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

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ADVERTISEMENTS.
Malignant Syphilis. - Rost (Dermatolofr.
Zeitschr I describes six cases of malignant
syphilis and then discusses the clinical features
and treatment ^^Sulpho-
of the disease. In one
of the cases an ulcer of the throat produced
a fatal haemorrhage through arrosioii of the
superior thyroid artery. In three cases it Lythin
L-V IBBIII f "Tables No.6'
was impossible to demonstrate the spiro- ,vr-pt^r
chEeta in the lesions of the skin and mucous UCVI-ME-UVi cm ,R,u,r I
membranes. This agrees with Hoffmann's ntXAiViU HllENAiVliNE
'
experience that in typical ulcerations of ^- S. P.
malignant syphilis the spirochjeta either rh„i«„ „-.cannot
be found or ^^^'^^^^"fl"^- ^'''^^y «nd
at least is present m
ver>' small numbers. In one case the glands Urinary Antiseptic.
were scarcely able to be felt, agreeing with Effective in all conditions produced by
claims of some authors that in malignant Hepatic Insufficiency,
syphilis glandular swelling is markedly
slight.
Effective in
In three
arresting,
cases there
preventing
were
and coun-
joint
manifestations,
teracting
involving
bacterial invasion
in one
of the gall-
case nearly
bladder.
all the joints and Hence it is
lasting indicated in
for years. The
changes appeared to affect the
Cholangitis,
capsule of
Cholecystitis and
the joints, and no great disturbance of func-
Cholelithiasis.
tion was noted.
Effective in Typhoid Fever, as a preventive
Brain symptoms, such as headache, de- and curative agent, being an Intestinal
pression, sleeplessness, deafness, numbness, Antiseptic.
etc., were present in two cases. These mani-
Effective also in
festations the writer
Toxemia of Pregnancy.
considers to be due not Sample, literature
to
aud clinical
destructive reports
processes in the
upon request
brain, but to
the result of action of toxines.
LAINE CHEMICAL CO.
Lumbar puncture, made during severe
cerebral symptoms
Manufacturing
in one
Chemists.
case, showed that
the pressure in the brain was not increased,
NEW YORK.
and that the cerebrospinal fluid contained
neither leucocytes, spirochretce nor bacteria Continuous Catheterism of Ureters In
If the brain symptoms had been due to les Bladder Lesions.— Cardeiial of M a d r i d
ions instead of toxaimi the cerebrospinal . (Zentralb. fur Chir.J advocates the pr;icfluid,
the writer thinks, would have shown tice of continuous catheterism of both uresome
pathological change. ters as a means of keeping the bladder dry
For the local treatment of ulcerating in certain cases of suprapubic cystotomy.
syphilis the writer advises warm compres.ses Such practice, the author slates, has been
of a 1 per cent, solution of bichloride of found very useful in his own surgical work,
mercury. Bier's hyperamic treatment also and he believes that it can be applied withis
to be recommended, excellent results be- out any risk of setting up ascending septic
ing had in one case from this method. The infection. Ureteral catheterism has been
opinion that mercury fails to cure or even carried out by Albarran in both the preaggravates
malignant syphilis is ventive and the curative treatment of renal
not subscribed to by the writer. He con- fistulae following nephrostomy, but ihe value
siders the choice of the mercurial prepara- of this procedure has not hitherto, it is held,
and the length of time for its employ- been tested in the operative surgery of the
rnent to be a matter of great importance, bladder. The author, after he has opened
The soluble preparations are not very the bladder above the pubes for the extracpowerful.
The "Ilir.sch injection" and tion of a calculus or for the excision of a
"Hydrargyrum colloidale" failed to give tumor or an enlarged prostate, introduces a
good results. Large doses of unguentum No. 9 or 10 Charriere into each ureter and
ciiiereum are very efficacious wlien the con- then passes the other ends of both catlieters
of the skin admits of their employ- along the urethra. The retention of the
meiit. The insoluble preparations are to catheters for several days after the operarecommended
above all others. The tion serves, by keeping the vesical cnvity
salicylate of mercury is especially useful in free from urine, to improve the results of.
the beginning of ihe treatment to ascertain suprapubic cystotomy. Troublesome post-
Ihe i)atienl's reaction to the drug and later operative hceraorrhage may be more effectfor
after-ireatment. Calomel injections are, ually controlled by packing the vesical
f however, the be-^t, and are pr(>ductive of cnvity with compresses that remain dry and
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excellent results in the severest cases. firm, and if the flow of urine through the