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

350
THE CHARLOTTE MEDICAL JOURNAL.
Review of Southern Medical Literature True, it is, that the condition increases
as long as the water causing it is continued,
however, as yet, its mysterious nature must
New Orleans Medical and Surgical JournaU be admitted; immunity, of course, exists.
September, 1909.
Primarily, the intluetice is upon the gland
Clironlc Interslllial Nephritis.— Dr. F. and its function, the other conditions are
M. Thorn hill believes that most the secondary; consanguinity has been charged
with il, though heredity from goitrous par-
preparations of iron are more or less difficult
of assimilation, tend to produce constienta.t;e has more'force.
^
pation and to interfere with digestion, which
Pellagra.— Dr. C. C. Bass quotes the folJ
is already weak, and in many cases becomes
l..\viiig under Diagnosis and Prognosis: /
a prominent and troublesome feature. The
111 most of the cases the diagnosis is very
sense of weakness and weariness experi-
ea^v ;ifterone is at all familiar with the
enced by some patients is not always a
disease. There is no other disease present-
symptom of anemia, but is due to impaired
ing ihe syndrome of the characterislic der-
elimination, and the accumulation of effete
matitis, digestive disturbances and the dematerial
in the system, particularly the
p^gg^,^,„_ From j. rom scurvy, acrcdynia, acrcciynia, purpura,
muscles, and obviously iron instead of reg^^.jijpj^^,
multiforma and allied conditions,
lieving this condition would aggravate it.
^^^ location on backs of haiies, lower fore-
The preparation easiest of assimilation with
^^^^^ ^^^^ ^^^^ dorsum of feet; character of
the least tendency to constipate and obstruct
siji„ igsion, a dermatitis followed by vesithe
avenues of elimination should therefore
^.^jj^jj^jj qj. degeneration with pigmentation;
be selected. Either the common tincture
s..jii,,ation and diarrhea; no pain or swelling
or the iodid, the former when administered
^^ hemorrhage of gums; the depression and
in connection with the spirit of nitre makes
j^jg^oj-y ^f (;orn eating, indicate the diagan
efficient diuretic which is all the more
^^^^^^
apt to be indicated when anemia is present.
^^^^ ^^^^ ^^^^g recover. Ten per cent.
Basham's mixture is, perhaps, the most
^^ ^^^ rural population of large sections of
universally prescribed preparation of iron
jtaly and Roumania have pellagra. Though
in Bright's disease at the present day and ^^jg '^jajority finally die, others appear to
no doubt much harm has resulted from its
j-g^Q^^j. a,,^ remain well. It seems quite
indiscriminate use. Some doctors seem to
certain that if the patient is not removed
expect their patients to take it as freely and
from the cause of the disease it continues
yparently with as much relish as those
^^ ^^^^^ -^^ season nntil a fatal termination
who are in the habit of drinking Dr. Pepper
is reached. Most of the cases reported in
and Coca-cola at the modern soda fount.
this country have died, but the disease was
Cretinism.—Dr. J. D. Bloom points out jj^j recognized and maize withdrawn until
that the relationship, cretinism and myx- too late to hope to get brtUiant results. Just
edema, can scarcejy be disputed from a Jjq^^ much the prognosis would be changed
standpoint of cause' the difference is to time
\^y treatment does not seem clear from the
of life; the thyroid treatment is equally bene- literature.
ficial in both instances, therefore the cause
wben Is Gonorrhea Cured?—Dr. A.
must be common to both or independent.
Nelken says that men, desirous of marry-
It has been agreed too, that drinking water,
ing, are constantly consulting as to whether
since the change of water retards or stops -^
^^^ ^^ ^^ ^^.^^^ ^ ^^^^^
m a measure the growth, ,s of tangible ^ ^ ^^^^^ ^'i^^ ..^.orningdrop" of mucocause,
for it is said ^^^^ ^°"tiguou com-
.
^^,^,,,j g,„,^i,„ i,,3 become an obsession,
munit.es enjoy an exemption, notwithstand- P
^^.^^^ examination
ing living under the same conditions save
'^^^^^ (^ ^^^ ,.e,cles. The urethra
water supply Ihe source and character P^^^^
^^,.^j^ ^1,^ urethrometer andusuof
the water has na urai y been questioned
^rethroscopic examination made,
it IS known that soil water alone influences ^'^> J pathological signifithis
condition and that neither snow wate ^^o
g
^^p^^ ^top all injections and
or that secured from rain produce it. This
^xAoWc indulgence in moderation,
one fact IS the one alone tenable so far ^
^^ ^j^^ ^^^ ^f ^ ,,,,|k nothing new has
chemical composition has varied m almost
l^\l^^^ ^^^ ,„ i,,.t,„t injection either
all instances and this truth has led to the "^""^ "i ' ,.,,., . ^,.^„„
belief of a contagion, which is the idea be- of nitrate of silver or bichloride of mercury,
ing adopted. A second examination is made in another
The goitre-genic substance is practically
.j^reek, and if the smear is still free from
something to be learned, the mere fact of
^qjjqj,^^.^! and there is no frank pus dis-
boiling the water used in these districts -
then one is justified in advising the
where it prevails endemically, making the cuar^e, men uuc is ju=
fluid innocuous, is significant.
patient that he can safely marry.