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

404 THE CHARLOTTE MEDICAL JOURNAL.
empty of ils irritating contents, begin giving
at intervals of two hours two tablets,
each tablet containing:
Zinc sulphocarbolate, gr. ss
Calcium sulphocarbolate, gr., j
Sodium sulphocarbolate, grs iiiss
Bismuth salicylate, gr., j.
Menthol, gr., one-fifteenth.
Dyspepsia—A Misnomer.— Dr. W. B.
Steward believes that after exhausting the
ordinary methods of examination it is well
to remember that the iluoroscope and X-
Ray photograph will often present to our
eyes the real cause of trouble. So perfect
have become the methods of this most wonderful
of our diagnostic aids that beginning
and advanced ulcers, cicatricial contractions,
masses, organic displacements, and
foreign bodies arerecognized with comparative
ease. By the administration of bismuth
salts prior to the X-Ray examination
it is possible not only to picture the size,
location, and condition of the stomach but
also the small intestines, the appeiulix sometimes,
and the colon. It is well worth the
time of every physician to read the most
interesting article presented at the recent
meeting of the A. M. A. at Atlantic City
on "X-Ray Evidence in Gastric Cancer"
by A. N. Crane, Kalamazoo, Mich., together
with the discussion that followed in
the section of the Practice of Medicine.
With such a scientific and comparatively
exact power at our command we owe it to
have such an examination made in our
doubtful but yet hopeful cases.
The Auieiican Practitioner and News, Aug.,
1909.
Spasms of the Larynx.— Dr. W. Cheatham
says that the paroxysms of laryngismus
stridulus probably differ only in degree
from the general convulsions that are also
common in rickety children. In most epileptic
convulsions there is laryngeal spasm
which causes the initial "epileptic cry."
During the paroxysms of hydroyhobia there
is also a spasm of the glottis.
Lastly, spasm of the larynx is met with
in certain general neuroses, in tetany rarely,
in hysteria occasionally. In the latter it
may occur in paroxysmal or more continuous
form. The paroxysmal form constitutes
one variety of hysteroid convulsion.
The continuous form is very rare. There
is tridor with inspiration and expiration,
the voice is feeble, and there may be hysterical
rapid breathing. The diagnosis
from hysterical abduction-paralysis rests
on the fact that the stridor in spasm accompanies
inspiration as well as expiration,
and the voice is more altered than in abduction-palsy,
in which also the loud whist-
ling inspiration contrasts with the almost
noiseless expiration. The laryngeal .symptoms
usually partake of the character of the
other disturbances that may be present: the
spasm is accompanied by other spasmodic
or convulsive symptoms: the paralysis, by
loss of power or of sensibility. It is probable
that some cases of supposed spasm
have been really instances of abductionparalysis.
Book Notices. \
Modern Materia Medica and Therapeutics.
By A. A. Stevens, A. M., M. D., Professor
of Therapeutics and Clinical Medicine,
Woman's College of Pennsylvania;
Lecturer on Physical Diagnosis in the
University of Pennsylvania; Phvsician
to the Episcopal Hospital and to St.
Agnes's Hospital; Assistant Physician to
the Philadelphia General Hospital; Fellow
of the College of Physicians of Philadelphia,
etc. Fifth Edition, thoroughly
revised in conformity with the eighth revision
( 190.5 j of the United States Pharmacopoeia.
Philadelphia and London: W.
B. Saunders Company. 1909.
This edition has been thoroughly revised,
and contains many important modifications
and considerable additions. The section
dealing with the action and uses of drugs
has been in a large measure rewritten.
ArticTes dealing with a number of the newer
remedies have been incorporated, and new
formula have been added where it was
thought they would make more clear the
therapeutic application of the drugs under
consideration. No doubt this edition will
be found equal to existing requirements,
and that it will prove as acceptable to students
of medicine as the former editions
have.
This edition is neatly bound in cloth, and
contains 67.5 pages of reading matter and is
well indexed. Price cloth, §3.50 net.
Exercise in Education and Medicine. By
R. Tait McKenzie, B. A., M. D., Professor
of Physical Education and Director
of the Department of Medicine University
of Pennsylvania: I'ellow of the College of
Physicians of Philadelphia and of the
American Academy of Physical Education;
President of the Society of Directors
of Physical liducation in Colleges; Sometime
Lecturer in Anatomy and Medical
Director of Physical Training at McCtHI
University; Lecturer in Artistic Anatomy,
Montreal Art Association, Harvard Summer
School, and Olympic Lecture Course,
St. Louis, 1904. With ,M6 illustrations.
Philadelphia and London: W. B. Saunders
Company. 1909.