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

fidgetiness, especially at night. They mav
wander forwards and cause vulvitis.
The treatment differs for the diffeient
worms. For threadworms the best treat
meiit consists of quassia injections. After
an aperient, one ounce of powdered quassia
to a pint of Ijoiling water is, when cold, in
jected into the bowel, and retained as long
as possible. Common salt injections of the
same strength may be used. The worms
are destroyed with two or three such in lections.
Santonin (one grain") in a powder with
calomel is very efficacious; it should be
given on alternate days for three doses, fol
lowed by castor oil. Where the worm has
its habitat high up in the intestine (as the
tapeworm) treatment is conducted in three
stages.
< 1 ) In order to starve the parasite by
keeping the alimentary canal as empty as
possible, the patient should have no food
after midday, and at night or next morning
a purgative must be taken. This leaves
Hernia ol Ibe Diaphragm, Traumatic
and Acquired.— Little-Jones (.Liverpool
.Medico Chirurgical Journal) reports two
interesting cases. The first was that of a
young man who fell down a flight of stairs
and shattered a picture glass. He sustained
a wound about Z'i inches long in his
nth left intercostal space, through which
null piece of omentum was protruding,
.luthor removed the eighth rib, cleaned
out the pleural cavity of a large amount of
blood and glass and found a rent I'/i inches
in length in the diaphragm about half an
inch from the pericardium, through which
omentum was protruding. The omentum
was ligated and removed and the rent in
the diaphragm was sutured. Despite a
rather severe attack of pneumonia, the
patient recovered and is today perfectly
well. The second case occurred in a child
of eight, who gave a history of repeated
ADVERTISEMENTS.
the worm uncovered, and thus readily acted
upon by (2 1 the anthelmintic, which is
given about an hour after purgation. The
chief anthelmintic is extract of male fern.
Some recommend thirty minims of spirit of
turpentine to l)e given with this; others give
kousso (four drachms) or pelletierine (two
grains of the alkaloid ); (3) two hours later
give calomel with saline aperient to eject
the worm from the body. The stools must
be examined to see that the head is passed, attacks of colic consequent to a fall which
If only segments are passed, the worm will occurred eight months before. An attack
grow again, and the same treatment will of obstruction supervening, the patient was
have to be repeated within three months. operated upon and it was found that the
For the round worm the specific remedy is omentum and parts of the transverse and
santonin, given in two grain doses to a child descending colon had passed into the left
of three and upwards; for an adult five pleural cavity through a hole the size of a
grains are given.
shilling. Great difficulty was met with in
attempting to reduce the contents, but this
was finally accomplished when the negative
pressure in the pleural cavity was released
by puncturing the diaphragm with a probe
director. Nevertheless a po.'tion of the
omentum was found densely adherent and
the author contented himself with closing
the opening in the diaphragm with the prolapsed
omentum. The patient seemed to
do well for two days and then died from
causes not discoverable at the autopsy.
A New Finished Stock Building for the
Lilly Laboratories.
Eli Lilly & Company have under way a
new stock building. Tlie excavations are
complete and much of the foundation is in.
The location of the building is immediately
east of the front section of the original
plant, with which it will be connected by
subway and enclosed passages. The building
will be 70x180 feet, consisting of a sub-