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

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ABSTRACTS 343<br />

Antilormln in the Detectton <strong>of</strong> Tubercle a,it branch <strong>of</strong> „iedicine.-From American<br />

Medicine, October, <strong>1909</strong>.<br />

Dr. O. Seemann has employed antiformin<br />

for the purpose <strong>of</strong> facilit<strong>at</strong>ing the detection ^**^ Viscosity <strong>of</strong> tlie Blood and tlie Worlc<br />

<strong>of</strong> tubercle bacilli in pus, urine, exuda- «J the Heart.<br />

tions, stools and organs. Antiformin is a Giovanni Galli savs th<strong>at</strong> the molecules <strong>of</strong><br />

mixture <strong>of</strong> eaudejavelle and sodium hy- the blood are subject to <strong>at</strong>trition in different<br />

dr<strong>at</strong>e. c,nd owes its action to oxid<strong>at</strong>ion pro- individuals, due to the presence <strong>of</strong> various<br />

cesses. 1 he author has found th<strong>at</strong> it acts colloidal substances. These substances are<br />

best in 1., per cent, solution. If sputum is subject to gre<strong>at</strong> variability, according to<br />

diluted vvith fi teen to twenty times its vol- the amount <strong>of</strong> w<strong>at</strong>er in the blood and <strong>of</strong> f<strong>at</strong><br />

ume <strong>of</strong> this solution, the pus soon becomes molecules, and these varv with the distance<br />

homogeneous, and in from ten to forty-five from a meal. The composition <strong>of</strong> the blood<br />

unimtes a clear fluid with a sediment, which varies with age, sex, and constitution. In<br />

can be removed by centnfugaliz<strong>at</strong>ion, is polycythemia and plethora and viscosity is<br />

obtained. If there is no special hurry to gre<strong>at</strong>ly increased and yet health is good,<br />

obtain a specimen, it is wise to wash the In anemia the viscosity decreases markedly,<br />

sediment, with distilled w<strong>at</strong>er, to remove Compens<strong>at</strong>ion comes through the vasomotor<br />

the excess <strong>of</strong> alkali, so th<strong>at</strong> the bacilli may nerves and the regul<strong>at</strong>ing mechanism <strong>of</strong> the<br />

adhere to the slide better. If any difficulty heart. Increased viscosity <strong>of</strong> the blood<br />

IS exi)enenced in getting the specimen to does not produce cardiac hvpertroph v. The<br />

adhere, a little <strong>of</strong> the fresh sputum may be temper<strong>at</strong>ure<strong>of</strong> the body, especially in febrile<br />

applied to a clean slide or some albumin conditions, has also an influence on the visw<strong>at</strong>er<br />

(1 part <strong>of</strong> be<strong>at</strong>en up egg white to U) cosity we have a strong heart impulse and<br />

<strong>of</strong> distilled w<strong>at</strong>er and 1 per cent, <strong>of</strong> formal- inelastic arteriis there will be o^re<strong>at</strong>ly iudehyde<br />

solution) may be employed. Tuber- creased heart work, andv/ce versa.— Rivista<br />

cle bacilh are not killed in 1.5 ]ier cent. Critica de Clinica Medica.<br />

antiformin after one hour, so th<strong>at</strong> the method<br />

can be used for animal injection as well Tre<strong>at</strong>ment ol Boils and Carbuncles.<br />

as lor microscopical specimens. I he method<br />

can further be applied to examine blood<br />

^'" '^"'^<br />

for<br />

or carbuncle need be painful, nor<br />

tubercle bacilli. This may prove <strong>of</strong> use should the<br />

in tre<strong>at</strong>ment cause pain, according<br />

differenti<strong>at</strong>ing between typhoid fever, miji- ^" ;} Osier Ward, <strong>of</strong> London, K. C.<br />

ary tuberculosis and sepsis. The bacilli "^^ tre<strong>at</strong>ment which he employs is simobtained<br />

from the antiformin fluid are found I''^- ^^ pledget <strong>of</strong> cotton soaked in carbolic<br />

pure culture, all other bacilli having sb'^'erin is applied to the boil and covered<br />

been<br />

"<br />

dissolved.—Berl. "'''^'' klin. Woch.<br />

gutta-percha tissue and a bandage.<br />

As soon as pus shows, the epithelium is<br />

Pedi<strong>at</strong>rics Changes Hands. gently turned back and the glycerin reap-<br />

It is with no little gr<strong>at</strong>ific<strong>at</strong>ion th<strong>at</strong> we P''^'^' As soon as a slight cavity appears<br />

learn th<strong>at</strong> Dr. W. E. hitch has purchased ^°°^^ °^ ^''^ glycerin is gently inserted by<br />

Pedi<strong>at</strong>rics and will henceforth<br />

"^^aiis<br />

edit<br />

<strong>of</strong><br />

this<br />

a simple glass<br />

well<br />

syringe, and again<br />

known public<strong>at</strong>ion. t'le<br />

Dr. I'itch has<br />

poultice<br />

long<br />

<strong>of</strong> glycerin is applied. In two<br />

been °'' connected with medical journalism ^^^^^<br />

as ^^^^ ^^^ slough separ<strong>at</strong>es, and after<br />

iditor <strong>of</strong> Gaillard's Southern Medicine, and °"^ ^""'^ poultice <strong>of</strong> glycerin the cavity<br />

le will bring to Pedi<strong>at</strong>rics a ripe experience<br />

speedily closes, with the minimum <strong>of</strong> scar,<br />

Joth as editor ""'^^'' and publisher. He is a grace- ^"^ dressing. The hygroscopic ac-<br />

Ful as well as a brilliant writer, and ''""<br />

has<br />

°^ ^'*^ glycerin relieves the tension—<br />

:ontributed extensively to medical "'^ ^^"^^ litera- °^ *^^ pain—very speedily, and it<br />

lire.<br />

need never recur.<br />

We understand th<strong>at</strong> Dr. Fitch contem- Ward has never had occasion to use any<br />

l<strong>at</strong>es many changes in Pedi<strong>at</strong>rics and with other tre<strong>at</strong>ment. He has never seen a car-<br />

staff <strong>of</strong> collabor<strong>at</strong>ors which includes buncle spread when once this tre<strong>at</strong>ment<br />

nany ol the country's foremost pedi<strong>at</strong>rists, . ..,, , . i j<br />

his excellent<br />

'"^^<br />

journal<br />

^"«""' '''" ^"'^<br />

is sure to achieve<br />

^^'<br />

new ^^ ^"^" ^"^ ^^''^^^<br />

uccess in its special field. Dr. Fitch is a '" ''^^ '" '"« own cases.<br />

rue Southern gentleman, and his name on (^"e very serious case he saw recently in<br />

he editorial page is ample assurance <strong>of</strong> the consult<strong>at</strong>ion—th<strong>at</strong> <strong>of</strong> a butcher with a carigh<br />

and honorable plan on which Pedi- buncle 6 in. by 4 in. between the shoulders.<br />

tries will be conducted. If the sincere -n. . . . i -u j u j .<br />

rv>H ,t;„i,^. f .1 fir.., 1 ooa<br />

he tre<strong>at</strong>ment described above<br />

wishes<br />

was adopt- "^<br />

<strong>of</strong> the many friends <strong>of</strong> both<br />

'edi<strong>at</strong>rics and Dr. i'itch' mean e".<br />

anything<br />

the spread <strong>of</strong> the carbuncle was promptly<br />

lere can be no doubt <strong>of</strong> the good work arrested, and a quick recovery ensued.<br />

<strong>at</strong> will be done in an exceedingly import- British Med. Jour.<br />

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