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Excerpt from Canada Lancet, Vol. 21 I found the woman suffering very severely from pelvic and abdominal pain, imperfectly controlled by full doses of morphia. There was marked dis tension and frequent vomiting, and the pulse was rapid and very weak. On vaginal examination, there was a tolerably free bloody vaginal discharge. The uterus was markedly softened, bulky, and fixed, and to the right of, and behind it, there lay a painful and firm mass of some kind or other. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Excerpt from The Canada Lancet, Vol. 26 About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Excerpt from Canada Lancet, Vol. 20 A chill and a temperature of 104 followed, but improvement went on again when the tube was re-introduced, and within a month recovery was complete. Case II. Man, aged 22. Pleurotomy in 6th interspace, right side, at the anterior axillary line. Drainage as before. Irrigations carried out at home. Tube gradually shortened until the sinus closed nine weeks after operation. Lung expansion complete and chest wall normal. Case III. Man, aged 20. Seen after spontaneous perforation had taken place in a 5th interspace in front - the usual point for such perforation in adults. Free drainage and antiseptic irrigations led to recovery with considerable condensation of the lung, and retraction of the ribs of the side affected. Case IV. In all essential particulars was similar to Case III. Case V. Boy, aged 4 years. Empyema pointing in 2nd interspace - the usual place in children. Thorough drainage after the manner of Cassaignac for a few days. Then the upper opening was allowed to close, and the discharge was received into absorbent antiseptic pads. Gravity injections were used only when flocculi occluded the sinus. Cure complete in about seven weeks. Case VI. A boy, aged 17. After a pneumonia involving the lower and middle lobes of the right lung had well advanced toward resolution, a relapse took place. Marked dulness corresponding to the fissure between the two lobes involved, was noted. Two days later the presence of fluid in considerable quantity was recognized, and I was asked by my assistant to see the case. I did so, and we removed by aspiration 70 oz. of pus. OEdema of the chest wall was well marked up to the level of the 3rd rib in front. As the flat line rapidly crept up again, I did pleurotomy and and established a syphon drainage, secured as before by rubber belt. About a pint of pus was washed out daily, or ran out into the bottle, which was placed on the floor beside the bed. Chills, fever, and heavy perspiration returning, we removed the tube and sought for the cause of the septicemia. It was noticed that two entirely different kinds of pus came from the wound, one thin and not offensive flowing from a sac that could be traced straight in toward the root of the lung for quite six inches; the other thick and very offensive, coming out from the lower and back part of the pleural cavity. Passing a Simpson's sound to the bottom of this latter collection, I cut down upon it, making a 21/2 inch opening, and drawing through from one opening to the other a rubber drain. This drain was threaded with horsehair to prevent its occlusion by clots, and its outer ends were coupled together by a bit of glass tube. The single drain was returned to the upper sac, which we now recognized as being an inter-lobar one. Gravity injections were made into each cavity, one or two quarts being used daily for more than three months. If these were omitted for even two days septic symptoms returned, and they had to be resumed. At about the end of the third month a pleuro-bronchial fistula formed. Iodine solution injected into the inter-lobar sac was coughed up, but none returned by the air tubes when injected into the lower pleural sac. Recovery was reached after about six months of constant attendance. A year later this patient was examined; his general health was good, and but slight difference was noticed in the expansion of the two sides of his chest. Air entered freely all parts of the lung on the affected side, and only the evidences of thickened pleural membrane were present. Regarding the diagnosis of empyema, the presence of an area of flatness on percussion, and of silence on auscultation where we should get resonance and normal respiratory murmur, calls for an exploratory puncture, which can safely and almost painlessly be made by a hypodermic syringe. Should the area spoken of be found in either subaxillary space, the presumptive evidence of the p...
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Excerpt from Canada Lancet, Vol. 27 Case 4. - Tumor of pylorus and duodenum causing stricture; Gasto enterostomy with Murphy button Recovery. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Excerpt from The Canada Lancet, Vol. 23 Heryng reports that in 35 cases he obtained cicatrization, lasting a longer or shorter time in 27. In three of these the duration was respectively 9, 2 and 1 years; and in five cases 1/2 to 3 years. He says the larynx cured, the lung is improved, the voice becomes better, and general improvement results. In the Hospital of the Holy Ghost at Warsaw 21 out of 50 cases cicatrized. The best prognosis is in those cases in which there is a good general condition, with little or no interstitial changes in the lungs, and the patient living in good social conditions. Roughly the indications for treatment are: (1) To counteract the general phthisical process. (2) To give as much as possible, functional rest. (3) To relieve the pain in swallowing. (4) To administer suitable nourishment. (5) To heal the ulcerations, and reduce the infiltrations. As a rule solutions should be applied by brush under the guidance of the laryngeal mirror, and the application be made to the part affected, and to that only. Now, as to the most important of the remedies employed. Class (a). - Medicines principally anodyne or anaesthetic in their action. (b) Antiseptics, (c) The surgical treatment. In the first class, the most useful is cocaine. It is an excellent analgesic remedy in painful, difficult swallowing, and as a local anaesthetic, it facilitates laryngeal examination, applications, and surgical operations. Solutions are used in strengths from 5 to 25 per cent., the stronger for operating purposes, absolute anaesthesia lasting probably from 10 to 20 minutes, relative anaesthesia up to 2 or 3 hours. Some surgeons combine morphia or carbolic acid, and a few use it in powder or hypodermically. Menthol. - I place it amongst the first-class, but it also belongs to the second, as it is not only anaesthetic and analgesic, but also antiseptic. It can be employed in spray, inhaler, syringe, or by the brush. Ulcers submit much better to its treatment than infiltrations. While I was working in London, I noticed the throat surgeons there as a rule, gave this drug the highest preference. Lennox Browne says it is decidedly of greater value than lactic acid. He has seen cases in which after a few days treatment, emaciation has been arrested, deglutition im- proved, cough and amount of local secretion diminished, and lastly an actual regain of lost weight. He also employed in these cases, the oro-nasal inhaler with menthol, or eucalyptus, oleo pini Sylvestris, carbolic acid, or creasote. Brum recommends it in delicate, nervous persons, and in robust cases, lactic acid. Chloral hydrate is sometimes used. Morphia, either in glycerine solution, or powder with a vehicle as starch or magnesia or sugar, or combined with other medicines, and applied to the part affected, generally acts well in relieving pain. (Class b). - Drugs, especially antiseptic, locally applied. Many laryngologists now give priority to lactic acid. Krause regards it as a specific for tubercular ulcers. It is used in watery solutions, beginning with the weaker, 10 per cent, and increasing the strength quickly up to 80 per cent, or even the pure acid. It acts energetically upon pathological tissues, but has very little or no effect on sound tissues. It is an advantage to use friction, and rub the acid well into the ulcer, or even to thoroughly scrape it with a curette before its application; and in hard infiltrations to scarify or introduce the acid by hypodermic needle. It seems to be more useful in ulcerative than infiltrative processes. Iodoform has many advocates. Prof. Schmitzler, of Vienna, believes it is better than lactic acid. While working in his clinic I used it in several cases daily for some time, the patients always saying they were relieved or improving; but we know how hopeful the phthisical patient is and I must say that I never ."
Excerpt from Canada Lancet, Vol. 29 About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Excerpt from The Canada Lancet: A Monthly Journal of Medical and Surgical Science The patient was brought to the Hospital for the double purpose of greater convenience and better attendance, and for a few days pre vions to the operation his system was brought into as favorable a condition as possible. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Excerpt from The Canada Lancet, Vol. 19 The first preparation was presented many years ago by Dr. Littlejohn, to the Midwifery Museum, of the University of Edinburgh; and it is now impossible to obtain any history beyond the fact that the preparation was removed from the body of a prostitute. The conditions are precisely such as I found in the pelvis of the patient upon whom I operated for Dr. Halliday Croom. The Pallopi an tubes can be seen to be buried in adhesions, and bands of adhesions pass in all directions, glueing the appendages into abnormal positions from which they cannot be moved, and to remove these appen dages would involve detaching precisely the same extent of adhesion which I had to encounter in the case I have just narrated. In this prepara tion both tubes were occluded. (three prepara tions exhibited to the Society.) About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Excerpt from Canada Lancet, Vol. 13 Cylindrical Epithelioma of'sigmoid flexure of Colon having produced symptoms of strangulation - Laparotomy Study of drflerential diagnosis between cancer of intes tine and volvulus - (reported by M. M. E. Barie). About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.