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

60
THE CHARLOTTE MEDICAL JOURNAL.
come when the patient can bear no more with still greater probability for tuherculowithout
becoming an invalid. The time of sis. He thinks that the combined Calmette
life of the individual has an important bear- and Pirquet tests may completely replace
ing on the conduct of the case. In a young the diagnostic injections.
woman it is necessary to operate, But in .
a woman who is near the menopause it is ,„,,,,., ^ . ,
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best to wait and see if atrophy will not re- 'Hie Medical profession has not only
move the necessitv of an operation. Es- made its advances in the Ime o appliances
pecially at the menopause will any sign of ni the treatment of diseases but it is equaldegeneration
of the tumor call for immedi- l.v as well represented with the improveate
operation
ments that have been made in the line of a
general antiseptic. There are so few anti-
Radium and X-Rays iu Gynecology.— geptics offered to the medical profession
Foveau de Corrmelles (Gaz, de Gyn.) cites tij^t can be relied upon in all cases where
his previous publication of results obtained j,j antiseptic is indicated that when one is
in the treatment of uterine fibroids and the offered to the profession, it is not surprising
artificial menopause, by means of small that it receives such a reception. One of T
doses of X-rays, used with an aluminum ^jjg j^ggj antiseptics thaV is now offered to r
j
shield. The author now brings forward the tijg medical profession and one that can be .
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rays as an efiicieut and safe method •
xxszA with success in the treatment of minor
of production of artificial abortion and major surgery good under the name of
in cases where pregnancy is jeopard- Campho-Phenique. It has been on the I
izing the life of the mother. It was used market for the past twenty -five years and i
in a young woman who was tuberculous, ti^gre are few physicians of any prominence '
and in whom uncontrollable vomiting was to-day who have not used this remarkable i
dangerously reducing her strength. After
r^tjo^.
twenty-five sittings delivery of the placenta
and fetus occurred normally. The rays polyneuritis During Pregnancy —Krivwere
used for five minutes at a time over
^^^^^^^ ^^ ^^^^ ^^ d'Obst.) savs that
the abdomen for four davs: then one day
over the thyroid; then returning to the ab-
. ninety-two cases ot neuritis during pregnan- |
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domen. They are also useful in the treat- cy have been detailed in literature, of which
,
meiit of hemorrhages. In the form of a thirty-six appeared before labor and fiftypaint
combined with inert substances radium
has been successfully used in skin
six afterward. There were forty-six cases
^f o„e^ritis, of which nine were fatal. |
lesions. But its use m ttiis manner for the ^ *^^
',....'
uterus in cases of fibroids involves the dan-
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,
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Sometimes incoercible vomiting and poly- ger of burns. It is therefore used in tubes neuritis are coincident in the same case,
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for treatment of uterine fibroids. Applied The cause is said by some to be hepatotox- I
to the mammary gland it has the effect of g^iia. The causative agent of tlie two con- \
drying; up the secretion causing regression ^.^.^^^ .^ probably the same. He mentions ;
when It has been established, and prevent- „ , ,r ,, ,. ,r I
ing the formation of milk during preg- a fatai case obferved by himself, ma woman I
nancy. of twenty-six in her second pregnancy. She j
. was anemic, having had scarlet fever and :
Ilammerschmidt (Med. Klin.,) advises marked constipation; her neuritic troubles 1
tha both Calmette's reaction and Pirquet's began some six weeks before labor, when ]
test of inoculation by scarification of the she was in comparatively good health, with |
skin should be used coincidentallv in order ,, , r»i i „ ,*„f^„ \
., ^ , 1 .1 » 'i I iU a sudden weakness of the lower extremities, i
that one mav neutralize the mistakes of the
other. For Calmette's reaction one drop of
which increased to entire paralysis, and ex-
not more than i per cent, of tuberculin dis- tended to the muscles of the upper extremi- :
solved in .S per cent, phenol solution was ties, the throat, and the pneumogastric
instilled into one eye. For Pirquet's test
^g^ve. It became impossible for her to
the arm, after being rubbed with 60 per ,, j,j.j- .*ir swallow,
a
cent, alcohol, was
and she died in an attack of suffotouched
with a drop of
20 per cent, of tuberculin and then on the cation from paralysis of the nerve. Some
same place a cross was scratched with a hours before her death labor had begun, and
new boiled steel pen. When Calmette's an attempt to deliver bv artificial dilatation:
lest was positive, Pirquet's test was also was made successfullv, but the patient died.,
always oositive, but the reverse was not „„ ,
,
, ' . •,.^. • , i
i always the case. He he only remedy for this condition is to pro
thinks that a negative
result speaks with great probability against voke premature labor with the hope of stopj
tuberculosis, while a postive result speaks ping the source of the poisoning.
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