The Cleveland Medical Gazette, Vol. 1, No. 3, January 1886Various
History
The Cleveland Medical Gazette, Vol. 1, No. 3, January 1886
Various
Medicine -- Periodicals; Surgery -- Periodicals
A member reported one of those peculiarly (excruciatingly, I ought to
say) interesting cases of labor, in which, by _great_ exertion on his
part, and the assistance of two physicians and three (I think is the
number) midwifes or old ladies, he managed “to save the old man,” though
the other parties concerned passed on into the mysterious future. (The
society is expected to laugh a good deal just here, and of course we
expect the readers to do the same.)
At a recent meeting of the Baltimore Medical Association a member
related the following experience: In a family of three children, the
oldest, who had scarlatina four years ago, contracted diphtheria; in a
few days a younger one became ill with the same disease, but accompanied
in forty-eight hours with a distinct eruption of scarlatina. A few days
later the youngest was stricken with scarlatina, but had no symptom of
the diphtheritic trouble.
The report brought out the thought of most of the members present. The
two questions of “the identity of pseudomembranous croup and
diphtheria,” and of “diphtheria a local or a constitutional disease”
were again argued, and, as usual, no opinions were changed. Like the
Scotchman, each was willing to be convinced, but he could not find any
one able to convince him. Two points were fully agreed upon, namely,
that the presence of membrane in the fauces, and of sequellæ, are not of
importance in diagnosis; also that nearly all of the cases in which the
posterior nares becomes seriously implicated are fatal. One gentleman
advanced the opinion, supported by “statistics” (as accommodating a
friend as “facts”), that when the submaxillary glands were enlarged in
this disease recovery took place; when they were _not_ enlarged, death
occurred. The doctor did not say that death occurred at once or within a
few days, so we shall be charitable and suppose that he meant sometime
during the succeeding hundred years.
Notes of two very interesting cases of myelitis, followed by spastic
paraplegia, were read and discussed. The author made special mention of
the exaggerated tendon-reflex being always present in disease of the
lateral tract of the cord, and that this symptom is diagnostic—if
hysteria be first excluded. He also noted in these cases that the
condition of the muscles of the posterior portion of the legs (lower)
was very tense, producing an impression on grasping them similar to that
noticed on grasping a piece of iron. Neither of these men were able to
place the heel upon the floor when standing erect. No amount of effort
on their part could enable them to accomplish it. Neither of them were
improved by the use of the iodides.
NOTES AND COMMENTS.
If “K.” will send name, we will take pleasure in publishing his article
in our next number.
* * * * *
Public-domain text, read in full here on John Shaqi.
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