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

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342 THE CHARLOTTE MEDICAL JOURNAL. |<br />

The improvement realized even in advanced more frequent in the uterine body, tubes ,<br />

cases is remarkable, relieving the p<strong>at</strong>ient <strong>of</strong> and peritoneum. The most frequent loca-<br />

hemorrhage, pains and ichorous discharge<br />

j<br />

tion is in the tubes, where it is complic<strong>at</strong>ed<br />

j<br />

for a time <strong>at</strong> least. Dissemin<strong>at</strong>ed nodules with tuberculous peritonitis, sometimes j<br />

<strong>of</strong> recurring mammary carcinoma are ful- ovaritis. In the vagina it is generally ul- J<br />

gur<strong>at</strong>ed each for five or ten minutes. This cer<strong>at</strong>ive, or infiltr<strong>at</strong>ing. On the cervix it |<br />

s<strong>of</strong>tens the nodnles and prepares them for may form veget<strong>at</strong>ions. In the tubes there<br />

twenty or thirty minutes. The fulgur<strong>at</strong>ion is a sac containing pus and detrius. Diagdoes<br />

not lead to the form<strong>at</strong>ion <strong>of</strong> an eschar; nosis from other forms <strong>of</strong> genital lesions is !<br />

the tissue merely turns brownish and ede- almost impossible during life. In case <strong>of</strong> ,<br />

m<strong>at</strong>ous, with free exud<strong>at</strong>ion.— Zent. f. Gyn. tuberculous perionitis it is r<strong>at</strong>her curable,<br />

especially after an explan<strong>at</strong>ory laparotomy.<br />

Facial Paralysis, Tre<strong>at</strong>ment ol. in general the tre<strong>at</strong>ment should be a com-<br />

Dr. F. Marsh reports the tre<strong>at</strong>ment <strong>of</strong> bin<strong>at</strong>ion <strong>of</strong> oper<strong>at</strong>ive measures with general<br />

facial paralysis in two p<strong>at</strong>ients due to the anti-tuberculous tre<strong>at</strong>ment.— Le Progress<br />

division <strong>of</strong> the facial nerve in the mastoid ^^ledicale.<br />

oper<strong>at</strong>ion. They show ( 1 ) th<strong>at</strong> if division<br />

<strong>of</strong> the facial nerve is recognized <strong>at</strong> the time<br />

<strong>of</strong> oper<strong>at</strong>ion, careful adjustment in the manner<br />

indic<strong>at</strong>ed (the use <strong>of</strong> strands <strong>of</strong> chrom-<br />

New Observ<strong>at</strong>ions on the Mechanism ol<br />

the Production ol Transitory Albumi-<br />

nuria in Children by Experimenicized<br />

c<strong>at</strong>gut) will probably .esult in the<br />

restor<strong>at</strong>ion <strong>of</strong> the function; (2) th<strong>at</strong> if division<br />

has not been recognized the wound<br />

a<br />

,/^tal<br />

Lordosis.<br />

,, •<br />

t w j ,<br />

^^°". obtained<br />

^'l' f ^'f<br />

transitory 'I<br />

^Ibuminuna by lordosis m the horizontal<br />

should be reopened and the nerve ends adjusted<br />

<strong>at</strong> the earliest opportunitv; (3) th<strong>at</strong> P°«'.t>°"- "^ ^^^^ ^ "^'^^ '" chmc <strong>of</strong> Milan a collection <strong>of</strong> 'J'f fetuses °^^'f''^^ fixed<br />

if a careful adjustment has been made a<br />

^ Position <strong>of</strong> lordosis <strong>at</strong> various vertebral<br />

second oper<strong>at</strong>ion should not be undertaken I"<br />

^^^'^^'' and has experimented on rabbits and<br />

within three or four months; (4) th<strong>at</strong> this<br />

method <strong>of</strong> adjustment should be tried be- ^"'"^'^ P'^^' ^"^ .^!^^* ''^ ^°",^^-<br />

''f 'f,^^^^<br />

r • t -.^i .1 u 11 elude any rot<strong>at</strong>ion <strong>of</strong> the kidneys on their<br />

fore anastomosis with the hvpo. glossal or .• , r .l j .• r- n<br />

, \r i A tt vertical axes from the production <strong>of</strong> albuspiiial<br />

accessory nerves is <strong>at</strong>tempted, the . . , , • ni j- .i<br />

ii r I.- 1- i 1 ••£ • miiiuna by stasis <strong>of</strong> blood m the renal veins,<br />

results <strong>of</strong> which are not always gr<strong>at</strong>ifying, t,, ^/ , .^. ^ c oi,ciiio.<br />

'^ ihe vertical position is necessary to the<br />

— British Medical Journal.<br />

production <strong>of</strong> albuminuria. The stimulus<br />

<strong>of</strong> the splenic<br />

The Purg<strong>at</strong>ion Properties<br />

plexus<br />

ol Phenolph<br />

must be reckoned with<br />

'" ^^® production <strong>of</strong><br />

thalein.<br />

albuminuria by lordosis,<br />

as well as the vasomotor disturbances<br />

Berthoumeau and Daguin discuss the in the vena cava ascendens and its branches<br />

usefulness <strong>of</strong> phenolphthalein as a purga- <strong>at</strong> the level <strong>of</strong> the lordosis produced, and the<br />

tive. It has grown gre<strong>at</strong>ly in importance compression exercised by the kidnev and<br />

during the past few years and its harmless- liver disturbances.— La Riforma Medica.<br />

ness as well as reliability make it valuable<br />

in all p<strong>at</strong>ients. It augments by direct contact<br />

the contracility <strong>of</strong> the intestine and in-<br />

Subacute Meningitis a Complic<strong>at</strong>ion ol<br />

Respir<strong>at</strong>ory Troubles in Children.<br />

creases the secretion. A dose <strong>of</strong> two grs. .<br />

„, . t^ ,r i<br />

.dement Delfosse mentions subacute<br />

will purge, whereas half th<strong>at</strong> amount<br />

me-<br />

for<br />

an adult will act as a lax<strong>at</strong>ive without pro- ""'S't's ^.^ ^ "° infrequent complic<strong>at</strong>ion <strong>of</strong><br />

ducing abdominal distress. In children in<br />

doses according to the age, it acts verv s<strong>at</strong>isfactorilv<br />

and is in<strong>of</strong>fensive.-La "<br />

Presse<br />

Medical<br />

P"e^umonia and purulent pleurisy ,n in-<br />

^^"''- ^ he organisms th<strong>at</strong> most frequently<br />

responsible for this complic<strong>at</strong>ion are<br />

fJ^<br />

pneumonoccus and the bacillus <strong>of</strong><br />

Pfeiffer. The child generally gives a his-<br />

Genital Tuberculosis in the Woman.<br />

Ch. Lenormant finds th<strong>at</strong> genital tuber-<br />

1°''^,^ frequent respir<strong>at</strong>ory or digestive<br />

troubles, or <strong>of</strong> the eruptive fevers. The<br />

micro organisms seem to be especially viculosis<br />

occurs in about three percent, <strong>of</strong> all<br />

oper<strong>at</strong>ions for laparotomy for genital conditions.<br />

It is rarely primary, and then occurs<br />

rulent in the cases in which we have this<br />

complic<strong>at</strong>ion. The cerebrospinal fluid is<br />

always turbid, the more so in the severe<br />

in cases <strong>of</strong> genital infection by coitus with cases, and there are present the microorgana<br />

husband affected with genital tuberculo- isms and polynucle<strong>at</strong>ed cells. The cerebral<br />

sis, the wife having some solution <strong>of</strong> con- lesions are most marked on the convexity<br />

tinuity <strong>of</strong> the mucous membrane. It may <strong>of</strong> the cerebrum. The prognosis is very<br />

<strong>at</strong>tack any portion <strong>of</strong> the genital system, grave, and tre<strong>at</strong>ment has little effect on<br />

It is rare in the vagina and cervex, where the disease.—Journal des Sciences Medi- I<br />

there is a pavement epithelium. It is much cales de Lille. i<br />

i

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