Class-Room Notes.

[Specially reported for the College and CLINICAL RECORD.]

are of little or no value as a specific in this disease.

-Prof. Keen cited a case of Syphilis in

the very rarest of occurrences in women.

-Prof. Parvin favors Creolin to any other antiseptic for use in the lying-in chamber.

-Prof. Hare considers spirits of chloroform a very good remedy in cases of Serous Diarrhœa.

-Prof. Parvin says Alcoholic Stimulants should not be given to a patient during

labor.

-Prof. Keen recommends the administering of large doses of calabar bean in cases of Tetanus.

an

-Prof. Parvin favors chloroform as Anesthetic in Labor Cases requiring an anæsthetic.

-Prof. Keen called attention to the fact that all Syphilitic Manifestations are either painless or give very little pain.

-Prof. Hare says glycerine can be used in cases of Diabetes as a sweetening agent without any ill effects.

-Iodoform powdered or in ointment, applied to the ulcer, is the best treatment for Chancroidal Ulcers. (Prof. Keen.)

-After arsenic, Prof. Hare recommends cimicifuga as the next best drug in the treatment of cases of Chorea.

-Prof. Keen says in Tumors of the Brain the sensation will not be affected unless the tumor invades the internal capsule of the brain.

-Prof. Hare says that an anæsthetic should always be given in cases of Painful Labor. He favors chloroform in preference to ether in these cases.

-Prof. Da Costa considers the Salts of Strontium useful as a diuretic in cases of Bright's disease with scanty urine; but they

grains of the iodide of potassium four times a day without any bad results.

-Prof. Hare says that codeine should always be tried in the treatment of cases of Diabetes Mellitus, as it may exercise a favorable effect.

-Prof. Wilson says the sunlight should be excluded from a room in which a patient

is lying suffering from Smallpox, for it has a tendency to increase the depth of the pitting.

-Prof. Hare considers gallic acid of little value in cases of Diabetes Mellitus, but in cases of Diabetes Insipidus it will generally give good results.

-Prof. Da Costa thinks the iodide of strontium should give better results in the treatment of Lead Poisoning than the iodide of potassium; for we will not only get the effects of the iodine, but also a diuretic action.

-Prof. Hare says that in expected paroxysms of Malaria the quinine should be so administered as to get its full effects an hour or two before the expected attack.

-Prof. Wilson says that if the heart sounds are heard more distinctly on the left side than on the right, in the interclavicular regions, it will go toward making a diagnosis of Consolidation of the Left Lung.

-Prof. Hare suggests, in cases of Failure of Respiration due to the patient being anæsthetized, that the head be pushed forward and upward, and not placed lower than the body, as is sometimes done.

-An important diagnostic point between Pyamia and Septicemia, says Prof. Keen, is that in cases of pyæmia we will have regular chills occurring; but in cases of septicemia we do not have any chills at all.

-In cases of Anal Fissure, Prof. Keen etherizes the patient and then stretches the fibres of the sphincter muscle. Keep the bowels closed for a few days and then open them by the use of an enema.

-Prof. Hare says the Sulphate of Cinchonidine will often be tolerated, and also yield good results, in patients in whom quinine is indicated, but to whom it cannot be administered on account of possessing an idiosyncracy , for this drug.

-Dr. L. Wolfe says that Serous Fluids should not be withdrawn from the body unless it be absolutely necessary, and there be no hope of their reabsorption, for since they contain albumen, if removed the body will suffer in nourishment.

-For Soreness of the Chest Prof. Hare gives the following:

B. Tinct. opii camphor.,
Potassii citratis,

f3 ss

3 ij

Syrup. ipecac.,

f3 vj

Aquæ destillat., q. s. ad.

f3 vj.

M.

SIG.-Teaspoonful every four

hours.

-At the surgical clinic of the J. M. C. Hospital, Prof. Brinton, assisted by Prof. Keen, Drs. O. Horwitz, C. Da Costa, and M. H. Williams (as etherizer), performed an Amputation of the Arm at the Shoulder Joint, in a case of chondroma existing on the upper part of the shaft of the humerus in a boy ten years of age.

-Prof. Graham recently brought before his class a case of Catarrhal Jaundice in a child, which had been of two months' duration and had been treated in this time by calomel without favorable result. It was cured within two weeks by administration of the chloride of ammonium.

-In cases of Acute Laryngitis, Prof. Hare recommends the following treatment: Full doses of one of the bromides, 20 to 30 grains, three times a day, and the external application of the following:

R. Olei succini,

-Prof. Graham ordered the following prescription as a tonic in a child recovering from an attack of Gastro-intestinal Catarrh :

R. Ferri sulph., exsiccat.,
Strychninæ sulph.,
Aloin.,

Extract. gentianæ,

Fiant. pil. xxiv.

SIG.-One three times a day.

gr. xxiv

gr.

gr. iss gr. vj

M.

-Prof. Forbes recently stated to his class a fact, found in few, if in any, text-books. If a line be drawn from the middle of each of the condyles of the inferior maxillary bone to the symphysis menti, and from one condyle to the other, we will have formed an Equilateral Triangle. This will be found so at all ages, even in the foetus, and only in the human being, and not in the lower animals.

THE SELECTION OF PROFESSORS. The recent appointment of a Professor of Ophthalmology at the Jefferson Medical College has been the occasion of a considerable amount of discussion among the graduates and friends of that school, not based, however, in the slightest degree, upon the question of the merits of the appointee, who is regarded, without a dissentient voice, as eminently fitted for the full discharge of all the duties devolving upon him. So far as this goes, therefore, the Alumni of the College may be congratulated upon the fact that the Faculty has been reinforced by the introduction into it of requisite skill and talent. It was naturally felt, however, that in the selection of candidates for existing and prospective vacancies, if such there may be, the graduates of the school who give their moral support to it and by their championship help to preserve its reputation and stability, and—not the least item from the pecuniary side of the question -send to it their brothers, their sons, and their students from every part of the country, might fairly be considered and be represented by some appointee selected from their steadily lengthening list. On general principles, this seems to be just and proper, and several of the most important professorships in the Jefferson have at various times been assigned

to its graduates, in accordance with such a sentiment. But the appointment rests entirely with the Trustees, independent of Faculty or Alumni, and their standpoint may be very different, possibly aiming at the securing of new friends for the school, no matter where the appointee may have graduated. Such a course is a repetition of a policy which has been in force since the foundation of the College, leading to the association with it of a number of its valued teachers, such as Dunglison, Bartholow, Parvin, and others; and the elder Gross was brought to it from Louisville, not so much as a graduate of the school as for his preeminent surgical ability. This, we say, may be the argument or defense of the appointing power, but, after all, there still remains the reflection or the suggestion that the Alumni of the school should receive the consideration due them as an important mainstay and bulwark, whose value should not be lightly estimated.

Our Library Table.

[All new publications noticed in this department, and all other medical works, may be procured by addressing the Editor of the College and CLINICAL RECORD, 814 N, 16th St., Philadelphia.]

E. B. Treat, publisher, New York, has in press for early publication the 1893 INTERNATIONAL MEDICAL ANNUAL, being the eleventh yearly issue of this useful work. A glance at the prospectus gives promises that the 1893 issue will be better than any of its predecessors. Its thirty-eight editors are carefully selected from among eminent physicians and surgeons of America, England, and the Continent. It arranges in a practical way for ready reference what is worth preserving of the year's medical literature, together with important papers specially written, and will

contain over six thousand references to diseases and their remedies, with many illustrations in black and colors. The work is issued at a low price ($2.75), and should be in every medical library.