Page images
PDF
EPUB
[blocks in formation]

BY C. F. CLARK, M. D., LECTURER ON OPHTHALMOLOGY AND OTOLOGY IN STARLING MEDICAL COLLEGE, COLUMBUS, OHIO.

Read before the Central Ohio Medical Society.

The means by which one eye, when the seat of inflammation, may communicate with the other to cause a similar or even more severe inflammation, has not yet been fully explained by the pathologists. Of the various theories of communication by means of the ciliary nerves, by the sympathetics and by the optic nerves, each has a greater or less array of facts and some strong evidence in its favor.

The object of this paper is to recite a few cases which have come under my observation and which have some bearing upon this important subject, but more especially to show the importance of an early enucleation in those cases where an already useless eye is the cause of symptoms in its fellow. That physicians no not always appreciate the full importance of this subject is evinced by the number of cases of blindness from sympathetic ophthalmia to be seen throughout the country. When consulted by patients of this kind from our State institution for the blind, I have been struck by the number to whom the idea of enucleation had never been even suggested by their attending physician, and in whom

to try to find out what is the best treatment for spinal disease and diseases of bones and joints in their early stages; to invent some more satisfactory way of treating fractures; and to publish more of our unsuccessful

cases.

I hope no one will go away with the impression that I am hos ile to improvement that I wish to stand still. Nothing is further from my thoughts; but it does seem to me that we are going too fast; that we are harrassing and unsettling many branches of our art without improving them; that in other branches we are standing still; and in some we are retrograding. Our time will show great commotion and surgical audacities. Will they prove to be progress and surgical triumphs?

LIQUID ERGOT IN CHRONIC GONORRHEA. Dr. N. V. Speece, of Quincy, Ohio, and J. Harvey Craig, of Mansfield, Ohio, both speak very highly of injections of "liquid ergot normal" (Park, Davis & Co.,) in chronic gonorrhea. The injection is used once or twice daily, the ergot being diluted with four times its bulk of water.

RESORCINE IN THE TREATMENT OF EPITHELIOMA.-Dr. Rubino Antonio reports a case of epithelioma developed on the side of the nose. The tumor was the size of a pea, but seemed adherent to the bone, and was surrounded by an inflamed zone of considerable size, the skin being to a great extent involved. An operation not being thought advisable, The tumor was washed twice a

Rubino decided to employ resorcine. day with permanganate and an ointment applied composed of fifteen parts of resorcine to twenty of vaseline. Suppuration ceased almost immediately, the tumor diminished little by little, and at the end of five months there was only a small white circular scar visible.-Journal de Med. de Paris.

OBSTETRICS.

A NEW FOUNTAIN PEN.

Has no Springs, Air-valves, or other machinery to get out of order.

Is a plain Gold Pen with a hard-rubber ink-containing holder.

THE BEST FOUNTAIN PEN MADE

PRICE $2.50.

We will send this Pen (The Paul E. Wirt Pen) and the COLUMBUS MEDICAL JOURNAL for one year, to any address, for $2.50: the price of the Pen alone.

HANN & ADAIR,

COLUMBUS, O.

9

AN IMPORTANT NEW CLASS OF REMEDIES FOR PHYSICIANS' PRESCRIPTIONS.

PARVULES

QUICKLY SOLUBLE, SMALL DOSES.

A new and convenient class of medicines (minute pills) quickly soluble, designed for the administration of remedies in small doses for frequent repetition in cases of children and adults.

THE DOSE.-Any of the Parvules will vary from one to four for a dose, according to age, or the frequency of their administration. For instance, one Parvule every hour, two every two hours, or three every three hours, and so on for adults, but hourly doses are preferable. For children, one three times a day is the minimum dose.

[blocks in formation]

$6.00 net.

Pocket Cases, with any 20 collections, for the use of practitioners.

[ocr errors][merged small][ocr errors][merged small][ocr errors]

All kinds 40c per 100. Buggy or hand cases with 40 varieties, $12.00.

3.60

Supplied by all Druggists or sent by mail on receipt of price.

[blocks in formation]

OBSTETRICS.

ACUTE INFANTILE BRONCHITIS.-(Prof. J. Lewis Smith.)—The inflammation has extended to the minute bronchial tubes: the mucous membrane of these tubes is hyperemic and swollen, and actively secreting. On account of the small size of the tubes, many of them become occluded by muco-pus, which acts as a ball-valve, allowing the escape of air upward from the alveoli, but preventing its entrance into them. Hence the alveoli connecting with these closed bronchioles become less and less distended with air, undergoing partial collapse, and some of them pass into a state of complete atelectasis. This occurs most frequently in the posterior and depending portions of the lungs.

I

Another equally serious pulmonary complication often occurs. refer to catarrhal pneumonia. The inflammation in its progress downward in the most severe forms of the disease, passes from the bronchioles to the adjacent alveoli, usually in more places than one. With the occurrence of this complication, the symptoms are aggravated, the suffering increases, and the prognosis is obviously the more unfavorable the greater the extent of this complication. Broncho-pneumonia thus occurring is indeed one of the most dangerous diseases of infancy, and one that requires the utmost vigil on the part of the physician, and the most skillful use of remedies, to save the life of the patient. The respiration in severe bronchitis is greatly accelerated, numbering 60, 80, and even 100 or more per minute, and each inspiration is usually accompanied by a moan. The pulse is in a corresponding degree accelerated, and is often feeble; the countenance is anxious and indicative of suffering, and the patient restless.

I.

Το

In this form of bronchitis the indications for treatment are: promote expectoration, and prevent clogging of the tubes; 2. To diminish the inflammation, and prevent its extention; 3. To strengthen the action of the heart and prevent exhaustion.

In employing measures to fulfill the first indication, it should be borne in mind that the cough is useful in expelling the mucus, and that patients never do well with severe bronchitis that do not cough often. When asked by parents to prescribe something to diminish the cough, I inform them that the safety of the patient depends on the strength and frequency of this symptom, and that it would be dangerous to put a stop to it by the use of opiate or other medicines, and I now very seldom combine an opiate with the cough mixture for severe infantile bronchitis. If

« PreviousContinue »