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at the Y. M. C. A. building on the afternoon N. S. Davis, Jr., Chicago, Oration on of Sunday, February 18th, at which the fol- Medicine. lowing addresses were given:

L. L. McArthur, Chicago, Oration on SurIntroductory remarks by the president, Dr. gery- "Surgery of Intestinal Tuberculosis.' Geo. Homan.

C. H. Mayo (President of Minnesota State Invocation-By His Grace, the Most Rev. Medical Association), Rochester, Minn., erend J. J. Glennon, Archbishop of St. "Surgical Treatment of Goitre." Louis.

Wm. Jepson (President Iowa State MediBy His GraceRemarks on the Life and

cal Association), Sioux City, Ia., “Prostatism Character of Dr. Gregory.

and Its Management. Address by Dr. David C. Gore, President

D. C. Gore, (President Missouri State of the Missouri State Medical Association- Medical Association), Marshall, Mo., “State Dr. Gregory as a Physician and Surgeon. Medicine.

Address by Hon. A. M. Dookery, former Fenton B. Turck, Chicago, subject not Governor of Missouri-Dr. Gregory in his announced. Civio Capacity.

A. F. Jonas (President Nebraska State Address by Hon. O'Neil Ryan, of the St. Medical Association), Omaha, Neb., subject Louis Circuit Bench-Dr. Gregory as a St. not announced. Louisian.

S. Grover Burnett, Kansas City, “Some Address by Dr. Frank J. Lutz, Professor

Pathology of the Morphine Habit, and My of Surgery Medical Department St. Louis Preferred Method of Treatment." University-Dr. Gregory as Medical

Prince E. Sawyer, Sioux City, Ia., "CuTeacher.

rettage of the Uterus; Its Dangers. Brief Remarks-By guests and friends of

Bernard A. McDermott, Omaha, "Some the family.

Principles in the Treatment of Rupture of Report of the Committee on Memorial and

the Male Urethra." Resolutions.

C. 0. Thienhaus, Milwaukee, Wis., subject

not announced. MEDICAL SOCIETY OF THE MISSOURI Wm. F. Waugh, Chicago, subject not anVALLEY.

nounced.

Palmer Findley, Chicago, subject not anThis progressive body, now in its nine

nounced. teenth year, has forged its way to the front,

Chas. E. Bowers (President Kansas State and bas become one of the best, if not

Medical Association), Topeka, Kas., subject the largest, independent organization in

not announced. the United States. Composed of able, ac

A. E. King, Blockton, Ia., “Rachitis." tive men, and drawing from seven of the

Wm. Frick, Kansas City, “Blarto-Mycetio largest states in the middle West, this as

Dermatitis, with reports of cases." sociation bas become a factor in the medical affairs west of the great Missisippi river.

F. E. Coulter, Omaha, "Tumors of the

Cerebellum, with report of a case. The sessions of this society are devoted en. tirely to scientific work, and the papers read

D. W. Basham, Witchita, Kas, "Simulbefore it are both entertaining and instruc

taneous Existence of Extra- and Intra-Uterine tive. Its sessions are held in the spring Pregnancy.” and fall. The good work accomplished by

J. C. Waterman, Council Bluffs, “Functhis body of earnest men is a matter of his

tional Disorders of the Stomach, accompanied tory, and a most commendable feature of by Hypersecretion.” these meetings is that no time is devoted to M. M. Edmonson, Kansas City, “Club ethical, political, or personal debate, and

Foot, with special reference to Post-operative “society politics” is an unknown quantity Treatment.” in its ranks.

Maro Ray Hughes, St. Louis, “Some For the above reasons, as well as many

Notes on Pathology of Epilepsy. others we would recommend this society to W. F. Milroy, Omaha, “Indirect Effects our readers. If you want a real intellectual of Valvular Lesions." feast and a season of social intercourse with Frank Parsons Norbury, Jacksonville, Ill., a congenial body of scientific men, attend the "Individual Treatment of Borderline Cases next meeting at St. Joseph, March 22 and of Mental Diseases." 23. A pleasant feature of this meeting will T. C. Witherspoon, St. Louis, “Removal be the attendance of all the presidents of the of the Uterus in Certain Inflammatory ConState associations within the province of the

ditions." Missouri Valley. Following is the prelimin. R. D. Mason, Omaha, “Some Advances ary program:

in the Office Treatment of Rectal Diseases."

A. H. Cordier, Kansas City, subject not ics includes electrolysis and the ionic theannounced.

ory, subjects wbiob play an important role L. J. Dandurant, St. Joseph, "Ligation in modern medicine. Analytic, organic and of Common Femural Artery for Large physiologic chemistry deal with the most imAneurism in Scarpa's Triangle; recovery; portant substances under these headings, and presentation of patient.

furnish the student with an excellent guide The officers of the association are as fol. to study them thoroughly. Every page has lows:

been scrutinized and whole chapters rePresident-J. E. Summers, Jr., Omaha. written and re-arranged to conforın with the

First Vice-President-C. H. De Witt, Glen- most modern views. The ingenious series wood, Ia.

of colored plates have always proved great Second Vice-President-CB. Hardin, favorites. They show the actual colors and Kansas City.

color-changes of 64 of the most important Treasurer-Donald Macrae, Council Bluffs. tests used in inorganic and organic chemistry, Secretary-Chas Wood Fassett, St. Joseph.

poisoning, urinary examinations, eto., etc. Arrangement Committee-Jacob Geiger, It is a work which the student will carry with 0. B. Campbell, C. R. Woodson, St. Joseph. him into practice and which pharmacists, Headquarters, Hotel Metropole.

dentists and physicians will find most convenient for reference.

THE ST. LOUIS MEDICAL SOCIETY at its CUSHNY'S PHARMACOLOGY. A Text-Book of Phar

macology and Therapeutics : The Action of Drugs in Health February election added the following to its and Disease. By Arthur R. Cushny, M. A., M.D., Aberd.. Promembership: Drs. Floyd W. Bennett, 2828a fessor of Pharmacology in the University College, London;

formerly Professor of Materia Medica and Therapeutics in · St. Vincent ave.; O. H. Brown, coruer Grand the University of Michigan. In one handsome octavo vol

ume of 752 pages, with 52 illustrations, Philadelphia and and Caroline streets; Jos. W. Charles, Hum. New York: Lea Brothers & Co., Publishers, 1906. (Cloth,

$3.75 net.) boldt building; George S. Drake, Jr., Humboldt building; Wm. Engelbach, Mermod

The author treats his subject chiefly from Jaocard building; J. L. Evans, 1600 Califor- an experimental standpoint derived from nia avenue; Walter Fischel, City hospital; laboratory investigations, many conducted M. Geo. Gorin, 4225 West Belle place; Fred.

under his observations, but also quoting exB. Hall, 2917 Washington ave. ; E. E. Holt,

tensively from other investigators. An ex1532 Franklin avenue; F. C. E. Kuhlmann,

tensive bibliography is appended to almost 2135 St. Louis avenue; Harry M. Loewen. every chapter, affording the reader the opstein, 2615 N. Taylor ave.; A. P. Munsch, portunity to read the original, or at least 1504 Wagoner place; S. E. Newman, 465

determine the source of information. The N. Taylor ave.; E. T. Senseney, 2829 Wasb- action of the various drugs in health and ington ave.; E. H. Skinner, 2313 Wasking disease is given in

disease is given in a very thorough and ton ave. ; Waldemar Ude, 3531 S. Grand ave.; clear way, and enables the physician to Wm. J. Wills, 1600 California ave.; N. W.

better understand their therapeutic uses. Amos, 3001 Olive street; W. J. Miller, 3014 The book contains the changes and additions Park ave.; L. N. Temm, 3514, N. Market of the latest pharmacopeia and is thorstreet.

oughly up-to-date.

QUIZ-COMPENDS. Medical Latin. By St. Clair Second Edition, Revised. Philadelphia: P. Bla kiston's Sons & Co. (Price, $1.00 net.)

This book is intended for the medical THE REVIEWER'S TABLE

student, and contains the fundamental prinBooks, Reprints, and Instruments for this department, should be sent to the Editors, St. Louis.

ciples of the niedical latin language. It

will help him trace the origin and meaning SIMON'S MANUAL OF CHEMISTRY.

of latin words, thereby making the subjects Lectures and Laboratory work for Beginners in Chemistry. more easily understood. A Text-Book especially adapted for Students of Medicine, Pharmacy and Dentistry. By William Simon, Ph.D., M.D.,

FOOD AND DIET IN HEALTH AND DISEASE. By Professor of Chemistry in the College of Physicians and Surgeons of Baltimore, and in the Baltimore College of

Robert T. Williams, A.M., M.D. Philadelphia and New York:

Lea Brothers & Co., 1906. Dental Surgery, etc. New (8th) Edition, thoroughly revised to conform with the eighth decennial revision of the U.S. This book treats of a most important subPharmacopeia. In one octavo volume of 643 pages, with 66 engravings, 8 colored plates representing 64 important

ject, and the author presents the different food chemical reactions, and one colored spectra plate.

substances and the methods of preparation delphia and New York: Lea Brothers & Co., Publishers. (Cloth, $3.00 net.)

in such a clear and concise way that the The eighth edition of this well known and physician will find it a valuable guide in extensively used manual contains the changes the diet of health and disease. The writer and additions of the last Pharmacopeia, and quotes liberally from reliable works on diehas been revised and rewritten to a large ex- tetics and the experimental stations of the tent. The chapter devoted to chemical phys. U. S. Department of Agriculture.

A Guide to

Phila

their power.

REPORTS ON PROGRESS of large amounts of sodium chloride is fol. Comprising the Regular Contributions of the Fortnightly De

Jowed by a chloride retention. The patient partment Staff.

gains in weight, the edema becomes more

marked, the albuminura increases and symp. INTERNAL MEDICINE.

toms may develop resembling uremia. In

patents with severe nephritis, and especially 0. E. LADEMANN, M, D.

those with uremia, chloride retention is very The Etiology and Treatment of Constipa- marked, as scarcely any of the extra chlortion.— Brov (N. Y. Med. Jour., Dec. 16,1905)

ides administered are eliminated. In indi.

viduals with apparently healthy kidneys, fol. describes the great variety of causative factors of this condition under the following lowing the ingestion of sodium chloride there classification: 1. Mechanical obstruction,

is a retention equal to that of mild nephritis. 2. Defective peristaltio action. 3. Deficient

The individual gains in weight, but there is intestinal secretion. 4. Deficiency of liquids.

no visible edema, no albuminuria and no

uremio symptoms appear. 5. Deficient nervous excitability. 6. Muscular spasms in the lower part of the rectum. 7. General disturbances. The treatment in

Variation in the Ratio of Diameters of the

Normal Chest at Different Ages – The Form of each oase is naturally dependent on the cause.

the Phthiscal Chest.-Bessesen (Jour. A.M. According to his experience prolonged use of purgatives and rectal injections soon lose

A., Dec. 30, 1905) says the study of the hu. In most cases dietetic and hy.

man chest is always one of much interest to gienio measures suffice to regularly perform

the medical practitioner for the valuable de

ductions that may be obtained. The skill the function of defecation.

with which the diagnostioian of the present The Elimination of Chlorides in Nephritis. day utilizes the chest conditions in their vari. - Miller (Jour. A. M. A., Dec. 23, 1905) first ous aspects has reached a high degree of refers to the observations of Widal and Lavel perfection. He discusses the methods emregarding the inability of many nephritics to ployed, indices, median values and an analyeliminate sodium chloride in å normal sis of data, summarizing his monograph as manner, and who hold that the deposition follows: 1. The method of using fixed bony of this salt in the tissues is responsible for landmarks for the placiug of chest diameter the edema in nephritis, contending that the is accurate and readily applied. 2. The time retained sodium chloride requires a certain and the results derived from this method of amount of water to maintain it in the evolution are more accurate than the arithproper molecular concentration, thus leading metical average. 3. Important features in to a dropsical condition. Miller's own ob. the shape of the chest as well as in the moveservations in this direction include a study of ment and the capacity, may be appreciated fourteen cases; two cases of acute nephritis by an observation of its principal diameters. with moderate and marked edema; seven 4. The human chest, in the course of its decases of chronio parenchymatous nephritis, velopment, has passed through various stages six bad more or less edema, and the one with from the deep or dorsoventral to the broad or out edema probably had a secondarily con- transverse type. 5. In the fetus and young tracted kidney; four apparently normal pa- babe, the lower plane gives a greater depth tients; and one case of myocarditis with gen- and breadth than the midplane. 6. The fetus eral edema. While no attempt was made to under 30 centimeters in length presents a determine the exact intake of the salt, the pa- dorsoventral type of chest. 7. The new-born tients were kept on a fairly uniform diet dur- child represents the transitional type of chest ing the period of investigation.

In some

-it is round chested. 8. During the first cases this was milk only; in others the light five years of life the most conspicuous change ward diet. The sodium chloride was first ad- is the rapid widening of the chest in its trans. ministered in wafers, but later in solution. verse diameter—it becomes broad chested. 9. Toe chlorides were estimated daily by the At puberty the length of the chest takes on Volbard method for nine consecutive days, an aotive increase in growth over the other and when possible, the patients were weighed diameters—the adolescent becomes long daily. The first three days the patient had chested. 10. From the eighteenth to the merely the chlorides contained in his food; twenty-fifth year the development of the chest the following three days he received daily an is fairly uniform in all its dimensions, and additional 10 grams; then the three following represents the highest development — the days merely the oblorides in his food. The broad long chest. 11. The dorsoventral di. conclusions of Miller's investigations are as ameter increases at an even rate from birth follows: In patients with moderately severe to maturity. 12. The phthisical chest of nephritis associated with edema, the ingestion adult years, in general, shows an arrest in

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development of the transverse diameter fol

from the duot lymph. In one of the four relowing puberty. 13. The phthisioal chest is maining cases in which the duct was normal a narrow one, tending to the rounded form, there was a primary tuberculosis of the epi. with a relative elongation.

didymis and testicle, with organized thrombi Prognosis in Tuberculosis.-Flick (Ameri.

in the vesical veip, containing caseous masses can Medicine, Jan.6, 1906) states the prognosis

and tuberoles. In eight instances the generalin tuberculosis depends : (a) on the virulence

ized process was subacute or chronic. Large of the tubercle bacillus; (b) on the dose; (0)

tubercles or caseous masses were scattered on the resistance of the heart; (d) on the co.

in small numbers through the various organs, existence of other micro-organisms; (e) on

while during life the course of the disease was the amount of tissue which has been de

protracted, lasting from three to nine months stroyed; (f) on the duration of the disease;

In only two of these cases was there a tuber

a

culosis of the thoracic duot. Iv both in(g) on complications arising from toxemias;

stances the tubercles were small and oc(h) on age; (i) on race; (j) on social condi. tion; (k) on environment; (l) on financial curred sparingly, but in one a few tubercle

1

bacilli were found in smears from the fluid of resources; (m) on temperament, and (n) on oharacter. In forecasting the future of a tu.

the duct. Finally, in three instances, the tuberculous subject the physician should

berculosis was of a chronic type and confined weigh carefully all matters bearing upon the

to the lungs and peritoneum. In all of these

cases the thoracic duct was normal. It is case, and even then be guarded in his opinion. He should bear in mind that the tend

difficult to draw a line between the cases of enoy is always toward recovery, but there are

acute and subacute generalized tuberculosis,

but between the extremes of tbe two types a many impediments in the way of recovery. Restoration to physical health is compara

distinction can certainly be made. Of the tively easy, but the establishment of a condi. twenty-seven cases of tuberculosis in which tion of absolute sterility from the tubercle

the process was more or less generalized, sevbacillus is difficult. Relapses take place enteen, or almost 63 per cent, showed tubereven after years of apparent perfect health.

culosis of the thoracic duct, or, as in one inA person who has bad tuberculosis should stance, tubercle bacilli in the lymph from the not consider bimself free from the necessity duct without lesions of its walls. Of the acute of leading a careful life, no difference how

cases in over 79 per cent the duct was affected long he may have been well.

Prognosis
or contained tubercle bacilli.

The type of should therefore, always be guarded and

lesion in the duot varied considerably. conditional. We may assure the patient that

Sometimes there was a single large caseous he will be restored to physical health and

nodule usually near the receptaculum or remain well so long as he takes proper care

about the arch of the aorta, with small tuberof himself, but we should impress it upon

cles over the intima of the vessel above and him that his good health will only continue

below it, sometimes several caseous nodules so long as he does take good care of himeelf.

were scattered through the duct, while occa

sionally the walls of the lymphatic were simTuberculosis of the Thoracic Duct and

ply seeded with small tubercles. In every Acute Miliary Tuberculosis.- Longcope instance the lymph-nodes of the mesentery, (American Medicine, Jan. 6, 1906) reviews retro-peritoneum, posterior mediastinum, or the literature on tuberculosis of the thoracic bronchial regions were the seat of a chronio duot epitomizing the bistory and necropsy of tuberculosis. At times several groups of 30 cases of tuberculosis, in which the process glands were affected, but more often only one was more or less generalized, paying especial group, and rarely one or two glands. Often attention to a study of the thoracic duct as a the lesion in the duct appeared almost as old possible point of origin for the generalized as that in the neighboring lymph-nodes and process. Of these thirty cases, nineteen were was in close association with it, though a di. typic instances of generalized acute miliary rect extension of the process from the gland tuberculosis, in which minute tubercles were to the wall of the duct was never seen. In at scattered in enormous numbers through most least two instances the caseation of a small of the organs of the body. When histories

group of lymph-nodes and of the thoracic could be obtained the course of the disease duct wall were the only foui of chronic diswas rapid, lasting usually form two to twelve ease which could be found in the body. The weeks. The thoracio duct in fourteen out of author's series of cases suggest that the thor. the nineteen cases showed a more or less ex- acio duct is of great importance as a channel tensive tuberculosis, usually with caseous for the spread of tubercle bacilli through nodules, while in one instance, though there the body from the various groups of lymphwas no tuberculosis of the wall of the vessel, nodes. Undoubtedly, tuberculosis, of the many tubercle bacilli were found in smears veins and arteries is also to be reckoned as a factor in the rapid dissemination of tu- in amount and more or less constant in oobercle bacilli through the body, but is sub- currence. The nature of the accompanying sidiary in importance to tuberculosis of the tube casts must not be relied on too greatly thoracio duct and its tributaries.

From a to determine the seriousness of the renal le. study of these cases Longcope concludes sion, and in particular the presence of an oc

. that tuberculosis of the thoracic duct is of casional hyaline cast, or even the frequent great frequency in cases of acute general. occurrence of such must not be regarded ized tuberculosis. The lesions in the duct with with too much apprehension. The from which tubercle bacilli are, swept in modern method of centrifugation and the great numbers through the lymph to the gen- consequent examination of fresh urine in. eral circulation form the starting point for creases the likelihood of our finding casts, the generalized acute process. In certain and there is often difficulty in distinguishing cases of acute generalized tuberculosis, tuber- between insignificant oylindroid of the mild cle bacilli may be found in the lymph from est grades of renal irritation and the definite the duct, though the duct itself is not the hyaline cast of more decided disease. Even seat of tuberculosis. In a small percentage the latter, however, is so frequent in cases of cases of subacute generalized tuberculo. of arteriosclerosis, cardiac disease, hepatic sis the duct may also be affected.

disease, jaundice and gouty affections with

out serious renal disease that its significance Albuminuria in Nephritis and Bright's Dis- is more or less trivial, unless general olinical ease.Stengel (Jour.A.M.A., Jan. 6, 1906) conditions accentuate the importance of its emphasizes with all earnestness that diagno- presence. The author does not wish to con. sis in renal disease can not proceed from the vey the wrong impression that he estimates urinary examination alone any more than oan lightly the importance of urinary examina. the diagnosis of cardiac disease from physical tion, but it is his conviction that a trace of exploration alone, or that typhoid fever solely albumin is too often magnified in importance from the examination of the serum for the re- in the physician's mind, and that the clinical action of agglutination. Taken in conjuno. conditions as a whole are not sufficiently oontion with the general symptomatology, ac- sidered. Above all things, it is important in curate examinations of the urine are indis. cases of suspected renal disease that the urine pensable, but without the general conditions be repeatedly examined and its constant or as a check urinary examination may be as fluctuating condition be taken into account. misleading as would be the symptoms without urinary findings. Among 581 cuses there were 51 cases of undoubted Bright's disease,

DERMATOLOGY. exclusive of chronio interstitial nephritis. In all of these there was constant and more or

ROBERT H. DAVIS, M. D. less uniform albuminuria. In 7 cases of arteriosclerosis there was more or less incon

A General Consideration of the Contagious stant albuminuria, without casts in 16, and Diseases of the Scalp and Skin Observed in with casts in 58. In 187 cases there was oc- Children of the Public Schools. - Lobel casional or less often constant albuminuria (Medical News, December 16, 1905) consid. in association with acute infectious diseases, ers exhaustively this important, and too gout, diabetes, tuberculosis, syphilis, oystimuch neglected subject, in the article refertis, pyelitis, cardiac diseases, movable kid- red to. In pediculosis capitio, he has found ney, gallstones and jaundice, stone in the crude petroleum and olive oil aa to answer kidney, in occasional cases of other diseases, well for the destruction of the pediculi, much in pregnancy, and in adolescents without dis- better than the usual mixture of kerosene and coverable disease. In 41 cases, in gouty or

olive oil. In twenty-four hours, under this so-called lithemia subjects, there was occa- treatment, most of the pediculi are dead, sional albuminuria at times when the urine and a majortiy of the ova are incapable of was excessively acid. In 215 cases there was development. He recommends also, spirits no albumin at any time. In 11 cases casts of camphor, or the tincture of delphinium were found without albumin. Stengel con- in hot vinegar (1:3) or bichloride of mer. cludes his paper by directing attention to the cury in hot vinegar (1:2000 to 1:500, de. fact that albuminuria is an extremely com- pending upon the sensitiveness of the scalp), mon occurrence in various general diseases or bichloride of mercury gr. i, tr. staphisa. and that, though it may in a sense indicate gria Ziv. In those instances in which we find an inflammastory condition of the kidney, papules, pustules, excoriation and crusts, such inflammation or nephritis may be of

with the formation of a moist exudation and merely pathologic rather than clinical sig. the agglutination of the hair," he finds the nificance, unless the albumen is considerable following efficacious: B Balsam of Peru 20,

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