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

Hydroleine
A Time-Tested Ethical Emulsion
of Cod-Liver Oil
Justpure
FRESH
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emulsified by a process that facilitates
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THE CHARLES N. CRITTENTON CO.
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IDple wilK literature lent on request. Sold by drugaUtK
called for, these to be made under the same
conditions each time.
On the line of leucocyte counts in medical
cases would mention typhoid. Here
leucopenia is the rule. Leucocytosis means,
in previously simple cases, the development
of some complication, particularly perforation
and hemorrhage. A count made immediately
following a suspected perforation
would necessarily prove or deny but, coming
on as it does as a result of the developing
peritonitis, a rising count soon after
would be of confirmative value.
The Relation ol Gall Bladder Affections
to Diseases of the Stomacti.— Dr.
H. G. Walcott says that his experience,
together with the literature on the subject,
leads to the belief that even in these cases
of cholecystitis in v^fhich the symptoms are
so slight as to escape detection, that an associated
peri-cholec3'stitis often exists and
adhesions of greater or less extent with the
adjacent pylorus, duodenum and colon
takes place. These adhesions are not sufficient
to produce complete obstruction but
do in some cases interfere with the normal
peristalic waves to such an extent as to produce
a stasis of food in the stomach with a
resulting atonic dilitation of that organ,
with the resulting symptoms. Adhesions
with the colon often tend to produce both
constipation and obstipation. In all probability
the inflammation of the gall bladder
THE CHARLOTTE MEDICAL JOURNAL.
reflexly tends to increase the acidity of the
stomach, for in these cases in which there
are no adhesions and no dilitation of the
stomach, the acid is increased. The conclusions
to be drawn are that in all cases of
gastric disease in which you find a continued
tenderness in the gall bladder, even
if the history of other symptoms of cholecystitis
are absent, you will save time and
reputation by placing the patient in the
hands of the surgeon for a gall bladder
operation. The remaining symptoms and
pathological conditions in the stomach and
intestines can then be treated with more assurance
of success.
Tc.y Medical Journal, Septembc 1909.
Some Remarks on the Pathogenesis of
Tuberculosis.— Dr. T. Y. Hull has observed
sudden improvement follow an intestinal
hemorrhage in typhoid fever. This observation,
together with the discovery that the
blood possesses decided germicidal power,
which, outside of the vessels seems greater
than within, led to the belief that many
bacilli were destroyed during the hemorrhagic
process. This destruction of bacilli
within the tuberculous foci is probably true
only to a limited extent, and it could have
little or no effect upon the patient if it were
true. A more probable reason for improvement
lies in the fact that tuberculosis is
both a toxemia and a bacteremia. During
a moderate hemorrhage a large number of
bacilli and their toxins are swept out of the
body. The blood, thus relieved of a certain
per cent, of its load of bacteria and toxic
substances, is able to recover its loss of
blood corpuscles much more rapidly than
the bacilli can multiply and elaborate their
toxins. This increase in the relative proportion
of blood corpuscles to micro-organisms
increases its bactericidal power, thus
rendering the conditions less favorable to
the invading bacteria, and more favorable
for recovery. In this light the old practice
of "blood-letting" had some basis in truth.
The Southern Cliuie, Sepieml>e/\ 1909.
Local Anaesthesia by Beta-Eucalne.
—Dr. L. B. Bouchelle says that the solution
can be prepared by any druggist or preferably
by the operator himself. It should be
prepared as follows: Boil o'-; ounces of
distilled water or filtered rain water in a
clean glass vessel, add to the water after it
has boiled a powder containing beta-eucaine
3 grains and sodium chloride 12 grains and
let it boil two minutes longer. Then remove
from fire and let cool to blood heat
and add 10 drops of a 1 to 100 solution of
adrenalin chloride. The boiling sterilizes
the solution and does not hurt the beta-