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Septic Metritis.-A. F. A. King advises thorough antiseptic cleansing of uterine cavity by irrigation and curettage, first cleansing vulva and vagina thoroughly; cold compresses or icebags over uterus just above pubes; in diphtheritic cases cauterize diseased patches with silver nitrate or zinc chloride; general treatment by food and stimulants; early hysterectomy when muscular walls infiltrated with pus.

Puerperal Pseudo-Rheumatism.-This joint complication is of gonorrheal origin and the arthritis may last from one to six months uninfluenced by salicylates. In the way of treatment Peroguin advises rest of joint by plaster of paris bandage, with early passive movements in plastic form; puncture and subsequent injections of weak antiseptic solutions for serous and purulent varieties; also local treatment of gonorrhea in the genital

tract.

Treatment of Pelvic Peritonitis.-Hirst advises expectant treatment at first-counter-irritation and poultices over lower abdomen, thorough drainage of bowel by strong purgatives, and copious hot vaginal douches. If the symptoms persist much be yond 8 hours in their original intensity, suppuration is probable -the abdomen should be opened and any abscesses evacuated, cleansed, disinfected and drained; distended tubes and ovaries must be removed and hysterectomy may be necessary.

Treatment of General Peritonitis.—Garrigues gives % to 4 gr. of morphine every half hour till respiration is reduced to 12 per minute, at which point the breathing is kept for days or weeks if necessary by regulating doses and intervals; if the heart is depressed he adds atropine. He also recommends stimulants and fluid diet and enemas of glycerin or castor oil or turpentine for hympanites. Hirst states that the only possible chance in general diffus suppurative peritonitis is the earliest possible performance of abdominal section, with free irrigation of abdominal cavity.

For Proctitis.-Gant advises removal of source of irritation, and a soothing, easily digested diet. Clear bowels of scybala by injections, Epsom salts, Seidlitz powders and mineral waters. Absolute rest in bed is indicated. In mild cases apply cold to the hips and anus or inject cold water into the rectum. Frequent injections of alum, zinc, silver, lead or sublimate are useful in

long standing cases; very hot water for gonorrhoea; lime water or salt water for thread-worms.

Onychia.-Inflammation of the nail bed is usually syphilitic in origin. Syphilitic onychia is best treated (Gould and Pyle's Cyclopedia) with black or yellow wash, a weak solution of corrosive sublimate, calomel powder or ointment and internal antisyhpilitic remedies. Non-luetic onychia may be treated with finely powdered lead nitrate, or daily painting with silver nitrate (ten grain per ounce of water). Removal of the nail, cauterization of matrix and dressing with iodoform gauze, are required in malignant cases, along with tonics and nourishing diet.

Eczema of Scalp. In addition to constitutional treatment, Robinson recommends to wash head well with a shampooing liquid and free from crusts, scabs and secretions. Then cut hair short and apply an ointment of one-half dram each of white precipitate and dilute nitrate of mercury ointments, one dram each of lapis calaminari and palm oil, two drams of oil of bitter almond, and one ounce of vaselin.

Treatment of Favus.-Clip the hair short, says Hardaway. Soak parts in oil, or poultice and then wash with soap and hot water to remove crusts. Then epilate hairs with epilation forceps from a small area each time and apply mercuric chloride, two to four grains to the ounce of alcohol. Prevent dissemination of disease by treating the whole scalp with a saturated solution of boric acid. For epidemic favus painting with tincture of iodine or weak mercuric chloride solution in collodion is usually effective.

Pernicious Anemia.--Osler prescribes Fowler's solution in increasing doses, beginning with 3 minims t. i. d.; increasing to 5 minims at end of first week, to ten minims at end of second, to 15 at end of third week, and if necessary up to 20 or 25 minims. Arsenic is sometimes better borne as arsenious acid in pill form. Rest in bed with massage and a light, nutritious diet in small quantities at fixed intervals, should be enforced. Grawitz gives calomel, salol and other intestinal antiseptics for pernicious anemia with indicanuria.

Treatment of Chlorosis.-Osler relies on iron in the form of Blaud's pill (each containing two grains of sulphate of iron),

giving one t. i. d. during first week, two in second, three pills in third week t. i. d. He continues this dose for four or five weeks at least before reducing, and persists in the use of the drug for at least three months, resuming subsequently, in smaller doses if necessary for recurrence. Good, easily digested food is indicated; alkalies to relieve dyspeptic symptoms; and a saline purge each morning if constipation is present.

Dr. Shrady Retires.—After the exceptionally long period of 38 years of continuous editorial management of the Medical Record, Dr. Geo. F. Shrady retires to a well-earned rest, with the best wishes of the medical profession of America. Dr. Thomas L. Stedman, for twenty years associate editor of the Record, becomes editor-in-chief.

The Los Angeles Journal of Eclectic Medicine.—We are in receipt of the first number of this journal, published under the auspices of the Southern California Eclectic Medical Association, and edited by O. C. Welbourn, M. D. This number has a prepossessing appearance and has for a frontispiece a. photogravure of a cottage covered with roses.

For General Hyperidrosis.-Louis Heitzmann advises iron, strychnine, arsenic, cinchona or mineral acids and a regular mode of living in all cases of long standing. Bromides may have a good effect in nervous individuals. Atropine, 1-120 to 1-50 grain one to three times daily, is a good remedy. A dusting powder of 30 to 50 grains of salicylic acid and one ounce each of zinc oxide and venetian talc, may be dusted on freely every few hours.

Bacteria in the Dead Body.-The common occurrence of streptococci and colon bacilli in the heart's blood, by migration from the lungs or intestines during the agonal or post-mortem period nearly invalidates any diagnostic deductions that might be made from their presence. R. B. H. Gradwohl (Medical Fortnightly) points out that the blood of the median basilic vein after death gives negative findings, unless there is a history of general sepsis before death, and in these cases the bacteria from the arm correspond with those at the site of infection.

Removal of Sebaceous Cysts.-If on the face and the orifice is discernible (American Text-Book of Surgery), dilate with a

small probe and press out contents, repeating procedure from time to time. The best treatment generally is transfixion of the cyst and overlying integument with a curved bistoury, pressing out contents and then grasping edges of cyst wall with two pairs of forceps, twisting and pulling out each half. Careful dissection is required if the wen is too adherent for removal in this way.

Heat as an Analgesic.—Kellogg (Modern Medicine) praises the use of the hot sponge where fomentations fail. The sponge is dipped in very hot water, the excess of water squeezed out, and the sponge is gently rubbed over the surface of the painful part. A higher temperature can be employed in this way than in any other. Another very efficacious method is the use of the ordinary incandescent light, wrapped in a piece of flannel and applied to the painful part. The heat of the electric lamp is very penetrating.

"Under the Turquoise Sky."-This is the taking title of a handsome brochure of 78 pages, issued by the Chicago, Rock Island & Pacific railway, and to be had for the asking. It contains much graphic information about Colorado, its scenery, history, cities and resorts, natural resources and industries. It is very handsomely illustrated with many half-tone views, depicting the scenic splendor of this state. Prospective tourists should by all means procure this pamphlet from the general passenger agent of the C. R. I. & P. R. R., Mr. Chas. B. Sloat.

A Method for Preventing the Pain Following Clamp and Cautery Operations for Hemorrhoids.-Howard Lilienthal (Medical Record, August 27) prevents edema and consequent pain after the operation by making six or seven radiating incisions through the skin, well into the subcutaneous tissue, by means of scissors. The rather smart bleeding is easily checked by a little pressure and a dry dressing. In six hours a wet dressing may be applied. There is a free flow of serum from these incisions for the next day or two.

Professor

Treatment of Intestinal Autointoxication. Combe, of Lausanne (quoted in Medical Record), recommends a farinaceous diet in numerous small meals without drinks; lying down for an hour after meals on back or right side, and getting

rid of products of putrefaction in intestines by means of thorough colon irrigation and a disinfectant dose of calomel (5 to 22 grains), given twice at intervals of two hours, and followed by castor oil. This should be repeated in ten days, and afterward at longer intervals.

For Anemia.-Diet and hygiene are of prime importance, says Potter. Nourishing, digestible food should be given in as large quantities as can be assimilated-at first milk, eggs, animal broths afterward fish, poultry, game, mutton, etc. Moderate daily outdoor exercise is indispensable. Bathing, particularly sea bathing, aids the restoration of breath. Red wines are often useful. When headache is produced by ordinary tonics, Fothergill gives thrice daily an ounce of infusion of quassia containing 5 or 10 grains of potassium bromide and 5 grains of iron and potassium.

Thinning of Hair From Nervous Depression.-Van Harlingen advises regular daily to weekly shampooing of scalp with soap spirit, followed by inunctions with dropper and soft tooth brush of a mixture of 15 grains carbolic acid, 2 drams glycerine and 1 ounce cologne water. Cold water douches, friction, frequent brushing and stimulating washes are also useful. J. J. Pringle states that the galvanic or faradic brush is of service in cases where the neurotic origin is obvious and where anesthesia or other nerve disturbance is present.

Removal of Superfluous Hair.-One of the best depilatories, as suggested by Duhring (Journal of American Medical Association), consists of from two to four drams of barium sulphide, with enough starch and zinc oxide to make an ounce. The sulphide should be mild and freshly made, and kept tightly corked. At the time of the application sufficient water is added to make a paste, which is spread thickly over the part and allowed to remain one or two minutes, then scraped off, and soothing ointment or dusting powder is applied. The application is repeated every week or two, or as soon as the hair has reappeared.

Treatment of Scrofula.-Thompson's may be summarized as follows: Fresh air, warm clothing, baths, nitrogenous food, cod-liver oil, one or two drams an hour after meals-suspend Editorial Items continued on Page 216

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