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

^-> THE CHARLOTTE MEDICAL JOURNAL.
16 Williams, International Clinics, 1908, The author believes that this condition
Vol 111 P- 1-^- produced by the streptococci themselves,
17 Raimist, Revue Xeurologique, Paris, since no other bacilli are found in the exa-
'
^c)Q(^
dation. Treatment consists of the usual
is! Raymond. Dejerine and Dupres. in general measures and lavage of the parts,
their discussion on Hvsteria. with dioxide of hydrogen or antisepti-
19. Raymond et Janet, Loc cit. washes.—La Progres Medical.
20. Williams, Alienist and Neurologist, Electrization ot the Stomach Studied
1909. with Radioscopy.
21. Dejerine, Les Fausse Castropathes, „,,„,, , . ,
^^^ '"^'^'^ ' • ^ ^"•"^'^'
-^5 Dubois La Traitentment Morale des of applications of electricity to the stomach,
watching the picture as it appeared by ra-
Presse Med 1906 ^- ^S°^°
Pv'scho Neuroses, Paris, 1904, Trans. New
diascopic examinations made while the
York 1907
23' Williams, The Most Common Cause electric current was in action. He used
of Nervous Indigestion, Jour. Abnormal faradism galvanism; and static electncty
Psvchologv, Boston, 1909.
and applied them withm the stomach, and
24 Bernheim, Suggestion L'Hypnotism outside on the abdomen. The experiments
etPsvchotherapy, 1903. Williams, Loc cit. were made upon dogs. Of the three forms
25: Pawlow, Functions of the Digestive of electricity used, the faradic current was
'Jiost
Glands, London, 1900.
effective in producing m producmgr
'6 Taiiet I oc
contractions of the stomach walls. Internal'
cit
27.' Dupres et Camus, Cepresthopathes, application gives no greater and even kssj.
effect than the best effect when appliedf I
L'Epcephale, Paris, 1907.
28. Levi, L'Education Rationale de la transvesrely or anteropostenorly. The mo-.;
Volonte, Paris, Pavot, L'Education de la nopolar method is also effective. Contrac--
Volonte Paris
tionsof the abdominal muscles or diaphragm;
29. Williams, Alieiii.st and Neurologist produce no stomach contractions. Static:!
electricity gave no good results. .The gal--
Lqj, (.jf
30. Pascal, La Forme, Pseudo neuras- vanic current is somwhat less effective than;
j
thenique delaDemence Precoce, Congras faradism. Apphcations made directly over: I
de Lille, 1906, L'Encephale, 1907. the stomach are less effective than trans- j
31. Williams, Importance of Pvchometry verse ones. The galvanic current should j
in the Diagnosis of Cerebral Disorders, In- be interrupted or poles changed, in order to
ternational Clinics (to appear). order to get contractions of the stomach.—
32. Williams, Loc. cit. Giornale di Electricita Medica.
33. See Regis Manual of Psychiatry,
Entero—Colitis and Cholera Inlantuivt.
1906, White Outlines of Insanity," 1908.
Necrotic Anginas and Perforations of
the Palate in Scarlatina.
The following advice from the pen of a 1
well known Denver physician, will be found i
to be most seasonable and helpful, in the |
treating of entero-colitis.
P. Lereboullet gives histories of five cases "Cleanse the intestinal tract with calomel
of perforation of the soft palate in scarla- and a saline or with castor oil. Prescribe 1
tina. This is a rare complication of scar- a suitable diet, easily digested and iioii-
let fever. In most cases it has proved fatal, irritating. Irrigate the rectum and colon at ;
but of the author's patients all recovered, suitable intervals with normal salt solulion I
It generally affects children under five years or some mild antiseptic, using for the pui- i
of age. A- false membrane similar to that pose a soft rubber catheter or colon tube, i
present in diphtheria first covers the tonsils "Instead of opiates, which lock up the i
and pillars of the fauces. In this mem- secretions and thereby favor auto-intoxica- ;
braue examination shows no diphtheria tion, relieve the muscular rigiditv and the i
bacilli, but only streptococci. The glands excruciating pain which is such a drain I
are sometimes not infiltrated, but the gen- upon the vital foces by the use of Aiiti- .
eral condition of the patient is bad. The phlogistine as hot as can be borne over the
larynx is not affected, but the nasal fossae entire abdominal walls and covered witli ij
may be involved. F'ever is high. This absorbent cotton. If the patient is not too ,1
lasts for some days, when the appearances far gone, the effect will be astonishing. ';
rapidly change. The tonsils necrose and The little drawn faced patient, who until .1
the palate may be perforated while the now has been suffering severely, will in |i
membrane clears up. There are no diffi- most cases soon quiet down: the agonized (I
culties of deglutition or phonation. If death expression will leave the face and restful ':
does not ensue the repair is rapid, the ti.s- slumber intervene, thus starling the child jf
sues showing little inflammatory reaction, upon the road to recovery."' ^ ]
^'
|
]
:'
''
"