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

REVIEW OF SOUTHERN MEDICAL LITERATURE. 255
,
necessary instructions for their use; and the treatment. Before this is used he would
superintendent of education shall furnish strongly urge a careful trial with ipecac.
the same free of expense to every school in Blue Swcat.-Dr. J. A. Storck gives the
the State. The superintendent, principal, following indications for the elimination of
or teacher in every school during the month the cause of indican production:
of September in each year shall test the n is the consensus of opinion that thorsight
and hearnig of all pupils under his ough intestinal antisepsis is impossible,
charge, and keep a record of such examin- However, much can be accomplished by
ation according to the instructions furnish- clearing out the intestinal tract and introed,
and shall notify m writing the parent ducing a new culture medium, one in which
or guardian of every pupil who shall be the bacteria present will not thrive so well,
found to have any defect of vision or hear- preparatory to this, calomel and urotropin
ing, or diseases of eyes or ears, with a brief mav be used, and then the feeding with
statement of such defect or disease, and sour milk may be begun. The rationale of
shall make a written report of all such ex- a sour milk diet is that lactic and succinic
aminations to the superintendent of educa- acids present nitrogenous putrefaction, but
tion as he may require. their action is of short duration. It is there-
Section 2. The Slate Auditor is hereby fore, necessary that, along with the sour
directed to draw his order on the State milk, such agents as thioform, ichthyol,
Treasurer for such sums and at such times tannalbin, etc., be employed,
as the Superintendent of Education, with If the stomach contents are deficient in
the approval of the State Board of Health, hydrochloric acids, its administration is inmay
require to carry out the provisions of dicated.
ithis act The total expense under this act Grape ferment and brewers' yeast are en-
< shall not exceed six hundred $(An).00) dol- ergetic as antiputrefactive agents and may
lars in any biennial term ending June 30. be employed in suitable cases.
Section.^. This act shall take effect July 1, The future diet of the patient should be
1905. carefully formulated. A lacto-farini.ceous
diet meets the requirements best. A grad-
,
Ameblc Dysentcry.-Dr. George Dock
^,^, ^^^^^^ t^ ^ ^^^^ ji,,^,^! ^j^t may be
points out that for treatment, not enough
hrought about by degrees, allowing only a
has been said or done regarduig prophysmall
amount of proteid.
laxis. 1 he amebic come from the water or
surgical Aspects of Cbronlc Diarrhea:
the soil, or from food off or out of the soil, or Appendicostomy and Caecostomy.—
Raw vegetables and greens are especially Dr. II. B. G.essuer says that there is no
likely to be carriers. If we cannot secure question in the minds of those who have
uncontaminated water at the outset, we written on this subject of the value of the
should do as much as possible to prevent method. The discussion revolves about the
ground and water infection by proper lat- selection of suitable cases for the operation,
riues, and with the increased activity of which is of course indicated in cases of disraciallycareless
market gardeners we should ease between the cecum and the rectum.
have inspection of the methods of fertiliza- i„ this connection let me quote again from
tion, and be certain that the use of human McCaw in Keene's Surgery: "There are
;manure is not in vogue. certain cases of chronic amebic dysentery
Curative treatment is most effective in the which proceed slowly but inevitably to a
beginning, and many cases of amebic dys- fatal termination without improvement. At
entery would never reach a positive diag- the autopsy table it is seen that the lesions
nosisif acute diarrheas were more promptly are of such extent that the entire gut is
aud radically treated. Purgation, colon practically disintegrated. The pathologic
flushing, intestinal antiseptics and diet form process has at no time been very acute, but
the basis of successful early treatment, has involved so large an area as to prevent
Later, rest in bed is an essential: free evac- any attempt on the part of nature to repair
uatiou just as much so. Beyond these are damages. It is discrediting a valuable
many methods that would he impossible to method of treatment to confine operation to
enmnerate now. Although while one of such hopeless cases. I'atients who show
these, enemata, including those of quinine, bv their response to treatment by rest, diet
is often of great palliative value, real cure or medication that their large intestines are
arely follows, nor can it if the lesions are not entirely crippled are the ones for whom
high up, without more pains than most irrigation from cecum to outlet is most suitpatients
can receive. 'I'he more rational able."
direct method, by an opening into the upper
!nd of the colon, is more promising, but V'/if Soi/th>:iii Piactitionfr, Aiigiisl, 1909.
here, too, success will depend mainly on Clinical Features of So-Called Acute
he thoroughness of the subsequent local Pellagra.— Dr. N. P. Walker says that the