Southern Medical and Surgical Journal - Georgia Regents University

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—756' Attempted Abortion and Death. [November,to afford consolation to the parents than to act against a diseasewhich I consider invariably fatal.Thus you have seen me give our little patient musk and syrupof ether, and nothing else. In other cases, you may try antispasmodics,or the mercurials in small doses; but remember, theprognosis must nevertheless remain the same.It suffices to see the lesions produced in cerebral fever, to comprehendwhy the prognosis should be as I have said. Our littlepatient died, and these are the pathological conditions found atthe autopsy : considerable softening of the cerebral centres, of thefornix, of the corpus callosum, of the median septum and floor ofthe ventricles; these cavities contained a certain quantity ofslightly turbid serum. About the chiasm of the optic nerves,behind the decussation, a fibro-plastic, purulent infiltration wasseen in the thickened membranes. This infiltration did not existin the interlobular fissures, where it is usually observed, and whatis also very rare, there were neither granulations on the surfaceof the hemispheres nor tubercles disseminated through its substance.Neither were there any in other organs where they arealmost constantly found—none in the mesenteric ganglia, none inthe lungs, none in the bronchial glands ; and yet of thirty infantsdying of cerebral fever, twenty nine will present tubercularlesions, of which, in this child, there is not a trace.This proves once more, that cerebral fever runs the same courseand has the same characteristics in children not tuberculous as inthose who are so. Because we find granulations in the encephalonof the latter, it does not prove that those granulations werethe cause of the encephalo-meningitis. They do not cause it anymore than do the granulations of the pleura cause tubercularpleurisy; far from having caused the inflammatory disease, theyare themselves developed under the influence of inflammation.If, therefore, I refuse to cerebral fever the name of meningitic,it is because I consider the inflammation of the meninges to beonly of secondary importance. The lesions of the cerebral envelopesare of very far less importance than those astonishinglesions which are always found in the brain itself, that softeningwhich destroys the fornix, the septum lucidum, the corpus callosum,the optic thalami and the posterior portions of the lobes ofthe cerebrum. Cerebral fever is therefore for me an encephalomeningitis.[Cincinnati Lancet and Observer.Attempted Abortion and Death from Introduction of Air intoVeins.One of the most painfully familiar topics of our current medicalexperience, arises from the familiarity and indifference witbwhich the large mass of community have come to regard thethe
:1859.] Attempted Abortion and Death..'"production of abortion; so that everywhere we bear the lamentof the honorable physician, of the unconcern with which he isconsulted for this puj b
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Page 3 and 4: 1859.] Climate to the Consumptive,
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Page 23 and 24: 1869.] Lecture upon Cerebral Fever.
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Page 39 and 40: :—:1859.] Diphtheria. 761by its o
Page 41 and 42: —:1859.] Diphtheria. 763ride of i
Page 43 and 44: ——1859.] Diarrhoea of Infants a
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Page 47 and 48: 1859.] Defective Assimilation in In
Page 49 and 50: —1859.] Cancerous Ulceration clos
Page 51 and 52: —1859.] Vegetation of the Genital
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Page 59 and 60: 1859.] Dr. 0. C. Gibbs. Summary. 78
Page 61 and 62: 1859.] Dr. 0. C. GrBBS. Summary, 78
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Page 67 and 68: ;1859.] Incision in Anthrax. 789Inc
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Page 71 and 72: ———and1859.] Miscellaneous. 7

Southern Medical and Surgical Journal - Georgia Regents University

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