Southern Medical and Surgical Journal - Georgia Regents University

——54 Monthly Periscope. [January,a powerful curative agent in the mercurial ptyalism, by M. Bouchacourt,in the Journal de Medicine de Lyon. He narrates a caseinwhich almost all the known agents had been vainly resorted to, butupon the use of a solution oftlie nitrate of silver, rapid recovery tookplace. The solution was made of the strength of one part of the saltto sixty of water, and was applied to the mouth and tongue by meansof a staff covered with lint. Its application caused at first some pain,particularly where there were aphthous patches, but in a few minutesgreat relief was experienced, and the patient was able to sleep—the refreshmentof which he had been robbed for four nights. For the twoor three following days the lotion was applied twice daily, and aboutthe jourthdayall inflammation had subsided.[^London Lancet,Case of Separation of the Stomach from the (Esophagus. By Thos.M, Flint, Student of Medicine in the Jefl^erson Medical College.(Communicated by Prof. Dunglison.) Prof, Dunglison ; Dear Sir,By your request I furnish you the particulars of the case in whichsoftening of the stomach was found to have occurred. The attendingphysician, who is a respectable graduate of this school, has given methe following statement of facts : "The patient was a male child,aged seven years; sick about three weeks ; symptoms of worms wereprominent—one was passed ; cerebral symptoms followed, which terminatedin death. Coma and unconsciousness were prominent symptomsfor ten days previous to death. When roused from this state, hewould eat a small quantity of gruel. He was treated for worms andcerebral symptoms.On the 4th inst., thirty-six hours after death, I opened the body inthe presence of the attending physician and a member of this class.We carefully examined the intestines, beginning at the rectum andtracing the tube up to the connection of the duodenum witl\ the stomach,without meeting with a worm ofany kind ; but noticed markedinflammation of the small intestines. We next directed our attentionto the stomach itself, which, to our surprise, was found to be severedfrom its connection with the oesophagus, and its contents, a darkbrownishmucilaginous-like fluid, poured out into the cavity of theabdomen to the left of the spinal column. We were not prepared tomeet with a lesion of tliis character, and could account for it only bythe action of the gastric acids producing remollissement of this organafter death. In this opinion we were confirmed by the appearance ofthe liver; for beside evident marks of acute inflammation the inferioredge of the left lobe, which had been in contact with the gastric fluid,was corroded and corrugated.That you may have the opportunity of examining the case, I herewithdeliver to you the stomach and liver taken from the patient at thepost mortem. Respectfully yours, Thomas M. Flint.Philadelphia, Nov. 7th, 1848. [Med. Examiner.The Treatment of Onychia.—Onychia forms about the root of the nail,detaches the nail from its living connexions, but still the parts are not