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

34S THE CHARLOTTE MEDICAL JOURNAL. j
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of these unexcelled supports. Write to Dr. and, if possible, by the extraperitoneal \
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Katheriue L. Storm, 1612 Diamond Street, method.
Philadelphia, who is the inventor, and she Dislocation of the Semilunar Bone Ij
will give you full particulars.—From The Fensterer (Beitr. z. Klin. Chir.) says that
Woman's Medical Journal, Cincinnati, O., the chief diagnostic signs in dislocation of'!
August, 1909. the semilunar bone are a circumscribed andj
painful prominence in the palm in front of
The Reflexes in Infancy and Cbild- the palmar margin of the radius, with a
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hood.— Bychowski ( Deutsch. Zeitschrift fur corresponding depression on the dorsum of
Nervenheilkunde) says that the examina- the hand, marked restriction of motion,
tion of the reflexes in children under one particularly of palmar flexion, and impossiyear
of age showed the constant presence bility of completely extending the finger, i
of the patellar reflex, which is more marked, If there is a history of strong force applied i
as a rule, than in adults. The Achilles to the hand we should look for signs noli
tendon reflex, on the other hand, was found only of fracture of the radius, but always (
to be practically always absent during the keep in mind the possibility of an isolated :
first half of the first year, becoming more injury of the carpal bones, which can be
frequent in the second half, until it is fairly confirmed by x ray examination. In recent j
constant about the beginning of the second dislocations of the semilunar an attemp: ;
year. The abdomino-parietal reflex like- should be made to obtain reduction withou 1
wise is not congenital, appearing gradually operation. If this does not succeed, two i
in the course of the first year of life. The plans may be followed—either to at once ;
cremaster-reflex is often absent up to the secure reduction by cutting down upon th« i
fourth or fifth month, after which time it is dislocated bone or by waiting for somt i
active and constant. Babinski's reflex pre- months until we are convinced that thert ;
serves the spinal type in the first periods of has been no improvement in motion andne |
life (first and second year), during which relief of the accompanying discomfort. Ii
time it is positive. About the beginning of that event the luxated bone should be ex
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the second year it undergoes transformation
from the spinal into the cerebral type, and
disappears.
tirpated. This has been done 3S time:,
among the 85 cases recorded in the litera i
ture. The operation by removing the me
Treatment of Hematocele after Ectopic
Pregnancy.—Esch (Munch. Med. Wochensch.)
says that every hematocele should
be removed by early operation in order to
chanical obstacles to plantar flexion give
^ prospect of good functional results evei
jn chronic cases.
Two Interesting Cases.
prevent serious complications, especially Dr. Geo. Selkirk Jones, Ph. D., L. S. A.
secondarry hemorrhage, decomposition of in an original article, first printed in Medl
its contents, suppuration, peritonitis and cal Reprints, London, says: "I am desir
pressure by the tumor upon the adjacent ous of placing upon record the two follow
organs. In the last sixteen months nine- ing clinical cases, which have come withii
teen cases of extrauterine pregnancy have the sphere of my professional occupation
been treated in the Gynecological Clinic of The first was that of a lady, the subject o
the University of Greifswald, including t\vo
of freshly ruptured tubal pregnancy and
a periodically recurring hemicrania of a de
cidedly neurotic type, upon whom the usua
fifteen of hematocele. All these recovered remedies had ( ad iiauit-aiii ) been tried, wit:
after operation, with the exception of one
case in which diffuse peritonitis had developed
prior to admission. Thd abdominal
occasional benefit alternated with disap
pointment. This led me to persevere
Antikamnia tablets, one every two houi
route, with Pfannedstiel's incision, was pre- for eight doses. This case having secure
ferred as affording a clearer view of the for me a meed of confidence, I have labele
parts in hematocele. This enables the it, mentally, as my first success with thi
operator to separate adhesions with less preparation,
risk, to avoid injuries of the adjacent parts. The second one is that of a man age;
to more thoroughly control hemorrhage, forty-five, the subject of asthma of a pu
and also to remove all remnants of the preg- monary type and associated with gastri
nancy. Simple vaginal incision with drain- troubles, for whom I was in the habit (
age was reserved only for abscess cases, prescribing alkalies. In this case I
and in these removal or irrigation of infec- now observing the gradually increasin
tious material was avoided to prevent ex- evidences of the benefit of Antikamnia <
tension or the process. If, notwithstanding Codeine tablets, which, up to the time <
all precautions, the general condition of writing, have not failed or fluctuated i
these patients become worse, abdominal their analgesic and stimulating action upc
section should be attempted as a last resort, my patient's asthmatic condition.
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