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COLLEGE CHAT.

HORD, CLAY COUNTY, ILL. The Medical Society of said county met at the Court House, at the County Seat, March 14, 1896. The following papers will be read at the next meeting.

Surgery Dr. Falley; PracticeDr. Baird; Chronic Diseases-Dr. Bayles; Isolated Cases-Dr. Berns. M. M. GLADSON, Clay County, Ill.

BARBOURVILLE, KY., April 3, '96. EDITOR CLINIQUE:

Dear Sir:-Robert K. Burnside, M.D., class of 1892 and 1893, was cut to death by a drunken man, the evening of the first. He was

a son of Dr. Wm. Burnside, class of 1888 (I think).

Very respectfully,

I. T. CATRON, M.D. Vice-President Class 1895.

BOOK NOTICES.

Diagnosis and Treatment of Diseases of the Rectum, Anus, and Contiguous Textures. Designed for Practitioners and Students. By S. G. GANT, M.D., Professor of Diseases of the Rectum and Anus, University and Woman's Medical College; Lecturer on Intestinal Diseases in the Scarritt Training-School for Nurses; Rectal and Anal Surgeon to AllSaints, German, Scarritt's Hospital for Women, and Kansas City, Fort Scott & Memphis Railroad Hospital, to East Side Free Dispensary, and to Children's and Orphans' Home, Kansas City, Missouri; Member of the American Medical Association, National Association of Railway-Surgeons, the Mississippi Valley Medical, the Missouri Valley Medical, and the Missouri and Kansas State Medical Associations, etc., etc. With two chapters on "Cancer" and

"Colotomy" by Herbert William Allingham, F.R.C.S.Eng., Surgeon to the Great Northern Hospital; Assistant Surgeon to St. Mark's Hospital for Diseases of the Rectum; Surgical Tutor to St. George's Hospital, etc., etc., London. One Volume, Royal Octavo, 400 pages. Illustrated with 16 Full-Page Chromo-Lithographic Plates and 115 WoodEngravings in the Text. Extra Cloth, $3.50 net; Half-Russia, Gilt Top, $4.50 net. The F. A. Davis Co., Publishers, 1914 and 1916 Cherry street, Philadelphia; 117 W. Forty-Second street, New York; 9 Lakeside Building, Chicago.

Missouri-to use a colonial expression-does herself proud in producing, through one of her honored medical men, the most thorough, yet concise, most deep, and yet most clear, most scientific, yet

Fellows.

Contains the Essential Elements of the Animal organization-Potash and

Lime.

The Oxidizing Agents-Iron and Manganese;

The Tonics-Quinine and Strychnine;

And the Vitalizing Constituent-Phosphorus; the whole combined in

the form of a Syrup with a

Slightly Alkaline Reaction.

It Differs in its Effects from all Analogous

Preparations; and it possesses the important properties of being pleasant to the taste,

, easily borne by the stomach, and harmless under prolonged use.

It has Gained a Wide

Reputation,

particularly in the treatment of Pulmonary Tuberculosis, Chronic Bronchitis, and other affections of

the respiratory organs. It has also been employed with much success in various nervous and debilitating diseases.

Its Curative Power is largely attributable to its stimulant, tonic, and nutritive properties,

Its Action is Prompt;

by means of which the energy of the system is recruited.

it stimulates the appetite and digestion, it promotes the assimilation, and it enters directly into the circulation with the food products.

The prescribed dose produces a feeling of buoyancy, and removes depression and melancholy; hence the preparation is of great value in the treatment of mental and nervous affections. From the fact, also, that it exerts a double tonic influence, and induces a healthy flow of the secretions, its use is indicated in a wide range of diseases.

NOTICE-CAUTION.

The success of Fellows' Syrup of Hypophosphites has tempted certain persons to offer imitations of it for sale. Mr. Fellows, who has examined samples of several of these finds that no two of them are identical, and that all of them differ from the original in composition, in freedom from acid reaction, in susceptibility to the effects of oxygen when exposed to the light or heat, in the property of retaining the strychnine in solution, and in the medical effects.

As cheap and inefficient substitutes are frequently dispensed instead of the genuine preparation, physicians are earnestly requested, when prescribing the Syrup, to write. "Syr. Hypophos. Fellows."

As a further precaution, it is advisable the Syrup should be ordered in the original bottles; the distinguishing marks which the bottles (and the wrappers surrounding them) bear, can then be examined, and the genuineness-or otherwise-of the contents thereby proved.

Medical Letters may be addressed to

MR. FELLOWS, 48 Vesey st., New York.

most practical work ever offered to the medical profession, upon the rectal pathology. The work is simply great. Aside from the admirable colored plates which are fully equal to the actual subject even better for minute study, and the beautiful typography and make

up of the volume, the orderly arrangement of facts, the terseness and trenchancy of expression, and the wonderful multum in parvo result of the work deserve the thanks of the practitioner. The author "speaks with authority, and not as the scribes."

REVIEW OF CURRENT LITERATURE ON

Diseases of THE EAR, NOSE, AND THROAT.

By JNO. A. JAMES JAMES, B. Sc., M. D., assisted by OSCAR F. BAERENS, M. D.

Staphylococci and Otorrhoea.Drs. Lemoyez and Helme (Journal of Laryngology, Rhinology and Otology Medicine), state that in the acute stage of otitis media the microbes most commonly found are the streptococcus and pneumococcus, and only very rarely the staphylococcus. At a later stage in the course of the disease the staphylococcus becomes more frequent and ultimately takes the place of those microbes which gave rise to primary infection. This secondary infection by staphylococci, which promotes chronicity of the affection, can take place either by way of the eustachian tube or by way of the external auditory canal through the perforated tympanum. To avoid infection by the former avenue, antiseptic spraying of the nose and naso-pharnyx is advocated, and in cases of perforated tympanum care should be taken to have all instruments sterile, and especially the

cotton wool used for swabbing— this is frequently contaminated by staphylococci, especially if rolled on the applicator by soiled fingers. The authors advocate the use of cotton swabs, previously perfectly sterilized by dry heat and kept in hermetically sealed bottles until the time of use.

A Case of Living Larvæ in Normal Auditory Canals.-Richardson (Arch. of Otol., Am. Med. Surg. Bull.) R. reports a case of a child four months old that had been delivered at full term by Cæsarian section. The infant was delicate, but not sick; it was noted to be peevish, and a small area of dry blood was noticed in the right auditory meatus. While inspecting this area the nurse saw what looked like a maggot protrude from and recede within the auditory canal. No pus or history of previous inflammation of the ear could be discovered. The auditory canal

[graphic]

was swollen so that deep illumination was difficult. One living worm was extracted by a pair of forceps from the right auditory canal, and by a similar procedure two large larvæ were extracted from the left ear. Subsequent examinations of the ears showed auditory canals and membranes normal. The larvæ were fully developed, large and very active, and must have been in the child's ears for a period of three days or more. The deposition of

rare.

larvæ in normal ears is exceedingly The manner by which the larvæ gained access to the auditory canal in this case can be explained by the possibility that the child fell asleep while nursing, thus allowing the bottle from which it was feeding to tilt over on its neck, with the end of the nipple projecting in the region of the auditory meatus. The dripping of the milk attracted the fly which deposited the larvæ in the auditory canals.

DEPARTMENT GENITO-URINARY SURGERY.

BRANSFORD LEWIS, M.D., assisted by J. D. NIFONG, M.D.

Poisoning by Acetanilid.-As acetanilid is strongly commended as a dressing powder in venereal and other ulcerations, the following cases in the hands of Dr. Rook (J. A. M. A.) may be of importance and interest to those in the habit of employing it. Dr. Rook prescribed equal parts of acetanilid and subnitrate of bismuth for a child four days old, suffering with an erythematous inflammation of the skin of the nates, thighs and groins. During the afternoon and night the powder was dusted on three or four times. On the following morning the babe was found cyanosed, and died a few hours later.

Before realizing that acetanilid was the cause of death in the case just noted, the Doctor prescribed

the drug for another infant two

days old. days old. One application of the drug was made to the nates and thighs about 10 P. M., on the following morning this babe was also deeply cyanosed, but twenty-four hours later it had fully recovered from the toxic effects of the drug.

The Cirrhotic Kidney.-Dr. Baker (Maryland Medical Journal), alludes to the fact that the glandular structure of the kidney may be in great part destroyed by cirrhotic changes without definite symptoms developing. At times those in whom the kidneys are much diseased, are apparently in perfect health, attending to their usual duties. In other cases symptoms develop comparatively early, such as headache, which is often severe and protracted, and digestive or

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