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

ABSTRACTS. 407
ical Society, contributes a delightful paper the adult. The ankles aud some of the
called "Snapshots Around Naples." The tarsal articulations, wrists and knees, were
authors who are represented in the depart- swollen and extremely tender. There was
ment "Ways of the Hour" are Rupert Sar- some deffusiou into the joint cavities, but
gent Holland, whose novel, "The Man in no grating on manipulation; there was also
the Tower" is having a big sale; Edwin L. much peri-articular swelling extending
Sabin, Joseph M. Rogers, and Ellis O. above and below the articulations. It was
Jones. soft and boggy to feel, but did not pit on
Then there are that never failing mine of pressure; the skin was slightly reddened,
amusement "Walnuts and Wine," with its Skiagraphs of the joints showed not the
plethora of jokes, jingles, and anecdotes; slightest changes in the bones. The lymp-
"Cynicisms of an Optimist," by Walter athic glands in the groins and axillee were
Pulitzer; and poetry by Charles Hanson much enlarged and cender, some being as
Towne, Clifford Howard, Walter S. Trumbull,
Clinton Scollard, and Mary Byerley.
—
A Treat for the Doctor.
large as a small walnut; they were elastic
and freely movable. There was some beading
of the ribs and general signs of rickets.
The heart and lungs were normal. The
A Fhiladelphian, who has since then for- abdomen was enlarged from flatus; the liver
tunatelv regained his health, was last year appeared of normal size; but the spleen exthe
subject of an extended examination by tended four finger breadths below the costal
specialists. margin and was unduly hard. The urine
"The examination seems to have delight- contained no albumin. Examination of the
ed Dr. Blank," said the patient to one of blood showed 30 per cent, haemoglobin, with
the doctors, when they were alone for a 1,000,000 red corpuscles aud .5000 leucomoment,
"fori have noticed that his eyes cyles to the c.mn. The temperature on adare
positively beaming. I assume, then, "I'ssion was normal, but began to fluctuate
that my case is not a grave one." daily; on September the 29th it reached
''^-^ "Well," iiesitated the physician add;e.-s- P., and though norm:. 1 in the morning
ed, "I hardlv feel justified in saying that, generally reached 101 1-. in the evening.
But I understand from Dr. Blank that he is '^^e jomt tro bles contniued, and by the
going to perform a number of interesting middle of October the temperature began to
operations on you."—October Lippincott's. ^^^o^ regular exacerbations lasting four or
five days, with intervals of comparative
.. . . j^i. 1 J- J.' 1
Abstracts Ot the Leading articles
of the month.
apyrexia. Thus from October 17th to the
22„d the evening temperature rose each
evening to 104° F., from October 22ud to the
27th it was normal; from October 28th to
A Case ol Rheumatlzed Arlbrilis In a November 7th, except for one day, it rose
Cbild aged twoand a hallyears.- Parkin each evening to 104° F.; after this ihe rises
son f British Journal of Children's Diseases) were less high, though from November 10th
ireports the case of a child aged 2 years and to the 17th it rose from 102° to 103° F. ; after
I
14 months. The personal and family history
were good; there was no history or evidence
lof syphilitic taint, or of tubercular disease,
this the fever abated. During the febrile
periods all the symptoms were much more
marked, the joint swellings increased, and
Three months before admission she began
[to sutler with pain and swelling of both
the spleen and lymphatic glands also become
larger. The child lay in a drowsy
wrists and the left ankle. She was confined condition and seemed to be suffering from a
to bed, and other joints, such as the knees general poisoning. After the temperature
and left ankle and elbows, became involv- fell the spleen and lymphatic glandslessened
ed. She took food well, but wasted consid- in size, and by January, 1909, appeared to
erably, and as no improvement occurred be nearly normal. The joint swellings also
she was brought to the hospital. On admis- diminished, leaving great muscular weaksion
she was pale, with an earthy tint of ness, but no tenderness nor adhesions. The
skin, anaemic and wasted, weighing only child was in much better general condition,
pounds. The skin was wrinkled and and the weight which had fallen to 18
inelastic, and there was a brown staining pounds, rose to 20 pounds.
of the deeper layers of the skin diffuse on
^^^^^ ^, Henoch's Purpura.-
the whole, but here and there with detached . „ . .
, , , . „ , ,
areas on the dorsal surfaces of both feet, Parkinson British Journal of Children s
(
Diseases.) mentions three cases. The fii
the front of the legs aud the front and inside
of the thighs, also on the adjacent part of the case was a boy, aged b years who suffered
Tower abdomen. This was identical in from pains in the legs and abdomen and a
character, though not in distribution, with purpuric rash over most of the body and
the staining seen in rheumatoid arthritis in limbs. The spleen could be felt. The urine