathies in Their
versal of all therapeutic agents.
Relations to Chronic Pulmonary
To be
sure, water itself is not curative.
Tuberculosis The same
in Children.
maybe said of every other remedy. The ifl
Charles Leroux, as a result of the treat- remedy does not cure. The cu.ative power !»i
ment of many cases of tracheobronchial resides wholly in the body. It is the blood j »i
tuberculosis, states that there are two modes that heals. The same forces are required Hi