CLINICAL NOTES. ABBOTT'S NEW LABORATORY, "Nothing succeeds like success." Another mile-stone in the progress of The Abbott Alkaloidal Company is marked by the completion of their new laboratory. This is the finest building of its' kind in the country for supplying the needs of the doctor. It is absolutely fireproof, reinforced-concrete construction, with every modern improvement and up-to-date equipment. We suggest that our readers send to The Abbott Alkaloidal Company, Chicago, Ill., for their new price list which is now ready for distribution. There is much of interest and value in this list for every progressive physician. ANOTHER MASTERPIECE FOR DR. PILZ. A life-size female manikin, with an obstetrical supplement showing fecundation from the first month to complete term, is described in a booklet issued by the American Thermo-Ware Company, 16 Warren street, New York City. This booklet will be sent on request. The manikin can be hung on the wall, closed, occupying the space of a picture. PERITONITIS-SALPINGITIS. Albert F. Conrey, M. D., Baltimore, Md., reports an interesting account of a woman who, after the fifth month of pregnancy, induced a miscarriage by passing a bougie into the uterus. She came under observation in a septic state, was curetted, but her symptoms persisted. A large abscess formed in the posterior cul-de-sac, which was freely incised and packed with 50 per cent Glyco-Thymoline gauze. Recovery was uneventful thereafter. He reports another case of abscess in the cul-de-sac resulting from a ruptured ectopic pregnancy. This was drained and packed with 50 per cent Glyco-Thymoline gauze, with equally successful results. STEAMED BABIES. With the approach of summer comes the chafing infant whose soiled diaper, under an overabundance of clothing, steams the delicate skin until it is as red as a lobster. Pulvola Toilet Powder is the doctor's baby powder, and where he prescribes it there is comfort; for, being neither a starch nor talcum, but a stearate of magnesia, it does not form the little rolls of pasty powder to aggravate the already inflamed skin under the steaming diaper. Ten years of use in baby hospitals is demonstration enough. Prescribe. PRUNOIDS. The following letter from Dr. James P. Hawes, of Valois, New York, is typical of the complimentary expressions the Sultan Drug Company, of St. Louis, is receiving regarding their new product, Prunoids: "I have practiced medicine for twenty years, and all that time I have been looking for a laxative that would be pleasant to take, do its work nicely and quit there. I have never found it until Prunoids came. So pleasant to take, and, by all comparison, the best that I have ever used." The Sultan Drug Company will be pleased to send sample of Prunoids to any of our readers who will mention this journal. PEACOCK'S BROMIDES. Peacock's Bromides is the finest bromide preparation on the market. The salts entering its composition are far superior to commercial bromides. This is easy to prove, and has been proven by analyses. Thus extemporaneous mixtures and substitutes are inferior to Peacock's Bromides, and, by the way, this accounts for the success achieved by Peacock's Bromides. Each fluid drachm contains fifteen grains of bromides. PABST EXTRACT, THE "BEST" TONIC. Few preparations offered to the physician are a more palatable and gentle but fine stimulant than Pabst Extract, The "Best" Tonic. Agreeable to the taste, Pabst Extract, The "Best" Tonic, particularly lends itself to the use of patients demanding a tonic which is not disagreeable to take. Not only is the percentage of alcohol contained in it extremely low, but, as well, it, is especially rich in blood-building qualities, containing, as it does, an easily assimilable iron. Readily taken up by weak stomachs, it may be safely prescribed for patients who are troubled with digestive disorders; and rich in the soothing and toning properties of choicest hops, it is difficult to overestimate its beneficial effects as a creator of appetite and a producer of slumber. At the same time, the way in which the nourishing qualities of the barley malt pave the way for other heavier and more solid foods, is worthy of note. In the treatment of such ailments and conditions as insomnia,' dyspepsia, anæmia, nervousness, pregnancy, and the general run-down condition, the physician can hardly afford to overlook Pabst Extract, The "Best" Tonic. NOITOL IN ECZEMA. Noitol is a remedy which overcomes the local inflammation in eczema, and at the same time it has no equal in stopping the itching which destroys sleep and often transforms the life of the eczematous patient into a nightmare. It is used in the various kinds of eczema, eczema rubrum, eczema siccum, eczema capitis, etc. Noitol is applied to the diseased areas three or four times daily. Its use As will be attended with rapid success. in all methods of treatment, some attention should be directed to the correction of dietary errors. CALIFORNIA EXAMINATION QUESTIONS. Medical examination held at the College of Medicine of the University of Southern California, 737 Buena Vista St., Los Angeles, December 4, 1907. ANATOMY. I. The scalp: (a) What difference exists between the skin of the scalp and the scalp proper and how is the mobility of both affected by their anatomic structure? (b) Why is it that cutaneous wounds of the scalp do not gape, while wounds of the entire scalp do? (c) Why is it impossible to close large cutaneous defects in the scalp by uniting the edges of the wound? (d) What are the characteristics dependent upon anatomic structure, of an effusion of blood or of a suppuration in the scalp? Beneath the scalp? (e) Why does the skin of the scalp bleed more profusely after injury than that of any other cutaneous area? Why do large flaps in this situation adhere more readily than elsewhere? 2. The spinal column: (a) Which are the primary and which the compensatory curves of the spinal column? Why? (b) Indicate the direction of the facing of the articular processes of typical cervical, dorsal and lumbar vertebræ and describe how this governs the characteristic movements of each portion of the column. 3. Give examples of (a) elastic and inelastic ligaments. (b) Muscles acting as ligaments. Name three joints having interarticular fibro-cartilages. Locate the following ligaments: Orbicular cotyloid, glenoid, crucial. 4. Locate the lymphatic glands of the head and neck. 5. Five problems in nerve distribution. Name the nerve and muscle or muscle group involved in the following: (a) Abduction and adduction of the fingers. (b) Movement of the scapula forward on the thorax, as in pushing. (c) Flexion of the foot on the leg. (d) Lifting the upper eyelid. (e) closing both eyelids. 6. What vein may, under certain circumstances, transmit the blood from the lower half of the body to the heart when the circulation is disturbed in the trunk of the inferior vena cava? What path does the blood take in such a case? 7. Give the surface outlines of the liver and tell what viscera are in relation with its inferior surface. 8. Give the surface outlines of the spleen and tell why its superior and posterior borders are not determinable by percussion. 9. Locate five serous sacs enveloping 4. Name and locate the papillæ of the tongue. 5. Discuss in a general way the use of the knee-jerk as a diagnostic sign. 6. Describe the course, distribution and function of the chorda tympani nerve. 7. Trace the course of the pyramidal tracts through brain and cord. 8. Diagram or describe the direction of degeneration on section of the anterior and the posterior root, respectively, of a spinal nerve. 9. Where are the following centers: (a) visual, (b) respiratory (c) micturition, (d) auditory, (e) parturition. IO. Define: (a) colostrum, (b) emmetropia, (c) autolysis, (d) diapedisis, (e) hemolysin (f) lochia, (g) osmosis, (h) alexins, (i) atavism, (j) zymogen. CHEMISTRY AND TOXICOLOGY. 1. (a) Give formula for chloroform. (b) Give formula for boric acid. (c) Name C.H.O.H. (d) Name C2H2O.H. 2. (a) Describe potassium, its use and how prepared. (b) Define basic salts. 3. (a) In acute yellow atrophy of the liver is the specific gravity of the urine higher or lower than normal? (b) Under what conditions are phosphates increased in the urine? 4. Name in order the juices that act upon the food, in the alimentary tract, enzymes and action of each. 5. (a) For analysis of stomach contents, give test meal and how long after taking it should the contents be collected? (b) Is the true gastric juice produced when digestion is not going on? (c) Does pepsin exist in the gastric juice at all ages? 6. (a) Name what would be classified as organized sediment of urine. (b) Unorganized sediment. 7. (a) What is the normal ratio of uric acid as compared to urea? (b) Describe test for uric acid. 8. In a case of suspected poisoning, fatal termination, give briefly what you would do with respect to preparing and preserving evidence for the toxicological chemist. 9. Symptoms: Constriction of the throat, nausea, giddiness and confusion of sight, mouth covered with foam, eyes glassy, expiration prolonged, inspiration shortened, peach-blossom odor of breath; death occurred in four minutes. Name the poison and give formula. 3. State the morphology of the specific organism of plague. (a) channels of infection; (b) microscopical appearance on one stated culture media. (c) maximum and minimum temperature consistent with vitality of organism. 4. Name three antibacterial serums in common use: (a) State theory of their action. (b) What is an homologous vaccine? 5. Define the following: (a) Phagocytosis. (b) Chemotaxis. (c) Opsonin. (d) Lysin. (e) Ptomaines. 6. Describe the technique of staining with Gram's method: (a) State its significance. (b) Give formulæ of solutions used. 7. Give ten different varieties of pyogenic organisms with their microscopical characters. 8. State accurately the steps you would take to stain, mount and examine a specimen of (a) sputum from an advanced case of tuberculosis. (b) Section through a diphtheritic membrane in the trachea. (c) Describe and differentiate the organisms found by their staining. 9. Examination of two slides. Examination of two slides. IO. PATHOLOGY. I. Give the gross pathology and bacteriological findings in bubonic plague. 2. Describe the lesions in valvular endocarditis; what are the most frequent sources of infection, and name the common exciting agents? 3. What are the most frequent causes of chronic interstitial pancreatitis; what pathologic physiology results? What are the islands of Langerhans? 4. Describe the microscopic structure and complete evolution of a miliary tubercle and the effect of tuberculin injections upon it. 5. What are the usual autopsy findings in chronic interstitial nephritis? 6. Describe the process of bone invasion in tuberculous osteitis, involving a joint. 7. In pulmonary infection with the diplococcus lanceolatus, what complicating lesions may occur in other organs. THE DANGER OF DISEASE-LADEN DUST IN PUBLIC PLACES. PROPER TREATMENT OF FLOORS THE ONLY REMEDY. IN interesting feature in connection dust, the proper treatment of floors is now con A with the present crusade against sidered to be of even more vital importance. the great White Plague is the prominence given to the danger of contagion from disease-laden dust. In nearly all public buildings, railway stations, trains and electric cars there are Board of Health regulations against expectoration. The justice of these rules is immediately apparent when it is explained that the dust in all public places is impregnated with the Bacilli of Consumption, Diphtheria, Typhoid, Pneumonia, and other contagious Diseases. The germs are wafted about, together with the dust, by of all the people who die is prematurely carried off by tuberculosis, and a large proportion of these through dust-poisoning, which, if we choose, we can largely prevent. Prevention of dust, then, is the solution of the problem. Do away with dust and you eliminate nearly all danger of contagion from a dust-laden atmosphere. How can this be accomplished? The answer is simple and practical. Look after the floors-treat them so the dust cannot rise. Standard Floor Dressing is the only agent that effects this satisfactorily. Its action is purely mechanical, as it keeps floors at just the right degree of moisture to hold every particle of dust. Its properties are such that it destroys nearly every germ, every living micro-organism that comes in contact with it. Exhaustive tests and practical use prove that Standard Floor Dressing reduces dust nearly one hundred per cent. While proper ventilation is an invaluable factor in reducing Standard Floor Dressing, besides being the best dust preventive, is an excellent floor preservative. It makes them look better, wear better and keeps them from splintering or splitting. It also greatly reduces the labor and expense of caring for floors. Three or four applications a year with the patented Standard Oiler are all that are needed to keep floors in the best possible condition. Makes sweeping easy and pleasant because no dust is created. Standard Floor Dressing is not intended for household use. Dealers sell it in barrels, halfbarrels and in one-gallon and five-gallon cans. We are now making an extraordinary offer to all interested in reducing dust. Upon request of the proper authorities, we will treat at our own expense, a floor or a part of a floor in any school, hospital, sanitarium, store or public building. This offer is made because we have implicit confidence in Standard Floor Dressing to do all that we claim it will do. We have made such demonstrations free of charge many times and experience fails to show an instance where we failed to prove our claim. We shall be only too glad to forward information, testimonials from eminent medical authorities and our book. "Dust and Its Dangers," to anyone interested. We particularly invite the Medical Fraternity in general to post themselves on the advantages of Standard Floor Dressing. STANDARD OIL COMPANY, (Incorporated.) ESSENTIAL FACTS ABOUT DR. R. B. WAITE'S Antiseptic Local Anaesthetic 1st. IT IS ABSOLUTELY PURE. Each and every ingredient that enters into its composition must meet the requirements of our chemist, being subjected to a rigid chemical test before it is accepted from the man. ufacturer. 2nd. IT IS UNIFORM. Owing to the great care and scientific methods employed in combining the ingredients, it does not vary and you get the same results to-day, to-mor row or a year hence. 3d. IT IS SAFE AND RELIABLE. No impurities are being injected when using Dr. R. B. Waite's Antiseptic Local Anæs thetic. Our guarantee of absolute PURITY is your protection. 4th. IT WILL NOT DETERIORATE, but will keep for years, consequently you always have ready to your hand not only a perfect Anæsthetic, but Antiseptic as well. Dr. I. N. Cohen, of LaCrosse, Wis., under date of March 19, 1908, writes: "Last December a patient presented herself to me for examination of a wound on the right side of her face. I found that she was suffering from Carcinoma which had been operated on some two years previously. As the patient was 72 years of age and feeble, I doubted very much if she were able to stand chloroform, consequently decided to use your Anæsthetic. The operation fasted one hour and twenty minutes, during which time the patient cracked a joke once in a while, and claimed that she felt no pain whatever. The cancer was completely removed, and the best of it all is, it has not reappeared. I shall never feel that my dispensary is complete without your preparation." We want you to know our Anæsthetic as we know it, to be convinced of its unquestionable value in surgical operations, consequently we will send you for trial ONE DOLLAR BOTTLE FREE upon receipt of 25 cents to pay for packing and postage. PRICE-1 oz., $1.00; 6 ozs., $5.00; 12 ozs., $10.00; 20 ozs., $15.00. The Antidolar Mfg. Co. 68 Main St., Springville, N. Y. BRANCH: 498 Argyle Ave., Montreal, Quebec. the $1,300.00 Profit from Five Acres That's what Mr. M. Byrne made on his farm near our land last year. C. P. Redding made $480.00 per acre from his cucumbers, and $150.00 per acre from his cabbage. R. E. Turner's tomatoes brought $350.00 per acre. Send for fifty letters from our farmers telling what they make. Improved farms like these can not be bought for $300.00 per acre, but you can buy a small unimproved farm for $40.00 an acre, on a cash payment of only Five Dollars per Acre and $5.00 per acre per month. Raise vegetables in the winter when the prices are high. Our land is on the Gulf of Mexico, near Corpus Christi, Texas. No snow, no frosts, and cool breezes off the Gulf all Summer. Sickness unknown. Town Lot Free facing the Gulf shore, with each five-acre farm. Ninety-six farms sold in one week. Free Literature. Burton & Danforth 910D Security Building 8. Name in the order of frequency tumors of the adult female breast. Microscopic pathologic specimen. Gross pathologic specimen. 10. I. HYGIENE. Describe and discuss prophylaxis in plague. 2. Describe and discuss prophylaxis in typhoid fever. 3. What diseases may be produced by the ingestion of meat? 4. What measures would you advise for the disposal of the dead from contagious diseases? 5. What is the required air-space in a hospital ward? 6. Describe a modern method of ventilating a hospital. 7. What is the period of quarantine required after the latest exposure of infection in (1) plague, (2) diphtheria, (3) scarlet fever, (4) smallpox? 8. When does the period of infection cease, in (1) chickenpox, (2) smallpox, (3) measles? |