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

THE CHARLOTTE MEDICAL JOURNAL.
LARYNGOLOGY AND RHiNOLOGY. was followed by scvere abdominal pain,
1 Give the appearance and effects of the tympanitis, and vomiting; temperature,
destructive action of syphilis on the larynx. 103.2 pulse 120; vagm.tis; condylomata;
'Toive the patholoS of acute rhinitis. ^^:^^^^-i±Z T. T.T/. 'l
MEDICAL JURISPRUDENCE
rupturing the membranes, and at this time
Whir postrn^ortem changes occur in the amnjotic fluid was found to be greenish
yellow, but the delivery was spontaneous
the tissues.
d easy. A few hours after delivery the
2. Describe rigo^morte.
^^^^^^ ^.^^ ^^^ ^^^^.^^^ ^^^^^^^^ p^^.^^
Saiodin in the Treatment In Sypbilis. jj^ig combined with right sided parametritis,
Benassi (Gazz. degli. Osped.) has been fibrinous pleuritis and septic spleen. In
testing the value of sajodin in the treatment the utenne wall a diffuse phlegmon was
of secondary and tertiary syphilitic leisons. found extending. nto the right parametrium.
Streptococci abundant. In commenting
It was tried in about fifty cases, but it was
only possible to watch the effect for any upon the case the author calls attention to
len-lh of time in twenty-two cases (eight the great likelihood of gonorrhceal infection
tertiary and fourteen secondary). Thedrug in the last weeks of pregnancy; the existis
a compound of iodine (24.5 per cent.) ence of a parametric abscess even before
and calcium (4.1 percent.). It is an abso- labor with intact membranes and closed
lutelv odorless and tasteless powder, and cervix; the rapid occurrence of peritonitis,
insoluble in water. The usual dose is 1 gm., from the parametritis; the rapid dehvery
given in a cachet. The author found sajo- although the uterus and its vessels were:
din a good substitute for potassium iodide diffusely invaded with streptococci. Thei
and the alkaline iodides. It acts quite as case also exemplifies the occurrence of in-,
well, and in some cases even better, than faction before labor ot cases dying within
iodide of potassium, and can be tolerated a day or two after delivery.— Zentralbl. f.
in larger doses; no iodism was observed even Gyn.
in patients suffering from gastric disorder
Diabetes Insipidus.
and under large doses. It may be used ^ , r i t .•
where one usually prescribes the iodide. It Engel reports some careful observations
is best tolerated when given at or just after on cases of genuine diabetes insipidus and •
a meal.-British Medical Journal. polyuria from other causes desigied to I
demonstrate the theory of Tallquist, Meyer 5
Advisability ol Lactation Daring Acute and others, that the primary symptom in r
Illnesses ol tbe Motbcr. tiijg disease is a polyuria, dependent on a ii
G. Guidi, fiom an experience of thirty characteristic disturbance of water metab- «
years in practice, together with experiments olism, which may be called a loss of the
on animals, gives it as his conblusion that Power of concentration on the part of the
in many acute diseases of the mother it is kiddey-an inability to secrete any but a
advisable to continue lactation. Stopping very dilute urine. In such a condition ft
it injures mother and child. The patient water would be withdrawn from the tissues H
should be carefully watched, fed so as to in proportion to the urinary solids to be ex- i
give the necessary amount of nutritive ma- creted and irrespective of the water intake, x
terial, and kept under the best possible hy- and thirst and polydypsia would be second
^
gienic conditions. As to the danger of in- ary. The urine would vary in amount ir »
fection of the child, it is slight. Either the close proportion to the intake of solids to b« I
milk has antitoxic properties, or the child excreted by the kidneys, and the concentra
j
is capable of producing antitoxic substan- tion would be nearly constant. In polyuru |
ces that protect it against the disease. The from other causes, the amount of urim ,
varies quite directly with the water intake ,
passage of bacteria into the milk does not
produce infection of the infant. The child and is largely independent of the amount c
could not be kept in the room with the solids, so that variations in quantity ar,
mother except when being dursed. Clini- usually less marked, while the concentra
cal observation and experimental study tion shows wide fluctuations.
agree in showing that the germs not infect Seven cases are described— four of dia
the child.-Rivfsta di Clini'ca Pediatrica. betes insipidus, and three of polyuria fron
other causes. In all of them careiul record
Acute Peritonitis Preceding Labor. ^^^.^ ^^^^ ^f quantity and concentratio:;
G. Leopold, (Dresden), reports a fatal of urine under different experimental con
case, rather rare, but yet instructive since ditions—varying diets, administration c
j
it displays the possibility of a fatal termin- such salts as sodium chlorid, withholdin ]
ation from infection before labor. A preg- water, etc. Concentration was determine \
nant woman was admitted to the clinic two by the lowering of the freezing point. [
days after having had the first child. This The four cases of diabetes insipidus ga\ j
1,