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

342 THE CHARLOTTE MEDICAL JOURNAL. |
The improvement realized even in advanced more frequent in the uterine body, tubes ,
cases is remarkable, relieving the patient of and peritoneum. The most frequent loca-
hemorrhage, pains and ichorous discharge
j
tion is in the tubes, where it is complicated
j
for a time at least. Disseminated nodules with tuberculous peritonitis, sometimes j
of recurring mammary carcinoma are ful- ovaritis. In the vagina it is generally ul- J
gurated each for five or ten minutes. This cerative, or infiltrating. On the cervix it |
softens the nodnles and prepares them for may form vegetations. In the tubes there
twenty or thirty minutes. The fulguration is a sac containing pus and detrius. Diagdoes
not lead to the formation of an eschar; nosis from other forms of genital lesions is !
the tissue merely turns brownish and ede- almost impossible during life. In case of ,
matous, with free exudation.— Zent. f. Gyn. tuberculous perionitis it is rather curable,
especially after an explanatory laparotomy.
Facial Paralysis, Treatment ol. in general the treatment should be a com-
Dr. F. Marsh reports the treatment of bination of operative measures with general
facial paralysis in two patients due to the anti-tuberculous treatment.— Le Progress
division of the facial nerve in the mastoid ^^ledicale.
operation. They show ( 1 ) that if division
of the facial nerve is recognized at the time
of operation, careful adjustment in the manner
indicated (the use of strands of chrom-
New Observations on the Mechanism ol
the Production ol Transitory Albumi-
nuria in Children by Experimenicized
catgut) will probably .esult in the
restoration of the function; (2) that if division
has not been recognized the wound
a
,/^tal
Lordosis.
,, •
t w j ,
^^°". obtained
^'l' f ^'f
transitory 'I
^Ibuminuna by lordosis m the horizontal
should be reopened and the nerve ends adjusted
at the earliest opportunitv; (3) that P°«'.t>°"- "^ ^^^^ ^ "^'^^ '" chmc of Milan a collection of 'J'f fetuses °^^'f''^^ fixed
if a careful adjustment has been made a
^ Position of lordosis at various vertebral
second operation should not be undertaken I"
^^^'^^'' and has experimented on rabbits and
within three or four months; (4) that this
method of adjustment should be tried be- ^"'"^'^ P'^^' ^"^ .^!^^* ''^ ^°",^^-
''f 'f,^^^^
r • t -.^i .1 u 11 elude any rotation of the kidneys on their
fore anastomosis with the hvpo. glossal or .• , r .l j .• r- n
, \r i A tt vertical axes from the production of albuspiiial
accessory nerves is attempted, the . . , , • ni j- .i
ii r I.- 1- i 1 ••£ • miiiuna by stasis of blood m the renal veins,
results of which are not always gratifying, t,, ^/ , .^. ^ c oi,ciiio.
'^ ihe vertical position is necessary to the
— British Medical Journal.
production of albuminuria. The stimulus
of the splenic
The Purgation Properties
plexus
ol Phenolph
must be reckoned with
'" ^^® production of
thalein.
albuminuria by lordosis,
as well as the vasomotor disturbances
Berthoumeau and Daguin discuss the in the vena cava ascendens and its branches
usefulness of phenolphthalein as a purga- at the level of the lordosis produced, and the
tive. It has grown greatly in importance compression exercised by the kidnev and
during the past few years and its harmless- liver disturbances.— La Riforma Medica.
ness as well as reliability make it valuable
in all patients. It augments by direct contact
the contracility of the intestine and in-
Subacute Meningitis a Complication ol
Respiratory Troubles in Children.
creases the secretion. A dose of two grs. .
„, . t^ ,r i
.dement Delfosse mentions subacute
will purge, whereas half that amount
me-
for
an adult will act as a laxative without pro- ""'S't's ^.^ ^ "° infrequent complication of
ducing abdominal distress. In children in
doses according to the age, it acts verv satisfactorilv
and is inoffensive.-La "
Presse
Medical
P"e^umonia and purulent pleurisy ,n in-
^^"''- ^ he organisms that most frequently
responsible for this complication are
fJ^
pneumonoccus and the bacillus of
Pfeiffer. The child generally gives a his-
Genital Tuberculosis in the Woman.
Ch. Lenormant finds that genital tuber-
1°''^,^ frequent respiratory or digestive
troubles, or of the eruptive fevers. The
micro organisms seem to be especially viculosis
occurs in about three percent, of all
operations for laparotomy for genital conditions.
It is rarely primary, and then occurs
rulent in the cases in which we have this
complication. The cerebrospinal fluid is
always turbid, the more so in the severe
in cases of genital infection by coitus with cases, and there are present the microorgana
husband affected with genital tuberculo- isms and polynucleated cells. The cerebral
sis, the wife having some solution of con- lesions are most marked on the convexity
tinuity of the mucous membrane. It may of the cerebrum. The prognosis is very
attack any portion of the genital system, grave, and treatment has little effect on
It is rare in the vagina and cervex, where the disease.—Journal des Sciences Medi- I
there is a pavement epithelium. It is much cales de Lille. i
i