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

INDEX FOR JULY,
Table of Contents for July, 1909.
Original Commanicationa.
Keport of Two Cases of
Hemophilia, by Parks M.
Kingr, M. D., Charlotte.
N. C
Urethral Stricture, by W.
L. Champion, M. D., Atlanta,
Ga.,
Report of a Case of Pulmonary
Edema Complicating
Pregnancy, by Dr. William
L. Kirkpalrick,
Pacolet. S. ('.
Personal ICxpHrience in
Prostatic Surgery, by R.
C. Bryan, M. D^ Richmond,
Va :
A Case of Abdominal Gun-
Shot Wound with Intestinal
Perforations, with
Spcci:>l Reference to th>i
Afler-Treatment with
"Saline Urip," by Theodore
Maddox, M. D.,
Union, S. C,
Gastric Ulcer,by MaitOtey
Burke, M. D., Richmond.
Virginia.
Typhoid Fever. Importance
of Early Diagnosis
— Fasting—Special Diet
—Surgical Rest of Bowel
—and Simplicity of Treat-
Tuberculosis In Children. Slieiiuau, in
the London Medical Lancet, has reviewed
l.OS.T cases in the Royal ICdinburjjh Hospital
for Sick Children of which 41."? died
from tuberculosis. These cases were examined
in two series, the first containin;^
105 and the second containing 30S cases.
The ages of the cases varied from three
months to thirteen years, approximately hS
per cent, being under five years of age.
The lymphatic glands were tuberculous in
97 cases (92.4 percent.) in the first series
and in 24. i cases (7.S.,S per cent. > in the second
series. The mediastinal glands were
more frequently affected than the abdominal
glands, and dissemination took place
more freciuently, apparently, from the former
group. Tuberculosis of the mediastinal
glands was commonly unaccompanied
by primary tuberculosis of the lungs, but
was freciuently accompanied by recent tuberculosis
c)f these organs, in many cases
evidently .secondary to the gland tuberculosis.
In nearly half of the cases of tabes
mesenterica there was no ulceration of the
intestines and in one-third of the cases there
was no excavation of the lungs, although
in some of them the lungs showed early
manifestion of tuberculosis. In a number
of cases excavation of the lungs was not
followed by ulceration of the intestines,
although in about half such cases tabes
mesenterica had resulted, the excavation
being of some standing. Primary ulceration
of the intestines, in absence of any
previous excavation of the lungs, was frequently
found. It was usually accompanied
by caseation of lymphatic glands, me-
12 Editorial.
Meeting of the Medical So-
14
ciety of IheStateof Xorth
Carolina, 33
The President of 1 he Medical
Society of the Stale
of North Carolina, 35
Human and Bovine Tuberculosis
35
ment, by A. .7. Burkholder,
M. D , Richmond, Va
The Value of Employment
in Cases of Dementia Praecoxby
PaulV. Anderson,
.\I. D., Morganton, N. C,
President's Address, by J.
17 Anti-Tvphoid Inoculation,
The President's Annual
Add^es^
Editorial News Items
19 Marriages
Deaths
36
37
38
44
46
F. Highsmith. M. D.,
FayetteviUe, N. C ...... .jj Review of Southern Medico! Lit-
The Essentially Different
erature, 47
Treatment Required for
Some Conditions often
Mistaken for Xeurasthenic.
By Tom A. Wil-
Book NoticeB.
The Popes and .Sciences, by
James J, Walsh. M. D., 53
liams. M.B., M.C..(Edin.)
Washington, D. C,
Writing the Short-Story.
26 by J. Perg Esenwein 53
diastinal or abdominal, or both simultaneously.
In a large proportion of these
cases the immediate cause of death was
tuberculous meningitis. Death was due to
tuberculous meningitis in 44. .S i^er cent, of
the cases. Apparently the dissemination
had taken place in the majority of the cases
from caseous lymphatic glands, and more
often from the mediastinal than from the
abdominal groups. In twenty- four cases
of tuberculous meningitis caseous nodules
were found in some part of the encephalon,
but these had not given rise to the meningeal
condition in every instance. These
children were of the poorer classes, who
form the great bulk of the patients treated
in the Royal Edinburgh Hospital for Sick
Children. In view of the wide divergencies
which appear in statistics emanating
from different countries the only rational
conclusion to be arrived at is that these dif-
ferences depend not on the manner of treat-
ing the material but upon the material
itself. Statistics, therefore, representing
the conditions prevailing in any one coun-
try should not be considered as applicable
to the conditions prevailing in any other
country, seeing that the circumstances and
environment, h^-gienic and social, under
which the inhabitants of that country live
may differ widely in many important res-
pects.