normal.
I should have put the difficulty I had in making a diagnosis down to my
having overlooked some detail, had it not been that the patient was for
a considerable time under treatment at an eye hospital. The explanation
I am inclined to adopt, for want of a better, is this, that the original
blow caused the anterior elastic lamina with the epithelium to become
detached. The nutrition of the epithelium might thus be kept up, and
every movement which pressed upon the surface would bring the detached
membrane down on the corneal nerve filaments. But it must be confessed
it is not easy to understand how this condition could remain stationary
for five years.
DEADY.
=Hines, M. D., Oliver S.—Iodide of Stannum in Tuberculosis.=—_The Amer.
Hom._, March 15, 1900.
The author thinks iodide of stannum often preferable to stannum in
tuberculosis. He uses it when the patient has a clear complexion and
long eyelashes and where the progress of the disease is rapid. He
reports a case for which the 2x trituration was given, in which there
was “a marked tubercular affection of the chest, increased vocal
fremitus, an abundance of thick yellow and sweetish sputum, sweat at
night, and rapid emaciation.” The result was encouraging.
PALMER.
=Kyle, M. D., D. Braddon.—Initial Forms of Tubercular
Laryngitis.=—_Inter. Med. Mag._, March, 1900.
The enumeration and exact description of these prodromal symptoms are so
important that we copy them in full.
The following, which is a translation of an article by Monsarrat of
Paris (_Rev. Hebdom. Laryngol., d’Otol., et de Rhinol._, No. 43, October
28, 1899), covers the ground so thoroughly that it is worthy of
repetition:
“Laryngeal phthisis completely developed presents multiple and varied
symptoms, some more characteristic than others. In one patient are found
symptoms functionally grave, out of proportion to the lesions relatively
benign. In another, physical signs take first place; there may be an
ulceration completely obliterating one cord, or considerable œdema of
the arytenoids and vestibule, which closes the opening of the glottis.
Having reached the period when tuberculosis is easily recognized, the
various patients are able to date their laryngitis from diverse
pathologic beginnings. This one will present solely the history of a
cough, the other a raucous voice, in another pain will take precedence.
In mentioning these various modes of commencement we insist on the
connection which may exist between each of them and the localization at
the beginning of tuberculosis, on one or the other parts of that complex
organ known as the larynx. Let us divide the symptoms into the
functional and the laryngoscopic. The connection or antithesis between
them will be noticed.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account