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

368
THE CHARLOTTE MEDICAL JOURNAL.
thiid day when it reached 99 1-5. She left bladder was palpated and stones were found
hospital on 25th day with wound entirely therein. It was brought up into the wound,
healed and in perfect health. incised and 400 stones removed. The tech-
Case II.— Mrs. C ; aged 46: mother nique in this operation was similar to that
of six cliildren; oldest chitd 22 vears old; in case No. 1, except in this case drainage
youno-est 14 months: had an attack of tv- in subhepatic space was omitted. Bile bephoid"fever
seventeen vears ago. gan to discharge one hour after patient
Her health was good until about three was put to bed and averaged three ounces
years ago when she began to have periodi- per day for nine days when tube was recal
attacks of pain in stomach and right moved. Patient has had no chills nor
side of abdomen. These attacks would sweats since the operation. 1-istula healoccur
everv four or five months at first, but ing very rapidly and patient will be able to
have become as frequent as one a month leave hospital in a few days,
during the last twelve months. Attacks are I neglected saying that this patient had
sudden in onset, disappearing in the same had no jaundice with anv of the attacks
manner. They are always accompanied except the last, when her conjunctiva was
by nausea, vomiting and elevation of tem- slightly liuged.
perature which some times reached one ^^^^ clinical Studies oi. Pellagra.
hundred and six. 1 hey usually lasted
three or four days and left the patient very "^