Polyuria and Urinary Elimination in Cerebrospinal Meningitis. -M. Loeper and X. Gouraud (La Presse Méd., Feb. 1) call attention to the marked polyuria and increase in elimination of solids that occur in cerebrospinal meningitis. Polyuria is the rule, while albuminuria is rare. Casts do not exist, but some polynuclear leucocytes and some red blood corpuscles are found. The specific gravity is diminished or normal. Polyuria is not found in the other febrile infectious diseases. In them, with the fever we find decrease in amount of urine. Cerebrospinal meningitis is peculiar in this respect. The urine is clear, with no sediment, slightly albuminous or not at all so, density and concentration diminished. Urea is increased; chlorides vary; phosphates are increased. In the other infections elimination is delayed, but in cerebrospinal meningitis it is increased in rapidity, methylene blue appearing rapidly in the urine. Glycosuria has been observed. There is an excitation of the different productive and eliminative organs, which the authors believe to be of nervous origin, the result of bulbar disturbances consequent on the meningeal inflammation. They think that the peculiar conditions of urinary function that have been observed in cerebrospinal meningitis are of diagnostic value. Treatment of Epidemic Cerebrospinal Meningitis.-Hermann Lenhartz (Münch. Med. Woch., March 21) details his experience with lumbar puncture in the early stages of cerebrospinal meningitis. He cites four cases of considerable severity, in all of which the diplococcus of Weichselbaum was found in the fluid removed by the first lumbar puncture. The lumbar puncture was made in the early stage of the disease, and the symptoms rapidly improved. In one case all the symptoms had subsided by the eighth day after the first puncture. He also cites the case of a young man who was having attacks of slow pulse and heart failure, with other very unfavorable symptoms. On the fortieth day lumbar puncture was done for the first time, and was repeated several times. Improvement at once commenced, and the patient sat up for the first time on the sixty-seventh day, and entirely recovered. The author has never seen any bad effects from the procedure. He punctures every day or every other day, and withdraws only a small amount of fluid at each sitting. He believes this treatment should be begun as soon as the first serious symptoms occur, in order to get the best results. Relation of Human and Bovine Tuberculosis. An interesting review of the recent literature on the relation of human and bovine tuberculosis, by David Bovaird (Med. Record, Feb. 25) is summed up in these conclusions: Human tuberculosis can be transmitted to cattle, but with difficulty, and it seems highly improbable that such transmission plays any great part in the production of the disease among cattle. Bovine tuberculosis can be transmitted to man, but the evidence that such transmission occurs under ordinary circumstances is extremely scanty, and it is very unlikely that such transmission is an important factor in the spread of the disease in man. Results of Eye Strain in Children.-Allen Greenwood (Bost. Med. and Surg. Jour., Feb. 23) urges the importance of considering eye strain as an important factor in all children who are backward in their studies. He has recently shown that the majority of feeble-minded children have marked errors of refraction, and this is true to a less degree of backward children. W. H. Kilburn (Bost. Med. and Surg. Jour., Feb. 23) calls attention to the production of scoliosis by eye strain through the unnatural_position which the child assumes while reading and writing. Eye strain and scoliosis act and react upon each other. It is only by correcting both that the patient can be materially helped. Hypotonia of the Muscles in Childhood.-W. G. Spiller (Univ. Penn. Med. Bull., Jan.) reports what appears to be an example of myatonia congenita as described by Oppenheim. The infant did not seem to notice things when five months old, and was never able to hold anything in his hand. No change in weakness had been noticed since birth. When seen at 22 months of age the child was apparently well nourished, but the muscles were soft and flabby. The foot could be placed behind the head without discomfort. Muscular power was much diminished; the sitting posture was maintained only a short time and only when balanced. Death occurred a few months later. Microscopic examination showed that there was an arrest in the development of the muscle fibers, and that the central nervous system and peripheral nerves were normal. The hypotonia was still present twenty hours after death, as was shown by absence of post-mortem rigidity. Oppenheim repeatedly observed improvement in such cases. Radiography and Hip Disease.-As the result of x-ray examinations of 100 cases of hip-joint affections, R. W. Lovett and Percy Brown (N. Y. Med. Jour. and Phila. Med. Jour., Jan. 28) conclude that a radiograph free from abnormal appearances does not show that hip disease is absent or will not develop, but that in a case of doubtful clinical diagnosis a normal x-ray is a matter of weight and makes the likelihood of speedy recovery greater than will a radiograph with abnormal appearances. The existence of slight atrophy of bone and slight diminution of shadow, while on the other hand, not showing that hip disease is present in a case of doubtful clinical diagnosis, makes the likelihood of it greater and the outlook rather more serious. INDEX. Α Abdomen, treatment of gallstones or pathological conditions in the, Ablation of the appendages, development of fibroids of the uterus after. ovarian, hysterosalpingo-oophorectomy for. Boldt. ovarian, large, on left side. Boldt.... PAGE 376 272 391 .348, 357 522 808 365 387 369 Adrenalin in gynecological and obstetrical work. Alcoholism, chronic, in infants. Adams. Study of cases of tuberculosis in children. Adenomyoma, origin of uterine. Williams.... Albuminuria of pregnancy. Stewart.... Alkalies, action of, in infant feeding. Southworth. Berghinz.. 575 854 Allen. Cases of eclampsia.... 155 Amenorrhea. Mondy 420 Anencephalus. Paddock .819 Anesthesia, rupture of extrauterine pregnancy during. Kuntz. Angioma, subcutaneous, in infants. Besson.. Antitoxin, diphtheria, inoculation with. Wesaner. Arthritis, puerperal. Morse. Asthma, bronchial, in infants and children. La Fetra. B PAGE Bacilli, pseudodiphtheria. Saul.... Bacon. Nonoperative treatment of eclampsia. Barrows. Shock and hemorrhage as causes of death following ab- dominal operations.. Basham. Pregnancy complicating fibroids. Beyea. Technique of ventrosuspension of the uterus. Bissell. Uterine fibroids..... Bladder, foreign bodies in the. Kubinyi. Bleeding, uterine, treatment of. Bolt. Bodies, foreign, in the eyes of children. Stephenson. Boldt. Carcinoma uteri; vaginal hysterectomy. Degeneration of ovary, causing metrorrhagia. Hysterosalpingo-oophorectomy for ovarian abscesses. Intraligamentous myofibromata; puerperal sepsis.. Myofibroma; hysterectomy.. Nephrectomy for pyonephrotic kidney. Resection of uterus and ligament with thrombosed vessels.. 368 ... 505 Rupture of cervix and uterine segment; hemorrhage; abdominal Treatment of uterine bleeding.. Bonney. Investigation in causation of puerperal infections. Results. 402, 403 Brettauer. Eclampsia in twin children.. Deaths from intestinal obstruction after abdominal section. Brodhead. Treatment of obstetric hemorrhages.. Bronchi, post-operative complications involving the. Miller.. 697 116 508 183 .445, 545 II2 Tube and ovary removed through the vagina, for pyosalpinx.... 806 Bougie, interruption of pregnancy with the. Jacoby.. Bovée. Sphere of Gynecology. Bowel injury. Hessert... Boyd. Abdominal panhysterectomy. Fibroid of the broad ligament. Byford. Technic of aseptic operating.. 558 I 137 138 281 C Calcification of the tubal fimbriæ. Wagner of the fundus, diagnosis of. Robb. Cancer of the cervix complicating labor. Spencer. of the utterus, diagnosis of. Hall. fibroid tumor of the uterus as a cause of. Goffe. 562 135 92 371 500 420 849 840 Cancer of the uterus, hysterectomy for. Watkins.. of the ovary. Lockyer.... Carmalt. Complicated uterine fibromyoma. Catheter, self-retaining. Wetherill. Cervix, cancer of the. Spencer... digital dilatation of the. Koppe. myofibroma of the. Dudley.. Chambers. Problems presented to the gynecologist. Champetier de Ribes balloon, modified, use of. Voorhees. treatment of hernia in young. Mummery. Cholecystitis, acute, in the puerperium. Vineberg. Chyluria complicating pregnancy. Leicester. Cirrhosis, hepatic, etiology and pathology of in infants. Coe. Sudden elevation of temperature during labor. syphilitic. Gaston..... Cragin. Tubo-abdominal gestation. Cryptorchidism. Holmes... Cumston. Life and works of Paul Portal. Curettage, perforation of the uterus during. Hessert. Curette, uterine. Kelly.... use and abuse of. McReynolds. Cyst, dermoid, of the ovary. Tate. Spolverini... 858 705 dermoid, complicating labor. Thompson. dermoid, removal of. Sutcliffe. ovarian. Watkins. ovarian, typhoidal, infection of. Zantschenke. parovarian, with twist of the pedicle. Brothers. Cysts, multilocular ovarian, origin of. Park. parovarian, torsion of. Vanverts... Cystadenoma of the pancreas; removed by abdominal section. Dunning. 101 vaginal, operation for cure of. Groves. Cystoma, double symmetrical. Dauber... 223 408 137 D Dauber. Double symmetrical cystoma. Death, sudden and unexpected, in children. Tubby.. Decapitation, transverse presentation, requiring. Miller. Decapsulation of the kidney for chronic nephritis. Caille.. Deformities, common, of the spine. Taylor.. Degeneration fibrocystic, of the ovary, causing hemorrhage. Boldt.. Cases of Cesarean section.. Dermoid, retrorectal, of the pelvic tissue. Dickinson. Ventral fixation and labor.. Digestion disturbances from use of too high fats. Holt.. Dilatation, digital, of the cervix. Koppe... rapid, of cervical canal; methods of. Stöckel. 137 715 685 424 143 368 325 738 235 238 422 559 704 |