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RELATION OF PUERPERAL FEVER TO ZYMOTIC POISONS.
84 of my twelve cases, I believe I
am justified in saying that is an operation which, to produce all the good results which are expected from it, must be practised early - -I mean as soon as the larynx is invaded by the false membranes and that medical means have failed. It may well be compared with the operation for strangulated hernia, which, when performed at the beginning of strangulation, after taxis under the influence of chloroform has proved unsuccessful, affords much more favourable results than when ulceration or gangrene of the intestine and the development of peritonitis have been allowed to take
tracheotomy
place."
ELONGATION AND PROLAPSUS OF THE CERVIX UTERI.
of from the anterior third the thefacial
the latter, has tried to compress close to the ala nasi. The afflux of blood into the cavities of the M. nose is thus stemmed, and the epistaxis soon stops. Marin says that he has thus relieved many persons in the street, on board steamboats, in railroad carriages, and even at the theatre.
artery
on
superior maxillary bone,
RELATION OF PUERPERAL FEVER TO ZYMOTIC POISONS. THE following tables are referred to in will be studied with some interest.
In an able paper in the Archives de Médecine (July, 1872), Dr. Guemot has carefully investigated the above subject. The chief points of the paper may be briefly summed up thus: The author considers the disease as comparatively frequent, it being often confounded with hypertrophic elongation or pure prolapsus. Its symptoms are quite distinct, however; hypersemiaof the organ, the peculiar disposition of the cavity (transformed into a long and open canal), the rapidity with which the various symptoms are liable to disappear and their facility to return under certain circumstances, ulceration of the os, inversion of the vagina, attenuation and flaccidity of the uterine walls, pains around the pelvis, general weakness, and disorders of nutrition, being the characteristic traits of the disease. The causes are complex, and are anatomical or mechanical. The disease is more painful and inconvenient than dangerous to the mother, but it is highly serious to the child, by producing premature labour or abortion. The treatment suggested is to put back the prolapsed organ into the vagina, end maintain the reduction by means of a bandage to the vulva; horizontal posture ; careful abstinence from the use of pessaries; and, after delivery, prolonged observance of the recumbent posture.,
our
leader, and
Mortality from Scarlet Fever, Puerperal Fever (Metria), Childbirth, and all causes in England and Wales.
TREATMENT OF SYPHILIS BY MEANS OF HYPODERMIC INJEC’ TIONS OF CORROSIVE SUBLIMATE IN THE FORM OF A CHLORO-ALBUMINOUS SOLUTION.
Dr. Staub, of Paris, has published, under the above head, the results of a most interesting series of experiments.
The object of Dr. Staub was to avoid the local accidents caused by hypodermic injections of sublimate, and also to be able to employ stronger doses. This he effected by means Qf an albuminons solution of sublimate in alkaline chlorides, down by Gubler, Mialhe, for injection deserves to be carefully noted. Sublimate and chloride of ammonia, of each 20 grains; chloride of sodium, about 62 grains; distilled water, 20 grains. After filtration the whole is mixed up with an albuminous solution (white of an egg, water 4t drachms). This mixture produces no local inconvenience; it contains 5 milligrammes (about is grain) to every 20 drops. The results of treatment, states Dr. Staub, have been very favourable. In the 44 cases related the duration of treatment varied from seventeen to thirtyfour days, with one centigramme (i grain) of sublimate injected each day. The author comes to the conclusion that the hypodermic method, with the chloro-albuminous solution of sublimate, can and ought to be transformed into a general mode of treatment of syphilis; that it will take the first place in the therapeutics of syphilis; and that it may be applied to all cases (syphilitic or not) where a mercurial treatment is indicated.
according to the principles laid The formula Barensprung, &c.
I
Vo
Deaths
of Women AFTER CHILDBIRTH in England and Wales, classified under the following Diseases:-
DIAGNOSIS OF INCIPIENT CANCER OF THE NECK OF THE UTERUS.
Prof. Spicgelberg states, in the Arch. f. Gynaec., vol. iii., TO MEDICAL CHARITIES. - Mrs. BEQUESTS, &C., part 2, that in the incipient stage a distinction between Ellen Smith, of Gloucester-terrace, Regent’s-park, becancer and simple induration of submucous cellular tissue the death of her husband, to whom she can easily be made in the following manner. The mucous queathed (after a life-interest) .82000, three per cent. Consols, to the gave membrane, in cancer, will be found firmly glued and imfor Women, Soho-square. Mr. James Daniel mova.ble, which is not the case in hyperplastic thickening Hospital X250 each to the General Hospital, the Queen’s and induration, and when the sponge-tent is introduced, bequeathed Hospital for Sick Children, and General the latter thiekening will become looser, softer, and thinner, Hospital, Free Dispensary, all at Birmingham. Mr. E. Tyson bequeathed whilst in cancer the neck remains hard and unyielding. 08250 to the Great Yarmouth Hospital. The Grocers’ ComRAPID CONTROL OF EPISTAXIS. pany have given 08100 to the British Home for Incurables. Dr. Marin, of Geneva, considering that in this accident St. Mark’s Hospital for Fistula, &c., has received .8100 under the blood comes usually from one nostril only, and mostly the will of Mr. Steward.
am justified in saying that is an operation which, to produce all the good results which are expected from it, must be practised early - -I mean as soon as the larynx is invaded by the false membranes and that medical means have failed. It may well be compared with the operation for strangulated hernia, which, when performed at the beginning of strangulation, after taxis under the influence of chloroform has proved unsuccessful, affords much more favourable results than when ulceration or gangrene of the intestine and the development of peritonitis have been allowed to take
tracheotomy
place."
ELONGATION AND PROLAPSUS OF THE CERVIX UTERI.
of from the anterior third the thefacial
the latter, has tried to compress close to the ala nasi. The afflux of blood into the cavities of the M. nose is thus stemmed, and the epistaxis soon stops. Marin says that he has thus relieved many persons in the street, on board steamboats, in railroad carriages, and even at the theatre.
artery
on
superior maxillary bone,
RELATION OF PUERPERAL FEVER TO ZYMOTIC POISONS. THE following tables are referred to in will be studied with some interest.
In an able paper in the Archives de Médecine (July, 1872), Dr. Guemot has carefully investigated the above subject. The chief points of the paper may be briefly summed up thus: The author considers the disease as comparatively frequent, it being often confounded with hypertrophic elongation or pure prolapsus. Its symptoms are quite distinct, however; hypersemiaof the organ, the peculiar disposition of the cavity (transformed into a long and open canal), the rapidity with which the various symptoms are liable to disappear and their facility to return under certain circumstances, ulceration of the os, inversion of the vagina, attenuation and flaccidity of the uterine walls, pains around the pelvis, general weakness, and disorders of nutrition, being the characteristic traits of the disease. The causes are complex, and are anatomical or mechanical. The disease is more painful and inconvenient than dangerous to the mother, but it is highly serious to the child, by producing premature labour or abortion. The treatment suggested is to put back the prolapsed organ into the vagina, end maintain the reduction by means of a bandage to the vulva; horizontal posture ; careful abstinence from the use of pessaries; and, after delivery, prolonged observance of the recumbent posture.,
our
leader, and
Mortality from Scarlet Fever, Puerperal Fever (Metria), Childbirth, and all causes in England and Wales.
TREATMENT OF SYPHILIS BY MEANS OF HYPODERMIC INJEC’ TIONS OF CORROSIVE SUBLIMATE IN THE FORM OF A CHLORO-ALBUMINOUS SOLUTION.
Dr. Staub, of Paris, has published, under the above head, the results of a most interesting series of experiments.
The object of Dr. Staub was to avoid the local accidents caused by hypodermic injections of sublimate, and also to be able to employ stronger doses. This he effected by means Qf an albuminons solution of sublimate in alkaline chlorides, down by Gubler, Mialhe, for injection deserves to be carefully noted. Sublimate and chloride of ammonia, of each 20 grains; chloride of sodium, about 62 grains; distilled water, 20 grains. After filtration the whole is mixed up with an albuminous solution (white of an egg, water 4t drachms). This mixture produces no local inconvenience; it contains 5 milligrammes (about is grain) to every 20 drops. The results of treatment, states Dr. Staub, have been very favourable. In the 44 cases related the duration of treatment varied from seventeen to thirtyfour days, with one centigramme (i grain) of sublimate injected each day. The author comes to the conclusion that the hypodermic method, with the chloro-albuminous solution of sublimate, can and ought to be transformed into a general mode of treatment of syphilis; that it will take the first place in the therapeutics of syphilis; and that it may be applied to all cases (syphilitic or not) where a mercurial treatment is indicated.
according to the principles laid The formula Barensprung, &c.
I
Vo
Deaths
of Women AFTER CHILDBIRTH in England and Wales, classified under the following Diseases:-
DIAGNOSIS OF INCIPIENT CANCER OF THE NECK OF THE UTERUS.
Prof. Spicgelberg states, in the Arch. f. Gynaec., vol. iii., TO MEDICAL CHARITIES. - Mrs. BEQUESTS, &C., part 2, that in the incipient stage a distinction between Ellen Smith, of Gloucester-terrace, Regent’s-park, becancer and simple induration of submucous cellular tissue the death of her husband, to whom she can easily be made in the following manner. The mucous queathed (after a life-interest) .82000, three per cent. Consols, to the gave membrane, in cancer, will be found firmly glued and imfor Women, Soho-square. Mr. James Daniel mova.ble, which is not the case in hyperplastic thickening Hospital X250 each to the General Hospital, the Queen’s and induration, and when the sponge-tent is introduced, bequeathed Hospital for Sick Children, and General the latter thiekening will become looser, softer, and thinner, Hospital, Free Dispensary, all at Birmingham. Mr. E. Tyson bequeathed whilst in cancer the neck remains hard and unyielding. 08250 to the Great Yarmouth Hospital. The Grocers’ ComRAPID CONTROL OF EPISTAXIS. pany have given 08100 to the British Home for Incurables. Dr. Marin, of Geneva, considering that in this accident St. Mark’s Hospital for Fistula, &c., has received .8100 under the blood comes usually from one nostril only, and mostly the will of Mr. Steward.