St. Louis Courier of Medicine (Volume 28) - Tapa blanda

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1903. Excerpt: ... treatment (especially so in children), it is difficult to gauge the value of any drug. No advance has been made in the therapy of pertussis; the value of antipyrin is well established, Enlarged Bronchial Lymph Nodes.--Particular attention has been drawn to the recognition of enlarged bronchial lymph nodes. An enlarged state of the supraclavicular nodes, larger than the cervical nodes, higher up, without a local inflammation or irritation for this, has a diagnostic significance. Percussion, in rare cases, helps to make a diagnosis by discovering dulness over the sternum, behind the manubrium and upper part of the gladiolus and extending, laterally, on either side of the bone. Auscultation may give positive signs; an exaggeration of the vesicular murmur in the interscapular space is to be considered of value, only, if the auscultatory murmur is much increased, particularly if it becomes broncho-vesicular on the left side, with prolonged expiration. The Guaiacol Ointment Treatment, as suggested by Rachford and Friedlander, has given good results--far better than any other. Nervous Diseases.--The improved technic in examining cerebro. spinal fluid, as advocated by Hand, gives a more certain aid in diagnosing meningitis, and a surer method in differential diagnosis, as to the character of the process, whether tuberculous or not, than any other method at our command. The examination includes a chemical anal ysis of the fluid drawn, a microscopical examination and, at times, inocculation of guinea-pigs. Hand claims that, with his technic, he is able to find tubercle bacilli in 96 per cent of tuberculous cases on first examination. Stigma in Cretins.--The following stigma of degeneration has been observed in cretins in some cases of idiocy and in children congeni...