This case was one of tuberculosis by ingestion of buccal origin. From there, the tuberculous virus. had drifted to the cervical ganglia and then to the digestive tract. This case is interesting from the fact that tuberculosis of the digestive tract is usually very rare during the first two years of child-life. Ulcerative Stomatitis of Children. -(ENRICO DALL'ACQUA. La Pediatria). Although this affection is not very frequent, the author has been fortunate enough to have observed forty-seven cases of it. Ulcerative stomatitis is encountered most frequently in the very first days of childhood; the age of the patients, according to Dall'Acqua, varies between eighteen months and seven years. These patients have a characteristic expression, closely allied to that evinced by patients suffering from chronic suppuration. The malady is at first localized near the incisors and the canine teeth, and, if treatment does not follow, it spreads to the gums of the other teeth, ending its course by forming a large irregular ulceration upon the labial and gingival mucous membranes, with its long diameter parallel to the border of the gums. The following phenomena subsequently are noted: halfhalfopen mouth; tumefaction and turgescence of the lips; bloody saliva; marked pains when the mouth is opened widely. The most characteristic feature of the affection is the product of the ulcerative process; it presents itself under the form of small coffee-colored masses composed of globules of blood in a state of decomposition. The gastrointestinal functions do not act normally; the trouble lies in the ingestion of some of the ulcerative product and the incomplete mastication of food. This incomplete mastication of food which results from the excessive sensibility of the gums, is the principal cause of the malnutrition of the patients. Ulcerative stomatitis is not only a more or less grave disease, according to the particular case, but it can also prove fatal; the author has observed two cases of death from it. A convulsive cough is sometimes in company with the stomatitis. Moreover, the disease is contagious and can be transmitted by the linen and other common agents. Now for the treatment: (1) Place the patient in a well lighted and well ventilated room. (2) The aliment should be composed of liquid substances, as milk, bouillon, etc., placed in the back of the mouth by means of a long spoon; the mouth should be washed after each meal with some disinfectant solution to prevent the ingestion of septic substances. (3) In the depressive form, alcohol should be used. (4) The ulceration should be directly combated. To do this, all such substances which do not give an appreciable therapeutic result, as boric-glycerin, potassium chlorate, etc., should be eschewed. The most energetic and useful agent for this purpose is permanganate of potassium, which should be applied 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; easily borne by the stomach, and harmless under prolonged use. and it possesses the important properties of being pleasant to the taste, 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. to the ulceration by means of a glass rod, etc. In cases of very extensive ulceration this remedy is not indicated, because it is apt to destroy the mucous membrane in some parts of the mouth, and, besides, when the ulceration extends far back into the mouth, it would be impossible to thoroughly treat the regions beyoud the reach of the applicator. Nitrate of silver is in the same category as permanganate in respect to therapeutic action; in short, no substance should be employed which has a bad effect upon the healthy tissues. In the local treatment, three conditions are to be met: to free the ulcerations of all the detritus which is present; to employ upon the ulcerated regions some antiseptic substances which can be used in large quantities without fear of causing any local or general complications; finally, to keep the mouth as hygienically clean as possible. For the first condition use sterilized solution of sulphophenate of zinc; for the second indication bathe the ulcerations with an aqueous and slightly alcoholic solution of mercuric chloride (sublimate) in the following proportions: bi-chloride of mercury, 15 grains; water, 40 fl. oz.; alcohol, 1 fl. oz. For the third indication it is sufficient to wash the mouth frequently with sterilized neutral solutions, which remove the organic matters, the fermentation of which prepares an excellent soil for the multiplication of micro-organisms. (Translated by Rutherford Gradwohl). Therapy of Cauterization by Means of Nitric and Carbolic Acids.-(Sem. Med., June, 1896.) Dr. Laubenburg, of Remschied, desires to call attention to the advantageous use of nitric and of carbolic acid in cauterizations. The fuming nitric acid is first spread over the surface of the wound, the carbolic acid solution (pure) is then applied over this; fumes arise and a soft crepitation is heard; a deeper and more aseptic eschar is obtained than if the acids were each used alone. This procedure is of exceptional merit in all cases where an energetic caustic action is desired as in angioma of young infants, papillomatous vegetations of the skin and mucous membranes, certain obstinate forms of ulcerations in connection with other treatment, and in cancerous tumors tending to putrid disintegration. In this last condition, the mixed cauterization exercises the most disinfectant and deodorant action which the author attributes to the freeing of oxygen in the nascent state, caused by the decomposition of the nitric acid in contact with the carbolic acid; the manner of applying the cautery follows: the part to be cauterized is first washed and cleaned with a tepid antiseptic solution, then fuming nitric acid is laid upon the part by means of an applicator consisting of a piece of cotton wrapped around the end of a rod of some kind. Before the local action of the nitric acid has had time to pass away, the surface of the same part A Normal Osmotic, Regulating Nutrition and Waste. Antilithic-A Solvent of Uric Acid. Analgæsic-A Solvent of Pathogenic Nerve Environment. Sorbefacient-From within and without, capable of carrying dermatological remedies directly into the blood. Eliminative, Stimulant of Trophic Centers, Nutritive, Oxytocic, Apyretic. A Physiological Specific in all Cachectic Disorders. DOSE AND ADMINISTRATION: ONE-HALF TEASPOONFUL IN WATER THREE TIMES A DAY, EITHER BEFORE, AFTER OR BETWEEN MEALS. A AN IDEAL NERVE TONIC. Laxative, Analgesic, Chologogue, Assimilant, Stimulant of LL PIGMENTARY DISEASES of the skin yield to its physiological action and it preserves the perfect integrity of relation by simple physiological processes. It is positively indicated, and established by the severest medical tests, to be permanently effective in Albuminuria, Nerve Waste, or Neurasthenia, all Glandular Disorders, Impotence, General Debility, Headache, Melancholia, Dizziness, Alcoholic Neuroses and all troubles dependent upon arrests of function in the trophic or Nutritive nerve centers, AND ESPECIALLY RELIABLE AS A PAINLESS CURE OF THE MORPHIA HABIT. In short, all that depends upon PERVERTED NUTRITION, representing as it does the full therapeutic power of inorganic therapy as known in the organism will be fully met by MELACHOL. FORMULA: Every fluid drachm of MELACHOL contains eighty-five grains of the combined Sodium Phosphate, Citric Acid and Sodium Nitrate. PHYSICIANS will be furnished full size bottle of each free on payment of express charges. Please name journal in which this card appears. ALTA PHARMACAL COMPANY, ST. LOUIS, MO. is touched with a rod moistened in pure, liquified carbolic acid. It It might be well to say, by way of caution, that the two acids should not be placed in immediate contact as they will, in such an advent, produce an explosion. After the cauterization, the part should be dressed with some antiseptic and astringent powder, for example, a mixture of iodoform and tannin.(Translated from the French by Rutherford Gradwohl, College of Physicians & Surgeons, St. Louis.) COLLEGE CHAT. FRIEDHEIM, Mo., Aug. 22, 1896. PROF. T. O. SUMMERS, St. Louis, Mo. Dear Sir and Teacher:-Desiring THE CLINIQUE, I enclose $1.00 for which you will have it mailed to me at the above address. You requested communications from each of the graduates last March, of which I was a member, so I enclose a few lines, and you may see that they are inserted in proper form. Doctor, I am doing a very nice practice, and have no room to grumble. I am in a small country town, surrounded by good farmers, and eight miles from any other. Doctor, as September nears, it seems I should be ready to enter the Coll. Phys. and Surg. Looking over the matric. for the coming term you will find names of the Winters brothers, whom I succeeded in sending to our college. I hope I can cause more to enter. Tell Dr. Briggs, also, that those boys are all O. K. and will certainly mean business. Very respectfully, A. E. DALTON, M. D. THE CLINIQUE SEPT., 1896. Entered at Post-Office at St. Louis and admitted for,transportation through the mails at 2d class rates. |