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

54 THE CHARLOTTE MEDICAL JOURNAL.
formation of acid and alcohol, and inflicts out the loop, the presence of circulatory
harm by its secretions to the hepatic paren- disturbance: above the hernial aperture. If
chyma; both mechanically and chemically, the symptoms of ileus persist more than
These experiments place in evidence the twenty-four hours after the operation and reprimordial
importance of the soil in the ductionof an apparentlystrangulatedhernia,
evolution of pathological processes. It is there is reason to suspect a mechanical or
thus that we can conceive how these pro- paralytic obstruction of the bowel. The
cesses can vary, not only from species to writer has seen ten of such cases and has
species, but, in the same animal, from organ
to organ.—La Presse Medicale.
collated ninety-five from the literature,
which show that there may be a diversi
of causes for the obstruction, such as incar-
Diagnostic Importance ol Examination ceration of an internal hernia, strangula-
*•' ''"'
l^ints wTth'^Purrona^rr"" '"
^^^ ^^ '"^^^'-^ ^.'^ ^\^' ''^' f "^'^ 'T''
Tuberculosis nitestine, compression by bands, volvulus,
i»vagination, benign or malignant stenosis
Nicolo Serio-Basile notes the.difEculty of
foreign bodies, or parab^s.s of the bowel
early diagnosis of tuberculosis, especiallv
in children who do not cough and
from peritonitis, appendicitis or acute pan-
expect-
^reatitis.
orate. The author has attempted
The proposis m all these cases
to examine
for the tubercle bacillus in the faeces '1 very unfavorable, the mortality being
of such infants in the hope of obtaining
about /O per cent.
evidence of their presence in the lungs. He clean Out, Clean Up and Keep Clean!
finds that in spite of the technical difficul- ^, . , , . , t r
ties of such examination, important evi- ^}'^ «1"-^"' '^^.^°.''^ ^1^^ profession for sev-
eral
dence of the presence
years
of tuberculosis may and originating with the Abbott
be obtained from the feces. The
Alkaloidal Lompany in connection with the
bacilli
may pass all the wav through
promotion of their specialties, has found its
the intestinal
canal without being altered morphologically w^v ">to the hearts and practice or more
or pathogenicallv. Thev appear ,1'^'^, ^^'""e^
in greater ,"^ medicine than anything
^^''^ numbers when there is a lesion of the ^^^ ever been put before them,
intestinal
mScous membrane, and With the clean out" goes their inimit-
in smaller ,
numbers when the
so-called Abbott s Saline Laxative'
lesion is in the respira- J^^^
torv apparatus. The (granular effervescentmagnesium sulphate)
tubercle bacilli mav
be absent in the faces of infants who swaf-
^'^Pl^' P^''^ ^"^ t^' efficient and nonlow
the sputum from irritating: said, pnlmonarv facetiously, to do the busilesions,
This method of examination is of diagnostic
"^^^ ^"^ "^^^'' ?ripe". It removes, envalue
in positive cases, but as negative ^^^^' "itestmal toxins, debris from indi-
evi
dence against tuberculosis
gestion, etc.,
it is valueless.—
leaving the way clean for the
La Pediatria.
direct action of their pure sulphocarbolates
to do the "clean up" act.
Intestinal Obstruction Simulating The Abbott Alkaloidal Company are the
Strangulated Hernia.— Clairinont(Archiy. largest producers of the sulphocarbolates in
f. Klin. Chir. ) mentions certain cases of America, if not in the world. In quality
intestinal obstruction, in which owing to their products stand second to none and as
the simultaneous presence of an inguinal, adjusted in their "Sulphocarbolates Comfemoral
or umbilical hernia the condition pound", a mixture of the sulphocarbolates
may be mistaken for a strangulated rup- of lime, soda and zinc I, commonly known
ture. In these cases the hernia may be- as the W- A Intestinal Antiseptic ) we have
come painful tense or irreducible, although the most desirable preparation for use, while
this condition is really secondary to the ob- the continuation of the use of these two exstruction
of the bowel. Hence, in such a pedients assure a state of health, inordinary
case the surgeon contents himself with conditions, not otherwise obtainable,
henotomy and fails to recognize the real When tonics are required nothing excells
cause of the trouble, the ileus will persist their Triple Arsenates with Xuclein. Saraand
lead to a fatal termination. That we pies of these preparations are offered to the
have not to deal simply with a strangulated interested profession on request. Thev may
hernia is shown by the slight tension and be obtained of all first class pharmacists or
tenderness of the hernial tumor in the early through jobbers and will be supplied to any
stages. Later, when the hernia appears to physician direct who is not able to supply
be incarcerated and an operation is per- himself otherwise. Therapeutic nrice list
formed, there may be other signs which for the asking.
point to intraabdominal complication, such The management of this journal is fainilasthe
absence of distinct strangulation, the iar with Abbot goods and Abbott methods
distention of the afferent segment of gut, and takes pleasure in recommending this
the impossibility of reduction or of drawing firm as first-class in every particular.